Huddersfield Royal Infirmary

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1 Calderdale and Huddersfield NHS Foundation Trust runs the two main hospitals in Huddersfield and Halifax Huddersfield Royal Infirmary and Calderdale Royal Hospital. We also have limited services at St Luke s Hospital in Huddersfield and run some outreach services in the local communities. We provide healthcare for more than 435,000 people across Calderdale and Kirklees. In 2007/8 100,000 men, women and children were cared for as inpatients (stayed at least one night) and almost 400,000 attended our outpatient clinics. Added to that our two accident and emergency departments cared for about130,000 people. Our hospitals are recognised as being amongst the top performing hospitals in the country and we are continuing to modernise and invest in our health services to build on our strong reputation. Foundation trusts are public leaders in improving quality in health services. They are part of the NHS yet decisions about what they do and how they do it are driven by independent boards. Boards listen to their Membership Council and respond to the needs of their members patients, staff and the local community. Foundation trusts provide what the health service wants, yet are also free to invest quickly in the changes the local community needs, in striving to be the best, and in putting their patients first Your Hospital, Your Future Huddersfield Royal Infirmary (CHNHSFT Website 2010)

2 Completed in 2009, this 2 phase project covered the refurbishment of Generous the existing Use of Natural Light outpatient appointments and clinic prep offices on ground level and former storage space in the basement. The office spaces created continued the theme created in recent clinical space refurbishments with generous use of graphic vinyl wall coverings, feature lighting, bright and contemporary interior design and robust materials. Feature Lighting Accent Greens and Purples Medical Records Offices Curves and Ellipses Sweeping Curves

3 Ward 17 Refurbishment Before As a straight ward block the design of this refurbishment of the old paediatric unit, completed late in 2008, provided the Trust with the capacity for 25 bed spaces of exceptionally high quality. The 4 bed bays were increased in size to allow more generous space around the bed area; this will contribute to patient care and comfort and be a further positive factor in helping to reduce the spread of health care associated infections. Accent colours of green and purple were introduced to the bathroom cores to give a subtle indication of male and female areas, promoting division of the sexes.

4 Before The most recent ward refurbishment on the hospital site, completed in November 2009, illustrates the dramatic transformation of a dated, L-shaped ward. The space has now been neatly divided into male and female wings, each with a mixture of multi and single bedded accommodation. For the first time on the site there is now the provision of amenities specially designed for bariatric patients with appropriate beds, hoisting and en-suite facilities.. 3-D visual Ward 10 Refurbishment

5 The Birth Centre Before 3-D visual Constructed in 2007, the refurbishment of the front half of Ward 14 into a midwife led birth centre successfully swept away the clinical feel of such a space within an acute setting. The sweeping curved access corridor, specialist lighting and contemporary artwork combine to give a cool and calming environment for expectant mothers and their families.

6 Boiler Plant Replacement New Endoscopy Department New Paediatric Assessment and Observation Unit (P.A.O.U) New Ward Refurbishment (Ward Number TBC) Future Projects

7 As well as major refurbishments, smaller projects are also ongoing; the hospital environment is continually being upgraded and modernised in order to improve facilities for the patients served by the Trust. The images here are within the main entrance cafe, radiology, A+E and S.A.U./Urology ward. At any one time there could be as many as 50 separate minor and major alterations at the HRI, each at a different stages of development. It is a testament to the Trust staff and project teams who work closely together to ensure that this work is carried out safely and with the least amount of disruption for patients. Other Refurbishments

8 If the burden of healthcare-associated infection is to be reduced, it is imperative that architects, designers and builders be partners with healthcare staff and infection control teams when planning new facilities or renovating older buildings (NHS Publications- Control of Infection in the Built Environment) The most important points raised by the document are that there is a: need for timely, collaborative partnership to achieve infection control goals specific to each construction project; need to understand and assess the risks of infection relating to construction projects and the built environment; need for all stakeholders to understand the basic principles of designed-in infection control; need for good project management in relation to infection control considerations for all new build and refurbishment projects; need for quality control throughout the duration of the construction project; need to continually monitor developments. Together we can beat the bugs There is no doubt that one of the most worrying issues for hospital patients and their relatives today is infection. Infection prevention is a top priority for everyone here and our Trust is confident that together - staff, patients and visitors - we can beat the bugs. And the big message for all our patients is that "it's ok to ask" our staff if they have cleaned their hands! Widespread activity is taking place across our hospitals to reduce infections and make the environment in wards and clinics as safe as possible for our patients. We were already working hard on infection control as a member of the Safer Patients Initiative, which we joined in January This was boosted with the deep clean award - more than 50 million from the Department of Health shared between all NHS Trusts - to give an extra clean to beds, furniture and the wards in general. We had a specially trained team to steam clean walls and ducts, dismantle beds for a complete clean and replace curtains. This was a very thorough process carried out in addition to the normal cleaning work and was warmly received by our patients and visitors. Wearing the proper clothing to work to keep infection risk to a minimum was also highlighted across our Trust to all staff. Dr Johnathan Joffe is seen here modelling the right clothing for doctors - no ties, no extra jewellery, no jacket and sleeves up. Some of our frontline staff also signed up as activists to promote the best practices and most effective ways of keeping infection out of hospital. We also asked visitors and patients who are able to help by using the hand gels and also regularly washing their hands. David Birkenhead, our director of infection prevention and control, said: Infection control is very much about a team effort and everyone working together. We have a dedicated infection control team who work extremely hard - but it is not just their business - it s everyone s business. So what s the single most important thing people can do? Hand hygiene - it s as simple as that, said David. We need to embed this message in the organisation and learn to challenge people who do not clean their hands. (Infection Control- CHNHSFT Website, 2010) Focus: Infection Control

9 Before We are committed to protecting our patients privacy and dignity while they are with us in hospital. In line with national guidance (see below) the vast majority of our patients are in single sex sleeping accommodation and use single sex bathrooms and toilets. Delivering Same-Sex Accommodation (DSSA): Principles 1. There are no exemptions from the need to provide high standards of privacy and dignity. 2. Men and women should not have to sleep in the same room, unless sharing can be justified by the need for treatment, or by patient/service user choice. 3. Men and women should not have to share mixed bathing and WC facilities, unless they need specialised equipment such as hoists or specialist baths. 4. Patients/Service users should not have to pass directly through opposite-sex areas to reach their own facilities. 5. In some circumstances, mixing of the sexes can be justified. Decisions should be based on the needs of each individual patient/service user, not the constraints of the environment, or the convenience of staff. 6. Where mixing of sexes does occur, it must be acceptable and appropriate for all the patients/service users affected. 7. When mixing of the sexes is unavoidable, the situation should be rectified as soon as possible. The patient, service users, relatives, carers and/or advocate should be informed why the situation has occurred, what is being done to address it, who is dealing with it, and an indication provided about when the situation will be resolved. 8. If a patient/service user is assessed as lacking capacity is admitted to mixed-sex accommodation, their family, carer or advocate should be consulted. 9. Patients/service users should be protected at all times from unwanted exposure, including casual overlooking and overhearing. 10. On mixed-sex wards, bedroom and bay areas should be clearly designated as male or female accommodation. 11. In all areas, toilets and bathrooms should be clearly designated as male or female. 12. Transgender people should be accommodated according to their presentation: the way they dress, and the name and pronouns that they currently use. (see PL/CNO/2009/2) 13. For many children and young people, clinical need, age and stage of development may take precedence over gender considerations. (see PL/CNO/2009/2) 14. Greater segregation should be provided where patients /service users modesty may be compromised (e.g. when wearing hospital gowns/nightwear, or where the body (other than the extremities) is exposed. (see PL/CNO/2009/2) 15. Greater protection should be provided where patients/service users are unable to preserve their own modesty (for example following recovery from a general anaesthetic or when sedated). (see PL/CNO/2009/2) 16. Staff should make clear to the patient/service user that the trust considers mixing to be the exception, never the norm. 17. Patient/service user preference should be sought, recorded and where possible respected. Ideally, this should be in conjunction with relatives or loved ones. Focus: Privacy and Dignity

10 Moving and handling If you look after someone with an illness or disability, you may need to help them move around. It's essential that you know how to move them safely so you don't hurt yourself or them. You may need to help someone: get in or out of bed turn over in bed sit up in bed bathe shower use the toilet sit in a chair stand walk get up from the floor after a fall, or get in and out of a vehicle. Typical injuries The most common injuries that carers experience are back injuries, which affect more than a million people in the UK. Injuring your back will limit your movement and your ability to care for someone. It could take a long time for you to recover. Lifting someone incorrectly can also damage fragile skin, cause shoulder and neck injuries, increase existing breathing difficulties or cause bruising or cuts. The Trust employ a dedicated lifting and handling co-ordinator to ensure new projects are planned and constructed to aid nursing staff to safely move and handle patients and equipment. Focus: Moving and Handling Modern technology has produced a range of specialist equipment that has been integrated into the new wards, to help both patients and staff. Overhead hoisting systems and electrical profiling beds enable staff to assist people to be moved easily and safely, and a variety of grab rails allow people with mobility problems to remain as independent as possible. Lynne Chivers Trust Moving and Handling Coordinator.

11 Interserve provides building and refurbishment services to Calderdale and Huddersfield NHS Foundation Trust at both the Huddersfield Royal Infirmary and Acre Mills sites. The dedicated on-site team have been working in partnership with the Trust and staff at Huddersfield Royal Infirmary for the last 6 years on a variety of minor and major projects, providing outstanding modern healthcare facilities and ensuring works are completed on time with minimal interruption and inconvenience to the day-to-day running of the hospital. The original team led by Kel Rawson Contract Manager, Andy Jackson Project Manager and Chris Dewrow Foreman, are currently supported by Richard Ratcliffe, Dan Murphy, Max Wilson, Steve Perks, Martin Frain, Nathan Vaughan and Rory O Connor. Interserve and the Trust are supported on each project by a team of designers led on most projects by AFL Architects. The dedicated team on the HRI site is led by Sheldon Walsh Associate Director and Wendy Short- Interior Designer. Interserve were the lead working group in building Huddersfield Family Birth Centre. The team was outstanding in the way that they listened to and worked closely with the designers and managers who were responsible for the creation of this exceptional unit. The completed building has enabled us as a team of midwives to run the most modern purpose built unit that you could ever hope to work in. This has been a very successful project and I want to applaud and thank Interserve for all their hard work which they have carried out with a constant eye on what it was we wanted to achieve. Gina Augarde, Birth Centre Manager Huddersfield Royal Infirmary Local Economic Benefit The P21 Delivery Team It is essential to ensure that necessary skills and resources are available to suit the Trust s planned programmes of work and regional suppliers are used wherever practical to ensure local knowledge, experience and skills are invested and utilised. For example, Interserve and the Trust have built long term relationships with locally based sub-contractors such as Clifford Cooper & Sons Ltd. (Elland), J R Wadsworth & Son (Longwood), Ceiling 2 Limited (Linthwaite), EPI - Electrical Projects & Installations Ltd. (Moldgreen) and Harry Book & Son Ltd. (Birchencliffe) amongst others. Thank you to JP Office Furniture Ltd for the supply of the display boards.