Cheshire and Merseyside Vascular Services Review - local events

Two engagement events on vascular services have been arranged so that people can have their say over plans to concentrate vascular services in two specialist arterial centres. It is proposed that one is at the Royal Liverpool University Hospital, working with hospitals north of the Mersey and one at the Countess of Chester Hospital, working with hospitals south of the Mersey.

Vascular services are changing nationally and patients and the public in western Cheshire are invited to give their views on proposed changes to the way that specialist vascular services are provided across Cheshire and Merseyside. The proposals, aim to save more lives and improve the quality of life for patients after their treatment and the following events have been arranged to invite people to give their views:

Wednesday 29^th February 2012, 6pm - 9 pm
Ellesmere Port Civic Hall, Civic Way, Ellesmere Port, CH65 0AZ

Tuesday 13 March 2012, 10am-noon
St Mary's Centre, 2 St Mary's Hill, Chester, CH1 2DW

These events will ensure everyone has a chance to give their views. Any comments received will be recorded and taken into consideration.

Documentation, frequently asked questions and details of events in Cheshire and Merseyside can be found on a dedicated website at: http://www.vascularconsultation.org.uk

For more information on the Vascular Services Review, call the "Have Your Say" team on 0800 085 1547.

The Countess was among 125 hospital neonatal units in England that were involved in the survey.  The survey was developed by Picker Institute Europe and undertaken between 2010-11 by neonatal networks in England as well as being supported by Bliss, the special care charity, and the Department of Health. 

Seventy-three parents of babies admitted to the Neonatal Unit at the Countess responded to the survey and over 4000 parents responded from all neonatal units in England. Overall, the Countess of Chester Hospital's Neonatal Unit scored well: parents' scores put the Chester neonatal unit in the top 20% of local neonatal units in response to 13 of the questions asked. Questions included communication, the attitude of doctors and nurses on the neonatal unit and keeping parents informed and involved with the care of their baby as much as possible.  86% of parents said they always had confidence and trust in the staff caring for their baby, and 81% agreeing that they were involved as much as they wanted to be in the day-to-day care of their baby. 

Comments received from parents include:

"The standards of care we received from the Neonatal Unit at the Countess of Chester Hospital were excellent.  The staff were committed, friendly and well informed at all times."

"I found the staff and facilities to be excellent.  I was allowed to stay in my own room on the Neonatal Unit from the time I was discharged from the Maternity Ward right up until my baby went home.  I could not have asked for more care, support or professionalism. I applaud them all at the Countess."

Eirian Lloyd Powell, Neonatal Unit Manager, commented: "It is with great pride that we have achieved so much and the results achieved highlight the commitment of all staff to ensure that the babies being treated on the unit are provided with an excellent service, with their care always being our number one priority at all times."

Acknowledging that the unit can always aim higher, an action plan has been implemented to address areas for improvement. Improved availability of written information and provision of more opportunities for parents to have skin-to-skin contact are examples of improvement in practice since the survey, as the neonatal unit strives to improve the service the staff provide.

Eirian added: "One of our main challenges is to ensure that our unit continues to develop how it operates, as neonatal care has evolved rapidly over the last few years, utilising the latest in technology and advancement in care. Limited space on the unit is an issue but we try to utilise it to the best of our ability and will continue to do so."

As part of a national day of action to promote Dignity in Care, the Countess of Chester Hospital will be promoting a range of activities in the Main Entrance of the Hospital and the Restaurant on Wednesday 1^st February 2012. These activities will be of interest to patients, relatives, visitors or anyone else with an interest in dignified healthcare.

Dignity Action Day is a national initiative led by the Dignity in Care Campaign and its key partners to bring staff and members of the public together to make a difference to those in care.

Some of the highlights at the Countess will be:

• Stands on domestic violence, safeguarding, Alzheimer's society, Age UK  and nutrition
• Information on the Care Quality Commission (CQC)  dignity and nutritional review
• An opportunity to find out more about the Trust's Dignity Champions
• Listening walls where anyone can make a comment or suggestion

Providing the best clinical outcomes and highest quality care in a safe, friendly environment where a patient's dignity is fully respected is one the Trust's six key strategic objectives and dignity with care and compassion is a major focus within the Trust.

In October 2011, following an inspection by the Care Quality Commission (CQC), a report into the standards of care that older people receive in hospital found that the Countess of Chester Hospital is meeting both of the essential standards of quality and safety for older people. You can find out more by clicking here.

In the words of Sir Michael Parkinson who supports the Dignity in Care campaign 'It might well be that the difference people make individually is a mere ripple on the surface of our care system, but each of those ripples added together create a wave, a social movement and if that makes life better for some - then it has to be worthwhile. Dignity in care must be everybody's business; I hope people will do whatever is in their power to make a difference."

Anybody can support dignity action day; to find out more log onto www.dignityincare.org.uk where resource packs full of ideas and useful information for staff and members of the public can be found.

What does dignity mean to our staff?

As part of Dignity Action Day, we asked our staff what dignity means to them. Here is what they said:

"Being treated with respect and kindness, as an individual."
-          Dee Appleton-Cairns, Deputy Director of Human Resources

"Treating everyone with the respect and care I would expect for myself and family. Remembering to put yourself in the shoes of others at all times."
-       Linda Williams, Radiology Services Manager

"Respecting the diverse needs of service users and their families. This should be reflected by all midwifery care being based on individual need in reaction to assessment and listening to information provided to all staff involved in midwifery care to ensure that families feel involved in the decision making process themselves."
-       Julie Fogarty, Head of Midwifery/Maternity Pathway Manager

"Valuing each other and showing it every day."
-       Ken Eccles, Head of Estates

"Treating everyone with respect and allowing them to make informed decisions about their care."
-       Alison Swanton, Rehabilitation and Discharge Pathway Manager Urgent Care Division

"Being listened to and treated with care and compassion, being acknowledged and not ignored, being involved in my care and decisions, and being spoken to and not over."
-       Sian Williams, Head of Nursing Urgent Care

"The right of everyone to be respected."
-       Mr Ian Harvey, Divisional Medical Director Planned Care

"Treating someone in the way I would be expected to be treated. In other words speak to me as a person, care for me, listen to my worries and feelings, treat me with compassion and in discussion with me recognise my individual needs."
-       Carmel Healey, Pathway Manager / Head of Nursing Planned Care

"To treat the children and families that I care for with the respect and compassion that I would want to receive for myself and my own family as recipients of care."
-       Ravi Jayaram, Consultant Paediatrician

"Providing quality care that is individualised, respectful and involves the patient and their relatives. Care that is given to any of our patients needs to be provided in a safe environment, with the aim of maintaining the patients' privacy at all times. Dignity also means preserving the patients' self-confidence and well-being throughout their spell of care."
-       Karen Rees, Matron Cardiology

"To value a person as an individual and to treat them with the respect and consideration you would wish for yourself or your family."
-       Linda Fellowes, Divisional Director Planned Care

"Being treated with respect, being treated as I would wish to treat others and as an individual."
-       Debbie Kadum, Divisional Director Urgent Care Division

"People feeling safe and secure in an unfamiliar environment. Their views are listened to and they understand their care and treatment. No person should ever have their rights to express themselves suppressed in a way that makes them feel vulnerable."
-       Helen Wormald, Quality Improvement Facilitator

"Treating everyone - patients, their relatives, members of staff - in the manner in which you would expect for yourself. I expect this to be of the very highest standard and at all times."
-       Dr Virginia Clough, Medical Director

"To be able to listen and treat people with respect. Never discriminate or judge. Treat every person as an individual, to give them choice and make their own decision in life. To be non-judgemental regarding age, colour, gender, culture, religion or intellect. We all have the right to be treated as equals."
-       Tim Lynch, Director of Operational Services

"Treating people respectfully in a way that values them as individuals."
-       Gaynor Hales, Deputy Chief Executive / Director of Nursing, Quality & Environment

"It means that I get treated in a way that makes me feel that I and people I care about matter."
-       Lesley Freeman, Deputy Director of Nursing, Quality & Environment

"Dignity is respect for my privacy, attending to my needs confidentially.   Always hearing my voice and listening to what I say.  It is respectful of my body and mind and considering all of my needs in a thoughtful caring manner."
-       Cathy Lloyd, Acting Ward Manager (48)

"Ensuring patients receive the respect and care they deserve, are treated as individuals and  have a voice that is heard."
-       Kathie Grimes,. Senior Clinical Midwife

"To treat patients, carers and relatives with respect by ensuring their care and any requests are dealt with consideration and diligence."
-       Janet Simmonds, Lead Ophthalmic Specialist Nurse

"To me it is all about what I would want for me and mine."
-       Clare Edwards, Matron Elective Surgery

"Treating patients with respect."
-       Joanna Martin, Skin CNS

"Treating all patients as individuals and ensuring they are treated with respect and listen to their wishes."
-       Jayne Rose, Jubilee Day Surgery Centre

"Treating everyone as you would like to be treated yourself or how you would want your loved ones to be treated."
-       Jackie Phillips, Breast Care Nurse Specialist

"Mutual respect and consideration. Treat others as I would wish to be treated and to have others do the same. Maintaining people's beliefs."
-       Liz Gunsel, Ward Manager, Ward 52

"Treating others with respect and understanding."
-       Jane Brookes, Colposcopy

"To treat all patients as I would wish to be treated myself. Respecting individual beliefs and feelings. Maintaining privacy. Good communication."
-       Pam Williams, Vascular Nurse Specialist

Secretary of State for Health Andrew Lansley said: "I am enormously impressed by the high level of patient care that people at the Countess of Chester Hospital receive. People inChesterare benefiting from the hospital's state-of-the-art 24/7 stroke service, which is giving them a better chance of full recovery. I am also very impressed by the fantastic newly refurbished emergency department.

"I would like to pay tribute to all the hard work of the staff at Countess of Chester Hospital who are providing care for people over the Christmas period."

Mr Lansley's visit started with a tour of the Emergency Department which has recently benefited from a £2m investment programme.  Accompanying Mr Lansley was Stephen Mosley, MP forChester, who previously opened the final phase of the programme, the newly refurbished Majors area and new resuscitation facility.

The Secretary of State met Dr Kausik Chatterjee, who demonstrated the Countess's state of the art telemedicine service which is giving stroke patients in Chester a better chance of full recovery. Dr Chatterjee explained, "Stroke patients in this region benefit from a 24/7 hyperacute stroke service at the Countess, including a telemedicine service that was the first in theNorth West.  The Countess is also in the final phase of a project to have a joined up telemedicine service with a neighbouring hospital (Macclesfield) to help them cover a 24/7 service to benefit patients inEast Cheshire."

Mr Lansley then visited a stroke ward where he met a number of stroke patients and spent time chatting with patients, families and clinical staff.

The last stop on his tour was the Children's Unit, where he was introduced to some of the families and younger patients who will be spending Christmas at the Countess. Although no-one wants to be in hospital at this time, the staff are doing everything possible to keep the children's spirits up, including the traditional visit from Santa (also known as Consultant Paediatrician, Dr Ravi Jayaram) on Christmas Day.

Peter Herring, Chief Executive at the Countess, said "I am very proud of the team here and was delighted to be able to introduce some of them to the Secretary of State. Their commitment and hard work has led to the Countess being rated as one of the top forty hospitals in the country for the past eleven years and the residents ofChester,Cheshire,Ellesmere Portand Deeside should be reassured that when they need medical care, they are in the best possible hands at the Countess."

The first runner back was James Preston who lives with partner Laura Homeyard in Chester but is currently serving in Scotland with the Royal Navy. He completed the run in 11.06 minutes. It was a close finish with Lee Horton in 2nd place, Mark Gould in 3^rd and Sean Taylor in 4^th place.

As well as those running the route there were hundreds of others walking with babies and children all in festive outfits, and several dogs also joined in too! The oldest participant was 90 year old Gertrude Seale.

The Chester Santa Dash was organised by - and is raising funds for - the Children's Unit at the Countess of Chester Hospital and the child bereavement service at The Hospice of the Good Shepherd.

Fundraising Manager, Janet Ratcliffe, said: "We have several local organisations  to thank for their support, particularly M&S Money Chester, The University of Chester, Hickory's Starbucks, Smithfield Electronics, Deva Cheerleaders, Funky Money and the Karumba Samba Band, whose support and assistance was invaluable in the organisation of the Chester Santa Dash.  We also couldn't have put on such a large scale event without the support of a large number of fantastic volunteers who manned the marshal points around the route and the registration desks."

Flickr Slide show

"All women undergoing surgery under the care of the breast surgeons or plastic surgeons at the Countess of Chester Hospital (COCH), requiring reconstruction of the breast of any kind using a silicone implant, or having breast augmentation using silicone implants, have NOT been given PIP implants.  We have never used this brand of implant.  We only use Allergan (aka McGhan, aka Natrelle), Mentor or Nagor makes of implant.  Therefore our patients need to be reassured that there is no issue, as these companies use surgical grade silicone and not the inferior grade used by PIP.

"Women who have had surgery using silicone implants by surgeons from other hospitals might be referred to COCH or assessment. Ideally they should be referred to the surgeon who did the original implant surgery. Women need to find out from their original surgeon/hospital what make of implant was used in their case before being referred into COCH. This should alleviate unnecessary worry. If their implant is not PIP, they do not need to be assessed. If their implants were PIP, or they apparently cannot find out, then they should be referred in for assessment of implant integrity to plastic surgery.

"We await a guidance from the Department of Health as to whether these patients who have had PIP implants will need additional breast screening in the future." - Breast General Surgeon Consultant for the Countess of Chester Hospital, Claudia Harding-Mackean

Please view the following article for more details around the issue: http://www.bbc.co.uk/news/health-16280458

Visitors are being asked for their help in tackling winter bugs, which can lead to hospital wards being unable to accept any new admissions, NHS staff going off sick and appointments being postponed.

Cases of diarrhoea and vomiting traditionally go up at this time of year.  They are caused by two types of virus; Norovirus and Rotavirus.  They cause unpleasant but short-lived symptoms for the majority of people, but can have a devastating effect if they get into a hospital.

Consultant Microbiologist at the Countess, Dr John Croall, said: "We know that these viruses are already circulating widely in the community - for example we have seen local schools affected.  We are asking for the help of everyone visiting the hospital to keep the bugs out.  If these bugs get into a hospital, they can make people who are already poorly seriously ill, particularly older people and those who have long term health conditions. 

"These bugs can pass quickly between visitors, patients and staff.   We have policies in place to de-contaminate ward areas, but these can take a few days to have an impact. Winter is always a busy time for us, and the last thing we need is staff off ill, beds unavailable and appointments being postponed.  What's more, we might have to restrict visiting over the Christmas period, meaning patients could have a lonely time over Christmas and New Year."

Over the last couple of days the Countess has been required to restrict patient visiting across the hospital to contain outbreaks of vomiting and diarrhoea. Although not all wards have been affected by vomiting and diarrhoea, the decision to restrict visiting on all wards was made as a precautionary measure for the safety of patients and to ensure it does not spread.

Dr Croall added:  "We need people to help us keep our services running as normal, and there are some really basic steps they can take.  If you have been sick or had diarrhoea within the last 48 hours then please do not visit the hospital.  Please do not bring children aged 12 years or younger into the hospital, as they often pick up these bugs at school."

Symptoms such as sickness and diarrhoea can be best treated by staying at home, drinking plenty of fluids and getting some rest.  Advice is available from your local high-street pharmacist, on line from NHS Choices www.nhs.uk and from NHS Direct on 0845 46 47. 

For information on the visiting restrictions currently in place at the Countess, please visit: www.coch.nhs.uk.

The Countess of Chester Hospital aims to assess all adult inpatients and day cases for their risk assessment of DVT and PE, and that they receive the correct treatment and preventative measures, and are provided with information about DVT and PE.

The Countess of Chester Hospital was chosen as the first, and only, Venous Thromboembolism (VTE) Exemplar Centre in the North West of England, after assessment by the Parliamentary Thrombosis Implementation Working Group, in January 2010.  In addition, the hospital had a recent inspection through the NHS Litigation Authority, at which its work on DVT and PE prevention was praised.  The health initiative is led by Mr Sameh Dimitri, Chair of the Thrombosis Group, and Consultant and Lead Vascular Surgeon and Dr Virginia Clough, Medical Director and Consultant Haematologist.  They widely advertised their intiative called "Stop the Clot 2010" throughout the hospital.

With an alarming 25,000 people dying each year from hospital acquired VTE, (more than from breast cancer, AIDS and road traffic accidents put together) the need for initiatives like 'Stop the Clot' is obvious. Mr Dimitri explains, "Depending on a patient's health, the actions we take will vary. For example, a young, fit and healthy adult may require a simple measure such as compression stockings based on their risk assessment. However, higher risk patients with a previous history of venous thromboembolism may require more complex management. Each course of treatment is tailored to the individual's needs."

Maintaining this Exemplar status and enviable record regarding DVT prevention and treatment became a real challenge for the Countess of Chester Hospital. Working in partnership with Gus Sagoo, NHS Partnership Development Manager at LEO Pharma, Mr Dimitri was able to explain the need for a designated nurse to help us carry out the risk assessments. Prior to this, a vascular specialist nurse had been conducting the patient assessments alongside her many other duties. With LEO's support, a designated VTE nurse was employed.

Mr Dimitri said: "Exemplar status is about having the right tools in place so that each patient can be properly assessed and then the right preventative measures or correct drug dosages administered.  It is the role of the VTE nurse to pull all these factors together.  We are most grateful for the support that Leo have given us".

To further strengthen the ongoing initiative and implement risk assessments on a wider basis, the Countess is planning to work more closely with Western Cheshire Primary Care Trust to ensure that the knowledge is extended to GP surgeries and to the community in general. As Mr Dimitri points out: "The risk of suffering a clot can go beyond a patient's hospital stay, and in some patients it remains there when they are discharged so our aim is to work closely with the PCT to ensure extended VTE prophylaxis is provided for 'at risk' patients after they have left the hospital, to further reduce the risk."

Mr Dimitri concluded: "I would like to emphasise the fact that the Stop the Clot 2010 initiative's successful launch and our subsequent exemplar status accreditation are a richly deserved recognition of the hard work and dedication of my colleagues in the Thrombosis Team and all members of staff. I'd like to thank Virginia Clough, Carys Humphreys, Angela Lamberton, Hilary Leggat, Lucy Langan, Chris Green, Martin Sedgwick, Jeanette Devine, Jed Hawe, Mark Webb, Sally Goode and Gus Sagoo for their valuable contribution. We take great pride in providing high standard, quality care to our patients and continuing to be one of the leading health providers in theNorth West."

Memories and celebrations of loved ones lit up the ceremony. The event was organised for anyone who has lost a close friend or relative, whether or not they were patients at the hospital.

Chester Music Society Choir appeared at this year's event which featured music, readings, and hot mince pies. In addition, Dr Michael Gilbertson, Archdeacon of Chester, was the event's guest of honour and switched the lights on. The ceremony was led by the Trust's Chaplaincy Co-ordinator, Rev John Kingsley.  

Fundraising Manager, Janet Ratcliffe, said: "The Trees of Light is such a special appeal and gives people the chance to honour lost loved ones or to celebrate the life of a loved one. The fact that our event takes place near Christmas makes it an even more special occasion as it can be an emotional time for people."

Chaplaincy Co-ordinator, Reverend John Kingsley, said: "The proceeds of the Trees of Light annual appeal are used to improve the care and support to patients and relatives at the time of bereavement. This year we will be continuing to develop our bereavement care with the provision of a counselling service. We are extremely grateful for everyone's generosity which has made this work possible through the Trees of Light Appeal."

Tuesday 21^st December 2010

Local businessman, Dr Graham Rideal, serenaded patients, visitors and staff by playing the clarinet in a Santa outfit at the Countess of Chester Hospital's main reception recently to raise over £600 for the Trust's Relative Comfort Appeal.

Fundraising Manager, Janet Ratcliffe, said: "Graham has kindly visited the Trust on four occasions over the past two years and has raised a total of £1,160 towards our current Relative Comfort Appeal which will provide day and overnight accommodation for relatives of critically ill patients. We have currently raised just over £170,000 of the £395,000 target so every donation large and small will help us to reach our target that much sooner".

Graham commented: "The hospital has helped me through both colon and liver cancer, so I have nothing greater than my life to thank the hospital for. My music seemed the best contribution.

"It was very satisfying to see the pleasure my music brought to visitors and patients alike. I must say the staff were also brilliant, very smiley and very generous. I met two people in wheel chairs who had come down from the wards to hear me. They said they were very down and could I play something uplifting, which I did. They left after three or four songs saying how great they felt and that music really uplifts one's spirit. That was sufficient thanks for the day."

For information on how you can raise money for your local hospital, call 01244 366240.

People's Choice Award triumph

Wednesday 8^th December 2010

Voting for the Lean Healthcare Academy People's Choice Award has now closed and we are pleased to announce the winner is the Countess of Chester Hospital NHS Foundation Trust for their Lean Transformation project.

Mr Peter Herring Chief Executive of the Trust submitted the winning application to be considered for the Project of the Year which the organisation also went on to win. The People's Choice Award was independently voted upon by everyone who took part in the process and is recognition of an outstanding achievement by the Transformation Programme team.

The Countess embarked on a journey that is transforming their culture, fundamentally changing working practices, 'leaning' pathways and processes, and developing leadership to motivate and inspire staff. This 'holistic' transformation programme focuses on cultural change - the new 'Countess Way' of doing things is radically different from the way they have traditionally worked.

Through strong programme management 'fit for purpose' work streams were created that uniquely redesigned organisational structures and working practices with the aim of creating a culture of continuous improvement and innovation at all levels. The Countess Way Programme embraces major pathway and process redesign, a strong quality and patient safety programme and ensuring better value for money is achieved for every pound spent.  

The award submission detailed the pathway redesign work which embraces 'lean' and clinical transformation tools & techniques to deliver reductions in patient length of stay, reduction in rework , improving patient & staff experience and fundamentally releasing time to care. Work started within both Emergency Respiratory and Elective Orthopaedic pathways and is now being rolled out across other clinical & non-clinical areas.

Santa stroll delivers some festive comfort

Tuesday 7^th December 2010

Hundreds of fundraisers supported the Countess of Chester Hospital at the weekend by dressing up as Santa for a sponsored walk.

More people than ever took part in this year's 5km Santa Stroll on Sunday, raising over £5,000 with around 225 walkers joining in.

The event again raised funds for the Relative Comfort Appeal, which will offer accommodation and counselling rooms for relatives and loved ones of critically ill patients, although some walkers also raised money for the Breast Care Unit and the Special Care Baby Unit.

Fundraising Events Co-ordinator, Kathy Kenney, said: "Inspite of the frosty weather, everyone had a fun time and there were lots of smiley. Santas receiving medals who also said they are looking forward to taking part next year."

The Bluebird Care Team, fromChester, took part in the walk despite the fact that their offices went up in smoke in the fire inChesterlast week at Enterprise Centre. One of the team members, Simon Robinson, said: "It's important to honour our commitments both when delivering care to our customers and also raising money for our local hospital."

Midway through the walk the 1^st Royal Welsh Fusiliers looked after the walkers with cakes, mince pies and hot drinks.

Kathy added: "I would like to thank all those who took part and to the marshals and all those who helped make it such a fun, festive event."

For information on other Fundraising events please either call the Fundraising Office on 01244 366240.

New group puts Weight behind fundraising appeal
 
Monday 29^th November 2010

Several members of a new Weightwatchers group which has recently been set up at the Countess of Chester Hospital have signed up to do the Santa Stroll and raise funds for the hospital's current fundraising appeal "Relative Comfort".

The group, which meets every Thursday evening between 5.30pm and 6.30pm, was set up three weeks ago by Group Leader, Jo Lowndes, of Connah's Quay. Jo encouraged members to sign up for the 5km Stroll being held on Sunday 5th December as part of their Exercise and Weight loss programme.  New members are welcome to join the group and for further information Jo can be contacted on 07712 898552. 

Fundraising Manager, Janet Ratcliffe, said: "The weekly rental that the group pay to hire a room is donated to the hospital's general charitable fund, and we are grateful to Jo and Weightwatchers for supporting us in this way and for taking part in this year's Santa Stroll."

The Relative Comfort appeal is aiming to raise £395,000 to provide a unit at the hospital with overnight accommodation, a day lounge and counselling room for use by relatives of patients of critically ill patients whilst they are being treated at the hospital. For further information on how you can support this appeal please call 01244 366240.

Trust supports One World Week

Monday 11^th October 2010

The Countess of Chester Hospital will be celebrating One World Week between 18^th to 22^nd October.

One World Week is an annual opportunity for people from diverse backgrounds to come together to learn about global justice, to spread that learning and to use it to take action for justice locally and globally.   

Each year, thousands of people take part in One World Week events across the country with one common purpose: to let others know about some of the global issues that affect us all and to recognise we can all be part of the change.

One World Week supporters believe that when we come together collectively to learn about injustice and inequality, we are prompted to do something about it and great things can happen. And in coming together and understanding each other's perspective, our own lives can be transformed and enriched.

The Countess is hosting a number of talks and display stands in the Spiritual Care Centre between 11am - 2pm each day throughout the week around various faiths, cultures and global issues.

Karen Townsend, Business Performance Manager at the Countess and One World week organiser, said: "One World Week is a very important celebration of all cultures, faiths and global issues and we hope that as many people as possible will visit the Trust to enjoy and possibly learn about things that they will find interesting."

In addition, a 'One World Open Mic Night' will be taking place from 7pm on Tuesday 19^th October at Alexanders Jazz Bar in Rufus Court to coincide with both the Trust's Kisiizi Uganda Hospital Project and One World Week. Members of the public are encouraged to come along.

If you would like anymore information about One World Week, please visit: www.oneworldweek.org.   

Careers open afternoon for students

Monday 13^th September 2010

The Countess of Chester Hospital is hosting an 'Allied Health Professionals Open Afternoon' during October half-term for students thinking of pursuing a career in a health related field.

The Trust is inviting students of school years 11-13 to attend the event, who may be thinking of pursuing a career in one of the following Allied Health Professions; Nutrition and Dietetics, Occupational Therapy, Physiotherapy, Speech and Language Therapy, Pharmacy, Radiography, or Biomedical Science.

The annual 'AHP Open Afternoon' will take place on Thursday 28th October 2010, between 12.30pm-4.00pm atUptonHigh School.

Catriona Fleming, Senior Speech and Language Therapist at the Countess, who is organising the open day, said: "This is a great opportunity for students who are thinking of pursuing a career in health, to receive some valuable advice and guidance on what they can expect. A large number of Allied Health Professionals will be present on the day to share their knowledge and we hope it will be a very successful event."

The open day will consist of presentations from each of the above departments, poster displays, and opportunities to speak with professionals. Students present will also receive a certificate of attendance for their portfolios.

There is no charge for this event but students will need to book a place, either independently or through their school. Students and schools wishing to reserve places can do so by contacting the Countess on 01244 365207.

Staff achievements celebrated

Monday 28^th June 2010

The Countess of Chester Hospital's annual Celebration of Achievement Awards took place on Friday 25th June to reward staff for their efforts and commitment over the past year.

The Crowne Plaza Hotel in Chester was the venue for a glittering night of congratulation and celebration for a wide variety of Trust staff.  Over 300 members of staff, along with colleagues, friends and family members joined in the celebrations.

The awards offered an opportunity for the Trust to acknowledge the hard work of individuals, wards and departments who have excelled in areas such as service improvement, customer service, and training and development. As a result, a high volume of nominations were received from departments, along with patients and the public, who wished to show their appreciation for the hard work of individuals and teams.

Over 100 people were put forward to receive an award of recognition for achievements in work and academics, which included: leadership and management, health and social care, cleaning, pharmacy, and accountancy. A number of awards were also presented to individuals who have made outstanding contributions to the Trust including awards for service improvements, customer service, and self-development.

Staff Development Officer, Lizzie Shevlin, who co-ordinated the Celebration of Achievement Awards, said: "The event was really fantastic again this year. It was great to see so many members of staff enjoying themselves and celebrating their achievements among colleagues, friends and family.  It showcases the high level of commitment that is put in by staff all across the Trust, be it to improve their services for patients or to develop themselves."

One of the highlights of the evening was the presentation of the Lifetime Achievement award which was won by Sarah Hoyle, Divisional Manager for Women and Children's, for her commitment to the improvement of women and children's services over the many years that she has spent working for the Countess.

Moonlight Walk a hit for 5^th year

Tuesday 22^nd June 2010

The Countess of Chester Hospital's Moonlight Walk 2010 proved to be a huge success again on Saturday night, raising approximately £20,000 for the Trust's Relative Comfort Appeal - the Critical Care Appeal which provides accommodation for relatives of patients who are critically ill within the hospital.

Over 300 walkers joined up on Saturday to complete the 10 mile route aroundChester, with the majority of ladies completing the walk at around 1am after a 10pm start.

A variety of women took part, including members of Trust staff, patients, members of the public and staff from Dorothy Perkins (BroughtonPark), Slimming World (DorinPark), Jane Lewis Health & Social Care, Bronyffynnon Surgery, and Cherrybank Resource Centre inEllesmerePort.The Heart 103.4 radio girls were also present with live music and support to help motivate the ladies with words of encouragement before the main event.

Jill Bender and Joan Long (the event's oldest walker at 89) who have both raised a total of £1,000 over the last three events were presented with a much deserved bottle of champagne to great applause from the crowd of fellow walkers before the start.

Then after an energetic and fun aerobic workout, the ladies lined up for the start after chomping on a chocolate bar to help set them on their way. With the extra bonus of kind weather, the ladies then began walking, led byChester's very own Roman Soldiers who escorted them for the first leg.

Dressed in colourful outfits, costumes and complimentary flashing headbands, the walkers arrived back at the Countess of Chester Hospital in the early hours of Sunday morning. They were met yet again by the Roman Soldiers who presented each lady with a medal and with tired feet, each participant was met with hot drinks and a bacon roll, courtesy of Chez Jules whose efforts ensured that the walkers could smell their tasty reward on the home straight.

Heather Lannin, a Staff Nurse at the Countess, was among a group of four ladies who finished the walk first. She said of the event: "I really enjoyed the walk and there was a great energy about the whole evening. I met lots of new friends throughout the night and the challenge of the walk itself was a great motivator to keep going, as well as the importance of taking part in the event to help such a worthy cause."

The Trust's Fundraising Events Co-ordinator, Kathy Kenney, commented on the event's ongoing success by saying: "This event proves to be successful every year and it was great to receive the ladies' ongoing commitment. Like last year, the new route was a great success and the ladies set the streets alight with their flashing headbands."

Kathy also took the time to thank the event's organisers, sponsors and volunteers who helped make it a success: "As well as the walkers I'd also like to sincerely thank everyone who helped out with the walk, from local companies who sponsored the event including; Home Instead, LWC, Cruise nightclub, First Buses and Bakemart, to St John's Ambulance and all the volunteers who acted as marshals at various points along the route - they truly are our unsung heroes every year."

If you would like get involved with fundraising events at the Countess of Chester, please visit the Fundraising section of the Trust's website (www.coch.nhs.uk).  You can also phone the Fundraising team on 01244 366672, or email katherine.kenney@coch.nhs.uk.

Stopping the clot in the North West

Tuesday 25^th May 2010

The Countess of Chester Hospital has launched its most important health initiative of the year to prevent blood clots and as a result has become the first North West hospital trust to earn 'Exemplar' status, which ensures the trust is doing everything it can to prevent Venous Thromboembolism (VTE).

More than 25,000 deaths yearly are caused by Venous Thromboembolism (VTE) nationwide, more than breast cancer, AIDS and road traffic accidents put together - and many of these are preventable.

The Chief Medical Officer, Sir Liam Donaldson, expects all adult patients to be risk assessed for VTE. As a result, throughout 2009 the Countess of Chester Hospital's Thrombosis Team worked extremely hard to launch a major initiative (which went live in January) to reduce patient harm in the Trust from unnecessary clots. This initiative is calledStop the Clot 2010and will ensure that a detailed Risk Assessment is carried out in all adult in-patients and day cases when they are admitted to the hospital.

Mr Sameh Dimitri, Chair of the Thrombosis Team and Consultant Vascular and General Surgeon, said: "Stop the Clot 2010 is the biggest patient safety initiative that we will undertake this year and it will aim to tackle VTE in all adults in-patients and day cases. The important thing to remember about blood clots is that they are preventable with the correct care and attention. It is our aim to ensure that everyone that comes into the hospital is given a full assessment in line with their potential risk - based on their age, health and other factors such as family history - in order to minimise the likelihood of them suffering a clot.

"Depending on a patient's health, the actions we take will vary. For example, a young, fit and healthy adult may require a simple measure such as compression stockings based on their risk assessment. However, more at risk patients with a family history of venous thromboembolism may require more complex management. Each course of treatment is tailored to the individual's needs."

As a result of the Trust's tireless hard work, the Countess was chosen as the first Venous Thromboembolism (VTE) Exemplar Centre in the North West of England following the All Parliamentary Thrombosis Implementation Working Group visit and assessment of the Trust in January.

Mr Dimitri commented: "VTE Exemplar Centre status is given to Trusts that excel in VTE prevention and care. As well as implementing the patient risk assessment process, this includes ensuring that continuous clinical training is in place, that information is available to patients on the risks, symptoms and treatment for VTE, and that the team has the skills and ability to offer verbal information and support to patients as and when required."

In addition to the initiative being embraced within the Countess of Chester Hospital, part of its success will depend on its implementation within the community. As a result, the Countess is working closely with Western Cheshire Primary Care Trust to ensure that the knowledge is extended to GP surgeries and to the community in general. As Mr Dimitri points out: "The risk of suffering a clot goes beyond a patient's hospital stay, and in some patients it remains there when they are discharged so our aim is to work closely with the PCT to ensure that 'at risk' patients are followed up after they have left the hospital, to further reduce the risk."

Mr Dimitri concluded: "I would like to emphasise the fact that the Stop the Clot 2010 initiative's successful launch and our subsequent exemplar status accreditation are a richly deserved recognition of the hard work and dedication of my colleagues in the Thrombosis Team and all members of staff. I'd like to thank Virginia Clough, Linda de Cossart, Hillary Leggat, Lucy Langan, Chris Green, Martin Sedgwick, Jed Hawe, Mark Webb and Sally Goode for their valuable contribution over the years. We take great pride in providing high standard, quality care to our patients and continuing to be one of the leading health providers in the North West."

Countess of Chester Hospital named as one of the CHKS 40Top Hospitals 2010 for the tenth year in a row

Thursday 13^th May 2010

A large group of Chief Executives, Chairs, Medical Directors and other senior NHS Managers gathered in London for the CHKS Top Hospitals Conference and Awards Dinner on Wednesday 12^th May. Now in its tenth year, the Top Hospitals Programme celebrates the success and good performance of the NHS acute sector.

The Countess of Chester Hospital received a 40Top Hospitals Award for the tenth year in succession, one of only five Trusts in the country to achieve this. The awards have only been in existence for ten years meaning that the Countess has successfully received the award every year since it was comprised in 2001.

The winners were announced at an awards ceremony in London hosted by CHKS, the UK's leading independent provider of healthcare intelligence and quality improvement services.

As well as individual awards for patient safety, quality of care and data quality, CHKS celebrates excellence amongst its clients across the UK with the 40Top Awards. These are based on the evaluation of 21 key performance indicators¹ covering safety, clinical effectiveness, health outcomes, efficiency, patient experience and quality of care.

Dr Virginia Clough, the Trust's Medical Director said, "I collected this award on behalf of all the staff at the Countess whose amazing work makes this hospital one of the safest places to be treated in the country. We are privileged to be singled out as one of only 5 Trusts in the country to have been awarded this accolade ten years in a row. To receive this award year after year recognises our ongoing drive for excellence in clinical care."

James Coles, Director of Research, CHKS, said: "We are delighted that the Countess of Chester Hospital is one of our 40Top Hospitals for 2010. These awards recognise outstanding performance in 21 areas which we believe are critical to delivering good patient care."

Serving up a Fairtrade menu 

Thursday 25^th February 2010

The Countess of Chester Hospital is showing its support for farmers in the third world again this year as part of the Fairtrade Foundation's two week awareness campaign - 'Fairtrade Fortnight'.

The two week event aims to promote Fairtrade products, in addition to informing the public about how the foundation's activities aim to get farmers and workers in the developing world a better deal.

Many organisations and businesses are showing their support for the national event - which runs from Monday 22^nd February for two weeks - by taking part in a number of promotional and awareness events.

However, the Countess has gone one step further by introducing Fairtrade options onto their staff restaurant menu. Fairtrade Spaghetti Bolognese and Chilli Con Carne were just a couple of the meals which appeared on the staff menu last year and similar options will be present on the menu throughout the two week event. Fairtrade beverages such as tea and coffee are also on offer, as are a range of Fairtrade cookies, flapjacks and cakes.

The Trust's Head of Catering Services, Joy Ingram, said of the initiative: "The Fairtrade options on the menu have been a great success over the last two years and have proved very popular with staff, so we hope the same happens this year. Taking part in initiatives like this allows the Trust to make a difference in an active way. As always the catering team will be working extremely hard to prepare this food on a daily basis in order for the Trust to make a valuable and meaningful contribution to Fairtrade Fortnight, so I would like to personally thank the whole team for their support".

A Tesco store on Frodsham Street has also donated a hamper consisting of Fairtrade products as part of a Trust competition. Members of staff who purchase a Fairtrade meal will receive a raffle ticket and will be automatically entered into the draw for the hamper after Fairtrade Fortnight.

If you would like more information about how you can get involved with the Fairtrade Foundation's 'Fairtrade Fortnight', visit their Website at: http://www.fairtrade.org.uk/thebigswap/.

Quality stroke service expands

Monday 22^nd February 2010

The Countess of Chester Hospital today (Monday 22^nd February) officially expanded its Stroke Unit from 6 beds to 28 beds thanks to an increase in specialist stroke nurse support and the recruitment of a new consultant post.

In order to improve stroke care locally the Countess has invested approximately £450,000 to expand its specialist stroke clinical team. The unit's expansion to 28 beds enables patients to receive intensive, high quality care from a greater number of specialist stroke clinical staff. This increase will also allow for a greater number of direct admissions thereby avoiding unnecessary delays in specialist care.

The Trust's stroke service has been developing for several years and this latest investment is a substantial move forward, which the Trust is hoping will pave the way towards a 24 hour a day thrombolysis, clot busting drug service - which is currently only provided by a small number of Trusts in the region.

Dr Chatterjee, Lead Consultant for Stroke Services, said: "Stroke is the third biggest cause of death in the UK and the largest single cause of severe disability. Each year more than 110,000 people in England will suffer from a stroke and what is more worrying is the fact that anyone is at risk."

The Department of Health recognised the importance of developing better stroke services by including specific milestones, targets and actions in the National Service Framework (NSF) for Older People launched in March 2001. Following on from this, the Government launched a national stroke strategy to modernise service provision and deliver the newest treatments for stroke.

A lot can be done to reduce the impact of a stroke. The Department of Health recently launched itsAct F.A.S.Tawareness campaign which aims to educate healthcare professionals and the public on the signs of stroke and that prompt emergency treatment can reduce the risk of death and disability. It encourages people to recognise the signs of stroke and feel confident to phone 999 for an ambulance on detecting any single one of them.

Story book reaches children

Friday 22^nd January 2010

The Countess of Chester Hospital has gone to new lengths to engage with the public by producing a children's book for young patients.

Building on the success of previous public engagement projects involving Facebook and Twitter, the award winning Trust has developed 'Sam goes to hospital' to communicate with children who use the Countess.  

The book was produced internally by a team comprising of the Medical Photography & Illustration department and the Marketing & Communications department. The team was also assisted by 16 year old Catherine Hanson of Christleton High School, who produced the fantastic illustrations whilst on a work experience placement.

Marketing & Communications Officer, Andrew Duggan said: "We always try to engage effectively with the general public however it is more difficult to communicate well with children and we want to ensure that we do this because they are as important as any other service user. We developed the book to simply engage with young patients and to offer them something that will make their stay in the hospital less daunting."

The book's unique factor lies in the story which features two real members of Countess staff in Consultant Paediatrician, Dr Ravi Jayaram and Staff Nurse, Karen Echlin. So it is highly likely that children reading the book on the Children's Ward will see two of the characters come to life in front of them.

Ravi commented on the book by saying: "I think the book is a great and light-hearted way to explain to children what being in hospital will be like. However I hope that they won't be too disappointed when they see that the real Dr Ravi looks at least 10 years older than the cartoon one and doesn't have shiny spiky hair."

Copies of the book have recently been placed on the Children's Ward and in Children's Outpatients and are free to all young visitors. Schools and members of the public are also invited to request copies by calling 01244 366 381 or emailing andrew.duggan@coch.nhs.uk.

Parents raise £20k in memory of Oliver

Thursday 14^th January 2010

The parents of a baby who was treated at the Countess of Chester Hospital have raised over £20,000 for the hospital in his memory.

Through charity dinners, a golf day and other fun events, Craig and Barbara Newnes - with the support of their friends and family - raised the huge sum in memory of their son Oliver, who tragically died inOctober 2007 of a rare brain abscess which affects 1 in 900,000 children.  

Craig and Barbara who are also proud parents of twins Harvey and Samuel, visited the Countess to hand over their £20,000 cheque just before Christmas.  The money they raised for the Countess will be split between the Human Milk Bank and the Special Care Baby Unit (SCBU).

Fundraising Manager, Kate Taylor, said: "Barbara and Craig have done an amazing job to raise such a huge amount of money again this year and their continued support for the hospital is much appreciated by the Fundraising Team, the Human Milk Bank and SCBU. We are extremely grateful."

Teamwork beyond the normal call of duty says Chief Executive

Wednesday 6^th January 2010

The Countess of Chester Hospital's Chief Executive has thanked hospital staff for their efforts during the current treacherous weather conditions.  

The hospital is currently operating at maximum capacity and has seen an increase in the number of patients visiting A&E over the last two days. Over Monday and Tuesday this week alone, 400 patients arrived at the Emergency Department for treatment.

The current pressure on the hospital site has resulted in the Trust asking people to only visit patients in the hospital if it is absolutely necessary.

After an extremely demanding Tuesday evening, Chief Executive, Peter Herring, said to staff: "I want to thank all of you for coping so fantastically yesterday with the extremely difficult circumstances we faced. Many of you went well beyond the normal call of duty and I am very grateful for your efforts.

"I suspect the next few days will remain difficult for the hospital and for some staff to make it in, nevertheless I am sure with the sort of effort demonstrated yesterday we will cope ably with the circumstances."

The Trust says that there is plenty that local people can do to support their NHS at this time.

Director of Operations, Tim Lynch said: "We are expecting more cold weather at a time when Accident and Emergency departments throughout the county are already being challenged by the numbers of people falling and slipping over. We would strongly urge people to take extra care and especially if you are elderly. It you need shopping, please ask someone to do it for you or take extra care if you must venture out and about." 

NHS Direct which can be contacted on 0845 4647 offers round-the-clock health information and advice. You can also visit the website at: www.nhsdirect.nhs.uk

For further information on hospital visiting, please visit: www.coch.nhs.uk   

Wednesday 9^th November 2011

The Countess of Chester Hospital is inviting members of the public to dedicate a light to a loved one at the annual Trees of Light ceremony which will also see their names being entered into a Book of Honour.

Memories and celebrations of loved ones will be lighting up the ceremony at the Trust's main entrance from 6pm on Friday 2^nd December. Anyone who has lost a close friend or relative, whether or not they were patients at the hospital, is invited to take part in the event, as are people who would simply like to celebrate the life of a loved one.

Over the last year, the funds raised from the Trees of Light Appeal has enabled the Countess to provide a Bereavement and Counselling Service. During this time, almost 100 individual counselling sessions have taken place, while 30 people have contacted the service and have received telephone support, written correspondence with advice and help, as well as referrals to other services to meet their needs. This is all thanks to the funds raised from the Trees of Light Appeal.

Liz Taylor, Macmillan Support and Information Manager at the Countess, who also runs the bereavement and counselling service said: "This service has been very successful and has been entirely funded by the Trees of Light Appeal. Without this service, many people would have missed out on the help and support they needed and thankfully received as a result of Trees of Light. Hopefully it is a comforting thought for people who take apart in the event that honouring their loved one is also helping others."

Carolyn Davies, who used the bereavement service after her husband passed away, commented: "I was reluctant to take advantage of the service at first because you tell yourself you don't need help. The main benefit was having someone other than friends and family who just listens to what you have to say and lets you speak about what is on your mind. Your family and friends are there for you but sometimes it is comforting to have someone who is completely separate. It was a great help."

Fundraising Manager, Janet Ratcliffe, added: "The Trees of Light is such a special appeal and as well as helping others through the bereavement and counselling service which it funds, the event also gives people the chance to honour lost loved ones or to celebrate the life of a loved one at a special time of year."

If you would like to enter an application to have a loved one's name included in the Book of Honour, please contact the Trust's Fundraising department on 01244 366240 or visit the Fundraising Office to complete an application form before Monday 21^st November.

Meeting essential CQC standards of quality and safety for older people

Thursday 13^th October 2011

The Care Quality Commission (CQC) today published a report into the standards of care that older people receive in hospital. The report found that the Countess of Chester Hospital is meeting both of the essential standards of quality and safety for older people.

Due to a number of Trust's under-performing, calls have been made for a system-wide response to combat the failings identified. Around half of the hospitals needed to do more to ensure that they were meeting people's needs - with twenty of the hospitals visited failing to meet essential standards required by law. However, the Countess was found to be fully compliant in all quality and safety areas for older people.

The review was part of an inspection programme to assess how well older people are treated during their hospital stay. In particular, the inspection focused on whether they were treated with dignity and respect and whether their nutritional needs were met.

Earlier this year an inspection team visited the Trust's Medical Assessment Unit (MAU) and Ward 53 (Tower Ward), to observe how people were being cared for by speaking to patients and staff during the visit.

The investigation centred around two outcomes. The first outcome stated that 'People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run.' The second outcome stated that 'Food and drink should meet people's individual dietary needs.' It was found that the Countess is meeting both of these essential standards.

According to the report, all of the patients who inspectors talked to said their needs were met and that they were given information and encouraged to take part in drawing up their plan of care and felt confident that if they didn't understand anything they could ask for further explanation.

Director of Nursing, Quality and Environment, Gaynor Hales, said: "I am extremely pleased with the Trust's performance and this indicates the excellent standard of care provided by all members of staff to patients. We aim to treat every single patient as an individual with respect and dignity, as well as catering for basic needs and requirements. Thanks to the effort of our staff, this report demonstrates that we are among the best Trusts in the country for providing such care."

Local mums are Bosom Buddies

Wednesday 13^th April 2011

A group of 17 local mums, completed training to become breastfeeding peer supporters known as 'Bosom Buddies'.

These mums, who have previously breastfed their own babies, wanted to help and support other mothers to do the same and are now committed to improving support for breastfeeding mothers.

The training is provided by Janet Beech (Infant Feeding Co-ordinator) and Linda Gendler (Midwifery Support Worker) at the Countess of Chester Hospital, using the La Leche League training programme. The La Leche League is an international organisation helping women to breastfeed in over 65 countries through a network of mother-to-mother support.

Infant Feeding Co-ordinator, Janet Beech, said: "The training programme includes all aspects of getting infant feeding off to a good start, enabling the Bosom Buddies to give mothers the right support and encouragement to feed their babies and helping mums make breastfeeding work - in day to day living and when they are out and about."

After completing the training, the Bosom Buddies will provide mother-to-mother support in hospital and community settings in and around Chester.

Amanda Rowlands, a newly qualified Bosom Buddy, said: "After the birth of my second child I knew I wanted to breastfeed as I had done with my first child. The first few days were very different with my second child compared to the first, I just assumed that everything would be straight forward. I received some one-to-one support from a Bosom Buddy on the hospital ward, without this support  I received around hand expressing and correct position and attachment I would have not had been able to establish successful breastfeeding and I would have had to artificially feed my baby."
 
She added: "The support I received from Bosom Buddies at the breast feeding support group was fantastic, I picked up some really useful hints and tips following the birth of my first child, I was able to successfully express milk so I was able to return to university when my baby was only 18 days old. This made all the difference to me as I was able to continue exclusively breastfeeding while returning to university. This also gave my husband an opportunity to feed my baby expressed breast milk from a bottle; this made him feel very involved with feeding my baby. I have recently graduated as a Bosom Buddy, I feel that lots of new mums need support in the first few weeks to establish successful breastfeeding and without volunteer peer supporters then this essential support may not be offered to mums."
 
Each of the newly qualified mum's were presented with a certificate by Irene Finney of Dee 106.3 at a graduation event on 11^th April in the Countess of Chester Hospital's Education & Training Centre.

Sessions to help people with diabetes

Monday 28^th March 2011

The Countess of Chester Hospital is running group sessions for people with Type 2 diabetes.Diabetes Essentialsis a specifically designed education programme for people diagnosed with diabetes.

Diabetes Essentials is targeted at people with newly diagnosed or existing Type 2 diabetes. These sessions give people the chance to learn more about diabetes management and will allow the time and opportunity to learn from a health professional specialising in diabetes who will present information in a simple and easy to understand way. Attendees will have the opportunity to meet other people with diabetes and learn from their experiences as well as ask questions to everyone present at the sessions. Leaflets on all subjects covered will be provided during the sessions.

There will be general information included to explain what diabetes actually is, the different types of diabetes, monitoring and managing diabetes, the prevention of long-term health problems, healthy eating, physical activity, foot care, as well coping skills for dealing with diabetes in everyday life. People attending are welcome to bring one other person with them - the person that does the shopping and cooking in the household, if not the person with diabetes, is particularly encouraged to attend.

Sarah Fitzgerald, Diabetes Specialist Dietician, said: "This is an excellent opportunity for anyone who has, or is affected by diabetes to learn more and gain valuable information about various aspects of dealing with the challenges it entails."

The sessions are approximately 2½ hours in duration and are delivered by a qualified health professional, currently a registered dietitian, and are open to people from theWestern Cheshirearea. They run twice a week with two monthly evening sessions being provided. Venues are; The Cheshire County Sports Club (Plas Newton Lane, Chester), Cheshire County Sports Clubhouse (Mannings Lane North, Chester) and the Masonic lodge, Orchard Suite (Chester Road, Ellesmere Port). All venues have free car parking and frequent bus services. Days for each venue vary but morning sessions are 9.30am - 12.00pm, afternoon sessions are 2pm - 4.30pm, and evening sessions take place between 5.00pm - 7.30pm.

This is a self referral service and patients should contact the appointment line directly.

If you would like to attend one of the sessions please call Therapy Services on 01244 363 230 or if you would like more information please email s.fitzgerald2@coch.nhs.uk.

Innovative new breast unit leads the way

Tuesday 22^nd March 2011

The Countess of Chester Hospital recently unveiled its new Breast Screening Unit at an opening event to promote the changes that have been taking place recently, namely the complete transfer to digital imaging for breast screening.

The Ursula Keyes Breast Screening Unit at the Countess of Chester Hospital is one of the first breast screening units in Cheshire and Merseyside to make a complete changeover from analogue to digital imaging, exceeding the standards set by the Department of Health for the NHS by the end of 2010. The change has been made possible thanks to joint funding from the Countess of Chester Hospital who invested over £500,000 for the cost of the digital equipment and NHS Western Cheshire Primary Care Trust who will be funding the ongoing running costs to provide a fully digital service to patients in Chester and the surrounding areas.  The Trust's Breast Screening Unit also had to satisfy rigorous quality control standards to prove it was ready to implement the latest digital imaging technology. This became fully operational on 1^st December 2010.

The unit has also seen the installation of Visual Art Therapy. The Visual Art Therapy has been an ongoing project for the past year and provides nature-based digital art films to the clients and patients who use the Breast Unit. The aim of this visual therapy project is to create areas that are naturally welcoming and peaceful to help reduce stress and anxiety.

Joe Gildea, of the Ship Victory Pub, whose fundraising efforts in recent years have helped to raise £86,500 for the Breast Care Unit, was the guest of honour at the opening. He said: "I'd like to say congratulations to everyone involved in the opening of this unit. It's a privilege and an honour to be here today. We describe the Ship Victory pub as 'the little pub with a big heart' but it's actually more accurate to say that is a little pub of people with big hearts. There are too many people to thank individually for helping to raise £86,500 for this unit over the years, but the reason why people are so generous with their time and money is because this unit provides such an important service and everyone will know or know of someone who has been treated here. The staff in the unit are the best at what they do and they provide an invaluable service. They are people of great worth."

Consultant Radiologist on the Unit, Dr Amr Hamid, commented: "Over the past 12 months major funding and huge efforts have been poured into this unit. Two brand new digital mammographic imaging machines with biopsy facility have been placed in our unit and we have also purchased two new breast ultrasound machines. All this new state of the art equipment will improve the imaging quality and therefore enhance our diagnostic accuracy to detect breast cancer at an earlier stage.  We have also installed visual art therapy in all mammography and ultrasound rooms as well as in all waiting areas to try to reduce patients stress and anxiety."

After installing the mammography digital equipment, the Breast Screening Unit was able to start breast screening age extension in December 2010, as part of the Nationally Randomised Trial.  This means that the Trust will continue to invite women aged 50 - 70, whilst those aged 47 - 50 and 70 - 73 will receive a randomised appointment according to the trial. The Trust is also one of the first breast screening units in the entire North West to go fully digital and implement age extension.

Dr Hamid added: "This has been an enormous team effort and I would like to take this opportunity to thank everyone involved in bringing this unit to where it is now. There are also countless local individuals and charities who have given generously over the years to supply equipment and provide general support who I would like to thank today. A special thank you goes to the Angela Gildea charity foundation who have funded the visual art therapy installation in our unit and several other pieces of equipment over the past years."

Stoma care open day

Monday 14^th March 2011

The Countess of Chester Hospital is holding an open day at Ellesmere Port Civic Hall to show the advances in treatment for stoma care patients.

Stoma Nurses Julie Clements and Maria Brown are holding an Open Day at Ellesmere Port Civic Hall on Wednesday 23^rd March 2011.  All stoma patients from Chester, Deeside and Ellesmere Port area are invited to the event which is taking place between 1.30 - 5.30pm.

An abdominal stoma can be formed for a number of reasons including; bowel diseases such as Cancer, Ulcerative Colitis, Crohns, Diverticular disease, Fistulas or bladder disease. Many will be temporary but generally those with bladder disease will have a permanent stoma.

All the major appliance manufacturers will be at the event to show the latest improvements in stoma care and the most up-to-date products and accessories will also be on display.

Maria Brown, Advanced Practitioner in Stoma Care, said: "People who attended last year's event commented that it was great to be able to talk to manufacturers about the range of products and to have the chance to offer suggestions on how they could be improved.  This year there will be a talk from a Dietician.  There will also be complimentary therapy available for stoma patients, an Indian head massage and reflexology."

Visitors will be able to find out about the Stoma Social Support Group which meets every three months and they can also talk to a 'Stoma Buddy'.

The open day is part of the continuing care the Countess of Chester Hospital provides to stoma patients. For more information on this event please contact Maria Brown on 01244 366 170.

Although the Countess of Chester Hospital has plans in place to deal with any disruptions that may be caused, there will undoubtedly be increased pressure on our services throughout the day as a result.

Here is some information and advice on how the day of action is likely to affect the Trust:

Unless instructed otherwise, patients with appointments should attend as normal - it is not necessary to call the Appointments Hotline for any further clarification. We advise patients to arrive early on this day.

• Members of the British Medical Association (BMA) and the Royal College of Nursing (RCN) will  not be striking.
• The Royal College of Nursing (RCN) have issued advice to all members that they are to report to work as normal on the day of action and are encouraged, in their own time, to support the action of colleagues by attending demonstrations or signing petitions etc... either on or off hospital property
• BMA Members who support the day of action are encouraged to offer their support by campaigning and lobbying to help raise awareness - e.g. by wearing stickers or badges, as well as recruiting colleagues, friends and family members to promote their message.
• Some non-clinical members of staff (who do not belong to the above unions) may decide to strike, however it will not be apparent how many until the day of action itself.
• The Trust has plans in place to deal with any disruption that may be caused as a result of the industrial action. Patient care and safety is our main priority.
• Emergency care will not be affected by the industrial action and will continue as normal.
• Planned procedures will continue to take place, though activity will be less than normal.

As always, patients should only visit the Emergency Department (A&E) with major illnesses or injuries. Please ensure that you only visit A&E if your condition cannot be treated by one of the following alternatives: NHS Direct (0845 4647), a pharmacist, your GP, or an NHS Walk-In-Centre.  

For more information on making the right choice of treatment, please visit: http://www.northwest.nhs.uk/yournhs/choosewellthiswinter/

The Trust is under a legal duty and a moral obligation to ensure the safety of all persons on Trust premises and property at all times.

The two primary pieces of legislation that the Trust must comply with are; The Regulatory Reform Fire Safety Order 2005 and The Health & Safety at Work Act 1974.

Reuben Bellis, Fire Safety Advisor, said: "Competence is part of good health and safety management. Someone having sufficient training with experience or knowledge to undertake the work required properly is competent. It is critical that in all emergency situations the Trust has sufficient staff with the requisite skills and knowledge to effectively deal with any incident that has the potential to seriously injure or incur fatalities, one such incident is 'fire'."

The exercise, which took place in September 2011 was designed to test the current evacuation procedure for Progressive Horizontal Evacuation (PHE).

Reuben said: "The evacuation was considered by all to be a success. The small number of learning outcomes identified are to be directed to specific departmental managers to address issues identified."

The Fire & Rescue Service - who are the enforcing authority for The Regulatory Reform Fire Safety Order 2005 - described the planning, participation and efforts of all of those persons who took part in the major exercise as 'positive'.  

The Santa Dash is a festive family event open to all ages. Children aged 14 and under can enter the Santa Dash so long as they are accompanied by an adult.

The Santa Dash starts at 9:30am on Castle Drive, Chester (it will be well signposted) and registration will open from 8:30am. Please try to car share where possible. There will be a limited number of free parking spaces at the Roodee Car park, but you must vacate the car park by 12:00 noon.

How do I register?

Please send in your completed entry form and cheque to the Freepost address shown at the bottom of the application form. 

You will receive your sponsorship pack in the post within three weeks of entering. This pack will include event instructions (what to do, where to go, timing on the day) along with a Santa Suit collection card.

What does it cost?

The Chester Santa Dash costs £10 per person; your entry fee includes a Santa Suit, (Adults only) Reindeer antlers (Children Only) plus seasonal refreshments and a unique souvenir to mark your achievement.

Sponsorship

We are encouraging people to raise as much money for the two causes as possible. If you manage to raise over £50 in sponsorship you will automatically be entered into a free prize draw to win: FAMILY BOWLING PASS, FAMILY CROCKY TRAIL PASS, ZOO TICKETS.

Route

The Chester Santa Dash route is flat and circular so this could be the occasion you finally achieve your personal best - just make sure your beard and Santa trousers are safely secured before you start off!

Volunteers needed

We need over 50 volunteers to help at this event, if you are able to spare a couple of hours to volunteer please visit our website www.chestersantadash.com for more details of volunteer roles and register your interest.

Alternatively call the Hospice 01244 851811. The jobs we need help with include, registering walkers, giving out medals, marshalling the route and serving refreshments.

Santa/Reindeer collection

You can call into one of the following collection points to collect your
Santa Suit or Reindeer antlers from Monday 1st November up to 4pm on Thursday
9th December.

YOU MUST TAKE YOUR SANTA SUIT COLLECTION CARD

• Hospice, Backford - 8:30am - 4pm (Mon-Fri)
• Countess Fundraising Department - 8:30am - 4pm (Mon-Fri)
• Whitby Hospice Shop, Chester Road - 9:30am - 4pm (Mon to Sat)
• Northgate Street Hospice Shop - 9:30am - 4pm (Mon-Sat)
• Faulkner Street Hospice Shop - 9:30am - 4pm (Mon - Sat)
• Sutton Way Hospice Shop - 9:30am - 4pm (Mon-Sat)

Or you can collect your suit/antlers on the day of the event before 9am (Remember
to bring your collection Card).

Enter Online at www.chestersantadash.com

The winners were announced by CHKS, the UK's leading independent provider of healthcare
intelligence and quality improvement services.

As well as individual awards for patient safety, quality of care and data quality, CHKS celebrates excellence amongst its clients across the UK with the 40Top Awards. These are based on the evaluation of 21 key performance indicators covering safety, clinical effectiveness, health outcomes, efficiency, patient experience and quality of care.

Dr Virginia Clough, the Trust's Medical Director, said: "This is the fourth successive year that I have had the privilege to collect this award on behalf of the Countess of Chester Hospital. In a difficult year of change and financial pressure we have still been recognised nationally as a top performing hospital."

She added: "I pay tribute to the hard work put in by all members of staff at the Countess. Of particular pleasure has been our sustained success in tackling Healthcare Associated Infections. The fact that we have not had a single case of MRSA Bacteraemia since June 2010 is one of our many achievements in the past year."

James Coles, Director of Research, CHKS, said: "We are delighted that the Countess of Chester Hospital is one of our 40Top Hospitals for 2011. These awards recognise outstanding performance in the areas which we believe are critical to delivering good patient care."

People who have been affected by cancer joined the Trust's Executives, Trust Governors, members of the public, Macmillan staff and volunteers as well as Stephen Mosley (MP for The City of Chester), to celebrate the opening of the centre with a cutting of the ribbon. The event was also supported by a cake sale.

The new centre - which is based on the Countess' hospital site near to the main entrance - provides a purpose built base for the Macmillan Support and Information Service which started three years ago.  The service is open to anyone affected by cancer - including patients, their family and carers, the worried well and people who have completed their treatment. Macmillan Support and Information Manager, Liz Taylor said: "I am delighted to announce the opening of this excellent facility. This new centre builds on the amazing work that has gone on over the last three years within the Trust and it will benefit over 250,000 patients in the local area. We have already helped over 1000 people over the last four months by answering their questions and worries relating to cancer, such as the financial issues associated with a cancer diagnosis, the general impact of living with cancer, and how to find support locally. Over 70% of these people have been first-time users of the service which means we are reaching a whole new audience who need support like ours. Having this dedicated and comfortable space within the hospital means that we will be able to grow the service and reach even more people."

Former cancer patient, Helen Lucy, was guest of honour at the event and officially opened the centre. She commented: "When I was diagnosed with cancer I had no idea a service like the Macmillan Support and Information Service existed. All things go through your mind when you experience cancer and it affects you and your family deeply. Having a service like this to ask for support is extremely valuable through the cancer journey. This is a fantastic service and due to its prominent location in the hospital hopefully many people will make use of the support available. The facilities and the Macmillan team are all fantastic and I am privileged to cut the ribbon."

During a visit to the Countess, Stephen Mosley (MP for The City of Chester) was present at the opening and emphasised Helen's sentiments by congratulating the Trust on the opening of an excellent facility. The new building also acts as a resource centre for professionals involved in the care and management of cancer patients, and will provide generic information to those with other life limiting illnesses.

For any further information about the Macmillan Information Centre, please contact Macmillan Support and Information Manager, Liz Taylor on 01244 364948.

The refurbishment work started in late 2010 and now the newly refurbished Majors area and the new resuscitation facility is fully operational.

Debbie Bryce, Business Performance Manager for the Acute Directorate at the Countess, said: "This refurbishment will improve the Emergency Department's environment for patient care and for staff. The staff are extremely pleased with the results of the work so far."

The final phase of the refurbishment programme - completed in August - included the refurbishment for the remaining parts of the Majors area.

Debbie added: "We will see real benefits to the clinical environment for patient care and for staff who work in this extremely busy department."

Although patients are set to see the benefits of these new facilities, the Emergency Department is still keen to encourage members of the public to use the Emergency Department wisely over the coming months. The Emergency Department (also known as A&E) is for life-threatening and serious conditions only.  The NHS's 'Choose Well' campaign highlights local GPs, walk-in centres, pharmacists, and NHS Direct as just some of the alternatives to A&E which are available to assist with minor conditions and illnesses. For
more information, please visit: www.choosewell.org.uk

The Trust's Maternity Unit has been externally audited by UNICEF UK as part of a three-stage assessment and has achieved the Baby Friendly Initiative Award. Of the 32 hospitals in the North West only 10 are fully accredited with this prestigious award, putting the Countess among a select group of top performing Trusts.

The Baby Friendly Initiative is a worldwide programme of the World Health Organization and UNICEF. It was established in 1992 to encourage maternity hospitals to implement the Ten Steps to Successful Breastfeeding and to practise in accordance with the International Code of Marketing of Breast Milk Substitutes.

The Baby Friendly Initiative works with the health care system to ensure a high standard of care for pregnant women and breastfeeding mothers and babies. Support is provided for health care facilities that are seeking to implement recognised standards of best practice in the care of mothers and babies, an assessment and accreditation process recognises those that have achieved the required standard.

Congratulations to all the staff.