Upstart newsletter

Best
Sherwood Forest Hospitals
NHS Foundation Trust
Issue 10 August 2013
News from King’s Mill, Newark, Mansfield and Ashfield hospitals
Sean Lyons
Paul
O’Connor
Inside this edition:
Organ Donation
Campaign – join today!
Unveiling of £750,000 state-of-the-art scanner!
The Trust officially unveiled its brand new MRI scanner in June, following the successful
completion of its joint fund-raising campaign with the Chad newspaper. Turn to pages 8-9.
Raising awareness
of sepsissee page 12
MRI Scanner Appeal
P2
P2
Trust website: www.sfh-tr.nhs.uk, Children & Young People’s website: www.cyp.sfh-tr.nhs.uk
New
Chairman
New Chief
Executive
@sfhft
P10

2 Best | August 2013
At the outset can we say how absolutely
delighted we are to have joined Sherwood
Forest Hospitals. We appreciate that the
past few years have been difficult for
the organisation, but we now have a
substantive Trust Board in place. We are
here to provide the stability and leadership
the Trust needs to continue to take forward
the plans put in place over recent months.
There has been much in the national, regional
and local news about the results of the national
Keogh Review published on 16 July 2013, and
we wanted to share our results with you. There
are brief details below with more information
available from our website and the national NHS
Choices website.
We have accepted the findings of the
Keogh report in full and were pleased that
the national review team confirmed there was
no evidence of patient harm at our hospitals.
Clearly there are a number of negative findings
that we are dealing with. However, what the
report says about us is that all the staff they
met were engaging, committed and loyal to
the Trust. This is excellent news for our patients
and gives us a strong basis for moving forward
with the actions we need to take.
We already had some actions in
progress at the time of the review visit,
and we will now be taking whatever
further actions are necessary to enable
us to continue to improve our services.
As always we will continue to keep you
updated on progress.
For the past four months our HSMR (Hospital
Standardised Mortality Rate) has dropped to 106
which is excellent news and means that if our
progress continues the next time the annual HSMR
rates are announced nationally we’ll be within
normal range. Our biggest improvement has been
in the management of patients with sepsis – mainly
thanks to the implementation of our sepsis action
plan in December. You will read more about this
on page 12.
In the spirit of openness and transparency,
we will now for the first time be holding all
of our Board meetings in public. Previously
they were only held in public three times
a year. Quality and safety is always quite
rightly top of our agenda, and we also
discuss matters such as finances and plans
for the future.
A few members of the public and staff
came to the August meeting, and we hope
that more people will be able to join us in the
future. The dates and times of the meetings
are on our website.
One of the things we heard about at the
Board meeting was the Friends and Family
Test. In April of this year the national scoring
system changed for this important patient
experience indicator and hospitals are now
marked out of a total score of 5. We have
been scoring 4.6 which is excellent. Results
such as these demonstrate that in the main the
many thousands of patients we treat are very
satisfied with their care.
Importantly, we have been working on our
strategy for Newark Hospital and the Mid
Nottinghamshire Transformation work is
ongoing. As part of our Newark Strategy we
held a successful stakeholder workshop on 24
July. Participants included our Trust, the Newark
and Sherwood Clinical Commissioning Group,
EMAS and members of the public.
Five important work streams emerged
from this workshop: Transport, staff
training and development, 24 hour access
– urgent care and GP, patient engagement,
involvement and communications,
development of planned and other services.
We are planning to make swift progress
on this in readiness for a Board to Board
meeting between ourselves and Newark and
Sherwood Clinical Commissioning Group. This
will enable us to consolidate the work of the
Newark Strategy with the work of the Mid
Notts Transformation Board in readiness for us
submitting the Trust Strategy to our regulator,
Monitor at the end of October 2013.
We hope you enjoy reading news about the Trust
in this edition of Best and look forward to providing
you with more updates in the next edition due out
in December.
Sean Lyons Paul O’Connor
Chairman Chief Executive
Looking forward to a brighter future
Key finding Agreed action
Complaints and support staff
- Significant backlog of complaints
- Clear backlog
- Redesign the complaints process, acknowledging views of patients, families and staff
Nursing and medical staffing levels and nurse skill mix
- Staffing levels particularly out of hours
- Consultant cover at Newark Hospital
- Nurse trained to untrained ratios
- Identify acceptable nursing levels
- CCG programme of unannounced visits
- Review of nursing staffing and ratio of trained to untrained
Fluid management
- Records not being completed
- Patients not being risk assessed for fluid on arrival
- Red jug system not being used effectively
- Training through induction/development days
- Red tray and red jug policy to be revised and relaunched
- Communications campaign on fluid management and red jug system
Strategic direction
- Departments working in silos
- Strategic plans and strategies either in draft or not yet in place
- Limited engagement with staff and public
- Clinical strategy to be developed and submitted to Monitor
- Publish nursing strategy
- Supporting strategies to be reviewed and updated
Newark Hospital
- Absence of clear strategy for Newark Hospital
- Complex operations being carried out without backup facilities should serious
complications arise
- Concerns over the effectiveness of the governance (management and reporting
structures) of the hospital
- Newark strategy to be developed, including communication and engagement strategies
- Review staffing arrangements
- Implement cover arrangements
- Review management and reporting structures
- Independent study into mortality and the impact on Newark residents
- Independent review of surgery
Development of a focus on quality at Board level
- Board level focus on quality and the patient still developing
- Quality governance framework not embedded as a collective Board responsibility
- Comprehensive development programme for the Board.
- Quality strategy to be developed including assurance framework and
implementation plan
Ward performance information and organisational learning
- Absence of ward level performance measures and information
- Concerns noted with the processes in place for organisational learning
- Process for discussion of results with ward staff at all levels for learning to be agreed
with NHS England
Patient locations and high numbers of patient moves
- Number of patient moves and patients located in beds on wards of a different
specialty (outliers)
- Bed modelling to ensure correct forecast capacity requirements are identified
- Risk assessments to be completed prior to patient moves taking place
- Targets to be defined and communicated for ambitions for maximum bed moves
and outliers

August 2013 | Best 3
Trust Board strengthened
Ray Dawson
After early accounting
roles, Ray spent a period
of time as a management
consultant before taking
on a range of finance
director roles for commercial
organisations in the East
Midlands. He gained
exposure to the NHS from his role as
Deputy Chief Executive of an ambulance
service, before moving back into
consultancy. Since 2005 Ray has been the
Chief Operating Officer of the Gangmasters
Licensing Authority. He is currently the
Treasurer of Nottinghamshire County
Cricket Club.
Peter Marks
Peter graduated in
medicine from Bristol
University. He has worked
in general practice in
Derbyshire, as director of
public health in Derby and
as Associate Professor in
Population Health at the
University of Nottingham, with an interest in
public health teaching and infectious disease
epidemiology research.
He held the joint post of director of public
health for NHS Leicestershire and Rutland,
Leicestershire County Council and Rutland
County Council from April 2009. He is a
Member of the National Institute for Health
Research Public Health Research Programme
Advisory Board, a Fellow of the Royal Society
of Public Health and a Member of the Royal
College of General Practitioners.
Claire Ward
Claire is a qualified solicitor
who served as MP for
Watford between 1997 and
2010. During her time in
Parliament she undertook a
broad range of roles, including
Parliamentary Private Secretary
to the Minister of State for
Health, Vice Chamberlain to Her Majesty’s
Household, and Justice Minister. In this role
she established the National Victims Service,
responsible for its core £10m budget. Since
2011 she has been the Chief Executive of
the Independent Pharmacy Federation, the
representative organisation for independent
pharmacists. She also acts as an Associate
Director at Interchange Solutions, advising on
compliance with the Bribery Act 2010 and
anti-corruption measures.
Gerry McSorley
Gerry is an experienced
hospital leader, having held
chief executive roles in
Derby, Leicester, Nottingham
and most recently at
Northampton General
Hospital. Dr McSorley has
spent time with the National Leadership
council and the NHS Institute for Innovation
and Improvement, concentrating on senior
leader development.
He has also held a senior academic
appointment at the University of Lincoln
specialising in health management and
leadership, where he retains a Visiting
Professorship. He holds a Doctorate in
Business Administration from Brunel
University/Henley Management College,
and was Honorary President of the
institute of Healthcare management from
2005-2007.
All non-executives are entitled to £12,641
remuneration per annum, with the Chairman
of the Audit Committee and Clinical
Governance committees entitled to £15,000.
The Trust announced in May a further strengthening of its Board with the appointment of four substantive non-executive
directors. The new non-executive directors are:
Further to the appointment of three clinical directors
earlier in the year, to put our clinicians in charge of clinical
services at the Trust, Richard Hind has now replaced Clive
Gie as the Clinical Director of Planned Care and Surgery.
Richard is a Consultant in General Surgery.
Richard Hind appointed
as Clinical DirectorWe are pleased to announce two new Board members – Mark
Chivers and Tim Reddish – who have joined us as non executive
director designates. Mark is Director of the Nottingham Enterprise
Zone and a senior manager at Boots and Tim is currently Chairman
of the British Paralympic Association. Both take up their posts
substantively from 1 November, replacing Stuart Grasar and David
Leah whose terms of office end on 31 October.
Two more new Board members
Handovers
- Ward staff only had 20 minutes to hand over patients on shift changes
- Ward staff split into two teams for the handover period to enable there to be
sufficient time to handover all the patients on the ward
- Ward handover arrangements to be reviewed as part of the nursing staffing levels
and establishment review
- Ensure appropriate handover times and that the ward leader has knowledge of all
patients on the ward
Patient experience
- Did not appear to have a patient engagement strategy or systems to engage
with and obtain feedback from patients and act upon it
- Patient experience and engagement strategy to be written in partnership with staff,
patients, carers and governors.
- Proactive approach to engaging with patients and their families and carers
NEWS roll out
- National Early Warning Score (NEWS) to determine the severity of illness in patients
- No revised policy to support the introduction of the revised process
- Revised observation and early warning policy to be published in August 2013
- Training to support the revised policy
- Audit process implemented to ensure every ward is compliant with the policy
Whistle blowing policy
- Policy contained no approval or review date
- Policy appeared to imply that staff who blew the whistle would be monitored
- Revised policy to be submitted to Trust Board for approval in September
Supporting structures and services
- Delays in receiving discharge letters and clinic appointments
- Backlog of over 2000 xrays to be reported on
- Review the impact of the radiology backlog on patient care and safety.
- Development of actions to prevent the backlog issues reoccurring
Stop press

Public Constituency
Ashfield
Craig Day
With recent problems at
King’s Mill and changes to
the NHS we need a local
champion who will protect the
needs of local people.
As Lead Governor, I will hold
the Trust to account, ensuring
that money is spent appropriately and that a
high level of care is offered to all patients.
Beryl Perrin
I became a governor as I
was a breast cancer patient
and wanted to put something
back for the local community. I
have a strong interest in cancer
and chair the Amazons Breast
Cancer Support Group. It is
my belief that all patients are entitled
to the best care in our hospitals. To this
end I have engaged and represented the
Ashfield constituency. I also sit on the
Membership and Engagement Committee
and am actively involved in recruiting
new members. It is really important that
I get out and meet our members so I can
listen to the views and represent them at
governor meetings.
Colin Barnard
I am married with a son and
have lived and worked in this
area all of my life. I would like
to assist the governing body to
help deliver a first class health
service that is accessible to all.
I have had experience working
on a local school governing body which
became the first school in Nottinghamshire
to receive outstanding by Ofsted under the
new framework. This was achieved by hard
work and working together and I am sure
that similar principles will apply to the Trust’s
governing body.
Mick Parker
My aim is to represent the
interests of the Trust and
stakeholder organisations within
the local health economy. I meet
with people in the community to
feedback on the outcomes of the
meetings and listen to ideas and
opinions from members of the public. I take
on board their complaints, endeavouring
to highlight these to board members, to
achieve the highest standard of care at
King’s Mill Hospital.
Public Constituency
Mansfield
Diane Wright
I commenced my privileged
role of nurse in 1969. My
involvement with King’s Mill
Hospital commenced in 1977 as
a midwife.
I firmly believe the “what’s in it
for me?” culture, can and should
be replaced with “what can I give?” When we
achieve this change, we will move on with pride
in our NHS.
Andy March
I am married with three children
and have lived locally all my life.
Born at King’s Mill I have worked
there and been treated as a
patient as have my family.
As a governor I want to help
King’s Mill achieve its vision of
delivering quality care. I will listen to the people
of Mansfield so we can have a say in the future
of our hospital and I will ensure the Non-
Executive Directors are held to account.
Richard Hallam
Compassion and care should
be foremost before financial
constraints and targets.
Accountability, openness,
candour, independent support for
complaints - all should be a duty.
I live in Forest Town, aged 70, and this is my
first public position. I decided to be a governor
because of recent incidents of badly performing
NHS Trusts.
John Swanwick
Having served in the public
sector, first as a nursing
attendant in the RAF, then as a
police officer, I have developed
empathetic listening and
negotiation skills.
As an experienced service
user - as a patient and a carer for my late
wife - I am honoured to contribute towards
the good work of the hospital. Additionally, as
the father of a doctor I have gained insights
into the pressures placed on hospital staff
to improve patient care, especially during
financially challenging times. As a public
governor, I will give 100% to the members,
patients and public.
Public Constituency
Newark and Sherwood
Paul Baggaley
I believe that Newark Hospital
can play an important role by
contributing to the financial
viability of Sherwood Forest
Hospitals NHS Foundation Trust,
provided the services at Newark
Hospital attract patients, and give
health care professionals and
the emergency services the confidence to use
Newark Hospital.
Jim Barrie
I have lived in Newark for
some 35 years and believe
strongly in the benefits of
public participation in Health
and Education. A governor
since February 2010, I also
sit on the Performance and
Strategy Committee. Together with other
Following the governor elections that
took place in April 2013, we are pleased to
introduce our new Council of Governors.
As a foundation trust we must elect governors
to represent the views of our members. Elected
governors are all members who choose to stand
for election.
They are volunteers and don’t get paid for
being a governor.
Governors represent you and are your voice.
They can pass on your thoughts and views to the
board of directors.
Your governors are not there to deal with any
personal complaints or issues you may have, but
you may wish to contact them about a particular
service that you feel should be provided at your
local hospital or you may have views about the
future direction of the Trust.
To contact your governor:
• email governors@sfh-tr.nhs.uk
• call 01623 622515 ext. 3509
• write to Governors, C/o Trust Headquarters,
King’s Mill Hospital, Sutton-in-Ashfield, NG17 4JL
At the time of going to press the results of
the Derbyshire public governor election have
just been announced. The Trust would like to
welcome Valerie Bacon and Nicola Waller to the
Council of Governors. We will bring you further
details of the new Derbyshire public governors in
the next edition of Best.
Meet your new governors
Craig Day
Beryl Perrin
Colin Barnard
Mick Parker
Diane Wright
Andy March
Richard
Hallam
John
Swanwick
Paul Baggaley
Jim Barrie

local governors I help to raise the issues which
we believe are particularly important to the
people of Newark - such as additional clinical
and diagnostic services at Newark Hospital,
improved access to services at King’s Mill
Hospital and local health seminars. I am also
a member of the Nottinghamshire Coronary
Heart Disease Network.
Nigel Nice
For almost 35 years I worked
in the NHS in a range of roles
in Hospitals, Health Authorities
and then in NHS Direct; the
vast majority of this was in
Nottingham/Nottinghamshire. I
retired in 2011.
I am chair of the Board of Nottingham
Community Housing Association and I
live in Southwell where my wife is the
Methodist Minister.
I have always been totally committed to the
founding principles of the NHS. I consider that,
in these difficult times, it is essential for local
health services to be governed locally.
Martin Stott
Being retired means that, as
a governor, I have the time to
find out local views. By drawing
on personal experience gained
whilst working in a senior
capacity in hospitals, primary care
and in mental health, I can get to
the heart of the complex issues
involved and ensure that people in Newark
and Sherwood are well served by the Trust. My
immediate family and I have received excellent
NHS care but we are aware that improvements
could be made.
Public Constituency
Rest of the East Midlands
Annie Palmer
I was very keen to become an
involved and active governor of
my local hospital. As someone
who already works within the
NHS, I would like to use the skills
and knowledge I have gained to
support the development of high
quality, accessible services.
Sherwood Forest Hospitals is my hospital, my
parents’ hospital, it’s our family hospital. I want
to ensure that with the challenges it faces,
it continues to provide the best care for its
patients and our community.
Staff Constituency
King’s Mill Hospital
Alison Beal
As a trust employee, I am aware that there are
many challenges facing the trust and I relish the
opportunity to act as advocate
in order to represent the views
of the Trust staff in the role of
staff governor.
I am pro-active in representing
and disseminating Trust values.
I have been employed with the
trust for the past 25 years as a
registered nurse; my current role is that of heart
failure specialist nurse.
Roz Norman
I am currently Partnership
Working Staff Side Lead and
represent staff on a variety of
issues from grievances and
disciplinaries to workforce
changes. I have worked for
the Trust for over 30 years. I
am used to negotiating and
consulting with senior managers, listening and
communicating with staff at various levels in
the organisation.
Wesley Burton
Local lad born and bred, I
have been actively involved
with the Trust for over 15 years.
Starting out as a volunteer, my
experience developed working
within various clinical and non-
clinical specialties.
My enjoyment of being a governor is driven
by the desire to ensure that the Trust continues
to deliver high quality healthcare to all within
our local communities. I am proud to represent
both staff and public views, shaping the future
of our Trust together.
Staff Constituency
Newark Hospital
Samantha Annis
What a year! All the changes,
all the issues surrounding the
Trust what a time to be in the
NHS, yet I feel compelled to
be a staff governor - why?
Newark Hospital.
I have been privileged to work
here since 1997. All the staff provide gold
standard care all the time in every situation.
I am proud to represent the staff of Newark
Hospital and it is an honour to be allowed to
do this.
Angie Emmott
I became one of the Newark
Hospital staff governors, in order
to ensure that staff views and
concerns are heard and taken
into account, when decisions
affecting all areas and aspects
of the Trust are made. I promote
the interests of the hospital at a time
when delivery of healthcare is constantly
changing and the Trust itself faces a very
challenging future.
Volunteer — KMH
Ron Tansley
I first became a volunteer at
King’s Mill in July 2001 and the
volunteers’ chairman in
August 2004 after serving a
period of time on the
Executive Committee.
Having been a governor since 2010 I am now
more aware of the Trust’s vision to provide
the best care and to remain solvent. With the
knowledge I have gained I can answer many of
the questions the volunteers have and listen to
their opinions. I also sit on the Patient Quality
and Experience Committee as a governor.
Volunteer — Newark
Hospital Nicola Juden
I have been volunteering at
Newark Hospital for four years
on the Help Desk, Mary Taylor
Coffee Lounge and assisting
with patient surveys for the
PALS team.
This is now the beginning of my second term
on the Council of Governors having already
served a three year term along with sitting on
the Patient Quality and Experience Committee.
As a regular serving member of the Armed
Forces I do travel and work away. However
this, along with my volunteering, is a fantastic
way to be involved with my local community
and also to be a representative of our many
wonderful volunteers at Newark Hospital.
Cllr Paul Henshaw,
Mansfield District
Council
Cllr Jim Aspinall,
Ashfield District
Council
Cllr David Payne,
Newark and
Sherwood District
Council
Vacant,
Nottinghamshire
County Council
Amanda Sullivan, NHS
Nottinghamshire
Vacant,
Nottingham
University
Tricia Harman,
Vision West Notts
Appointed Governors
Nigel Nice
Martin Stott
Annie Palmer
Alison Beal
Roz Norman
Wesley Burton
Samantha
Annis
Angie
Emmott
Ron Tansley
Nicola Juden

Joan Curtis, Newark Hospital Volunteer
was awarded the Stephenson Award
for Senior Citizens by the Town Mayor
of Newark, Councillor Irene Brown
at a ceremony held at Newark Town
Hall in the spring. She has been a
volunteer at the hospital for 11 years,
and currently spends two days a week
volunteering in several different roles.
Tracey Wall, Manager of Newark Hospital
said: “Joan provides a significant resource
in enhancing patient care – providing
practical help and support to patients, staff
and visitors and complementing the work
of paid staff within Newark Hospital. She is
a pivotal member of the community who
has devoted an immeasurable number
of hours to supporting Newark Hospital,
caring for patients and contributing
towards the services we provide.”
Joan receives the
Stephenson Award
Special thanks to the 20 people who
joined the Anthony Nolan Bone Marrow
register at a donor session held at
Newark Hospital earlier this year.
The bone marrow drive was one of a
number of events organised by Anne-Marie
Spence in memory of her son, Joel Picker-
Spence, who was just six years old when he
died of leukaemia in 2008.
Anthony Nolan is a pioneering charity which
saves the lives of people with blood cancer
who need a blood stem cell, or bone marrow
transplant. In 1974 the world’s first bone
marrow register was established, to match
donors with people who
desperately need
a transplant.
While the
chemotherapy and radiotherapy used to
destroy blood cancer is very effective, it leaves
the immune system very weak and fragile.
A stem cell transplant boosts the number of
healthy cells to kick start the immune system.
To join the register, you must be aged
between 18 and 40, weigh over 8 stone
(51kg) and be in general good health. All you
have to do is spit in a cup!
Anne-Marie gave her sincere thanks to all
the staff and volunteers who supported the
event at Newark hospital, and explained how
much the donations meant to the ‘Join for
Joel’ team and to her family. Over the years
ten matches have been found in the local
area, saving ten lives.
For more information please call 0303 303
0303 or visit the Anthony Nolan website at
http://www.anthonynolan.org/
Local folk
Anne-Marie with Harvey
Andrews, aged 4, who
donated bone marrow
when he was just 3 years
old for his brother Archie,
aged 10, who has leukaemia
The League of Friends was pleased
with the £947 they raised from
their Easter raffle, thanks to the
generosity of the people who
donated prizes and brought tickets.
The first prize was drawn by visitors
to the hospital, Amanda Colston
and her daughter Selina.
A further £122.37 was also raised by
the Friends when they held a bric-a-brac
sale in Newark Hospital’s main entrance.
Many thanks to everyone for supporting
Newark Hospital.
Friends raise
over £1,000!
PhotographissuppliedbyNewarkAdvertiser
‘Join for Joel’

Work has begun on refurbishing the
Orchard Day Centre at Newark Hospital
to create the new Bramley Children’s
Unit. This exciting development will
complete the improved children’s
facilities and services.
Medical, nursing and play staff have
worked together to design an area
specifically for children’s clinics which
currently run in the main outpatients
department. Nottinghamshire based
artist, Nathan Bainbridge, has provided
the artwork.
The new unit, due for completion at the
end of August 2013 will have clinical rooms
and a large waiting area where children
can play - bringing the facility up-to-date
and in line with the artistic themes of the
children’s wards and clinic at King’s Mill
Hospital. It will also have the added benefit
of freeing up clinical rooms in Newark
Hospital’s outpatients area, enabling other
adult-based services to be increased in the
future if required.
The unit further improves the
developments to children’s services at
Newark Hospital, following the expansion
of a paediatric presence from three days a
week to five days in 2012. Also, from July
2013, diabetes clinics will be available to
local children who previously had to travel
to King’s Mill Hospital.
Tracey Wall, Newark Hospital Manager,
said: “I hope that by investing in the new
Bramley Children’s Unit we are showing
our continued commitment to improving
children’s services at Newark Hospital. The
staff have played a huge part in making
this happen and I would like to take this
opportunity to thank them for all their hard
work and support.”
“We could not have progressed with this
project without the continued support of
our local communities, who donate money
so generously. Many people have come into
direct contact with our services but others
just want to support local care for children,
and for this we are very grateful.”
Dr Helena Clements, Director for
Children’s Services, said: “We are delighted
that work has started on the unit and that
children and families will be able to benefit
from the fantastic new facilities. The
expansion of paediatrics and new diabetes
clinics will greatly enhance the patient
experience at Newark Hospital, making
it easier and more convenient for local
families to access services.”
New Bramley
Children’s Unit
coming to
Newark Hospital
The League of Friends attended an
official presentation in April, where
the Sherwood Women’s Centre
received a generous donation of
£1,000 by the family of the late
Mr George Mann. The equipment
pictured is a Macro needle holder,
used in laparoscopic surgery.
Photograph shows (from left to right):
Cheryl Nicholson – Staff Nurse, June
Howsam, Chairman of the Friends, Mr.
Clive Gie, Consultant Gynaecologist, Mr.
Paul Mann, Mrs Carol Mann, Newark
Town Mayor Councillor Irene Brown,
Amanda Parker - Health Care Assistant.
Sherwood Women’s Centre donation
The Trust organised events across its
hospitals in order to celebrate the work of
its volunteers during National Volunteers’
Week (1-7 June).
Volunteers’ Week is a national annual
campaign to celebrate the fantastic
contribution made by millions of volunteers
across the UK. This year’s focus was on saying
‘thank you’, which the Trust did through a
variety of events.
Sherwood Forest Hospitals has over 700
volunteers who offer a variety of services;
including running the Daffodil Café in the
King’s Treatment Centre, Mary Taylor Coffee
Lounge and Outpatient’s Refreshment Bar at
Newark Hospital and tea bars at Mansfield
Community Hospital and Ashfield Health
Village. They also provide transport for
patients and visitors across the hospitals,
assist on the maternity unit and help with
way-finding.
Sean Lyons, Trust Chairman said: “We
greatly value the huge team of volunteers
who work throughout our hospitals. They
offer a vital contribution to services and
go a long way in helping to improve the
patient experience.”
Nadia Whitworth, Customer Services Team
Lead at Newark Hospital, said: “We really
appreciate all the hard work and dedication
our volunteers put into supporting the
Trust. They play a very important role in
our services which doesn’t go unnoticed. I
hope that these events will go some way in
showing our gratitude.”
Members of the public who are interested in
volunteering should contact:
Nadia Whitworth, Customer Services Team
Leader, Newark Hospital,
Email: nadia.whitworth@sfh-tr.nhs.uk
Telephone: 01636 685692 (direct line)
Joy Wilson, Senior Customer Services Officer,
King’s Mill Hospital,
Email: joy.wilson@sfh-tr.nhs.uk
Telephone: 01623 622515 ext 3267
Hospital says thank you to volunteers
during National Volunteers’ Week
National Volunteer’s Week celebrations at
King’s Mill Hospital
National
Volunteer’s
Week
celebrations
at King’s Mill
Hospital

The Trust officially unveiled its brand new
£750,000 state-of-the-art scanner in June,
following the successful completion of
the Trust’s joint fund-raising campaign
with the Chad newspaper.
During the event Chris Mellor, former
Interim Chairman of the Trust, and Chad
Editor Tracy Powell paid tribute to the
Mansfield and Ashfield community who
have made the purchase possible with their
generous donations.
Local Paralympic swimming star Ollie
Hynd MBE was also on hand to unveil a
special commemorative plaque marking the
memorable occasion.
Hospital bosses teamed up with the Chad
back in June last year as part of an ambitious
campaign to raise £750,000 to purchase a
state-of-the-art MRI scanner, offering a faster,
safer and more detailed diagnosis to patients.
The scanner also means MRI staff are
now able to treat more people and prevent
patients needing to travel to Nottingham
for treatment.
The appeal captured the heart of the
public from the very first week, with a
£5,000 donation coming in from the Uhuru
Peaceful Trust.
That donation was followed by hundreds
of others, with cash donations flooding
in to King’s Mill and the Chad office on a
daily basis.
Groups across the district were also quick to
organise a number of fundraising activities as
kind-hearted locals rallied to the cause.
Many Trust staff organised events and Chad
staff also dug deep with cake bakes and a
sponsored spin-a-thon.
The life-changing campaign was finally
brought to a successful conclusion earlier
this year following a staggering £250,000
donation from an anonymous businessman.
A huge thank you from the Trust
and the Chad to everyone involved in
fundraising activities and administering
the campaign. Reaching our target is a
tremendous achievement and fantastic
news for local people.
MRI Scanner App
Senior Radiographers Karen
Hanbury (left) and Paula
Beech with the brand new
£750,000 MRI scanner
Ollie Hynd MBE unveils a
commemorative plaque
CHAD Editor, Tracey Powell,
thanks the local community
for their support
Radiology Manager, Jayne
Burkitt, explains the importance
of the new scanner

pealOfficial opening
ceremony
The National Outreach Forum (NOrF)
chose King’s Mill Conference Centre
to host its recent study day, aimed at
ward-based nurses caring for acutely ill
patients. Healthcare professionals from
across the Midlands region celebrated
the work of general wards and their
staff before and after critical care.
NOrF promotes national patient centred
care to support staff on general wards
who are caring for acutely unwell patients,
and highlights and promotes best practice
evidence to those caring for these patients
in any clinical setting. Sessions on the
study day included the recognition and
management of the septic patient, fluid
balance to prevent acute kidney injury,
assessing an altered level of consciousness,
problems experienced post critical care with
psychological and physical recovery and
available help such as rehabilitation and
follow up clinics. A session discussing the
importance of the National Early Warning
Score (NEWS) also highlighted the work
recently undertaken by Sherwood Forest
Hospitals to identify patients at risk of
deteriorating on the ward.
In July 2012 the Royal College of
Physicians highlighted that NHS Trusts
use different early warning systems with
different charts. As doctors and nurses
move around various hospitals during their
training and careers, a lack of familiarity
with each trust’s system can result in a lack
of consistency in detecting and responding
to acutely ill patients. A national system
was recommended for recognising very sick
patients whose condition is deteriorating
and who need more intensive medical
or nursing care. The working party also
developed and piloted a National Early
Warning Score for this purpose, which if
implemented across the NHS, would result
in improved patient safety.
The Trust implemented this in February to
all wards following a review of our ‘early
warning score’ (EWS) or ‘track-and-trigger
system’ and how it responded to patients
who present with or develop acute illness.
Sherwood Forest Hospitals is one of the
early adopters of the NEWS system.
NEWS uses a simple scoring system based
on respiratory rate, oxygen saturations,
temperature, systolic blood pressure, pulse
rate and level of consciousness. It provides a
standardised and systematic approach to the
first assessment of acutely ill patients and
the monitoring of clinical progress for all
hospital patients.
National Outreach
Conference comes
to King’s Mill
Fundraisers, Trust staff and CHAD employees
Former Interim Chairman, Chris
Mellor, pays tribute to the fundraisers
and chats with Ollie Hynd
New Trust Chairman, Sean
Lyons, adds his thanks for the
generosity of the local people

There are currently 10,000 people in the UK
waiting for an organ transplant and three
of these people die each day due to the
lack of available organs – this is why the
Trust has launched a campaign highlighting
the importance of organ donation.
The campaign aims to educate people about
the importance of organ donation and the
effect it can have on others.
Working with media students from Vision
West Nottinghamshire College the Trust has
produced four films to support the campaign.
Organ recipients, Robert and Bronwyn both
tell their stories from diagnosis, to being placed
on the transplant list and waiting for an organ,
through to the operation and their life now.
These incredibly moving stories of local people
really demonstrate their journey, from being
told they had days or weeks to live, to receiving
that life changing operation and the future it
has allowed both them and their families to
have. It really is the gift of life.
A member of staff, Jill Hall, has also been
filmed telling the story of her son, Alex, a 22
year old who died tragically on a night out
with friends. Alex donated his organs and
helped five people. She describes how his gift
has changed lives and how it has bought her
comfort and helped the grieving process. Jill
describes how organ donation has prevented
Alex’s life as being a ‘full stop’.
These films and more information about
organ donation and how join the register are
all available on our website www.sfh-tr.nhs.uk.
Information is also available on our Facebook
and Twitter pages.
The campaign was launched on 6 July
at Ashfield Festival and to coincide with
National Transplant week. Four days later
the campaign visited Newark where the
Trust had a stand and a huge 12 foot
high pair of inflatable lungs which caught
everyone’s eye!
Further events are being planned; please
check our website for further details and all the
latest news from the campaign.
If you would like to get involved in the
campaign please contact the Communications
team on 01623 672294 or email
e.communications@sfh-tr.nhs.uk
Make a difference, make a life worth living
To register your wishes on the Organ
Donation Register:
• Register online at
www.organdonation.nhs.uk
• Call the NHS Donor Line on
0300 123 23 23
(Lines are open 24 hours a day all
year round. Calls are charged at your
contracted rate for local calls)
• Text SAVE to 84118
What organs can be donated?
Your kidneys, liver, lungs, heart, pancreas and
the small bowel can all be donated.
Tissue donation – a life changer and saver
Every year hundreds of lives are saved with
the help of donated organs such as kidneys.
However you may not realise that donated
tissue such as skin, bone, tendon, eyes and
heart valves can all dramatically improve the
quality of life for others and even save lives.
As many as 50 other people can be helped
from the donation from one person. Tissues
are donated after death by people who have
expressed a wish to help others in this way.
What tissues can be donated?
Heart valves are used to help children born
with heart defects or adults with diseased or
damaged heart valves.
Eyes can help restore sight to people
with cornea problems (the clear part of
the eye). This may be a result of damage
caused by disease, injury or defects
from birth. The white part of the eye
(the sclera) can be used in operations to
rebuild the eye.
Bone is important for people receiving
reconstruction after an injury or during joint
replacement surgery. A bone transplant
can prevent limb amputation in people
suffering from bone cancer.
Skin can be used as a natural dressing,
helping treat people with serious burns. This
can save lives by stopping infections, can help
reduce scarring and reduces pain.
Tendons the elastic-like cords that attach
bones and muscles to each other help by
rebuilding damaged joints often in younger
people with sports injuries.
The NHS Organ Donation website answers
some of the most frequently asked questions
on their website www.organdonation.nhs.uk
Organ donation – the facts
Bronwyn before her heart transplant Bronwyn following her heart transplant
Giant inflatable lungs at the Trust’s organ
donation event in Newark Market Place.
Watch out for the lungs appearing at
King’s Mill Hospital on 12 November to
promote Lung Cancer Awareness month.

Did you know that Sherwood Forest
Hospitals has an active Research and
Innovation (RI) Department?
The department is based at Kings Mill
Hospital and currently has a team of staff
supporting 80 studies which are supported
by the National Institute of Health Research.
The department also supports more than 100
other studies taking place at across the Trust.
Who are we?
The Research and Innovation Department
is led by Dr Samuel Kemp, Research and
Innovation Director supported by a core team
of experienced and dedicated research nurses
covering many areas and specialties. Over the
last three years the department has grown
considerably and currently supports a wide
variety of research studies across the Trust.
What do we do?
During 2012/13 the Trust successfully
recruited over 1,000 patients to research
trials and aims to increase this figure
during 2013/14.
The Trust’s current portfolio of studies
covers oncology, stroke, cardiology,
dermatology, gastroenterology, haematology,
mental health, paediatrics, respiratory
medicine and surgery. The department also
provides expert advice to people wishing
to undertake research activities, provides
and implements research governance on
behalf of the Trust and provides resource
to researchers to enable them to conduct
clinical trials within their specialist areas. We
are also looking to expand on our success
and take research into new areas.
Clinical trial success
The RI Department has reason to boast!
Transcript trial
The Transcript trial assessed the incidence
of epidermal growth factor receptor (eGFR)
mutations in patients who had been
diagnosed with non-small cell lung cancer in
the UK. It went on to investigate the quality of
life of patients undergoing treatment with a
drug called erlotinib.
Kings Mill Hospital was very proud to be the
highest recruiting centre for this trial in the
whole of the United Kingdom - even beating
the original trial hospital in London!
A big thank you to the respiratory team
for their hard work in helping to achieve
this success.
Further information can be found at:
http://www.roche-trials.com/studyResultGet.
action?studyResultNumber=BO18279
Uniti trial - a world first for King’s Mill
This study aims to evaluate the safety and
efficacy of a new drug called Ustekinumab in
patients with active Crohn’s disease who are
intolerant of, or have failed to improve with,
anti-TNF therapy.
King’s Mill Hospital was the first centre
internationally to treat a patient within
this trial.
Further information can be found at:
http://clinicaltrials.gov/show/NCT01369342
International Clinical
Trials Day event
International Clinical Trials Day is celebrated
around the world, and this year took place on
the 20 May. The Trust celebrated the occasion
by holding a research awareness event in
the King’s Treatment Centre. RI staff talked
to patients, visitors and staff and provided
information and fun activities for people to get
involved in and learn more about research.
168 questionnaires were completed during
the event, with:
• 94% of people believing that research
improves patient care
• 92% of people stating that patients should
be asked to take part in medical research
• 70% of people saying that they would be
prepared to take part in research trials.
After such a positive response to this
research awareness event, the RI department
intends to build on its success and hold
a further event in the autumn. A further
research workshop will also be held towards
the end of 2013 for staff wishing to learn
more about the subject and get involved.
How can you
get involved?
We would like to hear from anyone wishing
to learn more about what we do, and how to
get involved in research activity at Sherwood
Forest Hospitals.
You can contact the Research and
Innovation Department via email:
researchandinnovation@sfh-tr.nhs.uk or
telephone: 01623 622515 ext 3990Research and
Innovation at the Trust
Dr Elizabeth Carlin, Consultant in
Genitourinary Medicine and Service
Director of Sexual Health and Lesley
White, former Patient Safety Manager,
attended Royal Garden Parties recently at
Buckingham Palace and Holyroodhouse
Edinburgh, respectively. They were
nominated to attend in recognition of their
hard work, commitment and dedication to
services at Sherwood Forest Hospitals.
Dr Carlin
told BEST
magazine: “It
was an honour
to attend
the Royal
Garden Party
to represent
the Trust and
the excellent
services it
provides. I had a fantastic afternoon and
saw some of the Royal family, including
the Queen and Prince Philip. I was
introduced to Princess Beatrice and spoke
with her for a short while. There was a
great atmosphere and the garden was
amazing. It was a unique experience and
it was a privilege to be there.”
Lesley White said: “It
was fantastic to be able
to represent the Trust
at such a prestigious
event. I had a fabulous
day and being a loyal
supporter of the royal
family made it all
the more special. I
managed to see the
Queen, Prince Philip,
the Duke Duchess
of Cornwall and the
Duchess of Cambridge. It was a surprise
to be even nominated, so to actually go
was a dream come true.”
Royal Garden Parties
Dr Carlin and
her Aunt
Lesley White
and Alan
Higginson

The Trust held a successful sepsis
awareness week, 29 April to 3 May, which
received praise from the UK Sepsis Trust
The awareness week centred on sepsis and
ways in which the Trust is tackling it locally with
the aim of raising awareness of the condition
amongst staff, GPs, commissioners and the
general public.
Sepsis claims over 37,000 lives in the
United Kingdom annually - more than breast
cancer and bowel cancer combined. It is a
life-threatening illness caused by the body
overreacting to an infection and injuring its own
tissue and organs. Sepsis can lead to shock,
multiple organ failure and death especially if it is
not recognised early and treated promptly.
Anyone can develop sepsis from a minor
infection, although some people are more
vulnerable, such as those:
• With a medical condition or receiving medical
treatment that weakens their immune system
• Who are already in hospital with a
serious illness
• Who are very young or very old
• Who have just had surgery or who have
wounds or injuries as a result of an accident.
The Trust has introduced a range of actions
to reduce the number of cases of severe sepsis.
These include establishing a dedicated team
monitoring the number of sepsis patients within
our hospitals, providing training to many of
our clinical staff to aid early recognition of the
disease and introducing ‘sepsis boxes’ that
contain everything needed to treat a patient
displaying symptoms of sepsis.
The sepsis boxes were introduced in January
and so far over 200 have been used.
During the sepsis awareness week information
was sent to staff and GPs and an educational
event was held for members of the public.
The awareness week attracted positive media
coverage including interviews for BBC TV East
Midlands Today and BBC Radio Nottingham.
Information was also added to the Trust’s
Twitter and Facebook pages throughout the
week offering followers a glimpse of some of
the work that happens ‘behind the scenes’
when treating patients.
The UK Sepsis Trust commented on many
of our Facebook posts and also added the
following message.
“The UK Sepsis Trust would like to thank
Sherwood Forest Hospitals NHS Foundation
Trust for their support and advances in tackling
sepsis. Thank you, we are grateful.”
Raising awareness of sepsis
BBC East Midlands Today filming an
interview with former interim Chief
Executive, Eric Morton about how the
Trust is tackling sepsis
Some of team who have helped turn the sepsis boxes into reality
Sepsis symptoms
The symptoms of sepsis may develop
after a localised infection (infection limited
to one part of the body) or an injury.
The symptoms usually develop quickly
and include:
• A fever or high temperature over
38C (100.4F)
• Chills
• A fast heartbeat
• Fast breathing
• Confusion or delirium.
For further information please visit the UK
Sepsis Trust website www.sepsistrust.org
King’s Mill Hospital was one of 22
hospitals nationally whose critical
care unit patients were questioned by
Imperial College London and Oxford
University, about the level of care
received after leaving the unit.
The study found that only a small number
of patients had seen a health professional to
talk about emotional issues they may have
experienced following their stay in critical
care; however the critical care team at King’s
Mill Hospital offers a unique follow up service
for patients who are rehabilitating after an
episode in intensive care.
Transferring back to a ward after a stay in
the intensive care unit (ICU) can sometimes
be stressful, so patients are visited regularly
by one of the critical care outreach nurses to
help them make the transition. Information
booklets guide the patient through the
completion of a rehabilitation programme
with multi-professional support. A diary
of their intensive care stay, written by the
patient’s friends and family and the intensive
care team, helps the patient to make sense
of what happened to them while they were
critically ill.
Two to three months after the patient
has left intensive care, the patient is invited
back to a critical care follow-up clinic
as part of their ongoing rehabilitation.
Run by the nurse consultant in critical
care and a senior physiotherapist, this is
bespoke to each patient’s needs. Patients
are able to discuss their experiences, ask
questions and get further assistance with
physical and psychological issues. Some
patients like to visit the bed they stayed
in and speak to some of the professionals
who cared for them. If required, patients
are invited back to the clinic again at six
months and 12 months.
On average 50 patients a year benefit from
the service. The attendance rate is good and
the feedback over the past five years has
been positive.
Richard Martinez, former ICU patient,
said: “Attending the follow up clinics has
been very beneficial for me. Talking through
the things I experienced whilst in intensive
care has had a massive positive impact
on my mental wellbeing. The clinics have
allowed me and my wife to talk through
our experiences, ask questions and make
sense of what happened, in an open and
honest environment. They have given me the
support and reassurance I needed.”
King’s Mill offers
unique clinics for
patients after
critical care

System System Overview Availability (%) Minutes Unavailable
Orion Improves patient care and clinical
decision making by providing integrated
health data in a single, unified view
99.85% 102 minutes
ICE Supports the electronic requesting of
Pathology and Radiology requests and
the viewing of results
99.9% 60 minutes
SystmOne
Emergency
Department
(ED)
This system supports the patient journey
within ED
99.99% 10 minutes
PACS Enables images such as x-rays and scans
to be stored electronically and viewed
on screen
100% 0 minutes
Vocera A communication tool which supports
improved communication between
individuals and teams
99.37% 20 minutes
ORMIS ORMIS is used within the theatre
environment to capture data such as
operation timings, etc.
99.91% 61 minutes
Email A business application which supports
communication between individuals
and teams
99.89% 80 minutes
PAS The principal patient
administration application which
holds patient demographic
information such as address
100% 0 minutes
Jonah Improves access to treatment for
patients by identifying delays in the
discharge management process
100% 0 minutes
My name is Gary Flint and I have worked
for Nottinghamshire Health Informatics
Service (NHIS) for 16 years. NHIS is
committed to transforming care through
technology and provides Information,
Communication and Technology (ICT)
support to over twenty organisations across
the local health community - including
Sherwood Forest Hospitals NHS Foundation
Trust, Nottingham CityCare Partnership
and seven Clinical Commissioning Groups
(CCGs). Much of our work is focused on the
provision of integrated patient record systems
- which provide healthcare professionals
with immediate access to a patient’s medical
history, diagnosis and treatment to ensure
they are provided with the best and most
appropriate care at the earliest opportunity.
Having worked as the NHIS Service Desk
Manager, I have a strong interest in the
delivery of first class customer service.
A day in the life of
7am
My initial task of the day is carried out
prior to arrival at one of the three NHIS
bases. This involves briefly checking my
mobile device to ensure that there have
been no indications of potential system
faults during the night.
8am
On arrival at site I carry out further checks
to ensure that all networks and key systems
are functioning to the required level -
using remote monitoring software which
provides an early warning of potential
issues. This helps us to reduce the number
of high impact incidents and maintain the
availability levels of key systems, which is
vital in supporting our 12,000 end users
across the local health community.
8:30am
I am extremely pleased when I compile
statistics outlining the availability of
business critical systems within a six week
period. My findings confirm that the
availability levels were as follows:
9am
I head to a meeting focused around capacity
management - ensuring that our ICT systems
are used in the most efficient way possible.
11am
Next I meet my management team
to talk through our current and future
workloads, which allows us to allocate the
required levels of resources to meet our
customer requirements.
12:30pm
At this point I really need a sandwich to
prepare me for the rest of the day!
1pm
My next appointment is at the
headquarters of one of our customers
where we discuss proposals to upgrade
their existing systems. We talk about
how our latest technology, such as
desktop on demand (providing remote
access to a user’s desktop), could be used
to increase efficiency.
3pm
Back on-site at King’s Mill Hospital, I have
a catch-up with the teams and ensure that
any decisions on escalations which require my
attention are resolved.
4pm
My last meeting of the day is to consider
introducing scheduled maintenance plans across
the Trust to ensure that all ICT components are
assessed and maintained at regular intervals,
supporting high quality patient care.
5:30pm
I now leave for home, happy that the required
ICT support is being provided by the NHIS on-
call team.
10pm
Time for bed, but being a conscientious
IT Manager I do one final check of my
mobile device to ensure that all key
systems are on-line!
Head of Technical Delivery and
Support Services, Nottinghamshire
Health Informatics Service (NHIS)

A touch screen computer has been
installed in the patient information
room of Mansfield Community Hospital
for use by the general public.
It has been set up with links to relevant
websites, including Diabetes UK, The Stroke
Association and British Heart Forum, to
support patients who attend the many
clinics at the hospital. The computer is
available Monday–Friday, 8.30am-5pm.
Alison Sherratt, Librarian at SFH, said: “It
is important that our patients are given as
much information as possible which could
help them whilst receiving hospital care.
We hope that through the new touch
screen computer we are giving patients an
opportunity to view material which they
may not ordinarily have access to.”
New patient support computer installed at
Mansfield Community Hospital
Mr Shawn Sunderland from the charity
Teddies for Loving Care donated 300
teddies to Ward 25 and the children’s AE
department. Pictured are Carol Moult,
Customer Services Officer, Shawn Sunderland
and Julia Smith, Play Specialist on Ward 25.
Teddies for
loving care
Have you heard of the service that is
available for everyone living in the county
of Nottinghamshire?
NOTTINGHAMSHIRE ALERT is a free
system that allows Nottinghamshire Police,
Neighbourhood Watch in Nottinghamshire and
other organisations that work for the public to
send community safety messages to you quickly
and efficiently. If you are interested in getting
updates about major crimes, advice on crime
prevention and community safety, and alerts
about criminals operating in your area, register
with the system.
IT’S A TOTALLY FREE SERVICE – no incoming
text or phone charges.
Total control of your message settings-choose
to receive alerts via email, text message or voice
message. You can unsubscribe at any time, there
are no contracts or obligations.
Information about crime trends, incidents and
appeals from authorised police officers and staff.
Find out how to start a Neighbourhood
Watch scheme in your area.
To sign up visit
www.nottinghamshirealert.co.uk
Until next time, goodbye and stay safe
Cop spot
Need anything printing or designing?
We offer:
• Design • Printing • Scanning
• VHS Tapes to DVD
• Photograph restoration
• Photography
All of our services are available both
internally and privately
(with all income retained by the Trust)
Email: Alexandra.Brown@sfh-tr.nhs.uk
Tel: 01623 622515 ext 3649
Clinical Illustration
The Trust has recently launched a new
poster campaign aimed at raising
awareness amongst children and young
people about the confidential service
offered by its paediatric team.
The poster campaign was created by Dr
Rebecca Sands, consultant paediatrician at
the Trust, and centres around ‘Twitter’ in
order to connect with children and young
people. The posters, which already feature
at King’s Mill Hospital, will be rolled out
nationally throughout acute hospitals and
GP surgeries.
The campaign followed consultation with
the Young People’s Health Special Interest
Group, who highlighted that more child-
friendly literature was needed to promote
services across paediatrics services.
The posters are also intended to
communicate the limits of confidentiality
within the service. Young people can have
confidence that they can talk to the staff
about issues that are important to them
whilst knowing that the sharing of their
information with other professionals may
be necessary at times to support their care
and keep them safe. The ‘you may tweet,
we won’t twitter’ was chosen to give the
message that any information shared won’t
be discussed or passed on inappropriately.
Dr Rebecca Sands, said: “I really wanted
to create something that would capture
the attention of young people. We’ve had
nothing but positive feedback about the
poster campaign, not only from children and
young people but also from parents and staff.
“I’m looking forward to seeing the
campaign rolled out nationally and am keen
to start working on other campaigns with the
support of Royal College of Paediatrics and
the Young People’s Special Interest Group.”
Trust fronts national children
and young people’s campaign
Little Millers Day Nursery at King’s Mill
Hospital, will be having their annual Fun
Day on Saturday 14 September, 2-4pm.
NURSERY FUN
DAY – diary date
PCSO Linda Foreman

The Trust has celebrated the
incredible service and dedication of
the Friends of Ashfield Community
Hospital by presenting them with
Long Service Awards.
Three five year awards, two ten year awards
and three fifteen year awards were presented
by Stuart Grasar, Non-Executive Director at the
Trust, who also said a big ‘thank you’ for the
Friends’ support and commitment over the years.
Awards for our Friends
(L-R) Pam Strutt (5 years’ service - tea
bar), Tony Strutt (5 years’ service - tea
bar), Eileen Caunt (10 years’ service -
Chatsworth Ward), Shirley Hallam (15
years’ service - tea bar), Jack Ives (15
years’ service - wards/fundraising
previous chairman of the volunteers),
Barbara Scrimshaw (tea bar)
Pam White (15 years’ service - tea bar)
and Carol Rowbottom (5 years’ service -
wards and tea bar)
King’s Mill Hospital’s neonatal unit
is further improving its services by
offering extra beds and improved
bathroom facilities for parents who
wish to stay overnight with their babies.
The hospital already houses three parent
flats which allow mums and dads to
spend more time with their babies, but
the accommodation tends to get booked
very quickly. The extra facilities will enable
more mums to spend time establishing
breastfeeding and give parents the
opportunity to take care of their babies as
they would in a home environment.
Dr Helena Clements, Director for Children’s
Services, said: “The new facilities will make
a huge difference to the bond between
parents and their babies, allowing them to
spend more time together when it is really
needed. We want to use every opportunity
to increase the time that parents can spend
in close contact with their babies.
“We could not have progressed with this
project without the continued support of
local communities who donate money so
generously. Many people have come into
direct contact with our services and others
just want to support local care for children.
We are extremely grateful to them all.”
Neonatal facilities
improved at
King’s Mill
Love begins with
‘skin to skin’The staff at King’s Mill’s birthing unit
have embraced the latest evidence that
skin to skin contact after birth helps
mums and babies bond, by promoting
the message to keep mum and baby
together until after the first feed.
Evidence shows that the skin to skin
contact from this first special cuddle calms
and relaxes mum and baby, warms baby,
causes hormones to be released that help
with bonding and gets baby ready for their
first feed.
Babies have a strong instinct to breastfeed.
Following birth they follow a similar pattern,
after the initial cry they rest and recover –
their breathing and heart rate settle. The
baby then becomes more alert, looking
at mum and starting to make crawling
movements to reach the breast.
If this process is interrupted, by showering
for example, it makes it harder for the baby
to use their sense of smell to reach the
breast for their first feed.
A poster has been produced to give
parents information so they can choose to
have this longer cuddle if they wish. The
photograph on the poster is of a mum
and her baby who is only minutes old on
Sherwood Birthing Unit.
Jo Lincoln, Infant Feeding Coordinator,
said: “Skin to skin contact is important for
all parents and babies, whether breast or
bottle feeding. There are no costs and it
feels really nice. Mums should take care not
to fall asleep with their baby however, as
the safest place for a baby to sleep is next to
their parents in their own cot.” Stroke services in the locality are now
under one roof, following the move of
Ashfield Stroke Rehabilitation Unit to
King’s Mill Hospital on 27 June.
The state of the art facilities in the new
unit offer 15 stroke rehabilitation beds,
11 of which are single occupancy ensuite
rooms. The remaining four beds are
provided in a spacious four bed bay.
The service is provided by a dedicated
team of staff who are highly skilled in all
aspects of stroke care and the patient
no longer has to be moved to a different
healthcare facility for their rehabilitation.”
There is growing national evidence that
joined-up hospital stroke services provide
better patient outcomes than services
provided separately in different locations.
Previously when someone was treated at
King’s Mill Hospital for a stroke, they were
then transferred after a few days to Ashfield
Health Village if they required longer term
inpatient rehabilitation.
Stroke unit move
improves care
for patients

Staff on King’s Mill’s neonatal ward
are initiating a Common Assessment
Framework (CAF) for babies born at 30
weeks or less, in recognition that all
families experience pressure and need
support regardless of their circumstances.
The framework aids the early identification
of a child’s additional needs and promotes a
coordinated service provision to meet those
needs. Every premature baby born below 30
weeks is offered a CAF.
The assessment gives a wide picture of
a child’s needs within the family and this
in turn allows for a range of services and
support for early intervention. This may be
in the form of financial support, emotional
support, developing links within the family’s
local community or support with housing or
transport problems. This process develops
a team around the child, designed with the
family, in order to support additional needs
and improve outcomes.
When the baby is discharged from hospital
the CAF will be taken over by the most
appropriate professional, possibly the health
visitor or a family support worker.
Dr Helena Clements, Director for
Children’s Services, said: “Having a
premature baby turns families upside down.
Babies born at 30 weeks or less will spend
at least a month in hospital and this can
put a great strain on families who often
have other small children, parents juggling
work and mums who may be unable to
get around after a caesarean section. Staff
in the neonatal unit recognise this and, by
working through the assessment, can put in
place the most appropriate support needed
for each child and their family.”
New way of working for premature babies
Sherwood Forest Hospitals
has recently begun working
in partnership with Age UK
Nottingham Nottinghamshire
(Age UK Notts) to support
a patients’ representative/
advocacy service based at King’s
Mill, and also providing to
Newark Hospital.
Jo Pritchard, Age UK Notts Patients
Representative/Advocate, has been
working at the Trust since April
2013, offering advice, guidance and
support to patients who are over the
age of 60 across geriatric wards. She
also signposts patients, carers and
relatives to extra benefit entitlements,
befriending schemes, specialist day
services and respite for carers.
Work was undertaken to identify
what improvements could be made
to older person’s services, and one
key finding was to provide patients
with an independent ‘voice’, as it can
be harder for older patients to speak
out and be heard.
Sharon Fitton, Service Improvement
Manager at the Trust, said: “Our new
Age UK Notts patients’ advocate
is a first for the Trust and one that
has been welcomed by patients,
carers and staff. The ultimate aim
of this new service is to improve the
patient experience by empowering
people whilst in hospital, and
offering support services for their
return home, which in turn, should
hopefully lead to fewer readmissions
and better outcomes for all.”
Anyone wishing to refer into this
service should call Jo Pritchard on
01623 622515 ext 4675.
First Age UK Patients’ Representative/Advocate
Jo Pritchard, Age
UK Notts Patients
Representative/
Advocate
Title: Author:
Contended Dementia: 24 hour wraparound care for lifelong well-being Oliver James
I’m still here: a breakthrough approach to understanding someone living with Alzheimer’s John Zeisel
The Simplicity of Dementia: a guide for family and carers Huub Buijssen
Understanding Alzheimer’s Disease and Other Dementias Nori Graham and James Warner
Personal Guide to Living with Progressive Memory Loss Sandy Burgener
Alzheimer’s and Other Dementias at your Fingertips Harry Cayton, Nori Graham James Warner
Knickers in the Fridge: Alzheimer’s is no laughing matter….. or is it? Jane Grierson
My Bonnie: how dementia stole the love of life John Suchet
And still the music plays: stories of people with dementia Graham Stokes
Dancing with Dementia: my story of living positively with dementia Christine Bryden
Before I Forget Fiona Phillips
Relatives and carers of people
with dementia can now borrow
informative and thought-provoking
books from a new collection held at
the Trust’s hospitals.
The ‘Reading about Dementia’ collection
has been launched across Nottinghamshire
by the public library service, working with
the NHS and Nottinghamshire County
Council and is also available in 12 public
libraries across the county.
Heather Gardner, Library Manager at
Sherwood Forest Hospitals, said: “It is very
important for carers and relatives of people
with dementia to have access to a variety of
information about the condition which can
offer helpful information and advice. The
collection is diverse and includes personal
accounts of living with dementia, understanding
Alzheimer’s and the sort of care needed for
lifelong wellbeing.
“These books can be loaned from any public
library across the county and clinicians can
recommend a loan to patients and carers from
the hospital library service”.
Copies of these books are also available for
staff to loan from the Library Information
Service King’s Mill Hospital, the Resource Room
at Mansfield Community Hospital and in the
Library at Newark Hospital.
‘Reading about Dementia’ launch

The Trust has recently invested
in new endoscopic retrograde
cholangiopancreatography (ERCP)
technology at King’s Mill to upgrade its
current endoscopy services.
ERCP is a procedure which gives an internal
x-ray of the stomach, allowing a more
thorough examination of gastric problems
than a usual endoscopy.
Improving the patient experience,
local patients now no longer need
to travel to Nottingham University
Hospitals and will benefit from shorter
waiting times. The procedure is
being provided at King’s Mill by two
doctors fully trained in ERCP, who
have previously provided the service at
Nottingham and Derby hospitals.
New endoscopy technology
The Trust took part in Dementia
Awareness Week by supporting
‘Dementia Friends’ sessions at King’s
Mill and Newark hospitals.
Dementia Friends is a national initiative
run by the Alzheimer’s Society. It is funded
by the government, and aims to improve
people’s understanding of dementia and its
effects. The Alzheimer’s Society is working
with volunteers called Dementia Friends
Champions and other organisations, with
the goal of creating one million Dementia
Friends by 2015.
The Trust’s sessions were run by Practice
Development Dementia Nurse, Adam
Hayward, who offered information about
dementia and how to help someone living
with dementia.
Each session was open to staff and
members of the public with the aim of
improving people’s understanding of
dementia to promote and create ‘dementia
friendly communities’. It is hoped these
communities will work together to provide
effective provisions for people living with
dementia, such as local shops introducing
different signage appropriate to their needs.
Adam Hayward said: “Dementia affects
more than 800,000 people in the UK
which is why it is so important that we, as
individuals and as a society, are correctly
equipped to support them.
“It is also vitally important that staff are
able to work with families, carers and
other organisations to provide the best
and most suitable care for each patient
with dementia. I hope these sessions have
helped people living with dementia to
continue with their day to day lives with
the assistance of Dementia Friends in our
local communities.”
To sign up as a Dementia Friends
Champion, or to find your nearest session,
visit www.dementiafriends.org.uk
‘Dementia Friends’
Pictured from left to right are Tracey Blasdale, Dorothy Bramley, Adam Hayward,
Ron Tansley, who is the chairman of Kings Mill’s volunteers, Valerie Caunt and
Megan Tansley
The Trust has been working alongside
its voluntary services members to
pilot memory boxes and activity
equipment for patients showing signs
of confusion or dementia.
Coinciding with Dementia Awareness
Week, the new boxes were launched on
22 May following a presentation from the
Voluntary Services Chairman.
The memory boxes contain reminiscence
items such as rationing books and darning
mushrooms, whilst other equipment
includes pat mats, finger fidgets and balls
- all of which have been proven to help
reduce stressed behaviours and in turn
lessen the risk of harm to patients.
Adam Hayward, Practice Development
Dementia Nurse at the Trust, said:
“Nursing staff on the wards have
highlighted that patients experiencing
confusion are more likely to become
distressed and agitated.
“The activity equipment, memory
boxes and support cards are intended
to help staff understand and engage
with patients at the bedside. This type
of therapeutic intervention can lead to
people feeling calmer, reassured and
involved. The pilot equipment provided
by our volunteer services supports our
work in developing this essential area of
nursing practice.
“The ultimate aim of this pilot is
to ensure that any of our patients
experiencing confusion are kept as safe as
possible in an environment within which
they feel comfortable and secure.”
Memory
boxes
launched
Adam Haywood – Dementia Nurse
Specialist, Ron Tansley – Chairman of
King’s Mill hospital Volunteers, Meg
Tansley – Volunteer on Care of the
Elderly Wards, Joy Wilson – Senior
Customer Services Officer

Congratulations to our latest ‘Star of the Month’ winners.
Star of the Month recognises and
rewards those staff who regularly go
that extra mile to provide the best service
possible. Staff may nominate themselves
or a colleague and all nominations are
judged by the Chief Executive and the
Executive Director of Human Resources.
Each month’s winner receives a framed
certificate and a High Street gift voucher,
and is automatically entered into the
“Unsung Hero” category of the annual
Staff Excellence Awards.
March 2013
Jane Macey, Admin Clerk,
Newark Endoscopy
Nominated by Karen Shacklock, Deputy
Department Leader
“Jane has adapted to many recent
changes in endoscopy bookings. She has
embraced the changes with enthusiasm and
interest, allowing the patient more choice
and streamlining the patient pathway.”
Nominated by Laura Baggaley,
Newark Endoscopy
“Jane goes over and above her role
as a receptionist in endoscopy. She has
been so supportive of me when I came
back from maternity leave last year and
has changed her shifts with me if I’ve had
childcare issues. She is always happy to
help patients with any problems regarding
their appointments and always goes that
extra mile to sort their problems out. We
have had lots of changes over the past few
months in Endoscopy and Jane has adapted
to these really quickly.”
February 2013
Sharon McBrearty, Receptionist/PPC
Support, Urology
Nominated by Bev Marshall and David
Johnson, Urology, CNS
“Sharon is a real asset to King’s Mill
Hospital, a true unsung hero. Her customer
focus and customer service is exemplary,
she goes above and beyond her role on a
regular basis to ensure patients, staff and
visitors are treated efficiently, with kindness
and dignity. We often have patients
comment on how friendly and helpful she
is. Nothing appears to be too much trouble.
“We recently had a patient who was
unable to attend clinic as his transport
failed to arrive. Sharon (aware that we were
with a patient and unable to speak to the
gentleman at that time) and recognising
that the patient was extremely anxious
about missing his appointment, reassured
him, arranged for another appointment at a
time convenient to the patient and spoke to
transport on his behalf. This action quickly
diffused this anxious time for the patient. In
fact his family were so impressed that they
sent a thank you card to us in which they
described Sharon as an angel.”
April 2013
Fay Asher, Secretary to Dr Foley
Nominated by Jane Cook and Jackie Hatton, Stoma Care Nurses
“Fay has been our saviour, helping us out when we have had problems on a clerical issue.
She has her own workload but is always there to give a helping hand, nothing ever seems to
be too much of a problem for her, and she does this wearing a smile. It makes a difference
knowing she cares and we feel she deserves this recognition.”
May 2013
Dr Patrick Lillie
Nominated by Dr Anne-Louise Schokker
“Patrick is one of our newest consultants
in Acute Medicine. Since starting he has
established an outpatient ambulatory
antibiotic service. This service provides
an outstanding service for patients who
require intravenous antibiotics but do
not need to be cared for in hospital.
Since mid-December the service has
treated over 50 patients, saving the
organisation over 500 bed days. The
service is cross organisation, benefiting
surgical and orthopaedic patients as well
as medical ones. The patient feedback
has been universally excellent. Patrick
has worked hard developing the service
and proactively ‘trawls’ wards seeking
out suitable patients with a constant
enthusiasm and passion for his work
which is to be commended.”

In the early summer of 2012 we were asked
this very question by Dr Rebecca Parker, a
previous student and F1 doctor (Foundation
Year 1) at King’s Mill Hospital. During a
previous educational trip to Sri Lanka, she
had noticed that the medical students did not
use a recognised framework for managing
acutely ill patients. This prompted her idea
of devising a training programme for a group
of pre-intern students and medical registrars
at the Ruhuna University Teaching Hospital in
Galle, Sri Lanka.
King’s Mill has well-established educational links
in Sri Lanka. Dr Arosha Dissanayake, who was
a registrar at the hospital, co-ordinated things
for us at the Sri Lankan end. Thankfully he was
also there to assist us on the day. Even so, special
consideration had to be given to the differences in
culture, language, health systems and education
style when designing the course. In particular, Dr
Parker wanted the nurse educators to be involved,
as this is not a usual role for nurses in Sri Lanka
and was one she felt should be promoted.
By June 2012 the team was formed and
consisted of Dr Rebecca Parker, Dr Daniel Lake,
Alison Draycott and Dee Kelsey. Their aim was
to design, write and deliver the programme
by May 2013 - titled “Unstable Patients -
Systematic Targeted Assessment Recognition
Treatment (UPSTART)”
The final programme covered the basics of the
ABCDE approach to ensure nothing is missed
with an acutely ill patient – airway, breathing,
circulation, disability (of the brain, eg; unconscious)
and exposure (rashes, bleeding, etc). It also
covered other elements relevant to the target
group such as shock, sepsis, acute kidney injury
and transfers. A supporting book was also devised
and written containing the entire contents of the
course along with more detailed information.
The initial feedback from the course has been
very positive, with candidates enjoying the group
work and interactive approach. We hope to deliver
the course in other areas and to see the registrars
who took part bring their skills with them when
they come to King’s Mill Hospital on an exchange
programme in the future. It is important to note
that no part of this project was funded by the
hospital or the NHS.
The UPSTART team would like to thank Professor
Devaka Fernando for his encouragement and
support throughout the whole project.
Dee Kelsey Alison Draycott, Nurse Educators
for Medicine Surgery KMH
“Will you help us teach in
Sri Lanka for a week?”
From Left: Dee Kelsey, Alison Draycott, Dr Rebecca Parker, Dr Dan Lake
The Trust has developed
a new way of training
managers specifically
designed to equip them with
the skills and leadership
needed to operate effectively
as a leader and manager.
Established in 2012, the
Leadership Programme enhances
the leadership and management
skills of middle managers. The
programme also supports the
application of these skills to improve
services for patients and to help
guide clinical and support teams
through major change.
The main areas covered by the
programme are:
• Expectations and behaviours of
leaders and managers at the
Trust, managing themselves and
self-awareness
• Change management, innovative
thinking, new ways of working and
managing people through change
• Managing people and
performance management,
developing and supporting staff,
building effective teams and
managing poor performance
• Managing service delivery and
improvement, managing and
reducing risk, business continuity,
good governance, effective
communications and creating a
well organised department
• Project management training.
So far 60 managers have
completed the training, with
a further 24 booked in for the
2013/14 programme.
Leadership
training success
A King’s Mill endoscopist is leading the
way in endoscopy training - working
with Dowe University Hospital,
Karachi, Pakistan, teaching doctors
how to administer the procedure.
Paul Hagan, Clinical Endoscopist,
has been to the university twice in the
past year to implement the working
endoscopy procedure model used at
King’s Mill. There are currently no training
or assessments available for endoscopists
in Pakistan so his work is vitally important
for the future of the service. The model
will also be implemented at a further two
training centres.
In return, the links made with Dowe
University Hospital have made it possible
for an endoscopist from King’s Mill to visit
annually, for one week, to gain experience
working with patients who have gastro
problems which are less common in the UK.
This experience is invaluable to the service
offered at King’s Mill.
Dr Saad Niaz, Consultant
Gastroenterologist from Dowe University
Hospitals, also visits King’s Mill to support
the endoscopy department and will be
offering training in the new endoscopic
retrograde cholangiopancreatography.
ERCP is a technique that combines the use
of endoscopy and fluoroscopy to diagnose
and treat certain problems of the biliary or
pancreatic ductal systems.
Paul Hagan said: “The work we are sharing
between the two hospitals will have a massive
positive impact on how we deliver services
and are able to help patients in the future. I
hope that we can continue to develop our
relationships with our medical colleagues in
Pakistan and spread the good work that is
happening within King’s Mill Hospital.”
Delivering endoscopy training in Pakistan

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• Specially adapted shower
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• Tranquil and safe gardens
• Town centre location close
to all amenities
• Highly trained staff with
Registered General Nurse
as manager
• Active daily proprietor involvement
• Excellent selection of
home cooked meals and
family atmosphere
• Access to Internet café including
laptop to surf the web in the
privacy of your room.
• Room decorated and carpeted
according to your choice before
you move in.
Tel: 01623 631163
Email: info@mansfieldmanor.co.uk
Web: www.mansfieldmanor.co.uk
We warmly welcome visitors to come and enjoy a cup of
tea/coffee with our staff and residents at any time.
30-32 Chesterfield Road South, Mansfield NG19 7AD
Sherwood
Healthcare

Sherwood Forest Hospitals NHS Foundation Trust, has not vetted the
advertisers in this publication and accepts no liability for work done or
goods supplied by any advertiser. Nor does Sherwood Forest Hospitals NHS
Foundation Trust endorse any of the products or services.
Every possible care has been taken to ensure that the information given in
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Designedandpublishedby:OctagonMarketingCompanyLtd,BritannicChambers,8aCarltonRoad,Worksop,NottsS801PH.Tel:01909478822.
Hi, my name is Rachel Cooke and I joined the
communications team on 1 July in the role of
Communications and Membership Officer.
I joined the Trust back in 2001 and my previous roles have
included Central Support Coordinator at Newark Hospital
and more recently Senior Patient Coordinator in Diabetes
and Endocrinology.
My role within the communications team includes
recruiting new Trust members and promoting the services
we deliver to the local community. I will also be organising
a programme of member events for the rest of the year
and supporting the communications function.
I look forward to meeting members and governors over
the coming months.
Rachel joins
Communications team
Rachel joins
Communications team
Entries for this year’s Staff
Excellence Awards will be judged
during August, to recognise those
outstanding members of staff
who deserve special recognition
for consistently demonstrating
excellence in patient care.
Staff have been able to nominate
themselves or colleagues for the
following awards:
• Quality Care Award
• Improvement Award
• Team of the Year Award
• Chris McFarlane Award (for training
and development)
• Unsung Hero Award
• Volunteer of the Year Award
The awards presentation will take
place on Thursday 17 October
2013. Trust staff wishing to
book a place can contact the
Communications Department on
extension 3826 or email
e.communications@sfh-tr.nhs.uk.
2013 Staff
Excellence
Awards
Celebrating quality
patient care
The People’s Award
A big thank you to all our members,
patients and relatives who have made
nominations for this year’s People’s
Award to personally recognise the
outstanding care they have received
from our staff. The winner will be
announced at the awards presentation
on 17 October.
A programme of member events is
currently being finalised for October
onwards. Watch out for details of
forthcoming events in the local press, and
on the Trust’s website (www.sfh-tr.nhs.uk),
Twitter and Facebook pages.
Stop Press - Member
events coming soon…
Date: Thursday 19 September 2013
Time: 4.00-7.00pm Interactive displays
plus two events – Thyroid
Conditions/Healthy heart
6-7pm Annual General Meeting
Venue: King’s Mill Conference Centre,
King’s Mill Hospital (car park 9)
This year’s Annual Members’ Event will
offer two popular health talks plus interactive
displays all under one roof and all on one
night! With free refreshments and free car
parking (car park 9 only) available for the
duration of the event.
All members are invited to join us for
this exciting and informative event.
There will be the opportunity for you
to visit our marketplace of stands and
interactive displays including free blood
pressure checks, learn more about our
organ donation campaign, a chance
to learn more about Newark Hospital’s
new Fernwood Community Unit and
Bramley Children’s Unit, see the ‘sepsis
boxes’ that are making a huge impact
in combatting sepsis and much more on
the night.
Due to the popularity of our member
events we will be running two at the event
from 6-7pm:
- Healthy heart (led by Dr Sennimalai Sankar,
Consultant Cardiologist)
- Thyroid conditions (led by Professor
Devaka Fernando and Mr Irfan Akhtar).
Places for the events will book up quickly
so please book a place at the event of your
choice soon.
You are also invited to the Annual
General Meeting which will take
place from 4:45-5:45pm in the lecture
theatre where members will be given
the opportunity to ask questions of
the Board of Directors. You can either
submit your question in advance or ask
a question on the night. Questions and
answers will be posted on the website
following the meeting.
The event begins at 4pm but you can
arrive when it suits you – so why not come
along to the AGM after work? All events
and activities will take place in the King’s Mill
Conference Centre (level 0). Refreshments
will be provided on arrival at 4.00pm and
between 5.15pm-5.45pm.
If you would like to come to the
Annual Members’ Event please email
membership.sherwoodforest@sfh-tr.nhs.
uk or call 01623 622515 ext. 3575 to
confirm your attendance.
Annual Members’ Event
Annual General Meeting 2013
Member events confirmed at the time of going to press are:
“Organ Donation” - Saturday 26
October 10am-2pm
A variety of interactive and informative stalls
including a kids’ zone
“Lung Cancer Awareness” - Tuesday 19
November 6-8pm
Evening lecture followed by a question and
answer session

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