ISSUE 11 JUNE 2012
KEY INFORMATION FOR PRIMARY CARE PRACTICES AND PRACTITIONERS
Prestigious Award HONOUR FOR
for Diabetes Team LEAD BREAST
Professor Sarah O’Brien, Diabetes Nurse Consultant
and Professor Kevin Hardy, Diabetes Consultant
St Helens & Knowsley Teaching The Diabetes Team’s award-winning
Hospitals Specialist Diabetes Team education programme, Diabetes
have won yet another national award. Education through Adult Learning
Winning the Silver Award in the (DEAL) beat off competition from
Department of Health’s, Diabetes UK twelve finalists to secure the Silver
and NHS Diabetes sponsored National Award whilst the North Mersey
Diabetes Quality in Care (QIC) Diabetes Network, won ‘Partnership Congratulations to Miss Leena
Programme, in the most ‘hotly’ Working of the Year.’ Chagla, leading Breast Surgeon
contested category of best initiative at St Helens & Knowsley Teaching
supporting self-care. Hospitals, following her appointment
as the Quality Assurance Surgeon for
Good News for Patients with the North-West National Health
Breast Screening programme.
Miss Chagla has additionally been
a real fear for the Dentist presented with the Liverpool and
North-West Surgical Trainer and
The Trust’s Oral and Maxillofacial specifically for patients who may be Teacher of the Year Award at the
Department have introduced a anxious, phobic or have concerns Liverpool and North-West Annual
specially designed local IV sedation regarding undergoing any minor oral Surgical Dinner held at the Maritime
service to support GPs, dentists and surgery procedures. These patients can Museum in December 2011.
nurses with patients who have a now opt for IV sedation in conjunction
This prestigious award is decided by
genuine fear of minor oral surgery with local anaesthetic which is an ideal
all the trainees in the North-West and
procedures. way of treating these patients instead
the Training Committee, based at the
The good news is that the service of them having to travel to Liverpool to
Deanery. “It is good to know that the
which is based at St Helens Hospital is undergo a general anaesthetic.
future of our junior doctors is in safe
For further information contact: Anita Smith,
Clinical Services Manager on: 01744 646753
This non-diagnostic service will be at
selected appointment times and will
need to be booked in advance. The
best time for this type of scan is between
25 and 30 weeks of pregnancy.
Two packages are available:
Package 1 includes:
• 20 minute scan appointment
• 4 Thermal prints
• CD Rom containing a selection
of 3D images
Package 2 includes:
• 20 minute scan appointment
• 4 Thermal prints
• CD Rom containing a selection
of 3D images
• 10 minutes DVD of scan
For appointments please
enquire at Maternity
Ultrasound Reception or
Telephone 0151 430 1378
This service is only available to patients
under the care of the Trust.
LIGHT THE WAY FOR PATIENTS
The Regional Mersey Burns Plastic and Reconstructive Surgery Unit Together with our internationally recognised clinical expertise we aim
has developed its services to enhance the treatment options available to offer the very best service with maximum flexibility and minimal
for NHS patients. downtime.
The laser developments also allow the opportunity to provide a service for Using innovative multiple laser platforms, we can now treat a
self-paying patients to access services no longer available on the NHS. remarkably wide range of both medical and cosmetic conditions -
Our new state-of-the art medical and cosmetic laser facilities are from laser hair removal, vascular and pigmented lesions or blemishes,
unmatched in breadth of applications and efficacy within the region. tattoos and scars even a verruca on the foot or a wart on the chin.
The list of available treatments includes:
Long- lasting hair removal, including those individuals for whom
this may be available on the NHS such as those with hormonal disorders,
or for whom stoma care is difficult, as well as general ‘cosmetic’ use for
legs, under-arms, bikini lines and face. Unlike some high-street services
run by beauty therapists, the sophisticated range of lasers available to
our consultant surgeons and experienced medical staff allows safe hair
removal even for those with darker skin types.
Vascular lesions including birth marks such as port wine stains,
thread veins commonly on the face and legs (telangiectasia) or
caused after radiotherapy of the breast or elsewhere. Rosacea and
spider veins are other common treatable problems.
Treatment of scars from any cause including burns, as part of the
Mersey Regional Burns Unit. Non-genital warts, such as on the
face and other similar problems such as verrucae, molluscum
contagiosum, skin tags and xanthelasma (yellow eyelid patches). Unit welcomes
Fractionated and resurfacing lasers (Carbon-Dioxide and Erbium)
which are the lasers commonly used for facial skin resurfacing
such as "laser face lift" or "laser peel" type treatments, which can
Mr Hamid Tehrani
help with acne and other types of scars, improve skin tone in sun
damaged skin, and provide general wrinkle-reduction and skin The Regional Burns, Plastic and
tightening. Some types of skin cancers can also be treated with Reconstructive Surgery Unit are
these lasers, helping to avoid surgery in selected patients often pleased to welcome Mr Hamid
with excellent cosmetic results. The new generation of Tehrani as Consultant Plastic &
fractionated lasers leave microscopic gaps in the treatment areas Reconstructive surgeon.
so that healing is much quicker, resulting is less "down-time" with With a specialist interest in skin
accelerated recovery, as well as the option for awake treatments cancer management and Mohs
using local anaesthetic cream.
surgery, Mr Tehrani joins the
Regional Specialist Skin Cancer
Tattoo removal: our laser suite provides the best opportunity to Multidisciplinary team based
remove tattoos without the scarring associated with surgery. at Whiston and St Helens.
This appointment will further
enhance the provision and
range of treatment options
available for patients including tumour resection,
reconstruction, lymphadenectomy and sentinel node biopsy
and combined with expertise from Dermatology, Oncology and
Radiology teams who make up the Regional Specialist Skin
Having developed his skin cancer interest in London and
Cambridge, Hamid further enhanced his research experience
by completing an MD on non-melanoma skin cancer and has
overseen a number of further research projects and degrees.
He has also published and lectured extensively on skin cancer
diagnosis and management and is a trainer on a number of
undergraduate and postgraduate courses. Following on from
his specialist Plastic surgery training in Liverpool he undertook
For a comprehensive and detailed list of lasers and the conditions further training and developed his extensive expertise to train
we can treat please email:firstname.lastname@example.org in the specialised field of Mohs surgery and histology at the
prestigious Mohs unit of Cardiff University Hospital.
We welcome both written and faxed referrals. Referrals to Mr Tehrani can be made via choose and book,
Fax: 0151 430 1855 email: email@example.com letter or faxed referral to 0151 430 1855 For further
For all self-paying patient enquiries please contact Hazel Knowles information on the Regional Burns Plastic and Reconstructive
Surgery unit please contact Tracey Walker, directorate
via email: firstname.lastname@example.org or Tel: 0151 430 1901
Manager on 0151 430 1294 or email@example.com
RESUSCITATION TRAINING ON OFFER
St Helens & Knowsley Teaching Hospitals Resuscitation Services
Team Invite Nominations to Access its Specialised Training
You are cordially invited to nominate delegates to The Immediate Life Support Training (ILS)
access the Trust’s wide range of resuscitation training The course provides an individual with essential
and education packages. This comprehensive knowledge and skills to manage an adult in cardiac
education and training includes bespoke training in arrest for the short time before the arrival of the
resuscitation related subjects and the following: cardiac arrest team or emergency services.
• Mandatory hospital life support training The ILS course teaches the following subjects:
• Bespoke Training for emergency treatment of • Causes and prevention of cardio-respiratory arrest
anaphylaxis • The ALS algorithm
• Use of automated external defibrillators • The ABCDE approach
• Resuscitation Council (UK) life support courses. • Initial resuscitation and defibrillation
• Clinical assistance and guidance to ensure policies • Airway
and guidelines are followed.
• Targeted training (can include Anaphylaxis etc)
• Compliance to resuscitation policies, techniques
and practices • Cardiac Arrest Scenario Teaching
• Resuscitation Audits All successful candidates will receive a Resuscitation
• Advice and support Council (UK) certificate valid for 1 year.
Provided by highly qualified trainers with specialised
qualifications in both adult and paediatric advanced life
For further information on courses and fees
support, the Resuscitation Services Team regularly
support the Medical please email: firstname.lastname@example.org
Emergency Team or telephone 0151 430 1724/1888
within the Trust.
Photos couresy of Alex Rawlings
in on St Helens & Knowsley Teaching
Hospitals Sexual Health Services
Having significantly expanded and developed its to ensure the high quality of care available in our
wide range of sexual health services across the current community settings are in place in other areas.
region including winning the tender for Halton and Patient can be referred using the current pathways,
St Helens PCT’s Community Sexual Health and through choose & Book or by telephone on:
Sexual Health Improvement services, the team have
increased health promotion and condom distribution
campaigns, specialist contraception, HIV care and 0845 155 0156
psychosexual therapy. The Trusts Sexual Health Department works very
The department are further developing and closely with partner agencies including other
managing ‘GET IT ON’ and ‘CaSH’ websites, hospital departments, local PCTs and Community
accessing social media tools and are able to direct Trusts, GPs, the Local Authorities, the Colleges, the
the public to specialist, targeted advice and Voluntary Sector and both of the Universities in
information. Providing an easy to remember Liverpool.
telephone number advising callers of clinic opening
times and general enquiries . CaSH provides condoms
The Team offer a variety of training in sexual and under the national C-
reproductive healthcare, STI care and HIV including card scheme for 13-19-
bespoke classroom training qualifications such as year-olds in St Helens
the Sexual Health and Reproductive Health and co-ordinates a
Certificate for nurses, and the Diploma of the Faculty condom distribution scheme for
of Sexual and Reproductive Healthcare (DFSRH) for people of all ages via GP surgeries in Halton
doctors. and St Helens. If you are a Halton or St Helens GP
The sexual health service has a reputable interaction not yet in the scheme and would
with the community through its various services, like further information on
health improvement campaigns, and by participation how to provide free condoms
in research projects. Currently the service is to your patients, please ring
participating in research into the uptake of 0845 155 0156
Long Acting Reversible Contraception (LARC)
within Halton & St Helens.
We have several community sexual health (family
planning) clinics located across Halton and
St Helens, including St Helens Hospital which all
complement each other to provide the full spectrum
of sexual healthcare. Some of our clinics offer
specialist services such as young people’s care,
psychosexual therapy and erectile dysfunction, the
assessment of unintended pregnancy, HIV care and
specialist STI or contraceptive care.
The team are very keen to work with the newly
formed clinical commissioning groups in all localities
St Helens and Knowsley Teaching Hospitals
Cytology Service – HPV Testing
Whiston Laboratory has recently introduced HPV testing on
Gynaecological LBC samples taken.
The key benefits of this test are to achieve rapid identification
of high grade disease, reduce anxiety and improve quality of
service to women by improved management of ‘non-
significant’ low grade abnormalities and reduce the number
of follow up smears resulting in shorter overall patient
Part of the challenge in HPV implementation has been
informing all user groups of the changes involved. The
Laboratory has been working with North West Cervical
Screening Quality Assurance Reference Centre and PCT leads
to disseminate information. There have been training
events/updates for sample takers at various venues which
have sparked much interest from GP’s and Practice Nurses,
For anyone who has been unable to attend the training days,
there is now online HPV learning available,
via http://nwengland.nhslearn.com/ provided by the NHS
Cancer Screening Programme, North West Cervical
Screening Quality Assurance Reference Centre.
Gynaecological Cytology Services have recently collaborated
with Warrington Hospital and are now reporting approx.
3,600 samples each month whilst continuing to maintain the
14 day target turnaround times (TAT). The lab achieved full
pass/accreditation status with the Clinical Pathology
Accreditation (UK) Ltd and as part of this assessment, a GP For further information please email:
user satisfaction investigation was carried out which reported email@example.com
‘a seamless changeover of service’ had been achieved during
the combining of services.
Top Score For Breast Feeding
Patient Safety Team News...
The Trust has received the highest ever score
given to Trust’s in England for patient safety,
in a NHS Litigation Authority Level 2
Feedback from assessors was extremely
positive with them commenting on the warm
welcome, enthusiasm and high levels of
motivation in staff they met on wards and in
Having passed Level 2 so well, the assessors
have recommended that the Trust should St Helens and Knowsley Teaching Hospitals
undertake Level 3 assessment in the coming Breast Feeding Team is currently in the process
year as this would appropriately reflect the of progressing through the ‘Baby Friendly
Trusts commitment to safety. Award’ and will be assessed by the UNICEF
Baby Friendly Initiative in the next few months.
The Assessors also praised staff responsible
AND…. The team were honoured to be invited
for organising the assessment for the high
recently to steward the UNICEF baby friendly
level of planning and organisation of evidence annual conference, which attracted international
that had made the assessment speakers and delegates.
Spotlight on Radiology....
The Department of Radionuclide
Radiology (Nuclear Medicine)
What’s New? What is Nuclear
The department has long been one of the busiest
in the region, but is set to become busier with the
exciting news that the Trust has invested in the
Nuclear Medicine is an integral part of the Radiology
installation of a second gamma camera early in the
Team within the hospital and provides an extensive
spring. This will be situated at the St Helens
service which uses injected radioactivity to assess
Hospital site which will improve patient choice and
patients. A more functional type of imaging than
will put us on a par only with the Royal Liverpool
most radiological studies it undertakes the
Hospital locally in having more than one camera.
diagnostic test for the most common general
The new camera will have an integral 4-slice CT investigations such as bone scans, renograms and
scanner which helps to improve anatomical white cell scans.
localisation and diagnostic confidence in certain
Some of the department’s more specialised studies
include HIDA scans which assess biliary function;
Whilst the department has always happily DaT scans which helps to differentiate Parkinsons
accommodated GP requests for radionuclide studies disease from other Parkinsonian-like syndromes.
this additional capacity will improve patient access Meckel’s scans, red cell scans which are used to
and potentially offer the opportunity to you as assess gastrointestinal tract bleeding, thyroid scans
primary care clinicians of doing bone scans prior to and HMPAO scans which look at the activity of
referral which may help to improve the patient inflammatory bowel disease. Whilst most of these
journey in certain patient groups. are specialised investigations with quite narrow
Examples of suitable referrals may include bone pain referral criteria, requests for bone scans in
in patients with a previous history of malignancy and particular are not restricted to secondary care.
patients with pain around hip prostheses wishing to Cardiac perfusion studies (which are reported by
exclude loosening. Consultant Cardiologist) account for a large amount
As always we are very happy to discuss cases for of the workload in the department.
advice about appropriate imaging strategies. The most significant part of our workload however
is related to the large regional skin cancer service
based at Whiston Hospital. Most patients with
For further information malignant melanoma are offered sentinel lymph
Tel: 0151 430 1363 node biopsy as part of their management and this
requires complex imaging in our department prior
to surgery. Whiston is the only centre in the locality
providing this, not only do we provide this service to
patients from Merseyside, Cheshire and West
Lancashire, but also those from North Wales and the
Isle of Man. Having started with around 40 cases per
year in 1999, we are now undertake around 250
cases per year making us one of the largest units in
Left to right: Jenni Kelly, Senior
Radiographer, Jon Winfield, Senior
Radiographer and Maureen Caffrey,
MEET THE NUCLEAR MEDICINE TEAM
Dr Andrea Howes Mrs Jenni Kelly
Consultant Radiologist and Radionuclide Senior Radiographer
Radiology Lead / Radiology Lead for skin cancer Miss Rachel Taylor
Dr John Herbert Senior Radiographer
Consultant Radiologist Mr Jon Winfield
Dr Nirav Patel Senior Radiographer
Consultant Radiologist Mr Gary Mason
Mrs Maureen Caffrey Radiographer
Referral Informati GP
An expert team pe
on rforming over
Along with plain
ions each year film imaging,
for diagnostic, in Radiology welcom
terventional and es direct
therapeutic serv referrals from GP
ices and using 's for all imaging
the latest imagin modalities includ
g equipment and ing:- CT, MRI,
techniques. Ultrasound, Fluo
GP’s requested 48 Medicine, Dexa.
examinations to All requests are
support their reviewed to
on-going manag ensure the approp
ement of their riate
patients from Apr examination is pe
il 2010 to March rformed based
2011. This is equi upon the clinical
valent to 22% of information
all referrals. given.
Spotlight on Radiology continued...
CT Colonography is replacing the Barium Enema because it is a more sensitive
examination for identifying small polyps. It also has the advantage of being able
to CT stage patients if a malignancy is found.
Because of our new 64 slice CT scanners we
can provide calcium scoring in accordance
with NICE guidelines for patients with recent
onset chest pain. If further investigation is
required following this procedure this can be
done through a consultant referral.
Cut Out and Keep
ACCESS TIMES FOR PLAIN FILM (X-RAY)
FOR ALL OTHER MODALITIES
CALL: 0151 430 1013 / 01744 646903 FOR AN APPOINTMENT
Open access for Plain Film Requests is available
on all sites at the following times.
Appointments can be given if required by ringing 0151 430 1194
9.00am – 4.30pm Monday – Friday Out Patients X-ray Dept.
Level 1 Yellow Zone
9.00am – 7.00pm Monday – Friday Emergency Radiology Dept.
Level 0 Red Zone
9.00am – 12 noon Saturday & Sunday Emergency Radiology Dept.
Level 0 Red Zone
ST HELENS HOSPITAL
9.00am – 7.30pm Monday X-ray Dept.
Ground Floor Orange Zone
9.00am – 5.30pm Tuesday – Friday X-ray Dept.
Ground Floor Orange Zone
9.00am – 6.30pm Monday - Friday
9.00am – 4.30pm Saturday – Sunday
9.00am – 4.30pm Monday - Friday
St Helens & Knowsley Teaching Hospitals Diagnostic waiting times are:-
MODALITY AVERAGE WAIT
Plain film Open access no wait
CT 10 days
MR 8 days of GP reports are
50% reported within
of GP reports are
9 days 93% reported within
IS WELCOMING CLINICIANS TO ATTEND ANY OF THE FOLLOWING FREE
CLINICAL EDUCATION FORUMS
DATE VENUE TOPIC SPEAKER
Mr Anil Kaul,
Consultant General Surgeon,
Lecture Theatre, Education Upper GI ‘Collaborating
Wed 11th July & Conference Centre, with Primary Care to Barbara Ashall, Upper
Evening Event Whiston address a growing problem Gastrointestinal Nurse
Specialist and other
members of the team
Whiston Anaesthetic Seminar When to refer to Julie Dawson
Thurs 4th Oct Rheumatology /Ruth Sephton
Room 3 Whiston Hospital
Seminar Room 3, Neurology Movement Dr Steiger,
Wed 17th Oct Education & Conference Disorders Consultant Neurologist
Seminar Room 3, Dr Rikki Abernethy
Management of Chronic
Wed 28th Nov Education & Conference and Rheumatology
RA in the Community
All forums start at 12.30 with a light lunch, presentations commence at 1pm for approx. 40 – 60 mins.
Free parking is available in the Trust’s Multi-Storey Car Park
PLEASE NOTE THAT ALL FORUMS ARE BEING HELD IN DIFFERENT VENUES
AROUND WHISTON HOSPITAL – PLEASE CHECK VENUE PRIOR TO ARRIVAL.
To book your free place contact Gaynor Whistlecroft on 0151 676 5938 or firstname.lastname@example.org
As allergic disease is steadily increasing in children and
young people, the Paediatric Respiratory Team
at St Helens and Knowsley Teaching Hospitals recognised
a need to improve local allergy services.
In an attempt to support younger patients and their
families, the team have developed a Paediatric Multi -
Disciplinary Allergy Clinic.
There has been investment in staff training and education
to start a much needed local service for children with food
allergies led by Consultant Paediatricians ; Dr Amegavie
AMD Eye Catchers is a support group based within and Dr Elbadri .
the Eye Clinic at St Helens Hospital. This group
They have established a Paediatric allergy service with the
was set up by both staff and patients who attend clinical expertise of a Paediatric Dietician, Lucy McAteer,
the clinic who suffer with Age Related Macular and the Trust's Paediatric Respiratory Nurse Specialist,
Degeneration. Michele Harrop.
Eye Catchers aim to provide support and offer up to Younger patients and their families now regularly benefit
date information regarding Macular Degeneration, from this service and the on-going enhancements made in
early signs and symptoms and the importance of providing protocols, investigation pathways, self-
management plans, all
of which are designed specifically for each patient together
Eye Catchers also take part in fund raising events with the development of specific patient information
which helps raise money for this valuable service leaflets.
for patients living within the St Helens and Referrals to the Paediatric Allergy Service can be
Knowsley areas. made via Choose and Book or by fax to 0151 676 5211.
For further information on the service and the Paediatrics
Anyone wishing to attend group meetings can
Units many other services please contact: Sally Duce,
contact 07580 197537 Directorate Manager/Lead Nurse, Paediatrics at
email@example.com or by telephone on 0151 430 2478.