May 2006 - No.143 Chelsea and Westminster Healthcare NHS Trust

Trust NEWSl Hand Hygiene

Awareness Week – pages 8 and 9

l Focus on TB – page 5In this

issue... l Sexual health

superheroes– page 3

Trust nurse delivershis own babyStories of babies being

born in the back seats oftaxis and in hospital carparks are sometimesdismissed as little morethan urban myth – butthe amazing real lifeexperience of Trust nurseNeil Williams suggestsotherwise.

Paediatric Charge NurseNeil, who is based on thechildren’s High DependencyUnit at Chelsea andWestminster, ended updelivering his second childNoah after wife Kay’s labourprogressed rather morequickly than expected!

Their incredible story isfeatured in the May editionof Mother & Baby magazinefollowing Noah’s‘adventurous’ birth inDecember.

Neil explained: “I wasgetting ready to come towork when Kay said she felta twinge and that perhapswe should head for our localhospital. The next minuteKay was in a heap andneeded to push!”

A friend arrived in time tolook after Neil and Kay’solder son, Ben, while Neilcalled the hospital to ask fora midwife and called anambulance.

“The midwife called backand I knew immediately shewasn’t going to get to us intime but the LondonAmbulance Service controlcentre dispatcher gave mesome words of advice,” saidNeil.

“As the ambulance arrivedthe head was alreadydelivered so the crew werehappy for me to continueand, having checked thecord wasn’t around his neck,

Noah arrived after anothercouple of minutes.”

Neil can now see thefunny side of the highlyunusual circumstances inwhich Noah arrived into theworld.

“You might have thoughtthat, of all people, achildren’s nurse might beable to get his wife to thehospital on time!” said Neil.

Happily, mother and babydidn’t need hospital treatment

after the surprise home birth. The Mother & Baby article

focuses on a mother’sexperience of childbirthwithout painkillers and,according to Neil, while it’san interesting read it doesmake the whole experiencesound like a cross between aMills and Boon novel andan episode of Holby City.

Mother & Baby magazineis available online at www.motherandbabymagazine.com

n Neil Williams and wife Kaycelebrate the birth of baby Noahwith their older son Ben and themidwife and ambulance crewwho were happy to let Neildeliver his own son

I want to say a special thank you to allthe staff on Adele Dixon Ward whohave provided excellent care to medical,palliative care and Level 1 patients.

Because we have achieved a Trustwidereduction in the average length of timethat patients spend in the hospital, wenow need fewer beds and so Adele Dixonwas closed just before Easter.

The ward was chosen on the basis ofcriteria including the relatively smallnumber of beds and the fact that it hadonly one single side room. Side roomsare an important means of reducinghealthcare associated infections such asMRSA and assisting in achieving thefour-hour A&E wait target.

I appreciate this has been a difficult, and emotional,time for staff working on the ward but I am pleasedthat the talents and abilities of all these staff are nowfully employed elsewhere in the hospital.

HHHYou can’t pick up a newspaper these days withoutreading about the financial challenges facing the NHSwhich is why it was testimony to the efforts of all staff

that we had a £2.2 million surplus for 2005/06.

We will need to deliver a £9.9 millionsavings programme this financial year tobalance our books and achieve the 1%surplus which is a requirement forFoundation Trusts so that the Board candecide how to utilise the freedom of FTstatus and reinvest in services.

I would ask all staff to help ensure weuse our resources as efficiently aspossible so that we remain in control ofour finances and avoid the kind ofwholescale cuts that some trusts havebeen forced to make.

HHHHand Hygiene Awareness Week, featured in thismonth’s Trust News, has now become a major annualevent in the hospital which ensures that the importanceof good hand hygiene has a high profile at Chelsea andWestminster.

Congratulations to the infection control team for alltheir hard work in making this year’s awareness weeksuch a success and I would ask all staff to play theirpart in reducing healthcare associated infections.

by the Chief Executive, Heather LawrenceHeather’s view

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Keep it clean Team effort clinches emergency success

Congratulations to all staff whoplayed their part in ensuring wemet the government target for 98%of Emergency Department patientsto be admitted, transferred ordischarged within four hours.

Edward Donald, the Trust’s Directorof Operations, said: “Hitting this targetfor the 2005/06 financial year was ahuge challenge for the hospital but itwas achieved thanks to a real team effort.

“It was only possible because of thecommitment and teamwork of staffworking throughout the hospital, notjust in the Emergency Department, andI would like to say a big thank you toeveryone involved.”

As Trust News reported in March, thisteam effort led to a significantimprovement in patient satisfaction inlast year’s patient survey and it has alsoensured that more emergency carepatients are treated in a timely way.

During the 2002/03 financial year,46% of patients spent more than fourhours in the Emergency Departmentwhile during the 2005/06 financial year,just 2% of patients spent that long inthe department.

n Hand Hygiene Awareness Week came to the hospital in the first weekof April – and it was impossible to miss characters such as Barry the Bugand Barbershop Quartet Chordination who added some fun to the handhygiene message.

See pages 8 and 9 for lots more photos and highlights of this year’sawareness week.

Hepatitis factfileDid you know...

Two senior staff nurses from the Trust’s VictoriaClinic for sexual health have been transformed intosuperheroes as part of a new campaign encouraginggay men to get vaccinated against Hepatitis A and B.

Sexual health superheroes unleashed

Beth Gannon and MartinLincoln were turned into‘The Vaccinators’ – the sexualhealth superheroes – at thelaunch of the Sortedcampaign to entice gay mento have the vaccination aspart of a night out at the G-A-Y Bar in Soho.

Sorted was at G-A-Y onfour Thursday nights in April– vaccinations are alsoprovided free of charge andwith no need to make anappointment at the SohoCentre for Health and Care,

and the Royal London and StBartholomew’s hospitals.

Even though Hepatitis B is100 times more infectiousthan HIV, only one in twogay men in London has beenvaccinated – the vaccinationis free and it can help protectpeople from a potentially life-threatening disease.

Dr. Alan McOwan, LeadClinician at the VictoriaClinic, is confident that thelatest Sorted campaign willencourage more gay men toget vaccinated.

“Ourcampaign and the presence ofthe ‘The Vaccinators’ raisesthe profile of the importanceof gay men being proactive

about their health. We want more men to get

vaccinated which is why wetook the Sorted service intothe very heart of thecommunity.”

Bar and club promoter,Jeremy Joseph said: “Sorted’spresence at the G-A-Y Barreally encourages guys tovaccinate ‘on the spot’ or atleast think about the risksassociated with Hepatitis Aand B if they don’t.

“This is a really worthwhilepartnership that makesgetting vaccinated so easy.”

n Beth Gannon (SeniorStaff Nurse, VictoriaClinic), Andrew La’Bray(Practice Supervisor,CLASH) and MartinLincoln (Senior StaffNurse, Victoria Clinic)launch the SORTEDHepatitis B campaign

A big thank you to all staffwho took the time andtrouble to come along to sixinformal drop-in sessionsheld in April to discuss thekey findings of the staffsurvey and invite commentsand ideas for an action plan.

Dozens of staff from all areasof the Trust gave their views onlife at Chelsea and Westminsterand came up with some greatideas about how we couldmake it a better place to work.

Maxine Foster, the Trust’sDirector of Human Resources,

said: “There were plenty ofpositives in this year’s staffsurvey but we wanted to lookat our main problem areas andensure that staff had a real sayin developing an action plan totackle them.

“We are delighted that somany staff got involved and allyour feedback is now beingcollated so that we canproduce an action plan toreflect your comments, ideasand suggestions.

“It will focus on the threekey issues emerging from this

year’s staff survey – workloadand flexible working, goodcommunication and ensuringthat our staff feel valued – aswell as any other big issues thatemerged from the drop-insessions.”

Following the success of thesessions held during April,Maxine and her HR team willhold further face to facesessions to present a draftaction plan and invite anyfurther comments from staffbefore the plan is finalised.

Maxine said: “Staff said they

valued this opportunity tohave face-to-face conversationsrather than being asked torespond to yet another email.They also said they would liketo have more opportunities totalk directly to members of thesenior management team.”

One of the early actions isthat Maxine and the HR teamhave agreed with staffsiderepresentatives to get out andabout more and drop intowards and departments on aregular basis to hear moreabout what staff think.

You have your say on staff survey

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• Hepatitis is 100 timesmore infectious than HIV

• Unlike HIV, Hepatitis B ispreventable by a simplevaccination

• Hepatitis B can causeserious lifelong liverdisease and even death

• 1 in 3 gay men in Londonwill have had Hepatitis Bby the age of 35

Sorted was set up by staffworking in the Trust’sVictoria Clinic for sexualhealth to address the factthat so few gay andbisexual men had beenvaccinated againstHepatitis A and B. Formore information aboutHepatitis B visitwww.hepinfo.org

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A total of 25 people will do a parachute jumpwith the Red Devils at the Duke of GloucesterBarracks in South Cerney, Gloucestershire, onMay 24 to raise £10,000 for the ChelseaChildren’s Hospital School.

Donated money will go towards buying videoconferencing equipment which will allow children to keepin touch with their full-time schools and friends, as manyof them are long-term patients at Chelsea andWestminster.

The school, which is open every day and based atChelsea and Westminster, the Royal Brompton Hospitaland Collingham Gardens often has a team of artists visit towork with the children. Parachute money would also helpto fund this.

Some of the brave people jumping are 18-year-oldLouise Ginsburg (pictured centre), a pupil at the schoolwho is the youngest jumper, Headteacher Janette Steele(pictured left) and Senior Teacher Miranda Duurloo(pictured right) who is one of seven teachers jumping.

If you would like to sponsor the jumpers, who eachneed to raise a minimum of £390, please contact SuBrowne on 020 8567 4047/07888 683 678 or emailsubrowne90@hotmail.com

Cheques should be made payable to Friends of ChelseaChildren’s Hospital School.

For more information about the jump you can go to theChelsea Children’s Hospital School website atwww.chelseachildrenshospitalschool.org

A new system to identify patients on wards who mayrequire a higher level of care has been developed.

Wards and departments all over the hospital werebrightened up by spring blooms thanks to theQueen’s annual gift of daffodils.

The flowers were distributed in the week beforeEaster by Dianne Holman, PA to Director of NursingAndrew MacCallum.

Our photo shows Neptune Ward patient MichaelAnders with mum Emily Tseng and a selection ofdaffodils just about to burst into bloom.

Queen’s blooms brighten up hospital

Jump to it

New early warning system goes Trustwide

The Chelsea EarlyWarning Scoring System(CEWSS) is a tool to aid theearly detection of criticallyunwell patients and thosepatients who are at risk ofdeterioration.

It has been developed byAndrea Blay, Critical CareNurse Consultant, and theCritical Care Outreach Teamand piloted on two medicalwards – David Erskine andEdgar Horne – before itsplanned rollout across theTrust in June.

CEWSS will be launchedTrustwide on June 12following two weeks ofmandatory teaching sessionsfor all ward nurses,healthcare assistants andbank staff from May 29 toJune 9.

Early warning scoringsystems have been developed

in response to researchdemonstrating that cardiacarrests are rarely sudden andunexpected events butpreceded by signs ofphysiological deterioration inthe hours beforehand.

One of the aims of earlywarning scoring systems isthe early recognition andtreatment of at risk patientsto prevent them fromdeteriorating and having acardiac arrest and possiblybeing admitted to theintensive care unit.

CEWSS is a new scoredeveloped by nurses fornurses which is tailored toChelsea and Westminster.

Link professionals,including nurses, therapistsand pharmacists, are beingidentified on wards – anyoneinterested in being the linkprofessional for their ward

should contact TheresaWeldring (Critical CareOutreach Practitioner) onext 8220, bleep 0104 or viaTrust email.

Critical Care OutreachTeam staff include AndreaBlay, Sophie Brew, Julie

Durrach, Richard Harvey,Jacqui Trotter, TheresaWeldring and Lisa Wright.

See June’s Trust News forfull details of events takingplace during the ChelseaEarly Warning ScoringSystem launch week.

TB service is team effortThe Tuberculosis (TB) service at Chelsea andWestminster aims to reduce the risk of people beingnewly infected with TB, provide high qualitytreatment and care for people with TB and maintainlow levels of drug resistant and multi-drug resistantTB with a long term aim goal of reducing andultimately eliminating the disease.

n Ian Smith (Occupational Health Adviser), Susan Maye(PA, TB and Infection Control teams), Sheena Basnayake(TB Clinical Nurse Specialist), Lesley Ruta (TB ClinicalNurse Specialist), Rouli Fatouros (TB Service Volunteer)and Ria Surridge (Occupational Health Adviser) on TBAwareness Day

It is an integrated serviceoffering treatment andscreening for adults andchildren, including HIV/TBco-infection, and the TBnursing team is alsoresponsible for the community,specifically Kensington andChelsea PCT and the southernpart of Westminster PCT.

In 2005 there wereapproximately 71 notificationsand the service screened morethan 400 people who weresymptomatic of TB disease,TB contacts, or from highrisk groups.

There are general, specialistHIV and children’s clinicsrun by consultants for eachspeciality and the TB nursespecialists run nurse-ledclinics alongside eachconsultant-led clinic tosupport patients throughtheir treatment and ensurethat they adhere to antibiotictreatment - the TB nursesalso run two contact tracingclinics a week.

TB factfile• Tuberculosis (TB) is a serious, but treatable, infectious

disease which most commonly affects the lungs• Symptoms include a persistent cough, sweating, loss

of appetite, weight loss and a lack of energy• TB can be treated with a course of special antibiotics

but failing to complete the course not only fails tocure the disease but also contributes to the growth ofdrug resistance

• It can be prevented through early identification andtreatment of people who are infected with the diseaseand screening of those at high risk of developing TB

• About 7,000 people now get TB each year – just overone person in every 10,000 of the population – and itis most common in inner cities with two out of everyfive cases occurring in London

• Across the UK as a whole, TB has increased by 25%over the last 10 years andin London the number ofcases has doubled overthe same period

Nutrition screening set for an overhaulA new Healthcare Commissionperformance indicator on obesity, alongwith the NICE guidelines on nutritionalsupport and the Essence of Care nutritionbenchmark, are demanding betternutritional screening of all adult inpatientsand outpatients to pick up those who areeither malnourished or obese.

The hospital is to replace the currentward-based screening tool with theMalnutrition Universal Screening Tool(MUST), a national tool to be used forboth inpatients and outpatients.

An official MUST launch day and thetimetable for introducing it across theTrust are currently being reviewed,hopefully by this summer but this dependson the agreement of ward-baseddocumentation and the introduction ofthe new tool onto the EPR system - a

programme of education and training willbe held throughout May, June and July.

To help nurses work out patients’ BodyMass Index (BMI) accurately, the Friendsof Chelsea and Westminster have kindlydonated 14 new height sticks and digitalsit-on scales to adult wards to bring theequipment up to scratch.

Helen Stracey, the Trust’s DieteticServices Manager, says: “It is great thatnutrition is now so topical. It is alwaysbetter to prevent or detect problems earlyand nutritional screening needs to becomemandatory for us to improve thenutritional status at both ends of thespectrum.

“Both malnutrition and obesity areincredibly costly to the NHS and thisshould lead to savings that can offset thecost of improving care.”

So who’s who inthe TB service?

• Professor Tim Evans runsthe adult TB clinic and isthe lead physician for theTB service

• Dr Anton Pozniak headsup the HIV/TB clinic andis also the designatedphysician for multi-drugresistant TB

• Dr Ed Abrahamson andDr Ian Balfourlynn runthe paediatric TB clinic

• All inpatients with TBgenerally come under thecare of Dr Dilys Lai (Mainphysician for inpatient care- Medicine), Dr PallavShah and Dr Suveer Singh(Medicine) and Dr MarkNelson and ProfessorBrian Gazzard (HIV)

• The TB team also worksvery closely with Dr BergeAzadian (Director ofInfection Control), thenurse-led infection controlteam and the microbiologydepartment.

n Professor Tim Evans andDr Ed Abrahamson with TBClinical Nurse SpecialistsSheena Basnayake andLesley Ruta

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Don’t forget...No smoking policy

All staff are remindedthat smoking is notpermitted anywhere inthe hospital – includingon-call rooms, thedoctors’ mess andcommon rooms.

Action will be takenagainst staff who smokein these or any otherareas of the hospital andrestrictions to theseproblem areas could beintroduced if the Trust’sno smoking policycontinues to be flouted.

Staff interested injoining a stop smokinggroup should contactKensington and ChelseaPCT’s Stop SmokingServices on 020 89625518.

A&EStaff working in A&E areasking all Trust staff tostop using the ambulancebay doors in thedepartment as a short cutor exit from the hospitalbuilding.

Seriously ill patients inthe resuscitation area ofA&E are being badlyaffected by thetemperature droppingbecause staff continue touse the ambulanceentrance.

All staff are asked toshow consideration forthe welfare of ourpatients by leaving thehospital via the frontentrance not theambulance bay doors.

On-call staff carparking

All on-call staff arereminded that they mustshow their rotas to exitthe car park which willmake life easier for staffworking on the mainreception desk.

The facilities teamwould like to thank youin advance for your co-operation with thisrequest.

What is it?A new system that allowspatients to choose theirhospital and choose thedate and time of theirappointment so that theircare is based around whatis most convenient forthem, not what is mostconvenient for the NHSstaff looking after them.

How does it affect theTrust at the moment?The Trust currentlyoperates an IndirectBooking Service for allspecialties which meansthat a GP can help apatient choose Chelseaand Westminster as thehospital where they want tobe treated, and give them abooking number, butpatients then need tophone the Trust to arrangea date and time for theirappointment. The Trust

already receivesapproximately 200 referralsa month in this way and thefigure will increase as moreGP surgeries come online.

How will it affect the Trustin the future?A Direct Booking Service –allowing GPs to directlybook outpatient clinicappointments for theirpatients – is due to bepiloted in one specialty thissummer before being rolledout Trustwide across allspecialties.

Why does it matter?Because Choose and Bookis a huge culture change forthe NHS, giving patientsmore choice and flexibilityin how they are treated –under Choose and Book,patients will have a choiceof at least four hospitalswhich means that we mustmake Chelsea and

Westminster the numberone choice for patients.

Who needs to knowabout it?Consultants, junior doctors,medical secretaries andclinic staff all need tounderstand Choose andBook and be able to usethe software that makes itpossible – staff training hasalready started and is beingrolled out across the Trust.Awareness sessions will beheld this summer.

How can I find out more?Contact Debbie Ensor-Dean (Head of Booking &Outpatients) on ext 8284 orMike Delahunty (DeputyHead of Booking &Outpatients) on ext 8869.

See www.chooseandbook.nhs.uk for lots moreinformation aboutChoose and Book.

The vital role of theMacmillan Centre atChelsea and Westminsterin providing informationand support to peopleliving with cancer wasprofiled in a specialsupplement about cancercare which was publishedin the Guardian duringApril.

The centre, which openedin 2003 and is one of 70centres across the UK,provides free cancerinformation and supportservices for anyone affectedby cancer.

Russ Hargreaves,Macmillan CancerInformation & SupportManager, told the Guardian:“There is no question howmuch patients, and carers,value the opportunity to talkabout their concerns in aquiet, unhurriedenvironment, at a time oftheir own choosing.

“We have a huge range of

What is... Choose and Book?

Macmillan Centre gets national profile

queries, from the latestresearch, diet and nutrition,to getting travel insurance,help with fares andexemption from thecongestion charge.”

The Guardian supplementwas published to raiseawareness of the fact thatMacmillan has changed its

name from MacmillanCancer Relief to MacmillanCancer Support, to reflect therange of services provided bythe charity.

More information aboutthe Macmillan Centre atChelsea and Westminster isavailable atwww.macmillancentre.org.uk

n Catherine Gillespie, Macmillan Lead Nurse forCancer and Palliative Care, and Russ Hargreaves,Macmillan Cancer Information & Support Manager

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1. Approximately how many people in theUK suffer from some form of back painin their lives? a) 5% b) 30% c) 75%

2. Pain affects men and women differentlybut which gender is thought toexperience more pain, discuss pain moreand cope with pain better?

3. Pain is good for you because it buildsstrength and character – true or false?

4. Infants do not feel pain – true or false?5. Increasing chronic pain is always a sign

that your illness is getting worse – trueor false?

6. Patients with a history of drug abuseshould not be given morphine - true orfalse?

7. Twopeoplewho havehad thesameoperationshouldexperience the same amount of pain –true or false?

8. If a patient is asleep then they cannotbe in pain – true or false?

9. Morphine should only be given topatients if they have had major surgery– true or false?

Turn to page 13 of this month’s TrustNews for the answers.

Acute painteam news:

Link Nurse programme -Link Nurses from DavidEvans, Rainsford Mowlem,Chelsea Wing and AnnieZunz met up for the first timein January for a day ofeducation and they aim tomeet every three months todiscuss audit, cascadingmedical device training and

assessing competencies.PCEA – there are plans tointroduce patient-controlledepidural analgesia this year.Overseas visit – a pain nursespecialist and pain doctor willvisit the Serbian capital ofBelgrade to run a course onhow we manage pain fornursing and medicalcolleagues.Orthopaedic audit –Orthopaedic audit showspost-operative epidurals havebeen largely replaced by singleinjection nerve block aftertotal hip and kneereplacements, which hasresulted in earlier post-operative mobilisation,improved pain scores on dayone and reduced side effects.Major changes in orthopaedicpolicy aimed at gettinguncomplicated patientsdischarged earlier haveproduced earlier mobilisationand shorter hospital stay but

this early mobilisationrequires effective analgesiawithout delays or side effects.Paediatric audit – painassessment and recording werehugely improved in 2005compared to an auditconducted in 2003. The auditshowed prompt treatment ofpain, better anticipationparticularly in medicalpatients, and a welcomereduction in moderate pain,severe pain and particularlycontinuing pain.

Chronic painteam news:

Documentation – newchronic pain documentationwill be introduced to make iteasier for staff to recordinformation in clinic.Patient info leaflets – newpatient information leafletshave been written by theteam to inform patients

about procedures ormedications they are havingunder the care of the chronicpain team.Guidelines for goodpractice – best practiceguidelines will be establishedfor use within the pain team.Nurse prescribing – thechronic pain nurse is nowprescribing alongside thechronic pain doctors,resulting in a more multi-disciplinary approach topatient care.Improved access toinformation for GPs andpatients – using the Trustwebsite, we aim to informGPs and patients about theservices and treatments weoffer. Patient satisfaction survey –we aim to conduct a surveyin 2006 to find out whatpatients want from thechronic pain service.

Pain service update... Pain service update...The 2005/06 financial year was another busy12 months for both the acute and chronic painteams.

Staff working for the service are committed toensuring a high level of care whilst trying toremain cheerful and enthusiastic all of the time.

Who’s who in thepain service?

Acute PainDr Trottie KirwanDr Oliveira PotparicAllison Taylor (ClinicalNurse Specialist)Helen Pope (ClinicalNurse Specialist)

Chronic PainDr Ian GoodallDr Glyn TowlertonDr Andrew RiceDr Ivan Ramos-GalvezLisa Watson (ClinicalNurse Specialist)Carol Sweet(Physiotherapist)Dr Susan Childs(Clinical Psychologist)

Pain QuizNow test your knowledge about pain and how to manage it!

Patients first inrefurbished liftThe refurbishment ofLift Banks B, C and Dhas now beencompleted - the liftrefurbishmentprogramme willcontinue in July whenthe revamp of both theA&E and car park liftsis due to start.

Lift Bank C nowincorporates a priority callsystem for patients beingescorted around thehospital in chairs or ontrolleys to ensure they arenot delayed by staff orvisitors using the lifts.

The system aims toreduce delays intransporting patients toand from key departmentssuch as main theatres, theTreatment Centre and X-ray.

Priority call keys areonly held by those staffwho are responsible formoving patients to andfrom these departments.

A specially recordedvoice message in the lifts,and notices clearlydisplayed in and aroundthe Trust, will make clearthat visitors and staff mustleave the lift whenrequested, unless they areaccompanying the patient.

As Trust News went topress, the priority callsystem was due to go livein the very near future.

n Trust staff get creative with hand prints in the staffrestaurant

This year’s Hand Hygiene Awareness Week wasbigger than ever with dozens of events run all overthe hospital throughout the first week of April.

HAND HYGIENE AWARENESS WEEK 2006

n Striking a pose duringHand Hygiene AwarenessWeek are Betty Chan(Occupational Therapist),Kate Petts (InpatientTherapy Lead) and NathalieO’Connor (OccupationalTherapist)

n Professor BrianDuerden, Inspector of

Microbiology and InfectionControl at the Department

of Health, was a specialguest speaker during Hand

Hygiene Awareness Week

n Leaving a mark during Hand Hygiene AwarenessWeek in Paediatric Outpatients are Charlie Frost (5)and Keely Brown (13)

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Visitors to the hospitalcouldn’t miss the largerthan life entertainers‘Barry the Bug’, ‘Bugs’Bunny and ColonelCustard as they handed outleaflets reinforcing thehand hygiene message tostaff, patients and membersof the public.

More than 3,000 leafletswere handed out duringthe week, 800 staffattended educationalsessions and 200 staffvisited an exhibition in theAcademic Atrium.

Events held during theweek included everythingfrom a comedy night at theHollywood Arms to aninfection control seminarfor Foundation Trustmembers and Patient andPublic Involvement Forumas well as a pub quiz.

And there werenumerous talks, lecturesand information sessionsaimed at different groupsof staff during the week

which is organised by thehospital’s infection controlteam.

Roz Wallis, SeniorInfection Control Nurse,said: “The week does havea serious message but wehope that everyone enjoyedsome of the fun activitiesthat we organised to grabpeople’s attention.

“We are making goodprogress, for example therehas been a 40% reductionin MRSA cases in the lastyear, but there’s still plentyof room for improvementand we want to keepreminding everyone aboutthe importance of cleaningyour hands.

“I would like to thankthe 50 link professionals –nurses, therapists,pharmacists and other staffbased on our wards – whoare doing so much to helpspread the message aboutthe importance of infectioncontrol all over thehospital.”

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Infectioncontrolseminar

Roz Wallis, Senior Nurse forInfection Control, andPhilip Holmes, FacilitiesManager, led a seminar onMRSA and other infectioncontrol issues for patientand public members of ourFoundation Trust andmembers of the Trust’sPatient and PublicInvolvement Forum duringHand Hygiene AwarenessWeek in April.

Up to 20 members of thepublic attended the seminarand they were overwhelminglypositive about it – of the 11people who completedfeedback forms, eight said theevent achieved its aim ofincreasing public awarenessand understanding ofhealthcare associated infections.

Many more members of thepublic said they were interestedin attending the seminar butweren’t able to attend for onereason or another.

One Foundation Trustmember said: “Thank you verymuch for the invitation but mydaughter is getting marriedthat day. Your hospital savedher life, I am extremely gratefuland would love to have come.”

HAND HYGIENE AWARENESS WEEK 2006

n Elaine Smith, LeadPharmacist for theWomen andChildren’s directorate,won the HandHygiene free drawhamper

n Colonel Custard and Bugs Bunny bring some fun to the hand hygiene message

n Matthew Rollin,Paediatric ENT Senior

House Officer, checksout his hand hygiene

standards on MercuryWard with ShonaPerkins, Infection

Control Sister (left) andMelanie Ashdown,

Infection Control LinkProfessional and

Pharmacy BusinessManager

n Pub Quiz winners, thePharmacy team (also

known as‘Pharmastridium

Difficile’) with Dr BergeAzadian, Director of

Infection Prevention andControl (4th left, back

row), Andrew MacCallum,Director of Nursing (at the

back), Anthony Davis,Hospital Radio Chairman

and pub quizmaster (farleft, back row) and Roz

Wallis, Senior NurseInfection Control (far left,

front row)

What is my PDR?A new process to link yourlearning and developmentwith the demands of yourjob.

How will it benefit me?You will have a structuredprocess to improve yourlearning and development inline with your careeraspirations.

Who will conduct myreview?Usually your manageralthough it may be yoursupervisor or another moresenior member of staff.

How often will I have areview?You will have a formalreview at around the sametime every year – you willalso have an informal reviewevery six months to assessyour progress and look atconcerns.

Do I need to prepare formy review?Yes, you should look at yourKSF post outline whenpreparing for your reviewand ensure you have detailsof learning and developmentyou have done.

What will happen at myreview?You and your manager willdiscuss your performance,confirm you are meeting theknowledge and skillsrequirements of your job andlook at your developmentneeds. The next step is tolook at your developmentplan and agree any learningand development activitiesyou should undertake – tobe signed off by you andyour manager.

What are gateways?There are two gatewayswithin each Agenda forChange pay band – theFoundation Gateway assessesthe knowledge and skills youwill need to achieve after 12months in your role and the

n Spring was in the air in April when the Chelsea Children’s Hospital Schoolcelebrated the season at a well attended event in the chapel.

Pictured on the day are (left to right) Reverend Dr Christina Beardsley, studentLionel Bush, Deputy Mayor of Kensington and Chelsea Barbara Campbell, studentIzzy Rudd, Councillor Judith Blakeman, student Joao Pires, Headteacher JanetteSteele and Senior Teacher Miranda Duurloo

Knowledge and Skills Framework– your questions answered

The Knowledge and Skills Framework (KSF) is animportant element of Agenda for Change because itrecognises that you need training and developmentto be fully developed in your post and to progress inyour career.

As a Trust, we met thenational deadline todevelop a KSF outline forall posts – the knowledgeand skills needed to doyour job – by Christmasand ‘areas of application’are now being added toevery KSF outline whichpersonalise the outline toyour department and yourrole.

The third stage involvesassigning KSF postoutlines to all staff – thismeans you will have a

review with your managerby September 1 to matchyour current knowledge,skills and experience toyour KSF post outlineand identify areas fordevelopment.

Your manager will helpyou to create yourPersonal DevelopmentPlan (PDP) to developyour knowledge and skills– this is the first part ofthe annual PersonalDevelopment Review(PDR) process.

Second Gateway is towardsthe top of each pay band,requiring you to show thatyou have all the knowledgeand skills required in yourKSF outline – your progressagainst the gateways will beassessed through a reviewwhich has the same format as

your annual review butfocusing on the gateway andits requirements.

Is the PDR connected topay?You need to show you areapplying your knowledge andskills required for your role to

receive your annual payincrement – this is separatefrom the High Cost AreaAllowance which increases inApril each year.

How is everythingdocumented?All documentation is held one-KSF which is an internet-based tool – it will includeyour PDP and a record ofyour PDR. e-KSF iscompletely confidential andonly you and your managercan access your files. You canaccess e-KSF by logging ontowww.e-ksf.org and enteringyour User ID which isfirstname_username_personnelnumber.

How can I get moreinformation about the KSFand PDR?Details of courses for bothstaff preparing for theirreview and managersundertaking reviews, as wellas e-KSF clinics, are availablefrom Mark Fielding in theLearning Resource Centre onext 8835.

Spring cheerSpring cheer

10

Staff in the medicalrecords department havebeen given a big thankyou for all their hardwork in improving therunning of the Trust’smedical records library.

Adrian Parke, one of twoSupervisors in the departmenttogether with Alicia Diaz,says: “Everyone has workedso hard to help streamline theway the medical recordslibrary operates.

“There has been a drive toensure that we only keep thenumber of patients’ notes onsite here in the hospital thatwe can accommodate andthat all other files are storedoff site.

“This ‘culling’ of old notesis going really well and staff

Take note – medical records on the right track

n Members of the Trust’s medical records team

have also done a libraryintegrity check which is amanual check that all thenotes are filed in the rightplace.

“It’s not the most excitingtask in the world butdefinitely worth doing

because it will save us time inthe long run.”

The good news is that theintegrity check showed only633 sets of notes were filed inthe wrong place which isabout 0.2% of the total.

Debbie Ensor-Dean, the

Trust’s Head of Booking andOutpatients, says: “I want tosay a special thank you to allstaff working in medicalrecords because I know howhard everyone has worked,especially in recent months.

“There is always morework that can be done toimprove the service but thereis no doubt that things havecome on in leaps and bounds.

“The Trust operates anopen library system formedical records, which meansthat literally hundreds of staffare authorised to search fornotes in the library, and Iwould ask all staff to ensurethey track notes accuratelywhen they remove them fromthe shelves because that willreally help make life easier forthe medical records team.”

High IMPACTIMPACT – Improving Services for Patients AtChelsea and Westminster Trust – is aTrustwide initiative to improve patient care.

It is an umbrella project, co-ordinated byCatherine Andrews, for local initiatives drivenforward by multi-disciplinary directorate andservice teams.

Trust News will highlight a different initiative every month todemonstrate how frontline staff are helping to improve ourpatients’ journeys through the Trust.

Therapists go the extra mile

n Rapid Response Team members Becky Grant(Physiotherapist), Carol Brimacombe (Rapid ResponseTeam Leader – Occupational Therapist) and CatrionaHarding (Occupational Therapist)

11

Therapists working in twodifferent areas of the Trusthave extended their servicesto improve patient care.

The multi-professionalRapid Response Team in theEmergency Department (ED),which includesphysiotherapists, occupationaltherapists and social workers,now provides a Saturdayservice to preventunnecessary admissions andpromote home safety.

Occupational TherapistCarol Brimacombe, who leadsthe team, says: “We startedpiloting the Saturday service inSeptember and it proved sosuccessful, especially amongmedical staff in the ED, thatit’s now permanent.

“The majority of ourreferrals are elderly peoplewho have fallen and have

fractures, mobility problems,are confused or all of theabove! Our job is to ensurethat patients can go homesafely by, for example,assessing their needs both inthe ED and at home, liaisingwith social services, GPs anddistrict nurses and installingequipment.

“When we teach the juniordoctors we encourage them tothink as holistically aspossible. I like them to askthemselves, ‘Would you sendyour granny home like this?’”

Ongoing audit and asatisfaction questionnaire ofED staff shows that a furtherextension of the Saturdayservice is strongly supported –a plan to increase the servicefrom 8am to 8pm is in thepipeline.

A second therapy-led

improvement to the patientcare provided in the Trust isthe extension of our ortho-paedic physiotherapy serviceto Sundays, so there is physioinput on the orthopaedic wardsseven days a week.

Mary Jones, ClinicalSpecialist OrthopaedicPhysiotherapist who managesthe service, explains: “We rana pilot project from Septemberto November last year, whichshowed that we treated anextra 108 patients who wouldotherwise have had to wait forphysio until after the weekend.

“Eleven patients were ableto go home after receiving

physio treatment on a Sundayand 22 patients were seen forthe first time.”

The audit showed markedimprovement in the range ofmovement and mobilitypatients achieved after theirsurgery which is why fromJanuary the Sunday servicewas introduced permanently.

Mary Jones says: “I amparticularly pleased for thephysios who provide thisservice that a survey of theviews of other orthopaedicstaff, including doctors andnurses, showed that 100%noticed the difference that theSunday service made.”

Did you know that stroke patients at Chelsea and Westminster are regularlyvisited by the InterAct Reading Service, a charity with professional actors whoperform lively, animated readings of stories and poetry?

These readings are conducted either at group sessions in the hospital or on a one-to-onebasis. As well as providing entertainment for stroke patients, these visits aim to stimulateinterest from patients and aid their rehabilitation.

Senior Occupational Therapist June Williams, who selects patients suitable for the readingsessions, said: “The patientsenjoy their sessions and thefriendship that regular visitsoffer. The whole Stroke Teamreally appreciate the serviceprovided by InterActreaders.”

Pictured at an InterActreading session in the StrokeUnit are patient LizzieHangbyrd, Therapy AssistantMario De Souza and InterActVolunteer Reader RichardEarthy.

Check outwww.interactreading.co.ukfor more information aboutthe InterAct Reading Service.

Stroke patients benefit from creative approach

Childcare News Continuing our regular series of childcare round-ups

Good news for parents – tax breaks forchildcare just got more generous.

A childcare voucher system at Chelseaand Westminster enables parents toexchange part of their salary for childcarevouchers so that the first £55 per week(£243 per month) spent on childcare is taxand National Insurance free.

The tax free amount was increased to£55 per week from £50 per week inGordon Brown’s Budget statement inMarch. These tax breaks apply to allregistered childcare includingday nurseries, play schemesand childminders.

Amber Payne, the Trust’sWorking Families Adviser, hasarranged a childcare voucherdrop-in session which will beheld from 12 noon to 2pm onWednesday, May 31 outsidethe staff restaurant on thelower ground floor.

Easter funThe first holiday play schemefor the children of Trust staffto be held at Servite PrimarySchool, opposite the hospital,proved a big success.

There was plenty of Easter fun for youngsters aged five to13 who attended the scheme

which is run by Kensington & ChelseaCouncil at the subsidised daily rate of just£7.50 per child.

Amber Payne, the Trust’s WorkingFamilies Adviser, said: “I am really pleasedthat the first scheme to be run at Servitewas so popular with parents and we arelooking forward to running similarschemes during summer half-term and thesummer holidays.

“Staff who are interested in bookingplaces for their children should get intouch with me sooner rather than later.”

n Children whose parents work at Chelsea andWestminster had a great time at the Easter holiday playscheme

To find out more, contact Amber Payne on ext 5869 or via Trust email

A new security helpline toenable Trust staff to raisetheir issues and concernsin confidence is launchedthis month.

The helpline – ext 5999 – isan ansaphone service wherestaff can leave messages onany security matter, whether itconcerns them personally orrelates to a broader issue.

Philip Holmes, FacilitiesManager with directresponsibility for security in theTrust, said: “Security iseveryone’s responsibility andwe want to encourage staff touse the new helpline as theright place to raise concernsabout any aspect of security inthe hospital.

“This year’s staff surveyshowed that 9% of staff hadexperienced physical violencefrom patients or their relativesin the previous 12 months,which was significantly lowerthan the 2004 survey when16% of staff gave thisresponse, and so we aremoving in the right direction butmuch more needs to be done.”

The issue of bullying andharassment by patients andtheir relatives was a majortheme when the Trust’s HRteam led a series of drop-insessions for staff to discussthe findings of this year’s staffsurvey and action that shouldbe taken to tackle areas forimprovement.

As well as launching thesecurity helpline, the Trust’ssecurity team continue to runan ongoing programme ofsecurity briefings for staff tooutline the policies that are inplace to protect staff and thesanctions that the Trust willtake to ensure the safety ofstaff.

Philip Holmes said: “Staffshould not have to put up witheither physical abuse orharassment from patients, theirfriends and relatives which iswhy we use the red and yellowcard system that means wecan, and do, exclude peoplewho flout the rules.”

Securityhelplinelaunched

12

13

The Friends of the Chelsea and WestminsterHospital have once again made a huge differenceto our patients through their generous funding.

Pain Quiz answers

Friends dig deep to boost patient care

n The Intensive Care Unit (ICU) now has a £4,500standing hoist for patients with limited mobility thanks tothe generosity of the Friends.

Pictured in ICU are (left to right) ICU and NursingDevelopment Unit Staff Nurse Hilary Taylor, SeniorPhysiotherapist Sarah Drew, who has now left the Trust,Lady Normanton, Junior Physiotherapist Tamsin Lees,ICU Charge Nurse Gordon Turpie and new FriendsChairman Lady Smith-Gordon.

Sarah Drew said: “The Friends are wonderful! They doso much for the hospital through the services they provide.The Arjo hoist is a piece of equipment that will benefit somany members of staff and patients. Long may the Friendscontinue!”

Lady Normanton has stepped down from her position asChairman of the Friends after three years in this role. Sheis now Vice Chairman, working alongside new ChairmanLady Smith-Gordon.

n Pictured in Outpatients 2 with a state-of-the-art colposcopedigital camera, purchased with £20,000 raised by the Friends are(left to right) Colposcopy Nurse Specialist Catherine King, FriendsVice Chairman Lady Normanton, the Friends’ Shawna Moss andGynaecology Outpatients Sister Claire Bellone.

All the money raised from the last September’s charity fashionshow, organised by Lady Normanton and Shawna Moss, wenttowards buying the camera.

Colposcopy Nurse Specialist Catherine King said: “The Friendshave made a huge difference to the service by helping us to havethis great piece of equipment, for which we are hugely grateful.

“It helps to make patient treatment more consistent, so thatwe can compare results with each visit. It is also an excellenttraining tool.”

n Edel Costello, Liverpool Care Pathway Facilitator who isoverseeing a project to improve the care of patients who areapproaching the end of their life, has had her positionpart-funded by the Friends for one year. She also receivedfunding from the Palliative Care Network.

Pictured in the Macmillan Centre are (left to right)Lady Normanton, Edel Costello, Macmillan PalliativeCare Nurse Natasha Ryan, Councillor Frances Taylor whois also a member of the Friends, and Macmillan LeadNurse for Cancer and Palliative Care, Catherine Gillespie.

Catherine Gillespie said: “We are very grateful to theFriends. Being able to appoint Edel has been key to thesuccess of the project.”

1. 30%

2. Women

3. False

4. False

5. False – it isn’t always a signthat your illness is gettingworse, it may be that youractivity had increased forexample

6. False

7. False

8. False

9. False

If you scored 8 or 9 – youshould consider a new career inpain management so pleasecontact the pain team!

If you scored between 5and 7 – you’re probably verygood at the job that you do,but perhaps need to brush up alittle on your knowledge ofpain management!

If you scored 3 or 4 – ohdear, are you sure you werelistening when you attendedyour last pain training day?!

If you scored less than 3 –I would run and hide from thepain team if I were you!

Staff news... Staff news... Staff news...

14

n Debbie Richards is thenew General Manager forthe HIV/GUM directorate.She was previouslyDirector of Women’sServices at West LondonMental Health NHS Trustfor three years and prior tothat Associate Director ofHuman Resources:OrganisationalDevelopment for two yearsat the same trust.

Debbie has a social workbackground, working atBroadmoor High SecureHospital, where she alsoworked as a servicemanager.

Debbie describes Chelseaand Westminster as aforward thinkingorganisation, and she isexcited about working here.She says that her colleagueshave made her feel verywelcome and she is lookingforward to contributing tothe success of thedirectorate and the Trust.

n Welcome to NathanBilling, Senior Dietitian forHIV/GUM, who joined us inApril.

Nathan previously workedfor Ealing Primary Care Trustwhere he was an AcuteCommunity Dietitian for twoyears. While at Ealing, he dida 12-month secondment forone day a week as a ClinicalGovernance PracticeDevelopment Manager with afocus on food nutritionessence of care.

Before this, Nathan workedas a dietetics recruitmentconsultant for a healthcarerecruitment agency.

Nathan recently returnedfrom South Africa where hewas helping the Child HIVAssociation (CHIVA) to rollout anti-retroviral drugs.

In his spare time, Nathanenjoys playing amateur rugbywith the WASPS Cubans.

n Ann Cameron (pictured right) is now MedicineClinical Supervisor. She started this position officiallyin March, after acting up in this role for 18 months.Previously, she was a receptionist in Outpatients 3. Shejoined the Trust in 2001.

Ann is based in the Medicine Prep Room and can becontacted on ext 5676 or bleep 5020.

Sarah Castano (pictured left) is now MedicineAdministration and Performance Manager. She startedthis position in April.

Sarah manages the Beta Cell Unit and performancein the Medicine Directorate. She has worked at Chelseaand Westminster since the hospital first opened.

Last year she completed a Foundation Degree inBusiness and Professional Administration at KingstonUniversity. She is now doing an extra year of study toget an Honours Degree in the same subject.

Sarah is based in Outpatients 3 and can be contactedon ext 5638 or bleep 8038.

It’s all change in Medical Outpatients

Nurses’ eyes on the prizeNurses working in anyarea of the Trust arebeing encouraged toenter this year’s NursingTimes awards.

All too often nurses are theunsung heroes of the NHSand so these prestigiousawards aim to highlight theexcellent work taking placethroughout the nursingprofession.

There are 13 categories inthis year’s awards:• Back to basics• Cancer nursing• Child health• Continence• Infection control

• Innovation inyour specialty

• Mental health• Preventing and

managingobesity

• Promotinghealth in yourcommunity

• Rising star• Sexual health• Team of the year• Agency nurse of the year

You can enter online atwww.nursingtimesawards.co.uk– the closing date for entriesis June 30.

If you are interested inentering the awards and want

advice or help indoing so, or youwant to encouragea nursingcolleague to enter,contact AssistantDirectors ofNursing AlisonCrombie andSharon Terry on

ext 6721 or via Trust email.Alternatively, why not ask

for advice from two formeraward winners – Tony Kerleyand Leigh Chislett, who bothwork in the Victoria Clinic forsexual health, won NursingTimes awards in 2005 and2004 respectively.

Do you have a storyfor Trust News?

It might be somethinginteresting, exciting, or

remarkable that acolleague is doing.

It might be a change inyour services or facilities

or a message that youneed to communicate to

colleagues.

Whatever your news, wewant to hear from you –call Jeanette Albert onext 6829 or Matt Akid

on ext 6828.

Staff news... Staff news... Staff news...

15

n Gavin MacDonald,pictured, joins the Trust thismonth as Patient Flow andLead Clinical Site Manager.

In this role, Gavin willmanage bed management,discharge and clinical sitemanagement services across theTrust, working closely withclinical and directorate teams.

His key focus will be helpingto ensure a smooth patientjourney from admission todischarge, 24-hour clinical sitemanagement and the Hospital at Night team, supportingcontinued delivery of national access targets and furtherimprovements in reducing length of stay.

Gavin previously worked at St Mary’s Hospital as ServiceManager for Site Operations. He has also worked atHammersmith Hospitals NHS Trust as Lead Nurse forInpatient Access and Clinical Site Management.

Gavin trained as a registered nurse and has specialised inintensive care, working in general and cardiac intensive careunits at Hammersmith and Charing Cross Hospitals, as well asRaigmore Hospital, Inverness, and Aberdeen Royal Infirmary.

n Professor of AcuteMedicine Derek Bell joinedus in March as the firstperson in the UK to beappointed to a chair ofacute medicine – thisImperial College post isbased at Chelsea andWestminster.

Professor Bell’s mainclinical specialties are acutemedicine with an interestin respiratory medicine.His roles will includedeveloping an academicbase for acute medicineand supporting medicaltraining, particularly inrelation to acute medicineand integrating with therelevant specialties.

Professor Bell is currentlyinvolved in developing thenational acute medicinecurriculum for medicaltrainees.

Prior to joining us,Professor Bell was a

Consultant Physician inacute and respiratorymedicine at the RoyalInfirmary in Edinburgh for10 years. During this time,he was also AssociateMedical Director.

He has previouslyworked in London as aConsultant at CentralMiddlesex Hospital,specialising in chestmedicine and intensivecare.

n Welcome to ShaliniMehta, a Trust InformationAnalyst who started thisposition in April.

Prior to joining us, Shaliniworked for Hillingdon andMount Vernon Hospitals fortheir Choose and BookProject as a Project Co-ordinator. She was involvedin the initial go live stageand the successfulimplementation of thedirect booking service.

She can be contacted onext 2561.

Camille Hair Design2nd Floor, Lift Bank D

Opening hours:Tue-Fri 9.30am - 5.30pm

Saturday 10am - 4pmEvening appointments by

prior arrangement10% discount to staff upon

production of valid IDbadge

Call ext 8681 for anappointment –

020 8746 8681 if callingfrom outside the hospital

Three staff from theTrust’s HIV/GUMdirectorate were in theright place at the righttime to see the totaleclipse of the sun onMarch 29.

Consultant Dr AntonPozniak, Specialist RegistrarDr Laura Waters and DrMarta Boffito, who runs thepharmacokinetic unit at theSt Stephen’s Centre,travelled to Egypt to witnessthe landmark event.

Dr Pozniak said: “Wetravelled for nine hours on abus and, when we got to ourdestination on the Egyptianborder with Libya, theEgyptian president wasthere too with his cavalcadeand his bodyguards.

“The eclipse lasted lessthan four minutes but it wasworth every second of travelto get there. The next totaleclipse will on August 1,2008 and we are planningalready.”

Welcome to two newNurse Consultants

who joined the Trustin April – Nick Haleand Deborah Lake.

Nick is NurseConsultant for older

people’s serviceswhile Deborah is

Nurse Consultant fordiabetes.

Total eclipse

Professor’s UK first

n Dr Laura Waters and Dr Marta Boffito witness the totaleclipse of the sun in Egypt

16

A Passion for Plants, aHospital Arts exhibition byAngela Easterling, will run inthe C&W Gallery until June30.May 10: World Lupus DayFind out more about Lupusand the St Thomas’ LupusTrust at www.lupus.org.uk May 10: Essentials inMicrosoft WordTraining course run by theLearning Resource Centre –contact ext 8807 or 8835 forfurther information or anomination formMay 12: Communicatingwith Deaf PeopleTraining course run by theLearning Resource Centre –contact ext 8807 or 8835 forfurther information or anomination formMay 14-20: NationalBreastfeeding AwarenessWeekMore information available atwww.breastfeeding.gov.ukMay 14-20: NationalEpilepsy WeekBoth the National Society forEpilepsy atwww.epilepsynse.org.uk andEpilepsy Action atwww.epilepsy.org.uk havefurther information about thisnational awareness weekMay 15-19: National AllergyWeekLots more informationavailable from Allergy UK atwww.allergyuk.orgMay 18: Lyra, a Russian folksinging quartet, perform inThe Mall on the ground floorfrom 1 – 1.45pm.May 24: Preparing for YourReviewTraining course run by theLearning Resource Centre –contact ext 8807 or 8835 forfurther information or anomination formMay 25: Doudou Cissoko, aSenegalese Kora (traditionalAfrican harp) player, performsin The Mall on the groundfloor from 1 – 1.45pm.May 31: Childcare VoucherDrop-in SessionAmber Payne, WorkingFamilies Adviser, will berunning a session outside thestaff restaurant on the lowerground floor from 12 – 2pm.

Diary datesTrust News survey –Have your say and win store vouchers! We want to find out what you think of Trust News – and how you find out aboutwhat’s going on in the Trust and information that is relevant to your job.

What you tell us will help us to improve the content of Trust News and our internalcommunications.

The survey should only take a few minutes to fill in and you will be entered into a prizedraw to win £20 of House of Fraser vouchers.

Please send completed surveys by May 26 via internal mail to the CommunicationsDepartment, Management 1, Lower Ground Floor, or to fax ext 6539.

Thank you for your help and remember we are always on the look out for Trust Newsstory ideas so please feel free to contact us on ext 6828/6829 or by email tomatthew.akid@chelwest.nhs.uk or jeanette.albert@chelwest.nhs.uk

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Trust News is written and produced by the Communications Department of Chelsea and Westminster Hospital, 369 Fulham Road, London SW10. Tel 020 8846 6828/6829