March 2014

4&5 / UCLH Awards night special2 / Surgical safety checklist redesigned6 / 60-seconds with Winter Olympic star

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2 News

The surgical safety checklist has been redesigned and relaunched to ensure we meet the requirements identified in the Care Quality Commission (CQC) report.

In their recent report, the CQC stated that we need to ensure that the surgical safety checklist is fully completed for every patient undergoing surgery.

All surgeons, anaesthetists and theatre practitioners must make final checks immediately before an operation is about to begin. The newly revised safer surgery check list includes a mandatory ‘surgical pause’ to reduce errors and promote safer care.

The updated mandatory checklist is now clearer, more intuitive, more focused – you can find it on Insight.

It also underlines the importance of personal responsibility and requires the personal signature of a healthcare professional for each of the three columns containing the questions and actions required to keep the patient safe in surgery.

The completion of the three signatures will be logged on the theatre IT system and monitored for breaches. Staff will also be observed using the checklist so that feedback can be provided to improve safety.

Dr Viki Mitchell, divisional clinical director and consultant anaesthetist (pictured), said: “The checklist has been shown to promote safer care and reduce the risk of errors and it also has a positive impact on the way colleagues work together as a team.

“We listened to feedback given by a range of theatre staff and revised the checklist to take their suggestions into account. The checklist has a new format and the questions have been revised to make it more user friendly.”

UCLH was one of the first trusts to introduce the WHO Surgical Safety Checklist – a point favourably commented on by Professor Atul Gawande the surgeon who invented the checklist, when he visited UCLH in 2010.

Meet the TeamProduced and designed by: The Communications department

Front cover photo: UCLH award winners (from l to r): Fiona Harvey, general manager for growth and development, Eastman Dental Hospital; Richard Dorans, cancer services discharge co-ordinator; Mary Miller, general manager for education, Eastman Dental Hospital.

Inside Story magazine is published by UCLH (University College London Hospitals NHS Foundation Trust) for our staff

Contact usIf you have any information you would like included in Inside Story, or on Insight, contact: Communications Unit, 2nd Floor Central, 250 Euston Road, London NW1 2PG. Email: communications@uclh.nhs.uk, Tel: ext 79897, Fax: ext 79401. Visit us online at: uclh.nhs.uk

Responding to the CQC report – surgical safety checklist

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3News

New procurement system A new procurement system is being introduced in April to make it easier for staff to order goods and to simplify the process for authorising and paying invoices. We are moving to a new system called iProcurement and all cost centre codes, user names and passwords will be changing. To ensure a smooth transition and to reduce the need for

classroom training, an eLearning package will be available for all users. Training was launched in the first week of March and all requisitioners (staff who purchase things) and approvers must complete the training course before they can login and use the new system.

Word on the Tweet...

Follow us: @uclh

@johnburrows91: Just come from #NHS #UCLH fracture clinic. Amazing treatment. Best doctors, #nurses and admin in the world!!!

@UCLH: Senior nurse taking trip around hospital in wheelchair, member of our comms team spending hour in A&E – #NHSChangeDay pledges what’s yours?

@LeahZakss: Moved to tears by words and music choices of Prof Hugh Montgomery on #desertislanddiscs this morning @BBCRadio4

@jimmcmanusph: Woman next to me in outpatients went from feeling sick from chemo to tapping in time with music. Well done @uclh and @macmillancancer

@jeremyover: All we’re waiting for is to roll out the red carpet @uclh #UCLHawards pic.twitter.com/NjZoLOUwjF

@sheetalSN: I feel proud to be working for an organisation that do believe in such great values :).

@samhangtran: Many thanks to @uclh for all the caring and friendly #staffs who have been taking care of my loved one :) #kindness #doctors #nurses #care

Midwife ‘life-saver’By the time midwife Rosie Murphy approached the 164 bus stop on Tuesday, February 25 it had already been an unfamiliar morning.

Her usual route to work had been disrupted because of a fire at Sutton Train Station and the nearest bus stop was overwhelmed with commuters eager to squeeze on to the next double decker.

Fate – or ‘coincidence’ as Rosie prefers to call it – was about to make her a lifesaver.

“I decided to walk up the road to try to catch a different bus. I’ve worked at UCLH since October and I have never taken that route before,” she recalls.

Rosie was distracted by a car which pulled up onto the pavement and as she crossed the road she saw a man lying on the floor.

“I ran over and there was somebody else trying to feel for a pulse but they couldn’t find it. The man looked blue around his lips and lower jaw.”

Rosie assessed the man and he had stopped breathing. She started CPR (chest compressions) but after more than three minutes there was still no sign of a pulse.

Working with paramedics and the police, Rosie continued to deliver CPR to the man who was also given adrenaline and ‘shocked’ three times. When he was taken away in an ambulance soon after, he was breathing again.

“I just went into autopilot,” said Rosie, who is a research midwife in the Fetal Medicine Unit at UCLH on a secondment from Epsom and St Helier NHS Trust. “When I look back on it now I don’t even remember being out of breath giving CPR for more than three minutes – which is quite hard going.

“I was quite overwhelmed when he

regained consciousness – more because of what would have happened if I had forgotten what to do or panicked. It seems so surreal. As a midwife we obviously have that training but generally pregnant women are fit and healthy – we don’t ever expect to have to use it.”

Rosie spoke to the police that evening to be told the man was alive and well.

Does Rosie think it was fate that took her to the bus stop that morning?

“It was more coincidence than fate I think – but it was meant to be.”

Debbie Warner, sister in charge of the Fetal Medicine Unit, said: “We are very proud of Rosie for her quick thinking and action, we are glad her efforts are being acknowledged.”

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4 Spotlight

Celebrating UCLH staffUCLH staff were honoured for their dedication and commitment at this year’s Celebrating Excellence Awards.

The event was hosted by actor Julian Rhind-Tutt, star of hospital-based comedy The Green Wing. He was invited to host the awards in his capacity as patron of the Leukaemia and Lymphoma Unit and as a former patient.

He said: “It’s a tremendous delight and a great honour to be here tonight to celebrate the excellence, the values and the wonderful work that goes on day in day out.” The awards are supported by UCLH Charity.

The winners were selected from more than 1,000 staff who had been nominated by colleagues. Richard Murley, chairman, described UCLH as a ‘fantastic organisation that does wonderful things in our one million patient encounters’. He said this was down to ‘fantastic staff’ and that UCLH was ‘truly fortunate to have such an outstanding team’.

Presenting his award for outstanding leadership, Sir Robert Naylor, chief executive, described UCLH as a ‘prestigious and successful organisation’. He said: “We have to strive to be the very best we can and the people on stage this evening exemplify that.”

Winner of the volunteer award, Sam Carpenter

Michaela Musial, winning registered nurse mentor of the year award

Winners of the teamwork award, Eastman Dental Hospital Management TeamCliona Curran, winner of the Chief Nurse Prize

Receiving the Chairman’s Achievement Award, Anthony Silverstone (right)

Sir Robert Naylor, introducing the leadership award

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5Spotlight

Celebrating UCLH staff CelebratingExcellenceAWARDS

Richard Doran, winner of the patient nominated values award

Nursing assistant of the year award winner Beatriz Quigley nursing assistant of the year

Winners of the teamwork award, Eastman Dental Hospital Management Team

Outstanding Leadership award winners Julie Hogg (middle) and Pat O’Brien (back)

Dr Jamshed Bomanji receiving safety award for the Nuclear Medicine Team

Rob Hawkins, joint winner of the education and training award

Winner Kate Boulter, Best UCLH Training Newly Qualified Nurse

Dr Yen-Ching Chang, joint education and training award winner

Members of the OPAT team, winners of the improving award

Professor Steve Halligan receiving the World Class Research Award

Darren Barnes and Yogini Jani winners of the Top Quality Patient Care: Gwyneth Griffiths Award

Receiving the Chairman’s Achievement Award, Anthony Silverstone (right)

Muntzer Mughal, winner of the kindness award

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6

What brings you to the ISEH?As a full-time athlete, it’s really important for us to have lifestyle

advisors. The great thing about the Register of Personal

Development Practitioners in Sport is that it brings together lots of sports – Olympic sports but also rugby and football and the bigger organisations.Give us three words which describe the weeks after winning your gold medal.Unbelievable. Adrenaline-filled. Fun.

Have you taken your medal off? At first I was really careful and I would only take it off to shower – I would still go to the loo with it on! Before the Games it was all about getting the medal. As soon as I got it I realised it wasn’t only my medal, it belonged to a lot of people. The real use I can get from it is showing it to people and sharing my career so people can follow their dreams and bring back more gold medals. What’s the best piece of advice you’ve ever been given? Never limit yourself.If you could invite three people to a dinner party who would you choose? Louise O’Riordan, Kay Robinson and Rachel Blackburn – my mates!

In the know

60-seconds with...Lizzy Yarnold

Productive Outpatients is ramping up its programme of improvements following a series of success stories. The latest recruits completed their training this month and presented a wide range of achievements at their end of programme showcase. These include:

> GI Colorectal now discharge 50% more patients post diagnostic. Patient results are reviewed on a spread sheet and, if no follow up is needed and results are clear, doctors now discharge patients over the phone.

> Infection improved their referral turnaround time (5 days from receiving referral to appointment made) from 40.2% to 96.7% within two months

> Adult Audiovestibular Medicine are currently trialling electronic referrals

The next phase begins on 14 April. To apply please visit the Productive Outpatients Insight page or contact Louise Molloy on ext. 77624.

A culture of improvement

Fresh from her gold medal success in the skeleton at the Sochi Winter Olympics, Lizzy Yarnold visited the Institute of Sport, Exercise and Health (ISEH) to speak at an event promoting the role of personal development practitioners in sport.

Meet the GI Colorectal team (l-r): Daniel Tilahun, pathway co-ordinator; Chris Treloar, service manager and Kad Suntharalingam, former pathway manager.

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7In the know

Staff from across UCLH made their pledge to help improve patient care as part of NHS Change Day.

With the help of UCL Medical School, stands were set up at University College Hospital and the Eastman Dental Hospital as part of the event on March 3. At least 200 staff from UCLH made pledges ranging from regularly donating blood or

signing up to be a UCLH volunteer, through to smiling more.

Anyone can get involved and pledge something that will make a difference to patients and colleagues – no matter how big or small. If you haven’t made a pledge, it’s not too late. Visit www.changeday.nhs.uk before the end of March.

Make that change

A stress-free space for young patients

Nursing assistant Rujun Ma was the lucky winner of an iPad following a prize draw for all UCLH staff who received their flu vaccinations.

More than 3,260 staff had their jabs this year with the Infection Division top of the UCLH league table with 64 per cent of staff vaccinated.

The flu season is not yet over and more cases of flu are being identified

in the community. To get your vaccination call into the Occupational Health Department in Gower Street between 8.30am and 4pm – no appointment necessary.

The iPad was donated by the UCLH ICT department and presented to Rujun by Scott Biggerstaff, ICT service delivery manager and Deborah Mathews, occupational health and safety manager.

Get the jab… get an iPad!

Young patients with autism helped officially open a new sensory room in the children and young people’s outpatients department in the EGA Wing at University College Hospital.

The room complete with a giant bean bag, mood lighting, floating wall murals and a dreamy bubble machine is designed to make hospital appointments and procedures a more tranquil experience for those patients who struggle to cope with a busy environment,

The idea was spearheaded by senior play specialist Elizabeth Wilkinson. Longcross Construction Company and Regents Place Management donated money towards the £2,000 cost. Eighteen-year-old patient Stacey Coyne and her mother Jane ‘cut the ribbon’ to mark it officially open.

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8 Inside out

To the south lie the Arabian lands in the time of the golden age of Islam … to the East glimpse the 16th Century Empire of the Samurai. And – look! – there’s late Medieval Europe.

A fantastical land of Dungeons and Dragons inhabited by wizards, goblins, priests, reptilian creatures – and nursing assistant Darren Hodges, AKA Sir Sven Ericcson, armour clad holy knight of Torm (the god of guardians).Admittedly, it’s a difficult concept to grasp when you’re sitting in the café at 250 Euston Road.

“There were thousands and thousands of green and orange goblins rolling over the hills, giving chase. We couldn’t win. As a Holy Warrior dedicated to the god of guardians it was my duty to defend my companions even at the cost of my own life, which I did. People talked about it for months afterwards,” he said proudly.

Imagine the role-playing

scene: HGV drivers, students, shop workers, IT managers and a training officer for a shoe chain focused on a very large hand drawn map spread across a table in a Dartford pub. For the next few hours, presided over by the Dungeon Master, their limitless imaginations take flight from the reality of daily life – only loosely tethered by a 300 page book of characters, powers, points, rules and sub-rules.

Sometimes there are only a few metal figures and a couple of landmarks: A beer mat might be a dark cavern, a bottle of sauce a vertiginous soaring mountain peak. The rest of the terrain is all in the head, their imagination further fired by Sci fi and fantasy writers Isaac Asimov, HG Wells, Tolkien, Philip K Dick and futuristic cult films like Blade Runner. One day, Darren takes on the mantel of murderous pirate, the next a dark and evil vampire, then an Amazonian Warrior.

But how do you win? “Oh it’s not really a case of winning or losing… there is no end, ”said Darren rather disconcertingly“ I played one game twice a week. For two and a half years and then it petered out.” (Don’t ever play Monopoly with this chap.)

The Dartford home he shares with his wife is knee deep in character figures, which he constructs and paints. “She thinks it’s very weird,” he said disarmingly.

“but it’s better than sitting in front of the telly.” His teenage son enjoys playing too.

“Imagination sets you free; you can stretch your wings and be something you’re not. For just a few hours you can fight injustice. Unlike real life, it can be a perfect world: the bad guys always get their comeuppance, the good guys win and the hero always gets the girl.” And who would argue with that?

Secret lives

The Rosenheim Wing closes to patients and the public this month, bringing to an end a colourful chapter in the history of UCLH – but paving the way for an exciting future.

Outpatient clinics will move to the first and lower ground floors of University College Hospital and the second floor of Mortimer Market.

It was within these walls that Eric Blair – more commonly known as the renowned author and journalist George Orwell – was admitted with tuberculosis. He died on 21 January 1950, shortly after marrying Sonia Bronwell in a hospital side room.

The Duke of Kent officially opened the Private Patients’ Wing on 16 December 1936 which, a few years later, was bombarded with WW11 incendiary bombs. It survived unscathed. The nearby Maples Furniture Store was destroyed.

The building was eventually named

after Max Rosenheim who was originally appointed as a research assistant in the obstetric unit at UCH in 1934 and rose through the ranks to become deputy director of the metabolic unit. He was knighted in 1967 and the building was renamed the Rosenheim Wing after his death in 1972.

> See insight for more information about the move. All contact numbers will remain the same so patients can telephone outpatient departments for information. Specialties affected are: GI Services, Haematology, Endocrinology, Dermatology, Rheumatology and the Infusion clinic

The Rosenheim Wing site is the proposed location for the new Phase 4 facility which, if given the go-ahead, will house the UK’s first Proton Beam Therapy centre, a haematology inpatient facility and a new short stay surgery unit.

Archives: farewell, dear Rosenheim

The Rosenheim in 1939, only a few years after the building opened

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