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M embership

atters Spring 2011


Issue 2

FT delay will ensure The board of St George’s


Healthcare NHS Trust agreed
at its meeting held on March
for providing community services
in Wandsworth.

safety remains
“In the last five years we have
31st to delay the timeline
worked successfully to improve
for its Foundation Trust (FT)
the trust’s finances while
application to April 2013.
continuing to develop leading-

the priority In taking this decision the board


acknowledged that, while the
trust had successfully met the
edge services. However, while we
have met the clinical standards
to become a FT there is still work
needed to ensure that St George’s
clinical and governance standards
required to become a FT, there is Healthcare secures its long-term
still work required to improve the financial future.
financial performance of the trust.
“The board recognises that if
For the financial year 2011/12 St
we put the organisation under
George’s Healthcare faces a £55m
pressure to become FT during
efficiency challenge. Moving the
2011/12 then this is could impact
FT application back to April 2013
on the quality and safety of the
will allow the trust to focus on
patient care that we provide.
meeting its financial targets while
That is a risk that the board is not
continuing to provide excellent
prepared to take.
care to patients.
“Since formally launching our
Naaz Coker, chair of St George’s
FT plans in May 2010 we have
Healthcare said: “We are fully
received an enthusiastic response
committed to providing the
from our public, patients and
highest standards of care to all
staff and the trust’s membership
the communities we serve. The
numbers currently stand at over
trust is a major trauma centre,
11,000. While our timeline
hyper-acute stroke unit and centre
for becoming an FT may have
of excellence for cancer, cardiac
changed our commitment to
and women’s and children’s
engage with existing members
services. In addition, since October
and recruit new ones continues.”
2010, we have been responsible

Flying start for member events


Our new membership engagement education events are available on the
programme which launched in foundation trust section of the trust’s
January proved very popular. Our first website at www.stgeorges.nhs.uk
health information event, Nutrition in
a nutshell – how to eat healthy and Members keen to be governors
Over 500 members have expressed
New events
live longer presented by Catherine
an interest in standing for election Community services advice day St George’s community open day
Collins, principal dietitian, attracted
to the council of governors and six The trust has joined with Tooting St George’s Healthcare and St
over 180 members and required an
information sessions have been held. Safer Neighbourhoods team George’s, University of London will
additional session to be put on.
As a result of the new FT timeline (Metropolitan Police), Wandsworth be opening their doors to the public
Catherine Collins said: “Being able the council elections will be delayed Adult Social Services, Wandsworth on Saturday 18th June 2011, from
to offer advice to the public about but engagement with interested Carers Centre and South West 10:00-15:00hrs.
how to eat healthily and prevent governors will continue. London and St George’s Mental
food-related problems is extremely Health NHS Trust to pilot the first This community open day will help
rewarding. The audience raised some Member Shereen Sadiq from Catford community services advice day to build closer links with the local
interesting questions and it was very who attended a governor session in Tooting. This drop in event for community and to raise awareness
encouraging to learn how important said: “As a patient I have appreciated local people is free and will provide of the work of both organisations.
nutrition is to them.” the care and support from staff at St information and advice on a range
George’s Hospital and the Wolfson The day will be family friendly with
of health, social care and community entertainment, special tours and
Heart attacks and how to avoid them, Neurorehabilitation Centre. I am keen safety issues all under one roof.
by Dr Paul Collinson, consultant to be in a position to give something competitions.
chemical pathologist, attracted more back to the trust. It was interesting to Date: 26th May 2011 The community open day is
than 130 members. The audience hear about the role that a foundation Time: 14:00-20:00hrs supported by MITIE
was told about the risk factors that trust governor can play and how Venue: The boardrooms,
can lead to heart attacks and how governors can help St George’s to 2nd floor, Hunter Wing,
these can be reduced. better understand the needs of their St George’s, University of London
patients and local community.”
The presentations from the health

Living our values:


Help shape our
corporate social
responsibility framework
St George’s Healthcare would like your views on our draft corporate social
responsibility (CSR) framework and your suggestions on how the framework Hourly
can be improved.
rounding
St George’s Healthcare is rooted in the community of
southwest London. This framework is being developed
How you can help
Members have until Friday 1st July 2011 to give us your improves
patient
to support our commitment to the community and staff thoughts to the three questions below.
beyond our role as a provider of healthcare services. The
trust is committed to fully developing its moral and social 1. Do you agree with the three themes and areas of work
obligations in line with its corporate values and the public
service ethos.
in this framework?
2. Have you got any suggestions by which these themes
experience
Your feedback will help to adapt and improve the trust’s can be made stronger?
corporate behaviour. 3. Have you got any other comments about our CSR
What does corporate social responsibility mean? framework?
We would like to take a wide approach to the way CSR This can be done in writing to the following freepost
can be interpreted, ensuring that we continue to build it address (no stamp required):
into our everyday business. In summary, to St George’s
Healthcare, CSR means: Freepost RSGZ-UJJH-THEB
• Putting social, economic and environmental FT membership office
considerations at the heart of decision making Grosvenor Wing
St George’s Healthcare NHS Trust
• Ensuring day-to-day activities support, rather than Blackshaw Road
hinder, progress with sustainable development London
• Using the trust’s purchasing power, influence and SW17 0QT The experience that patients
resources to help deliver strong, healthy and sustainable have while in hospital is
Or you can respond to these questions online at the important to both their care
communities foundation trust section of the trust’s website at and recovery. With this in
What has the trust been doing about its impact? www.stgeorges.nhs.uk mind St George’s Healthcare
St George’s Healthcare sees a large number of patients What next? has introduced an hourly
from our local community and improving their health We will use your feedback to clearly develop the actions rounding system where nurses
and wellbeing, along with that of our staff, is the biggest and measures in our framework. We will then agree the talk with patients at least once
difference we can make. framework with the trust board and will publish the final an hour to ask if they are in
CSR document on our website. pain, need the toilet or a drink
The trust has also been working for several years to and if there is anything else
reduce our energy consumption and to work in more When the council of governors has been elected, we the nurse can do for them.
environmentally sustainable ways. This applies to our plan that it will hold the trust to account for the CSR
buildings, the ways we work and to the goods we use framework and work with its members to further develop Nurses make hourly checks
and purchase. the framework in a planned and sustainable way. between 10:00 and 22:00hrs
while during the night they
Feedback needed conduct silent rounds only asking
The trust is looking at three key themes to provide the those patients who are awake.
foundations for our CSR framework:
Speaking about the impact of
hourly rounding Lesley Law, a
Theme Area of work matron on Vernon Ward said:
“For most staff hourly rounding
Reducing building energy use: heating, hot water and electricity consumption
acts as a prompt as it is in
Reducing travel their nature to check on their
Sustainable development
Reducing waste patients anyway. I conducted
an evaluation in March and
Sustainable purchasing
the results showed that hourly
Equality and Human Rights – adopting the national NHS Equality Delivery rounding does improve the
System patient experience as nurses have
Building sustainable communities more direct engagement with
Reducing inequalities them. It also shows that it reduces
Improving access
falls as patients don’t try to leave
Improving patient safety their bed without the help of a
Focus on education, training and employment nurse, knowing that they will
be checked upon regularly.
Health improvement activities
Preventing ill health “For nurses it is a more productive
way of working and we have
Improving public health for Health protection noticed that call bells are used
patients and staff Prolonging healthy lives less frequently as patients know
Physical and mental health and well being (staff) that nurses will be coming to talk
to them on a regular basis.”
Recruitment, retention and rehabilitation (staff)
Battling superbugs
The fight against infections
such as MRSA and Clostridium
difficile (C.diff) is a high priority
for St George’s Healthcare.
Cleaning services for the trust
are provided by the MITIE
Group and SGP, whose staff
work around the clock to help
prevent infection.
Jenni Doman, general manager for
estates and facilities, explains why
cleaning in a hospital has to be
thorough. “There have also been no Ruth explains that a lot of bacteria
outbreaks or clusters of C.diff are also brought into the hospital
“There are national standards “These roles are not just about
identified during the last 18 by visitors:
of cleanliness that act as our physical cleaning; it is also
months.
monitoring tool. We make sure about tidiness, the condition of “Visitors bringing infections into
every area meets these standards, equipment and the overall patient Infection control is an area where hospital pose a serious risk to
assessing against 49 separate experience. Everyone is responsible we cannot afford to drop our patients. You should always avoid
elements including floors to including cleaners, doctors, nurses, guard and we continue to work visiting a patient in the hospital if
furniture and equipment.” patients and visitors. As a result of hard to keep our hospital safe.” you are unwell, particularly if you
our efforts, St George’s Healthcare are suffering with a vomiting bug
Jenni also describes the different Ruth Law, lead nurse for infection
has one of the lowest MRSA and or diarrhoea. Likewise, you should
tasks the cleaning teams can control, believes terms such as
C.diff rates of hospitals in London.” not visit the hospital if you have an
face. This ranges from day-to- ‘hospital superbugs’ may be
infection such as flu, chickenpox,
day cleaning to deep cleaning Rick Holliman, hospital infection unhelpful.
shingles or an undiagnosed rash.
and clinical cleans following any control doctor, says:
“There are at least eight antibiotics
building and refurbishment work. “Alongside the cleanliness of our
“In February the trust recorded that are effective against MRSA
wards, we run a stringent hand
“The trust’s cleaning teams work its first MRSA hospital acquired and it actually causes a minority of
hygiene practice and careful use of
24/7. Outside of the normal bacteraemia since July 2010. hospital acquired infections. It is
antibiotics.
working day there are deep Although disappointing, we did important to remember that MRSA
cleaning teams that can assist well to go for over 200 days is not the only problem. There are Patients shouldn’t be afraid to ask
wards and departments with without a MRSA acquisition which many other bacteria that can cause their doctor or nurse to wash their
additional cleaning services. is a significant achievement. serious disease.” hands or use the hand gel.”

Meet the members


Membership Matters spoke to Jasmine Taylor to find out why she joined St George’s Healthcare.

design business. Then came the of my care and the staff are ■ Would you consider standing for
moment I was dreading – dialysis wonderful, kind and tolerant – we election in the council of governors?
was required. Having been a can be extremely difficult patients. I would be very interested,
private patient for many years However, a compromised immune although I tend to be more of
I was horrified when insurance system (to prevent kidney rejection) a ‘doer’ than a ‘speaker’!
companies suddenly cancelled cover means that we are ideal targets
■ What would you say to those
for chronic conditions and I was for numerous infections, so I have
anxious about my transfer to St been treated in several other thinking of becoming a member, but
George’s. My ridiculous fears were departments, A&E in particular. have not yet done so?
of course completely unfounded! I would urge them to join as soon
■ Are there any services you are as possible. Becoming a member
In 2006 I was fortunate to have a particularly interested in? is a wonderful opportunity to
kidney transplant so my life depends I attend the Patient Reference Group become involved in both the
MEET MEMBER: Jasmine Taylor upon St George’s – literally! I will and have been involved with the future of St George’s Healthcare
always have a connection with the Patient Environment Assessment and the care of its patients.
hospital as I need to attend regularly Team, which looks at the hospital
for check-ups to ensure that from the patient’s viewpoint Since I started my treatment here,
■ When did you become a member? I have always been very supportive
In September 2010 when the everything is functioning as it should. and addresses any concerns.
of St George’s. I think people are
idea of membership caught my ■ Why did you become a member? ■ Are you involved in any other local sometimes concerned about being
attention, I was very eager to I suppose I am a bit of a meddler, groups? seen as a customer rather than
join up and become involved. in a positive way! The treatment I belong to the St George’s a patient. Becoming a member
■ Tell us a bit more about your I received in most departments Kidney Patients Association, an enables the trust to become far
interest in St George’s Healthcare. was excellent, but I feel that there extremely active group of ex-kidney more connected with its patients
Fifteen years ago I was diagnosed are things around the hospital patients and carers, which raises and the community it serves,
with chronic renal failure. At the that need to be addressed. funds to purchase equipment to which can only be a good thing.
time I was working in publishing, Being a member gives you more support the unit and enhance the
opportunity to raise these issues. patient experience. I am also a To find out more about the
producing several weekly magazines St George’s Kidney Patients
which was fun but frantic. Knowing volunteer at the hospital as well
■ Which services have you used at Association, visit their website
that I couldn’t keep up the pace as a patient representative. There
St George’s Healthcare? really is no getting rid of me! at www.sgkpa.org.uk.
I ‘retired’ and ran a small interior The renal unit has provided most
Organ donation saves lives
For many patients receiving an
organ transplant is a life-saving
the UK support the principles of
donation. However, all faiths also
done to encourage those from
black or ethnic minorities to
Mixed sex
operation. During 2010 over
2,500 people have received
accept that donating is an individual’s
or family’s choice and St George’s
consider donation. Patients from
these communities are three to
accommodation
transplants in the UK while some
3,000 had their sight restored
Healthcare advocates that view. four times more likely to need a
transplant. However, due to the
update
thanks to the generosity of “Organ donation is well supported need of matching organs or tissue
others. However 8,000 people are by local religious groups and typing these patients wait longer and St George’s Healthcare NHS
still waiting for a transplant and leaders from the Muslim and Hindu are more likely to die while on the Trust is pleased to confirm
three of those die every day. community, who are fully engaged in waiting list. that it is compliant with the
the process. We find that the barrier Government’s requirement
Dr Argyro Zoumprouli, clinical lead is not so much about religion, but Many people are surprised to learn to eliminate mixed sex
for organ donation at St George’s about culture and of trust placed in that age is not a barrier to organ accommodation, except when
Healthcare, explains the trust’s the healthcare system. Making such donation. Jo Coles, specialist nurse it is in the patient’s overall
approach to discussing organ a decision at a very distressing time organ donation, explains: best interest, or reflects their
donation with families who face losing can be a real burden if families don’t personal choice. We have
know what their loved one would “One of the oldest donors for
someone they deeply care about. the necessary facilities and
have wanted. Trying to encourage corneas is 102 and recently a
resources to ensure that
“The decision about donation can people to discuss the issue of gentleman in his early 80s donated
patients will only share the
be stressful and difficult for patients donation with their families is a his liver. Another family kindly
room where they sleep with
and their families. At St George’s message we would like to send out consented to heart valve donation
members of the same sex.
a specially trained member of the to our local community.” following the sudden loss of their
healthcare team will take time to 36-week old daughter. It has been Sharing with members of the
explain the process involved helping Joining the organ donor register is a great comfort to both parents opposite sex will only happen
people to make an informed choice one way that people can express knowing another two little babies when clinically necessary for
about whether to donate or not.” their wish, but it remains very have been helped.” example where patients need
important to share this with loved specialist equipment such as
On the subject of religious and ones. The organ donor register To find out more about in neurosciences, cardiac and
cultural issues, Dr Zoumprouli has over 17 million donors and organ donation go to general intensive care or the
says that all major faiths within currently a lot of work is being www.organdonation.nhs.uk hyper acute stroke unit.
The full declaration of compliance
for the elimination of mixed sex
accommodation is available in the
Students help recruit new members about us section on the trust’s
website at www.stgeorges.nhs.uk
Students from St George’s,
University of London helped to
recruit patients and visitors as Membership Matters
is
new foundation trust members written and published
by the
during the winter. trust’s communications
unit.
The scheme was extremely The opinions expressed
do
successful, with an impressive not necessarily represent
1,348 new members signed up. those of St George’s
Healthcare NHS Trust.
The next edition will be
published in summer 201

Dates for your diary


1.
If you have suggestion
s for
future articles please em
ail
All sessions are free and open to all, but we do ask you to reserve your place by emailing members@stgeorges.nhs.uk members@stgeorges.
or calling the membership office on 020 8266 6132. Please also let us know if you have any special requirements. nhs.uk

Date Time Subject Location

Afternoon: Michael Heron lecture theatre,


14:00-15:00 Keeping your brain healthy by
18th May 2011 1st floor, Hunter Wing
19:00-20:00 Dr Colette Griffin, consultant neurologist
Evening: Hyde park room, 1st floor, Lanesborough Wing

Community services advice day


26th May 2011 14:00-20:00 Boardrooms 1-4, 2nd floor, Hunter Wing
(drop in session – no need to pre-book)

Community open day


18th June 2011 10:00-15:00 St George’s Hospital and St George’s University of London
(drop in session – no need to pre-book)

Vaccines – facts and myths by Dr David Lewis,


12:00-13:00 Afternoon: Lecture theatre G, ground floor, Jenner Wing
20th July 2011 professor of clinical vaccinology and medicine,
19:00-20:00 Evening: Hyde park room, 1st floor, Lanesborough Wing
and hon. consultant physician

21st September 12:00-13:00 Men’s health by Mr Ken Anson,


TBC
2011 19:00-20:00 consultant urological surgeon

17th October 12:00-13:00 Super bugs by Dr Tim Planche,


TBC
2011 19:00-20:00 consultant medical microbiology

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