here when you need us most - guysandstthomas.nhs.uk · maxine hoeksma, cara lee, angie littleford,...

News from Guy’s and St Thomas’ Issue 28 | 2018

Here when you need us mostInside our new emergency department

THIS ISSUE

2 the GiST

WelcomeOur emergency department (A&E) at St Thomas’ Hospital is one of the busiest in theNHS, seeing around 420 patients every day.

Over the last four years we have completelyredeveloped the department, transformingpatient care by creating a dedicated

emergency floor that brings together emergency services in a single area ofthe hospital.

Thanks to our wonderful staff, the department remained open as normalwhile the work was carried out.

I am delighted that the rebuild is now complete so we can provide evenbetter care for the 150,000 emergency patients who use the service everyyear. You can read about HRH The Princess Royal’s recent visit to St Thomas’Hospital to officially open the emergency department on page 12.

In this issue of the GiST, you can find out how homelessness nurses fromthe Health Inclusion Team are helping rough sleepers by providing same dayhealth checks. Read about their project, which is supported byhomelessness charity St Mungo’s, on page 7.

You can also read about a life-like simulation manikin called ‘Hal’ that ishelping doctors and nurses to safely treat patients in emergency situations.Take a look at how we’re leading the way in simulation-based education onpage 8.

Our sterile services team provides a crucial service for the Trust, cleaningand sterilising up to 11 million instruments used in operations every year.Find out what goes on behind the scenes on page 22.

I hope you enjoy this issue of the GiST.

Contents

Meet the team

Words and photos by Marjorie Allen, Matt Barker,Michael Carden, Sarah Clark, Kelly Cook, Nzinga Cotton, Cleo Downs, Ciorsdan Glass,Maxine Hoeksma, Cara Lee, Angie Littleford,Adeola Ogunlaja and Eloise Parfitt.

Cover photo by David Tett.

Design: AYA-Creative www.aya-creative.co.uk

Print: O’Sullivan Communications

Front cover: Matron Anneke Biginton and charge nurse DeeDhesi outside the emergency department (A&E)at St Thomas’ Hospital.

Amanda Pritchard, Chief ExecutiveGuy’s and St Thomas’ NHS Foundation Trust

TELL US WHAT YOU THINK

If you have any comments about themagazine or suggestions for future articles,please contact the communicationsdepartment, St Thomas’ Hospital,Westminster Bridge Road, London SE1 7EH, or email [email protected]

Visit us online at: www.guysandstthomas.nhs.uk

the GiST is published by Guy’s and St Thomas’ NHS Foundation Trust

05 Rare Diseases Centre gets royal approvalA specialist service in one place

07 Helping the homelessHealth checks for rough sleepers

10 Journey of a blood sample Supporting vital research

12 Emergency care transformedNew emergency floor revealed

18 The leading edge Zapping migraines away

22 Behind the scenesDiscover what our sterile servicesteam do

Genetic testing can be used to find outwhether or not a person has inherited aspecific altered gene (genetic mutation) thatcauses a particular medical condition.

The new service will transform care byallowing clinicians to access testing for morethan 500 conditions seven days a week, withsome results being available in as little asthree days.

Dr Ian Abbs, Chief Medical Officer at Guy’sand St Thomas’, said: “Our partnership iscommitted to using genomic medicine toidentify diseases earlier and to betterpersonalise the treatment and care weprovide to our patients.”

Children who need regular scans of theirbones are benefiting from a new state-of-the-art machine at Evelina LondonChildren’s Hospital.

A dual energy X-ray absorptiometry(DEXA) scan is a quick and painlessprocedure that uses low dose X-rays tomeasure the density or strength of bones.

Previously, young patients who neededthe scan had to use the adult DEXA scanningservice at Guy’s Hospital.

Thanks to funding from Guy’s and St Thomas’ Charity, Evelina London now hasthe newest model of the DEXA scanner in aspace-themed room, with a ceiling hoist andan interactive entertainment system.

Dr Moira Cheung, consultant children'sendocrinologist at Evelina London, said: “Wecan now offer a one-stop shop for our youngpatients who attend the osteoporosis clinic,

saving families from having to travelbetween hospital sites to attend theirconsultant appointments at Evelina Londonand improving the patient experience.”

Elliot Mace, 10, was one of the firstpatients at Evelina London to use the newmachine.

ROUND-UP

www.guysandstthomas.nhs.uk 3

IN THE NEWSA round-up of media coveragefeaturing Guy’s and St Thomas’.

Evening Standard The Evening Standard reportedhow Sophie Miles (pictured below)was saved from sufferingpermanent brain damage bypioneering ‘cooling’ treatment atEvelina London Children’s Hospital.

To mark Sophie’s fifth birthday,her dad, Ben, took part in Guy’sUrban Challenge to raise money forEvelina London.

BBC OneBBC One’s ‘One day that changedmy life’ included the story ofBethany. She was filmed at Guy’sHospital having a blood test to findout if she was a carrier of a faultyBRCA gene, which increases thechance of developing breast andovarian cancer.

Roberta Rizzo, geneticcounsellor at Guy’s and St Thomas’,spoke to Bethany in the geneticsclinic before the test. Two weekslater she gave Bethany the goodnews that she was not a carrier ofthe faulty gene.

The EconomistThe Economist highlighted thedementia-friendly hospital wards inthe older person’s unit at St Thomas’ Hospital.

The unit’s layout and decor hasbeen designed for dementiapatients with improved lighting,bright colours and large signs. APets as Therapy dog also visits theunit to improve patients’ mood.

A geneticrevolutionfor southeast EnglandGenetic testing for people in southLondon and south east England isset to be transformed with a newgenomics laboratory hub.

A consortium led by Guy’s and St Thomas’ will provide the new service,which will be at the centre of a network madeup of NHS organisations across the area,including King’s College Hospital, St George’sUniversity Hospitals, South London andMaudsley and Royal Brompton & HarefieldNHS Foundation Trusts as well as Maidstoneand Tunbridge Wells NHS Trust.

Known as the London South GenomicLaboratory Hub, it is one of seven newlycommissioned hubs across the country thatwill not only improve patient access forgenetic testing, but will also support thedevelopment of more personalisedtreatments.

Stress-free scans help young patients

Elliot Mace with his mum, Amy, and technologist,Ines Baeta, on the new DEXA scanner

Guy’s and St Thomas’ will lead the new genomics laboratory hub

4 the GiST

ROUND-UP

Your voice We love to hear from our patients, staffand supporters so join the conversation by following us on Facebook,Twitter, LinkedIn and YouTube.

@anniemaemorris (from Twitter) Thank you to the lovely Drs and nursesat Guy’s Hospital for being WONDERFULwhenever I visit @gsttnhs #LoveOurNHS

@latajulu (from Twitter)@GSTTnhs great experience at theemergency eye clinic today. Thank you to the fantastic Matt and other staff forsorting out my eye!

@cathrodgers (from Twitter)@GSTTnhs amazing staff, amazing care.Thank you. The wonderful #NHS

@NeilCook (from Twitter)@GSTTnhs Amazing experience at Guy’sCancer centre today. Consultation,biopsy and bloods within 45 mins...phenomenal. The staff were awesome

Maria Savva-Chirambo (from Facebook)Visited children’s a and e with my sonthis morning, great great place can’tfault St Thomas’ hospital in any waywhatsoever.

Art-felt thanks to hospitalAn internationally renowned artisthas donated 14 handmade prints toGuy’s and St Thomas’ to thank stafffor saving her mother’s life.

Tacita Dean’s limited editionartwork has been installed on the1st floor of North Wing at St Thomas’ Hospital.

The prints are based on stillstaken from her project FILM, whichwas exhibited in Tate Modern’sTurbine Hall.

Together with her brotherPtolemy and sister Antigone, Tacitadonated the artwork to St Thomas’in gratitude for the care theirmother, Jenefer, received in 2014.

Tacita said: “Against all odds, mymother recovered from her veryserious cardiac arrest which shehad in Tate Modern, in part due tothe extraordinarily high level of careshe received in the intensive careunit at St Thomas’ Hospital.

“We really wanted toacknowledge our gratitude to all thestaff, and the most obvious waywas for me to donate an artwork onbehalf of the three of us topunctuate those long hospitalcorridors.

“I chose FILM Stills becauseFILM was an emblematic projectwith colourful, bold images that wasmade for Tate Modern, and soconnecting the museum and thehospital.”

Tacita was a Turner Prizenominee in 1998 and was made anOBE in 2013 for services to Britishart overseas.

Artwork donated by Tacita Dean

Twitter @[email protected]/gsttnhs

youtube.com/gsttnhs

More than 250 supporters and staff took part in London's most thrilling 'urban triathlon' – Guy’s UrbanChallenge – to raise funds for Guy’s and St Thomas’ Charity, including Akar Necati who was supported byhis son Sami. Participants ran 2.4km around Guy's Hospital, spun 15km on state-of-the-art Wattbikes,and climbed 29 floors to the top of Guy's Tower.

Ph

oto

: Bren

dan

Foster Ph

oto

graphy

@IamAdaMau (from Twitter) Karina popped into@EvelinaLondonneonatal as avisitor today, 6months after shewas being caredfor there! Droppedoff some of herclothes for othertiny babies! Thank you again to all the wonderfulstaff there! @GSTTnhs #NICU #NHS70

staff who have worked hard for years to makethe facility a reality. The Centre meanspatients now have somewhere permanentthey can call home.”

The Rare Diseases Centre was funded byGuy’s and St Thomas’ Charity, the charityDEBRA, the Four Acre Trust and thePhotodermatology Charitable Trust.


ROUND-UP

The Countess of Wessex has officially openedGuy’s and St Thomas’ Rare Diseases Centre.

Her Royal Highness met patients who havebenefited from the facility and doctors andnurses who work there.

She heard how it was designed specificallyfor patients with a number of complex raregenetic conditions.

These include epidermolysis bullosa (EB),xeroderma pigmentosum (XP) and Bardet-Biedl syndrome (BBS).

The new Centre brings together severalspecialist services in one place, saving timetravelling between appointments.

The Countess said: “It is a huge pleasurefor me to open the Rare Diseases Centre. Thetestimonies we’ve heard from the patientswith different rare conditions make it clearwhy this was so necessary.”

Sir Hugh Taylor, Chairman of Guy’s and St Thomas’, said: “We are very grateful to thepatients who were heavily involved indesigning the Centre, the generous funderswho made this possible and the dedicated

Cath, Tom and David Boyce

Father’s walk for ECMO team

Royal opening for Rare DiseasesCentre

Meet theSnow Fox

Evelina London Children’sHospital has a brand newward.

Snow Fox ward has 19new spaces for children whoneed planned care, such asminor surgical procedures,diagnostic tests or scans.

Fun, brightly colouredartwork is displayedthroughout the ward,including snow foxes forchildren to find.

Debbie Komaromy, headof nursing at EvelinaLondon, said: “The newward was designedspecifically with the needsof our young patients inmind.

“The feedback from ourpatients, including familieswho have been using ourservices for years, has beenvery positive. It’s also areally great environment forour staff.”

Find out more about howEvelina London is growingwww.evelinalondon.nhs.uk/wearegrowing

The Countess of Wessex with 13-year-old ichthyosispatient, Zion Semere

A father walked 171 miles to raise money forthe team that saved his son’s life.

David Boyce travelled the route that Tom,19, was taken when he was transferred fromUniversity Hospital of Wales in Cardiff to

receive life-saving ECMO (ExtracorporealMembrane Oxygenation) treatment at StThomas’ Hospital last year.

Tom’s family had been told to say theirgoodbyes to him because his heart and lungswere failing due to sepsis.

He was discharged a few weeks after havingECMO therapy and has recently restarted hisdegree.

David said: “Tom wouldn’t be alive withoutECMO. We were overwhelmed by his wonderfulcare and felt very safe in the hands of theteam.”

David walked up to 30 miles a day for sixdays to complete his ‘Road to Recovery’challenge and raised more than £20,000 forthe ECMO service at St Thomas’, which is oneof five across the NHS.

Senior nursing assistants AleciaPitter and Endy Akande on SnowFox ward

Celebrating 10 yearsof pioneering heart care

SPOTLIGHT

6 the GiST

Norman Brown blamed old age when hefound himself struggling to walk up thestairs and becoming increasinglybreathless.

But when the 89-year-old, from Horleyin Surrey, saw a cardiologist at his localhospital he was told that he had heartvalve disease.

Norman was referred to St Thomas’Hospital for a procedure known as TAVI(transcatheter aortic valve implantation),which is a minimally-invasive way toreplace the aortic valve in the heartavoiding open-heart surgery.

This year marks 10 years since teams atthe hospital started carrying out theprocedure. More than 1,000 patients havenow been treated with TAVI at St Thomas’,to improve their quality of life.

Norman is in no doubt about the impactthe procedure has had on him.

The great-grandfather said: “I used toget breathless easily and I couldn’t walkaround much. It limited what I could do ona daily basis.

“Since TAVI I can walk longer distances,I’m not breathless and I have more energyto play with my six great-grandchildren.The team at St Thomas’ were great andI’m so pleased I had this done.”

To perform TAVI, cardiologists cut asmall hole in the groin and insert a new

valve, using a catheter (a long, thin tube) toguide it until it is positioned correctly in theaorta, the main blood vessel from theheart.

It can be done under local anaesthetic inaround an hour and has a faster recoverytime than open-heart surgery.

This summer Norman became the thirdperson in Europe to receive a newer formof the valve, known as the ‘ultra valve’. Theteam at St Thomas’ is one of four in theworld to use it.

Professor Bernard Prendergast,consultant cardiologist at Guy’s and St Thomas’, explained: “The new valve isthe next generation of technology inreplacement valves. It’s a simplified modelwhich makes it a bit quicker to implant.This makes the procedure shorter andmeans we are able to carry out an extracase a day.”

TAVI has been shown to have as good orbetter results than open-heart surgery forintermediate risk patients, as well as theconventional high-risk group.

In the next few years it should be clearhow effective TAVI is for low-risk patientstoo.

Mr Chris Young, consultant cardiacsurgeon at St Thomas’, said: “TAVI hasbeen very successful in the last 10 years.The introduction of this treatment and the

adoption of tissue rather than mechanicalvalves has transformed the field of valvereplacement, saving patients from needingblood thinning medication.

“We’re now on the cusp of open-heartsurgery becoming a thing of the past andare proud to pave the way with minimally-invasive valve replacement options at St Thomas’.”

More than 1,000 patientshave been treated with aminimally-invasive heartprocedure at Guy’s and St Thomas’ in the lastdecade. Cara Lee meets a patient who benefitedfrom the technique.

“e team at St omas’ were great andI’m so pleased I had this done.”

Norman Brown was treated at St Thomas’ Hospital

Fast facts

• Around 1.5 million over 65s in theUK have heart valve disease,which affects heart function

• This number is set to double inthe next two decades as thepopulation ages

• Symptoms include shortness ofbreath, tiredness, dizziness andchest pain, and the condition canbe fatal if left untreated

Homelessness nurses Kendra Schneller and Serina Aboim with Graeme Seccombe, street outreachworker from St Mungo’s


As we head into winter the streets ofLondon will become an even tougher placefor the estimated 7,400 people sleepingrough in the capital.

For some, a visit to the emergencydepartment (A&E) with a minor ailment orlong standing health condition may seemlike the only option.

Now, thanks to a project set up byspecialist nurses from Guy’s and St Thomas’, rough sleepers in Southwarkare the first in London to benefit fromimmediate, same day health checks andregistration with a GP.

The group of six homelessness nursesfrom the Health Inclusion Team take to thestreets once a month, working alongsideoutreach workers from St Mungo’s, ahomelessness charity.

Kendra Schneller, a homelessnessnurse, said: “Some people feel unable toget the healthcare they need because theday centres they visit have restrictionsaround substance and alcohol use.

“This is one of the factors that canmean they are more likely to present to theemergency department in a state of crisis.”

She added: “Our team of nurses go outearly in the morning, around 6.30am, andstart conversations with people sleepingrough on our streets. We give them adviceon how to look after their long-term

conditions such as Hepatitis C and kidneydisease.

“We also provide vaccinations includingthe flu vaccine, look after wounds, screenfor diseases like Hepatitis B and C and HIVand give medication if needed.

“We’ll even drive people to a local GP ifthey aren’t already registered. We wantpeople to know they are as entitled to GPservices as everyone is. They don’t need toattend the emergency department to getthe care that they need.”

London has the highest number ofrough sleepers in England with more than1,000 people sleeping rough on any givennight.

In 2016, St Mungo’s found that 49% oftheir clients who had slept rough had aphysical condition that substantiallyaffected their health and required ongoingtreatment or medication.

Eammon Egerton, St Mungo’s outreachteam manager in Southwark, said: “This isan exciting project that, unlike other healthinitiatives, means we’re able to supportpeople sleeping rough with healthcare, onthe streets, right there and then.

“We really value the fantastic skills thatthe homelessness nurses from Guy’s andSt Thomas’ bring to complement ouroutreach workers, without being at allintrusive. And the support continues from

Our homelessness nurseshelp vulnerable peopleliving on the streets.Maxine Hoeksma findsout about a project inSouthwark.

there. Our aim is to help move people awayfrom the streets for good, and to have aplace to call home”.

Helping the homeless

More than 1,000 peoplesleep rough in London each night.

Fast facts

• Guy’s and St Thomas’ HealthInclusion Team was awarded£5,000 by The Queen’s NursingInstitute to run the project untilDecember 2018

• The Ministry of Housing,Communities & LocalGovernment has agreed tocontinue funding the nurses untilMarch 2020

Serina Aboim, Kendra Schneller and Graeme Seccombe

8 the GiST

IN FOCUS

Kelly Cook discovers howa life-like model is helpingdoctors and nurses tosafely treat patients inemergency situations.

A manikin called Hal is taken onto the wards for a cardiac arrest scenario

‘Hal’ can have a cardiac arrest in the sameway as any human.

This is when a person’s heart suddenlystops pumping blood round their bodycausing them to fall unconscious and stopbreathing.

Hal can blink, breathe, speak, hasaudible heart and lung sounds, ameasurable pulse rate and responds todrugs. If CPR (cardiopulmonaryresuscitation) is not performed correctly,his condition deteriorates.

Hal is part of a family of sophisticatedmanikins that belong to the Simulationand Interactive Learning Centre at St Thomas’ Hospital – one of the largestmedical simulation centres in the UK.

Once a month the model is taken ontothe wards at Guy’s and St Thomas’ to runa cardiac arrest scenario.

The team of nurses, doctors and otherhealthcare professionals – a mixture ofjunior and senior staff – are not given anyprior warning about the exercise.

A cardiac arrest call is made and thestaff only know that it is a simulation whenthey arrive on the scene to find the model.

Since training with Hal started inAugust 2017, more than 200 staff havetaken part in the cardiac arrest exercise.

Dr Shumontha Dev, a consultant inemergency medicine and deputy directorof medical education at Guy’s and St Thomas’, said: “Every second countswhen someone has acardiac arrest so it’simportant that our staffare able to handlestressful and highly-charged situations.

“By taking thesimulation equipment toclinical areas around ourhospitals and basing theexercise on real lifescenarios, staff are able topractise looking afterpatients in their ownenvironment.

“Over the last year the cardiac arrestexercise has helped staff to improve theirknowledge and has enhanced patientsafety and care.”

Following each scenario the group

debrief to discuss what went well andwhat they could have done differently.

Dr Matthew Hammond-Haley is a juniordoctor who took part in a simulation

exercise in theclinical decision unitat St Thomas’Hospital.

Dr Hammond-Haley, who was firstto arrive on thescene, said: “As ajunior doctor youhelp to manage verysick patients butthere’s always somuch seniorsupport around.

“The simulation exercise was a goodopportunity to practise what I’m trained todo and to take on a leadership role forlonger than normal in a safe, supportiveenvironment.

“The debrief session was a useful

“Every second countswhen someone has acardiac arrest so it’simportant that ourstaff are able tohandle stressful andhighly-chargedsituations.”

A modelpatient

IN FOCUS


Leading the way in simulationeducation

King’s Health Partners has four state-of-the-artSimulation and Interactive Learning Centresthat are based at Guy’s, St Thomas’, SouthLondon and Maudsley and King's CollegeHospital.

More than 4,000 healthcare students andprofessionals take part in training at thecentres each year.

The centre at St Thomas’, which opened in2010 thanks to funding from Guy’s and St Thomas’ Charity, includes an outpatientconsulting room, a six-bay ward, an operatingtheatre, two-bay intensive care unit and a homeenvironment.

The centre at Guy's Hospital includes atraining lab and a large surgical simulationroom.

Colette Laws-Chapman, deputy director ofsimulation at Guy’s and St Thomas’, said:“Using these excellent facilities, simulationmodels and actors, our trainees can experiencereal-life scenarios in a safe learningenvironment.

“Simulation-based education has beenshown to increase patient safety and improveclinical and patient management skills.”

The simulation operating theatre

learning experience and I feel morecomfortable about being in that situationagain with real patients.”

Esther Feleye, a nurse on Stephen wardat St Thomas’ Hospital, was involved in anexercise that took place in a day room thatis used by both patients and visitors.

Esther said: “Someone could have acardiac arrest anywhere in the hospitaland at any time so it was good for us topractise this scenario.

“After theinitial shock ofseeing that thepatient wasactually amanikin, the simulationfelt real and hasgiven me moreconfidence inhelping a personin a similarsituation.”

Fast facts

• Each cardiac arrestscenario lasts up to 20 minutes

• Between nine and 24clinical staff are involved in the scenario

• 93% of staff who took part in the exercise agreed it was a worthwhileuse of their time

10 the GiST

IN FOCUS

The Cancer Biobank collects samples and medicalinformation from patients to support vital clinical research.

Based in the Cancer Centre at Guy’s, the Cancer Biobank contains around 370,000 samples fromalmost 40,000 patients. This includes samples of blood, saliva, urine, bone marrow and tumour tissue.

Dr Cheryl Gillett, head of biobanking, says: “The Cancer Biobank helps scientists answer importantquestions about why conditions occur and who is at risk. The answers to these questions can lead toearlier, more accurate diagnosis and better treatment for patients at Guy’s and St Thomas’ and aroundthe UK.”

This is what happens if you are invited to provide a sample.

Journey of a blood sample

A specialist nurse talksto you about whathappens when you givea sample to the biobankand how this can helpclinical research.

With your consent,a little extra bloodis taken during yourroutine blood test.

The tubes of bloodare collected by abiobank technicianand taken to thelaboratory forprocessing.

The tubes are placedinto a machine thatspins them very fastso the blood dividesinto four parts – redand white blood cells,plasma, and serum.

2

3 41

Professor Arnie Purushotham, consultant surgeonat Guy’s and St Thomas’, said: “Research is the onlyway for us to find and develop better, more effectivetreatments. The Cancer Biobank is helping scientiststo make new and exciting discoveries that can betaken into the clinic to develop more effective cancertreatments and improve patient care.

Thanks to research, over the past few decadesmore targeted treatments have been developed for

breast cancer patients according to their specific type of cancer.Herceptin (trastuzumab) is an example of personalised medicine nowbeing used to treat breast cancer in many women.”


IN FOCUS

Each tube is carefullyremoved and thedifferent parts of theblood are separatedinto several smallertubes. For each tubeof blood donated,more than 16 smallertubes are created.

After using biobank material, researchershave developed a clinical trial for breastcancer patients at Guy’s and St Thomas’.Doctors want to find out whether a devicecalled the LightPath Imaging System canhelp breast cancer surgeons decidewhether they have removed all of thecancer during surgery.

56

7

8

All the tubes are codedso researchers areunable to identify you.The tubes may be storedin freezers that are keptat -80C, sometimes forseveral years until theyare needed by aresearcher.

Scientists fromanywhere in the worldwho are involved incancer research canrequest to use a samplefrom the biobank. Morethan 300 studies usingthe biobank resourceshave been published inscientific journals.

12 the GiST

IN FOCUS

Rebuilding an entireemergency department isno easy job but doing sowhilst staying open is evenharder. To celebrate thisincredible achievement,The Princess Royal visitedSt Thomas’ Hospital toofficially open the newdepartment. Matt Barkerjoined the royal party.

Artwork in the children’s emergency department

The emergency department (A&E) at St Thomas’ Hospital is one of the busiest inthe NHS.

It sees around 150,000 patients a year,over 400 every day. That’s the equivalentof filling Wembley and Arsenal’s EmiratesStadium combined.

But in October,staff saw anadditional visitorcome through thedoors who reallystood out from thecrowd.

The PrincessRoyal was there toofficially open thenew emergencydepartment.

Her RoyalHighness was given a tour of thedepartment and met staff who ensured itremained open as normal, 24 hours a day,while the redevelopment was carried out.

She heard how the project hastransformed patient care by creating adedicated Emergency Floor that brings

together emergency services in a singlearea of the hospital.

It now takes just five minutes to admitpatients instead of 30 minutes as theadmissions ward has been relocated fromthe 9th and 10th floors to ground level –making it easier for staff to transfer

patients and return to theemergency department.

Dr Katherine Henderson,clinical lead for emergencymedicine at Guy’s and St Thomas’, said: “I amincredibly proud of the newdepartment and ourdedicated staff so it was areal pleasure to show themboth to The Princess Royal.

“The old departmentwas designed to see a

maximum of 300 patients a day and wewere treating an average of 380 patients aday when the rebuild started.

“Now we have a facility that meanspatients benefit from a brighter, morespacious environment and our staff willfind it easier to deliver high quality care.”

“Now we have a facilitythat means patientsbenefit from a brighter,more spaciousenvironment and ourstaff will find it easierto deliver high qualitycare.”

Emergency caretransformed

The Princess Royal met patients and staff inthe emergency department

Ph

oto

: Lou

is-Jack Ho

rton

-Step

hen

s


IN FOCUS

Built by Logan Construction anddesigned by architects ADP, the newemergency department provides biggertreatment cubicles, better infectioncontrol and more privacy for patients andtheir families.

It includes a dedicated children’semergency department and children’sshort-stay unit – part of Evelina LondonChildren’s Hospital – so our youngestpatients are treated in a separate area.

A colourful design developed with artconsultants, Art in Site, features a ‘family’of illustrated characters who act asfriendly guides around the hospital foryoung patients.

The family also come to life in aninteractive app, playable on site, whichhelps to demystify the emergencyprocess through interactive animationsthat explain clinical procedures, such asblood tests, injections, and pulsemeasurements.

Dr John Criddle, consultantpaediatrician at Evelina London, said:“Visiting an emergency department can bea frightening and intimidating experience

The Princess Royal had a tour of the new emergency department

Anneke Biginton, matron of the emergencydepartment

Fast facts 24 hours in the emergency department

• 190 patients are seen in our UrgentCare Centre, which deals withurgent minor illnesses and injuries

• 160 patients are seen for seriousissues or conditions

• 70 paediatric patients are seen inthe children’s emergencydepartment

• 100 ambulance arrivals

• 100 emergency patients admittedto our hospitals, of whom 10 arechildren and young people

for patients, especially children, so havingtheir own unit is very important.

“The art project and app are also greatopportunities for us to help create a morerelaxed and fun environment.”

The Emergency Floor has delivered anumber of benefits for patients includinga new 62-bed admission ward withensuite facilities; new majors area with 25treatment cubicles, a more efficient, openlayout and improved facilities for staff andrelatives.

It includes an Urgent Care Centrewhere patients with less seriousconditions can be treated by GPs andemergency nurse practitioners.

There is also an improved resuscitationarea with larger treatment cubicles anddedicated trauma and isolation rooms.

Artwork funded by Guy’s and St Thomas’ Charity creates a welcomingenvironment and helps patients navigatetheir way to the right area.

Anneke Biginton is matron for theemergency department and introducedHer Royal Highness to staff involved in therebuild.

She said: “The design and artworkmake it feel so much calmer. It has had amassive impact on patient experience, inan increasingly busy department.

“It was a very proud moment in mycareer to meet the Princess and I thoughtshe was lovely. She took time out to talk toso many of the team which was great.

“The staff work so hard and I’m reallyproud of them because they make thedepartment what it is.”

14 the GiST

Immunotherapyhype and hope

You can't open a newspapermost weeks without readingabout the latest immunotherapywonder drug. Matt Barker metProfessor James Spicer to findout more.

“Immunotherapy isnot a fad. It’s alreadycompletelyrevolutionised ourstandard care forcancer right acrossthe NHS.”

James Spicer, professor of experimental cancer medicineand consultant in medical oncology

THEINTERVIEW

Q What is immunotherapyand how does it work?

A It’s a new concept for us in cancer because treatments in the

past have all been designed to kill cancercells directly. The aim here is completelydifferent because it works by helping thepatient’s own immune system recogniseand attack the cancer cells.

Q What cancers benefit fromthis treatment?

A Lung, melanoma (skin), kidney and bladder cancer are some of

the earliest cancers to benefit from thisstill-new approach. Previously we haven’thad many good drugs for lung and bladdercancers. The patient groups who can

potentially benefit are expanding all thetime, with very recent results adding headand neck cancer and some types of breastcancer to the list.

If you’re the patient whose tumourshrinks on immunotherapy then it can belife changing because these responsescan last for a very long time. That’s thecase for about a fifth of patients.

Q Is it an exciting time incancer medicine?

A Totally, it’s transforming our specialty. Around 50% of research

and development spend in thepharmaceutical industry is now in cancer,and pretty much all of that is focused onimmunotherapy. That’s a huge amount ofeffort globally going into advancing

therapies in this area. Not to mention allthe investment by charities and othergrant-giving organisations.

Q How long have you beeninvolved in the field ofimmunotherapy?

A We’ve been running the trials unit at Guy’s Hospital for 12 years.

Immunotherapies started to take offabout seven years ago and now a largeproportion of the drugs in trials across theboard are immunotherapies.

Q What is the future of thetreatment?

A It seems to be a path of relentless progress. At the moment we’re

doing pretty well with a fifth of the patients


TRUSTLIFE

in some diseases and if you’re one ofthose then that’s great. Now we need toextend that opportunity to a greaterproportion.

The immunotherapies which aregenerally available now are just the firstwave. We’ve got a huge amount to do indeveloping newer and betterimmunotherapy treatments and selectingpatients better for those treatments. Weare playing our part at Guy’s and St Thomas’, with new immunotherapiesdiscovered in the King’s College Londonlabs – already in or moving towards theclinic.

Immunotherapy is not a fad. It’s alreadycompletely revolutionised our standardcare for cancer right across the NHS.

A physiotherapist swam across the English Channel after beinginspired by her cancer patients to raise money for Guy’s and St Thomas’ Charity.

Samantha Poulsen, from Tower Hamlets in east London,completed the gruelling 21-mile swim from Dover to Cap Griz Nezin France in 12 hours and 40 minutes.

Thousands of jellyfish, busy shipping lanes, an injured shoulderand a water temperature of around 17 degrees – 10 degreescooler than an average swimming pool – were just some of theobstacles she faced.

The 27-year-old looks after patients on Blundell Ward at Guy’sHospital, which specialises in caring for people who have hadsurgery for head and neck cancer.

She said: “I have never come across a more resilient andinspiring group of patients. I’m blown away by their determinationon a daily basis so I couldn’t think of a better group of people tofundraise for.”

Samantha has raised more than £5,400 for Guy’s and St Thomas’ Charity. The Charity funds big things and smalltouches that make the life-saving care at Guy’s and St Thomas’even better and helps patients and their families to feel reallylooked after.

For more information about fundraising for Guy’s and St Thomas’ Charity, visit www.supportgstt.org.uk.

Samantha Poulsen

Physio swimsEnglish Channelto honour bravepatients

Ph

oto

: Ryan

Sh

oesm

ith

16 the GiST

TRUST LIFE

problems and need up to four visits a day,tailored to their needs. We work withsocial services to address these issues.

On this occasion I send a supportworker to help the patientget washed and dressed andto carry out exercises torebuild strength. I also senda nurse to administermedication.

3:00pm – I’m off to seeanother patient, this time

as their occupational therapist. I assesswhether a home adaptation will help thepatient to get washed and dressedwithout help.

4:00pm – I’m planning a staff trainingsession tomorrow for our diverse

team that includes therapists, a medical

It is easy to take things for granted untilyou can’t do them.

What if you couldn't do everydayactivities like getting dressed or going tothe shops because you'd had a fall?

Traditionally if someone can't cope athome they end up in hospital.

Now, thanks to the Enhanced RapidResponse and Supported Discharge Team,people in Lambeth get up to six weeks ofintensive rehabilitation and support athome to help them back to independence.

Our service runs seven days a week,365 days a year from 8am to 9.30pm. We visit within two hours of referral byhealth professionals like a GP or hospitaltherapist.

It’s an integrated service which meansdifferent health and social care staff worktogether to provide the best care for our patients.

11:00am – I’m on shift today and thekey worker for any new referrals.

I’m the first point of contact for thepatient, their family and other healthprofessionals and I coordinate every aspect ofthe patient’s care. This givesour patients peace of mind.

12:00noon – It cansometimes take up

to three hours to do acomprehensive assessment in a newpatient’s home to consider all of theirneeds. I look at a range of things includingthe way the patient moves around thehome, any risks, their memory and howthey complete day-to-day tasks.

I also check for pressure sores and doobservations like blood pressure. Somepatients have complex medical and social

Sainab Jamal, seniorpractitioner andoccupational therapistfrom the EnhancedRapid Response andSupported DischargeTeam in Lambeth tellsMaxine Hoeksma whatit's like on the frontline.

Sainab Jamal, senior practitioner and occupational therapist

“Our serviceruns seven daysa week, 365 daysa year.”

Rapidresponder


TRUST LIFE

consultant, nurses, pharmacists, supportworkers and social workers. The teamreflects Lambeth – we have people fromall over the world who speak manylanguages. I’m also training my newoccupational therapy student, AudrielleAsuncion, who is shadowing the team.

5:00pm – A new referral from thehospital discharge team has come in

so I’m off to see them. The patient hasbeen in hospital for two days and is wellenough to go home with support.

7:00pm – It’s the end of my patientvisits for today. I make sure the

patients are safe at home with the rightsupport and I leave a clear plan for therest of the team for tomorrow.

Sainab Jamal with occupational therapy student, Audrielle Asuncion

Eaton Square School’sA+ fundraising

Eaton Square School in London has raised anamazing £200,000 for Evelina London Children’sHospital in just two years.

Their fundraising mission began in recognitionof the care given to a teacher’s baby boy.

Ellen Millar worked at the school when her son,William, was born. She and her husband Patrickspent over six months at Evelina LondonChildren’s Hospital with William throughout hisshort but very special life.

Staff, pupils and their parents threwthemselves into the fundraising task, holdingcollections, and arranging events, from toy andcake sales to a quiz night and even a rockconcert.

They also sold their own handmade braceletsand designed and sold pencil cases.

Two students who did a sponsored haircutraised £7,000, while a black tie masked gala forparents brought in an incredible £100,000.

Deputy Head of the school, Emily Peck, said:“All of the pupils, staff and parents have benefitedgreatly from their association with EvelinaLondon. It has been a real privilege.”

Fundraising at school is a fun way for pupils,staff and parents to support Evelina London.

To find out more about how to get your schoolinvolved, visit www.supportevelina.org.uk, email [email protected] call 020 7848 4701

Pupils from Eaton Square School

18 the GiST

Doctors at Guy’s and St Thomas’ areusing a portable handheld device thatsends magnetic pulses to the brain totreat and prevent migraines.

Migraines are severe headaches thatare usually accompanied by additionalsymptoms including nauseaand vomiting, and sensitivityto light and sound.

The Headache Centre,which is part of Guys and St Thomas' PainManagement andNeuromodulation Centre, isthe only NHS service in theUK that can provide the treatment, knownas single pulse Transcranial MagneticStimulation (sTMS).

The innovative treatment involvesplacing the device, which looks like aportable radio, at the back of the head forjust a few seconds and pressing a buttonto deliver a painless magnetic pulse intothe skull.

The device, which can be used up toeight times a day, is prescribed tomigraine patients who have not

responded well to previous medicationsor need to avoid taking certain drugsbecause they have another healthcondition.

Barrington Simner, 72, from Bromley insouth east London, has been using the

device for a year afterbeing referred to Guy’s andSt Thomas’.

Barrington, a retiredpharmacist, said: “I startedgetting migraines in myearly 50s. Over time theygot progressively worse. Atone point I was getting a

migraine twice a week. They werecompletely debilitating.

“I would get an excruciating pain in myright eye and I would have to spend theday in bed. I became very hesitant aboutsocialising in case I got an attack and Iwas dependent on my wife for support.”

The grandfather added: “I tried lots ofdifferent powerful painkillers, but the sideeffects made me feel drowsy. sTMS is theonly treatment that has worked for me.

“I’ve massively reduced the amount of

Nzinga Cotton learns abouta pioneering migrainetreatment which is onlyavailable to NHS patients atGuy’s and St Thomas’.

Barrington Simner with sTMS device

Dr Anna Andreou

“e treatmenthas beencompletely lifechanging.”

THE LEADINGEDGE

Pioneering treatment zaps migraines away

Barrington Simner with wife Francesand grandchildren Jamie and Alex

painkillers I take and I am now able tovolunteer and spend time gardening. Thetreatment has been completely lifechanging.”

It is estimated that around 10 millionadults in the UK are affected by thecondition.

Dr Anna Andreou, director of headacheresearch at the Headache Centre, said:“sTMS uses a magnet to send very smallelectrical currents that stimulates cells inthe outer surface of the brain. This calmsaltered brain activity, which decreases theseverity and frequency of migraines.”

She added: “sTMS has been around formore than 30 years as a treatment formigraines. Previously, the device couldonly be used in a hospital setting but nowthat it’s portable, patients can use it athome or wherever is convenient.

“What’s really great about the device isthat the treatment is safe and non-invasive. It has been completely lifechanging for many of our patients.”


After Sofi Berrisford wastold her aorta was at riskof rupturing, cardiacsurgeon Mr Conal Austincarried out a pioneeringprocedure to repair it.Cara Lee finds out more.

Mending abroken heart

“My Dad Jim has Marfan syndrome so there was a 50-50chance I’d have it.

His was undiagnosed so his aorta ruptured aged 18 and hesubsequently needed three open-heart surgeries, and has totake warfarin.

I have regular scans of my aorta. It has always grownslowly so it was a shock when I was told it had grown

significantly. I always knew heart surgery was on the

cards but didn’t realise it would be so soon.Other people with Marfan syndrome had

told me about PEARS and I researched itonline. I was told Mr Austin had carried outmany cases so I made an appointment to see him.

He said I was suitable for the treatment andI was in hospital for about a week after havingit. The care at St Thomas’ was incredible.

I’d told Mr Austin I wanted a small scar sohe started the surgery in a slightly different

position than usual. It’s such a small, neat scar and I couldn’t have asked for

more. It meant a lot that he took my views into account.My dad wishes the PEARS procedure had been around

when he was younger. My parents liked Mr Austin because hehad a good sense of humour which put us at ease. They knew I was in good hands.

Now I’m back at the University of Leeds where I’mstudying medicine. I have lots of experience of care anddecided I wanted to be on the doctors’ side as well as being a patient.”

Sofi Berrisford had the PEARS procedure at St Thomas’ Hospital

The patient Sofi BerrisfordThe practitioner Mr Conal Austin

“Sofi was born with Marfan syndrome, a genetic disorder whichaffects connective tissues in the body.

It can cause the aorta, the largest artery in the body, to stretchand gradually enlarge, risking a life-threatening rupture.

Once at a certain size, patients require open-heart surgery toreplace or repair it.

In February Sofi was told her aorta had grown to nearly 5cm in diameter – compared with around2.5cm for a healthy aorta – and needed surgery.

She was able to have a new procedure known as PEARS (personalised external aortic rootsupport), which involves fitting a personalisedmesh sleeve over the enlarged aorta so it does not get bigger.

Unlike conventional surgery, it can be carriedout while the heart is beating so a heart-lungbypass machine, which has a low risk of stroke, isnot needed.

The procedure is quicker and there is lesschance of needing to replace the valve on theaffected part of the aorta.

Traditionally patients have a mechanical valve replacement andneed to take the blood-thinning drug warfarin for life.

Sofi had the procedure in July and since then has made a goodrecovery.

Treating patients like Sofi in such an innovative, beneficial wayis what makes my job so rewarding.

Since we started to offer the PEARS technique six years ago wehave become one of the world’s biggest centres for the treatment.

Many cardiothoracic surgeons still only offer conventionaltreatment but as patients like Sofi demonstrate, the PEARSprocedure has considerable advantages.”

MY STORY

One of the benefits of being a member ofGuy’s and St Thomas’ is the opportunity toattend regular seminars on a range ofinteresting health issues delivered byexperts in their field.

This year members found out abouthearing loss, sleep disorders, skin cancerand cardiology. Around 100 peopleattended each event, which involved a Q&Awith our clinical staff.

During the hearing loss seminar,members heard from Mr Harry Powell andMiss Irumee Pai, both consultant ear, noseand throat and hearing implant surgeons.

They explained how human hearingworks and discussed the types of hearingloss that occurs.

They also spoke about the hearingimplant treatment options available atGuy’s and St Thomas’, clinical research andfuture developments.

Miss Pai said: “It was great to see somany members at the event – we are soglad the audience enjoyed it.”

Member John Oliver said: “The seminarwas well organised and professional andthe Q&A was amazing – there were somegreat questions raised and answered.”

The Trust is currently planning aprogramme of events for 2019. Details oftopics and how to reserve a place will besent to members early next year.

Devon Allison, lead governor, said: “It is areal privilege to attend these seminars by

distinguished clinicians at the Trust. They always tell us not just about what ispossible in their fields now, but also aboutthe medical innovation we can expect tosee and benefit from in the future.Members really make the most of theirchance to ask questions too, and I havefound the seminars fascinating andvaluable.”

Governors and members help to makeGuy’s and St Thomas’ a successful NHSfoundation trust by ensuring we meet theneeds and expectations of our patients.

The Council of Governors is made up ofeight patient, eight public, six staff andnine stakeholder governors.

Placida Ojinnaka has been receivingtreatment in the Lane Fox Respiratory Unitat St Thomas’ Hospital since 2008.

She chose to stand for election as apatient governor for the first time this yearto give something back for the care shehas received and to share her experiences.

Placida said: “When I came in for myfirst treatment the staff were friendly andapproachable, which helped to ease theanxious feeling of being in a newenvironment.

“Being a person with a disability, I aminterested in how the Trust ensures thatpeople with disabilities receive fair andinclusive treatment, and how the Trust

Members’ eventsFree health seminars have been providing our members with expertadvice on key issues. Adeola Ogunlaja looks back at the last year.

To see presentationsfrom previous health seminars,please visitwww.guysandstthomas.nhs.uk/seminars

20 the GiST

FOUNDATIONTRUST LIFE

The governors are your electedrepresentatives and are keen to hearyour views. If you have a question,comment or idea please [email protected] call 020 7188 7346.

To become a member call 0800 731 0319, [email protected] or visitwww.guysandstthomas.nhs.uk/membership

Meet the governors:Why become a patient governor? Placida Ojinnaka, who has been a patient at Guy’s and St Thomas’for ten years, explains why she stood for election.

Placida Ojinnaka

embraces the diversity of the localcommunities it serves.”

She added: “Our NHS is 70 years old,during which time healthcare has madelife-enhancing leaps and I want to be partof this for the next 70 years.

“If you think things can be donedifferently to improve the quality of thecare you and others receive, get involvedand help to make a difference.”


Ciorsdan Glass exploreshow Baron Ferdinand deRothschild’s love for hiswife led to the foundationof Evelina LondonChildren’s Hospital.

Evelina London Children’s Hospital caresfor thousands of children and youngpeople every year, including in thecommunity.

The current building, which sitsalongside St Thomas’ Hospital, wasopened in 2005, but the hospital isactually nearly 150 years old.

It was originally founded in 1869 onSouthwark Bridge Road by BaronFerdinand de Rothschild – in memory ofhis much loved wife, Evelina.

Ferdinand was born in Paris andeducated in Vienna, but on 7 June 1865,he married Evelina de Rothschild – knownas Evy – at her parents’ house inPiccadilly, London.

Evy had been his childhoodsweetheart, and from the start, it seemsto have been a very happy marriage.

During their honeymoon, Evy wrote toher parents that Ferdinand was “a dearold duck” and she quickly becamepregnant with their first child.

However, Ferdinand and Evy’shappiness was tragically short-lived. Theirson was stillborn on 4 December 1866,and Evy died later the same day.

The shock for Ferdinand was intenseand he never remarried.

Originally, he had thought to open a

maternity hospital in honour of his wifeand child, but he was persuaded by hisfriend Dr Arthur Farre, an obstetricianand physician to the Queen, to open achildren’s hospital for the poor.

Children often ended up in the adultwards of workhouse infirmaries.

Following his friend’s advice,Ferdinand built the four-storey EvelinaHospital for Sick Children south of theRiver Thames.

It was described as having “the verylatest design concepts”, “with no expensespared to make this a model hospital”.

In the first year, more than 300children were admitted to the hospital’s30 beds.

By 1900, bed numbers had doubled,with over 1,000 admissions and morethan 20,000 children visiting the hospitaleach year.

Sir Evelyn de Rothschild and Lord Fink,President of Evelina London, led thecampaign that made the current award-winning hospital building possible.

More recently, the Eranda RothschildFoundation has supported the new FetalCardiology Unit by providing specialistheart scanners.

Celebrating 150 years ofEvelina London Dr Grenville Fox, consultantneonatologist, said: “It’s a great timeto celebrate the difference we havebeen able to make to the lives ofcountless families, thanks to thisoriginal act of benevolence.

Our neonatal unit alone treats morethan 1,000 babies a year with medicaladvances that would have beeninconceivable in the late 1800s.

Now co-located with specialistchildren’s services on the site of St Thomas’ and directly linked tomaternity services, we’ve been able tocontinue the legacy of Baron Ferdinandde Rothschild in a way in which wehope would make him proud.”

Evelina London will be celebratingits milestone 150 years throughout2019 with opportunities for staff andsupporters to get involved. To find outmore, please visitEvelinalondon.nhs.uk/150years

A hospital built with love

HISTORYCORNER

Rep

rod

uced

with

the p

ermissio

n of

Th

e Trustees of T

he R

oth

schild

Arch

ive.

22 the GiST

FOUNDATIONTRUST LIFE

From thefrontline

Behind the scenes

Q What does your team do?

A We clean and sterilise all the reusable instruments for

operations performed within the Trust.Each type of procedure, including ourdental surgeries, has a different set ofinstruments and our role is to processand return these to the theatres sothey can be used again for the nextoperation. We have 130 staffprocessing approximately 8 millioninstruments a year for Guy’s and St Thomas’ and external contractstake our total to 11 million a year.

Q How does it work?

A Firstly, instrument sets are cleaned in a giant dishwasher

before each piece of equipment ischecked by a member of our team,

sterilised and returned to theatres. Itsounds simple but it’s actually reallycomplex – our technicians train for aminimum of two years to ensure thehighest possible standards of qualityand safety. Throughout the wholeprocess we track each instrumentand can identify which patients ithas been used with.

Q Why is it important?

A It’s a critical service to the Trust.Without it our hospitals

wouldn’t be able to run for more thana day or two – if theatres don’t havethe equipment they need, oursurgeons can’t operate. It’s also vitalfor infection control, giving our work adirect link to our patients, eventhough the majority won’t know we’redown in the basement hard at work.

Q How do you do it all?

A Sterile services received some investment a few years ago

and we’ve transformed how we work. We now routinely turn instrumentsaround in about eight hours, which isfantastic as it helps our operatingtheatres to run as efficiently aspossible. We also run two services,one at each hospital, so even if onesite goes down temporarily we havecapacity to keep going. Otherwise itwould mean operations would needto be cancelled.

Neill Westerdale,specialist sickle cell nurseat Guy’s and St Thomas’.

Anne-Marie Watts, head of sterile servicesat Guy’s and St Thomas’.

I have worked at Guy’s and St Thomas’for 25 years and was the country’s firstclinical nurse specialist for sickle cellbased in a hospital.

As the original member of our sicklecell team at the Trust, I take a hugeamount of pride in saying how muchthings have improved since I firststarted looking after these patients.

Sickle cell disease is an inheritedcondition which affects red blood cells,particularly in those with African orCaribbean backgrounds.

There are around 15,000 sickle cell

suffers in the UK and 10,000 of themare in London.

Sickle cell can cause ‘crisis’ episodesof extreme pain and, in the past, it wascommon for sufferers to spend moretime in hospital than at home and wehad no specialist teams to supportthem.

The condition can have a massiveeffect on people’s relationships andlifestyles and it’s common to havemore than one sufferer in a family.

These days we have a dedicatedteam of consultants, nurses and,importantly, psychologists who helpour patients cope physically andmentally with what can be a verydebilitating disease.

Technology and treatment optionshave also improved. Full exchangeblood transfusions (replacing thepatient’s blood with donor blood),which would have taken a two-daystay in hospital in the past, can now

be done in two hours.My job is extremely rewarding. I feel

so lucky to be able to build these lastingrelationships with my patients and theirrelatives.

I’ve treated some of them since theywere babies and seeing them grow up,be able to manage their condition andhave families of their own is fantastic.

Raise money for your hospitalsand community services

For all the latest news about our amazing fundraisers and how you can support

Guy’s, St Thomas’ and Evelina London,

follow @SupportGSTT and like facebook.com/SupportGSTT

and facebook.com/SupportEvelina

TRUST LIFE


We have a pair of tickets to Kino Bermondsey Cinema.To be in with a chance of winning, simply complete thewordsearch below.

Name

Address

Telephone

Email

Send your entry by 11 January 2019 to the GiST competition,Communications Department, 4th floor, Staircase C, SouthWing, St Thomas’ Hospital, Westminster Bridge Road, SE1 7EH;or you can email [email protected].

The winners will be selected at random and notified withinseven days of the draw. The result will be final and we will notenter into any correspondence regarding the competitionwinners. The prize is non-transferable.

12 December Carols by Candlelight 7– 8.15pm St George’s Cathedral Lambeth Road SE1 6HR For tickets visitwww.supportgstt.org.uk/carols

1 December World AIDS Day

1–31 January Dry January (alcohol awareness)

9/23 January Friends of Guy’s and St Thomas’ Hospitalsbook sale 10am–3pm Birdsong Corridor St Thomas’ Hospital

4 February World Cancer Day

7 February Time to Talk Day(mental health awareness)

What’s OnUntil 16 June 2019 Free exhibition: Spanish Flu Florence Nightingale Museum Call 020 7188 4400 or visitflorence-nightingale.co.uk

Free Public Tours (weekly event) Florence Nightingale Museum Mon–Fri 3.30pm, Sat–Sun 11.30am and 3.30pm Call 020 7188 4400 or visit florence-nightingale.co.uk

6 December Friends of Guy’s and St Thomas’ Hospitals book sale and ChristmasMarket 11am–3pm Central Hall St Thomas’ Hospital

A J P O C M B V W L V W

D O O W Y L L O B X B C

B Q P B O X O F F I C E

K V C R S Q C T C F R D

F T O B A F K C O I I G

S C R E E N B M M R T E

E L N A S E U O E E I M

Q K E R I S S C D Y C P

U R Y Y I L T M Y O K I

E R A C S O E O A F E Q

L W A S R O R R A C T H

D L P T L X Z Y S D G Y

BlockbusterBollywoodBoxoffice

ComedyCriticDirector

FoyerMusicalOscar

Free film screenings:

MediCinema ([email protected]) showsthe latest releases for patients and staffGuy’s Tuesdays, 1.30pm and Thursdays, 7pm St Thomas’ Saturdays, 7pm and Tuesdays, 7.30pmEvelina London screenings on Wednesdays, 6.30pm

Free lunchtime concerts:

Mondays 1 – 2pm, Central Hall, St Thomas’Wednesdays 1 – 2pm, Atrium 1, Guy’s

Competition

PopcornRomcomScreen

SequelTicketTrailers

Think you need medical help right now? Call 111You can help us help you get the right medical attention urgently.

Our fully trained advisors are available 24 hours a day and can put you straight through to healthcare professionals.

Heidi Nielsen, Nurse© Crown copyright 2018.

here when you need us most - guysandstthomas.nhs.uk · maxine hoeksma, cara lee, angie littleford,...

Documents