February 2015 - Pennine Acute Hospitals NHS Trust

Pride in
Pennine News
Issue 132• February 2015
INSIDE this issue:
• Leg circulation service win national award
• A year of FT membership
• Health and social care integration in
North Manchester
• Celebrating academic success at annual
Evolve - It’s on its way.
Revolutionising electronic
patient case notes
News - Trust stories
February 2015
North Manchester pharmacy
links in with community ............ Pg 4
G4S helpdesk ............................... Pg 4
Leg circulation service win
national award ............................ Pg 5
Ebola update ............................... Pg 5
Check that information .............. Pg 6
Walk this way after
podiatry open day ...................... Pg 6
A year of FT membership........... Pg 7
Successful emergency
gynaecology symposium ............ Pg 7
Team Talk..................................... Pg 8
Team focus on health
and wellbeing.............................. Pg 9
Flu vaccination programme ....... Pg 10
Diary dates ................................... Pg 10
Stunning new artwork
on Floyd Unit ............................... Pg 11
Accessing patient records........... Pg 11
New pharmacy initiative
at NMGH ...................................... Pg 11
Thought for the month.............. Pg 12
AKI alert introduced ................... Pg 12
Remembering WWI in food ...... Pg 12
Exams at FGH help train
future doctors.............................. Pg 13
Academic success across PAT ..... Pg 14/15
Staff notice board ....................... Pg 16
Inside News
THE Trust has several communication tools
to help keep staff up to date:
Team Talk is sent round monthly, for
use in all team briefings.
The chief executive’s Monday Message
is emailed on Mondays and contains
Trust, local and national key issues.
Weekly bulletins are emailed on
Mondays and contain a range of
operational and site information.
Online copies of all the bulletins and
Team Talk, plus more, can be found on
the Trust intranet at nww.pat.nhs.uk/
You can send your stories for either
Pennine News or for local media to
Trust communications at
or call Nicola Berry on 44284.
If you have any ideas, views or
suggestions regarding communications
across the Trust, please email
Please recycle this magazine
Pictured are Sister Andrea Fielding; secretaries Leah Hamilton and Deana Bates and
staff nurse Naomi Harrison
Spreading festive cheer
with Mission Christmas
LOCAL radio station Key 103 helped
to spread some festive cheer with an
extremely generous donation of toys to
the emergency department and paediatric
outpatients at North Manchester General
Hospital, as well as the Urgent Care
Centre at Rochdale Infirmary.
An appeal was put out from the radio
station for the general public to donate
toys to its Mission for Christmas Toy
Appeal, which was looking to raise £1
million worth of toys. The Key 103
Cash for Kids handed out presents to
underprivileged children who live in the
Greater Manchester area.
The department of children’s emergency
medicine at North Manchester General
Hospital was lucky to get an allocation
of presents from the appeal after Sister
Andrea Fielding applied for some of the
presents. Staff in the department were
overwhelmed to receive 74 bags of toys
and presents, equating to £17,500.
Professor Andrew Rowland, consultant
in paediatric emergency medicine, said:
“The donation of Christmas presents that
we received from Mission Christmas was
outstanding and staff were overwhelmed
by this display of generosity. Coming
into hospital during the winter festive
season can be especially distressing for
children and families – the incredibly kind
donations of gifts from members of the
local community therefore helped us to
make those hospital visits more pleasant
and enjoyable for the children and young
people who needed to use our services
over Christmas.
“Additionally, with 150,000 children
living in poverty in Greater Manchester
the generous donation that we have
received was a fantastic demonstration of
community support for people living in
circumstances that may be less fortunate
than others. I’d like to offer sincere
thanks to everyone who has donated
presents this year – this altruism helped
to make the lives of a significant number
of children and young people better over
the course of the festive period.”
Sister Andrea Fielding said: “We were
thrilled when we saw the huge amount
of gifts which the people of Greater
Manchester had donated. Because of
the sheer number of presents, we shared
them with our paediatric outpatients
department at North Manchester General
Hospital and the Urgent Care Centre at
Rochdale Infirmary.
“The gifts ranged from toys for a baby’s
first Christmas, to scooters, easels,
crayons, dolls, and other items for our
older children.”
Lisa Forshaw, clinical matron, added:
”We can’t thank Key 103 and its listeners
enough for the generosity they have
shown in giving up their own money to
make Christmas a happier time for those
children who are either under privileged
and won’t receive a present on Christmas
morning, or those children who are
unfortunately ill over the Christmas period.
“Our staff handed out the toys on
Christmas Eve, Christmas Day and Boxing
Day to those seriously ill or injured
children who had to come into A&E.”
News - Trust stories
Evolve super user tells all
AS the launch date for the new Evolve
electronic document records management
system approaches, we talked to ‘Super
User’ Cathrine Stanley, medical secretarial
supervisor - Oldham - elective access,
who has been working with the Evolve
training team and who will be providing
support to her colleagues when Evolve
goes live.
Cathrine, how did you come to be a super
I was a super user for G2 Digital Dictation
when it was introduced, so I had some
experience already of being involved
in helping staff get to grips with new
systems. As the secretarial supervisor for
the whole of The Royal Oldham site, I’m
aware that Evolve will have implications
for many staff in that area so I was
interested in being involved for that
reason as well.
What does being a super user entail?
I will be getting out and about, talking to
staff, giving them guidance and support
in using Evolve, helping with any queries
that come up and pointing colleagues in
the direction of the Evolve team when
necessary. Evolve isn’t a complicated
system and it is quite user-friendly so
people shouldn’t find it difficult to use.
What would you say to colleagues about
I think it will bring a lot of benefits
to the way we work day to day. It will
certainly make things much easier
having electronic case notes. I would also
say to colleagues, if you haven’t been
trained on Evolve, there is an eLearning
module that only takes 10 minutes so
they should have a look at that, at http://
index.html, or on the intranet at
Pictured are Cathrine Stanley with
Dr Shubhra Pradhan, clinical lead for
AMU, Dr Suresh Chandran, Dr Ritwik
Raychaudhuri, Dr David Thomson, Dr
Gabriel Yaacoub, Dr M Iftikhar and Dr
Steven Boodoo.
Key facts
What do you think will be the
challenges for colleagues?
Evolve isn’t hard to use but I think
that doing things differently will be
the main challenge and staff may
be apprehensive about the changes.
Once Evolve is up and running, as
I say, I think it will be much easier
than using paper case notes. I would
add that there will be a lot of
assistance when the system goes live
so staff will be well supported.
Electronic document records management
(EDRM) system for electronic case notes
Initial rollout in ‘early adopter’ specialties:
urology, paediatrics, diabetes and stroke
9 February 2015 Clinical Go Live with Evolve
in urology
FAQs at http://nww.pat.nhs.uk/servicesdepartments/evolve.htm
Support after Go Live - call helpline on
Health and social care integration in
North Manchester
THE Trust and Manchester City Council are involved in joint working on building integrated health and care arrangements in
North Manchester, as part of the Living Longer, Living Better (LLLB) integrated care programme.
LLLB will reform out of hospital health and social care services with the aim of co-ordinating and delivering them in a way that
achieves better outcomes for patients. This work is in line with the widely acknowledged national view that health and social
care services should be more integrated.
The Trust together with the Council are developing a wide range of innovative integrated services for the population of North
Manchester and will be an early implementer of the new models of health and social care delivery. These new models are
pioneering but build upon the progress in North Manchester over recent years on integrated care. Examples of the new models
include opportunities to transform the way intermediate care and re-ablement services are provided and configure teams of
health and social care workers based around four geographical neighbourhoods.
The proposals include full integration of key elements of adults’ social care services of Manchester City Council and the
community health services of the Trust. This work will begin during 2015.
There will be a number of engagement Q&A sessions led by Mike Houghton-Evans, strategic director families, health and
wellbeing from Manchester City Council and Hugh Mullen, Pennine Acute executive director operations, which will give staff
the opportunity to talk about the proposals.
Steve Taylor, divisional director for integrated and community services said: “A key focus of this work is to integrate health and
social care services around the patient ensuring that the health and social care delivered to patients is joined up, needs led and
effective. This is a very exciting programme of work that has the potential to transform the care and services patients receive.”
In the news
February 2015
Pharmacy increases links with
patients in the community
OVER the past 18 months, the pharmacy
department at NMGH has become increasingly
involved in providing support to patients
within the community setting.
Medicines remain one of the biggest
interventions in healthcare and the link
between adverse drug reactions, non
adherence to medicines and admission to
hospital is well established and increasingly
prevalent, as the pressure on hospitals
continues to rise.
There is currently a team of pharmacists
and pharmacy technicians working within
community services, providing support to
intermediate care facilities, the falls prevention
service and the crisis response service. Each
service has recognised the importance of
having support from a specialist pharmacist
in supporting patients with their medication,
enabling them to get the most out of their
medicines and reduce the risk of hospitalisation
as a result of poor medicines management.
Pharmacist Salina Callighan and technician
Stacey Walton currently support the crisis
response service. This involves visiting patients
at high risk of admission into hospital and
looking at ways to optimise medicines’ usage
to prevent this from happening. Salina said:
“Patients often have medicines
scattered all around their home
and so working out exactly
what they should be taking
can sometimes prove difficult.
However, helping a patient
at home is always rewarding
and there is a real sense of
achievement when you help make
a difference to a patient’s day to
day life.”
Technician Joanne Leach works within
intermediate care to assist patients with
managing their own medicines when
returning home. She said: “Often in hospital
patients are not responsible for taking their
own medicines, changes are often made
and they become confused about what they
are supposed to be taking. Whilst receiving
rehabilitation in an intermediate care unit they
are encouraged to take back that responsibility
to ensure they can manage their medicines
correctly when they return home.”
More recently pharmacists Gavin Ronaldson
and Salina have been involved in several
pilot projects looking at how the pharmacy
department can further support community
patients. Salina has recently spent time within
North Manchester Integrated Neighbourhood
Care (NMINC) with the active case managers
to develop a referral process for the patients
they see who may have medication related
Gavin and Stacey are currently working on a
pilot project to support patients when they
are discharged from hospital. Gavin said: “By
following patients up at home after discharge
it is hoped that any problems with medication
can be identified and dealt with in the
community, in conjunction with the patient’s
GP and local pharmacist in order to avoid
readmission into hospital.”
All members of the team have adapted
well to a new style of working that differs
greatly from working on a hospital ward and
feedback from colleagues has always been
positive. The pharmacy team hope that as
services continue to move into the community,
they can increase their presence and provide
further assistance to their colleagues and
patients alike.
The G4S Helpdesk is a dedicated 7-day, 24-hour service and should
be the first place you call when requesting periodic, rapid response
and deep clean activities across any of the Trust’s four hospital sites.
It should be noted that all sites have a 24-hour rapid response with
the exception of Rochdale, which ends at 10pm and starts again
at 6am.
Call your 7-day, 24-hour dedicated Helpdesk for any tasks or urgent cleaning requests:
0161 604 5343
or email g4shelpdesk.pennine@uk.g4s.com
The G4S Helpdesk operator will:
Take the details
Provide requester with a unique reference number
Generate a job request
Assign the task to the appropriate person
Ensure the specific task is completed within the contractual ‘response’ time
G4S Facilities Management
22/12/2014 09:27
In the news
Leg circulation service wins national
award to support better risk awareness
Ebola update
THE Trust’s Ebola emergency planning
group continues to meet fortnightly.
The infectious diseases unit at NMGH
is a specialist unit that has been
designated as a primary receiving
centre for any suspected Ebola
patients in Greater Manchester. The
Trust has robust plans in place to deal
with any suspected or positive Ebola
THE Manchester leg circulation service has
recently won a national innovation award
to support a project to improve patient
awareness about life threatening arterial
disease risks.
The award which was sponsored
by wound care company Urgo, was
presented to them at the 2014 Wounds
UK conference in Harrogate. The company
offered support to NHS teams wanting
to deliver innovative projects aimed
at improving the care of people with
diabetic foot problems.
The winning project from the Manchester
leg circulation team aims to raise
awareness of people with diabetic foot
ulcers about their high mortality risks
and to help them discuss and focus on
effective risk reducing interventions with
the support of health professionals who
regularly see them.
Centred around a visually striking poster
campaign, the project will seek to raise
mortality risk awareness in people with
established diabetic foot disease and
peripheral arterial disease (PAD), backed
up by a clinician and patient resource
pack to give clear, balanced information
on modifiable cardiovascular risks and
how best to reduce them.
Martin Fox, specialist podiatrist from
the Manchester leg circulation service,
said: “Diabetic foot problems are
often perceived by both the public and
clinicians to be associated with foot
ulcers, gangrene and amputation. Almost
all current NHS resources and services
involved with diabetic foot disease are
directed at dealing with these risks,
to help prevent potentially avoidable
amputations. However, most diabetic
foot problems also involve lower limb
PAD. This is associated with higher rates
of mortality than many of the common
cancers and there is still very little focus
on this issue. So although people with
diabetic foot ulcers or PAD have a higher
risk of dying early from associated
complications than they have of losing a
leg, there are no specific NHS initiatives to
inform these patients and clinicians of the
high mortality risks, or support them to
engage with the necessary key changes to
reduce the risks.”
Specialist nurse Lisa Smith from the
Manchester leg circulation service said:
“The team is very pleased and proud to
have been supported with this project
by Urgo and the awards panel, which
included international diabetic foot
experts Dr Mike Edmonds, Dr Jo McCardle
and Dr Paul Chadwick and Jill Cundell.
We have seen thousands of people with
diabetic foot disease in the last 15 years
in the various NHS teams we have worked
in and although great strides have been
made to help prevent amputations,
cardiovascular risk perception and
management has been relatively
neglected in these patients.”
Martin added: “Working with people who
have PAD and diabetic foot disease on
a daily basis, we find it is shocking how
unaware the vast majority of people are
about their associated risk of early death
and how little they know about how
to effectively reduce these risks. This is
despite the fact they see multiple health
professionals on a regular basis.
“Our project will focus on absolute
basics, raising awareness of modifiable
vascular risks and empowering patients
to understand and tackle them with the
help of the health professionals they
regularly see. The project is simply about
transferring the effective principles of
cardiac rehabilitation to diabetic foot
disease. We are not reinventing the
wheel; simply offering it to a population
of people who are not currently aware
of its importance to them. We would like
to sincerely thank Urgo and the expert
panel for giving us this opportunity to
help develop this ‘grass roots’ initiative.
We believe it will play a key role in the
ongoing battle with diabetes and vascular
disease, to save more lives as well as
Pictured, left to right: Dr Mike Edmonds
and Dr Jo McCardle (expert panel
members), Martin Fox (winner) and Rob
Nicholson (Urgo)
Over the past few months the Trust
has carried out a number of exercises
to plan and test our response for any
cases. As a precautionary measure
some patients who have shown signs
and symptoms of Ebola have been
routinely tested.
Staff are reminded to be mindful and
vigilant of Ebola when patients present
to our services, especially our A&E
departments/UCC. Updated information
and staff guidance is available on the
Trust Ebola intranet section.
Baking in Mark’s
MEMBERS of the radiology
department at The Royal Oldham
Hospital remembered a former
colleague with delicious cakes!
Radiographer Mark Chater who had
worked in radiology for a number of
years sadly died in 2014 and so his
friends and colleagues decided to
raise money in memory of him by way
of a charity bake-off.
Entries were judged in secret by the
staff in the department over a number
of days until radiographer Vickie
Spencer was crowned the winner with
her sticky lemon drizzle cake.
Donations to Macmillan in memory of
Mark totalled £105.
Check that
THERE have recently been a series
of incidents within the Trust where
patients have been given other
patients’ confidential information by
February 2015
Walk this way to a successful
podiatry open day at NMGH
When patients are treated at the
Trust their details must be checked for
accuracy and amended/updated where
Basic checks need to be carried
out before information is given to
patients to ensure that inappropriate
disclosures which result in
confidentiality breaches do not occur.
Always ensure that you check the
patient’s NHS number, hospital
number, date of birth, name,
address, GP details etc before you
amend, send or hand over personal
data such as discharge letters.
Check that the person receiving the
information should be doing so and
no-one else’s details are disclosed
Breaching confidentiality or sending/
disclosing wrong information may
result in the following:
Significant distress to patients
Delays in treatment and care
Disciplinary action for staff (up to
and including dismissal)
Damage to the Trust’s reputation/
bad publicity
A fine of up to £500,000 from the
Information Commissioner
Please raise this matter for discussion
during your departmental/team
Ensure sufficient checking mechanisms
are in place in your department to
ensure there is no risk of a breach.
Person-identifiable data includes:Person’s name, address, full post
code, date of birth
Pictures, photographs, videos,
audio-tapes or other images
NHS number and local patientidentifiable codes
Anything else that may be used
to identify a person directly or
indirectly eg initials
NB. a full postcode and date of birth
will identify a person in 98% of cases.
Please see the information governance
policy on the intranet for further guidance
or contact the information governance
manager trish.noon@pat.nhs.uk
AN open day to showcase the skills of the
hospital podiatry team was the first open
day of the newly created integrated and
community services division.
The event organised by the podiatry team
at North Manchester General Hospital
offered staff, the public and Foundation
Trust members the opportunity to view
the facilities and watch live treatment
Jenna Tilbury, specialist podiatrist said:
“We are very proud of the service we
provide within the podiatry department
and the open day was a great opportunity
to show staff and the public what we do
and the positive impact this has on our
patients.” Visitors also heard of how the
hospital podiatry team integrate with
community colleagues to provide a whole
system of care for patients.
Angela Greenwood, FT membership
Opened with an introductory talk from
manager, said: “The event was also
the service
attended by
“We are very proud of the service students studying
health and
Marshall, the
we provide within the podiatry
social care at St
team then
Matthews RC
invited current
High School. The
patients to
was a great opportunity to show students were
take part in the
staff and the public what we do individually
selected by
and the positive impact this has
which provided
entering a letter
visitors with first on our patients.”
hand information
explaining why
about the effect a
they felt they
condition can have on someone’s life and
should be given one of the event places.
how treatment from the team can be of
The podiatrists used this as an opportunity
to raise awareness of the importance
Visitors were fascinated by the treatments
on offer and explained that they would
not have traditionally related them with
podiatry. The podiatrists showcased
specialist foot assessment, scalpel work,
casting, acupuncture and ultrasound
scanning, as well as providing information
and advice on everyday foot problems.
of foot health, generate interest in the
profession and its wide scope of practice.
“The feedback the team received from
the 24 visitors was very positive, with
comments saying that it was one of
the best events they had been to and it
exceeded expectations.”
News - Trust stories
Delegates flock to
hear distinguished
A SPECIALIST north west emergency gynaecology
symposium facilitated by Pennine Acute Trust has
been hailed a resounding success.
Organised by gynaecology consultants Miss
Catherine Mammen, Mrs Rita Bhalla and Miss
Leena Tripathi (pictured below), the event
attracted over 100 delegates from across the north
west region, Liverpool and Derbyshire.
A year of FT membership
WITH nearly 12,000 members of the public signed up as Pennine Acute
Foundation Trust members, a variety of events were held for them during 2014.
The ‘Medicine for Members’ free events were held each month and
encompassed a number of different topics and specialties including a talk on
diabetes in January, a tour of the Urgent Care Centre at Rochdale Infirmary, a
talk on equality and human rights, and in February, G4S held an event on the
cleaning procedures at Pennine Acute.
In March there was a volunteering, work experience and career options open
day. Staff including a porter, healthcare assistants, a midwife, nurse and
matron gave inspiring talks about their typical working day and why they
chose their career, the qualifications and experience required. Over 100 people
attended the event, many of whom were health and social care students
from local schools and colleges. Attendees also came from the Manchester
City Council’s Regeneration Team, aimed at supporting people into paid
Dr Swayamprakasam, consultant anaesthetist gave a talk on pain management
in April, and in May a ‘Men’s Health’ event including prostate cancer took
place at Rochdale Infirmary along with an ‘Afternoon Tea & Tour’ of the new
dementia unit (ward 21) at Fairfield General Hospital.
Dr Sowden, consultant rheumatologist, gave a talk on arthritis in June, which
was very popular with 72 people attending and some great feedback. Twenty
six people attended an x-ray event in July where radiographer Mike Mackenzie
gave a detailed talk on the different x-ray procedures and radiology services at
Pennine, whilst September’s event saw the pharmacy team, with six snapshots
from staff on the different aspects of pharmacy work including the pharmacy
Other events have included emergency management and mitigation, arts and a
talk and tour of the laundry department at Fairfield.
Angela Greenwood, FT membership manager said: “We have had a very busy
year both recruiting new public members and engaging with existing members.
Our ‘Medicine for members’ events have become very popular. The feedback
we receive has been excellent and we always encourage members to come up
with their own ideas for future events. If you would like to hold an event to
showcase your service, either a talk, open day or tour of your department, to
let people know what you do, please email angela.greenwood@pat.nhs.uk.”
Engaging with the local community is all part of encouraging members of the
public to become FT members and so physiotherapists Leanne Stafford and
Rebekah Ashworth visited the sports therapy students at Hopwood Hall College
in Middleton in November 2014. They delivered a session on sports injuries and
physiotherapy to improve the students’ understanding of the different types
and causes of sports injuries.
The mix of consultants and trainees were treated
to an impressive array of keynote speakers of
experts in the field of emergency gynaecology and
ultrasound from across the UK.
Mrs Bhalla said: “The highlight of the day was the
keynote lecture by Miss Jackie Ross, consultant and
emergency gynaecology lead at Kings Hospital,
London. She is the Scientific Chair, Association
of Early Pregnancy Units, UK and is also the
gynaecology ultrasound lead coordinator at the
Royal College of Obstetricians and Gynaecologists.
Miss Ross spoke about rising trends in caesarean
scar and pregnancy and its management.
“The past decade has seen the rise of complex and
challenging cases in emergency gynaecology and
as the majority of consultants in the North West
deliver emergency care in gynaecology, it was felt
important to ensure that we kept up to date with
recent trends and evidence based practice in this
area. With this in mind, we organised the event to
ensure best practice for the benefit of our patients.
“As it was a very prestigious event we felt that it
would help put The Pennine Acute Hospitals NHS
Trust on the global map of early pregnancy units
in the UK as we were able to obtain international
guest speakers and raise sufficient funds to hold
the event at the Hilton Hotel, Manchester airport.”
Feedback from the event commented on the
excellent, very informative symposium which
saw delegates updated on recent advances in
the management of complex cases in acute
Mrs Bhalla continued: “Knowledge gained from
the event will be used and shared to ensure
that optimum modernised care is delivered to
our patients at Pennine Acute. The enthusiasm
delivered from this event has resulted in the
establishment of a core steering group in
emergency gynaecology in the North West. This
group intends to meet every quarter to improve
emergency gynaecology services in the north west
region and discuss management of difficult cases.”
Miss Mammen has been appointed as chair of the
north west emergency gynaecology steer group.
As part of the recruitment campaign for new FT members, the membership
office has been targeting people from hard to reach communities and so far
over 300 people from the BME communities have signed up as public members.
Over 500 young people have also joined the Trust as public members following
visits made to schools and colleges across the boroughs by Angela Greenwood,
FT membership manager.
Team talk
February 2015
you been
Team Talk takes place once
a month and is a way of
updating you about the
latest news from the Trust.
Team Talk
Senior management appointments
CHIEF Nurse - As announced just before Christmas, the Trust Board of Directors
has confirmed the appointment of Gill Harris as the Trust’s new chief nurse. Gill is
currently the chief nurse for NHS England, North of England. NHS England (North)
is one of four regional teams that support the commissioning of high quality
services and provides clinical and professional leadership, planning and operational
management. Prior to this, Gill was seconded to NHS North of England as deputy
chief executive and has worked as director of nursing and performance and director
of infection prevention and control (DIPC) at Wrightington, Wigan and Leigh NHS
Foundation Trust. Gill will take over from Mandie Sunderland who will be moving to
work at Nottingham which is closer to where she lives.
Acting Medical Director - From 1st February, Dr Anton Sinniah will take up post of
acting medical director. This will be for 12 months.
Divisional Medical Directors - As part of our new tripartite operational management
and governance arrangements for our five operational divisions, I am now able to
confirm our new divisional medical directors as follows:
Dr Jimmy Stuart – Medicine
Mr Ian Sheppard – Surgery
Dr Jonathan Moise – Women & Children’s
Dr Mike Gregory – Diagnostics & Clinical Support
Dr Ged Garbutt – Integrated Care and Community Services
These posts started on 1st January. This represents the next step in the establishment
of the Trust’s new triumvirate model for managing the divisions, which brings
together the divisional directors, divisional medical directors and the divisional nurse
directors as the leadership team for each division. This arrangement will enhance the
level of senior clinical input to the running of the Trust.
A number of other key appointments to the Trust’s management team will start in
post this month and in February:
Deputy Chief Nurse - Kimberley Salmon-Jamieson, previously deputy chief nurse at
South Manchester FT (UHSM), started in post on 1st January.
Director of Clinical Governance - Ursula Martin (also from UHSM) started in post on
1st January.
Director of Strategy and Commercial Development - Sandra Good takes up her new
post as from 1st January.
Head of Commercial Development - Steve Brooks takes up this new post on 1st
Head of Partnerships - Nadine Armitage from Salford Royal NHS FT starts in this post
on 16th February.
Executive Director of Workforce & Organisational Development – Jon Lenney,
currently at Wrightington, Wigan and Leigh NHS Foundation Trust, starts in post on
1st February.
A&E pressures and
THE last four to six weeks have been
extremely challenging for the Trust
in meeting the national 4 hour A&E
emergency access standard. The
Trust did not achieve the 4 hour
standard for October or November,
and did not achieve Q3. In addition
to the increased numbers of patients
attending A&E, delayed discharges
remain high. Our inpatient bed
pressures on our wards remain severe,
with very high numbers of patients
occupying beds both due to clinical
care and delayed discharges. This
pressure is also compounded by
high levels of staff sickness absence.
The senior management team will
continue to work with local health
and social care partners to review the
wider impact of these pressures on
the NE sector health economy and to
consider how our partners can help
us in the community and encourage
the public to consider other local
healthcare services.
THE Trust’s new Electronic Document
Record Management (EDRMS)
system, Evolve, went live in January
in paediatrics. Paediatrics will closely
be followed by urology, stroke and
diabetes, with all four specialties
expected to have case notes on Evolve
by the end of April 2015. From 19th
January patients’ paper case notes
for paediatrics will be scanned and
accessed online through Evolve. In
parallel some electronic forms are
also being introduced. Evolve will
be rolled out across the Trust during
2015. A staff training programme is
ongoing. More information about
Evolve, including FAQs, is available on
the intranet under Evolve.
Team focus - a day in the life of
Team focus on Mediscreen
occupational health and wellbeing
The 60 second interview
Michelle Waite is the health and wellbeing programme
manager. Her role is responsible for revising the Health and
Wellbeing (HWB) Strategy, and subsequent implementation
of the supporting action plan, to improve the health and
wellbeing of the Trust’s workforce.
PAHNT staff are its biggest asset. Accordingly, the workforce
focus high on the agenda and link in closely with the Trust’s vision for the
future and strategic goal to be ‘Employer of choice. We will value and respect
our staff and nurture their skills and talents to provide the best care.’
Therefore the primary purpose of my role is to provide leadership in
implementing the HWB action plan and supporting the HWB steering group to
formulate the action plan in order to deliver the vision and aims of both the
HWB strategy and the strategic goal of the Trust
What are the highlights of
your job/service?
Working with the highly professional and
knowledgeable team within the Trust’s
occupational health and wellbeing (HWB)
service as well as the ever expanding
team of HWB champions. The champions
do an amazing job of raising awareness
and promoting health and wellbeing in
general, taking the time to talk and listen
to colleagues about their health and
wellbeing and providing encouragement
to make lifestyle changes, as well as
signposting them to the right information
and support as appropriate.
What would make your
job/service better?
A budget / pot of money for low cost
incentives and some admin support would
be ideal. Everyone likes a freebie and to
have the ability to purchase small but useful
items for promotion and local events would
be great. Items such as pedometers to
encourage staff to get active, display boards
for use at events and colour printing for
promotional material would be great.
How has your job/service
changed in the last 12
The role is new and only commenced in
September 2014, so it is changing and
developing on a daily basis.
What don’t you like
about your job/service?
Being new to the role there are no
negatives, although there are always
things that can be developed and
improved to make the job/service better.
What is the current
biggest challenge in your
job/to your team?
Commitment and sign up from all
levels within the organisation. Health
and wellbeing is high on the national
NHS agenda. With the publication of
the NHS Five Year Forward View on 23
October 2014, the health and wellbeing
of our workforce is becoming more high
profile and we need to get more serious
about preventing avoidable illness. The
expectations of our workforce are high
and they are continually being asked to
do more with less to meet the demands
on our services. This is having a big
impact and getting all levels of staff
within the Trust motivated and signed
up to improving their overall health
and wellbeing and making those small
lifestyle changes is a big challenge,
especially in such a large, diverse
organisation covering multiple sites.
How do you see your role
Whilst the Trust has done a lot of work
over the last few years to address the
health and wellbeing of its workforce,
it has been fragmented. It therefore
hasn’t had the desired impact in
reducing absenteeism / presenteeism,
engaging staff, increasing morale or
improving patients’ / staff satisfaction and
Part of my role therefore is to review
where we are now, look at where we
want to be and develop a way of getting
there. This can only be achieved with
commitment and engagement from all
levels within the organisation, from Trust
Board down, including working closely
with staff side colleagues.
What aspect of your
job/service is the most
The ability to influence the health and
wellbeing agenda within the Trust,
working in partnership with staff side
colleagues and other members of the
health and wellbeing steering group.
This enables appropriate and accessible
support services and initiatives to
be implemented which focus on the
promotion of wellbeing and prevention
of ill health for all staff.
What word best describes
your job/service?
A typical day
The main aspect of my role is
developing and leading the
implementation of the HWB action
plan and ensuring programmes and
initiatives are accessible for all staff.
This will include raising awareness
via various methods and a typical day
may involve preparing articles for
the weekly staff bulletin, updating
and maintaining the HWB pages on
the Trust intranet and engaging with
stakeholders and other HWB leads to
connect, share and learn. Motivating
staff to get involved is paramount and
whilst we held site based events in
November to raise awareness of the
Trust’s health and wellbeing agenda,
linked to national initiatives, these
were the first of what is hoped will
be more to come. Watch out for our
‘Time to Talk’ event on 5 February
News - Trust stories
A hotline to Santa
THE postnatal ward at North
Manchester General Hospital had a
personal hotline to Santa in the runup to Christmas.
Hosting a post box which went direct
to the North Pole, children of patients,
visitors and staff could post their
Christmas wishes letter into the post
box and then receive a personal letter
back from the special man himself!
Local businesses also helped to
make the ward a festive haven
during December as ward staff
contacted various organisations to
see if they would be interested in
donating towards Christmas tree and
decorations for the unit.
Thanks to the companies who
donated so generously: B&Q Heap
Bridge, Bury for a 7ft Christmas tree;
Wilkinsons Arndale, B&M Harpurhey
and Sainsburys Heaton Park for
baubles; Wilkinsons Salford for £25 gift
voucher; Morrisons Heywood for wine,
chocolate, biscuits and toiletry gift sets;
Asda Eastlands for baby items, gift sets
for mums, decorations and chocolates;
Asda Radcliffe for £10 gift voucher and
decorations, and Kenneth Makin for
making the Santa post box.
All the baby donations were given to
babies on the unit on Christmas day
and the other food and drink donations
were raffled off so that gifts could be
purchased for mums who were giving
birth over the festive period.
Pictured is Belinda Jackson, postnatal ward
manager and Diane Makin, ward clerk.
February 2015
Flu campaign -
get your free staff
flu jab at a time and place that suits you
IF you are unable to make one of the pre arranged clinic times
then why not call the occupational health department
directly and arrange to go there to get your free flu jab?
You can also request that a flu nurse comes to your
department and your colleagues could also get their flu jab
done at the same time.
To book an appointment or request that a flu link nurse
comes to visit your ward or department, please call one of
the numbers below:
External reception - 0161 720 2727 or 0161 604 5214
Internal reception - 42727 or 45214
Find out more about the pre arranged flu clinics on the flu page on the staff intranet.
You can also download the consent form from this page.
Donations to
help children
enjoy time
in UCC
THE Urgent Care Centre at Rochdale
Infirmary has been lucky enough to
secure a piece of equipment from the
Starlight Children’s Foundation that is in
use in their distraction room.
The distraction cubicles were opened
last year and have proved an enormous
success in the UCC. The new piece of
equipment (pictured) provides a TV
facility and also has a DVD player and a
Staff in the unit are looking for
donations of children’s DVDs or games for
the Wii that are suitable for children to use. Any donations will be gratefully received.
Please contact Sister Jackie Gunn via email jackie.gunn@pat.nhs.uk or on 57023.
Infection prevention accreditation
Diary dates
1 Feb - National dignity day.
Events happening around the
Trust 2 to 6 Feb
19 Feb - Irritable bowel disease,
liver disease and research
presentations. 2pm to 3pm,
education centre, Fairfield General
THE antenatal
clinic at Fairfield
have achieved
their infection
Pictured left to
right are: Kath
Howell, unit
manager; Sandra
midwife and Ann
Taylor, infection
prevention nurse.
News - Trust stories
Stunning new artwork in Floyd unit
How to access
patient records
INFORMATION about a patient,
their medical treatment and family
background may be held on both
manual and computerised systems.
These records are Trust property but
a patient, or their family member can
apply for access. This information is
vital to the operation of the NHS and
is needed to give all patients the best
possible healthcare.
How to access patient records
STUNNING new artwork has been installed
in the Floyd neurological rehabilitation
unit at Birch Hill Hospital.
It is part of a department upgrade
with monies identified to improve the
environment for patients with dementia
care needs.
The Floyd unit is an 18 bedded unit
which provides a medium to longer term
comprehensive rehabilitation service to
patients who have a neurological disability,
which may have been caused by an
accident or illness.
A welcoming entrance now showcases
a bygone photograph of the Birch Hill
Hospital clock tower and other prints are
of local scenes from around the Rochdale
and Oldham areas. The main mural is
in the lounge area and is a striking view
of Hollingworth Lake at dusk (pictured
Karen Gaunt, Floyd unit manager, said:
“New furniture has also been purchased
for the lounge and dining areas, and
the rehabilitation flat. This has enabled
the areas to have a far more welcoming
and homely feel than a hospital clinical
“We have received hugely positive
comments from our current patients and
also previous patients who are attending
outpatient clinics on our upgrade. Staff
and visitors are also impressed as our room
signage has been improved and is more
user friendly.”
The mural and artwork was commissioned
with the support of Dave Gruber from the
estates development department who was
also tasked with project management for
the upgrade.
Karen added: “Huge thanks to Dave
and also Stuart the joiner for his
continued support. The Floyd unit estate
improvement programme is now almost
complete - just the final task of ridding the
unit of its brown paint!”
Trust partners up with LloydsPharmacy
to launch pharmacy-led clinic to help
ease the pressure on A&E
The Pennine Acute Hospital NHS Trust has partnered with LloydsPharmacy to trial
an innovative pharmacy-led clinic at its North Manchester General accident and
emergency unit.
The LloydsPharmacy First Care Clinic will provide free treatment by a clinically trained
pharmacist for minor injuries and ailments such as minor burns, scalds and earache
within 30 minutes of arrival and 15 minutes after triage. The service aims to improve
patient experience by reducing the wait time for treatment and provides increased
patient choice, as well as freeing up the A&E team which can be redeployed to
patients with more serious conditions.
Dr Jimmy Stuart, clinical director of urgent care at The Pennine Acute Hospitals NHS
Trust said:
“By choosing and using the right health services, patients can expect to be seen or
treated by an appropriate health professional. The First Care Clinic could be the
key to taking the pressure off emergency care which has seen attendance in A&E
departments soar. Together we have developed care pathways for 21 minor ailments
and injuries which can be treated by the LloydsPharmacy First Care Clinic and we’ll
continue to build on these as the clinic evolves.”
Patients have the legal right to access
their health records at any time. They
can ask to simply view their records or
receive a hard copy of them. Health
records are confidential so a patient’s
family members are not allowed to
view them unless they have been given
written permission to do so.
If a patient asks you how to request access
to their or a family member’s record, ask
them to fill in one of the forms below and
send to the Patient Health Records Access
Service, Health Records Department, The
Royal Oldham Hospital, Rochdale Road,
Oldham OL1 2JH.
Health record request forms
If a patient wishes to request a copy of
their health records please ask them to
complete the AHR1 form.
If a family member wishes to request a
copy of someone else’s health records - for
example if they are a parent and would
like to view their child’s records - please
ask them to complete the AHR2 form.
If a family member wishes to access the
health records of a deceased patient please
ask them to complete the AHR3 form.
If a patient’s legal representative wishes
to view their health records please ask
them to complete the AHR4 form.
If you would like further information on
accessing health records please view the
Guidance on Access to Health Records
document. Patients can also contact the
Pennine Acute Access to Health Records
team at The Royal Oldham Hospital,
Rochdale Road, Oldham, OL1 2JH or
they can phone them on Tel: 0161
656 1215 or 0161 778 5938 or E-mail:
News - Trust stories
February 2015
Thought for
the month
by Fr David Ryder
WE feel we are very busy people. We
have our work which takes up such a
big part of our daily lives, but there is
so much more; housework, shopping,
maybe caring for an elderly or infirm
relative, looking after the children.
We feel the pressures of life and
sometimes these pressures can feel
overwhelming. It is not just these
physical things that we have to do but
we are also bombarded with texts,
with emails and all the many choices
that we face each day. This age more
than any other before us has so much
crowding in on us so that we can be
In the midst of all this we need to
find a little space in our lives to step
out of the busy rush to bring a little
peace to ourselves so that we might
see what is really important. Father
David O’ Malley has written in his
book, ‘Prayers to start the day’: “I do
not need to fill my life with noise,
busyness or many people. At times
it is good to stop and let the dust of
activity settle: to know what I will find
in the silence. At first there maybe
some disappointment and restlessness,
but beneath, there is more: gratitude
for life itself, humour at my own
silliness, compassion for suffering and
a quiet wisdom distilled from a spirit
filled life. God’s truth is never far
If we seek some inner silence each
day there will be some restlessness,
particularly at first but we have that
opportunity to find so much more; an
awareness of our lives in relationship
to God, to each other and to our
world. As a departing member of the
spiritual care team I believe that is
important to seek out as we are part
of this network and have our part to
play in it; a part that no one else can
fill. May you seek those moments of
peace in our ever busy world.
British food fortnight
remembering World War I
BRITISH food fortnight was celebrated
across the Trust in staff restaurants, with
an array of classic British cuisine, using
seasonal produce.
highlighting food in the war, including
rationing and the national kitchens which
were set up for those who were in need
of help.
As part of the celebrations each site
developed a menu to coincide with the
World War 1 centenary.
At Fairfield General Hospital, samples of
trench cake which were traditionally made
by family members and sent to troops on
the frontline were produced and offered
for staff to try, as were Anzac biscuits.
Menu items such as maconochie stew, pea
soup and trench stew were served which
were staple favourites on the frontline.
Sites also produced display boards
Donations collected at Fairfield were
given to the local Lancashire fusilier’s
museum in Bury.
AKI alert introduced
AN innovative alert system that could help save the lives of patients with acute kidney
injury (AKI) has been introduced.
Clinicians will be able to use the alert, which will be flagged automatically on biochemistry
results, to support early identification and management of acute kidney injury.
Formerly known as acute renal failure, AKI is found in one in five hospital admissions,
with AKI-related mortality of 25%–30%. Up to a third of cases of AKI are preventable
and it is estimated that prevention could save up to 12,000 lives and between £130–£186
million every year. The cost overall to the NHS (excluding costs in the community) is said
to be between £434 million and £620 million per year, which is more than the costs
associated with breast cancer, lung cancer and skin cancer combined.
Dr Georges Ng Man Kwong, chief clinical information officer, said: “This simple but
effective innovation will alert clinicians and raise awareness of acute kidney injury and,
when applied through the AKI Care Bundle, a package of simple and vital steps to
improve care, will lead to improved patient outcomes. This is part of a wider regional
and Trust campaign to raise standards of care in relation to acute kidney injury in order
to save lives.”
For further information please contact georges.ngmankwong@pat.nhs.uk (chief clinical
information officer) or neil.mcauley@pat.nhs.uk (pathology lead based at Oldham).
Practical clinical exams to help
train doctors of the future
New TV for patients
THE Floyd unit at Rochdale has taken
delivery of a new 50” TV, courtesy of
Salford Mark Mason.
The new TV for the day room was
donated after Stewart Hardacre, a
member of Salford Mark spent nine
months recovering from total paralysis
following a nerve complaint.
He received outstanding care from
the 18-bedded unit which provides a
comprehensive rehabilitation service
to patients who have a neurological
disability, which may have been caused
by an accident or injury, and is now
back walking again.
Salford Mark Mason funded the TV from
the East Lancashire Mark Benevolent Fund.
SIXTEEN candidates from the North
Western, Yorkshire and London Deaneries
recently benefited from an educational
training day at Fairfield General Hospital.
Consultant in emergency medicine, Dr
Yasser Qureshi, said: “The course was
offered to trainees across the different
regions to introduce the Trust as an
avid teaching provider. I feel that The
Pennine Acute Hospitals NHS Trust has
all the potential to continue to deliver
educational programmes for our trainees
to help them in their
by far the postgraduate exams.
The consultants in Fairfield’s A&E
department conducted the day for
emergency medicine trainees appearing
in the Fellowship and
Membership exams of
“This was
the College of Emergency
best course
for OSCE
preparation that I
have attended.”
Starting with an
introductory lecture by
course organiser, Dr
Yasser Qureshi, the students worked
their way around 16 objective structured
clinical examination (OSCE) stations which
were designed according to the format of
the real exam conducted by the College of
Emergency Medicine.
“The whole activity was
conducted smoothly and
received an excellent
feedback from the
emergency medicine
trainees. In essence it was truly a fantastic
achievement by the A&E consultants
at Fairfield General Hospital, who
brought a good name to The Pennine
Acute Hospitals NHS Trust in providing
education for the higher specialist
Free event - 9 Feb
PROFESSOR Andrew Rowland is hosting
a free event which builds on his findings
in his report ‘Living on a railway
line’. The empowering practice and
inspiring innovation: fresh responses to
child abuse and sexual exploitation in
Greater Manchester is for all frontline
practitioners. More information from
Pipped at the post in charity football tournament
MEMBERS of the healthy weight team from the nutrition and dietetics department at Rochdale Infirmary recently took part in a
five-a-side charity football tournament.
Lloyd Bristow and Conor Donoghue represented Pennine Acute in the tournament with their team, Teamo Supremo.
Organised by the Dale Trust and Dale in the Community, the day raised £330 for Springhill Hospice in Rochdale after the 12 teams
competed at the Soccer Factory in Castleton.
Teamo Supremo showed that they were a force
to be reckoned with when they topped their
group and then lost in the final to Rochdale
Super League Rhinos.
Lloyd said: “It was terrific to have the opportunity
to represent the Trust in the local area for a
charitable cause. The competition was fierce but
fair and it was a shame we fell at the last hurdle.”
Presented with a runners-up trophy and a medal,
Conor said: “Overall it was a tiring yet thoroughly
enjoyable day. As we work as part of the healthy
weight team in Rochdale promoting healthy
lifestyles, it was great to see so many people
enjoying being active.”
February 2015
Staff celebrating academic success
in annual awards ceremony
STAFF members from all sites gathered at the Palmer auditorium,
Fairfield education centre in November to celebrate their
educational achievements.
The event, held annually and chaired by John Jesky, chairman,
and attended by Mandie Sunderland, chief nurse, and Justine
Steele, head of organisational development, is to recognise the
hard work and dedication of learners who have completed a
nationally accredited award during the previous twelve months.
The variety of awards presented not only reflected the wealth
of educational opportunities available at Pennine but also
acknowledged the huge contribution that staff make to improve
patient care by committing their time to enhance their skills.
The Health Education North West Trust apprentice of the year
was awarded to Samantha Thinneson, a HCA based at The Royal
Oldham Hospital. Sam was nominated for the award because
of her commitment to improving patient care by sharing best
practice and knowledge with her colleagues. She was also very
supportive of other HCAs during their learning experience, and
clearly displayed the Trust values in all aspects of her work.
John Jesky said: “I am both proud and honoured to be here
recognising the success of, and investment in, so many of you,
our employees. Your efforts and achievements make a difference
to patient care and service delivery. We are committed to the
development of our workforce to ensure that staff feel equipped
with both knowledge and skills to carry out their roles with
confidence, and meet the needs of the modern NHS.”
Managers are vital in supporting development of their staff as
this year alone saw over 350 members of staff supported by
the learning and organisational development department and
training partners to achieve a nationally accredited award.
“We are committed to the
development of our workforce to
ensure that staff feel equipped with
both knowledge and skills to carry
out their roles with confidence, and
meet the needs of the modern NHS.”
Blossom Appeal funds complementary therapy
sessions for breast cancer patients
LOCAL breast cancer charity the Blossom Appeal is funding new complementary therapy sessions for breast
cancer patients at The Royal Oldham Hospital.
Therapist Salma Chaudhry will be giving patients a choice of foot or chair massages before or after they receive treatment in the
chemotherapy unit at the hospital. A fully trained hypnotherapist, she will also be supporting patients with needle phobias and
giving stress management advice on breathwork techniques.
“Chair massages are much more comfortable for patients who have had surgery,” she explains, “where lying down for a full
body massage would be uncomfortable at best and quite painful at worst. Instead, patients sit fully clothed in an ergonomic
chair which supports them properly while I deliver a soothing massage over a towel, so they don’t have to worry about getting
The Blossom Appeal helps to provide better facilities for patients and new equipment that the NHS cannot afford for both North
Manchester General Hospital and The Royal Oldham Hospital.
Charity Treasurer and Macmillan breast care nurse specialist at North Manchester General Hospital, Frances Rosenberg added:
“We already fund aromatherapy massages for patients at North Manchester General Hospital and The Royal Oldham Hospital as
well as acupuncture for patients at The Royal Oldham Hospital so we’re delighted to be able to fund this additional therapy.”
Staff room - noticeboard
February 2015
Staff noticeboard
Happy 50th
A BIG happy 50th to Diane Buckley
Charity fun day
who works in children’s outpatients
at Fairfield. She celebrated her big
birthday on 12
January. Lots
of love from
Margaret, Sue,
Tracey, Angie,
Carol and all the
SWITCHBOARD staff held a charity fun day for Blood Bikes
in November.
With a tombola, raffles, lucky dips and a cake sale, a
fantastic £287 was raised which Steve Moss and Eileen
Claybourn presented to the charity.
Blood Bikes provides urgent out of hours transportation of blood products and
similar medical supplies free of charge to the NHS.
Thanks for your
Farewell to Miss Jones
A CONSULTANT with 25 years service at North Manchester
General Hospital is due to retire from the Trust at the end of
THE resuscitation department would
like to say thank you to all the
resuscitation link trainers across the
Trust, but this year there are a number
of staff who have made a significant
contribution to the programme.
Miss Amanda S Jones, consultant in obstetrics and
gynaecology, started her consultant work in 1990 at NMGH,
having previously been a senior registrar from 1987.
Tracey Bidwell (Pharmacy, FGH)
As a keen educator she has trained many of the consultants
currently working across the region and was admissions tutor for Manchester
Medical School for five years. She was the Foundation Programme director and was
there at the inception of the Foundation Programme, with close support from the
North West Deanery.
Pat Dunbar (Pharmacy, FGH)
Elizabeth Walker (Pharmacy, FGH)
Suzanne Williams (Pharmacy, FGH)
A college tutor for the Royal College of Obstetricians and Gynaecologists, Miss
Jones has just finished editing a book for the MRCOG part two examinations, to be
published by the RCOG.
Emily Thomason (Ward 11a, FGH)
With plans to spend more time after retirement with her husband Alwyn, the couple
will be travelling across Europe in their camper van and spending time at home
growing their own vegetables.
Paula Gwilt (Theatres, RI)
Esther Fielden (Theatres, RI)
Michael Hudson (Theatres, RI)
Ann Lake (Outpatients, RI)
Miss Jones has been a great source of inspiration for trainees with her educational
roles and invaluable support for her colleagues across the Trust. She will be greatly
missed. Friends and colleagues wish her a long and happy retirement.
Kath Brearley (Day surgery unit, RI)
Karen Mill (H4, NMGH)
A retirement buffet will be held in the antenatal clinic at NMGH on 18 February,
between 1-2pm. Friends and colleagues are welcome to attend.
Cheryl Di-Silva (F5, NMGH)
Helen Doherty (F5, NMGH)
Davina Yates (C3/4, NMGH)
Jingle bells and jumpers in
booking and scheduling
Mandy Mason (Pharmacy, NMGH)
Susan Brooks (Children’s ward, NMGH)
Linda Devaney (Children’s ward, NMGH)
Ruth Keating (G3, TROH)
THE booking and scheduling department at Rochdale Infirmary entered into the
spirit of Christmas for charity on 12 December, by holding a Christmas jumper
day in aid of Save the Children.
Louise Edmundson (F9, TROH)
Susan Grange (Pharmacy, TROH)
An amazing £202.50 was raised as the staff pulled out all the stops, adopting a
wardrobe full of colour and festive cheer.
Tom Hardman (X-ray, TROH)
Kathryn Munir (Physio, TROH)
Kirsty Bather, Becky Goodwin and Isma Khatoon, took first place with their elf
costumes, but all the staff should
get a special mention for the time
and effort put into their outfits.
Natalie Bush (Physio, TROH)
Janet Nicholls, head of booking and
scheduling, said: “It was a really
good day, everyone entered in to
the spirit and I would like to thank
Helen Johnstone for organising the
fundraising event.”