october - chelsea and westminster hospital

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October 2007 – No. 157 Trust NEWS Annual meeting – page 3 Meet the Acute Medical Unit team – page 4 In this issue... Focus on HIV & sexual health services – page 10 The brother of a patient who lost her fight for life at Chelsea and Westminster has raised almost £6,000 for the hospital by running the London Marathon. Stephen Canning’s sister Caroline was cared for at Chelsea and Westminster and his fundraising efforts were his way of saying thank you to hospital staff. Dr Sarah Cox, Consultant in Palliative Care, said: “Stephen raised an amazing £5,826 which we hope will pay for a piece of medical equipment which will have Caroline’s name inscribed on it. I would like to thank Stephen personally on behalf of the hospital for his fundraising efforts which will benefit many other patients.” Stephen explained: “I decided to run the marathon to raise funds for the hospital because all Caroline’s family and friends wanted to express our gratitude to all the wonderful staff at Chelsea and Westminster in recognition of their warmth, compassion, dedication and devotion. “They all made Caroline’s final few weeks more bearable, for which we are eternally grateful. We hold very close to our hearts all the concern that the staff showered upon Caroline and us. We cannot thank them enough, they all know who they are.” Stephen completed this year’s London Marathon in just four hours and 10 minutes. He said: “The marathon was fantastic! The crowd and atmosphere were electric and that inspired me to drive on for the last six gruelling miles which seemed like a lifetime.” Paying tribute to his sister, Stephen said: “We all miss Caroline’s amazing smile which illuminated any room she walked into. She lived a life full of music, travelling and she will always be an object of beauty and strength to her family and friends. “She put everyone else first. I recall a time during her treatment on Francis Burdett Ward when a nurse asked Caroline if she would like an electric bed and she promptly replied that ‘An old person or someone else might need the bed more than me’. She remained calm, dignified and serene even through her darkest days and nights in hospital.” Marathon effort to thank hospital Stephen Canning hands over a cheque for almost £6,000 to Dr Sarah Cox in memory of his sister Caroline Caroline Canning

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October 2007 – No.157

Trust NEWSl Annual meeting

– page 3

l Meet the AcuteMedical Unitteam

– page 4

In thisissue...

l Focus on HIV& sexualhealth services

– page 10

The brother of a patient who lost herfight for life at Chelsea and Westminsterhas raised almost £6,000 for the hospitalby running the London Marathon.

Stephen Canning’s sister Caroline was caredfor at Chelsea and Westminster and hisfundraising efforts were his way of saying thankyou to hospital staff.

Dr Sarah Cox, Consultant in Palliative Care,said: “Stephen raised an amazing £5,826 whichwe hope will pay for a piece of medicalequipment which will have Caroline’s nameinscribed on it. I would like to thank Stephenpersonally on behalf of the hospital for hisfundraising efforts which will benefit manyother patients.”

Stephen explained: “I decided to run themarathon to raise funds for the hospital becauseall Caroline’s family and friends wanted toexpress our gratitude to all the wonderful staff atChelsea and Westminster in recognition of theirwarmth, compassion, dedication and devotion.

“They all made Caroline’s final few weeksmore bearable, for which we are eternallygrateful. We hold very close to our hearts all theconcern that the staff showered upon Carolineand us. We cannot thank them enough, they allknow who they are.”

Stephen completed this year’s LondonMarathon in just four hours and 10 minutes.

He said: “The marathon was fantastic! Thecrowd and atmosphere were electric and thatinspired me to drive on for the last six gruellingmiles which seemed like a lifetime.”

Paying tribute to his sister, Stephen said:“We all miss Caroline’s amazing smile whichilluminated any room she walked into. Shelived a life full of music, travelling and she willalways be an object of beauty and strength toher family and friends.

“She put everyone else first. I recall a timeduring her treatment on Francis Burdett Wardwhen a nurse asked Caroline if she would likean electric bed and she promptly replied that‘An old person or someone else might needthe bed more than me’. She remained calm,dignified and serene even through her darkestdays and nights in hospital.”

Marathon effort to thank hospital

n Stephen Canning hands over a cheque for almost £6,000 to Dr Sarah Cox in memory of his sister Caroline

n Caroline Canning

by the Chief Executive, Heather LawrenceHeather’s view

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Your guide tothis month’sTrust News

Farewell to Juggy....................page 3

Meet the Acute MedicalUnit team...................... 4

Staff Survey 2007 .........5

Choose Chelsea andWestminster ..................8

Hand hygiene watch......9

Focus on... HIV & sexual health ...............10

Volunteers News .........13

Mental Capacity Act ....15

Staff Discounts ...........16

Staff News ..................18

Trust News survey.......20

I would like to take this opportunityto thank Juggy Pandit for everythinghe has contributed to Chelsea andWestminster as Trust Chairman overthe past eight years. His term of officecomes to an end on October 31 andwe wish him well for the future.

He shared the vision that FT statuswas vital to the future of Chelsea andWestminster, he supported thedecision to apply, and he utilised hisbusiness acumen from a 30-year careerin industry during our successful application forFoundation Trust status.

Since we became a Foundation Trust in October2006, Juggy has demonstrated his varied set of skillsto chair both the Board and the Members’ Council.

Professor Christopher Edwards succeeds Juggy asTrust Chairman on November 1 and we willwelcome him in the next edition of Trust News.

HHHMore than 200 members of the public, staff and localdignitaries including the Mayor of Hammersmith andFulham and the Lord Mayor of Westminster joined usat our Annual Members' Meeting in September.

This was an opportunity for us to celebrate theachievements of the hospital during 2006/07 and tolook forward to our future challenges.

I would like to thank all the staff who helpedmake this event a success, not least Infection ControlNurse Consultant Roz Wallis and ISS Mediclean

General Manager Catherine Horne whohelped answer questions about infectioncontrol and cleaning.

There is no doubt that both these issuesare vitally important to the public, asevidenced by the number of questionsdirected towards the Trust Board at theAnnual Members' Meeting, and we mustall play our part in driving up standards.

HHHI would urge all Trust staff to completethe national NHS staff survey which will

be distributed to you by your line managers thismonth.

This is an opportunity for you to have your sayabout your experience of working in your ward ordepartment at Chelsea and Westminster.

The survey is completely confidential, no one in theTrust will be able to see your individual answers, andwhat you say makes a difference because we makeimprovements as a direct result of your feedback – seepage 5 to read about improvements made following lastyear’s survey.

You could win £100 simply by completing the surveybecause all staff who take part will be entered into aprize draw.

I appreciate that working more efficiently and indifferent ways has been challenging for our staff and Iwould like to thank you for ensuring that we continueto provide the best possible patient care.

I am proud to work at Chelsea and Westminster, andI hope you feel the same way. The staff survey is yourchance to have a say.

Summer fun on play scheme

The Servite Play Scheme ranthroughout the summer for the secondyear running with the children of NHSstaff making up half of the attendance.

Ashley and Michael Imo, aged 7 and 10(pictured) attended throughout the summer.Ashley enjoyed performing in Dance Attackwhich is an event where all of the children

attending the play schemes in the localborough get to perform dance routines onstage. Michael enjoyed the coach trip toBrighton which was paid for by Chelsea andWestminster.

The boys’ mother,Vicky Imo, said that thescheme had been very well organised andthat the staff were very helpful.

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This attendancedemonstrates the high levelof interest in the hospitalamong our patients and thelocal public.

During the meeting,

members of the Boardincluding Juggy Pandit(Chairman), HeatherLawrence (Chief Executive)and Lorraine Bewes(Director of Finance)outlined the Trust’sachievements over the pastyear and its futurechallenges.

Keynote speakers alsoincluded patient and localresident Martin Rowell, whois a Foundation TrustCouncil Member, andAndrew Kenworthy (ChiefExecutive – Kensington andChelsea PCT) who talkedabout the current review ofthe NHS in London.

A lively question andanswer session covered topicsranging from infectioncontrol to outpatient clinicsand cleaning.

Thank you to all staffwhose hard work helpedmake the event a success andthanks also to those staffwho organised other eventsfor Foundation Trustmembers during the week ofthe Annual Members’Meeting.

The Trust’s 2006/07annual report was launchedat the meeting – the report is

packed full of news andfeatures about a year in thelife of Chelsea andWestminster.

Copies of the report areavailable from Matt Akid orJeanette Albert in theCommunicationsdepartment on ext 6828/9 –an electronic version of thereport is available on theTrust website.

Annual Members’ Meeting

n Cathy James, Staff Representative on the Members’Council, chats to colleagues following the meeting

More than 200 people attended the Trust’s AnnualMembers’ Meeting in September to hear about thelast year in the life of Chelsea and WestminsterHospital.

Farewell to Juggy

n Juggy with Chief Executive, HeatherLawrence and staff at Open Day 2002

n Juggy Pandit with current and former PrimeMinisters Gordon Brown and Tony Blair on avisit to Chelsea and Westminster

Juggy Pandit's eight years as Chairman of the Trust come to anend on October 31.

He says: “I dearly love this hospital and I will miss the place. The staffhere are the most enjoyable group of people that I have had theopportunity to work with. Meeting so many interesting people has beenthe real highlight of my time as Chairman because I enjoy meeting staffaround the hospital and finding out what they do.”

Juggy has been Chairman of the Trust since November 1999 and aNon-Executive Director since February 1996. He had a 30-year career inindustry with companies including ICI, Unilever and Thorn EMI.

So how did he get involved with Chelsea and Westminster?Juggy explains: “I had been a patient at the old St Stephen's Hospital

in the late 1960s so I had a great fondness for the place and then I usedto drive up Fulham Road on my way to work every morning when thenew hospital was being built before it opened in 1993.

“I saw an advert in the Financial Times for Non-Executive Directors ofthe hospital and, as I had taken early retirement, I decided to apply.”

Juggy faced a major challenge in his early days as Chairman.“The Chief Executive of the time, David Highton, resigned and so

virtually my first task as Chairman was to recruit a new Chief Executive,Heather Lawrence.”

So how does Juggy view the future of Chelsea and Westminster?“Chelsea and Westminster has an excellent reputation, first class

facilities and a proven track record of innovation.“There will of course be major challenges ahead but we are very lucky

that Professor Christopher Edwards is our new Chairman. Hisexperience and expertise mean that he is ideally placed to take the Trustforward.”

n Martin Rowell, PatientRepresentative on theMembers’ Council, gives akeynote speech at theTrust’s Annual Members’Meeting

The AMU, based on thefourth floor, is on the site ofthe former Francis BurdettWard. It has replaced WilliamGilbert medical ward andaccepts emergency admissionsdirectly from the EmergencyDepartment (ED) andpatients referred directly bytheir GPs.

The AMU has a five-trolleyassessment area and 21inpatient beds where patientsare provided with specialistcare for a wide range ofmedical conditions.

In addition, there are fourbeds on Marie Celeste Wardfor patients with chest pain toallow more rapid assessments.

The AMU has delivered anumber of improvements inpatient care since it opened: • A 45% increase in the

number of medical patientswho, having been admittedto hospital, are dischargedhome within 24 hours anda 35% increase in patientsdischarged within 48 hours

• A reduction in the averagelength of stay in hospitalfor adult medical patientsfrom 8.12 days during thetwo months before theAMU opened to 6.5 daysduring the first month afterthe AMU opened.

Steve Burwell, ChargeNurse on the AMU, explains:“On the AMU, a patientshould be rapidly assessed bya nurse and by a member ofthe medical team within 20minutes.

“Patients who present inthe ED are transferred rapidlyto the AMU following aninitial assessment by amember of the ED team. Allmedical patients are routinelyseen on AMU, excludingcritical care, coronary careand patients requiring acutestroke management. Mostpatients stay on the AMU forless than 24 hours but a smallproportion of patients stay upto 48 hours if it is anticipatedthat they will be dischargedhome directly. Patients whoare expected to stay inhospital for longer will betransferred to the appropriatemedical ward when theircondition is stable.”

Sue Greenland, ClinicalNurse Lead for Medicine,adds: “The AMU has anumber of assessment areassuch as a therapies assessmentroom, where daily livingassessments are undertaken toassess, for example, whether apatient is able to make a cupof tea safely. There is also a

consultation room and acardiac investigation roomwhere patients can haveexercise treadmill tests.”

The Unit has dedicatedpharmacy support and itshares physiotherapy andoccupational therapy supportwith the ED.This isparticularly important forelderly patients who may havemobility problems and areoften on several medications.

Dr Gary Davies, LeadConsultant for AMU, says:“The major differencefollowing the introduction ofthe AMU is that patients areseen by a medical specialistmuch earlier because the Unithas a dedicated team.

“Every patient is seen by aconsultant within 12 hoursand their management plan isreviewed by a consultanttwice a day. The consultantsare dedicated to the AMU fora four-day week or weekendrotation which means patientsare assessed, diagnosed anddischarged home, ifappropriate, more quicklywith improved continuity ofcare.

“There is a hugeimprovement incommunication between theTrust and GPs because GPsnow have a direct phone lineto contact the AMU doctorsto discuss patients who mayneed assessment oradmission.”

Sue Greenland adds: “It isimportant to thank everybodywho works on and supportsthe work of the AMU.Everyone has adaptedpositively to the new ways ofworking and patient flowsand embraced the new ethos.”

Narinder Liddar, ProjectLead for the AMU andGeneral Manager forMedicine, says: “This was themost exciting operationalproject that I've undertakenin my career and I am verygrateful to Amanda Pritchard,the Deputy Chief Executive,who gave me the opportunityto develop what is already asuccessful venture.”

“The best bit about theproject was the 'team work'that made it happen. I amvery proud to have workedwith such dedicated staff.”

Meet the Acute Medical Unit Team

n Members of the Acute Medical Unit team

The hospital's new Acute Medical Unit(AMU) opened in August to ensure that adultmedical patients access the most appropriatetreatment and care more rapidly.

Who’s who in the team? Consultants - Prof Derek Bell (Professor of AcuteMedicine), Dr Gary DaviesMatron - Helen BassCharge Nurse - Steve BurwellClinical Nurse Leads - Louise Magee, Sue Greenland(Project Lead in the Treatment Centre for six months)Senior Staff Nurses - Debs Bovey, Georgina Clark, TembiChinaire, Sarah MutiibwaStaff Nurses - Michelle Abad, Ernel Arbes, GotameeAyadassen, Roberta Boateng, Katrina Boyd, JenniferButler, Will Dalgleish, Eunice Frimpong, JoanneGallagher, Anne-Marie Griffin, Claire Griffin, EsterlinaLawrence, Andrea McArdle, Sarah Mulwinda, EdithNalule, Claire Reading, Adam Rymill, Rosemary WealdHealthcare Assistants - Kele Fesha-Wubshet, ChristineNankya, Rita GbedemahWard Receptionists - Patrick Kabeya, Funmi AkinkouliePharmacist - Cathryn ParkPhysiotherapist - Kate Attrill Occupational Therapists - Carol Brimacombe, Peter Rusin Assistant Occupational Therapist - Ireti OlanipekunHousekeepers - Abbey Gwa, Sebastian Palakatara

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The national NHS staff survey isyour chance to voice your views onlife at Chelsea and Westminster –don’t miss out on this opportunityto say what you think about yourexperience of working in your wardor department.

You could even win £100 simply bycompleting the survey – all staff whotake part will be entered into a prizedraw.

All Trust employees are being sent aquestionnaire this month – they arebeing distributed via line managers andthe closing date for completed surveys tobe returned is Friday 30 November.

It is important to stress that what yousay is completely confidential because anindependent organisation called Capita(formerly NHS Partners) runs the staffsurvey on behalf of the Trust.

No one in the Trust will be able to seeyour individual answers becausecompleted staff survey questionnaires godirectly to Capita.

Maxine Foster, Director of HumanResources, says: “Last year only 43% ofTrust staff completed the survey whichwas disappointing because we can onlyget an accurate picture of staff views ifmost people take part.

“This year we are asking line managersto ensure that surveys are distributed toall employees and that, if necessary,protected time is provided for them to be

completed. We are also organising acoffee morning in the canteen from 9.30to 10.30am on Wednesday 24 Octoberso that staff can come down and fill intheir survey over a free cup of coffee anda croissant.

“And we hope that the possibility ofwinning £100 might encourage morestaff to complete the survey.

“What staff say in the survey reallydoes make a difference which is why weare keen for as many staff as possible tocomplete it.”

Every ward and department in thehospital has produced its own localaction plan to address the prioritiesidentified by staff in those areas whocompleted last year's survey - talk to yourline manager if you haven't seen yourlocal action plan.

In addition, the Trust Board hasapproved a Trustwide action plan totackle four key issues that were singledout by all staff.

Improvements already made by theTrust in response to last year's surveyinclude:Discrimination, bullying andharassment• Staff support networks for all aspects of

equality and diversity have beenestablished including a Black andMinority Ethnic (BME) Network,Disability Network and Gay, Lesbian,Bi-Sexual and Transsexual (GLBT)Network)

• The Learning Resource Centre nowoffers a package of courses on equalityand diversity - contact ext 8835 fordetails

• 9 new Harassment Advisors have beenrecruited and trained so that staff whobelieve they are being bullied orharassed can discuss their situationconfidentially with someone who isimpartial and trained in equality issues

• 12 staff have been trained as Mediatorsto help resolve staff issues before theyescalate

Appraisal and valuing staff• All line managers were asked to ensure

that all staff had an appraisal by 31August - if you have not had anappraisal, talk to your line manager

• A series of events are run by staff forstaff to demonstrate the importance ofvaluing and developing staff - NationalCustomer Service Week, GoodNutrition Awareness Week andOccupational Health and Safety Weekhave all been held in the last monthand the ever popular Christmas CheerAwards are coming up in December

• Check out the Staff Discounts list inthis edition of Trust News and on theintranet - there are lots of discounts atlocal businesses, bars and restaurants

Work/life balance• The use of All Users emails has been

reviewed and controlled to reduce thenumber of these emails and to ensurethat email is used more efficiently

Have your say – and win £100!

Burns team wins poster prize at national meeting

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Staff Survey 2007... Staff Survey 2007... Staff Survey 2007...

• The Servite Play Scheme ranthroughout the summer for thechildren of Trust staff - the popularscheme is run at the school oppositethe hospital during school holidays

Communication and staff involvement• Trust Directors have maintained their

commitment to face to facecommunication with staff by, forexample, attending directorate,department and team meetings tolisten to the views of staff as part of the'Improving the Patient Experience'programme

• Chief Executive, Heather Lawrence rana series of face to face sessions for allstaff to discuss important changes tothe NHS in London - line managerswere provided with support and adviceto help them brief their own staffabout these issues

• All staff are now invited to attend themonthly Team Briefing with ChiefExecutive, Heather Lawrence andcolleagues

In April this year, a delegationfrom the Burns Unit attended theBritish Burns Associationscientific meeting in Swansea –they found out in July that theyhad won the prize for bestscientific poster.

The multi-disciplinary team includeddoctors (anaesthetists and surgeons),nurses, a physiotherapist, anoccupational therapist and a dietitian.

Dr Zulkifli Hanafiah, Dr OliveraPotparic, Dr Anita Holdcroft andNicky Lucas presented a poster entitled‘The Incidence of Nausea and VomitingFollowing the Administration ofAnalgesics for Dressing Change inBurn Patients’.

This poster was the result of anextensive audit which demonstratedthat nausea and vomiting occur asfrequently during dressing changescompared to the same scores in thegeneral population. It recommendedthat patients should be prescribed anti-emetics for their change of dressings.

The scientific meeting was anexcellent opportunity for members ofour Burns Unit team to network withother burns services throughout the UK.

n Dr Zulkifli Hanafiah and Dr Olivera Potparic

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An updated resuscitation audit form isnow available – it has been updated toalign our data collection with a universaltemplate used for resuscitation research(Utstein Template).

The resuscitation team have also joinedforces with the Critical Care Outreach Team andadded an area for the collection of ChelseaEarly Warning Scoring System (CEWSS) data.

To complete the form, the three previousCEWSS scores are now needed which willenable the resuscitation team to review theevents and relate patient outcomes to theCEWSS.

A space is now included for the resuscitationteam member’s name, making it easier to liaisewith them after the event.

For further information please contact theresuscitation team on ext 8479.

Resuscitation audits– updated form now available

Congratulations to Cinzia Giammarchi, VolunteerLiaison Manager, who was recognised as ourcustomer service ‘champion of champions’ at aspecial presentation in July.

At the time Cinzia had run more You Are The Differencecustomer service training sessions for staff than any othermember of the team of customer service champions – stafffrom throughout the hospital who have led the training.

She was run close by a number of champions who workfor ISS Mediclean, our facilities contractors, who haveachieved the highest proportion of staff given You Are TheDifference customer service training in the hospital.

Generous funding by Chelsea and Westminster HealthCharity means that no NHS money has been diverted fromfrontline patient care to pay for the You Are The Differencecustomer service training programme.

The Charity hosted a reception event in July to thank theteam of customer service champions.

You Are The Difference

n Heather Lawrence (Chief Executive, Chelsea andWestminster Hospital NHS Foundation Trust) and DianeYeo (Chief Executive, Chelsea and Westminster HealthCharity) present vouchers to customer service ‘champion ofchampions’ Cinzia Giammarchi (Volunteer Liaison Manager)

Congratulations to all staff who have recently achievedInstitute of Leadership & Management (ILM)qualifications through the Learning Resource Centre.

The ILM is one of theforemost recognised bodiesfor management developmentin the UK, offering a varietyof management qualifications.

The ILM IntroductoryCertificate in First LineManagement, which is opento aspiring and existing firstline managers, provides anintroduction to areas ofpractice for new managers.

The course takes place overfive full days and is assessedthrough a work-based projectlooking at a service improve-ment in the workplace.

Congratulations to 15 staffwho have achieved thisqualification - RichardAldridge, James Allan, BeenaBaran, Rowena Celadena,Wai-Yee Cheung, SonjaDimitrova, Anne MarieLangan, Anthony Luzio,Natalie Macfarlane, LeighMarsh, MohammadMasarane, Helen Soothill,Claire Tribble, VivetteWallen-Mitchell and RebeccaWood.

The ILM Endorsed Award

for Personal Effectiveness forAdministrators aims todevelop their potential andconfidence of administratorswho wish to develop theirmanagement skills with aview to moving intosupervisory roles.

The course takes place overseven full days and focuses ontopics including teambuilding, communication,problem solving, assertiveness,motivation and presentationskills.

Congratulations to 11 staffwho have achieved thisqualification - Lydia Awodeyi,Miriam Busani, David Henry,Christine Keeble, LauraNeligan, Angela Odunsi,Rebecca Parkinson, DeborahRichards, Julie Stevens, YvetteTeng and Edna Tungi.n Photographed are (frontrow) Christine Keeble,Miriam Busani, Yvette Ten,Laura Neligan, DeborahRichards, Angela Odunsiand (back row) EdnaTungi, Lydia Awodeyi andJulie Stevens.

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Staff achieve management qualifications

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Standards of hand hygiene in the Trust are audited on a monthly basis by ourinfection control link professionals – nurses, therapists and other staff who areresponsible for infection control in their area of the hospital.

We include an update on compliance with hand hygiene standards inevery month’s Trust News to ensure the issue remains high profile.

The good news is that the compliance rate in July was 60%- the best performance since we first started publishing ratesin the newsletter.

Some clinical areas scored particularly well – well done tostaff working in Outpatients 2 (99%), David ErskineWard (96%) and the Assisted Conception Unit (75%).

The compliance rate dropped slightly in August to52% but a number of clinical areas continued tomaintain excellent standards - congratulations to staffworking in Outpatients 3, Thomas Macaulay Wardand David Erskine Ward who all achieved 100%compliance with hand hygiene best practice in August.

There is still plenty of room for improvement so please remember to use the alcohol handgel that is available for use at the entrance to all clinical areas in the hospital.

Important reminder for all staff!Please remember that if you are caring for a patient with diarrhoea

you must wash your hands with soap and water before using hand gel.

Hand hygiene watch

The Trust’s first ever Good Nutrition Awareness Week in September attractedlots of interest and an impressive 137 nursing staff attended training sessions.

Evaluation is now underway but initial feedback from nursing staff highlighted requestsfor further training and support in the form of ward-based sessions.

Feedback from training sessions included “very informative and fun – time well spent”and “very good overview of changes”. Marie Celeste and Edgar Horne wards were jointwinners of the hamper for highest attendance at training sessions throughout the week.Well done to both wards!

The Nutrition and Dietetics Department would like to thank everyone involved in theweek for their support in making it a great success.

Calling allmusicians

Do you have aneglected cello orflute sitting forgottenin a cupboard athome that you havealways wanted to takeup again, but neverhad the opportunity?

Do you get home atnight and pick up amusical instrument toremove the stresses ofyour day but would liketo play more socially?

Now is your chancebecause Chris Braime, PAto Clinical Governanceand a graduate of theRoyal College of Music,is setting up the Chelseaand WestminsterChamber Orchestra – heis looking for staff with alove of music to getinvolved.

Chris explains: “Theaim of the orchestra is tobring together membersof staff in an informaland fun setting, in a waythat isn’t always possiblein our busy workinglives.

It is also a chance toimprove links withpatients, play throughsome fantastic musictogether in rehearsals andconcerts, and raisemoney for Chelsea andWestminster HealthCharity.

“We are looking forstaff who would like toplay in the orchestra andstaff with a passion forclassical music whowould like to getinvolved in the co-ordination of theensemble through anOrchestra Committee.”

Anyone interestedshould contact Chris onext 6095 or via [email protected].

Good Nutrition Awareness Week

n Pictured are members of the Nutrition and Dietetics team with Raymund Leano,Charge Nurse on Edgar Horne Ward and Alison Bawden, Sister on Marie Celeste Ward.

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Focus on... HIV & sexual health services

At the National HIV Nurses Association (NHIVNA)conference the long-awaited competencies for HIVnurses were launched with the endorsement of andfunding from the Department of Health.

The competencies are forboth nurses who work in HIVand nurses who care forpatients with HIV in anotherspecialist or general setting.They are designed to be usedalongside the KSF frameworkand will assist and guide nursesin providing the highest qualitypatients care for those withHIV.

Jane Bruton, Clinical NurseLead for HIV at Chelsea andWestminster, was one of threesenior nurses who drove thecompetency project forwardover the last two years onbehalf of the NHIVNA.

She helped runbrainstorming workshops tokickstart the work and then

engaged specialist HIV nursesfrom inpatient, outpatient andpaediatric services to developthe detailed competencies fortheir areas.This consultationprocess was extensive andmade the final drafting of thecompetencies very challenging.

Jane says: “To have adocument that enables nursesto develop their skills, assiststhem in seeking out theeducation they need to achievethe competencies, and mostimportantly provides a clearstandard for the provision ofHIV nursing care is veryexciting.”

The document is availableon the NHIVNA website andas a hard copy from Mediscript.

A brand new section ofthe hospital website hasbeen launched toprovide improvedinformation about oursexual health and HIVservices.

The new web pages –www.chelwest.nhs.uk/hiv-sexual-health - include a widerange of information such asthe location of the Trust’sclinics including:• St Stephen’s Centre next to

the main hospital building• Victoria Clinic, SW1• West London Centre for

Sexual Health at CharingCross Hospital

• Outreach services in thecommunity.Patients can find out how

to make appointments, getanswers to frequentlyanswered questions andrequest an appointment onlinevia the eTriage system.

The new, improved websitepages are the result of a lot ofhard work by staff in theHIV/GUM directorateincluding Dr Sara Day whoco-ordinated the project withAndrew Sen, Web Developerbased in the IT department.

A handy credit card-sizedreminder card has also beendeveloped to publicise thehospital’s sexual health services– it includes details of how torequest appointments eithervia the website or through theappointments line on 0208846 6699.

Diamond Clinic revampedStaff from the Trust’s West London Centre for Sexual Health have recently revamped the DiamondClinic which is a service provided for young menwho sell sex.

The service is provided at the SW5 Centre in Eardley Crescent,Earl’s Court, which is run by the Terence Higgins Trust.

The Diamond Clinic, which is held every month at thecentre, includes testing for HIV and syphilis as well asHepatitis B and C. Immunisation against Hepatitis B is alsoavailable together with general sexual health advice.

Staff at Chelsea and Westminster have raised £7,000 fora South African charity called Nkosi's Haven whichprovides a foster home for HIV positive children andAids orphans - they are well on their way to meeting afundraising target of £25,000.

Their efforts strengthenlinks between West Londonand South Africa whichbegan because the Trust'sNkosi Johnson Unit for HIVpatients - part of the WestLondon Centre for SexualHealth at Charing CrossHospital - was named after ayoung South African boydiagnosed with HIV.

Nkosi died in 2001 but notbefore his courage helped toraise international awarenessof HIV when he spoke to aworldwide TV audience of 60million at an internationalAids conference in SouthAfrica.

His foster mother, GailJohnson, set up the Nkosi'sHaven charity in his honour

and now staff at Chelsea andWestminster are raising moneyfor this good cause.

Fundraising events so farhave included:• A 'Casino Royale' bash at

L'Auberge restaurant inBarnes on New Year's Eve2006 -a total of £120 wascollected from the roulettetable and the restaurantdonated a £100 voucher toan auction.

• The Two Brewers bar inClapham hosted a cabaretcharity evening - the doormoney, bucket collectionand raffle raised £1,090.

• The Elmbridge Choirproduced a concert ofcontemporary music, held atSt Paul's Girls School. Theschool donated use of thehall, providing a caretaker.An auction, held during thecourse of the evening, inconjunction with acollection by Avi Lugassy,raised more than £2,000.

• West London Centre forSexual Health staff havesupported the fundraisergenerously - Lisa Fullerraised £150 by raffling abottle of champagne,

National HIV nursingcompetencies launched

New website and reminder cards launched

Hospital staff raise thousands for HIV/Aids children

n The Diamond Clinic team – Dr Nick Theobald (AssociateSpecialist), Simon Paragreen (Health Adviser) and CindyGilmour (Nurse Practitioner) with Ian Watters, Del Campbelland Max Haderman from the Terence Higgins Trust

n A handy credit card-sized reminder card gives patientsinformation about how to access sexual health services

exual health services

As a direct result ofrecommendations madefollowing the audit, a set ofstandards have beenimplemented to ensure thebest possible service forpatients.

The audit was carried outover one week in November2006 after the clinic changedthe service provider thatanalysed all blood samplestaken at the Clinic, becausethis change meant thatpatients had to request theirblood forms on the day theycame to have their bloodstaken which addedconsiderable waiting time tohaving bloods done.

The KVN Patient Forum,working closely with clinicstaff, aimed to use the auditto measure the time it tookfor the whole process to runend-to-end.

Audit results showed that:• 77% of patients who took

part in the audit weresatisfied with thephlebotomy service.

• The daily average waiting

time was 10 minutes,except on Wednesdaywhen it was 17 minutes.

• At least 34% of dailywaiting times were longerthan 10 minutes.

• On Wednesday 81% ofwaiting times were longerthan 10 minutes – thelongest was more than anhour.

Following analysis of theaudit, a report andrecommendations werepresented to Kobler Clinicstaff and managers who haveagreed to implement a set ofstandards for the phlebotomyservice:• The maximum waiting

time for having bloodsdone should be 15minutes.

• No more than threepatients should be waitingfor their bloods to be doneat any one time.

• Extended hours should betrialled on Thursdays.

The audit and subsequentreport has been seen as agreat success by all involved,and on the strength ofenthusiasm from KVNPatient Forum members, it isalmost certain that moreactivity of this nature willtake place in future.

The KVN Patient Forumhas achieved one of its keyaims of making real changesto the way treatment servicesare provided, and in turneducating and empoweringpatients to pursue furtherchanges as and whenappropriate.

Members of the KVN Patient Forum for patientsfrom the Trust’s three HIV clinics – Kobler,Victoria and Nkosi Johnson – and nurses from theHIV directorate have audited the phlebotomyservice run by the Kobler Clinic.

donated by a local offlicence, Lisa and TerryFroelich raised £118.49from a car boot sale inChiswick, and staffpromoted the fundraiser atthe hospital Open Day inMay.

• Hospital staff, family andfriends took part inCrusaid's Walk for Life inJune - 75% of the moneyraised will go to the NkosiJohnson fundraiser and 25%to Crusaid.

• A bucket collection at SohoGay Pride in August raised£318.15 and a bucketcollection at Paddingtonstation raised £37.16.

sands for HIV/Aids childrenn A portrait of Nkosi Johnson

Anosha Ramsammy, StaffNurse in the Nkosi JohnsonUnit and a member of thefundraising committee, said:“We would like to thank localshops, restaurants and bars, aswell as hospital staff andpatients, for their support.

“Also a big thank you to DrCharlotte Cohen and Dr KenMcLean, Consultants at theWest London Centre forSexual Health, for theircontinued support andinterest in developinginternational links and to StStephen's Aids Trust forproviding the guidance andbanking facilities for thefundraising project.”

Patients help drivephlebotomy improvements

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An abstract paper writtenby staff in the hospital’sAssisted Conception Unit(ACU), based on researchat Chelsea andWestminster, was selectedto be presented at theEuropean Society ofHuman ReproductionEmbryology’s annualconference in Lyon. Itwas also nominated for aLab Award in AssistedReproduction.

Embryologist MariaVourliotis presented the paper- ‘Pregnancy outcome afterDay 3 Embryo Transfer (ET)compared to early cleavageDay 2 ET’ - to more than5,000 delegates at theprestigious conference.

The paper was written byMaria, Dr James Nicopoullos(former Trust ResearchFellow), Dr Carole Gilling-Smith (ConsultantGynaecologist) and supervisedby Dr Paula Almeida(Consultant Embryologist).

Dr Almeida explained:“To have an abstract paperaccepted for a majorconference is a bigachievement. To be asked toorally present your paper isan even bigger achievementand to be nominated for anaward is great.”

The Trust Board hasapproved a £19.4million capitalinvestment programmefor the 2007/08financial year – doublelast year’s capitalexpenditure – as a directresult of our new statusas a Foundation Trust.

As a Foundation Trust wewere able to retain ourfinancial surplus from2006/07 and we have morefreedom to borrow moneyto invest in developmentsthat will benefit bothpatients and staff.

The £19.4m package ofinvestment includes:• Centralised endoscope

decontamination – capitalinvestment of more than£1.5 million will enablethe Trust to centralise thedecontamination ofendoscopes in the SterileServices department toensure we meet nationalminimum standards

• Expansion of thePaediatric EmergencyDepartment and otherpaediatric improvements –our popular EmergencyDepartment for children isbeing expanded to includefour extra cubicles andthree enclosed treatmentrooms

• New diagnostic medicalequipment - replacementof CT and MRI scanners

• Development of digitalradiology – the new PACSsystem

• Expansion of PrivateMaternity.

Embryologist presents paper at major European conference

n Dr Paula Almeida and Maria Vourliotis

Capital investment

doubled

Former Trust Plastic Surgery Senior House Officer Mr Adil Khan held anexhibition of his paintings in the hospital, based on the celebrity images ofphotographer Anthony LaSala.

Mr Khan describes the style ofthis exhibition as a mixture of‘surrealism and realism’ with a‘chiaroscuro’ (light and dark) style.

He explains: “My artworkactually helps me with my surgicalwork. By painting the human form,it helps me to fully understand itaesthetically.

“I mostly paint in oils using livemodels but when I use two-dimensional photographic images, Iam able to reconstruct them threedimensionally which is very useful inplastic surgery.

“Chelsea and Westminster staffmembers, namely Plastic SurgeonsMr Jawad and Ms Jemec, have beenvery inspirational figures for mebecause they have supported andencouraged me to do my artwork.”

For more information on MrKhan’s work, he can be emailed [email protected] or phonedon 07863 332 517.

Plastic surgeon demonstrates artistic talent

Volunteers become ‘dining companions’

The Trust’s speech and language therapists,Volunteer Liaison Manager and dieticians havebeen aware for some time that further input wasrequired to enable hospitals inpatients at risk tomaximise their nutritional input.

Chelsea and WestminsterHospital NHS FoundationTrust believes that allindividuals have the right tobe treated with dignity andrespect at work and affirmsthat any form of harassment,discrimination, or bullying isunacceptable.

As part of the Dignity at WorkPolicy, the Trust proposes that anyemployee who believes they arebeing bullied or harassed shouldhave the opportunity to discusstheir situation confidentially withsomeone who is impartial,

empathetic and trained in equalityissues.

The Trust has recruited a cohortof nine new Harassment Advisors(in addition to the previous three)who offered their services on avoluntary basis to support staff.

They can empower staff intackling harassment themselvesthrough listening and deciding onalternative possible actions,including advice on training andsupport services available bothwithin and outside of the Trust.

Harassment Advisors are part ofa team providing professional andconfidential advice and support to

staff experiencing bullying orharassment in the workplace.Together with the Harassment Co-ordinator, they work in a closeteam led by the Volunteer LiaisonManager – this team is separateto and independent of linemanagers and Human Resources.

If you feel bullied or harassed,and wish to speak to aHarassment Advisor, pleasecontact ext 6565.

For further information, pleasecontact Cinzia Giammarchi(Volunteer Liaison Manager) onext 8480 or via Trust email.

Tackling bullying and harassment

Volunteers News Volunteers News Volunteers News

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n Hospital volunteers Karen Dickson and Yuri Echizenya

Clinical studies showthat poor nutrition inhospital may increaselength of stay anddifficulties with feeding areproblems shared by manyhospital patients.Hygienically packagedfoods are often difficult toopen and nurses andhealthcare assistants do notalways have the time tohelp patients feed for anentire meal.

Some patients need onlyencouragement, a friendlyface and time to be able tofinish and enjoy a meal.

And so a volunteerpatient feeding pilotproject started on NellGwynne Ward in March. Arisk assessment was carriedout before the pilot gotunderway and theappropriate type ofpatients to be fed wasdiscussed with seniornursing staff.

Five volunteers wererecruited and trained byAmanda Mozley, HeadSpeech and Language

Therapist, and DieticianAnne Jordan in safe eatingand drinking techniques,food consistencies and menuchoices.

Feedback was verypositive. Patients who werereluctant eaters enjoyed theirmeals and ate well whenthey were fed by thevolunteers. The volunteersalso tidied bed areas andgave patients valuableindividual time andattention. Patients indicatedthat they valued thisenormously.

At present, there are 10dining companions working

on different wards in thehospital.

If you wish to become adining companion or wouldlike to have a dining

companion on your ward,please contact CinziaGiammarchi, the VolunteerLiaison Manager, on ext8480 or via Trust email.

Do you have a story for Trust News?It might be something interesting, exciting or remarkable that a

colleague is doing.

Perhaps you are particularly proud of an achievement that yourteam has worked hard for. It might be a change in your services

or facilities or a message that you need to communicate tocolleagues.

Whatever your news, we want to hear from you – call Jeanette Albert on ext 6829 or Matt Akid on ext 6828.

Many staff and patients observe Ramadan which thisyear starts and ends somewhere between 12/13September and 12/13 October, depending on theCrescent sightings that determine the Muslim lunarcalendar.

Hospital Imam, Sadeq Hansali explains: “Ramadan is a Muslimholiday which is observed in the ninth lunar month in theMuslim lunar calendar. It is believed that in this month theQu'ran was revealed to the prophet Mohammad (May peace beupon his soul).

“Fasting during Ramadan from dawn to sunset is consideredone of the Five Pillars of Islam. However, it is not accurate to saythat everyone simply goes without food or water - there are quitea few rules which apply to it. For example, a Muslim mustconsciously formulate the intention to fast as part of a rite. This isto prevent fasting from becoming an empty symbol which peopledon't give much thought to.”

During Ramadan, Muslims all over the world abstain fromfood, drink, sexual relations and smoking.

There are various ways in which a person can be exemptedlegitimately from fasting, many of which are of particularimportance to note in a healthcare setting for both patients andstaff. These exemptions include:• People in poor health, who have illnesses or who are under

regular compulsory medication • Pregnant women and women who are breastfeeding or

menstruating• Young children • Travellers, if the distance travelled is great.

The status of children is actually mixed. The youngest are notexpected to fast, but as they get older they gradually begin fastingfor more and more of the day until they are able to go the entireday without food or water, without endangering their health.

Although travellers and menstruating women can be exemptedfrom fasting, they are nevertheless expected to make up the samenumber of missed days some time later in the year after Ramadanso that overall they fast the same number of days.

Staff and patients are encouraged to be aware of theexemptions, and to discuss fasting with their doctor or thehospital pharmacy team who will be able to offer advice andinformation on whether it is safe to fast, how to take medicationand whether an alternative dosage would be appropriate.

For further advice and information staff can contact theHospital Imam, Sadeq Hansali via the multi-faith chaplaincy onext 8083.

The Mental Capacity Act comes into fulleffect this month.

It enshrines in statute current best practice andcommon law concerning adults who lack mentalcapacity to make decisions, and for those people whotake decisions on their behalf. It also applies to 16 and17-year-olds who have limited decision-making capacity.

For healthcare professionals, the Act provides guidanceon how to help patients make decisions, how to assesspatients’ capacity to make decisions and how todetermine what action is in someone’s best interests ifthey cannot make decisions.

The Act replaces the current schemes for EnduringPowers of Attorney and Court of Protection receiverswith reformed and updated schemes, including extendedpowers for patients to delegate the authority to takedecisions regarding their health and welfare.

A poster campaign is being launched by the RoyalBorough of Kensington and Chelsea to raise awarenessof the Mental Capacity Act across the borough.

Information about the Act is now available via theRoyal Borough of Kensington and Chelsea websitewww.rbkc.gov.uk/socialservices/general/mental-capacity.asp

Mental Capacity Act – what you need to know

n Pictured (left to right) Alison Bawden, Sister onMarie Celeste Ward, Richard Booth, Lead Nurse forTissue Viability and Pressure Ulcer Prevention, andLesley Anne-Marke, Sister on David Erskine Ward

Richard Booth, Lead Nurse for Tissue Viabilityand Pressure Ulcer Prevention, carried out theannual benchmark in regard to pressure ulcers,nutrition and continence earlier this year as partof Essence of Care.

As a result of the benchmark we identified two wardsof excellence, Rainsford Mowlem for surgery and DavidErskine for medicine - they both scored 90%, closelyfollowed by the runners-up Marie Celeste and DavidEvans.

All wards scored well on providing correct mattressesfor patients at high risk of developing pressure ulcers,repositioning high risk patients, and care planning.

Once benchmark wards are identified, we can thenshare their good practice with other areas of the hospitalto drive up standards of care overall.

See next month’s Trust News for information on ourannual prevalence rates for pressure ulcers andinformation regarding tissue viability.

Ramadan Rainsford Mowlem and DavidErskine set the standard

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Discounts available for Trust staff...

You will need to show your hospital ID to qualify for discounts. Contact Jeanette Albert, Public Relations Assistantwith any comments you have about these staff discounts on ext 6829 or email [email protected]

FOOD & DRINKChelsea Bun 9a Limerston St SW10Tel 020 7352 363510 per cent discount Mon-Fri, 7am- 6pm (excl. special offers)Chelsea Meze294 Fulham Road SW10 Tel: 020 7351 004410 per cent discountDish Dash9 Park Walk SW10 Tel: 020 7352 133015 per cent discount, 12-5pmDragon King Rice and NoodleBar (Earls Court Branch only)155 Earls Court Road SW5Tel: 020 7370 620010 per cent discount off food (eat-in only)Exquisito Bar and Restaurant343 Fulham Road SW10 Tel: 020 7352 096725 per cent discount on maincourses and house wine withmeals (takeaways included)Feng Sushi 218 Fulham Road SW10 Tel: 020 7795 190010 per cent discount (excl. deliv.)Finch’s Pub and Restaurant190 Fulham Road SW10 Tel: 020 7351 504310 per cent off foodFishWorks212 Fulham Road SW10 Tel: 020 7823 303320 per cent off bill Mon-Fri,12-3pm until November 30The Fulham Bar268 Fulham Road SW10 Tel: 020 7352 185910 per cent discountGlaister’s Bistro4 Hollywood Road SW10 Tel: 020 7352 035210 per cent discount (groups lessthan 10). Above 10, a free bottleof wine with dinnerGodiva Chocolates192 King’s Road SW3Tel: 020 7351 642710 per cent discount The Gourmet Oriental(takeaway) 290 Fulham RoadSW10 Tel: 020 7351 171410 per cent discountKhan’s Restaurant13-15 Westbourne Grove W2 Tel: 020 7727 542010 per cent discountMade In China Restaurant351 Fulham Road SW10 Tel: 020 7351 293910 per cent off meals (10 per centoff takeaways)

Maison Blanc303 Fulham Road SW10 Tel: 020 8838 084820 per cent discountMandaloun335 Fulham Road SW10 Tel: 020 7352 979710 per cent discount, Mon-Fri, 12-3.30pmMexicali323 Fulham Road SW10Tel: 020 7351 737010 per cent discount Mokssh 222-224 Fulham Road SW10Tel: 020 7352 654810 per cent discount if spend £10,Mon-Fri, 12-6pm (excl. set lunch)Nirvana Restaurant430 King’s Road SW10 Tel: 020 7352 777125 per cent discount on food wheneating in. Show staff ID beforeordering Oddono’s Gelati Italiani - Icecream parlour14 Bute Street SW7 Tel: 020 7052 073210 per cent discountPizza Express363 Fulham Road SW10Tel: 020 7352 530015 per cent off lunch, 10 per centoff dinner (incl takeaways) PJ’s Bar and Grill52 Fulham Road SW10Tel: 020 7581 002510 per cent offTampopo Restaurant140 Fulham Road SW10 Tel: 020 7370 535520 per cent discount 12-7pm Sun-Thu (excluding meal deal) Saran Rom Thai Restaurant& Cocktail Bar The Boulevard, Imperial Wharf,Townmead Rd, SW6 Tel: 020 7751 311120 per cent off total bill before8pm; 20 per cent off food bill after8pm (excl. special menus)Snax369 Fulham Road SW10Tel: 020 7351 7454 10 per cent discountVingt-Quatre325 Fulham Road SW10 Tel: 020 7376 722420 per cent discount

HEALTH & BEAUTYCulpepper Herbal Health Centre236d Fulham Road SW10 Tel: 020 7352 560310 per cent off Culpeper products,some reduced price treatments

Du Nouveau Salon270 Fulham Road SW10 Tel: 020 7349 827520 per cent off hairdressing andbeauty servicesGinger Group Hair Innovations(Fulham Branch only)445 North End Road SW6 Tel: 020 7381 577710 per cent discount Mon-FriJames Hull Associates - dentistand hygienist242 Fulham Road SW10Tel: 020 7376 333010 per cent discount off regularprocedures (excl. specialist,cosmetic and techniciantreatments)Hair Razer (barber)258A Fulham Road SW10 Tel: 020 7351 0777£15 for a cut & blow dry Mon-FriHari’s Hairdressers305 Brompton Cross SW3 Tel: 020 7581 521110 per cent off all normal servicesMon-Thu; Mon-Wed £15 forcolouring; Tue free hair cuts at4pm (Must book as a model)Headmasters HairdressersFulham 020 7371 7939,Putney 020 8780 5555,Wimbledon 020 8947 503425 per cent discount, Mon-Fri,9am - 5.30pm. Must quotecompany partnership schemewhen bookingL’Occitane67 King’s Road SW3Tel: 020 7823 455510 per cent discountMahogany Hairdressers17 St George Street, Hanover Sq,W15 Tel: 020 7629 312125 per cent discount Mon-FriMr B Hairdressers360 Fulham Road SW10 Tel: 020 7352 941020 per cent off, Mon-Fri, 10am-6pmNaya Hairdressers260 Fulham Road SW10 Tel: 020 7376 368210 per cent discount on cut andblow drySaks Hair and BeautyDavid Lloyd Centre, FulhamBroadway Centre, SW6Tel: 020 7385 247420 per cent discountTeamwork Hair and BeautyRoom220 Battersea Park Road SW11Tel: 020 7622 903410 per cent discount 9am-5pm,Mon-FriToni&Guy Hairdressing (Fulham branch)

10 Fulham Broadway SW6 Tel: 020 7386 997720 per cent discount on colouring,cutting and blow drying, Mon-Fri10am - 4pm

SPORT & LEISUREChelsea Sports CentreChelsea Manor Street SW3 Tel: 020 7352 9006Discount membership, tel. Zeena David Lloyd Leisure Fulham Broadway Retail Centre,Unit 24, SW6 Tel: 020 7386 2200No membership joining fee andnationwide membershipFitness First (South Ken. only)29 - 37 Harrington Road,Petersham House, SW7Tel: 020 7590 5000 75 per cent discount offmembership fee, tel William/AneelVirgin Active188a Fulham Road SW10 Tel: 020 7352 9452Discount membership offer. For atour or complimentary day pass,tel or email Annie [email protected] ConsultationsThe Chelsea Practice186 Fulham Road Tel: 020 7376 764925 per cent discount, Wed - Friand every 2nd Sat of monthPure Massage35 Vanston Place SW6 Tel: 020 7381 810010 per cent discount onmassages, Mon-Fri before 7pmSweatshop188 Fulham Road SW10 Tel: 020 7351 442110 per cent discountWimbledon Rackets & Fitness ClubCranbrook Road SW19 Tel: 020 8947 5806www.wimbledonclub.co.uk50 per cent off joining fee

LIFESTYLECrest Jewellers Ltd36 Strutton Ground SW1PTel: 020 7222 601910 per cent off items up to £75;20 per cent off items £75-£500;25 per cent off items over £500Odeon Cinemas (Kensingtonbranch only)263 Kensington High Street Tel: 020 7602 5491Tickets reduced to £7.50 (Mon-Fri,Sat late night)Vue Cinemas (Fulham only)Fulham Broadway Retail Centre,SW6 Tel: 020 7385 2344Tickets £5.70 before 5pm, Mon-Fri; £5.90 at other times.

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News inbrief...

Access PolicyA revised Access Policy isavailable in the ‘Trust Policiesand Procedures’ folder on theintranet. Staff involved inwaiting list management oraccess for elective patientsmust follow the policy whichincludes trajectories forwaiting times - by March2008, four weeks foroutpatients and diagnostictests and six weeks forinpatients/day cases – andnew rules for patients who donot attend (DNA) outpatientappointments.

Autumn Seasonal WorkingConference

The next Seasonal WorkingConference for nurses,midwives and allied healthprofessionals will be held onFriday 23 November. It willinclude presentations,workshops, interactivesessions, information stands,competitions and much more.For details or if there issomething you would like toappear on the programme,please [email protected]

New children’s serviceswebsite

Information about children’sservices is now available on arevamped section of the Trustwebsite -www.chelwest.nhs.uk/services/womenchildren/paediatrics. Anational review by theHealthcare Commission ratedthe overall quality of ourchildren’s services as ‘good’ -only 25% of NHS trustsachieved a score of ‘good’ or‘excellent’. Parents candownload patient informationleaflets from the website.

People who live in Kensington,Chelsea and Westminster now onlyneed to make one phone call if theyare ill and need to see or speak to aGP or District Nurse outside normalsurgery hours.

Kensington and Chelsea and WestminsterPCTs have launched this joint project tomake access to care out-of-hours asstraightforward as possible and so speed updiagnosis and treatment.

Frankie Lynch, Director of Primary CareCommissioning at Kensington and ChelseaPCT, said: “We have worked hard withservice providers to ensure that by dialling020 8969 7777 patients will not face theproblems highlighted by recent criticisms ofother out-of-hours services.

“If they are ill, they will not have tomake separate calls to their GP and to a

District Nurse, and they will not have torepeatedly give their personal details anddescribe to different services what is wrongbefore they get treatment and care.

“One phone call will lead quickly andsafely to effective and timely advice and,where necessary, a face to face consultationand treatment at a time and place agreedwith the patient.

“We expect this will not only improvepatient care, but also make better use of ourprofessional workforce and relieve the strainon the London Ambulance Service and theA&E departments at St Mary's and Chelseaand Westminster hospitals.”

Patients should still call 999 in anemergency and should still contact NHSDirect for health information and advice.

A publicity campaign including leafletsand posters is promoting the service directlyto patients.

New out-of-hours number for local patients

Second Pain Symposium betweenLondon and BelgradeFollowing the success of

last year’s PainSymposium in Belgrade,our Trust Pain Team wasagain invited by DrDragan Pavlovic, LeadClinician for theDepartment ofAnaesthesia and IntensiveCare at Bezanijska KosaUniversity Teaching

Hospital, to lecture inthe Serbian capital.

Topics at the Second PainSymposium covered chronicpain management whichinvolved demonstrations ofpractical procedures anddescribed the multi-disciplinary approach to thecomplex issues of delivering

chronic pain treatment.Dr Ian Goodall

(Consultant in PainMedicine), Dr OliveraPotparic and Lisa Watson(Pain Management NurseSpecialist) were joined by DrJoseph Azzopardi(Consultant in PainMedicine) and Dr ZikaPetrovic (Fellow in PainMedicine) from St Thomas’Hospital.

The two-day Symposiumwas attended by 150delegates, received interestfrom the national press andsignificantly increased theprofile of pain medicine inSerbia. The feedbackreceived by the Chelsea andWestminster team wasextremely positive.

n Dr Ian Goodall, Dr Olivera Potparic and Lisa Watson

n Welcome to Mel Seymour, GastroIntestinal (GI) Cancers Clinical NurseSpecialist who joined us in August.This is a new role for both the Trustand Melanie who works alongside JoTurner, Colorectal Clinical NurseSpecialist.

Prior to joining us, Melanie was at St Mary’s Hospital where she was aWard Sister on a GI Ward with HighDependency beds for two years.

Melanie is on bleep 1025.

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

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n Welcome to MarjorieBuckley who has taken overas the Interim Head ofOperator Services forThamesnet. She replacesChristine Verbruggen whorecently left the Trust after18 years of unbrokenservice. Marjorie, who hascome over to join the teamfrom St Mary’s Hospital,can be contacted on ext1515 or via [email protected].

n Pictured right is theTrust’s new Engagement andPartnership Co-ordinatorIrfan Mohammed, whojoined us in August.

In this role, Irfan willhelp patients and the publicto have a more active role inour health services. He willsupport directorates acrossthe Trust to implementpatient and publicinvolvement initiatives.

He will also help todevelop and maintain strategic partnerships between theTrust and local voluntary and community groups.

Previously, Irfan worked in Dorset as a Black &Minority Ethnic Communities Advisor in the prisonhealthcare service. In this role, Irfan made sure that theprimary health care services were culturally responsive.He also mentored prison mental health nurses, helpingthem to develop equality and diversity learningprogrammes.

Prior to this, Irfan worked in Bradford where he heldvarious community development and health educationroles, including health promotion in mosques.

Irfan has a BA in Health and Social Welfare and iscurrently studying part-time for an MSc in Health andSocial Care Management.

He can be contacted on ext 6864.

n Reverend Steven Smith (centre) with Father GabrielBannon (Roman Catholic Chaplain) and Reverend DrChristina Beardsley (Church of England Chaplain)

Many hospital staff said a fond farewell to ReverendSteven Smith, head of the Trust’s multi faithchaplaincy team, when he left Chelsea andWestminster to pursue new challenges this summer.

Andrew MacCallum led the tributes to a valued colleagueand friend at a special leaving event on The Stage.

n Congratulations toConsultant Oncologist DrMark Bower who has beenmade Professor ofOncology by ImperialCollege School ofMedicine.

The honour is inrecognition of his researchand clinical work, especiallyin the field of HIV-relatedcancers where ProfessorBower has earned areputation as a leadingauthority.

He explains: “With my

colleagues in the HIVdepartment, especiallyProfessor Brian Gazzardand Dr Mark Nelson, wehave established thelargest research andtreatment centre in Europefor people with HIV-relatedcancers at Chelsea andWestminster.

“Patients are referredfrom all over Britain to betreated at our hospitalwhich has cared for morethan 2,500 people withthese tumours.

“We also have a majorresearch programme withProfessor Frances Gotch inthe Imperial Collegeimmunology researchlaboratories at Chelsea andWestminster, as well ascollaborations with manyother basic scientists.”

Professor Bower, whohas been a Consultant atChelsea and Westminstersince 1997, also works forHIV charities promotingcare in rural Vietnam andAfrica.

n Sue Bourne, pictured left, is now a CardiologyClinical Nurse Specialist at the Trust, workingalongside Andrea Grieger (nee Feegrade) who also hasthe same role.

Sue works on Tuesdays and Fridays. Previously, shewas a Sister and Senior Staff Nurse on Marie CelesteWard for 12 years.

In her current role, Sue will perform nurse-supervised stress tests for myocardial perfusionimaging, which is a non-invasive way to look at theblood flow to the heart. She will also cover the rapidaccess chest pain clinic.

Sue has also worked at the Royal Brompton andUniversity College London hospitals.

Steven signs off

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

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 ID badgeCall ext 8681 or

020 8746 8681 if calling from outside the hospital

Anna Whitson is the new Senior Play Specialiston the Burns Unit – she has worked on NeptuneWard as a play specialist for four years.

She says: “I knew I had a hard act to follow because Iwas replacing a colleague who had worked on the BurnsUnit for many years but the staff have made me feel verywelcome and part of the team. I enjoy working on theunit and appreciate the warm welcome I have received.”

Anna is keen to raise funds for toys and equipment,also teddies that can be bandaged up and given to thechildren on the Burns Unit.

She says: “I would like to thank the St Nicholas Fundwho kindly donated £50 which meant that I was able togo out and buy some nice toys and teddies.”

n Iain Hewitt has takenover as the Trust’s newCounter FraudSpecialist – he can becontacted on ext 2851 (internal) or020 7953 8443(external), 07900 910411 (mobile)or via email [email protected] [email protected].

n Pictured right is PaulMorris, Lead Nurse forMental Health at Chelseaand Westminster, who joinedus in July.

His role is to oversee allaspects of care for mentally illpatients within the hospital.This will include reviewingcurrent policy and practice aswell as staff training.

Paul works closely with theliaison psychiatry team,whom he meets on a dailybasis to discuss currentpatients in the hospital.Although Paul will be

working with patients in thehospital, all initial referralsshould continue to be directedto the liaison psychiatry team.

Prior to joining the Trust,Paul worked in acute mentalhealth in Sydney, Australia,for five years and before hisstint Downunder he workedin forensic mental health atthe Regional Secure Unit inEaling for eight years.

Paul can be contacted onbleep 7652 and ext 8058 totalk about any issuesregarding mental healthpatients or staff trainingneeds.

Jenny Wormald, TrustEndoscopy Staff Nurse,retired in Septemberafter a nursing careerspanning 41 years. Shetook early retirementfive years ago butdecided to work part-time in the department.

Jenny’s nursing careerstarted in 1966 at the RoyalHampshire County Hospitalin Winchester, where she didher training, before going onto do midwifery training inCambridge and thenworking in coronary care fora short while.

She came to London towork at St Mary’s Hospitalwhere she spent 10 years andeventually became a TheatreSister before switching to asmaller operating theatreunit at King Edward VII’sHospital in Beaumont Streetand then moving to theformer St Peter’s Hospital

near Covent Garden whereshe specialised in urology.

Wanting to work with‘conscious’ patients andready for more change,Jenny decided to join anursing agency to get someoutpatient, day surgery andday treatment experience.

Jenny started work on theHarold Ellis Day Care andEndoscopy Unit at the oldWestminster Hospital in1990, helping out withbronchoscopies on Thomas

Macaulay Ward, and shethen moved over to Chelseaand Westminster when thenew hospital opened in1993. As well as assistingwith endoscopy procedures,Jenny was in charge of thebroncoscopy list.

Jenny said: “It is nowtime to complete mynursing career, the majorityof which I have enjoyed,especially the endoscopyyears which have beenparticularly fulfilling as thestaff have been great andvery supportive. I havelearned a lot from mycolleagues and I have alsomet so many interestingpatients.

“I will miss all of myfriends at the hospital and Iwould like to thank them allfor everything.”

During her retirement,Jenny will spend a lot moretime playing the classicalguitar and singing classically.

Memorial Servicefor Mariam Fraser

There will be a memorialservice on Thursday 18October at 5.30pm in theHospital Chapel forMariam Fraser, who was aStaff Nurse in PaediatricTheatres, who sadly diedon Saturday 18 August.All are welcome to attend.

Jenny retires after 41 years in nursing

n Jenny Wormald

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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

Thank you to all staff who completedthe Trust News survey which wasincluded in our July edition – this isyour staff magazine and we wanted tofind out what you like about it, whatyou don’t like and how we couldimprove it.

Your responses were largely positive andyou also came up with some good ideas tomake it a better read.

We always welcome your story ideas forfuture editions of Trust News – you cancontact Matt Akid on ext 6828 or JeanetteAlbert on ext 6829, or via Trust email.

Congratulations to Sharon Ladd, StaffNurse on George Watts Ward, who was thelucky winner of our prize draw to win £20 ofMarks & Spencer vouchers – everyone whocompleted the survey and returned it to theCommunications department was entered inthe prize draw.

Friday 2 NovemberAutumn Book Fair The Friends are holding anAutumn Book Fair from10.30am-3.30pm. There willbe a variety of new andquality second-hand booksfor sale, together withvideos. Bag a bargain andput it away for Christmas!

Wednesday 7 NovemberBridge AfternoonBridge Players of all levelsare invited to reserve a table(£80) at this fundraisingevent which takes place inthe canteen at 2.30pm. Youmight not play bridge, butyou might know someonewho does, so pass the wordaround. To reserve a tablefor four people, call ext8825.

Wednesday 28 NovemberChristmas Fair Check details in November’sTrust News and postersaround the hospital nearerthe time.

Trust News – you have your say

n Sharon Ladd, winner of the Trust Newssurvey prize draw

The Friends of theChelsea and

Westminster Hospital – Diary Dates

Chelsea and Westminster became the first NHS trust to venture into online medicaltreatment in September by launching a remote treatment service for maleimpotence – in partnership with DrThom, the UK’s leading online healthcareprovider.

The service - available viathe DrThom websitewww.drthom.com - will makeit easier for 2.3 million menin the UK who suffer fromerectile dysfunction to accesstreatment by offering a safeand secure online service.

Only 10% of UK menwho suffer from maleimpotence currently seektreatment for the condition.

The Trust hopes to helpmore men seek treatment forerectile dysfunction whichcan be an early symptom ofwider health needs includinggeneralised cardiovascularproblems. Chelsea andWestminster will reinvestrevenue generated by this newservice in NHS care.

Dr Simon Barton, ClinicalDirector for HIV and sexualhealth services at Chelsea andWestminster, says: “We hopethat the launch of this servicewill be an important step inhelping to improve standardsof online healthcare in the

UK. All clinical aspects of thisnew service are overseen byChelsea and Westminster and

all the doctors who prescribetreatment online are NHSspecialists in sexual health.”

Online treatment service is UK first

Patient monitoring devices inMain Theatres and ITU havebeen upgraded in preparationfor this month's pilot ofelectronic inpatient prescribingon Lord Wigram Ward.

The upgrade included installationof Lastword on anaesthesiaworkstations to allow anaesthetiststo prescribe electronically and toview radiology and pathology resultswithout being distracted frommonitoring anaesthetised patients.

Upgrades in the theatre recoveryroom will allow staff to prescribeand administer at the bedside.

The Trust is very grateful to theteam from Drager Medical(suppliers of the patient monitoringdevices) as well as the Trust teamwho have worked together to ensurethe success of this importantproject.

Theatres and ITU staff ready for electronic prescribing

n Geoff Taylor (DRÄGER Medical), India Hardy(Lead Pharmacist - EPR Prescribing Project) and Dr Nick Fauvel (Consultant Anaesthetist andIntensivist) prepare for the launch of electronicinpatient prescribing