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Notice of Public Board Meeting on Wednesday 7 September 2016

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Notice of Public Board Meeting on Wednesday 7 September 2016
 
The next meeting in public of the Royal Orthopaedic Hospital NHS Foundation Trust NHS Trust Board will take place on Wednesday 7 September 2016 commencing at 1100h in the Board Room at the Royal Orthopaedic Hospital NHS Foundation Trust Headquarters.
          
Members of the public and press are welcome to attend. The agenda for the public part of the meeting is available on the website.
Questions for the Board should be received by the Trust Board Administrator no later than 24hrs prior to the meeting by post or e-mail to: Trust Board Administrator, Jane Colley at the Management Offices or via email This email address is being protected from spambots. You need JavaScript enabled to view it..  
 
Dame Yve Buckland
Chairman
 
Public Bodies (Admissions to Meetings) Act 1960
 
Members of the Public and Press are entitled to attend these meetings although the Trust Board reserves the right to exclude, by Resolution, the Press and Public wherever publicity would be prejudicial to the public interest by reason of the confidential nature of the business to be transacted or for other special reasons, stated in the Resolution

Notice of Public Board Meeting on Wednesday 7 September 2016

The next meeting in public of the Royal Orthopaedic Hospital NHS Foundation Trust NHS Trust Board will take place on Wednesday 7 September 2016 commencing at 1100h in the Board Room at the Royal Orthopaedic Hospital NHS Foundation Trust Headquarters.

         

Members of the public and press are welcome to attend. The agenda for the public part of the meeting is available on the website.

Questions for the Board should be received by the Trust Board Administrator no later than 24hrs prior to the meeting by post or e-mail to: Trust Board Administrator, Jane Colley at the Management Offices or via email This email address is being protected from spambots. You need JavaScript enabled to view it.. 

Dame Yve Buckland

Chairman

Public Bodies (Admissions to Meetings) Act 1960

Members of the Public and Press are entitled to attend these meetings although the Trust Board reserves the right to exclude, by Resolution, the Press and Public wherever publicity would be prejudicial to the public interest by reason of the confidential nature of the business to be transacted or for other special reasons, stated in the Resolution

Annual Members Meeting 2015/16

Annual Members Meeting 2015/16

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Annual Members Meeting 2015/16

to be held on Wednesday September 14th 2016 at 1700h

at

Max Harrison Lecture Theatre, Knowledge Hub, Royal Orthopaedic Hospital,

Birmingham, B31 2AP

 

 

Dear Member,

 

As a member of the Trust you are cordially invited to attend the Annual Members Meeting (AMM). The business to be conducted is detailed on the Agenda below and is very straightforward.

This year’s Annual Members Meeting will be held on site in the main lecture theatre at the Royal Orthopaedic Hospital,

Some of the key headlines from year which will be picked up in further detail at the meeting are:

  • We were selected to be represented in one of the new Vanguard models of care
  • We were revisited by the Care Quality Commission, who noted that despite there being further improvements to make, some good progress had been made in the areas flagged as needing addressing when they first visited in 2014
  • We won two awards in the NHS Apprenticeship Recognition Awards

Our Constitution requires us to present the following documents to the members of the Trust at the AMM and this will be part of the Agenda:

  • The Annual Accounts
  • Any report of the Auditor on them
  • The Annual Report.

Any member of the Trust is entitled to request a copy of the full Trust Annual Report and Accounts, which can be made available electronically. We would ask that hard copies are only asked for if members do not have access to a computer as the document is over 200 pages long and will cost almost £5 to post and I feel sure you will realise that this is a non-essential drain on NHS and environmental resources. The 2015/16 Accounts follow a similar format to that of the previous year and will be uploaded to the Trust’s public website after the AMM. However, please find enclosed with this letter a summary of the annual report for your information.

Our AMM will have only one resolution – that the Meeting receive the Annual Accounts, the Report of the Auditor on them and the Annual Report.

If you would like to attend, please let Jane Colley know by phone on 0121 685 4321 or by e-mail at This email address is being protected from spambots. You need JavaScript enabled to view it.. She will also be able to provide an electronic version (or paper copy) of the Annual Report and Accounts on request.

Earlier on the same day there will be a meeting of the Council of Governors to which members of the public are invited. Details will be posted on our website nearer the date.

Finally, in a bid to move with the times, and to use NHS resources as efficiently as possible, we are planning from now on to do the majority of our communications with you as members by email. Some of you have already provided your email addresses to us, but it would be wonderful if those of you who haven’t could send over your details on This email address is being protected from spambots. You need JavaScript enabled to view it. and we can then keep you updated more regularly via email. This will serve a dual purpose – to have more regular engagement with you, and to reduce the pressure on vital resources.

Yours sincerely,

Dame Yve Buckland

Chairman


Life changing help for an artist with back pain

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Our team offers life-changing care, sometimes through the use of surgery and sometimes, as in Karl's case, through non-operative treatment. 

Karl Bright, an artist from Birmingham, had suffered with debilitating back pain for a long time. Life was a constant struggle and there seemed to be no light at the end of the tunnel. Fortunately, Karl's GP referred him to our amazing Functional Restroation Programme at the Centre for Musculoskeletal Medicine. Here Karl tells his story:

18 months ago I was so crippled with back pain that I could only walk with a stick, I couldn’t stand up straight, even sitting down was agony, and I was relying on pain-killers and anti-depressants to get me through the day. Things were pretty bleak. 

On bad days there was a tremor in my hands that was so strong I could barely function, I had numbness down one side of my body, and my senses were all over the place – tastes were vile, smells too strong and my vision blurred. I had to stop riding my motorbike (something I used to love) and the poor dog’s walks got shorter and shorter. I was convinced there was something really very badly wrong with my back, but two separate MRI scans showed up absolutely nothing: bar a little wear and tear, my spine was completely healthy.

The pain had come on very gradually but was getting progressively worse.

Without an identifiable problem there was no treatment and I was left unable to work or walk or properly function. The stress of not being able to pay the mortgage or cover any bills was tremendous. So I begged my GP for help. I was expecting him to give me even stronger painkillers or painful exercises but he refered me for pain management. I didn’t even know such a thing existed.

But that’s how I ended up at the Royal Orthopaedic Hospital in Birmingham on a four-week course (three hours per week in two group sessions) under the care of physiotherapist, David Rogers and Dr Grahame Brown.

The first hour changed my life. Like me, everyone in the room had been in debilitating pain for months, and not one had a satisfactory diagnosis. But we were taught about the ‘biopsychosocial approach’ and the fact that stress, tension, anxiety and fear could be making our pain so much worse. I’d worked in mental health for many years as a nursing assistant so I knew a bit about the power of the mind. It gradually became clear to me that my years as an ambulance driver, carrying adults up and down flights of stairs had clearly put a strain on my back. It hadn’t been a problem. But when a simple shoulder injury at work (I wrenched it carrying a patient)in 2014 refused to heal I could no longer do my job. I got very stressed and my back started to play up. I’d never been out of work since the age of 13, but suddenly I couldn’t pay the bills. The sessions made me realize that my anxiety and anger was as much a part of my pain problem as my back. It was a revelation.

In that first session we were taught some simple breathing exercises and stretches. I remember being asked to get up from my seat without using my hands or arms. I could only manage 18 lifts in two minutes. But by the second week I was off the painkillers and by the third week I was no longer taking anti-depressants either. The swift improvement proved to me that mine was more of a brain issue than a back issue. By the end of the course I could easily do 50 rises from the chair.

Now I’d say I’m pretty much pain free. I do various breathing and stretching exercises every day. The dog gets a proper 1 ½ hour walk and I work as a freelance artist, help in a local picture frame shop and I’m registered as a film and TV extra. I even helped a friend lay a vinyl floor – that’s not something I ever thought I’d be able to do.

The course has been life-changing for me.

Do you have back pain? We can help. Read more about the Functional Restroation Programme here. Your GP can refer you to us, all the information they need is here.

 

Back to Life

brown and rogers

Clinicians, Dr Graeme Brown and Dave Rogers recently published a book entitled 'Back to Life'. Based on their revolutionary and already hugely successful approach, Back to Life offers a whole new way of dealing with back pain including:

  • Understand the psychology of pain
  • Debunk the myths
  • Find the source of your pain
  • Manage your pain – including all the emotions and anxiety that go with it
  • Master exercises and stretches
  • Identify and solve the social factors
  • Get lasting relief

Read more at https://www.penguin.co.uk/books/1111436/back-to-life/#FUm8EUXYPLWMlsS8.99

Resources for clinicians

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If you would like to chat with one of our Orthopaedic Oncology speacialists, please contact us via 0121 685 4314. To view our list of orthopaedic oncology consultants with details of how to refer to them, click here

Resources for clincians

Soft tissue sarcoma diagnostic tool for GPs (England/wales/N. Ireland)
Sarcoma UK's gp sarcoma diagnostic toolkit contains simple yet effective tools outlining the signs and symptoms of soft tissue sarcoma and guidance on how to refer patients to sarcoma specialist he
Download (176.45 kb)

Bone sarcoma diagnostic tool for GPs (Scotland)
Sarcoma UK’s gp sarcoma diagnostic toolkit contains simple yet effective tools outlining the signs and symptoms of bone sarcoma and guidance on how to refer patients to sarcoma specialist health services.
Download (172.4 kb)

Soft tissue sarcoma diagnostic tool for GPs (Scotland)
Sarcoma UK's gp sarcoma diagnostic toolkit contains simple yet effective tools outlining the signs and symptoms of soft tissue sarcoma  and guidance on how to refer patients to sarcoma specialist h
Download (170.47 kb)

Bone sarcoma diagnostic tool for GPs (England/Wales/N. Ireland)
Sarcoma UK's gp sarcoma diagnostic toolkit contains simple yet effective tools outlining the signs and symptoms of sarcoma and guidance on how to refer patients to sarcoma specialist health services for diagnosis and treatment.
Download (176.18 kb)

Notice of Public Board Meeting on Wednesday 6 July 2016

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The next meeting in public of the Royal Orthopaedic Hospital NHS Foundation Trust NHS Trust Board will take place on Wednesday 6 July 2016 commencing at 1100h in the Board Room at the Royal Orthopaedic Hospital NHS Foundation Trust Headquarters.

        

Members of the public and press are welcome to attend. The agenda for the public part of the meeting is available on the website.

Questions for the Board should be received by the Trust Board Administrator no later than 24hrs prior to the meeting by post or e-mail to: Trust Board Administrator, Jane Colley at the Management Offices or via email This email address is being protected from spambots. You need JavaScript enabled to view it..

Dame Yve Buckland

Chairman

Public Bodies (Admissions to Meetings) Act 1960

Members of the Public and Press are entitled to attend these meetings although the Trust Board reserves the right to exclude, by Resolution, the Press and Public wherever publicity would be prejudicial to the public interest by reason of the confidential nature of the business to be transacted or for other special reasons, stated in the Resolution

Work experience

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Felix Kai, a student at Kings Edwards School, joined the Communications Team here at the Royal Orthopaedic Hospital for a work experience placement. Felix wrote an excellent article about his experience here and shares his thoughts on the benefits of volunteering.

We've been shortlisted for an award!

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The Royal Orthopaedic Hospital is shortlisted in the Patient Safety Awards for Cancer Care

The unique one-stop-shop cancer clinic run by the Royal Orthopaedic Hospital has been shortlisted for a national award.

Due to its national profile as a specialist centre for treating bone cancers, patients come from across the country to receive expert help.  The unit prides itself on offering all oncology patients an efficient service, regardless of where they come from in the UK. The one-stop-shop cancer clinic allows patients to have scans, biopsies, results and consultations all on one day, reducing stress and the need for frequent long distance travel. This is a prime example of putting patients at the heart of their medical care, and ensuring that their needs are prioritised at all times.

Because of the seriousness of some of the condition, and the distances some patients need to travel, each appointment needs to be efficient in order to:

  • Maximise the speed at which the tumour can be identified and the patient provided with a treatment plan.
  • Minimise stress upon the patient, who will naturally be fearful of the results of tests.
  • Reduce the need for regular travel to a hospital which may be several hours from home at a time of stress and trauma.

A patient recently wrote:

“I was referred to the ROH after a CT scan at my local hospital showed what was thought to be bone cancer. I received an appointment within a week and was put at ease the moment I stepped through the door.

“My consultant put my mind to rest immediately by telling me they were almost 100 per cent sure it was a haemangioma, and not cancer, but would like to do a bone biopsy to confirm it.

“Although relieved, I was a bit apprehensive about the biopsy, but again, they reassured me that it would be under a general anaesthetic and I wouldn't feel a thing. I was sent for my pre-op tests there and then.”

The award shortlisting comes on the back of a successful visit by our oncology surgeons to the European Musculo-skeletal Oncology Society Conference 2016, where the team made 15 presentations, and won second prize for a paper on Ewings Sarcoma.

The award winners will be announced at a ceremony in Manchester next month.

We need two Non-Executive Directors

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The ROH are seeking two new Non-Executive Directors, one with a strong commercial and partnership-working background and a further offering clinical experience and/or an academic skillset to join our high-performing and ambitious Board. As a Non-Executive Director at the ROH, you will bring experience at Board level in complex organisations and need to demonstrate strong influencing skills, the ability to challenge and hold others to account. You will play a leading role in setting the Trust’s strategic direction, improving Trust performance and promoting the highest standards of probity and governance. Most importantly you will share our focus on ensuring the users of our services are always our first priority.
 
This is an exciting time to join us as we continue on our five year strategic journey towards our vision to be the first choice for orthopaedic care. If you'd like to find out more, please visit our vacancies page.

Non-Executive Directors

The ROH are seeking two new Non-Executive Directors, one with a strong commercial and partnership-working background and a further offering clinical experience and/or an academic skillset to join our high-performing and ambitious Board. As a Non-Executive Director at the ROH, you will bring experience at Board level in complex organisations and need to demonstrate strong influencing skills, the ability to challenge and hold others to account. You will play a leading role in setting the Trust’s strategic direction, improving Trust performance and promoting the highest standards of probity and governance. Most importantly you will share our focus on ensuring the users of our services are always our first priority.

This is an exciting time to join us as we continue on our five year strategic journey towards our vision to be the first choice for orthopaedic care

We value and promote diversity and are committed to equality of opportunity for all and appointments are made on merit. We believe that the best boards are those that reflect the communities they serve and we particularly welcome applications from women, people from the local black and minority ethnic communities and disabled people who we know are under-represented in non executive roles.

How to apply

Applications should be sent to Mrs Jane Colley, PA to the Chairman, The Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Northfield, Birmingham, B31 2AP, or by email to This email address is being protected from spambots. You need JavaScript enabled to view it.
The closing date for indications of interest in the Non-Executive Director role is Friday 8 July 2016.

Statement on cancelled procedures

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UPDATE: We are pleased to inform that all of of our Theatres are operating as normal. Patients who have operations cancelled last week are being contacted and offered new appointments. Thank you for your cooperation. If you have a query about this issue, please contact 0121 685 4354 or email This email address is being protected from spambots. You need JavaScript enabled to view it. 

 

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The Royal Orthopaedic Hospital NHS Foundation Trust takes infection prevention very seriously. Evidence demonstrates that we have some of the lowest rates of infections compared to other Trusts because we actively support all patients after surgery and have dedicated monitoring around infection prevention. Our award winning Infection Prevention Team is one of the most well regarded in the UK.

During April 2016 our Infection Prevention team noted a subtle rise in surgical site infections, which while small, was higher than we expect. They immediately began to investigate these cases and found no common cause for this rise.

We conform to all national requirements for cleanliness and maintenance of all equipment and environment. However, as a precautionary measure over the weekend (4 - 5 June), we undertook an additional deep clean all of our ten operating theatres.

During this deep clean, we discovered a potential issue with our air filtration system. After expert advice we were informed this presents no risk.

We have undertaken a specialist cleaning process of our entire air filtration system and theatres. This specialist cleaning process is always routinely followed by plate testing, which will be complete in the coming days.  We anticipate that all of our ten operating theatres will be open as normal on Monday 13 June.

Unfortunately, 187 patient procedures have been rescheduled as a result of this decision. We have contacted every patient personally and offered them the earliest appointment possible. We understand the inconvenience that this causes and we only ever cancel procedures if absolutely necessary. Patient safety is our highest priority. We take a proactive approach to dealing with any issue that we consider could potentially compromise patient safety. Cancelling procedures is always a difficult decision to make, but we believe it is the right decision in this case.

Support

We have contacted all patients affected by this issue. If anyone requires further support, please contact 0121 685 4354 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Safety at The Royal Orthopaedic Hospital

We want to reassure you that our hospital is a very safe place to be a patient. Evidence proves that our infection rates are lower than other Trusts.

  • Our surgical site infection rates are low and have consistently reduced since 2009
  • We have one of the lowest rates in the country, just 0.2% compared to a national average of 2-5%.
  • We haven't had a case of MRSA bacteremia in our Trust since 2008.

The Wound Care Helpline

If you have received surgery at The Royal Orthopaedic Hospital and have any concerns about your wound, please contact our dedicated Wound Care Helpline on 0121 685 4354.