Cancer survival rate soars by nyut545e2

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									                                                                                                                          Imperial College Healthcare




                                                                                                                          NEWS FROM ALL ANGLES
                                                                                                                               17 DECEMBER 2007
                                                                                                                                        ISSUE 06

                                                                                                                                              IN THIS ISSUE

Cancer survival rate soars                                                                                                                    View from the top
                                                                                                                                              In terms of human
                                                                                                                                              resources, the key priority is
Lung cancer survival rates in the Trust are up to double the national average, according to a new study.                                      to attract and retain the
                                                                                                                                              very best people at all levels
                                                                                                                                              within the Trust…
» Cymbeline Moore          NEW DATA which looked at
                           almost 750 patients showed that                                                                                    » PAGE 2
                           the survival rate at one year for
                           patients treated at Hammersmith                                                                                    Food, glorious food
                           and Charing Cross hospitals                                                                                        Charing Cross has been rated
                           between 2004 and 2007 was 52                                                                                       ‘excellent’ for the standard of
                           per cent, more than twice the UK                                                                                   its food in new data
                           average of 24 per cent.                                                                                            published by the National
                             The two year survival rate                                                                                       Patient Safety Agency.
                           similarly far outstripped the                                                                                      » PAGE 3
                           national average – 33 per cent
                           compared to 23 per cent.                                                                                           The year in review




‘‘
                             And information from St Mary’s                                                                                   From grand openings and
                           Hospital indicates that they are                                                                                   ministerial appointments to
                           also exceeding the national rates                                                                                  the birth of our new Trust,
The survival rate          on five-year survival rates.                                                                                       it’s been quite a year.
                             Dr Frances Bowen, lead clinician                                                                                 » PAGE 6
at one year for            for lung cancer at Hammersmith
                                                                  Members of the Hammersmith and Charing Cross lung cancer MDT
patients treated at        and Charing Cross, put together
Hammersmith and            the data presented at the British      and discuss all new cases, and        in radiotherapy treatment (3D
                           Thoracic Society earlier this month.   those that have significantly         radiotherapy) and waiting times.
Charing Cross                She said: “These figures show        changed. This way, staff get the        At St Mary’s, easy access to CT
hospitals between          we are getting excellent outcomes      benefit of their colleagues’ expert   scanning prior to first appointment
                           for our patients. The success is       opinion and patients get a much       enables a fast track to diagnosis
2004 and 2007 was          down to a combination of factors       better standard of care.”             and thus treatment.
52 per cent, more          including our excellent tele-            Other factors that may have           Dr Sarah Elkin, consultant at St
than twice the             conferenced MDT where physic-          contributed to the good survival      Mary’s, added: “These figures
                                                                                                                                              Christmas in the
                           ians, oncologists, surgeons, radiol-   rates include a 91 per cent lung      reflect the fantastic effort the
UK average of              ogists, pathologists and clinical      cancer tissue diagnosis (national     whole team makes to ensure            capital
24 per cent.               nurse specialists meet once a week     target of 80) and vast improvements   excellence in care.’’                 Christmas in London is
                                                                                                                                              brimming with possibilities.
                                                                                                                                              From the glowing lights to
                                                                                                                                              the outdoor ice rinks or

» All clear for Christmas                                                                                                                     kitsch pantomimes, the
                                                                                                                                              options are endless.
                                                                                                                                              » PAGE 7
                           WHEN IRIS VANNI was diagnosed            Iris, who lives with her husband    I have had excellent treatment.
                           with lung cancer in the summer,        Vito in Chiswick, said: “I just       I’ve really felt everyone has been
                           she was in complete shock and          thought I didn’t want to die and      working together and my care
                           thought she may never get to           was told that there was a small       was completely co-ordinated.
                           spend a Christmas at home with         piece of good news – I had a 50          “All the staff have been extra-
                           her granddaughter.                     per cent chance of being cured.”      ordinarily helpful and supportive
                             Six months later, she is looking       As soon as Iris was diagnosed       – people have always got back to
                           forward to the festive season          she had a biopsy which                me when I’ve had a question and
                           with the news she is all-clear.        confirmed the cancer and soon         I haven’t been left a single week
                             The 74-year-old first realised       after she began a course of           without contact. “Now with            Hero awards
                           there was something wrong when         radiotherapy at Charing Cross.        these       results     and     my
                                                                                                                                              The Hammersmith and St
                           a usually quick walker became          Earlier this month she was given      granddaughter coming over from        Mary’s Heroes were awarded
                           short of breath. A PET scan            the all-clear.                        America it’s going to be a            for the last time this month.
                           revealed she had lung cancer.            She said: “I’m such a lucky lady;   wonderful Christmas.”
                                                                                                                                              » PAGE 8


UK's first Academic Health Science Centre incorporating St Mary's and Hammersmith Hospitals in partnership with Imperial College London
2


Editorial
                                     In preparation for a better                                                                                                            View from the top
CRS                                  patient experience
go-live                              » Emer Scott                                                                                                                                               Ian Young, director of people and
                                                                                                                                                                                                organisation development

dates                                ONE OF the biggest changes in the
                                     NHS in recent years has been the
                                     steady reduction in waiting times.
                                                                                                                                secondary and tertiary hospitals.
                                                                                                                                   So what has been achieved?
                                                                                                                                Well, the backlog is being cleared.
                                                                                                                                                                                                  IT MIGHT SOUND remarkable but the AHSC is already
                                                                                                                                                                                                  nearly three months old. In terms of human resources,

revised                              And by December 2008, no
                                     elective patient should have to
                                     wait more than 18 weeks from
                                                                                                                                At St Mary’s, a mobile operating
                                                                                                                                theatre is enabling an additional
                                                                                                                                900 operations and 7,000 extra
                                                                                                                                                                                                  the key priority is to attract and retain the very best
                                                                                                                                                                                                  people at all levels within the Trust and to ensure that
                                                                                                                                                                                                  our existing people have every chance to take
» Judith Chencinski                  referral to treatment.                                                                     outpatient appointments to take             advantage of the new opportunities.
                                        This national target, also                                                              place in 2007/08. The Hammer-                  The first major step has already been taken with the appointment of
                                     known as End Waiting, Change                                                               smith sites have created extra lists        Stephen Smith as chief executive, and he is determined to gather
                                     Lives, involves everyone from                                                              and outpatient appointments in              around him the very best of talent. We have appointed David Taube
                                     bookings and clinical coding staff                                                         high volume, high demand areas.             and David Mitchell as permanent medical directors, interviews for the
                                     to diagnostics and clinicians.                                                                Every site now has strict protocols      new clinical programme group (CPG) directors have been completed,
THE CARE Record Service (CRS)           By March 2008, we need to                                                               about accurately capturing data on          and interviews for the managing director and chief financial officer
programme boards, covering all       achieve maximum waiting times of                                                           clock stops. Waiting lists are being        roles take place in January. The director of nursing will also be
Imperial College Healthcare          18 weeks for 85 per cent of                                                                validated to find missing clock starts      appointed early in the new year.
NHS Trust sites, have                admitted patients and 90 per cent                                                          and identify patients whose treat-             I believe that good people management is the key to excellent
announced new launch dates           of non-admitted patients. These                                                            ment has occurred but not been              performance and the focus of the HR service will be on helping
for the programme, allowing          patients started their referral-to-                                                        logged. And the appointment of              managers to manage, and developing staff to enable them to work
more time to test and                treatment (RTT) journey in October.                                                        two tertiary referrals coordinators –       at the very best of their ability. In my view, if we get that right we will
fine-tune the biggest IT                Then by December 2008 we will                                                           one for St Mary’s sites and one for         start to see real developments in patient care, in research and in
initiative in NHS history.           be expected to treat all elective                                                          Hammersmith sites – will vastly             education across the whole Trust.
   St Mary’s will launch the         patients within the 18 week                                                                improve the quality of data on                 And with this in mind, HR is changing to meet these needs. We are
system on May 27, 2008, and          target. We will also be judged on                                                          patients referred to us from                running a series of workshops which make managers responsible for
the Hammersmith and Charing          the quality of our data – i.e. the                                                         other hospitals.                            owning and implementing key staff decisions – such as recognition,
Cross sites will follow in late      percentage of patients for whom                                                               Diagnostic waits have been               feedback and performance management. To facilitate this, there will be a
January 2009.                        we have full and accurate referral-                                                        reduced at all sites and specialties        whole range of online and phone services available to support managers.
   The new dates are two months      to-treatment dates.                                                                        have been hard at work redesigning          Managers can book onto these courses and briefing sessions now. For full
later than originally planned,          Achieving these targets is a                                                            their pathways. Exciting examples           details, visit 360° Extra.
following a decision by the          challenge but it also creates                                                              include the introduction of a physio-          In late January or early February we hope to run a series of assessment
supplier to further test and         opportunities to redesign the                                                              therapist practitioner to perform           events in which all senior managers (managers, lead clinicians, chiefs of
evaluate the product at              patient experience for the better.                                                         spinal injections at St Mary’s. And at      service etc) will participate. These events will enable the Trust to evaluate
its first pilot hospital. This       Every specialty has had to re-                                                             the Hammersmith sites, derma-               the strengths and weaknesses of managers (including clinical managers)
additional time will allow the       examine its pathways to eliminate                                                          tology has introduced nurse-led             and to match them to the available jobs in the new clinical programme
Trust more opportunity to learn      delays and duplications, increase                                                          clinics, new templates and improved         structures. These jobs will fundamentally shape the direction of the new
from the pilot site and to do        capacity       and     provide     a                                                       multidisciplinary working, all of           organisation and are a key element in bringing together the three pillars of
comprehensive testing in our         streamlined, high-quality service.                                                         which have reduced waiting times            research, service and education.
environment.                            Other challenges include the                                                            for patients from 11 to six weeks              We have been talking to our trade union partners about the overall
   Training schedules will be        historic backlog of patients waiting                                                       with no additional capacity needed.         approach and there will be formal consultation with all of those affected
advised to coincide with the         long periods for treatment. And                                                               Matthew Hopkins, director of             during December.
new go-live dates. Updates           capturing all the information from                                                         operations – performance and the               Everyone who goes through the assessment process will come out with
will be given in In-Brief and on     ‘clock starts’ (initial referral) to                                                       Trust’s executive lead for 18 weeks         an agreed personal development plan, which recognises their own
the intranets.                       ‘clock stops’ (treatment or the                                                            said: “Achieving 18 weeks is a              development needs but is clearly aligned to the values and ambitions of
   The CRS teams would like          decision not to treat) is complex                                                          tough challenge, but I’m confident          our new organisation.
to thank all of you who have         due to the number of providers                                                             that we’re up to it if we continue             Unfortunately, not everyone will get the exact job they were hoping for;
continued to assist us in this       involved in the patient journey –                                                          working together across all                 that’s life. But there is no reason why, with further development and
complex implementation. We           from primary care and community-                                                           specialties to streamline services          training, they should not achieve their full potential.
remain committed to making           based specialist services to                                                               and reduce delays.”                            I understand that in times of change people will feel uncertain, especially
CRS the essential tool in                                                                                                                                                   if they think they do not know what is going on, and they will worry about
enhancing patient care across                                                                                                                                               their future. However, you should be reassured that the Trust will treat you
                                                                                           Part 1a - admitted patients
the Trust.                                                                           100
                                                                                                                                                                            fairly – with dignity and respect – and that our top class managers will be
   To learn more about CRS                                                                                                                                                  working closely with staff to help them through the change.
                                      % treated within 18 weeks (all clock starts)




                                                                                      80
project team activities, visit the                                                                                                                                             I am also looking to forge a new relationship with trade union partners
NPfIT/CRS pages on the intranet.                                                      60                                                                                    to enable us to continue to work together in the interests of staff and for
                                                                                      40                                                                                    the benefit of patients. For more information, visit 360° Extra or Your
                                                                                                                                                                            Working Life on the Hammersmith intranet.




‘‘
                                                                                      20

                                                                                       0
                                                                                                                                                                                              Editorial team
                                                                                           Part 1b - non-admitted patients
                                                                                                                                                                                              Editor Megan Skinner: 020 8383 3860
We remain                                                                            100
                                                                                                                                                                                              News editor Cymbeline Moore: 020 8383 3002
                                                                                      80
committed to                                                                                                                                                                                  Features editor Emer Scott: 020 7886 1331
                                                                                      60                                                                                                      Contact us       360@imperial.nhs.uk
making CRS the                                                                        40                                                                                                      360˚ replaces Insider and Mary's Matters
essential tool in                                                                     20
                                                                                                                                                                                              360˚ reserves the right to edit all material submitted for publication.
                                                                                                                                                                                              While contributors will be given the opportunity to comment on
enhancing patient                                                                      0
                                                                                                                                                                                              articles for factual accuracy, this policy is about ensuring a consistent
                                                                                                                                                                                              and clear writing style throughout.
care across the                                                                             Apl   May   Jun   Jul      Aug
                                                                                                                    2007
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Trust.                                                                 Hammersmith data                        St Mary’s data            Imperial College Healthcare data
                                                                                                                                                                                                   3


News                                                                                                                                                             17 DECEMBER 2007
                                                                                                                                                                          ISSUE 06


Food, glorious food                                                                                                        New research projects
» Emer Scott
                                                                                                                           BRC boost
                                                                                                                           » Cymbeline Moore


                                                                                                                           NEW RESEARCH projects have            highlights to people that the BRC
                                                                                                                           been given a £0.8m boost thanks       is here and up and running
                                                                                                                           to the Trust’s biomedical research    supporting translational research
                                                                                                                           centre (BRC) funds.                   which is fundamental to the Trust
                                                                                                                              Eighteen groups of medical         and the development of improved
                                                                                                                           researchers have been given           patient care in the future.”
                                                                                                                           grants of up to £68,000 to              The components that make up
                                                                                                                           develop new projects.          The    Imperial College Healthcare NHS
                                                                                                                           projects include those looking into   Trust – Hammersmith and St
                                                                                                                           therapies for sepsis and stroke,      Mary’s Hospitals and Imperial
                                                                                                                           DNA collection in renal patients      College – were given BRC status in
                                                                                                                           and bariatric surgery for the         January.
                                                                                                                           treatment of type 2 diabetes.           The prestigious title puts the
                                                                                                                              Dr Robina Coker, assistant         new Trust among an elite group of
                                                                                                                           director     of    research    and    11 biomedical research institutions
                                                                                                                           development for Hammersmith           nationally. It has also guaranteed
                                                                                                                           and Charing Cross Hospitals, said:    £90million of research funding
                                                                                                                           “The allocation of these funds        over the next five years.

CHARING CROSS has been rated              The PEAT teams include nurses,          previous services when patients had




                                                                                                                           ‘‘
‘excellent’ for the standard of its    matrons, facilities managers, cater-       to order some time in advance.”
food in new data published by the      ing and domestic service managers,           Andrew Murray, associate
National Patient Safety Agency.        executive and non-executive                director, facilities for St Mary’s and
Meals at the other four hospitals in   directors, dieticians and estates          the Western Eye, said: “PEAT             The allocation of these funds highlights to
the Trust were said to be ‘good’.      directors. They also include patients      impacts on many important                people that the BRC is here and up and
  The data is based on surveys         and patient representatives.               patient-centred activities. The
carried out nationwide in February        Stuart     Walmsley,      facilities    new Trust is in the process of
                                                                                                                           running supporting translational research
2007 by Patient Environment            manager for Charing Cross                  reviewing a new PEAT structure to        which is fundamental to the Trust and the
Action Teams (PEAT teams) – groups     Hospital, said: “We believe we have        ensure this important agenda             development of improved patient care in
established in 2000 at every NHS       a very good food service. The              strives to deliver excellence
health trust in the country to carry   quality of food is high and patients       consistently across the patient
                                                                                                                           the future.
out annual self-assessments of the     are able to order it very close to the     environment. These important
food and environment provided at       time they want to eat, which is a          changes will be established early in
their healthcare facilities.           particular improvement over                the new year.”                           » CASE STUDY

Warning: mealtime in progress                                                                                                In the first of a regular series, 360° takes an
                                                                                                                             in-depth look at the work the BRC funding
» Emer Scott
                                                                                                                             has helped fund.
STAFF AT St Mary’s are reinvigor-      clinical activity because patients         quality and clinical services at St
ating the protected mealtimes          are eating.                                Mary’s, said: “The relaunch                COLORECTAL CANCER is a particularly difficult cancer to treat
policy with colourful ‘warning            It is being accompanied by a six-       involves nurses, dieticians, ISS           but a new research project using ultrasound could provide an
signs’ prominently displayed           month programme of renewed                 catering staff and estates so it           alternative or add-on to existing therapies such as radiotherapy.
outside each ward area every           staff education about the import-          really is a team effort. We’re                Dr Hapreet Wasan, consultant in medical oncology, professor of
lunch and dinner.                      ance of adequate nutrition and             visiting every inpatient area to           urology Paul Abel, and professor of imaging physics Jeff Hand,
  The signage, funded by a             not disturbing patients with ward          advise staff about diet and                have received £45,000 to develop the use of intracavitary high
£4,000 grant from St Mary’s            rounds, diagnostic tests or other          nutritional screening to ensure            intensity focused ultrasound (HIFU) for the management of
Charity, asks staff not to visit       distractions while they are eating.        patients get the right nourishment         untreatable pelvic colorectal cancer.
wards or carry out non-urgent             Dean Easterlow, lead nurse for          and don’t go hungry.”                         The HIFU technique currently used for the treatment of prostate
                                                                                                                             cancer uses focused ultrasound delivered in contour to destroy
                                                                                                                             the cancerous cells. It has the benefits of having very few side-
» News in brief                                                                                                              effects and can be used for patients unable to have surgery. The
                                                                                                                             research team’s hope is that the HIFU can be translated to the care
 » Music to unit’s ears                  The Little Venice Music Festival        Mary's expert paediatricians by             of colorectal cancer patients.
 Classical music-lovers who            was founded five years ago by             attending the fourth annual GP                 Dr Hapreet Wasan said: “This type of cancer can cause a lot of
 attended September’s three-day        renowned soprano Sylvia Rhys-             study day. The day, organised by            symptoms including pain and obstruction, and patients cannot
 Little Venice Music Festival have     Thomas, who has been a keen               consultant paediatrician Dr                 always be operated on and do not always respond to
 raised a total of £1,050 to help      supporter and fundraiser since she        Mando Watson, is just one of the            radiotherapy. What we are trying to see is whether by using this
 stroke patients at St Mary’s          was treated there several years ago.      ways St Mary's is working with              technique we could better manage these patients’ cancer.”
 Hospital.                                                                       primary care clinicians to                     The research funding will be used to finance a clinical research
    All proceeds from the festival     » GP study day success                    strengthen community-based care             fellow for the Phase 1 and Phase 2 studies which are due to start
 have been donated to the St           Ninety-four primary care clinicians       for children and reduce                     in the spring at Hammersmith Hospital.
 Mary’s Grafton Acute Stroke Unit.     took the chance to learn from St          unnecessary admissions.
4


News
» In the news                       Art and science                                                                National role in improving
» Broadcast
                                    merge on canvas                                                                patient safety
The story of a Hammersmith
Hospital transplant patient who     » Pedro Rodriguez                                                              » Emer Scott
was given a kidney by her 64-
year-old father was filmed to be                                                                                   THE NHS Centre for Patient Safety        together previously existing
featured in news pieces for                                                                                        and Service Quality, based at the        research streams under one
Channel Five and Sky.                                                                                              Trust, now has all its formal            umbrella and to assist Prof Vincent
  On the airwaves, St Mary's                                                                                       structures in place following the        in his co-ordination role. She will
Hospital and Imperial College                                                                                      arrival of its project manager.          also be developing a website and
London featured on the Radio 4                                                                                       Sandra Iskander, previously            brand identity for the centre.
science show Frontiers. The                                                                                        service manager for surgery at St           Sandra said: “It’s a very exciting
programme examined current                                                                                         Mary’s, has been appointed to            opportunity. The new Trust was
research into new technologies                                                                                     coordinate research, raise the           created to facilitate the translation
that could revolutionise patient                                                                                   centre’s profile and act as a key        of clinical research into patient care
care, including the development                                                                                    point of contact with the NHS. She       and this centre is very much in line
of an 'artificial pancreas'.                                                                                       will report to its director, Professor   with that. The plan is for our
                                    (l-r) Hannah Marshall, Matthew Hopkins, Thomas Hampton, Baroness Hanham,
                                    Daphne Glyn                                                                    Charles Vincent.                         findings on patient safety and
» National and                                                                                                       It was announced last April that       service quality to be translated into
   specialist press                 A GROUP OF Imperial College            stains of Candida fungus.               the £4.5m centre, funded by the          action right across the NHS.”
The Hammersmith model of            medical students have teamed up           The paintings were created using     National Institute for Health               Centre director Professor Charles
infection prevention and control    with the arts committee at St          images produced by examination          Research and one of just two such        Vincent said: “I am delighted
(HOMIP) was featured in a           Mary’s to produce a series of          of liquid crystal, mircrobial species   research facilities nationally, would    Sandra has joined us. She has
special supplement of the           paintings aimed at brightening up      and an oil-water field under the        be based in Imperial College’s           extensive, hands-on NHS exper-
Health Service Journal (HSJ).       an elderly care ward.                  light microscope. Once an image         biosurgery and surgical technology       ience which will be invaluable in
   The Participate Inform Notice      The paintings – on show at the       had been captured, three teams          section on the 10th floor of the         enabling our research outcomes to
Know (PINK) patient safety          Victoria and Albert ward entrance      set about translating them to           QEQM building.                           be implemented in hospitals and
video which emphasises the          hall – were officially unveiled by     canvas using oils.                        Sandra’s first job will be to bring    primary care settings.”
role that patients’ own             chair of the St Mary’s arts               Daphne Glyn said: “We are
knowledge can have in               committee Daphne Glyn, non-            very      grateful      to     these    THE RESEARCH STREAMS:
improving safety was also           executive      director    Baroness    wonderfully dedicated students          Information – how data can be used to determine effective
featured in the HSJ Awards          Hanham, and director of                for helping to brighten the             treatments and use of resources
supplement.                         operations Matthew Hopkins on          environment at St Mary’s.”
                                                                                                                   Technology – including surgical and pharmacy robots
   The soon-to-be-finished          behalf of the Trust.                      Project coordinator Hannah
Maggie’s Centre at Charing            The students’ original pieces of     Marshall said: “It is hoped that        Safety skills – including the role of patients in achieving safe
Cross Hospital and Professor        art are inspired by the ethos of the   these paintings will inspire and        outcomes
Robert Leonard, clinical director   medical school and the natural         provoke the thoughts of the             Resilience & reliability – looking at specific pathways of care
for cancer services, featured in    beauty found in science – such as      people of St Mary’s Hospital,           Management – how clinical and non-clinical leadership can
the Daily Telegraph as part of a    crystals seen under a microscope       highlighting the importance of the      improve outcomes
piece on the charity and its        and the patterns created by the        merger between art with science.”
newest site.
   On the international stage,
Dr Claire Shovlin’s research into
links between rare lung disease
pulmonary arteriovenous
malformations (pulmonary
                                    Extra support for home dialysis
AVMs) and stroke made the           » Layla Hawkins
news as far as India.
   On the other side of the         A NEW nurse-led patient support
world, New York Reuters             group and coffee morning for
featured an article based on        peritoneal dialysis (PD) patients
research conducted by               has been set up to provide first-
Hammersmith Hospitals’ Dr           hand practical advice, experience
Robina Coker proving minimal        and information.
risk of flying for lung disease        The group, which meets
patients.                           bimonthly, is a particularly
                                    important point of contact as PD
» Local print                       patients self-administer their
The Paddington, Marylebone          treatment at home.
and Pimlico Mercury quizzed St         Kim Pryde, peritoneal dialysis
Mary's senior paediatric sister,    sister, said: “Clinically suitable
Clare Slade, what it was like to    patients are given the choice to
work on Christmas day.              do their dialysis at home; what
  The Gazette series ran a          this group provides them with is         The attendees were a mixture          shows that they found the session          The patient support group/coffee
substantial piece on the            that much needed support,              of patients – some that have just       both helpful and empowering.             morning will meet in the recently
improvement in hospital food at     advice and contact.”                   started and others that have            We got a lovely letter from one          refurbished PD centre on 7E,
the Trust after reporter Alex          In the first session the group      more       experience      using        patient who thanked us for               Charing Cross.
Adams sampled the food first        talked about the practicalities of     peritoneal dialysis.                    inviting them as they found the
hand.                               going abroad while on dialysis           Kim added: “All of the                experience of meeting others in          The peritoneal dialysis team
                                    and getting travel insurance with      attendees want to come to the           the same situation both                  can be contacted on 020 8383
                                    a long-term health condition.          next meeting, which is great, as it     reassuring and helpful.”                 6647/6650.
                                                                                                                                                                                       5
                                                                                                                                                   17 DECEMBER 2007
Research News                                                                                                                                               ISSUE 06

                                    » Laura Gallagher
» IN BRIEF
   News from Imperial
» Key lupus gene identified
                                    Diesel exhaust fumes affect people with asthma,
Researchers have identified a       says Oxford Street study
key gene involved in lupus, an
autoimmune disease which
affects around 50,000 people                                      DIESEL EXHAUST fumes on polluted streets have a                Professor Fan Chung, one of the study’s authors,
in the UK. In research published                                  measurable effect on people with asthma, according          said: “Our study illustrates the need to reduce
in Nature Genetics, Professor                                     to a study published this month in the New England          pollution in order to protect people’s health. For the
Tim Vyse identified a new                                         Journal of Medicine.                                        first time we are able to measure exactly what’s
genetic variant, OX40L, which                                       The new study looked at the effects of walking for        happening inside the lungs of people with asthma
increases the risk of developing                                  two hours along London’s busy Oxford Street – where         when they spend only a couple of hours strolling in a
the disease by 50 per cent per                                    only diesel-powered taxis and buses are permitted –         real-life polluted area.“
copy. This variant is carried by                                  on 60 people with mild and moderate asthma.
one in six people in the UK.                                        The researchers found that both during and after
                                                                  this walk, people experienced reduced lung capacity
» Special Singapore                                               and inflammation in the lungs. The researchers




                                                                                                                              ‘‘
  graduation                                                      confirmed their results by comparing how the same
Strong links between Imperial                                     people were affected walking in Hyde Park, which
and Asia were celebrated at                                       has very little traffic.
the end of last month with a                                        According to Asthma UK, two-thirds of people              For the first time we are able
special graduation ceremony                                       with asthma believe that traffic fumes make their           to measure exactly what's
in Singapore. The one-off                                         symptoms worse, but this is the first study to
event, held to mark the                                           investigate in a real-life setting, outside of the          happening inside the lungs
College’s Centenary year,                                         laboratory, if this is actually the case. The researchers   of people with asthma when
offered a rare opportunity for                                    believe that diesel exhausts cause problems for
students to graduate outside                                      people with asthma because of the particulates –
                                                                                                                              they spend only a couple of
the UK. Attending the Asia                                        minute particles of dust, dirt, soot and smoke –            hours strolling in a real-life
Convocation 2007 were 61                                          which they release into the air.                            polluted area.
graduands and guests from
around the world.

» Top rankings for
   postgraduate courses
Imperial is one of the top four
European universities for
postgraduate courses in
                                    HIV study seeks volunteer couples to help
physics, chemistry, maths and
biology, according to new
                                    find new vaccine
rankings from Germany’s
Centre for Higher Education                                       LONDON DOCTORS are seeking couples where one                  Dr Sarah Fidler, one of the researchers on the study,
Development. The College is                                       partner is HIV-positive and the other is HIV-negative       said: “Sex with a person infected with HIV does not
one of only four universities in                                  to take part in a new global study to discover how          always lead to the virus being passed on to the
Europe to gain a place in the                                     some people remain uninfected with HIV despite              uninfected partner. Working out why transmission
‘excellence group’ for all                                        exposure to the virus.                                      doesn’t occur in a very small number of cases could
subjects surveyed. For                                              The research, launched this month, is part of a           be the key to creating a vaccine to prevent others
chemistry, maths and biology,                                     programme that will see people across the world             becoming infected.”
Imperial received three gold                                      working together with the ultimate aim of creating a
medals and a silver medal per                                     new vaccine against HIV.
subject, and the College gained                                     By conducting detailed analyses of blood                  » To find out more about taking part, please call
a top mark of four gold medals                                    samples, the researchers are hoping to uncover                freephone 0800 587 4406,
for physics – a feat not achieved                                 whether there are differences in the naturally                email chavi@imperial.ac.uk
by any other university.                                          occurring immune responses of these rare,                     or visit www.st-marys.nhs.uk/chavi.html.
                                                                  seemingly protected, individuals.                             All enquiries will be treated in the strictest confidence.
» New study looks at
   asthma and occupations




                                     ‘‘
Researchers are looking into the
links between asthma and
different occupations in order to
help up to 3,000 people every        Sex with a person infected with HIV does not always lead to the virus being passed
year in the UK who develop
asthma as a result of their work.
                                     on to the uninfected partner. Working out why transmission doesn’t occur in a very
The Asthma UK-funded                 small number of cases could be the key to creating a vaccine to prevent others
research, which will look at data    becoming infected.
from 10,000 people, aims to
identify the major occupations
and occupational exposures
that are associated with asthma,
                                          More Imperial news, including further details on each of these stories, can be found at www.imperial.ac.uk/news.
as well as highlighting the
                                          Imperial also has a monthly podcast, which is available to download from the first working day of each month at
potential scale of the problem.           www.imperial.ac.uk/aboutimperial/pressoffice/podcasts
6


The year in review

2007          » January
                                                                                      From grand openings and ministerial appointments to the
                                                                                      birth of our new Trust, it’s been quite a year. We look back on
                                                                                      the highlights of 2007….




                                                                             » February                                                      » March
in pictures


                                                              01                                                                02           It’s history in the                              03
                                                                                                                                             making as the trust
                                                                                                                                             boards of St Mary’s
                                                                                                                                             and Hammersmith
                                                                                                                                             formally agree to
                                                                                                                                             merge and become
                                                                                                                                             the UK’s first
              St Mary’s cardiology           This Morning presenter          A £15m upgrade of St             An uplifting new sculpture     Academic Health                 A new brachytherapy suite
              department wins the            Fern Britten makes a splash     Mary’s critical care services    is unveiled in the Riverside                                   opens at Hammersmith
                                                                                                                                             Science Centre
              contract to provide services   at the opening of two new       is given the green light by      Wing, Charing Cross                                            Hospital providing complete
              at Queen Mary’s Hospital in    birthing pools at the award-    NHS London.                      Hospital.                      (AHSC) in partnership           internal radiotherapy
              Roehampton.                    winning birth centre at                                                                         with Imperial College           treatment on a modern site.
                                             Queen Charlotte’s &                                                                             London.
                                             Chelsea Hospital.



              » April                                                        » May                                                           » June
                                                              04                                                                05                                                            06



              Hammersmith and St             The hospitals, in partnership   A state-of-the-art renal         It’s a new communications      Ara Darzi is appointed junior     Meanwhile, Cabinet
              Mary’s are rated the second    with Imperial College, are      dialysis unit, run jointly by    era as a telephone speech      health minister as part of        Minister Alistair Darling
              and third best hospitals for   given £5m in research           Hammersmith Hospital and         recognition system is          Gordon Brown’s new line-up.       opens the Clinical
              clinical performance,          funding after being named       Hillingdon PCT, opens in         launched at St Mary’s.         Lord Darzi of Denham              Imaging Centre – the
              quality of care and safety,    a national research centre      Hayes.                                                          continues to work as a            largest new clinical
              according to the Dr Foster     for NHS patient safety.                                                                         practising surgeon at St          research imaging centre
              Good Hospital Guide.                                                                                                           Mary’s on Fridays.                in Europe.



              » July                                                         » August                                                        » September
                                                              07             A public consultation
                                                                                                                                08           Professor Stephen
                                                                                                                                                                                              09
                                                                             on the creation of the                                          Smith is appointed
                                                                             UK’s first AHSC closes                                          chief
                                                                             with more than 75 per                                           executive/principal of
                                                                             cent in favour.                                                 the soon to be
                                                                                                                                             launched Trust.

              St Mary’s cardiologist Wyn     More than 300 clinicians and                                     A major six-part BBC One                                       Construction begins on St
              Davies pioneers the world’s    senior managers from                                             series, Fight for Life,                                        Mary’s £1.2m birth centre
              first robot able to navigate   Hammersmith and St Mary’s                                        features cutting-edge cases                                    for women who want
              the human heart during a       attend the biggest ever                                          from both trusts, and pulls                                    drug-free births and are
              popular procedure to           AHSC workshop.                                                   more than three million                                        unlikely to need medical
              eliminate heart rhythm                                                                          viewers.                                                       intervention during
              disorders – catheter                                                                                                                                           delivery
              ablation.


              » October                                                      » November                                                      » December
              Imperial College
                                                              10             Imperial College is
                                                                                                                                11                                                            12
              Healthcare NHS Trust                                           named the fifth best            cialist Services 1
              is born. The first                                             university in the world          sthesia, critical care
              edition of 360° hits                                           by the Times Higher              heatres
                                                                                                             head and neck injury
              the newsstands.                                                Education Supplement
                                                                                                              lo facial surgery
                                                                             2007 World University           dentistry
                                                                             rankings.
                                             The hospitals in partnership                                     A new structure for the        Calling all cheerleaders,
                                             with Imperial College are                                        Trust is announced with the    the Hero awards are
                                             given £5m in research                                            creation of seven clinical     announced.
                                             funding after being named                                        programme groups.
                                             a national research centre
                                             for NHS patient safety.
                                                                                                                                                                                              7
                                                                                                                                                                17 DECEMBER 2007
Christmas Special                                                                                                                                                        ISSUE 06



Christmas in the capital
Christmas in London is brimming with possibilities. From the glowing lights to the outdoor ice rinks or kitsch pantomimes, the
options are endless. Here are some of the highlights, or if you’re working this Christmas, enjoy the festivities closer to home.

» Festive lights                                            Natural History Museum Ice Rink                              Rapunzel
                                                            www.nhmskating.com                                           www.southbankcentre.co.uk
London is the Las Vegas of Christmas lights. Here’s         until January 20, daily 10am – 10pm, £10.50                  Southbank Centre’s Knee High Theatre,
a host of locations where you can check out the             (evenings and weekends £12), children £7.50                  until January 5
neon madness.                                               Skate beneath one of London’s most iconic
                                                            buildings. There’s also a Christmas fair alongside the
Oxford Steet                                                ice, selling handmade jewellery, toys and food.              » Working this Christmas?
until January 4                                                                                                          Don’t feel left out. The Trust puts on a host of
Disney’s latest cartoon, Enchanted, lines the streets       O2 Ice disco                                                 activities including:
this year. If you can handle the crowds (more than          www.theo2.co.uk
40m shoppers are expected this year), make sure you         until March 9, daily 11.30am – 10pm                          Salvation Army Band
remember to look up.                                        £11, children £7.50                                          QEQM main reception, December 18, 7pm
                                                            More Bee Gees than Bing Crosby, the 900-square-
Regent Street                                               metre rink comes equipped with a disco ball, lights          Best dressed ward winners announced
until January 8                                             and constant music.                                          December 21
Traditionally the most spectacular, it’s not just the                                                                    Winners announced with prizes presented by
design of the lights that’s futuristic, it’s also the way   Somerset House Ice Rink                                      director of nursing, Susan Osborne. See intranet
they operate. The lights are programmed to                  www.somersethouse.org.uk                                     for further details.
respond to the number of people in the street, as           until January 27, daily 10am – 10.15pm
well as to the wind, weather and sunlight.                  Prices vary                                                  Westminster Cathedral Boys Choir
                                                            The original skating venue, Somerset House boasts an         at St Mary’s
Carnaby Street                                              impressive backdrop, including a 40ft Christmas tree         December 21, 3pm to 4pm
until January 1                                             dripping in Tiffany’s decorations. Lessons also available.
Instead of Christmas lights, Carnaby Street will be                                                                      Christmas Eve
covered in a canopy of festive paper chains – an                                                                         Charing Cross, 5pm                      Win a meal
inventive solution to the energy-consuming lights.          » Christmas for the kids                                     St Mary's, 8pm                          for two
                                                            Christmas Claytime                                           Catholic Mass
Hayward Gallery, Southbank Centre                           www.lyric.co.uk                                                                                       When was Jingle Bell Rock
until January 31, free                                      Lyric Hammersmith, until December 29                         Christmas Day                            first recorded, and who
A festive light display with a twist. Think neon-           A festive hands-on play with clay. Aimed at three to         St Mary's and Hammersmith,               sang the latest version?
outlined concrete mixers and colourful recycled             six-year-olds, the tots even get a chance to work as         10am
                                                                                                                                                                  To enter the competition,
bottles. Former Turner Prize nominee Anya                   one of Santa’s little helpers and make their own             Church of England/
                                                                                                                                                                  simply send an email to 360o
Gallaccio has been commissioned by the Hayward              Christmas creation.                                          Free Church communion
                                                                                                                                                                  (in your email address book)
to create a new display using over a thousand                                                                            Charing Cross, 10am
individually hand-tinted bulbs.                             The BFG                                                      Hammersmith, 11.30am                     with your answer in the
                                                            www.polkatheatre.com                                         Catholic Mass                            subject field. The competition
                                                            Polka Theatre, Wimbledon, until February 9                   QEQM main reception,                     is available to Imperial
» Dancing on Ice                                            Long before the boy wizard was a glint in JK                 St Mary's, 11am                          College Healthcare NHS Trust
It’s become a London institution, as every Christmas        Rowling’s eye, Roald Dahl was the ultimate small             Carols around the Christmas tree         staff only, and closes on
more outdoor ice rinks pop up around the capital.           person’s storyteller. Catch this Dahl classic with the       followed by seasonal                     January 4, 2008.
So, lace up your boots, grab the knee pads and head         vegetarian Big Friendly Giant (BFG) and his orphan           refreshments
to one of our picks.                                        pale Sophie. A whoppsywhiffling seasonal treat.              Charing Cross, 11.30am                  » Sponsored by Locale
                                                                                                                         Church of England service               Restaurant, Fulham
Kew Gardens Ice Rink                                        Dick Whittington and His Cat
www.kewgardenicerink.com                                    www.hackneyempire.co.uk
until January 6                                             Hackney Empire, until January 12
Daily 10am – 10pm
£10, children £7.50
A 1,000-square-metre rink that gets close to
nature. Go after dusk and walk through
gardens beneath floodlit trees.
8


Hero awards
» Highly
  commended                         Individual Winners
                                    TWO NOT-SO-DIFFERENT staff recognition schemes – the Hammersmith                And as mentioned earlier this is the last hurrah for the individual
                                    and St Mary’s Heroes – were awarded for the last time this month.             schemes. From 2008 there will be one awards ceremony for all staff
                                      Both Hero schemes celebrate excellence and all the winners and              at the Trust.
                                    nominees are a true reflection of the exceptional qualities required to         Keep your eyes peeled to future editions of 360° for details of the
                                    become a hero.                                                                new scheme. In the meantime, keep making those mental notes on
                                      As always, we have a wide cross-section of nominees who have been           colleagues that display exceptional dedication and commitment, show
                                    chosen for a variety of reasons and have impacted on the service              outstanding enthusiasm and energy and who go above and beyond
» Jocelyn Downer                    offered at Imperial College Healthcare NHS Trust. Every nominee should        the call of duty.
  Staff nurse                       be extremely proud to have been selected by their colleagues and                You never know – next time, it could be your nominee that wins
  Handfield Jones ward              patients for their individual strengths and talents that have brought         the big prize.
“Jocelyn works exceptionally        them wide respect.
well – you can feel that patients
under her care are happy when
she’s on duty. She takes very
good care of patients with
pressure sores and takes extra
care to clean and dress wounds
well – especially with bed bound
patients. You can see she really
loves and enjoys her work.”




» Steve Ashworth
   Porter                           Mr Ruwan Wimalasundera                                                        Reg Robertson
“Steve works very hard.             Consultant, Centre for Fetal Care, Hammersmith                                Porter, Excel, St Mary’s
Patients always come first
with Steve. He won’t sit down       MR WIMALASUNDERA was nominated by a patient who was upset                     OVER 600 people voted in the final St Mary’s hero awards and Reg
if he has a patient waiting.        and anxious about a large cyst that was found on her ovary during her         Robertson was elected the overall winner. He was nominated by one
The patients love him and his       first pregnancy.                                                              of the secretaries on his medical record round who said: “Reg is a very
strange northern humour.               “Mr Wimalasundera was very kind and helpful and restored my faith          hard worker; he’s polite and keeps the large amounts of notes in our
The patients ask after Steve in     in the good values and patient care of the NHS. He is a real asset to the     office to zero. It’s nice to see young people who want to work, who
his absence. Fortunately he         hospital. He is very professional, and explains all options of treatment to   is enthusiastic and keen. He has a big job carrying often bulky notes
has very few absences. He is        the patient. He [also] consulted with other consultants from various          but he is always prompt. I’ve been here a long time and he has certainly
reliable, and flexible, friendly    specialities to make sure that I was given a full precise picture of what     been the most efficient porter we have had – all my colleagues agree.
and helpful.”                       was going on. He is humble and kind to his patients to a level above the      He is an exceptional example.”
                                    call of duty.”
» Nominees
Kara Blackwell                        Runners up
David Buttery
Debby (medical records)
Martina Dinneen                                        Angela Williams                                                               Jose Oliveria
Maria Dublin                                           Vascular nurse specialist, Charing Cross                                      Vascular nurse specialist, Charing Cross
Simon Eccles
Rickey Godding                                          “Sister Angela Williams is a very dedicated                                  “Jose has been a member of staff for a number of
Lynn Humphries                                          professional, caring and ‘hands-on’ nurse. When                              years, and is a valued member of the team.
A J Knight                                              she returns from holidays, she sits down with each                           Domestics sometimes don’t get the praise they
Gerald McKinley                     patient individually to find out how they had got on while she was            deserve. They work so hard, playing a very important role on the
Ekow Mensah                         away. If there is a special occasion in the life of a patient eg an 80th      ward. He is one of our key staff, hardworking and dedicated. We feel
Leo Owczarek                        birthday, she acknowledges it by providing a cake to be shared by all in      he should be recognised for his hard work and total dedication to the
Margot Spratley                     the clinic. She does not pass on the routine work to her juniors, but         ward. He is always polite to staff and patients. The patients sing his
Belen Vinalon                       does her share when she has the time, at the same time teaching her           praises all the time and he gets so much positive feedback from the
Roselene Wanlis-Orlebar             juniors from her extensive knowledge. She encourages her patients to          patient comment cards. We only have to ask him to help us and he is
Dr Adil Khan                        make an effort to do things mostly with positive results. She has an          there. He is simply the best and should be recognised for all his hard
Caroline Shipsey                    excellent rapport with her patients.”                                         work. He always has a smile on his face, he is loyal, hard working and
Evelyn Cruz                         “She is always so bright and cheerful. If you ask questions about             nothing is too much for him.”
George Hanna                        your medical condition she always explains the situation so well.             » Jose was nominated by a number of ward colleagues and a patient.
Anita Pheby                         Sister Williams also works so well with her staff and she also has great
Elaine Sydney                       respect from the staff.”
                                    » Angela was nominated by two patients.
                                                                                                                                                                                               9
                                                                                                                                                            17 DECEMBER 2007
                                                                                                                                                                     ISSUE 06


                                                                                                                                                            » Highly
Team Winners                                                                                                                                                  commended




                                                                                                                                                            » Clinical engineering
                                                                                                                                                              Hammersmith
                                                                                                                                                            “I think the team in clinical
                                                                                                                                                            engineering at Hammersmith
                                                                                                                                                            are heroes. They look after all
                                                                                                                                                            the equipment in the Trust,
                                                                                                                                                            which is a considerable
                                                                                                                                                            amount, but are always ready
                                                                                                                                                            to help out with 'emergency'
Mr Alun H Davis and his surgical team                                       Switchboard team                                                                things on the ward. They are
West London Vascular Network                                                St Mary’s                                                                       always polite, helpful and
                                                                                                                                                            patient, and do their best to
“[When my wife needed treatment] we were in the middle of moving            “The switchboard operators team at St Mary’s is hardworking and                 help out or give advice on
to Bracknell then onto Billericay, Essex. [However] the reassurance         dedicated, ensuring the various hospital services are able to contact           equipment. It is a treat to find
of Mr Davies and his team gave us confidence notwithstanding our            everyone required. It is not easy keeping track of all the various on-call      a team that works so well
moving difficulties. We regard the team work of this unit a very good       teams as well as handling thousands of calls per day and dealing with           together and is so helpful.”
and competent set of surgeons and anaesthetists who have made a             emergency call-outs. Yet the operators (Lesley, Anita, Sian, Suru,
success of my wife’s condition to relieve her pain and suffering from       Patricia, Hayleigh, Brigitte, Maria, Marcia, Robert, Chris, Julio and
strokes. The referral from Wrexham hospital at Slough was most              Carole led by their Supervisor Maria Vidal-Otero) take it all in their stride   » Nominees
effective and we – both my wife and I – recommend a team award for          and continue to deliver an excellent service, keeping their heads,
their devotion to duty and dedication.”                                     and helping others do likewise.”                                                Post room
» Mr Davies and his surgical team were nominated by a patient.                                                                                              Grafton multi-disciplinary team
                                                                                                                                                            Deep cleaning teams


 Runners up
                                      Theatre 6
                                      Vascular surgery,
                                      St Mary’s

                                      “This team has adopted flexible
                                      working styles to meet the
                                      demands of patients requiring
                                      stenting of the aorta. They
                                      continue to provide a high level
                                      of care in difficult circumstances,
moving between theatre and angio. They have enhanced




                                                                                                                                                            ‘‘
communication skills with the multi-disciplinary team to ensure the
patient receives the right procedure.”                                      Physiotherapy outpatients
                                                                            St Mary’s
                                                                                                                                                            This team has
                                      Dermatology service                   “Physiotherapy outpatients have recently undergone a major change               adopted flexible
                                      improvement group                     of computer systems to be in line with the rest of the trust in
                                                                                                                                                            working styles to
                                      Hammersmith                           preparation for CRS. This has been a massive adjustment for both
                                                                            the administrative systems and physiotherapy service delivery. There            meet the demands
                                      “The Hammersmith dermatology          have been unforeseen problems and challenges to overcome which                  of patients.
                                      service had received several          has meant that all staff working in the department have had to deal
                                      complaints from patients who          with a greater workload and higher levels of stress. Despite this,
                                      waited prolonged periods in           everyone has excelled in continuing to provide and fantastic service            They have enhanced
                                      clinic. Understanding this became     to patients; one staff member was even honoured as a patient                    communication
                                      the focus of the group and            champion! They have worked in a very mature manner, responding
patients were involved using a patient survey. Since August, the service    to problems and tackling them then and there, even if they
                                                                                                                                                            skills with the
has not received a patient complaint since the group convened, but has      are already busy. The team has really pulled together and                       multi-disciplinary
received several letters of thanks and com-mendation. Morale and            physiotherapists and A&C members have supported each other. This                team to ensure the
team working is high and the dynamism is palpable.”work. He always          has ensured the department runs efficiently and that patient care
has a smile on his face, he is loyal, hard working and nothing is too       remains at the heart of the service. The staff’s dedication remains             patient receives the
much for him.”                                                              strong as the challenge of the switch to PAS continues.”                        right procedure.
10


People
» CONGRATULATIONS                                                          Lending a hand to Rwanda
                                                                           » Emer Scott

                                                                                                                                                        countries of sub-Saharan Africa
                                                                                                                                                        by developing links with UK
                                                                                                                                                        hospitals.
                                                                                                                                                           The high birth rate and young
                                                                                                                                                        age of the population means
                                                                                                                                                        there is a huge need for maternity
                                                                                                                                                        and paediatric care, but there are
                                                                                                                                                        very few doctors and nurses who
                                                                                                                                                        have had training in these areas.
                                                                           A paediatric ward in one of the       l-r: Lynne Pacanowski, Rwandan chief      Tom, Lynne and Kathryn will be
                                                                           hospitals Tom, Lynne and Kathryn      nursing officer Mary Murebwayire,      working with Rwanda’s chief
                                                                           visited                               Kathryn Jones, Tom Lissauer
                                                                                                                                                        nursing officer, Mary Murebwayire,
» Awards ceremony celebrates management success                            THREE ST MARY’S staff have just       nursing Kathryn Jones met the          and her medical and nursing
Participants from the pilot wave of Hammersmith’s first line manager       returned from Rwanda, where           Rwandan minister of health and         colleagues on paediatric, neonatal
programme (now known as the effective manager programme)                   they are in the early stages of       chief nursing officer. They also       and maternity education pro-
received their certificates from Ed Donald, director of operations,        establishing a link scheme            visited several hospitals and the      gramme for doctors, nurses and
service development, and David Foster, director, on November 21.           between the Trust and Rwandan         national medical school and nursing/   midwives. There are also plans for
  The group delivered short presentations to the directors, illustrating   health services aimed at              midwifery training centres.            links in a range of other specialties.
how the programme has helped them improve service delivery and             improving healthcare.                   The trip came about through             Tom said: “They are desperately
benefited their team, the Trust and themselves.                              During their week-long visit,       Tom’s involvement with the             short of health professionals. If
  “To deliver our ambition of being a world-class AHSC, development        consultant neonatologist Dr Tom       charity THET International. THET’s     you would be interested in
programmes such as this are vital in supporting our managers to rise       Lissauer, head of maternity Lynne     goal is to address healthcare          contributing to the programme,
to the challenges and opportunities ahead of us,” commented Ed.            Pacanowski and deputy director of     training needs in the poorest          please email one of us.”
“These courses show the commitment of the Trust to developing our
leaders. I have been impressed by what I've heard today.”
  For information on the leadership and management development
opportunities within the Trust, visit the learning and development
                                                                           Lord Mayor and Friends
pages of your hospital’s intranet.                                                                               THE LORD Mayor of Westminster, Councillor Carolyn Keen, was the
                                                                                                                 guest of honour at the Friends of St Mary’s annual Christmas Bazaar on
                                                                                                                 November 29, which raised £6,500.
                          » First past the poster                                                                  Sue Rivers, Chairman of the Friends of St Mary’s, said: “The Friends”
                          St Mary’s microbiology support pharmacist                                              Committee is very grateful to all those who helped with the Bazaar this
                          Tracy Lyons has won a national ‘best science                                           year. The bazaar involves a great deal of hard work on the part of many
                          poster award’ from the UK Clinical                                                     people, but it is worth it when the event is so generously supported by
                          Pharmacy Association (UKCPA) after seeing                                              staff and public alike.”
                          off 15 other entries.
                          The winning poster promotes a new
                          programme at St Mary’s to help ward
                          pharmacists identify which patients are ready
                                                                           Cycle Cuba                            » Movers and Shakers
to switch from intravenous antibiotics to taking them as tablets.
  Tracy, who produced the poster with principal microbiology pharmacist,
Hayley Wickens, said: “I’m delighted our poster won. It reflects some of                                         WELCOME TO...
the great work being done by the pharmacy and microbiology teams to                                              Neil Macdonald
continually optimise therapy for patients at the Trust.”                                                         Service manager for surgery, St Mary’s
  She was awarded with a trophy and a bottle of champagne at a                                                   Neil joins St Mary’s from the Healthcare
special ceremony by UKCPA in November.                                                                           Commission, where he was senior assessment
                                                                                                                 manager in charge of NHS hospitals and private
                                                                                                                 providers in Berkshire and south Buckinghamshire.
                         » Chair for Nadey                                                                       His top priority will be achieving 18 weeks. Neil
                         Nadey Hakim, surgical director – transplant       IF YOU’RE looking for a goal for      replaces Sandra Iskander, who has moved to the
                         unit, has been offered the position of The        the New Year – or just a way of       Centre for Patient Safety and Service Quality (see page 4).
                         Max Thorek Chair of Surgery (Chicago).            working off that Christmas
                         This is an endowed Chair based at the             pudding – then why not follow in                          Joanna Andrysiak
                         International College of Surgeons.                the tyre tracks of Queen                                  Occupational therapy assistant, Hammersmith
                                                                           Charlotte’s midwives Jenny Smith                          Joanna has joined the occupational therapy
                                                                           and Toby Cooper?                                          department at Hammersmith, specialising in
                                                                              They took part in Women for                            elderly medicine. Joanna previously worked at a
                                                                           Women’s 2006 charity bike ride in                         residential care home as a principal care worker.
                                                                           Rajasthan to raise money for
» Urology honour for Gordon                                                research that will improve the        ON THE MOVE...
Former Hammersmith urologist Gordon Williams, whose move to                health of women and babies. And       Salina Yasmin
Ethiopia to become dean of a new medical school there was                  for its 2008 fundraising drive, the   Multidisciplinary coordinator, St Mary’s
featured in the first issue of 360°, has received a top honour from        charity is organising a women-only    Salina moves to this post after three years as the hospital’s waiting list
the British Association of Urological Surgeons.                            bike ride in Cuba, with This          coordinator. She has been at St Mary’s for six years.
  The Association awarded him its St Peter’s Medal in recognition          Morning presenter Fern Britton
of his notable contribution to the advancement of urology, both at         already signed up to take part.       FAREWELL TO...
Hammersmith Hospital, where he published more than 200                                                           Deirdre O’Toole, PA to consultant palliative care, St Mary’s
research papers, and on the national and international stage.              » For more information, visit         Lynn Malcolm, finance, St Mary’s
                                                                             www.women-for-women.org             Sue Shortt, assistant general manager, neurosciences, Charing Cross
                                                                                                                                                                                                   11

                                                                                                                                                                  17 DECEMBER 2007
                                                                                                                                                                           ISSUE 06


» Inward view                        Case Notes
                                                               Jonny Martin
                                                               Anaesthetic specialty trainee (ST2), St Mary’s
                                                               Jonny joined St Mary’s recently as part of his ongoing
                                                               training rotation across North West London. His role
                                                               includes ensuring patients are fit for anaesthesia and
                                                               performing anaesthesia during surgery.

                                     » As a child, what did you want to be when you grew up?
                                     I wanted to be a fireman until I discovered that they put out fires rather
                                                                                                                        A day in the life
                                     than start them.
                                                                                                                        » Pedro Rodriguez
                                     » What is your earliest memory?
                                     Wandering off for two hours on a trip to the seaside and leaving my                Niki Jenkins
                                     frantic parents to rouse the whole beach to help find me. They found
                                     me two hours later playing with a new canine friend. I was two.                    Live donor transplant coordinator, Hammersmith Hospital

» A patient’s perspective            » How do you travel to work?                                                       “GIVE ME one second,” says live transplant coordinator Niki Jenkins as
                                     I occasionally run from Waterloo but 99.999 per cent of the time                   she turns back to the computer screen and continues to bash furiously
 Nicola Pritchard has been in        I take the tube.                                                                   on her keyboard.
Charing Cross Hospital for a                                                                                               Five minutes later she pulls up a chair, apologises for munching her
little more than a week after        » What would your superpower be?                                                   lunch as we talk and explains: “I was putting the final touches on a
having cancer surgery. 360°          I’d love a mute button – I could use it on surgeons, my girlfriend…                letter to the immigration authorities for a gentleman who is flying to the
spoke to her while she was           » What’s in your CD player?                                                        UK in order to donate a kidney to his uncle. Hopefully they will accept
recovering.                          A new band called Jonas and Plunkett who are donating their album                  that there is a legitimate reason for the visit and grant the visa – but you
                                     proceeds to Great Ormond Street. They’re friends of mine so this is a bit          can never be sure.”
The medical care I have              of a plug but it’s for a good cause.                                                  Though not commonplace, the episode serves to illustrate that her
received here has been very                                                                                             role is nothing if not varied. “Living kidney donors can usually only
good. The nursing staff are          » Are you a cat or a dog person?                                                   donate to someone who is related to them by blood, marriage or close
really competent. I have never       I couldn’t eat a whole one of either but I would have to say dog –                 friendship – hence the need to support this visa application.” Donors
seen anyone left in pain or          cats are evil!                                                                     are also required to have a certain degree of compatibility (i.e. blood
discomfort and patients that                                                                                            groups and tissue types) with the recipient.
                                     Visit 360° Extra on the intranet to read the full interview.
need extra help to eat or go to                                                                                            Most organs for transplants are donated from people who have died,
the toilet always get the care                                                                                          but every year, more and more people receive organs from living donors.
they need.
   The ward is fine; some
wards are obviously nicer than
                                     Top of the vox                                                                     Suitable patients are referred to Niki by the renal team and it is up to her
                                                                                                                        to manage the process from referral to surgery. “The procedure is very
                                                                                                                        detailed but essentially my job is to take a donor and recipient pair from
others. I have had treatment in                                                                                         A to B. From the minute they come to see me, to the time of their
the Riverside Wing which is
                                     What are you having for Christmas lunch?                                           operation, I’ll guide them every step of the way.”
really nice. But I have to say,                                                                                            The first task is to check whether the recipient is compatible with the
when you come in here and                                  Ngayu Thairu                                                 donor before overseeing a full medical assessment of the donor. “We need
you feel really ill, you don’t                             Clinical fellow, Charing Cross                               to be absolutely certain that the donor is fit for surgery and that their kidneys
always notice the                                          “I’ll be having barbecued goat, which is a traditional       are functioning properly. They are seen individually by different doctors and
environment.                                               Christmas dish back home in Nairobi.”                        together by a third doctor to ensure that they both – particularly the donor –
   What I have noticed during                                                                                           understand the implications of what is major surgery.”
my stay is that some nurses are                                                                                            The final stage before surgery – and a legal requisite – is for each case
really friendly and treat you as                                                                                        to be checked by an independent assessor from the Human Tissue
an individual and this can           Nicole Hooper                                                                      Authority (HTA). “It’s important that all donors give informed consent,
make all the difference. For         Temp, Charing Cross                                                                that they are doing this of their own volition, and that there is no
example, some nurses come in         “There will be ten of us so we’re going to have a                                  suggestion that they are being coerced. Such cases are extremely rare
at the start of a shift and make     family feast – I’ll cook the goose, and all the other                              but it’s important that this is thoroughly checked and that there isn’t a
everyone a cup of tea and chat       girls will do something too. The boys will probably                                financial or other incentive motivating the donor.”
about what they’ve been              lounge around as usual.”                                                              Legal requirements aside, Niki is passionate about the people who donate
doing and, because being in                                                                                             a kidney to loved ones. “These people are very special indeed. I tell them all
hospital is quite boring, it can                            Duncan Bass                                                 the time that they’re absolutely amazing and some give me quizzical looks
really brighten up your day.                                Medical rep, Marshall Products, St Mary’s                   but I really mean it. I can’t tell you how much I admire someone who is
   Sometimes it’s the ‘add-ons’,                            “I’m having turkey ‘round me mum’s. Bog standard            willing to go through major surgery for another human being.”
like looking someone in the                                 really.”
                                                                                                                        » A typical day for Niki
eye when you approach a
ward, that can make the stay a                                                                                          8.15am       Checks her emails and deals with overnight phone
bit more pleasant. I still find it                                                                                                   messages from patients
surprising when people –             Moussa Coly                                                                        9.00am       Patient arrives for first assessment
especially managers – walk           Domestic, Charing Cross                                                            10.00am      Visits post-op patients on ward and takes notes up for those
around, count the beds but           “I don’t celebrate Christmas so I won’t be eating                                               awaiting surgery
don’t look at patients sitting in    anything special; but like everyone else I’ll definitely                           11.00am      Patient arrives for assessment day
the bed.                             put my feet up and watch loads of TV.”                                             12noon       Drops blood sample to lab
                                                                                                                        3.00pm       Assists doctors in clinic
                                                                                                                        4.00pm       Meets and discusses living donation with new recipient
                                     Views expressed in this column are those of the individual and do not              5.00pm       Prepares papers and letters for HTA
                                     necessarily reflect the opinions of 360°                                           6.00pm       Checks emails before heading home
12


Lifestyle
  1                                                6                        Education, learning                                                            Dates for
                                   2                       8                and development                                                                your diary
                  4                        8                                » Nicola Morgan

                                                                                                                                                           December
  6                                                                         Trustwide                               Conflict resolution training
                                                                            Business administration                 Details: Mandatory training            18 In search of Fleming: New
  9                        6       4       3                       5        development programme                   When: December 20;                     insights into the man behind
                                                                            Details: For Band 3-plus staff across   9.30am – 4.30pm                        the mould
                                                                            the Trust to enhance their skills       Where: Education Centre,               St Mary’s archivist Kevin Brown
                                                                   2        When: Closing date for applications     2nd Floor, Mint Wing                   gives the last of Imperial’s
                                                                            is January 9; entry assessment,         Contact: flavien.mmapalou@             Centenary Year Lectures
                           9                       3                        January 23
                                                                            Where: St Mary's Hospital, Education
                                                                                                                    imperial.nhs.uk, 020 7886 6760         Time: 5.30pm
                                                                                                                                                           Venue: St Mary’s campus, Medical
                                                                            Centre, 2nd Floor, Mint Wing            Immediate life                         School Library, Norfolk Place
          2                        1                                        Contact: Nicole Lancaster on            support training                       RSVP: Gale Lewis on
                                                                            nicole.lancaster@imperial.nhs.uk,       Details: Course certified by           g.e.lewis@imperial.ac.uk

                  8                                                4        020 7886 1744                           Resuscitation Council (UK) open to
                                                                                                                    students and qualified staff
                                                                                                                                                           or 020 7886 1209

                                                                            Hammersmith                             When: January 7 and 31 (medical)       18 Charing Cross Triathlon Club
                                                                            French classes for                      and January 15 (surgical);             (every Tuesday)
                                                                            Hammersmith Hospital                    9.00am – 5.00pm                        Hosted by Perry Marks.
» Win a CD of your choice                                                   staff and students                      Where: Education Centre,               Suitable for all ages and abilities
                                                                            Details: One-hour classes with          2nd Floor, Mint Wing                   Time: Sessions at 7.00pm and 9.00pm
Congratulations to Kim Pryde, sister, who won the competition               experienced native French teacher       Contact: 020 7886 1002                 Venue: Charing Cross Hospital
from issue 5                                                                for small groups from beginner                                                 Sports Club
                                                                            to advanced level                       First line management                  Visit: www.ccsclub.co.uk for details
How many days are in 18 weeks?
                                                                            When: Starting mid-January 2008 for     Details: 14-week management            of how to join
To enter the competition, simply send an email to 360° (in your email       12 weeks; 12noon – 2.00pm               course for Bands 5 and 6
address book) with your answer in the subject field. The competition is     Where: Sub-basement,                    When: February 2008 – closing date     19 Clinical Ethics Committee
available to Imperial College Healthcare NHS Trust staff only, and closes   Commonwealth Building,                  for applications is January 18         Time: 5.00pm – 6.30pm
on January 4, 2008.                                                         Hammersmith Hospital                    Where: City of Westminster College     Venue: St Mary’s Hospital, Education
» Sponsored by NHS discounts – www.nhsdiscounts.com                         Contact: Stéphanie Radet on             Contact: Nicole Lancaster on           Centre, Mint Wing, Room 1
                                                                            s.radet@dsl.pipex.com,                  nicole.lancaster@imperial.nhs.uk,      Contact: cheryl.mason@

» Eco corner                                                                020 8992 4596                           020 7886 1744                          imperial.nhs.uk, 020 7886 7708/1470

                                                                            Effective manager                       Prince 2 practitioner                  20 & Jan 04 Time for change
» Emer Scott                                                                programme                               project management                     (and a tea break)
                                                                            Details: Accredited programme           Details: For staff who have done the   Discussions about change over a
MOST OF us feel like some guilt-free indulgence at Christmas without        for managers already in post but        Prince 2 foundation course             cup of tea or coffee
having to worry about the environmental friendliness of our wrapping        who have had little or no formal        When: January 21, 23 and 25            Time: 11.00am – 11.30am
paper and party poppers.                                                    management training                     (you must attend all dates);           Venue: Charing Cross Hospital,
   But you don’t have to turn into Scrooge to have a greener Christmas.     When: Wave 4 from January 21 to         9.00am – 5.00pm                        corporate change team office,
A few small changes can make a world of difference.                         May 23; Wave 5 from February 14         Where: Education Centre,               6th Floor, Lab Block
   Why not buy USB-rechargeable batteries for children’s toys? Recycle      to June 16                              2nd Floor, Mint Wing                   Details: angela.farmer@
your Christmas cards at the Woodland Trust’s many collection points         Where: Hammersmith                      Contact: Nicole Lancaster on           imperial.nhs.uk, 020 8846 1117
(http://www.woodland-trust.org.uk/cards/index.htm). Turn off fairy          Conference Centre                       nicole.lancaster@imperial.nhs.uk,
lights when you’re not around to enjoy them. And use natural beeswax        Contact: Geoff Piper                    020 7886 1744                          20 Jazz evenings
or vegetable candles instead of paraffin ones.                              on geoff.piper@imperial.nhs.uk,                                                (every Thursday)
                                                                            020 8383 4889                           NIDCAP study day for                   Enjoy an evening of jazz, Latin
                                                                                                                    medical staff                          and blues
                                                                            St Mary’s                               Details: The Neonatal Individualised   Time: From 8.00pm
                                                                            Allied health professionals             Developmental Care and Assessment      Venue: Charing Cross Hospital
                                                                            update                                  Programme for medical staff            Sports Club
                                                                            Details: For AHPs at all grades         When: January 29;                      Email: info@nat.org.uk
                                                                            When: December 18;                      9.15am – 4.45pm                        Visit: www.ccsclub.co.uk
                                                                            9.00am – 4.30pm                         Where: Cockburn Lecture Theatre,       to find out more
» Discount corner                                                           Where: Education Centre,                2nd Floor, QEQM building
                                                                            2nd Floor, Mint Wing                    Contact: tar.samad@imperial.nhs.uk     January
                                                                            Contact: 020 7886 1002                  or inga.warren@imperial.nhs.uk,
» Nicola Morgan
                                                                                                                    020 7886 6773                          8 Joint Negotiation and
North Kensington pub, the North Pole, is offering all Trust staff a ten     Admin and clerical update                                                      Consultation Partnership
per cent discount off food and drink – simply bring your work ID along.     Details: Training for all admin and                                            Time: 11.00am – 1.00pm
The discount cannot be used alongside any other promotions, so it’s         clerical staff                           For further education, learning and   Venue: Charing Cross Hospital,
worth doing a quick calculation in the pub to work out which deals          When: December 21;                       development opportunities, please     Boardroom 1, 2nd Floor,
give you the most for your money!                                           9.00am – 12noon                          visit Your Working Life on the        Education Centre
  North Pole: 11.00am – 11.00pm, Monday to Sunday                           Where: Education Centre,                 Hammersmith intranet or               Contact: Liz Grogan on
  13-15 North Pole Rd, London, W10 6QH. Tel: 020 8964 9384                  2nd Floor, Mint Wing                     Education on the St Mary's intranet   elizabeth.grogan@imperial.nhs.uk
» Check out the intranet for more discounts and special offers.             Contact: 020 7886 1002
A wide range of paediatric services are currently offered                                                                                                                                                                                                                                                                                                                                                      Timeyin’s tale
                                                                                                                                                                                                                           Paediatric specialist services                                                                                                                                                      There was always a chance Timeyin
at St Mary’s Hospital based in the Queen Elizabeth                                                                                                                                                                         St Mary’s is nationally renowned for a range of             clotting problems, chronic myelogenous leukaemia             Nephrology                                                 Omagbitse, aged five, would have sickle
                                                                                                                                                                                                                                                                                                                                                                                                               cell disease (SCD) – her parents, Frank and
                                                                                                                                                                                                                           paediatric specialties treating children from around the    (CML), transfusions and haemoglobin-related conditions       Children with kidney and urinary tract problems receive
Queen Mother (QEQM) Building, including the nationally                                                                                                                                                                     country. These include;                                     are key areas of expertise. The team also runs a very        expert care at St Mary’s. The nephrology service sees      Kate-Emily, are both carriers of the
                                                                                                                                                                                                                                                                                                                                                                                                               condition. Timeyin was tested for SCD at
renowned intensive care unit, bone marrow transplant                                                                                                                                                                       Allergy and asthma                                          active stem cell programme – in particular, the
                                                                                                                                                                                                                                                                                       transplantation of adult stem cells from a healthy
                                                                                                                                                                                                                                                                                                                                                    children with complex urinary tract infections, bladder
                                                                                                                                                                                                                                                                                                                                                    problems, metabolic and genetic renal disease,             birth and has been coming to St Mary’s
                                                                                                                                                                                                                           Like asthma, the incidence of potentially fatal childhood                                                                                                                           for treatment and check-ups ever since.
unit and infectious diseases team.                                                                                                                                                                                         allergies is growing and concerns have been expressed       person who is a tissue match for the recipient
                                                                                                                                                                                                                                                                                       (allogeneic transplantation). Children with these blood
                                                                                                                                                                                                                                                                                                                                                    nephrotic syndrome, abnormalities of the urinary tract,
                                                                                                                                                                                                                                                                                                                                                    proteinuria and haematuria. It also specialises in the     SCD sufferers inherit two faulty
                                                                                                                                                                                                                           about a national shortage of experts in this field. But,                                                                                                                            haemoglobin genes, meaning their red
                                                                                                                                                                                                                                                                                       disorders can spend many months within the hospital          care of children with high blood pressure and risk
                                                                                                                                                                                                                           as a UK centre of excellence in childhood allergy and                                                                                                                               blood cells can clump together, causing a
                                                                                                                                                                                                                                                                                       as part of the treatment, and the unit of the grand          factors for cardiovascular disease.
                                                                                                                                                                                                                           asthma, St Mary’s is ahead of the game. The service                                                                                                                                 sickle cell crisis. Blood flow may be
Queen Elizabeth Queen Mother (QEQM) Building floor plan                                                                                                                                                                    runs clinics for children with anaphylaxis, severe          union ward offers three specialist bone marrow               Neurology                                                  disrupted, depriving cells of oxygen.
                                                                                                                                                                                                                           asthma and rhinitis, sinusitis, eczema, allergic skin       transplant cubicles , which include beds for parents.        Problems with the brain and nervous system can cause       Sufferers may experience severe pain
                                       Specialist paediatrics (grand union ward)                                                                                                                                           reactions such as urticaria, and suspected                                                                               a huge range of conditions. The neurology service          where the cells are trapped, most
                                                                                                                                                                                                                                                                                       Infectious diseases
                                                                                                                                                                                                                           immunodeficiency. It also caters for children with          Children from all over the UK are referred to the            cares for children with everything from epilepsy to        commonly the limbs, back and stomach.
                                       Westway ward (day care)                                                                                                                                                             immediate allergies to the likes of wasp stings, latex                                                                   motor and gait disorders, and from stroke to abnormal
                                                                                                          Paediatric research unit                                               PICU parents –                            and particular foods and drugs.
                                                                                                                                                                                                                                                                                       infectious diseases team. TB, hepatitis and HIV are just
                                                                                                                                                                                                                                                                                                                                                    head growth. The team works closely with experts in
                                                                                                                                                                                                                                                                                                                                                                                                               The condition also causes anaemia and
                                                                                                                                                                                                                                                                                                                                                                                                               people with the illness are more at risk of
                                                                                                                                                                                                                                                                                       three of the conditions for which St Mary’s is
                                      General paediatrics (great western ward)                            Children aren’t just ‘mini-adults’ – their bodies haven’t fully        ‘The Christmas we                         Haematology and bone marrow transplant                      particularly well known, and there are special clinics for   related fields such as ophthalmology, orthopaedics and     infections.
                                                                                                                                                                                                                                                                                                                                                    clinical genetics to ensure that each child receives an
                                      Paediatric short stay unit                                          matured, so diseases often work in a different way from adults.
                                                                                                          That’s why, in July 2007, we opened the UK’s first unit solely
                                                                                                                                                                                 feared James would                        St Mary’s is nationally renowned for its paediatric         adolescents and young adults living with HIV. The
                                                                                                                                                                                                                                                                                                                                                    expert and individually tailored care plan.
                                                                                                                                                                                                                                                                                                                                                                                                               SCD is highly unpredictable and although
                                                                                                                                                                                                                                                                                                                                                                                                               Timeyin was relatively well as a young
                                                                                                                                                                                                                           haematology service, including bone marrow                  package of care isn’t just medical – psychological care is
               7
                                      School room                                                         devoted to paediatric clinical research and to developing therapies    never see’                                transplantation, accepting referrals from across the        deemed equally important, and the team adopts a              Paediatric intensive care unit                             child, in December 2005 she had a stroke
                                                                                                          specially designed for children’s needs.                                                                                                                                                                                                                                                             and was admitted to St Mary’s. Since
                                       Paediatric research unit                                                                                                                  Darren and Helen Monk thought they’d      country. Bone marrow failure, sickle cell disease,          proudly multidisciplinary approach.                          See page 2.
                                                                                                          See page 6 for more details.                                                                                                                                                                                                                                                                         then, she has needed monthly blood
                                                                                                                                                                                 lost their baby five times in the first
                                                                                                                                                                                                                                                                                                                                                                                                               transfusions on the Westway day care
                                                                                                                                                                                 few months of his life. But, thanks to
                                      Paediatric intensive care unit (PICU)                                                                                                                                                                                                                                                                                                                                    unit to prevent her having another
                                                                                                                                                                                 PICU, little James and his family are
                                                                                                                                                                                                                                                                                                                                                                                                               stroke.
                                                                                                                                                                                 now preparing for the Christmas they
                                                                                                                                                                                 feared he would never see.                                                                                                                                                                                                    “We know this is a very tricky illness,”
                                     Paediatric therapy services and
                                                                                       Paediatric intensive care unit (PICU)                                                                                                                Paeds A&E to the                                                           Patrick fights back -                                 Paediatric                        says dad, Frank, “so we take each day as
                                     Paediatric audiology                                                                                                                                                                                                                                                                                                                                                      it comes but the care she receives here is
                                                                                       When a child’s life hangs in the balance, you                                                                                                        rescue –                                                                   meningococcal                                         outpatients                       excellent. She loves coming and calls St
                                                                                       want to know they’ll get world-class treatment.                                                                                                      Emma’s story                                                               septicaemia                                           We provide 20,000                 Mary’s ‘my hospital’. The staff have been
                                                                                       St Mary’s PICU has been right at the forefront of                                                                                                                                                                                                                                     appointments a year with          instrumental to her life and, although
                                                                                       tertiary paediatric intensive care since it opened                                                                                                   Five-month-old Emma Gunning-                                               Patrick Kane                                          clinics for:
               6                     Paediatric outpatients                                                                                                                                                                                                                                                                                                                                                    she’s not very well, we feel so blessed.”
                                                                                       in 1992 and has successfully pioneered new                                                                                                           Cooper was listless with a raging                                          was just nine                                         G General paediatrics
                                                                                       treatments for deadly illnesses such as                                                                                                              fever when she arrived at A&E with                                         months old                                            G Chest and allergy
                                                                                       meningitis and bronchiolitis.                                                                                                                        her frightened mum, Katie. Staff                                           when he was                                           G Infectious diseases
                                                                                                                                                                                                                                            immediately carried out tests which                                        hit by
                                       Paediatric recovery                             PICU has 10 beds (including eight intensive care                                                                                                                                                                                                                                      G Hepatitis
                                                                                                                                                                                                                                            showed she had septicaemia caused                                          meningococcal
                                                                                       and two high dependency) and treats around                                                                                                                                                                                                                                            G Immunisation
                                                                                                                                                                                                                                            by a urine infection and admitted her                                      septicaemia –
                                       Paediatric theatre                              500 children a year. Parents are welcome any                                                                                                                                                                                                                                          G HIV family clinic
                                                                                       time and night-time accommodation is available                                                                                                       to a ward. Four days later, Emma was                                       one of the
                                                                                                                                                                                                                                                                                                                                                                             G Nephrology
                                                                                       for them. The PICU team were also the first in                                                                                                       back to her old self again.                                                deadliest
                                                                                                                                                                                                                                                                                                                                                                             G Neurology
               4                                                                       London to develop specialist ambulance                                                    James weighed just 1lb 7oz when he                                                                                                    infectious
                                                                                                                                                                                                                                            “Having the paediatric A&E                                                                                                       G Haematology
                                                                                       transfers for critically-ill children – in partnership                                    was delivered by emergency                                                                                                            childhood
                                                                                                                                                                                                                                            department here was fantastic,” says                                                                                             G Gastroenterology
                                                                                       with Great Ormond Street and the Royal                                                    caesarean at his local hospital in                                                                                                    diseases.                                                                               And this year she will have a very special
                                                                                                                                                                                                                                            Katie. “Emma’s my first baby and this                                                                                            G Endocrinology
                                                                                       Brompton it has now evolved into the Children’s                                           January 2007. He was on its neonatal                                                                                                                                                                                          Christmas – she is going on her first ever
                                                                                                                                                                                                                                            was the first time she’s been ill so I                                     He was
                                                                                                                                                                                 unit for six months, but got                                                                                                                                                                G Cardiology
                                                                                       Acute Transport Service (CATS), covering the             Princess Diana visits PICU for                                                                             was a bit panicky, but                                      referred to St Mary’s by his GP                                                         holiday. “We’re so excited. It’s amazing
                                                                                                                                                its 5th anniversary in 1997      pneumonia and his condition                                                                                                                                                                 G Dermatology
                                                                                       whole North Thames and East Anglia area.                                                                                                                               the staff were                                           because of a slight temperature but                                                     to think that two years ago, she was in
                                                                                                                                                                                 deteriorated to the point where                                                                                                                                                             G Neonatal follow-up clinics
                                      Child & adolescent psychiatry                                                                                                                                                                                             brilliant. They                                        in less than three hours the infection                                                  hospital after a mini-stroke,” says Frank,
                                                                                                                                                                                 doctors felt transfer to St Mary’s PICU                                                                                                                                                     G PICU follow-up clinics
               3                                                                                                                                                                                                                                                 calmed me down                                        took over his body, causing his heart                                                   “but this Christmas we will all be home in
                                                                                                                                                                                 was his only chance.                                                                                                                                                                        G Child development and
                                                                                                                                                                                                                                                                   and made sure                                       and other organs to fail, and Patrick                                                   Nigeria and she will meet my mum for the
                                                                                                                                                                                                                                                                                                                                                                               neurodisability                 very first time.”
                                                                                                                                                                                 James almost died several times but                                               that Emma got                                       was fighting for his life on PICU. The
                                                                                                                                                                                                                                                                                                                                                                             G Audiology
                                                                                                                                                                                 kept fighting and PICU staff spotted
                                                                                                                                 Paediatric A&E                                                                                                                     the treatment                                      septicaemia spread throughout his
                                                                                                                                                                                                                                                                                                                                                                             G Autism
                                                                                                                                                                                 his breathing problems were being                                                  she needed.”                                       body, turning his fingers and lower
                                                                                                                                 Now open 24 hours a day, paediatric A&E                                                                                                                                                                                                     G Behavioural disorders
                                                                                                                                                                                 aggravated by severe reflux – milk                                                                                                    leg black; they had to be amputated
                                     Paediatric A&E department                                                                   has more than 25,000 attendances a year
                                                                                                                                                                                 was flooding his lungs every time he                                                                                                                                                        G Dieticians                         Neonatal services
                                                                                                                                 and has been specially designed with                                                                                                                                                  to save his life.
                                                                                                                                                                                 fed. He had surgery to correct it and,                                                                                                                                                      G Speech and language therapy        Both St Mary’s and Queen Charlotte’s
                                                                                                                                 children in mind. Separate from St Mary’s                                                                                                                                             Remarkably, he made a full recovery
                                                                                                                                                                                                                                                                                                                                                                             G General paediatric surgery         offer tertiary neonatal unit / special
                                                                                                                                                                                 on August 29 was well enough to go
                                     Paediatric fracture clinic                                                                  main A&E, the unit provides expert care in a                                                                                                                                          and is one of the sickest children to                                                      care baby units. Babies cared for in
                                                                                                                                                                                 home for the first time in his life.                                                                                                                                                        G Urology
               1                                                                                                                 welcoming, child-friendly environment. All                                                                                                                                            have survived meningococcal                                                                the Units may be premature (from
                                                                                                                                                                                                                                                                                                                                                                             G ENT
                                                                                                                                 staff on the unit have extensive training in    “He’s a little miracle boy,” says proud
    ance                  Entrance                                                                                                                                                                                                                                                                                     septicaemia. He spent a month in                                                           around 23 weeks) or born full-term but
Entr                                                                                                                                                                             mum Helen. “The staff at St Mary’s                                                                                                                                                          G Orthopaedics
                                                                                                                                 paediatric A&E, and even includes a play                                                                                                                                              PICU and a further two months on a                                                         have problems such as severe
                                     • Neonatal facilities at St Mary’s are situated                                                                                                                                                                                                                                                                                         G Ophthalmology
                                                                                                                                 specialist who uses distraction techniques to   were amazing and I can’t thank them                                                                                                   ward, and despite the amputations is
                                       in the Clarence Wing, and at Queen                                                                                                                                                                                                                                                                                                                                         infection, breathing difficulties, serious
           Ground floor                Charlotte's & Chelsea Hospital at                                                         comfort children undergoing examination         enough. We are really looking                                                                                                         now a cheerful, active 10-year-old
                                                                                                                                                                                                                                                                                                                                                                             G Psychology / child psychiatry
                                                                                                                                                                                                                                                                                                                                                                                                                  cardiac problems or surgical disorders.
                                       Hammersmith                                                                               or treatment.                                   forward to Christmas with him now. I                                                                                                  who’s passionate about dinosaurs, PE
                                     • Facilities listed as at December 07                                                                                                       think he’s going to get spoilt rotten.”                                                                                               class and Celtic football club.

                                                2                                                                                                                                                                   3                                                                                                                                                                       4
                                                                               Here’s to the                                           Paediatric innovation
                                                                               past and the
                                                                               future
                                                                                                                                                              Earlier this year the UK’s first research unit devoted entirely to
                                                                                                                                                               children’s research opened at the St Mary’s campus. Research is
                                                                                                                                                                at the heart of paediatric services within Imperial College
                                                                                                                                                                                                                                                 What will they
                                                                                                                                                                                                                                                 be treating?
                                                                                                                                                                                                                                                                                       Tomorrow’s
                                                                               Chief Executive/Principal of Imperial
                                                                               College Healthcare NHS Trust
                                                                               Professor Stephen Smith has a bold
                                                                               vision for paediatrics within the
                                                                               Trust.
                                                                                                                                                                 Healthcare NHS Trust as Professor John Warner, Head of
                                                                                                                                                                 Paediatrics, Imperial College explains:
                                                                                                                                                                 “The research unit is a working example of how the Academic Health
                                                                                                                                                               Science Centre supports faster delivery of scientific discoveries, filtering
                                                                                                                                                           direct to hospital wards. Our research unit, run by a multidisciplinary team of
                                                                                                                                                                                                                                                 Researchers in the new unit
                                                                                                                                                                                                                                                 will be investigating many
                                                                                                                                                                                                                                                 areas including:
                                                                                                                                                                                                                                                 G paediatric allergies and how
                                                                                                                                                                                                                                                   these can be prevented;
                                                                                                                                                                                                                                                                                       children                                                                 Paediatric services at Imperial College
                                                                                                                                                                                                                                                                                                                                                                Healthcare NHS Trust

                                                                                                                                                                                                                                                 G new treatments for
                                                                               “Specialist paediatrics
                                                                               is an integral part of
                                                                                                                                         health professionals and scientists from Imperial College and St Mary’s, is situated next door to the
                                                                                                                                         very place our pioneering treatments might one day be needed – the paediatric intensive care unit.
                                                                                                                                                                                                                                                   neuromuscular diseases such
                                                                                                                                                                                                                                                   as Duchenne muscular
                                                                                                                                                                                                                                                                                                                                                                                          Did you
                                                                               Imperial College
                                                                               Healthcare NHS Trust.
                                                                                                                                         When new medical discoveries are made it sadly often takes all too long for the treatments to
                                                                                                                                         reach patients, especially children. Scientists work separately from hospitals, products do not
                                                                                                                                                                                                                                                   dystrophy;
                                                                                                                                                                                                                                                 G sleep disturbance and how                                                                                                              know?
continued from page 1 ²                                                        We already provide a                                      necessarily meet a child’s (as distinct from                                                              this affects health and
                                                                               range of paediatric                                                                                                                                                 behaviour;                                                                                                                             Every year in
treated on the unit are critically ill and require life support as they                                                                  an adult’s) needs or research is carried
                                                                               services of exceptional                                   out by pharmaceutical companies, with a                                                                 G new treatments for acute                                                                                                               paediatrics...
could not be managed in a hospital without a Paediatric Intensive
                                                                               quality, including a                                                                                                                                                and chronic chest disorders
Care Unit.                                                                                                                               need to make a profit. We want to make                                                                                                                                                                                                           G More than 20,000
                                                                                                                                                                                                                                                   such as bronchiolitis and
                                                                               world-class reputation                                    discoveries that benefit children as                                                                                                                                                                                                             paediatric outpatient
With the creation of the UK’s first paediatric research centre located                                                                                                                                                                             asthma;
                                                                               for intensive care,                                       quickly and safely as possible.                                                                                                                                                                                                                  appointments are
next door to the intensive care unit and dedicated entirely to                                                                                                                                                                                   G treatment and immunisation
                                                                               infectious diseases,                                                                                                                                                                                                                                                                                       made (6,700 new
children’s research, paediatric services will only strengthen with                                                                       Our ethos is about research translating                                                                   against Infectious diseases
                                                                               allergy, HIV and                                                                                                                                                    such as meningitis,                                                                                                                    appointments, 14,000
direct access to the latest clinical trials and cutting edge innovation.                                                                 into clinical practice in an environment
                                                                               neonatology. As the                                                                                                                                                 pneumonia, HIV and TB;                                                                                                                 follow-ups);
Clinical lead for paediatric services and PICU consultant Dr Simon                                                                       that will make it much easier for us to
                                                                               UK’s first Academic Health Science Centre we can                                                                                                                  G treatment and prevention of
Nadel said: “These developments bring great opportunities for                  also bring increased research resources and skills        work collaboratively with clinical staff,                                                                                                                                                                                                        G Around 25,000
                                                                                                                                                                                                                                                   complications of sickle cell
paediatric critical care at the Trust. Our paediatric services will only       to our specialist services.                               scientists and, most importantly, the       Professor John Warner (R) talks with paediatric               disease.                                                                                                                               children are seen
strengthen through closer working with our academic partners                                                                             children and their families.”               consultant Parviz Habibi and mum Cathy Wybrow                                                                                                                                                        within our 24 hour
                                                                               Paediatrics is one of the themes underpinning our
under the umbrella of our new Trust, the UK’s first Academic Health                                                                                                                                                                                                                                                                                                                       paediatric A&E;
                                                                               successful application to become one of only five
Science Centre.                                                                nationally recognised comprehensive biomedical                                                                                                                                                                                                                                                             G More than 9,000
“In the past 15 years paediatric services have flourished at St Mary’s         research centres in the UK. It is also the only        Our west London sites                                                                                                                                                                                                                               children are patients on
and will continue to accelerate under the new Trust, as our bold               comprehensive Biomedical Research Centre which                                                                                                                                                                                                                                                             our paediatric wards;
vision for a ‘children’s hospital, within a hospital’ takes shape.             has paediatrics as one of its major themes and is
                                                                                                                                                                                                                                                                                                                                                                                          G More than 2,000
Designed specifically for children and young people the unique                 therefore central to the Trust’s research agenda.                                                                                         PAEDIATRIC SERVICES                                                                                                                                              children are day
                                                                                                                                                NEONATAL &
service located within one of London’s best teaching hospitals has                                                                        MATERNITY SERVICES
                                                                               We are planning to shape our services into a new                                                                                                                                           PAEDIATRIC                                                                                                      patients;
access to a broad range of adult services and facilities.”                     specialist paediatric hospital in Imperial College                                     PAEDIATRIC                                                                                     OPHTHALMOLOGY
                                                                                                                                                                     OUTPATIENTS                                                                                                                                                                                                          G More than 6,000 lives
                                                                               Healthcare NHS Trust based at our St Mary’s
                                                                                                                                                                                                                                                                                                                                                                                          have been saved since
                                                                               Campus. This ‘hospital within a hospital’ will be at
                                                                                                                                                                                                                                                                                                                                                                                          PICU opened its doors,
                                                                               the centre of the network of children’s health
   Did you know?                                                               services across west London. Our specialist
                                                                               services are provided in partnership with
                                                                                                                                                                                                                                                                                                                                                                                          with more than 500
                                                                                                                                                                                                                                                                                                                                                                                          children treated a year.
   G More than 9,000                                                           paediatricians in local hospitals. Our service is
   babies are delivered                                                        also underpinned by a philosophy of
   a year at both St
   Mary’s and Queen
   Charlotte’s & Chelsea
                                                                               multidisciplinary and multi-professional working.
                                                                               We have a well-established team of advanced
                                                                                                                                                                                                                                                                                       Celebrate 15 years
                                                                                                                                                                                                                                                                                       of saving small lives
                                                                               nurse practitioners and clinical nurse specialists
   Hospitals;
                                                                               who, together with senior professionals allied to
   G More than 800                                                             medicine, co-ordinate and deliver nurse-led
   babies are cared for within the neonatal intensive care                     services in partnership with adult and community                                                                                                                                                        St Mary’s Hospital Paediatric Intensive          When the Unit opened only 70 per cent of
   units at St Mary’s and Queen Charlotte’s & Chelsea;                         services and their colleagues in other trusts.                                                                                                                                                          Care Unit (PICU) started life in 1992            children with meningococcal septicaemia
   G More than 1,400 operations are performed on                               The recent expansion of the children’s A&E to 24                                                                                                                                                        as a small side-room within the                  survived. Thanks to Imperial led research into
   children at St Mary’s each year. This includes;                             hours demonstrates how the Trust is enhancing                                                                                                                                                           children’s ward.                                 understanding and treating the disease the
       -   600 ear nose and throat procedures                                  the quality of care for patients. We aim to build                                                                                                                                                       Fifteen years later more than 6,000 lives have   survival rate at St Mary’s in now closer to
       -   140 eye operations                                                  on our strong reputation for specialist children’s                                                                                                                                                      been saved thanks to PICU and the                95 per cent.
                                                                               services and research by using the benefits of
       -   250 trauma and orthopaedics procedures
                                                                               being the UK’s first Academic Health Science
                                                                                                                                                                                                                                                                                       groundbreaking work is only growing. The busy    As a leading specialist unit within the UK,       see inside –
       -   110 urology procedures                                                                                                                                                                                                                                                      10-bed unit continues to save the lives of       around one fifth of patients are from the local
                                                                               Centre to develop and use the newest treatments,                                                                                                                                                        children with life-threatening conditions such   area with the remainder transferred from
                                                                                                                                                                                                                                                                                                                                                                                          for more details
       -   300 general surgical procedures


                                                                                                                                                                                                                                                                                                                                                                                                                     »
                                                                               first with patients.”                                                                                                                                                                                   as toxic shock syndrome, meningitis,             greater London and beyond. All children           of paediatric
                                                                                                                                                                                                                                                                                       meningococcal septicaemia and pneumonia.         continued on page 5 ²                             services
                                                                                                                                      December 2007
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