Human Milk Bank Manager, Lynda Coulter set up the milk bank ten years ago and it has been supporting mothers and babies ever since with the supply of donor breast milk to babies in neonatal units as an alternative to formula milk when the baby's mother is unable to feed naturally. Last year alone the milk bank pasteurised 1,300 litres of breast milk which had been donated from the bank's 190 donor mothers.

During the celebrations, Lynda said: "For mothers who have difficulty providing breast milk to their babies naturally, the human milk bank reduces the pressure on them in already difficult circumstances when their child has been born prematurely. The benefits of breast milk are immeasurable not only for premature babies but any babies being born in hospital who's mothers are not able to breastfeed straight away. I'd like to take this opportunity to say a big thank you to all of our donor mums who have made the success of the milk bank possible over the last 10 years."

As well as being on hand to celebrate the 10^th anniversary of the milk bank, TV star Ricky Tomlinson was also on hand to launch the milk bank's new DVD 'Using donor breast milk', which aims to raise awareness of the benefits of donor breast milk. The production of the DVD was made possible through the generosity of Craig and Barbara Newnes who wished to have a lasting tribute to their son Oliver, who was tragically taken from them at two years of age.

Lynda added: "We have never been short of donors in the milk bank and the level of supply is never an issue, we have plenty of milk to go around. Our main challenge has been assuring other neonatal units and medical professionals of the huge health benefits that donor breast milk offer as an alternative to formula milk. I hope that this DVD will raise awareness of the benefits and result in donor milk being made available more widely to babies and mothers across the country."

Ricky Tomlinson first became involved with the Cheshire & North Wales Human Milk Bank as a guest auctioneer for a fundraising ball. His support grew from there and among his many gestures of time and generosity he donated £200,000 in 2008 which enabled the milk bank to grow and develop.

During the celebrations, Ricky presented the milk bank's 1000^th donor, Sarah Wedgwood from Stoke-on-Trent, with a special gift, courtesy of Royal Crown Derby.

Taking about his involvement with the milk bank, Ricky commented: "You only have to look around this room today at all the babies to see how important the milk bank has been for many families and how important it will continue to be in the future. It's fantastic and I'm just happy to support it in whatever way I can."

For more information about the milk bank, please visit www.chestermilkbank.org.uk/ or call Lynda Coulter on 01244 366416. You can also email info@chestermilkbank.org.uk. To view the film 'Using donor breast milk' please visit www.youtube.com and search for the 'Chester Milk Bank' channel where you will find a number of clips from the film.

From 1st April 2013, all patients in acute inpatient hospital wards and A&E departments across the country have been asked to take part in the 'Friends and Family Test'.

The test is being introduced to allow patients the opportunity to feed back their views of the care or treatment they have received here at the Countess of Chester Hospital in near real time. This will provide us with valuable intelligence about the quality of healthcare received in our Trust.

When patients leave hospital they will be invited to give their feedback by answering one simple question:

"How likely are you to recommend our ward/A&E department to friends and family if they needed similar care or treatment?"

Patients will also be asked follow-up questions to find out the reason for their answers, providing essential detail.

Director of Nursing & Quality, Alison Kelly, said: We will be able to use the feedback, alongside other information, to identify and tackle concerns at an early stage, improve the quality of care we provide, and celebrate our successes."

Results for whole providers and individual wards will be published on the NHS Choices website, allowing the public to compare hospital performance and make choices about their care.

For more information about the Friends & Family Test, please call 01244 362 116 or visit: www.coch.nhs.uk/feedback

The Trust has spent the last 12 months preparing for an NHS Litigation Authority (NHSLA) assessment with the aim of achieving a Level 3 standard, which is the highest possible standard of patient safety risk assurance that a Trust can achieve. Only 1 in 5 NHS Trusts currently have the Level 3 standard which places the Countess among an elite group.

The NHSLA handles negligence claims made against NHS organisations and works to improve patient safety and risk management practices in the NHS. The NHSLA standards provide a framework within which to  support the delivery of quality improvements and patient care, organisational governance  and the safety of patients. Being a safe organisation is the linchpin of NHSLA compliance.

Trusts pay an annual contribution - which is similar to an insurance premium - with the amount payable being determined by the level of risk that each organisation is assessed to have. The lower the risk that a hospital poses, the cheaper they are to insure and the more assurance they can give to patients about their patient safety and risk management standards. Achieving Level 3 not only demonstrates the risk management assurances for the Countess but due to the reduced annual payment contributions to the NHSLA and significant cost saving for the Trust.

The Countess of Chester Hospital and Ellesmere Port Hospital's performance during the external assessment - which usually takes two days - in an unprecedented review it was completed in just one day by external assessors who awarded the Trust with a fantastic score of 49 out of 50 which very comfortably exceeded the pass score of 40 to achieve Level 3.  

Chief Executive, Tony Chambers commented: "This is a tremendous achievement which has been truly lived by the organisation. The assessors were incredibly impressed with the culture of the Trust. I would like to take this opportunity to thank all of our staff for their contribution to this assessment as everybody had a part to play with great success."

Here is a useful information leaflet: Keep Warm Keep Well leaflet (2mb)

Here are some other useful tips...

• Make sure you claim all the financial support you can to help with heating bills. There are grants, benefits and advice available to make your heating more efficient. The free national "Home Heat" helpline offers access to grants for free home insulation, reduced tariffs from energy suppliers and advice on managing bills. Telephone 0800 336699 (9am-8pm, Monday-Friday and 10am-2pm Saturday,Minicom 0800 027 2122 or visit: www.homeheathelpline.org.uk
• Keep warm. By setting your heating to the right temperature (18-21 degrees centigrade or 64-70 degrees Fahrenheit), you can keep your home warm and your bills as low as possible.
• Food is a vital source of energy which helps keep your body warm. Try to make sure that you have hot meals and drinks regularly throughout the day.
• Get your flu jab if you are aged 65 years or over, pregnant, have certain medical conditions, live in a residential or nursing home or are the main carer for an older or disabled person.
• Look after yourself and check on older neighbours and relatives to make sure they are safe, warm and well. Wear layers of clothes and wear shoes with a grippy sole if you need to go outside. 
• Keep a mixture of salt and sand handy to put on steps or paths in icy weather.
• Have your heating and cooking appliances checked and make sure your smoke alarm is working. Carbon monoxide is a killer.

The Countess of Chester Hospital will be promoting a range of activities from 1st February 2013 to support Dignity Action Day 2013.

As part of a 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 on Friday 1st February 2013 and then across the hospital throughout February as part of a wider campaign promoting dignity awareness. These activities will be of interest to patients, relatives, visitors or anyone else with an interest in dignified healthcare.

This year the Countess is working closely with Skills For Health. Skills for Health Academy North West, working in partnership with local Trusts and Further Education Colleges run Cadet Programmes aimed at young people aged 16 to 18 years. These programmes, offered in a range of occupational areas, provide local young people with the opportunity to study for nationally recognised qualifications whilst at the same time 'working' and learning alongside health professionals in an NHS environment.

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.

Alzheimer's Society will also be supporting the Trust's dignity campaign and there will be various opportunities for patients, members of the public and staff to contribute their thoughts around dignity. There will be a 'listening wall' positioned near to the main entrance where people will be able to post comments about their experience and general views on dignity in healthcare. There is also an online survey on the Trust's website (www.coch.nhs.uk) which asks people to give their views on dignity in care.

In addition, on Thursday 14th February 2013 the Cadets will display their work on the Dignity agenda at the Countess and will be launching the new Cadet Dignity Promise which highlights what Dignity means to them and how they will commit to treating all with dignity and respect.

Head of Nursing at the Countess, Sian Williams said: "Providing the best clinical outcomes and highest quality care in a safe, friendly environment where a patient's dignity is fully respected is one of our six key strategic objectives and dignity with care and compassion is a major focus within the Trust. With the changing health economy and the changing needs of patients for the future, dignity in care will continue to be a top priority for the Countess."

Sian added: "Sometimes the most important thing to do is to listen. We would like to use this next month to listen more closely to what our patients and public think about our service so we can continue to improve and get things right for each patient that comes through our doors."

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, Medical Director

"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

"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

"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

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

"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, Deputy 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

Widespread snowfall is expected in most parts of the UK over the next few days.

The Countess has plans in place to deal with any potential issues that come as a result of severe weather conditions and are working closely with staff to keep the Trust site as safe as possible.

However, the Trust is keen to make sure members of the public stay safe and avoid unnecessary hazards during any snow and ice.

We would advise members of the public to stay indoors and safe during any hazardous weather. We would encourage you to only visit the hospital if it is absolutely necessary. Despite the best efforts of our staff to keep the site safe, the hospital grounds may become very hazardous and we would like to reduce the likelihood of injury as much as possible. We understand that members of the public may wish to visit relatives who are being treated here but safety is our number one priority at times like this and therefore we would not want anyone to come to unnecessary harm.

There is also plenty that local people can do at home to support their NHS at this time and to avoid an unnecessary trip to their local A&E Department.

We would strongly urge people to take extra care, especially if you are elderly and ideally stay indoors during any periods of snow and ice. Residential areas are usually the last places to be gritted so pavements, pathways and steps can be very icy and dangerous. If 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 and offers round-the-clock health information and advice. You can also visit the website at: www.nhsdirect.nhs.uk

This outstanding feedback came during a Clinical Negligence Scheme for Trusts (CNST) assessment. Having already achieved Level 2 in both the General and Maternity Standards the Trust felt in a strong position to undertake the assessments required for Level 3 - the highest level available. The assessments are designed to support the delivery of organisational governance, and improve the care and safety of women and their babies.

In December 2012 the Countess received feedback from its external CNST assessors, who confirmed that the Trust had achieved CNST Level 3 in Maternity Standards being awarded a score of 49 out of 50 in the process.

Maryellen Dean, Risk and Governance Coordinator said: "Both external assessors fed back that the score was outstanding and they were full of praise for the team involved in all the hard work required to deliver this standard. They advised that it usually takes two days to undertake the assessment, however such was the preparation and supporting evidence that it took them only one day to undertake the robust assessment."

Julie Fogarty, Head of Midwifery added: "This achievement highlights what a fantastic Maternity service we have on offer at the Countess and for mothers who are due to give birth here or are considering giving birth here, they can be safe in the knowledge that our standards of patient care and safety are exceptional. This is thanks to the efforts of all obstetric medical staff, midwifery, neonatal paediatricians, nursing staff and support staff involved in our obstetric, midwifery and neonatal services.

As well as the above teams, the Trust wishes to thank the below CNST Forum Group Team in particular for their hard work and dedication which resulted in this achievement. They are:-

Jim McCormack, Maryellen Dean, Julie Fogarty, Sara Brigham, Jean Fisher, Kathie Grimes, Joanne Davies, David Semple, Gill Brown, Gwenda Jones, Doreen Roberts, Sara Hill, Steve Brearey, Dawn Freeman, Yvonne Farmer, Eirian Lloyd Powell, Ann Troy, Carla Malpeli, Jill Ellis, Janet Beech, Becky Fryer, Jo Waddilove, Debbie Hassall, Tracey Bills, Linda C Smith, Heather Hughes, the IM&T team.

The NHS Commissioning Board has launched a consultation aimed at ensuring that all patients requiring treatment from a specialised service have the same access to high quality services, regardless of where they live.

More than 100 draft service specifications and around 40 clinical commissioning policies are the subject of consultation on the NHS CB website at:

http://www.commissioningboard.nhs.uk/2012/12/12/ssc-consult/

The six week consultation, which runs until 18 January 2013, seeks the views of patients and carers; patient groups; charities; nurses; doctors and their wider teams on the draft documents which have been developed by expert clinicians, commissioners, Public Health and patient representatives, all working together to achieve a consistent approach to care in specialised services.

The NHS CB would like to hear from anybody who is interested in improving patient care in specialised services via the link above. A final report outlining the new arrangements for specialised services commissioning is expected to be published in February 2013.

From early December the Emergency Department introduced a Clinical Streaming Service which consists of two senior nurses assessing patients before they book in at reception.  When patients arrive they are now required to take a numbered ticket from a machine and when their number is called out they will be seen by a nurse in a separate designated assessment area.

If the Clinical Streaming Team feel that it is not necessary for the patient to be seen, they may be advised to seek advice elsewhere, such as their GP, a pharmacist, or other community providers.  However if the patient requires further assessment by the Emergency Department, or the Urgent Care Unit, they will be asked to book in at main reception as normal.

The Clinical Streaming Service - similar to the traditional triage system - is being introduced as a three month pilot scheme to see if it has an impact on the number of Emergency-type attendances.  This is a joint service provided by the Countess and Partners4Health - an NHS body which provides community based services from the Countess of Chester Hospital's Emergency Department.

The Countess points to a dramatic increase in the number of people attending the Emergency Department as the reason why this new service needs to be introduced.  As well as the general increase in attendances, there is also a concern that many people who come to A&E do so unnecessarily and could receive treatment or advice elsewhere.

Jane Evans, Emergency Assessment Manager at the Countess, said: "This year we have seen an 8% increase in the number of patients attending A&E and it is extremely difficult for the department to manage that additional patient flow.  One of the biggest challenges we face is the number of patients attending inappropriately.  The Emergency Department is there for life-threatening accidents or emergencies but we are seeing a rapid increase in the number of patients who simply do not need to be there."

Jane added: "For example patients should not be attending A&E with symptoms relating to Norovirus (diarrhoea and vomiting). They should stay at home and contact their GP by phone should the symptoms persist.  Conditions such as Norovirus spread through the community very quickly which is why we are particularly keen at this time of year to advise patients not to come to the Emergency Department inappropriately."

As well as hoping to reduce the number of inappropriate attendances and ensure that the patient is directed to the right service to meet their health care needs, the Countess is also keen to use the Clinical Streaming Service as an opportunity to educate and remind the public of what Emergency Departments should be used for.   

Jane concluded: "We don't like turning patients away and patients should rest assured that if they need to be treated at the Emergency Department or Urgent Care Unit, they will be.  We do not want to discourage patients who are seriously ill from attending.  However with Emergency Department attendances increasing we are now at a stage where we have to ensure that the patients who are in most need of our care get it first.  We would just like to ask the public to remember before they come to the Emergency Department that we are here to provide care for life-threatening and urgent conditions only."

The NHS Choose Well campaign was introduced to give patients information on where best to seek treatment or advice if they are unwell.  For advice on receiving the correct treatment if you are unwell visit:   http://www.nhsdirect.nhs.uk/About/WhatIsNHSDirect/ChooseWell  

The Picker Institute conducted a patient survey on behalf of the Care Quality Commission to assess the quality of care being given in A&E departments across the country. Patients of 147 acute and specialist NHS trusts took part in the 2012 survey between January to March 2012 and the result were published in December.

The survey asked patients across the country a number of questions on areas such as; the quality of care and treatment, the hospital environment, waiting times, the quality of staff in the department, to name just a few.

The results of the survey revealed that the Countess of Chester Hospital's A&E department has improved significantly in 14 areas of care since 2008 and there were no areas where performance has dropped significantly.

The results also showed that the Countess is significantly better than average in 17 areas of care compared to other trusts and there were no questions were any trust scored significantly better.

Among the areas where the Countess performed particularly well were questions relating to the amount of information and explanations provided by staff to patients, as well as the levels of privacy, dignity and respect given to patients. Feedback relating to the care given by doctors and nurses in A&E was also one of the highlights of the report - with nine questions showing a significant improvement.

Acting Director of Nursing and Quality, Lesley Freeman said: "This report highlights the excellent service that staff in A&E provide and emphasises our commitment to direct patient care. The significance of this positive feedback is all the more important as it is based on patient opinion and experience. I would like to congratulate all A&E staff for their efforts with particular praise going to the doctors and nurses in the department for the positive feedback they received from patients in relation to their care."

To view the full results of the survey visit: http://www.pickereurope.org/

The article referred in detail to a planning permission document which was submitted in order to retain the use of the current modular theatres unit for a further five years to support the refurbishment of the hospital. The planning document is available to the public on Cheshire West and Chester Council's website. You can view the information by clicking here.

If the planning application is approved the modular theatres unit will be used to host theatres 5-9 individually as they each undergo refurbishment. The trust's Central Labour Suite (CLS) is included in the overall refurbishment project but the current modular theatres unit would never be utilised for routine care in labour.  As part of business continuity plans two areas in the Trust, one of which is within the current labour ward, have been identified to become a theatre for surgical procedures associated with childbirth, such as caesarean sections.

Utilising the modular theatres unit as a labour suite - as the article suggested - is totally incorrect. Routine births do not take place in theatres and the use of the Trust's modular theatres unit for surgical procedures associated with childbirth is not logistically suitable due to its distance from the Labour Ward and Neonatal Unit.

The article also failed to highlight the fact that the modular theatres unit is actually a fully functioning unit attached to, and with access from, the main hospital building, with 'state of the art' equipment and facilities. It is in no way sub-standard and is actually a structurally sound building which is capable of functioning as a permanent fixture - it is the Trust's commitment to its site development that is resulting in the Countess utilising the unit as a temporary measure.

The refurbishments being undertaken are part of the Trust's £20m capital improvement project to improve the hospital site and facilities and by utilising the modular theatres unit during the refurbishment of our existing theatres, we will be providing an even better equipped and 'state of the art' environment than the current temporary solution. This is evidenced by the completed refurbishment work to theatres 1-4 which has taken place during the past two years. 

Feedback from surgeons on both the modular theatres unit and refurbished theatres has been highly complementary.

The information contained within the 'Design and Access Statement' - which formed the basis for the article - includes terminology relating to the theatres' infrastructure but this does not include any aspect of the patient care environment. We would like to make it clear that there are no patient safety risks associated with our Theatres Unit.

-         Medical Director, Mr Ian Harvey

Kellyann said: "The early rehabilitation of Stroke patients at home following their care in hospital has become a national priority. The goals of the team centre around an increase in functional independence within a stroke patient's home environment, which could likely lead to a reduction in longer term dependency on social care, following a period of intensive rehabilitation."

To help promote this exciting new team, the Early Supported Discharge Team will be hosting a number of awareness events on World Stroke Day.

Stroke is a non-communicable disease that attacks 15 million people worldwide every year and claims a life every six seconds - but it can be beaten.

The World Stroke Campaign aims to disseminate essential life-saving information and share knowledge about actions and lifestyle behaviors that could avert the assault of stroke. The campaign will also identify opportunities to improve and educate the lay public on the fundamental need for appropriate and quality long-term care and support for stroke survivors, including the empowerment of stroke care-providers.

The following events will be taking place at the Countess of Chester Hospital on Monday 29^th October from 10am-3pm at the main entrance area:

• The new Early Supported Discharge Team will be promoting the World Stroke Awareness campaign and will be providing information about their new team and service.
• The Stroke Association will be providing information about their organisation and stroke campaigns to the general public.
• The Stroke Research Team will be contributing a poster all about the Trust's involvement in stroke research.
• Nursing teams will be taking blood pressure readings and offering secondary prevention advice regarding hypertension.
• The Dietetics Department will be providing dietary information leaflets.

For further information about World Stroke Day, please visit: www.worldstrokecampaign.org/

For further information about the new Stroke Early Supported Discharge team contact Kellyann Lea on 01244 362834 or email: kellyann.lea@nhs.net.

Monday 1^st October 2012 saw the launch ofDementia Awareness Month at the Countess which aims to raise awareness of dementia. As part of the launch patients, visitors and staff were asked to purchase a 'Remember the Person' balloon message. The messages were written by or for anyone who has lived with or been affected by dementia. Coloured balloons were then displayed outside the hospital with the messages attached. Proceeds from the balloon sales will go towards improving the Day Room facilities on the Care of the Elderly wards within the hospital.

The Countess already works very closely with Alzheimer's Society in Chester and they host an information stand on Wednesdays from 2-3pm throughout the year at the main entrance, hosted by Alzheimer's Society staff and volunteers. The information stand will be present throughout October as usual but with additional information for the benefit of Countess staff as well as patients and visitors.

One in three people over the age of 65 will develop dementia, and health and social care professionals have a key role to play in helping improve people with dementia's quality of life.   In addition, about a quarter of all hospital beds are occupied with patients who have dementia, most of whom are over the age of 65. 

Sian Williams, Head of Nursing at the Countess said:  "We all need to be more aware of what we can do to help patients with dementia, not least because they often feel vulnerable and in need of extra reassurance and support. 

"There is a lot of work going on nationally relating to dementia with doctors and nurses, so this campaign is targeting a different but very important group of hospital staff - porters, receptionists, volunteers and cleaners whose attitude can make a tremendous difference.   For example, if they see a patient looking lost, we want staff to check they are okay and whether they need help. In particular, we are stressing the need to be very kind and patient and remember the person."

Other work conducted by the Trust for dementia patients include activity afternoons which are carried out on ward 34 for any patients in the Trust with dementia . These afternoons consist of anything from art and crafts, afternoon tea to sing along music sessions.  The Housekeepers on the wards have been invaluable in sustaining this every Wednesday.

Stephen Worrall, Ward Manager for Ward 34 has found these activities invaluable in helping patients with dementia and aiding their recovery.  Stephen said: "On the latest events afternoon a sing along music session was arranged which was greatly enjoyed by all who attended. I witnessed a gentleman who is suffering in the end stages of dementia with anxiety and delirium, singing and performing to a delighted audience. For those three minutes he could have been eighteen again. He was given an opportunity to escape from a world he did not choose and having nursed him for several weeks it was a truly moving moment. As a Trust we can be really proud with the progress made in the area of dementia care."

The Countess of Chester Hospital's support for this campaign is just the latest example of the Trust's commitment to dealing with dementia. A new service, jointly run by the Countess and Cheshire Wirral Partnership (CWP) consists of two specialist dementia nurses being based five days a week on medical and surgical wards at the Countess of Chester.

The feedback from staff and patient's has been extremely positive in helping and supporting patients with Dementia.

For any further information about dementia visit: www.alzheimers.org.uk.

The Trust is aware that some members of the public who have suffered from vomiting and diarrhoea for 48 hours are being advised to visit A&E. The Countess would like to state that this is not the correct advice. Please do not visit the hospital if you are unwell with norovirus symptoms (or have been within the last 48 hours) or have been in contact with someone who is unwell.

If you have norovirus, the following steps should help ease your symptoms:

• Drink plenty of water to avoid dehydration.
• Take paracetamol for any fever or aches and pains.
• If you feel like eating, eat foods that are easy to digest. 
• Stay at home and don't go to the doctor, because norovirus is contagious and there is nothing the doctor can do while you have it. However, you may wish to contact your GP by telephone if your symptoms last longer than a few days.

In addition, in order to limit the impact of norovirus within the hospital, we are requesting that visitors adhere to the visiting standards set by the Trust by making sure that no more than a total 2 people visit their relative/friend within the set visiting hours.

Please DO NOT visit any part of the hospital if you are unwell with norovirus.

For more information about Norovirus click here

This is an opportunity to meet staff and see examples of the service developments and achievements of the last year within your local hospital.

During the meeting there will be updates on topics such as quality, financial accounts, and service developments. There will also be time for you to speak with staff from across the Trust about the progress being made and to view display stands with details about a number of Trust services.

If there are aspects of the Trust that you would like to know more about or if you have any questions about how we are doing, this is the ideal opportunity to get those questions answered from members of staff at all levels within the organisation.

Trust Secretary, Stephen Cross commented: "The Annual Members' Meeting is a great way for the public to learn more about the progress and improvements which have taken place over the last year within the Trust. It also offers us the opportunity to hear the views of the public which can help with our decisions for the future."

The meeting will be held at the Countess of Chester Hospital's Education and Training Centre and will start at 5pm. All are welcome, so please come along to find out about the progress your hospital is making.

There is no need to register or book a place, just simply put the date in your diary and turn up on the day.

For further information about any aspect of the Annual Members' Meeting, please contact: claire.raggett@nhs.net or call 01244 365 816.

For people attending the event, there will be no charge for car parking.

NHS Heroes encourages patients and their families to nominate the staff members and teams whose compassion and kindness has made a difference to their lives. NHS workers are also encouraged to nominate colleagues who they see go above and beyond the call of duty every day.

Dean Royles, Director of NHS Employers, said: "Employers see the dedication of NHS staff day in and day out. I'm sure the national NHS Heroes initiative will complement existing local staff recognition schemes and bring national attention to the local healthcare heroes who mean so much to the people they serve.

"The NHS is about teamwork so I hope we see nominations from clinical and non-clinical staff within the NHS, and of all those working on behalf of the NHS in voluntary, independent and charity sectors. It's fantastic that anyone - patients, NHS staff and members of the public - can nominate their NHS Hero and make sure those people who have made a real difference to their lives get the recognition they so richly deserve."

Nominate a Countess hero...

If you would like to see a member of staff at the Countess of Chester Hospital be rewarded for their hard work and efforts, you can make your nominations now via the NHS Heroes website at http://www.nhsheroes.com/

You can also download the application form here: NHS Heroes nomination form (538kb)

The campaign will run until Friday 21st September 2012

In his new role as Chairman, Sir Duncan will lead the Trust Board of Directors and Council of Governors in setting the strategic direction of the Trust, and ensuring  the Trust provides the best possible care to the communities it serves. 

Sir Duncan said, "I am delighted to be joining the Board of the Countess at this challenging and exciting time for the Trust. My passion for the Countess is long-standing, from its development in the early 80's when I was the responsible Regional Administrator, through to the present day as a 30 year resident of Heswall. I am looking forward to meeting my new colleagues soon and playing my part in taking the Trust forward in the future."

Sir Duncan takes over from Sir Jim Sharples who is retiring from the Chairman role he has fulfilled since the Countess achieved Foundation Trust status in 2005. Sir Jim was first appointed to the Trust Board in January 2001 as a Non-Executive Director.

Current Chief Executive Peter Herring said, "I am delighted that Sir Duncan has been appointed as our new Chairman, he has an outstanding record of public service and I am sure he will prove an excellent successor to Sir Jim, who has made a tremendous contribution to the success of the Trust over many years."

The Trust's new Chief Executive, Tony Chambers will join the Trust in December.Tony is an experienced NHS leader with a strong track record of managing large scale acute hospital services. From starting his career as a student nurse in Bolton in 1985 he has worked in a variety of clinical and management roles in a range of sectors; most recently as the Director of Planning, Performance and Delivery at Hywel dda Health Board in South Wales. Prior to this he held Executive Director Roles in hospitals in Greater Manchester and West Yorkshire.

Tony said, "I am looking forward to joining a new board team and working with clinicians and managers to build upon the excellent work of the current Chairman Sir Jim Sharples and Chief Executive, Peter Herring."

"I am very excited about the opportunity to work with local health, social care and other partners to continue the development of excellent health services that meet current and future health need for the people in the communities we serve throughout Cheshire, Ellesmere Port, Neston and North Wales."

Accountable to the Chair, the Chief Executive is personally responsible for ensuring the delivery of a high quality, cost effective service which is responsive to the needs of those under the care of the Trust. Tony will also have the responsibility for leading the delivery of the Trust's transformational plans to ensure the continued delivery of high quality services  which are significantly extending the range of specialist services the Countess provides to a wider population. This will be in addition to ensuring that the Trust responds, in collaboration with its healthcare partners, to the highly challenging financial environment. 

Wednesday 30th May 2012

For the Board of Governors of the Countess of Chester Hospital NHS Foundation Trust

The Trust gives notice that it will hold elections to the Board of Governors of the Countess of Chester Hospital NHS Foundation Trust.

Elections are to be held for the following positions:

6 Public Governors in the following constituencies:

• Public: Chester and Rural Cheshire (3 vacancies)
• Public: Ellesmere Port and Neston (2 vacancies)
• Public: Flintshire (1 vacancy)

A nomination form to stand for election to these positions can be obtained from the Returning Officer at the address shown below.

All nomination papers should be received by the Returning Officer, Caroline Hinchcliffe, at the address as detailed below, by 5pm on Tuesday 19th June 2012.

Electoral Reform Services Limited
The Election Centre
33 Clarendon Road
London. N8 0NW
Tel 0208 889 9203
caroline.hinchcliffe@electoralreform.co.uk

Faxed or emailed nominations will not be accepted.

Should any nominee wish to withdraw their nomination, they must put this in writing to the returning officer by 5pm on Friday 22nd June 2012.

Ballot papers will be distributed to qualifying members on Monday 9th July 2012. Completed ballot papers must be received by the Independent Scrutineer by 5pm on Friday 27th July 2012.

The regulations governing this election can be obtained from Electoral Reform Services Ltd (address as above).

The Independent Scrutineer for these elections is Electoral Reform Services Ltd (address as above).

The Returning Officer for these elections is Caroline Hinchcliffe of Electoral Reform Services Ltd (address as above).

National day of industrial action - 10th May 2012

Friday 4th May 2012

A national day of industrial action is taking place on Thursday 10th May 2012 in protest to the government's proposed changes to public sector pensions.

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 inpatient and outpatient 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 Unite union have confirmed they will be striking.
• Some 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 as 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.

Celebration of Achievement Awards 2012  

Wednesday 2nd May 2012

Help us celebrate the achievements of our staff

The Countess of Chester Hospital's annual 'Celebration of Achievement Awards' offer an opportunity for the Trust to acknowledge the outstanding achievements and hard work of individuals, wards and departments who have excelled in a range of different areas. The winners will be presented with their awards at the Celebration of Achievement Awards in July 2012 at the Crowne Plaza Hotel, Chester - who are kindly helping to sponsor the event.

Nominating someone for an award

This year the 'Patient Choice Award for Outstanding Care' will be nominated by YOU, our service users - patients, relatives, carers and visitors. We are inviting you to nominate any member(s) of staff who has made a strong positive impression on you during your time in our hospital due to their exceptional level of care and attention. This can be any member(s) of staff  that you have interacted with who you want to see recognised.

Category: 'Patient Choice Award for Outstanding Care'

You are asked to nominate an individual or team who you feel show outstanding contribution towards patient care in their day to day roles. This can be in a patient facing role or any of our support services.

Showing outstanding contribution to quality patient care is about going above and beyond the expectations of their job role, working hard to ensure that the service that we offer patients is of the highest standard, and really going the extra mile to make the patient experience the best it can be.

All you need to do is to complete the nomination form which is available by clicking here.

The closing date for nominations is Friday 1st June 2012.

Click here to view the nomination form

Click here to view the event flyer

Measles advice

Tuesday 27th March 2012

Due to an outbreak of measles in the North West which is reported to be the largest in the region since the MMR vaccine was introduced, the Health Protection Agency (HPA) is urging parents to ensure children are fully vaccinated.

In addition, to protect young patients, the Countess of Chester Hospital has declared that any visitors to the Neonatal Unit under the age of 16, needs to provide proof that they have received the MMR vaccine (with their red book) before they will be allowed onto the unit.

For more information about measles, please Click Here

Advice to children and adults with measles

Dr. Roberto Vivancos, a consultant with the HPA's Cheshire and Merseyside Health Protection Unit, said: "Measles is highly infectious and unvaccinated children are at risk when it gets into a community. Furthermore, when unvaccinated older children pick up an infection they can pass it on to vulnerable infants who are too young to be vaccinated. That would appear to be what's happening in this outbreak."

The HPA advice to children and adults with measles is to:

• Avoid contact with others, particularly pregnant women and infants as they are more vulnerable to infection and measles is highly infectious.
• Stay away from schools, nurseries and work places until at least four days after the onset of the rash.
• Telephone the family GP for advice before attending GP surgeries, NHS walk-in centres or hospital A & E units so that arrangements can be made in advance for minimising the measles patient's contact with others who may be more vulnerable to infection. 

Cause of the outbreak

According to the HPA, most of the cases in the region have been children who have not received the MMR vaccine.

What is the MMR vaccine?

The most effective way of preventing measles is the measles, mumps and rubella (MMR) vaccine.

The first MMR vaccination should be given at around 13 months of age. A booster is given before your child starts school.

If your child is younger than 13 months and you think they may have been exposed to the measles virus, see your GP immediately. The MMR may be given if they are over six months, or they may be given antibodies for immediate protection if they are younger than six months.

Annual Hospital Thanksgiving Service

Wednesday 14th March 2012

This event aims to give thanks for the work of all our staff and volunteers. The guest speaker at the event will be The Revd. Peter Barber (Chair of Methodist District Chester and Stoke on Trent)

6pm, Tuesday 20^th March 2012
Spiritual Care Centre (Chapel)

All are welcome.

Cheshire & Merseyside Vascular Services

Thursday 16th February 2012

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.

Neonatal Unit commended in national survey

Wednesday 25th January 2012

A survey of parents' experiences of neonatal care at the Countess of Chester Hospital has revealed a high quality of care for babies being treated in the Neonatal Unit.

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."

The Crowne Plaza Hotel in Chester - who kindly helped to sponsor the event - was the venue for a glittering night of congratulation and celebration for a wide variety of Trust staff.  Over 250 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 and teams who have made outstanding achievements. 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 staff.

Among the winners were; Midwife Roz Harris who won the 'Patient Choice Award for Outstanding Care', Business Performance Manager Hayley Kendall who won the 'Outstanding Individual Achievement of the Year Award', and the Electronic Prescribing Team who won the 'Outstanding Team Achievement of the Year Award'. Sylvia Oakley picked up the 'Volunteer of the Year Award' and Eleanor Hornsby walked away with the 'Governor of the Year Award'.

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."

Director of Human Resources, Susan Young added: "This event 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. It was a great night of celebration and my congratulations go to all the winners and finalists."

Another highlight of the evening was the presentation of the 'Lifetime Achievement Award' which was won by two members of staff - the Trust's recently retired Medical Director, Dr Virginia Clough, and Kathy Kusinski who recently retired as Gastroenterology Secretary.

A special award was also presented to Chief Executive, Peter Herring who won the 'Leonie Kenny Award for Inspirational Leadership'. Peter is leaving the Trust in September after 12 years to take up the role of Chief Executive at Shrewsbury and Telford Hospital NHS Trust. His vision and leadership was commended by the Trust's Director of Human Resources, Susan Young who presented the award.

Celebration of Achievement Awards - Winners & Finalist

Governor of the Year

Winner: Eleanor Hornsby

Volunteer of the Year

Winner: Sylvia Oakley

Sylvia was originally a member of the Women's Royal Voluntary Service (WRVS) and helped out as a volunteer at main reception from 2001 onwards.  Nowadays Sylvia is a valued member of our Meet and Greet team still welcoming visitors in to the hospital and offering help and assistance.

Finalist: Paul Davies
Finalist: Spencer and Margaret Pierce
Finalist: Dennis Worth
Finalist: John Tsang

Patient Choice Award for Outstanding Care

Winner: Roz Harris

Roz works at the Trust as rotational Midwife and has been with the Countess since 1982. Roz's role involves caring for women in labour and also providing care ante and post natal on Cestrian Ward.  As well the obvious care and support in labour and delivery, her role also includes health education, mentoring student midwives and deputising for the ward manager. In the patient nomination Roz was described as being "caring, knowledgeable, supportive and efficient.  The ultimate professional, who is in ambassador for the hospital, the Midwifery profession and the NHS as a whole."

Finalist: Laura Armstrong
Finalist: Kirsten Potter
Finalist: Rebecca Johnson
Finalist: Jill Ellis

Outstanding Individual Achievement of the Year Award

Winner: Hayley Kendall

Hayley has been the lead person for the completion and submission of tenders for two major Trust developments, the Arterial Centre and the Bariatric Surgery Centre.  She has achieved this on top of her usual operational role managing several surgical specialties, due to her willingness to go the extra mile for the Trust, and her strong commitment to her role.  Due to her hard work we have been successful in winning both contracts which is a significant development for the Trust .

Finalist: Karen Rogers
Finalist: Dr Niru Goenka

Outstanding Team Achievement of the Year Award

Winner: Electronic Prescribing Team

The team have worked incredibly hard to implement the challenging remit of electronic prescribing within the organisation.  The project has involved massive input from the team including site visits, system development, hardware procurement and set up and the training of around 1500 staff and then gradual roll out across the Trust.  Amazingly the team have managed to do this in only 9 months which is a fantastic achievement. It's only been made possible due to the commitment and hard work of the staff involved who worked extremely hard and to the absolute best of their ability and capacity.  The result is a very successful EP process that has been accepted as business as usual and highly commended by staff.

Finalist: HR Shared Services and Wellbeing Team
Finalist: Joint Microbiology Implementation Team

Lifetime Achievement Awards

Winner: Virginia Clough
Winner: Kathy Kusinski

A dedicated service will be available to all in-patients and out-patients to remind them at regular intervals before their appointment so that patients don't have to rely on their calendars or diaries.

Time is valuable to both patients and staff at the hospital and the increasing number of appointment slots going to waste is an issue that the Trust is trying to address.

Across the NHS over 6.5 million outpatient appointments are lost each year (27,400 at the Countess), costing hospitals in the UK over £600m.

The Countess is taking the initiative in the battle against Did Not Attends (DNAs) by launching their innovative Remind Me service which provides patients with a text and email reminders. The service will remind patients 2 weeks, 1 week and 1 day before they are due for an appointment. The service will also allow patients to rearrange appointments which are scheduled inconveniently.

Craig Brothwood, Lead Transformational Practitioner said: "The new service will provide patients with a quick and easy way of managing their appointments and allow the hospital to perform more efficiently and effectively."

Joe Downie, Access Manager, added: "This new service is a modern approach for communicating with patients and it gives them the opportunity to keep updated about their appointments while on the move. Our aim is to make the appointment process as simple and convenient as possible for our patients."

The Countess is eager to remind patients that they have complete control over the care they receive at the Countess and that they are under no obligation to go through with any procedures. However it is of vital importance that patients let the hospital know if they wish to cancel their appointment so that they do not go to waste. The Countess requests that patients advise the Admissions Team 48 hours in advance of their procedure on 01244 364450 if they wish to cancel so that other patients can benefit, or for outpatient appointments call 01244 366663.

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 23 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 fifth successive year that I have had the privilege to collect this award on behalf of the Countess of Chester Hospital. In a difficult period of change and financial pressure we have still been recognised nationally as a top performing hospital which is a testament to the commitment and hard work of all our staff.  We have now held this award for 12 years - an amazing achievement."

Gaynor Hales, Deputy Chief Executive and Director of Nursing, Quality and Environment added: "I would like to 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 July 2011 is one of our many achievements in the past year."

Jason Harries, Managing Director, CHKS said: "We are delighted that the Countess of Chester Hospital is one of our 40Top Hospitals for 2012. These awards recognise outstanding performance in 23 areas which we believe are critical to delivering good patient care."

Unlike alternative varicose vein treatments, Cyanoacrylate is a simple but revolutionary glue type substance which is injected directly into the varicose veins to cure them. This pioneering procedure is used to treat simple varicose veins and complex varicosities leading to venous leg ulcers.  It is conducted within 15 minutes and the patient requires no anaesthetic or compression stockings and can resume normal activities immediately following the treatment.

The Countess of Chester Hospital is the first Trust in the UK to use this treatment as part of a multi-centre, international trial - eSCOPE (European Sapheon Closure System Observational Prospective) which is only available commercially for the trial investigators.  

This new solution is considered to be the 3^rd generation in treatments for varicose veins. Historically the conventional treatment is vein stripping and ligation surgery which requires general anaesthetic. Endovenous laser treatment and radiofrequency treatments were a welcome step forward by offering a less invasive alternative to surgery where the veins are burnt or heated and then closed through a minimally invasive procedure which requires only local anaesthetic. However, there is still the need for the patient to wear compression stockings for two weeks.

The product being used in the eSCOPE trial, in association with Sapheon, the medical device company, is called VenaSeal  (developed in Santa Rosa, California, USA) and has previously been used to treat congenital abnormalities in blood vessels but has never been used to treat varicose veins until now.

Mr Sameh Dimitri, Lead Vascular Consultant Surgeon at the Countess, who is conducting the trial, commented: "I am very proud that the Countess is the first provider in the UK to take part in the eSCOPE trial and it further demonstrates the Trust's commitment to being at the forefront of clinical developments. This is a revolutionary treatment which will benefit many people in the local area and we are very excited to offer it as this new technique is very promising."

He added: "The main difference between this and other treatments is based on the level of pain, complications and inconvenience caused to the patient. With this new treatment the patient does not require any anaesthetic or compression stockings. Essentially there is no recovery period and the treatment itself can be completed in 15 minutes, leaving the patient to resume normal activities immediately."

This new technique is offered as part of the eSCOPE Trial to NHS patients who fulfil the PCT criteria for varicose vein treatment. 

Mr James Robert Mahon, a Countess patient who has already received the treatment as part of the trial, said: "This is a fantastic treatment which has been extremely successful for me and I'm very grateful. It was a huge relief that this option has been made available as although I'm sure the alternative treatments are successful, this was almost completely pain-free and was completed in less than 20 minutes, with no recovery period afterwards. I hope other patients find this as beneficial as I have."

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."

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 21st December 2011

Chester's first ever Santa Dash took place on Sunday 11th December, with 1500 Santa's and reindeers 'dashing' through the streets of Chester. This festive event, sponsored by M&S Money set off from the University of Chester Riverside Campus Building in Castle Street at 9.30am and was officially started by Ian Puleston-Davies of Coronation Street, who was delighted to see such a great turn out.

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

PIP breast implants not used at the Countess of Chester Hospital

Wednesday 21st December 2011

The national media has today reported on the potential danger of a specific brand of breast implants - Poly Implant Prothese (PIP). This particular brand has never been used at the Countess of Chester Hospital and the Trust would like to issue the following statement to alleviate any concerns that our patients or potential patients may have:

"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

Visiting restrictions in place

Monday 12th December 2011

Over the weekend, the Countess of Chester Hospital made the decision to restrict patient visiting across the hospital to contain an outbreak of vomiting and diarrhoea. As a result, visiting all wards is by appointment only via the Nurse in Charge until further notice.

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.

Clot campaign hits national target

Tuesday 6th December 2011

The Countess of Chester Hospital is proud to announce that it has achieved the national target of assessing more than 90% of its patients for their risk of blood clots.  This includes Deep Vein Thombosis (DVT) and Pulmonary Embolism (PE - a blood clot that has travelled to the lung).

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." 

Trees light up hospital

Tuesday 6th December 2011

 The Trees of Light ceremony gave members of the public the chance to dedicate a light to a loved one last week, an event which also saw their names being entered into a Book of Honour.

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."

Day of industrial action - 30 Nov 2011

Thursday 24th November 2011

A day of industrial action is taking place throughout the public sector on Wednesday 30th November 2011 in protest to the government's proposed changes to public sector pensions.

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/ 

Evacuation exercise a success

Tuesday 22nd November 2011

A recent evacuation exercise which took place at the Countess was a great success.

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'.  

Bereavement service supported by trees

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.

Santa Dash 2011 - Run or walk 4km to raise funds for two very worthy local causes.

Wednesday 26th October 2011

Be part of something NEWand EXCITINGthis Christmas and take part in Chester's first ever SANTA DASH, run or walk 4km to raise funds for two very worthy local causes:

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 Countess has received a 40Top Hospitals Award for the eleventh year in succession

Wednesday 26th October 2011

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

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."

Trust presented with the prestigious UNICEF Baby Friendly Award

Wednesday 26th October 2011

Coronation Street actor Ian Puleston-Davies - who plays Owen in the popular soap - visited the Countess on Tuesday 25^th October to present the Trust with the prestigious UNICEF Baby Friendly Award.

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.

Macmillan centre opens - This excellent new centre offers help and support to people affected by cancer.

Wednesday 26th October 2011

The Countess of Chester Hospital officially opened its Macmillan Support and Information Centre recently which offers help and support to people affected by cancer, including those who are diagnosed with the illness as well as their family and friends.

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 Trust recently underwent a £2m refurbishment programme to the Emergency Department

Wednesday 26th October 2011

As part of a two million pound investment programme for Emergency Medicine, the Trust recently underwent a refurbishment programme to the Emergency Department's Majors area which has added three cubicles and increased the resuscitation patient capacity from two to three.

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

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."

Duke of Westminster opens Parent Unit

Tuesday 11th October 2011

His Grace the Duke of Westminster visited the Countess of Chester Hospital today to open a newly refurbished facility for parents of sick children being treated on the Children's Unit.

The Duke was accompanied by the Trust's Chief Executive, Peter Herring and Chairman, Sir Jim Sharples, along with many members of staff and members of the community to see the opening of Christopher Wing.

Christopher Wing was originally opened in 1998 following the tireless fundraising of Tim and Gill Worrall. The wing was named after Mr and Mrs Worrall's son Christopher, who sadly died in 1994 of a brain tumour while being treated on the Children's Ward. Throughout their time at the hospital, Tim and Gill felt that it needed a designated space where families could go to rest or to simply have some quiet time but still be close by to their children at all times. As a result, Mr and Mrs Worrall helped raise funds to open the Christopher Wing in 1998.

Since then the wing has required further modernisation and improvements and the Chester Childbirth Appeal recently donated almost £90,000 towards refurbishing it. It was refurbished in response to feedback from parents who suggested that parent accommodation and facilities needed to be improved. Space was made available through the refurbishment, it was made more easily accessible and welcoming, and the overall facilities in the kitchens and bathrooms have been completely modernised. A 'Quiet Room' was also built for counselling parents and for breaking sensitive news in private.

While unveiling the new facility, His Grace the Duke of Westminster, said: "As a parent myself I understand the importance of this facility and I am very impressed with it. I want to pay tribute to Mr and Mrs Worrall who originally provided this facility, and the Chester Childbirth Appeal."

Founder of the Chester Childbirth Appeal, Mrs Pat Daniels MBE, added: "We are very grateful to His Grace the Duke of Westminster for sparing the time from his busy schedule to come and open the Christopher Wing. The Chester Childbirth Appeal celebrates its 20th anniversary this year. During that time it has raised over £1m, which has been spent on amenities and facilities to benefit the women and children attending the Countess of Chester Hospital."

Annual Members' Meeting - 4th October 2011

Tuesday 11th October 2011

The Trust's Annual Members' Meeting is taking place from 5pm on Tuesday 4th October 2011 at the Countess of Chester Hospital. This is an opportunity to meet staff and see examples of the developments and achievements made during the last year.

During the meeting there will be updates on topics such as quality, financial accounts, and service developments. There will also be time for people to speak with staff from across the Trust about the progress being made and to view display stands with details about a number of Trust services.

Trust Secretary, Stephen Cross, commented: "The Annual Members' Meeting is a great way for the public and Trust Members to meet with staff from their local hospital and learn more about the progress and improvements which have taken place over the last year. It also gives an opportunity to hear the views of Trust members and the public."

The meeting will be held at the Countess of Chester Hospital's Education and Training Centre and will start at 5pm. All are welcome, so please come along to find out about the progress your local hospital is making.

There is no need to register or book a place, just simply put the date in your diary and turn up on the day.

For further information about any aspect of the Annual Members' Meeting, please email: claire.raggett@nhs.net or call: 01244 365 816.

For people attending the event, there will be no charge for car parking. 

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.