DBTH. Professor of Surgery takes up first-time post at DBTH. Beating breast Cancer at DBTH. Introducing the Clinical Portal

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1 We Care DBTH Do you have some exciting news? Call us on or us at Professor of Surgery takes up first-time post at DBTH Lynda Wyld, Consultant Breast Surgeon, is awarded the title of Professor at the Trust page 2 Introducing the Clinical Portal Beating breast Cancer at DBTH Page 3 Page 5 Page 9 Countdown to Costa and Subway Your weekly DBTH update 13 February 2018

2 Professor of Surgery takes up first-time post at DBTH One of Team DBTH s Surgeons has been awarded the title Professor of Cancer Surgery by the University of Sheffield, becoming the first person ever to hold the position at the Trust. Professor Lynda Wyld, Consultant Breast Surgeon, was awarded the title of Professor in recognition of the research she has undertaken around breast cancer and for teaching and training cancer surgery in the UK and Europe. Speaking about her new role, Professor Wyld said: Working in breast cancer research is very exciting at the moment as progress is so rapid and we can now see the prospect of a cure for 80% of women with the disease. It is humbling for researchers when women, facing the trauma of a cancer diagnosis, agree to take part in research studies to help other women in the future. Their generosity and commitment at such a time is simply amazing. The University of Sheffield and the Trust have been working to develop closer collaboration and my appointment has been part of this for which I am immensely grateful. I would like to thank the Trust for their continued support and encouragement. I look forward to sharing my knowledge and experiences with health colleagues, ultimately making further strides in the treatment of breast cancer. The most common of its kind in the UK, breast cancer affects around 55,000 women per year, however due to research, and subsequent treatment advances, mortality from this illness has begun to steadily fall. Playing a significant role in this improvement, Professor Wyld is leading a major UK-wide study at DBTH into the treatment of older women with the disease. Called the Age Gap Study, the project is working with over 3,500 patients across the country and, as the name suggests, looks to reduce the difference in the outcomes of breast cancer treatment which is often seen between older and younger women. As a major focus of the study, Professor Wyld and her team are developing a predictive tool which will help to tailor treatment options for elderly patients, taking into account factors such as fitness and frailty. At the same time, a Decision Support Instrument (DESI) is also being created to aid and assist women to make informed decisions about their preferred treatment. On behalf of everyone at the Trust, we want to congratulate Lynda on such an amazing achievement. 2

3 Introducing the Clinical Portal The 'Clinical Portal' will be the focus of this week's Friday Lunchtime Lecture. Starting at 1.00pm in the Lecture Theatre at DRI and streamed across all sites, this will be an opportunity to find out more about this new Trust system and how you can get involved. The Clinical Portal forms phase one of the Electronic Patient Records project, amalgamating several systems that clinicians frequently use on the wards onto one easy to read dashboard. In practice this will allow you to search for a patient on the portal, which will return an overview of their details from various systems without having to log-in to each one separately. There will also be an option to input information, creating digital patient notes. The Clinical Portal will have a focused launch for up to 50 clinicians on a first come, first served basis. You will be able to use the system and provide feedback to the project team. If you are interested in taking part in the launch, please Joanne Hutchinson on j.hutchinson1@nhs.net. All are welcome to the lecture - come along and find out about this exciting new development. Clinical Manager appointed to NICE Guideline Committee Jaimie Shepherd, Stroke Pathway Clinical Manager at the Trust, has been appointed to the NICE Guideline Committee for Stroke as the Physiotherapy representative. On behalf of everyone at the Trust, we want to congratulate Jaimie on this achievement, who will undoubtedly provide expertise to the committee, drawing upon her experience of managing the stroke pathway over a number of years to help inform recommendations. The Guideline Committee are developing the update of the NICE Clinical Guideline: Stroke and Transient Ischaemic Attack (TIA) in Over sixteens: Diagnosis and Initial Management. Since the guideline was published in 2008, new evidence has emerged in areas such as thrombolysis and thrombectomy in ischaemic stroke, controlling high blood pressure in acute haemorrhagic stroke and the role of hemicraniectomy. In addition, there is some uncertainty about the role of conventional risk stratification in TIA, the best approach to intracranial imaging for these people and early mobilisation and optimum positioning of people with acute stroke. The committee will review current evidence, write recommendations and develop the new guideline which is expected to be published in March A member of the Trust for almost twenty years, Jaimie joined Team DBTH in 2000 as a newly qualified Physiotherapist. Working within all areas of the stroke pathway, Jaimie moved into the role of Stroke Care Coordinator in 2008 before commencing as Stroke Pathway Clinical Manager in

4 Goodbye to our two Sharons Two midwives who have clocked up between them 62 years of service are leaving the Trust. Sharon Dickinson, Head of Midwifery, joined the Trust in 1992 and is leaving the Trust for pastures new. Sharon Pickard, Matron Maternity and Gynaecology, joined the Trust in 1981 as a Staff Nurse and then trained as a Midwife. Sharon Dickinson said: Thank you to everyone at the Trust for their support over the years. I have been very lucky at DBTH as I ve had amazing opportunities. I will look back on my time in the organisation with great fondness and pride. Thank you to everyone for their support over the past 26 years. Sharon Pickard said: Thank you to all my friends and colleagues for all their support and dedication over my 36 years at DRI. I trained here as a staff nurse and then as a midwife and I definitely believe I have been trained at the best hospital. We would like to wish them both well in their retirement and thank them for their service to the Trust. Skills Fest 2018 Our Education and Training Department have been busy showcasing the fantastic opportunities available at DBTH, by attending the annual Skills Fest at Doncaster Dome. The event, which is organised by Doncaster Chamber, invites schools from around the region to discuss careers in a variety of areas. DBTH attended the event and were able to offer a large number of individuals advice on careers in health including the following: Work experience and apprenticeships at DBTH Midwifery and Paediatrics Occupational Therapies Dietetics Life Sciences Datix Downtime Datix will be down at 4.30pm on 20 February for approximately one hour and again on Wednesday 21 February for three hours due to essential maintenance and upgrades. We apologise for any inconvenience. For further information, please contact Tracy Evans-Phillips on

5 Beating breast cancer at DBTH Although the one of the most common illnesses of its kind, the risk of death from breast cancer is steadily falling. Due to a range of treatment advances, survival rates have doubled from 40% to 78% over the past 40 years. Screening plays a big part in this success story but research-led advances in treatment have also been a major factor. New treatments alongside wonder drugs such as Trastuzumab, Pertuzumab and Palbociclib have been made available contributing to better outcomes, along with medicines to protect the bones from the disease and stronger and better chemotherapy. Surgery is also much better, with a much lower rate of mastectomy for breast cancer and advances in reconstructions surgery meaning that women have a better quality of life after treatment. As described in our front-page story, as a Trust we have played a significant role in breast cancer research, taking part in numerous ground breaking trials over the years such as the Age Gap Study, led by, the newly styled, Professor Lynda Wyld. The Trust has also recently agreed to take part in the 100,000 Genome Project which has the ambitious aim of recruiting 100,000 patients from across the UK with a range of cancers or other rare diseases to find out about the genes that cause these illnesses. This ground breaking project is likely to yield huge benefits for our understanding of the causes of breast cancer in the future so helping us to prevent it developing in high risk women. The DBTH research team would like to say a huge thank you to all the patients who have supported this massive improvement in breast cancer outcomes by taking part in breast cancer research at our Trust over the years. May the trend continue well into the future as we seek to make breakthroughs in the treatment of breast cancer. Research awareness sessions We re hosting some research awareness sessions, aimed at all staff to improve clinical practice and offer further opportunities for patients through research. The sessions will provide you with an insight into the many different ways in which you can get involved in research within your current role to facilitate best practice and improve patient care. Sessions are on the following dates: 1. Tuesday 6th February, to 11.30am 2. Thursday 12th April, to 11.30am 3. Tuesday 3rd July, to 11.30am 4. Thursday 4th October, to 11.30am All of the sessions will take place in the education centre at DRI. To book contact: dbth.training.department@nhs. net or ring ext Alternatively the research team can deliver a session to your team, please contact Julie Bury, Research Fellow: Julie.bury@nhs.net or ext

6 SBS Payroll clinics Colleagues from the SBS payroll team in Sheffield will be on site at the end of February. Staff will be able to book a 20 minute meeting with a member of the payroll team to discuss pay related issues and managers who have staff who are not on the eroster system will be able to complete timesheet training. How to Book To be allocated a slot for either the payroll clinics or the timesheets training session s staff and managers should the dbth.sbsliaisonofficer@nhs.net or ring extension For the timesheet training managers should request the session they wish to attend. For the payroll clinics, which 20 minute slot within the times provided. If the slot they request is not available staff will be offered an alternative time. Slots will be allocated on a first come first served basis. Payroll clinics 26 February, 8.30 to 11.30am, Meeting room, The HUB, Bassetlaw 26 February, 1.30 to 4.30pm, Learning room 1, Education Centre, DRI 27 February, 8.30am to 12.30pm, Learning room 1, Education Centre, DRI 28 February, 9.00am to 12.30pm, Meeting room, Montagu Timesheet training 26 February, Lecture Theatre, DRI (3 x 1 hour sessions commencing at 9am, 10am and 11am) 26 February, Meeting room, the HUB, Bassetlaw (3 x 1 hour sessions commencing at 2pm, 3pm and 4pm) 28 February, Board room, Montagu (2 x 1 hour sessions commencing at 10:30am and 11:30am) Introducing Skype for Business The Trust is beginning to install Skype for Business to over 350 devices across the Trust. You may have used the Skype software personally to keep in touch with friends or family. The business version works closely with NHS Mail and enables you to send instant messages to colleagues at DBTH and other Trusts using NHS Mail. You will be able to log into Skype for Business using your NHS and password and download and connect to Skype using your personally owned smartphone or tablet. There is a planned initiative to utilise the features of desktop video conferencing. If you think you could make use of this feature, please contact the IT Service Desk to register your interest. The Video Conferencing functionality will be made available in April. Whilst the IT Service Desk will be happy to collect requests, authorisation for Video Conferencing (due to the associated cost of 25 per person) will be via your Care Group / Corporate Director. If you have any further questions, please contact the IT Service Desk on Ext or dbth.it.servicedesk@nhs.net 6

7 Your Health & Wellbeing Your Health & Wellbeing update 1,000 miles - how far are you? Lots of you signed up to the 1,000 miles for the NHS challenge which is great news! The challenge is to walk, swim, cycle or even skip 1,000 miles over 12 months as a birthday present to the NHS, which is turning 70 this year. We'd love to hear how you are all getting on. Get in touch and let us know how many miles you've clocked already and we'll get a leaderboard going. Just dbth.buzz@nhs.net and don't forget to let us know when you hit a milestone! DeChox this March A new challenge has been extended to all DBTH staff to give up chocolate for the whole of March. British Heart Foundation are encouraging chocolate lovers to give up their favourite snack for a month and feel the benefits. Any sort of cocoa is a no-no, which means chocolate bars, treats, biscuits, ice cream, cake and even the chocolate sprinkles on your cappuccino are off limits during March. Last year dechoxers rasied over 1 million for life saving heart research. Sign up here! Wednesday Walk The lunchtime walk is back! At Bassetlaw, the walk leaders will be setting off from main entrance at 1.00pm for a 20 minute walk around the site. At DRI the walk leaders will be meeting at Gate 3 at 1.00pm for a short walk around the site. Why not join in? Walking at lunch time can help you to destress and can energise you for the afternoon ahead! If you have any questions just ring /2. Headspace App Contact Occupational Health If you've got a question about Occupational Health, or if you want to book an appointment, you can contact them on: dbth.occhealth.dri@nhs.net The headspace app can help you unlock the benefits of meditation to improve your life. It can help you stress less, sleep better, sharpen your concentration and manage anxiety. Just search headspace on your App Store or Google Play to download! Happy meditating! 7

8 Changes to pregnancy tests From the 1 March, the current pregnancy tests will no longer be available to order. From this date, please order the new kits from MEDIcheck. Please make sure you read the instructions carefully as the test time has changed. Once the new test kits are received please return any unused old kits to Dawn Lee, Pathology, DRI. Supply chain code: HHH2600 Person Centred Care Day PCC places the needs and desires of the patient central to all clinical encounters. The Trust is holding a number of Person Centred Care Days over the coming months, the first being on Thursday 22 February, 8.30am to 5.00pm in the DRI Edcuation Centre. For more information click here. PCAF scheme We announced in last weeks Buzz, Health Education England and The National Institute for Health Research have launched a new Pre-doctoral Clinical Academic Fellowship (PCAF) scheme (this replaces the previous Masters in Clinical Research training award), which is part of the Integrated Clinical Academic (ICA) Programme. For further information and details of schemes available, please click here. Special thanks to Monocan Special thanks to Monocan in Old Denaby for their generous donation of toys to children s ward. They will be greatly enjoyed by our young patients! Know someone who goes the extra mile? Nominate them for a Star Award here. 8

9 East Dining Room Although refurbishment works are still underway in the East Dining Room, there is still seating available. You are welcome to take your own food into the dining area and use the tables and chairs provided. Aspretto cafes The Aspretto café in the Courtyard is now refurbished and open, selling panini s, cakes, salad, soups, toast, treats, as well as a wide range of sandwiches. Work now starts on the Women s Aspretto Café this week and will reopen 22 February. Costa and Subway Construction work is well underway at Doncaster and the new retail outlets are starting to take shape. We are pleased to announce Subway will be opening during week commencing 12 March, followed by the new Costa during week commencing 9 April. Subway will provide a taste of the high street, with a variety of great tasting, healthy, good value, fresh, quality food choices. There will be many different sub combinations and sizes available. You ll be pleased to hear that you will be able to enjoy the same pricing as you ll find on the high street, similarly for the new Costa also. Costa will offer handcrafted coffee, expert baristas, outstanding food and a warm welcome to boot. Coffee is made with the finest beans, equipment and techniques to make sure that every cup makes the grade. Additional to the range on offer will be rich, creamy and delicious mocha & hot chocolate. Alongside this there will be a unique range of specialty drinks including the delicious latte selection. When it comes to food, Costa have sourced the best producers, finest ingredients and expert bakers to help us create the range of delicious and value for money food - all of which sounds very exciting for the Trust! Meal Deals In addition to the 4.99 Panini Meal Deal, The Sandwich Meal Deal will be offered at 3.69 (for the everyday range) and 4.25 (for the premium range), and include a snack or fruit, and a drink. Please look for the freestanding banners and point of sale that show what s included in the deal, and additionally the stickers on the sandwich packaging which promote the 22 sandwich varieties within the range included in the deal. Alternatively have a chat with the retail staff who will be sure to help. We look forward to welcoming you in the new retail units and receiving your feedback on how we can continue to develop our retail offers. 9

10 New Clinical Governance Administrative Team The Children & Families Care Group is pleased introduce our Clinical Governance Administration Team to the Trust. The two new administrators, Lisa Elder and Victoria Elliot, will work closely with the Associate Medical Director responsible for Quality and Clinical Governance, core Care Group Senior Management Team and Clinical Colleagues within the Care Group, to provide comprehensive and dedicated administrative support service to our Care Group Governance activities, in line with the strategic view and intent of the Trust. Victoria and Lisa have been in post since December, and already have achieved significant progress. We would like to extend a very warm welcome to the team and look forward to seeing the vital benefits to the Care Group their role will bring. The team can be contacted on dbth.childrenfamiliesgovernance@nhs.net or Bank Workers Registration Agreement The newly-launched Bank Workers Registration Agreement should be issued to current employees of DBTH who would like to work as-and-when hours in addition to their contracted hours and to new workers who apply to work as-and-when hours. There are two template documents (one for medical staff and one for all other staff) on the intranet Recruitment Team page to be be issued to anyone who: Is a current employee and who would like to work additional hours (plain time rates) Is not an employee and who has been recruited to work hours flexibly (please note recruitment standards and pre-employment checks continue to apply) Currently processes regards payment of hours worked will remain in place i.e. accurate completion and authorisation of timesheet submitted to SBS. Should you have any queries regards this please contact Christine.white7@nhs.net, HR Business Partner on Friday Lunchtime Lecture The Friday Lunchtime Lecture on 16 February will take place in the Lecture Theatre, Education Centre, DRI and will be transmitted to the Boardrooms at Bassetlaw and Montagu. Topic: Introducing the Clinical Portal Speaker: Simon Marsh, Chief Information Officer Overview: Launching at DBTH soon, the Clinical Portal forms phase one of the Electronic Patient Records project, amalgamating several systems that clinicians and medics frequently use on to one easy to read dashboard. Expressions of interest will be taken for the first 50 users during the session. A sponsored lunch will be served at 12.30pm and the lecture will start at 1.00pm. 10

11 Advanced Clinical Practice Conference The Education Centre at DRI is hosting a full day conference for Advanced Clinical Practitioners on 1 November. Whether at the beginning of your career or you have been working at an advanced level for many years, you are welcome to attend to learn more about the national picture and the future of advanced practice as well as gaining new knowledge and skills, plus the opportunity to network. The conference will also be suitable for non-medical prescribers, nurses and allied health professionals working in advanced roles. The full programme will be shared once speakers are confirmed. If you d like to get involved please contact Jo Sayles on joanne.sayles@nhs.net. Abstracts for Poster and Oral presentations are encouraged. Please abstract entries to joanne.sayles@nhs.net before 30 September Bug of the Month: MRSA MRSA is a gram positive bacteria that is resistant to many antibiotics. The bacteria can colonise or cause infections in patients, if the bacteria enters the bloodstream this is called a bacteraemia. This is a serious infection with high morbidity and mortality rates. The main route of transmission is through direct contact mainly by hands, and it survives on skin scales and dust. It's important that we screen for MRSA to minimise its spread within the Trust and pick up cases so that appropriate treatment can be provided. Click here for more information on when and how to screen for MRSA. Implementation of National Early Warning Score (NEWS) The current black and white physiological observations and EWS chart, that has been in use for around 18 years, will soon be replaced with a colour-coded care pathway document (chart). Bassetlaw site will be the first to see this change over the next few weeks followed by DRI. Notice of exact dates of implementation will be announced with ward / department managers nearer the time. Any questions please contact: lee.cutler@nhs.net 11

12 New fire safety roles As part of the ongoing Fire Safety Improvement work we are providing additional Fire Safety Training. We have recently reviewed training and have produced an updated Fire Safety Training Needs Analysis (TNA). From the updated TNA we have developed Roles and Responsibilities and Training for the following: Fire Incident Manager Fire Safety Wardens The Fire Incident Manager is generally the person in charge of the Ward or Department and present at the time of a fire incident, all Band 5 clinical staff with in-charge competency and above are required to undertake this training (two yearly with mandatory SET Fire training bi-annually) Due to the size and complexity of the Trust estate it is also necessary to have local fire wardens to ensure there is a focal point for fire safety and prevention. The fire safety wardens will be the eyes and ears within each ward and department but will not have an enforcing role. They will report any issues identified to their Matron and/or Head of Service or Departmental Managers and if necessary to the Fire Safety Advisor or Fire Safety Manager. The training will be carried out on all three sites, and a schedule of dates can be found on the Intranet. Should you require any further information or clarification please contact Neil Colton neil.colton@nhs.net or Sean Tyler on seanalistair.tyler@nhs.net / Thank you #TeamDBTH Had surgery on 5 February at DRI. I would like to say a huge thank you to ALL the staff who cared for me, from the admissions staff to the lovely nurses and consultant. All were truly kind, considerate and kept me well informed of all what was going to happen to me. A big thank you to the staff in recovery, they were so lovely and kind. It was a very modern spotlessly clean unit with friendly caring staff. I delivered my baby on the labour ward at Bassetlaw Hospital and I m so glad I decided to go there (not my nearest hospital) I honestly had the best experience I could have hoped for. The midwives were fantastic at encouraging me through the most difficult thing I ve had to do. I had the exact birth I had hoped for and I m so grateful to the midwives for helping me. I could not have done it without their encouragement and advice. Amazing team. I just want to say a big thank you to Dr Sanjay who looked after my nanna on ward 25. Sadly my nanna passed away on Monday 29th January on the ward and while I am heartbroken I have to express mine and my family's gratitude for his excellent care. Dr Sanjay was so caring towards my nanna and towards us as a family, taking so much time to explain to us about my nanna's diagnosis and treatment. He was always willing to answer questions and check how we were. Without a doubt he is an assett to his profession. Thank you so very much. 12

13 PAYE settlement agreements Did you know you can manage your tax with HMRC online? Your online Personal Tax Account is waiting for you. You can check the details we hold, print proof of your National Insurance number and manage your tax credit payments. Millions of people are already using their Personal Tax Account. Join them today at gov.uk/personaltaxaccount We re going System Perfect 27 February From 27 February to 5 March, the Trust will go System Perfect. Like previous week s before it, this is an opportunity to realign our systems and ways of working, investigating where things can improve while implementing sustainable improvements for the following 51 weeks of the year. Going System Perfect isn t to say that we don t strive each and every week to be perfect, this is instead about removing any and all obstacles you face, ensuring the system flows just right and giving the patient the best possible experience. #SystemPerfect Key focus for the week: Discharges for tomorrow being able to clearly identify, plan for and track the discharges for the next day Test out the Doncaster Discharge Passport, prior to a relaunch later in the year System wide ops meeting at 12:30 each day to resolve key issues and enhance patient flow. With just a few weeks to go, look out for more information within staff bulletins and on the intranet. Please remember to cascade this information to your colleagues. can be provided. Click here for more information on when and how to screen for MRSA. Join the staff Facebook group: It's easy, just click here. 13

14 Paula Johnson, IPCP, snapped this at Lakeside in Doncatser. Please keep your photos coming in, by sending them to (in jpeg format) and we will publish some of the best in future issues. Follow