Professional Documents
Culture Documents
The Gazette June 2009
The Gazette June 2009
Grosvenor Wing
Main entrance
unveiled
contents
2 the gazette
FSt George’s Grove development
A word
from David
the gazette 3
Main entrance
unveiled
I
n March 2006 a survey was clear sight lines to direct people naturally that St George’s means business and
conducted by the hospital to and safely to the entrance from and there reflects our commitment to improving the
establish what patients, staff and is also a large seating area and improved experience for all our users including
visitors thought of the main facilities for patient and visitor drop off. patients, visitors and staff. The research
entrance. There was an overwhelming carried out in 2006 showed that patients
agreement that the entrance needed and staff wanted improved access to the
to be identified more strongly with hospital and better retail facilities in the
St George’s and that it had to create a main entrance. The new entrance delivers
strong presence and be a focal point on both areas.”
for the hospital. The entrance was officially opened by
The resulting £2.5m project, local MP, Sadiq Khan, in an event held on
Visitors to the hospital walk past Rebecca 24 April. Mr Khan was impressed with the
generously funded by St George’s
Salter’s artwork Calligraphy of Light. refurbishment. He said, “I was born in
Hospital Charity, has led to a total
redesign of the gardens and interior St George’s, as were my daughters. When
The entrance was officially opened by
providing services for patients, visitors the main entrance was last refurbished I
local MP, Sadiq Khan, in an event held in
and staff. Improvements include a new was three years old! It is an excellent
April. Mr Khan was impressed with the
Patient Transport Lounge and a bigger hospital but the main entrance needed an
refurbishment. He said, “I was born in
and more comfortable seating area for overhaul. The investment from
St George’s, as were my daughters. When
visitors. The central location of the St George’s Hospital Charity means we
the main entrance was last refurbished I have a main entrance fit for the patients,
reception desk is designed to help was three years old! It is an excellent visitors and staff of our hospital.”
patients and visitors to more easily find hospital but the main entrance needed an
their way around the hospital. The overhaul. The investment from The opening event was attended by both
Grosvenor Wing entrance is also the staff and guests including Mayor of
St George’s Hospital Charity means we
site of an M&S Simply Food store and Wandsworth, Councillor John Farebrother.
have a main entrance fit for the patients,
Café, the first of its kind in a UK The event was hosted by Naaz Coker,
visitors and staff of our hospital.”
hospital. A complete overhaul of the St George’s Healthcare NHS Trust
external landscaping has created an St George’s Chair, Naaz Coker, said: Chairman, and Gill Noble, Chairman,
area that provides new pathways and “The new main entrance is a clear sign St George’s Hospital Charity.
4 the gazette
St George’s
reports financial
surplus
For the second year in succession
St George’s has achieved an
operating surplus. The Trust
achieved a surplus of £1.7m for the
2008/09 financial year, 0.3 per cent
of the hospital’s annual turnover.
The financial stability of the Trust is
crucial in maintaining St George’s dual
£
Chair of St George’s Hospital Charity, Gill Noble, chats to MP for Tooting, Sadiq Khan, and position as a local healthcare provider
Chair of St George’s, Naaz Coker, at the official opening.
and also that of a leading teaching
hospital providing education to
healthcare professionals of the future.
Director of Finance, Richard Eley, said:
“This achievement is the result of hard
work by all the staff at the Trust,
ensuring value in everything they do
and identifying cost savings while at
the same time maintaining the highest
standards of patient care.
“Tough financial challenges still lie
ahead in the next financial year when
we must prove we can maintain
financial stability, to support our
Chief Executive, David Astley, shows Mayor of Wandsworth, Councillor John Farebrother, the application for Foundation Trust status
entrance at its official opening.
in 2010.
“With a committed team and a very
robust financial framework the future
looks good for St George’s.”
In 2007 St George’s received loans
from the Department of Health
totalling £34m to finance the deficits it
had accumulated in the previous four
years. The loans are repayable in full
by March 2012. Since the Trust has
stabilised its financial position it has
been able to repay £10m of these
loans over the last two financial years.
The new main entrance from outside the hospital.
Further repayments of £8m per year
are due next year and the following
two years to finally eliminate this debt.
This achievement
is the result of hard
work by all the staff
at the Trust, ensuring
value in everything
they do and
Guests at the official opening of the main entrance last month chat in front of Edward
identifying cost
Bawden’s painting of St George’s Hospital, Hyde Park.
savings...
the gazette 5
L landmark event New DVD
highlights major
incident plan
500,000th A major incident can be anything from an
act of terrorism, a train or plane crash, a
biological problem or even a motorway
the gazette 7
Fspotlight
A varied role
When I came into this post in 1998 I was
the only urology oncology nurse in the
Trust and covered prostate, bladder,
kidney, testicular and penile cancers. There
are now three of us so our roles are
divided by tumour type. I am team leader
and my main responsibilities lie with kidney
and penile tumours, although as a team
we support all patients with a diagnosis of
a urological cancer.
“I’m part of a team running a service for
penile cancer which is for patients from a
large area of south east England, from
Dorset all the way along the south coast
to Kent. It is a very rare cancer affecting
only about 450 men each year. As a result
men and their families can feel very
isolated and I have funding from
Macmillan and another charity, the Orchid
Appeal, to hold a day for these patients to
provide them with information and to
find a way to create an on-going support
group. This is a project I’m planning at the
have been newly diagnosed with cancer. Award 2009 by colleagues at St George’s.
moment.
I work in day surgery twice a month I was unable to pick up the award, which
“I do sometimes wonder how I ended up carrying out surveillance for bladder was for Excellence in Clinical Practice, in
working in this area. I worked on a cancer. I also liaise with patients and their person but June Allen, who is the Lead
urology ward as a student nurse and families by telephone. Cancer Nurse, collected it on my behalf.
really enjoyed it. The camaraderie
“My role as a Nurse Specialist also It was one of the awards presented at
between the staff was great and you got
involves educating others - nurses and Meet Macmillan which was a regional
to know the patients well. I really enjoy
patients - about urological cancers. I speak event on May 21 for Macmillan
the variety of my job.
at conferences and events and sometimes supporters and professionals from London
to the media about men’s cancers. I am and the south east. It is a real honour to
Macmillan Award involved with the Prostate Cancer Charity get this.
My patients can be quite young, men in and was the chair of the oncology group “I’ve also been under the spotlight as I am
their 20s with testicular cancer, or anyone of the British Association of Urological one of the staff with a profile on the
up to the very elderly. Some have to have Nurses. Trust’s website. I hope it will encourage
very complex surgery; for others,
“My work with penile cancer patients junior nurses and those thinking of
treatment is simpler. I might be on the
was recently recognised by Macmillan. I training to see where a career in nursing
wards speaking to patients who have had
was nominated for an Action for London can go.“
surgery for penile or kidney cancer. I can
be in outpatient clinics running my own
follow up clinic or seeing patients who To see Sarah’s profile on the website and other staff profiles,
visit www.stgeorges.nhs.uk/workingprofiles.asp
8 the gazette
view from the top
forward things which are a priority, such bringing in new electronic ways of doing of our resources.
as improving the process for ensuring things we do on paper now. I want to What, in your opinion, are the main
beds on wards for A&E patients, and that ensure any roll out is taken step by step and challenges for the Trust?
we have sufficient outpatient and as far as possible, allows the system to be
Finance is a challenge but not an
diagnostic capacity. tailored to meet our needs. I also want to
insurmountable one. We need to bring in
make sure for our patients and everyone
Another job has been reviewing our more income to help us balance the
working here that we do not mess up on
clinical spaces and developing a three-year 2009/10 budget. We are already increasing
implementation and that we move forward
capital programme to prioritise work the amount of work we do so that is a
very carefully, testing everything as much as
including co-locating services, expanding good sign we can earn our way of our
possible before we flick any switches to
capacity where required such as in acute financial challenges. We have work to do
move to the new system.
medicine and children’s services. These on reducing our length of stay where that
things are important for future Recruitment is a key issue for St George’s is safe and appropriate for patients.
developments such as becoming a major and I am now chair of steering group on
trauma centre, hyper-acute stroke unit, or this, looking where resources are needed, What do you do to relax?
developing plans for a women’s and what kind of staff are short in supply, and I’m a keen traveller and I have an interest
children’s hospital. how to attract people to work here. This is a in photography. My office wall has pictures
key issue for the operation of the hospital. of some of my trips abroad. I’ve travelled
What do you see as your priorities for We cannot keep asking people to work widely with more recent trips to South
the next twelve months? another shift to cover for staff we are America, Australia and New Zealand,
Creating the role of Divisional Chairs - lacking. Japan, Cambodia and Vietnam. I’d love to
senior clinicians who will play a major role I am keen to continue to build a stronger go on a major safari to Tanzania and
in shaping the divisional services with their working relationship with unions and their Botswana. I also run fairly regularly.
the gazette 9
1
Faward 1doctors abroad
In Iraq...
Graham Smith, Consultant Oral &
Maxillofacial Surgeon has recently
retuned from Baghdad where he
trained more than fifty Iraqi surgeons
as part of a training programme run
by British charity International
Medical Corps.
Graham spent just over a week in the Iraqi
capital passing on his expertise to surgeons
in specialist head, neck and facial surgery.
In the last two decades, at least 20,000 of
Iraq’s 35,000 registered doctors have left the
country. As a result of this massive brain
drain and the lack of knowledge of
T
he team has effectively reduced in infection control.
hospital infections through changes
of working practices, broader team
work with colleagues from other
The top prize went to Heart of England
NHS Foundation Trust and third place was
...and Nepal
awarded to Portsmouth Hospitals NHS Zahid Mukhtar, consultant paediatric
departments, and scrupulous attention to
Trust. surgeon and Joanna Stanwell,
detail. The sustained effort of the specialist registrar in paediatric
St George’s team over a number of years, Dr Geraldine Walters, Director of Nursing surgery at St George’s Hospital have
combined with new initiatives, was cited and Infection Control, said: recently returned from a two week
by the judges as worthy of recognition. charity surgical camp in Nepal.
“This award is fantastic recognition for the
Changes to systems, processes and team here at St George’s. Thanks to the The camp is part of Health Partnership Nepal
accountability also helped to reduce dedication of staff across the Trust, our MRSA Medical and Surgical Camps 2009; which is a
infections this year. Updating of clinical rate is now the third lowest of any teaching partnership between St George’s University
management guidelines, regular deep hospital in England and we reduced our and Nepal Medical College, Kathmandu.
clean initiatives, and the introduction of Clostridium difficile rate by over 77 per cent An outbuilding of Trishuli District Hospital in
new activities and initiatives such as the this year, which ranks the Trust in the top six Nepal which was previously used only for
‘C. diff ward round’ – involving Infection acute hospital’s in London.
Control team members, Matrons,
“Our patients can be confident that we
Antibiotic Pharmacists and Estates
do everything we can to protect them
Managers – were significant factors in the
from infection, and will continue to devise
reduction of C. diff infections.
and introduce new activities and initiatives
The judges were also impressed by the to further improve infection control
Trust’s continued reduction in MRSA measures at St George’s.”
bacteraemia – St George’s ended 2008/09
The team will receive the award and a
with just 13 confirmed cases, 43 per cent
cheque for £1,000 at an awards
lower than last year. Mr Zahid Mukhtar teaches Ritesh, a Nepali
presentation and celebration dinner on
registrar, how to perform a paediatric inguinal
The Awards are supported by the Hospital June 2. herniotomy in Trishuli District Hospital.
10 the gazette
Ffarewell
Goodbye to Marie
At the end of March, staff from
St George’s said a fond goodbye to Quote from
David Astley,
Marie Grant who has retired from the Chief Executive
Trust, although still working for the NHS.
Marie has
M
arie, who trained as a nurse and been an
Graham Smith is pictured, centre, with two midwife, has more than 35 years’
trainee doctors.
important
service within the NHS. During her
person in the
seven years at St George’s, she was Director
Along with three other surgeons funded by recent history of
of Nursing, Director of Operations and
the Norman Rowe International Educational St George’s, taking on its leadership
twice Acting Chief Executive.
Foundation, Graham was proud to pass on as acting CEO and overseeing all
urgently needed knowledge and skills. He For the last six months, she has been on
aspects of its efficient running and
says, “It was a great privilege to visit secondment to the strategic health
management as Director of
Baghdad and be able to teach new skills and authority NHS London leading on the
Operations. Her experience and her
up to date management to the Iraqi doctors implementation of action plans for
maternity services following the Healthcare warm personality were an asset
involved. Everyone that we worked with was
very friendly and receptive to the Commission’s review of maternity services during some difficult times for the
programme.” but has retained a presence in the Trust hospital. My time working with her
one day a week. Marie will continue to was all too short. I wish her all the
Director of International Medical Corps UK
work for NHS London part-time. best for her “retirement” although
Peter Medway was delighted with the
Staff from across the Trust, and from I’m sure she will as busy as ever with
outcome of the project, commenting,
elsewhere in the NHS, came to send Marie her work at NHS London and
“We’ve had some tremendously positive
feedback from the Iraqi doctors who off in style with a party. Peter Homa, her family commitments.
participated. Graham is a credit to St former Chief Executive Officer at St
George’s Hospital and we’re extremely George’s, now Chief Executive Officer for
grateful for the significant contribution he Nottingham NHS Trust came down from
has made to the Iraqi healthcare workers Nottingham for the event and
we partner.” representatives from the Whittington
Hospital, where Marie also used to work,
also attended.
minor procedures was transformed into a
Gifts presented to Marie included a
1
theatre complex with two theatres, one for
wooden bench for her garden, a Nintendo
adults and one for paediatric services. The
Wii Fit, John Lewis vouchers and flowers.
team was made up of UK and Nepali
A book of photographs and entries by
healthcare professionals from Kathmandu
colleagues wishing Marie well in her A book full of photographs and best wishes
and Trishuli, who worked closely together to
retirement was also given to her. was among the gifts for Marie.
get as many cases done safely as possible.
the gazette 11
Fcelebration
C
akes donated by Mitie, Peabody’s and M&S afternoon event for International Nurses’ Day.
Simply Food were enjoyed by nursing staff on
wards and in clinics across the Trust.
At a special event in the afternoon, six staff were recognised as
being the finest in their field having been chosen for a St George’s
International Nurses’ Day award after being nominated by
colleagues. All nominees for the awards had been invited and their
names and exerts from their citations were on view before the
event was opened by Director of Nursing, Geraldine Walters.
Nurse of the Year 2009 was presented by David Astley, Chief
Executive, to Jee Ho, Colorectal Nurse Specialist in General Surgery,
for her work in running a rapid access clinic for patients with
suspected cancers, while Mark Soomaroo, Charge Nurse on
Allingham Ward, was named up runner up in this category for his Stephanie Davies from Laughology involves David Astley, Chief
Executive, in her presentation.
leadership in encouraging learning and professional development
within his team.
Rixa von dem Bussche, lead midwife of the Carmen Suite, was presented with Midwife
of Year 2009 for her “invaluable efforts” in spearheading the Trust’s midwifery-led birth
unit through its conception, implementation and first year of operation. Marion Louki, a
midwife on Carmen Suite, was selected as runner up for her positive attitude and for
being both a support and excellent role model for junior midwives.
Healthcare Assistant of the Year 2009 was Iwona Klinek who works on the Neuro
Intensive Care Unit. She was nominated for coping effectively under pressure when staff
absences meant she was the only HCA in the unit and for developing guidelines on
cleaning and re-stocking bed spaces to help bank staff. Ethel Gordon, HCA on the
Delivery Suite and runner up in this category, was described as “a delight to work with”
Clinical Teaching Sister, Catherine Bridge,
by one of her nominees. Her hard work, conscientious attitude and friendliness were all
receives the Aunty Lucy Award from David
highlighted as well as her constructive contribution to the team. Astley for Geriatric Medicine nurses.
12 the gazette
no smoking
No Smoking Day
St George’s marked No Smoking Day
in March by hosting an information
stand about smoking cessation for
staff, patients and visitors.
Winners and runners up: Jee Ho, Mark Soomaroo, Ethel Gordon, Marion Louki and Rixa von
dem Bussche. HCA of the Year, Iwona Klinek, is missing from this group as she could not
collect her award on the day.
the gazette 13
Appointment
reminders by
text
Have you ever received a text
message reminding you of your
hairdresser or dental
appointment?
St George’s is now making the most of
the growing use of text messages in
daily life as well. During May the Trust
has been rolling out a new automated
appointment reminder system which
sends text messages to patients
reminding them of the date and time
Following a patient survey which was
?
carried out earlier in the year, St
14 the gazette
,Tackling Bullying
The annual staff survey by the G 40 per cent of staff said they worked safety training, are now being
Healthcare Commission (now in a team which had clear objectives, addressed through the Mandatory
,
the Quality Care Commission) which worked together to achieve and Statutory Training (MAST)
published at the end of March those, and which met regularly to programme; a further important
discuss effectiveness and area to tackle is the reported level of
revealed a rise in the number
improvements. This score was above bullying and physical violence
of St George’s respondents
average. between staff.
reporting bullying and
harassment, particularly staff- G More staff said they had had I want to restate our commitment to
on-staff bullying. The increase appraisals and personal development tackling these, which is
put St George’s as one of the plans. The improvement moved the unacceptable behaviour and is never
Trust from being worse than average justifiable. As a Trust, our values are
worst Trusts in England for
to better than average for both to encourage respect and tolerance
reporting of this kind of
findings. A new question in the between colleagues.”
behaviour.
survey about opportunities for
Jane Pilgrim, Staff Side Secretary,
developing potential at work also got
In April, a letter from Chief Executive, said: “The Staff Side Committee will
a better than average response.
David Astley, and Staff Side Chair, work in partnership with
Justin Nowell, was sent out with G 74 per cent of respondents said they management to build a culture of
payslips reiterating the Trust’s and worked for longer than the hours for improved respect and dignity
trade unions’ commitment to tackling which they are contracted. The between all levels of staff.”
all forms of bullying and urging those percentage of respondents using
who experience or witness bullying flexible working options had also
The four staff pledges
behaviour to report it or seek support dropped. Both findings put St
George’s in the worse 20 per cent in in the NHS Constitution
from line managers, HR or union
representatives. England and probably contributed to
another finding being below average
1 To provide all staff with
clear roles and
An action plan addressing the issues – staff perception of the Trust’s responsibilities and
raised by the survey will be agreed by commitment to work-life balance. rewarding jobs for teams
management, informed by comments and individuals that make
received from the trade unions. G Staff reported a decrease in receiving a difference to patients,
Health & Safety training in the past their families and carers
In October 2008, around 790 staff at 12 months. They also reported and communities.
St George’s were randomly selected to seeing more potential harmful errors
take part and just under half (49 per and near misses in the proceeding 2 To provide all staff with
personal development,
cent) responded by the December month. The ratings put St George’s access to appropriate
deadline. This year all scores related in the worst 20 per cent of Trusts. training for their jobs and
to four staff pledges (see box) and line management support
G The percentage of respondents (30
two additional themes which were to succeed.
per cent) reporting harassment,
staff satisfaction, and equality and
diversity.
bullying or abuse from other staff in
the previous 12 months had
3 To provide support and
opportunities for staff to
The responses highlighted several increased as had those experiencing maintain their health,
areas where St George’s did not well-being and safety.
physical violence from other staff (five
perform as well as other NHS Trusts,
as well as demonstrating positive
per cent). Both findings put the Trust
in the worse 20 per cent of Trusts in
4 To engage staff in
decisions that affect them
improvements. England. and the services they
provide, individually,
G The Trust improved on its 2007 Helen Gordon, Director of HR and through representative
score for design of jobs, getting a Organisational Development, said: “The organisations and through
better rating from staff on clear staff survey is an important indicator of local partnership working
goals, feedback on performance our staff’s well-being and job satisfaction. arrangements. All staff
and an opportunity to participate The areas of improvement are welcome will be empowered to put
in decision making. The but overall the survey shows we have a lot forward ways to deliver
improvement put St George’s in to do to meet our aspiration to be an better and safer services
the best 20 per cent of Trusts in for patients and their
employer of choice. Some of the most
families.
England on this finding. problematic areas, including health and
the gazette 15
-marathon
-
parents of Neonatal Unit ‘graduates’
- Wallace has been threatening to do the walked the Great Glen walk from Fort
- Amit completed the 26.2 mile London Marathon for years. This year he William to Inverness from Saturday
course in six hours. He got underway 23 May to Tuesday 26 May - a
fulfilled his promise! He completed the distance of 72.5 miles.
with a promising start, completing the
course in under five hours, averaging The group included Rachel and Dan
first 12 miles in two hours, but a
around five miles per hour throughout. Pidcock, Alison and Mike Smith,
combination of the heat and Bethany and Chris Spray, Jo Pidcock,
Wallace’s fundraising has reached over
persistent cramp slowed him down. Hazel and Richard Warrington, Dave
£900 and counting. Arnold, Anthony Sewell, John Sims,
But perseverance is everything and
Veronica Sim, Mary Goggin, Angela
Amit has much to be proud of in that Congratulations to these four and Hudson, Theresa Alexander, Lorna
he went the distance. At the time of everyone else who ran and raised money Barracks and Doris Jackman.
going to press, Amit had raised just for St George’s Hospital Charity. Overall, The aim is to raise £5,000 for the
shy of £800. there were 14 people running for the Neonatal Unit. The money will be
charity and a team of runners at ING in the used for the welfare of parents and
- Marie, who is an experienced City, who are splitting their sponsorship
families, to purchase equipment for
the unit and specialist staff training.
Marathon runner, achieved an
money between four charities, including Organisers say the walk was also
impressive three hours and 11 beneficial to some participants who
St George’s Hospital Charity.
minutes. Her fundraising total stands are aiming to lose a few pounds on
at just under £700 and rising. Marie You can still donate at: the way!
16 the gazette