Alex McCrudden, Lean Practitioner & QEP Insight Lead – the unsung hero who can’t sing but has the moves like Jagger when it comes to driving forward improvement.

Alex has been phenomenal this year on the work that she has embraced. She has always gone above and beyond in all the work she does and this year has been influential on a number of pieces of work and deserves the recognition.

This year Alex has worked hard embedding the key messages and raising the visibility of QEP by initiating and delivering a series of communications and engagement events that have brought QEP to life. Whilst raising the profile of this she has rose to the challenge of changing mind-sets in the organisation that QEP is not just about financial savings but about enhancing patient improvement and experience.

Alex has used her enthusiasm and tenacity to drive and implement QEP benchmarking and Ideas Street, both of which are now integral parts of the organisational improvement structure. In addition, she is a massive champion of the Make a Difference Awards encouraging staff to submit nominations to positively impact the event.

Alex is a very inspirational women and endeavours to get staff fit when they attend any of the fitness classes that she provides for our staff.  It doesn’t matter if you are the unfittest person ever she will encourage you to do your best, is never critical but will always push you to your limit (which some people need).

Bethany Ferguson, Physiotherapist – Achieving Excellence!

Beth always goes the extra mile to provide excellent patient care.  There are numerous examples but there’s one particular example of a young man with complex needs who was admitted to the Royal.

This was a complex case regarding both orthopaedic management and his emotional and psychological response to the trauma. On admission he was withdrawn, would not communicate with staff or engage in treatment. These challenges did not faze Beth. Her caring and compassionate nature and professional approach enabled her to build up a trusting relationship with the gentleman and everyone else involved in his care.  She was creative in her approach, incorporating aspects of his lifestyle and humour into rehabilitation. Even teaching herself basic sign language, in her own time.

Beth was able to offer support throughout his stay, providing a person-centred approach. Recognising that the patients’ needs were best met in his own home Beth worked in collaboration with her Therapy colleagues and MDT to access and adapt the Early Orthopaedic Discharge Service. Beth played a key role in coordinating this extremely complex discharge to his own home at the earliest safe opportunity. 

Despite Beth rotating to another team within the Therapies Directorate she returned to her previous role to provide follow up care, supporting the gentleman to prepare for outpatients’ clinics. Beth worked closely with the Learning Disabilities team who reported that the support provided during this stage of the patient’s journey was “phenomenal” and that “Beth has made such a difference to the quality of life of the patient”. Without her input, an application to the Court of Protection would have been needed as the patient would have needed to be sedated to come in for appointments and x-rays. The gentleman is now supported in his own home and has exceeded all initial rehabilitation goals.

We are extremely proud of the dedication and passion Beth has demonstrated in the provision of excellent patient care.

Gastroenterology Endoscopy Unit – Making a difference every day

The team includes the nursing staff, decontamination staff, administration staff, consultants, nurse Endoscopists, specialist nurses and portering team. This team is simply amazing

The Gastroenterology Team perform almost 20,000 procedures a year and provides a 7/7 service. Year upon year the activity increases by nearly 1000 per annum putting it in the top 3 busiest endoscopy units in the UK but with significantly less procedure rooms of the other units which perform similar activity. The team constantly go that extra mile, working beyond their hours to help ensure that the department remains safe and efficient for the patients.

Staff support patients by relaxing them and taking time to explain the procedures whilst also providing support during the procedure; even down to the simple process of just holding a patient’s hand to give them the best patient experience possible. By making them feel special and that they are not on a conveyor belt given that we have over 80 patients a day that go through the unit we enhance the patient experience.

One example of this is a young lady with Learning disabilities who was being transferred from Alder Hey to Adults Service. She was frightened of hospitals and had a number of phobia’s. This required lots of planning and joint working with the Learning Disability team to make adjustments for her care. This included, staff covering uniforms with colourful t-shirts in theatre to reduce patient anxiety, a quiet room with familiar pictures for the patient to look at prior to her procedure. Having a family member present in theatre and ensuring a prompt discharge from the department.

We are now working towards improving all outcomes for all patients using the service by developing care plans and working in a more “joined up” way. This is promoting patient safety and quality care delivered in a holistic individualised way for the needs of the patient and relatives.

Paul Dixon, Volunteer – Signing 8250 people up to the Organ Donor Register

Paul Dixon an organ donor who donated a kidney to a woman he didn’t know has encouraged thousands of others to sign up to the Organ Donor Register. Paul started volunteering his time in the Trust in January 2015 to do his bit in improving awareness of the need for organ donors in the UK. Since January 2015, Paul has signed up 8250 people to the Organ Donor Register. He is determined to help improve the number of people signed up to the Register and comes into the Royal every week to speak to patients about the amazing effect organ donation can have on people’s lives. Paul goes about his task with a smile and complete professionalism and compassion. Approaching people to talk about a difficult subject is never easy but Paul's warm personality makes the difference. The amount of people he as encouraged to sign up to the register - and the lives that will have changes as a result of that - is remarkable.

Rebecca Oxtoby, Speech and Language Therapist - It’s Time to Care About Mouth care – promoting good oral hygiene

Patients with dysphagia (a swallowing difficulty) can often have difficulties with oral hygiene. The Speech and Language Therapy team identified that often patients with dysphagia were not fully supported with mouth care and that staff within the trust did not often have the confidence or skills to complete adequate oral hygiene.

Rebecca wants to raise awareness of the effects of poor mouthcare through an e-learning module which she is currently developing in-house.  She has audited a number of wards to ascertain levels of knowledge and confidence around this subject. She is confident that if staff are educated in how to identify the various stages of poor oral hygiene we will be able to reduce expenditure on products needed to treat symptoms which could have been treated at an earlier stage.  She is confident that if we improve patients mouthcare we will reduce length of stay and prevent hospital acquired pneumonia.

Rebecca has not only taken a lead on mouth care for the SLT Team but now is taking a lead on this on behalf of the Trust and representing the Trust at a national level. Her drive, commitment and passion for this project are exceptional and she continues to push the project forward despite a busy caseload and the daily pressures she faces as a clinician. She has shown great initiative in liaising with senior nursing staff and management and building links across the Trust with other health professionals who are committed to raising the standard of mouth care. Her creative use of social/multimedia is to be praised particularly in order to effectively get her message out there.

Her passion and enthusiasm is infectious and should be celebrated and shared as an example of excellent practice.

Renu Abraham, Senior Physiotherapist – for exemplary contribution to respiratory medicine

Renu is a capable, dedicated and respected member of staff who received the below praise from a Consultant Respiratory Physician,

“I wanted to highlight the exemplary performance of Renu Abraham, senior physiotherapist on Respiratory.  As well as presenting a piece of her own work at the national British Thoracic Society conference in London, there have been 2 occasions this year where her intervention on my patients has literally been acutely lifesaving. There are many other examples of her providing top quality care to our patients.  She is always able to help when required (and often finds and highlights problems missed by the rest of the team) and invariably offers sensible (and often novel) practical solutions to clinical problems, whilst always considering the patients’ opinion and comfort. It is an absolute pleasure to work with such a kind, considerate and able healthcare professional, and I consider our department extremely fortunate to have her working with us.”

Renu goes about her work in an extremely unassuming manner, is always supportive to colleagues of all professions and is an exceptional mentor to inexperienced staff. Renu’s diligent application of her advanced skills and expertise are clearly highly valued by her Respiratory colleagues and make a significant difference to the clinical outcomes and experience of her patients