Mar 1, 2018 - hope is that the database will help researchers to discover and offer ... family, every time. âThank you
Salford | Oldham | Bury | Rochdale | North Manchester
Issue 1
Magazine for the Northern Care Alliance NHS Group
Spring 2018
Calling time on chemotherapy
Special bell installed at Oldham’s Victoria Breast Care Unit
In this issue Page 5
CQC found significant improvements for Pennine Acute Hospitals
Page 17 Page 9
Learning more about our services
Consultant opens sensory space in Cambodia
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Group News Contents Group News . . . . . . . . . . . . . . . . . . . . . 2-5 Membership Update. . . . . . . . . . . . . 6-7 Members’ News. . . . . . . . . . . . . . . . . . 8-9 The last 1000 days / End PJ paralysis . . . . . . . . . . . . . . . . 10-11 Salford News. . . . . . . . . . . . . . . . . . . 12-13 Oldham News. . . . . . . . . . . . . . . . . . 14-15 Bury and Rochdale News. . . . . . . 16-17 North Manchester News. . . . . . . . 18-19 Your Views, Your Voice. . . . . . . . . . . . . 20
About the Northern Care Alliance The new Northern Care Alliance NHS Group brings together five hospitals, 2000 beds, specialist and acute services, a range of associated community services, and over 17,000 staff across two large NHS Trusts, Salford Royal NHS Foundation Trust and The Pennine Acute Hospitals NHS Trust. As a group of hospitals and associated community services we are one of the largest NHS organisations in the country. With an operating budget of £1.3bn, the Alliance provides the benefits of scale but delivers this locally through multiple hospital sites and local healthcare services. The Alliance oversees four Care Organisations for Salford, Oldham, Bury/Rochdale, and North Manchester which are responsible for providing services to over 1m people across our local communities. Each of our Care Organisations and hospital sites has its own leadership team led by a Chief Officer and consisting of a Medical Director, Director of Nursing, and Finance Director.
Chairman’s introduction Welcome to the first edition of the new The Loop magazine. Although familiar in name to many of you, this is a new magazine that will be made available in print and online as a means of sharing news, events and information from the Northern Care Alliance NHS Group to our members, patients, partner organisations and the communities we serve. You will have hopefully read online and in previous editions of The Loop or Your Pennine, Your Hospitals membership magazines, Salford Royal and Pennine Acute Trusts have come together to form the Northern Care Alliance NHS Group. This means that we are working in close partnership to deliver services to our patients, both in terms of hospital care but also our community and social care services. The Northern Care Alliance brings together staff and services across our two large Trusts. The Alliance also brings together over 25,000 public members across the two Trusts. From 1 April 2017, the Board of Directors of both Trusts delegated their functions to a Group ‘Committees in Common’. While the two Trusts currently remain two statutory bodies, the Group Committees in Common (CiC) effectively manage and oversee both Trusts. Salford, Oldham, Bury and Rochdale and North Manchester make up the four Care Organisations within the Alliance. They are responsible for running the hospitals and providing local healthcare services. And throughout this magazine we will bring to life all of the news and exciting developments happening across each of these. Some of the most significant and positive news is the recent findings and ratings from the Care Quality Commission (CQC) following its inspection of services for the Pennine Acute Trust, carried out in October and November last year. The improvements and progress that have been made is truly fantastic. Every hospital and Care Organisation under the Pennine Acute Trust has improved since its last inspection report in August 2016. There
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Group News Celebrating one year of the SWAN scheme
Teamwork is paying dividends for vital research that helps to improve diagnosis, care and treatment in the NHS.
Jim Potter, Chairman
Research and Innovation teams across The Pennine Acute Hospitals NHS Trust and Salford Royal NHS Foundation Trust have now merged to create one service. Clinical research nurses, doctors and researchers have been working closely together for more than a year, with one research management and support team covering all sites.
are no longer any services across the Trust’s hospitals that are rated Inadequate, with 70% of the aspects of the services inspected now rated as either 'Good' or 'Outstanding'. The greatest improvements have been made across Maternity services, A&E and Medicine. Services have been strengthened by implementing new systems, recruiting more staff and bringing in new leadership teams to support staff on the frontline at each hospital. It is without doubt that Pennine Acute Trust has benefited from its learning and partnership with Salford Royal FT working as a group of healthcare services. Every one of our staff should be rightly proud of the improvements that have been made across all of our hospitals and services. As Chairman and on behalf of the Board of Directors for Pennine and for the Northern Care Alliance, I would like to thank and congratulate all staff on a really positive report and this encouraging step forward on our journey of improvement. More details about the CQC’s latest inspection report can be found on page 5 of this magazine and on the Pennine Acute Trust website. The NHS reaches an important milestone this summer – its 70th birthday. This provides us with the opportunity to look back with great pride (and also for you to share your memories with us) whilst we celebrate what the future holds too. Finally, we across our Care Organisations will be marking the anniversary of the terrible attack at the Manchester Arena on 22 May last year. Our staff and services across our Group were heavily involved in treating and supporting the victims of the incident. I would like to take the opportunity again to thank our staff who responded so professionally to that incident and to offer our thoughts and prayers to family and friends of the 22 people who sadly lost their lives.
Teamwork plays vital role in clinical research
That means we are able to offer more patients the opportunity to take part in studies and access cutting edge treatments for their conditions.
Staff, volunteers, patients and their families helped a specialist group of nurses to celebrate a year of the SWAN model of care being introduced in the Oldham, North Manchester and Bury & Rochdale Care Organisations. Palliative, end of life care and bereavement teams hosted information stands, held fundraising events and visited wards and community premises with goody bags and updated information for the SWAN resource files.
As part of the SWAN scheme, bereavement centres were opened at North Manchester General Hospital, The Royal Oldham Hospital and Fairfield General Hospital, with a family room at Rochdale Infirmary.
The SWAN scheme is a national scheme which is present in 47 Trusts up and down the country. It was set up by Associate Director of Nursing - End of Life, Bereavement, Organ and Tissue Donation, Fiona Murphy MBE.
Fiona said: “We had a fantastic response from staff and members of the public who helped us to celebrate our special ‘SWAN week’. We wanted people to share their visions for end of life and bereavement care at our Care Organisations and suggest how we can step outside of the box to make it happen. We only have one chance to get it right for our end of life patients and their loved ones – we want to get it right for every patient and every family, every time.
SWAN offers dedicated support to patients in the last days of life and to their families into bereavement and beyond. The scheme uses a swan symbol to represent end of life and bereavement care. Where the swan sign is displayed it allows relatives to have open visiting around the clock. The symbol also acts as a reminder to staff to be extra caring and to pay extra attention to relatives and friends whose loved ones are in the last stages of life and in their greatest time of need.
Having so many expert staff working together across the Northern Care Alliance NHS Group also makes the organisation an attractive place to do research. For instance, as Salford Royal and Fairfield General are two of Greater Manchester’s specialist stroke centres, we treat a large proportion of the region’s stroke patients and were recently able to get involved in the SIGNUM observational stroke study, which is building a national database to help drive stroke care forward. Patients are being asked to give an extra sample of blood that will be used to measure blood markers and DNA changes that may influence stroke. The data will be used to define different types of stroke, their causes and effects and will also assist in research into recovery after stroke. Ultimately the hope is that the database will help researchers to discover and offer new treatments for stroke. Both organisations recruited their first patients within 24 hours of the study opening at their sites and to date have recruited a total of 132 patients. You can see more about our research at www.salfordresearch.org.uk
“Thank you to everyone who supported the week, by either visiting our stands or donating raffle prizes. Over £700 has been raised for our SWAN fund which will purchase items for our patients and their relatives to use.”
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Group News Alliance Nurse is made Girlguide Ambassador
Our staff across our Care Organisations within the Northern Care Alliance NHS Group will be teaming up this summer to mark a very special birthday – the NHS’s 70th
SWAN offers dedicated support to patients in the last days of life
Fiona Murphy MBE, Associate Director of Nursing - End of Life, Bereavement, Organ and Tissue Donation, has been made one of Girlguiding North West England’s Ambassadors. The Girlguides approached Fiona after hearing about how well the SWAN comfort bag scheme has taken off across the North West region. The comfort bags, individually hand packaged by Girlguide volunteers, are given to families who have a loved one
Help us to celebrate a special birthday – the NHS at 70!
approaching the end of life. They contain toiletries and other things to enable a family to remain comfortable if they stay overnight in hospital. The SWAN end of life care model was launched in February last year at The Pennine Acute Hospitals NHS Trust. SWAN offers dedicated support to patients in the last days of life and to their families into bereavement and beyond. Fiona is hoping that the Northern Care Alliance NHS Group will become an organisational ambassador and is currently in talks with each Care Organisation to see how this can happen.
Launched on July 5 1948, the NHS was an ambitious plan to bring good healthcare to all. It was the first time all hospitals, doctors, nurses, pharmacists, opticians and dentists were brought together to deliver services that were free at point of delivery. We’ve got lots of celebrations planned to celebrate our past and our exciting future, making sure that our staff play a big part in these. Our patients are also invited to get involved. We’d like to hear about your memories of the last 70 years of the NHS. Whether you have memories of working for one or more of our organisations, were a patient years ago or your family history is linked to the NHS, we’d love to hear from you. Please send your memories, or copies of photos if you have them, to:
[email protected] or the Membership Team, 3rd Floor Mayo Building, Salford Royal NHS Foundation Trust, Stott Lane, Salford, M6 8HD. Look out for more details about events we will be holding in your area.
Make smoking history for the next generation Greater Manchester is looking to be the first city region in Europe to make smoking history.
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The Greater Manchester Health and Social Care Partnership has introduced a large scale conversation called ‘History Makers’ to engage the public to make smoking history for the next generation.
By going on the website, the public will be able to:
The campaign was launched by Greater Manchester Mayor Andy Burnham on 12 February 2018, with the aim to drive at least 10,000 people to take action at www.historymakersgm.co.uk
● Become champions in local communities to promote the ambition of making smoking history.
● Take a ‘History Maker’ survey and have their say on ideas and approaches to end tobacco harm, and/or:
The survey closes on 30 April. Take part now at www.historymakersgm.co.uk
Group News Juan Mata has a ball Manchester United midfielder, Juan Mata, surprised children at The Royal Oldham Hospital recently as he delivered Manchester United Foundation toys for the fourth year in a row. At The Royal Oldham Hospital he visited young fans and families on the children’s ward giving out presents he had personally donated. He said it was a pleasure to donate gifts: “It’s great, it’s one of the best things that football gives you, the chance to give back and speak about your sport and your life to so many kids and try to put a smile on their faces.” Aaliyah, a patient on the children’s ward at The Royal Oldham Hospital, is a big United fan and was thrilled to meet Juan Mata: “He signed my shirt which was amazing!” The Royal Oldham Hospital’s Divisional Director of Nursing, Women and Children’s, Kathryn Krinks said: “On behalf of all the children, parents and staff we’d like to pass on our sincere thanks to Juan Mata for taking the time to come and visit and distribute gifts.”
Reflect, recognise and remember Special services to mark the first anniversary of the Manchester Arena terror attack are being planned at the Northern Care Alliance NHS Group. Staff across each of our Care Organisations will have the opportunity to reflect, recognise how they worked together and remember the victims of the terrible attack when commemoration services are held at each hospital site on 22 May 2018.
New leadership is turning things around A report published on 1 March 2018 by the Care Quality Commission (CQC) has found that significant improvements have been made across every hospital run by The Pennine Acute Hospitals NHS Trust. Since Pennine Acute’s last CQC inspection report in 2016, the Trust has benefitted from joint working and support from the leadership at Salford Royal NHS Foundation Trust. Seventy per cent of the aspects of the services inspected are now rated as either ‘Good’ or ‘Outstanding’. The CQC can give one of four ratings: ‘Outstanding’, ‘Good’, ‘Requires Improvement’, or ‘Inadequate’. In August 2016 the Trust was given an overall Inadequate rating. The rating has since improved from Inadequate to Requires Improvement, following its unannounced inspection carried out in October/November 2017. The CQC has rated safety, effectiveness and responsiveness as Requires Improvement. Caring and Well-Led are rated as Good. There are now no longer any services across the Trust’s hospitals that are rated Inadequate.
Improvements The areas which have shown most improvement are those which were most fragile: maternity services at North Manchester General and The Royal Oldham Hospital are now rated as Good; and children’s services which were Inadequate are now rated as Requires Improvement at both North Manchester and Oldham. Urgent and Emergency care at both Royal Oldham and North Manchester General has also improved to Good. Fairfield General Hospital in Bury has been rated Good overall. Its urgent and emergency care has also improved to Good. The Medical Service at Fairfield, including older people’s care, has improved by two ratings to Outstanding. This rates medical services at Fairfield to be one of the best alongside our Salford Care Organisation in Greater Manchester and amongst the best in the country.
At The Royal Oldham, Surgical services are rated Good for Caring, Responsive and Well-led. Critical Care services has also improved. The CQC also found ten areas of notable outstanding practice. This includes the implementation of the Group’s Nursing and Accreditation Assessment System across all sites. Commenting on the CQC Report Sir David Dalton, Chief Executive, said: “It’s been a difficult and challenging 18 months and this has meant a lot of hard work, dedication and willingness by staff to implement our improvement plan across our services. The CQC’s findings are a testament to this hard work and commitment. I am delighted that the efforts of staff have been recognised by the CQC and that it confirms independently that we are making real positive progress and on track to deliver the improvements that our staff, our patients and their families deserve and expect. “It is remarkable that our acute hospital services across Oldham, Bury, Rochdale and North Manchester now have 70% of the aspects of the services inspected are now good or outstanding. This is a phenomenal achievement. “However, we know that we still have more to do on our journey of improvement, particularly across a number of areas and services that require more focus, more support and more investment. But this CQC report will, I’m sure, help further energise and drive our staff to make the further improvements needed so that we can achieve our aim to be an outstanding rated service.” More information is also available at http://www.pat.nhs.uk/about-us/cqcreport-2018.htm
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Membership Update Group Council of Governors’ Update In October 2017 we announced the results of our Governor elections from across the Northern Care Alliance NHS Group; bringing together a Group Council of Governors to represent local communities, staff and partners. In broad terms, the Group Council of Governors are responsible for holding our Non-Executive Directors to account for the work and performance of the Group, and for aiming to make sure that the voice of the local community is considered when decisions are being made. Since being elected, the Governors have been taking part in a whirlwind induction and training programme; providing them with key information and skills to perform their statutory duties effectively. The training programme will continue throughout the Governors’ term of office, keeping them up to date with national and local developments.
The inaugural Group Council of Governors’ meeting, establishing working arrangements for Governors was held in November 2017. This was shortly followed by a second meeting in December 2017, where Governors reviewed the outcome of the annual performance appraisal of the Chairman and Non-Executive Directors, and received updates on the performance of each Care Organisation within the Northern Care Alliance NHS Group. January 2018 saw the first subgroup meetings being held; all Governors are part of the Engagement, Quality or Strategic Direction Subgroup. A whole range of topics were reviewed and discussed including the Group Communication Strategy, Developing the Group Clinical Services Strategy and a report on improvements to Patient and Service User Experience at the Oldham Care Organisation.
The Group Council of Governors are the direct representatives of staff, public and member interests, and we encourage you to liaise with your Governor to help improve the way we work and deliver services. Governors can be contacted via the website: http://www.srft.nhs.uk/for-members/ or http://www.pat. nhs.uk/get-involved/council-of-governors.htm or contact the Membership Office on 0161 206 3133 or 01706 517302.
Group Council of Governors’ Meetings
The Group Council of Governors meet regularly throughout the year. All meetings are open to the public and are followed by a meeting of the Salford Royal Council of Governors, where ratification of decisions is required. Dates for future meetings are:● 28 March 2018, 2pm - 4.30pm, Lecture Theatre, Education Centre, The Royal Oldham Hospital ● 27 June 2018, 2pm - 4.30pm, Palmers Auditorium, Education Centre, Fairfield General Hospital ● 26 September 2018, 2pm - 4.30pm, Lecture Theatre, Postgraduate Education Centre, North Manchester General Hospital ● 5 December 2018, 2pm - 4.30pm, Humphrey Booth Lecture Theatre, Salford Royal NHS Foundation Trust If you have any queries regarding the Group Council of Governors’ meetings please call the Membership Team on 01706 517302 or 0161 206 3133, email:
[email protected] Papers for the meetings are available on the website: http://www.srft.nhs.uk/ for-members/council-of-governors/governors-meetings/
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Membership Update Annual Public and Members’ Survey Each year in our Annual Membership Survey we ask our members and the public to provide their views. The results of this survey help inform our plans for the year ahead. The focus for this year’s survey was to understand what matters most to you when using our services. We also asked how we can improve and develop the ways in which we communicate with our members and service users. We had a fantastic response with almost 500 people completing the survey. Here are some headlines from the survey: ● 79% of respondents stated the information they received was relevant or very relevant. ● 84% of respondents stated they received just the right amount of information. ● Over 90% of respondents stated that email was their top preference for receiving information. ● 66% of respondents, who use social media, use Facebook either daily or weekly. ● The key themes that mattered most to the respondents were waiting times and communication. The results from this survey will support the development of our Membership and Public Engagement and Communication Strategies, and we will be developing ‘tests of change’ to improve the services users experience across the Northern Care Alliance NHS Group.
Our membership continues to grow and we are keen for as many members as possible to play an active role in shaping how the Alliance is managed and developed for the future.
Membership Numbers by Area Bury & Rochdale
6,039
Salford
9,592
North Manchester
2,423
Oldham and Tameside
3,478
Rest of England/Out of Area
6,495
You said, we did At the Northern Care Alliance NHS Group we believe that your feedback is invaluable and helps us improve and develop our services. Here are some of the things we’ve done with your feedback. Getting a good night’s sleep – As part of last year’s Annual Member and Public Survey you told us that getting a good night’s sleep would improve your wellbeing, so in February 2018 we arranged a Medicine for Members’ event that looked at sleep hygiene and how to get a good night’s sleep. Patient experience – You said that we needed to take more consideration of the patient experience at our maternity services at The Royal Oldham Hospital. We recently recruited a Patient Experience Midwife, who is working with our service users to help improve the experience for our patients, carers and family members. Accessible information – You said that we needed to make our
information more accessible. Through engaging with patients, service users and community members across Salford, including the Salford Service Users’ Disability Forum, we developed a range of internal letter templates to meet the Accessible Information Standard, specifically developing a workable easy read version.
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Members’ News Celebrating patient, carers and family collaborative open event
At the Northern Care Alliance NHS Group we value your feedback and work hard to ensure that we can make changes to our services based on this. We also believe it’s important for us to share and celebrate this work with staff and service users alike. On 25th January 2018 we did just that, and hosted an Open Event to showcase some of the changes that have taken place at the Salford Care Organisation as part of their Patient, Carer and Family Collaborative. Over 40 teams showcased changes that they had made thanks to patient feedback. Over 60 staff members and service users visited throughout the morning and had the opportunity to speak with team members who had delivered those changes and the improvements made for service users. As part of the event, staff and service users were also asked to take part in the Governor Led Engagement Project which focused on ‘What Matters Most’ and review of our Always Events. This feedback will be now be used as part of the work we do to improve the experience of service users across the Northern Care Alliance NHS Group. Look out for further information in upcoming editions of The Loop.
Have your say on equality and Salford Royal services We want to hear your views on whether we are treating our patients, service users and carers in a fair way and what we might need to do to improve. Please come along to our event and tell us what you think. At the event you will: ● Learn how services are delivered to ensure they meet people’s needs ● Tell us how well we are performing and give the Trust a score ● Help us to identify any gaps in services and advise on what changes are needed. You are invited to attend this event if you live, work or socialise in Salford, or have accessed Salford Royal services (in the hospital, community, or adult social care in Salford).
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Salford Royal NHS Foundation Trust Equality Briefing and Scoring Event Date: Monday 26 March 2018 Time: 9.30am to 2.30pm Venue: Buile Hill Park Hall, Eccles Old Road, Salford M6 8GL If you wish to attend please contact the Equality and Inclusion Team on the contact details below, and inform us of any information, communication, access or dietary needs you may have. You can contact the Equality and Inclusion Team in any of the following ways: Tel: 0161 604 5893 Email:
[email protected] Postal address: Equality & Inclusion Team The Pennine Acute Hospitals NHS Trust North Manchester General Hospital – Trust Headquarters Delaunays Road Crumpsall Manchester M8 5RB
Members’ News Learning more about our services – Medicine for Members’ events Medicine for Members’ events are a programme of free talks and tours, aimed at raising staff and public awareness of important health issues at the Northern Care Alliance’s Care Organisations. They give the public a chance to learn about the different types of treatment and services provided across the Alliance Group. Recent events have included an open day at the interventional radiology day case unit at The Royal Oldham Hospital and a talk and tour of the Maggie’s at Oldham centre.
Thirty-one visitors were given a talk and exclusive ‘behind the scenes’ tour of the new interventional radiology unit at The Royal Oldham Hospital.
“Seeing the wonderful work that Maggie’s Centres do is inspiring and humbling” said one visitor who attended the Maggie’s Centre at Oldham talk and tour. Maggie’s Oldham has been built in the grounds of The Royal Oldham Hospital and was developed by Maggie’s, working in partnership with The Pennine Acute Hospitals NHS Trust.
The open day gave people the opportunity to learn about the new innovative day case unit and the many different interventional radiology procedures performed there. The ground-breaking unit puts The Royal Oldham Hospital at the forefront of modern healthcare in treating patients who require radiological intervention as day cases. The unit enables patients to be admitted, treated and discharged in one single area in just six hours. The creation of this unit has been done in conjunction with a project to install a new CT scanner at the hospital.
The centre offers a way of living well with cancer. This includes making sure that people with cancer, and their family and friends, are listened to, and offered tailored individual support, group support and practical advice, all delivered by qualified professionals within a space that enables them to meet other people who understand what it means to be living with cancer too. The centre offers psychological support, benefits advice, nutrition workshops, relaxation and stress management, art therapy and yoga.
Dates for your diary All Medicine for Members’ events are free and open to all members of the public.
Please reserve your place by emailing Angela Greenwood, Membership and Engagement Manager at
[email protected] or ring her on 01706 517302. 4 April 2018
2 - 3pm
Maternity Services Talk
The Royal Oldham Hospital
26 April 2018
2 - 3pm
Pain Management Talk
The Royal Oldham Hospital
9 May 2018
2 - 3pm
Hepatitis Talk
North Manchester General Hospital
29 May 2018
2 - 3pm
Urgent Care Talk
Rochdale Infirmary
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Special Feature Case Study 1
The last 1000 days / end PJ paralysis If you were in your last 1000 days, how many of these would you want to spend in a healthcare setting?
This is the basis for a national healthcare campaign - The Last 1000 Days / End PJ Paralysis – introduced across our four Care Organisations early in 2017. The Last 1000 Days highlights the importance of the most valuable currency in healthcare: patients’ time. We can always replenish stocks and review budgets, but we cannot replace time lost. Across the NHS, our patients remain ‘stuck’ in hospitals, unable to return home or be transferred to a more appropriate place of care. Many patients in this position are elderly, chronically ill or have long-term conditions and are the very patients who have the least time to waste. Spending just 10 days in bed can result in a 10 year ageing process in muscles for elderly patients, which can in turn increase the risk of falls, harms (such as pressure ulcers, infections and blood clots), restrictions to everyday independent life and mobility. There is also a risk of incontinence with over-reliance on catheters or bedpans. In many hospitals, pyjamas can appear as a uniform for patients –
How can you help?
and the introduction of the End PJ Paralysis initiative has the goal of getting patients up, dressed and moving. Using the Plan-Do-Study-Act method of testing changes, staff at all levels across the Alliance have designed and carried out their
The Acute Medical Unit (AMU) team at The Royal Oldham Hospital decided to reduce reliance on commodes. They removed commodes from the ward area, and encouraged patients to use the toilet, with assistance from the team if required. The team informed unit staff of the purpose behind this, and how important it would be to help patients to maintain their independence and dignity. own tests to help patients get up, dressed and moving. Following analysis of all the tests, an Alliancewide package of changes is being shared across all Care Organisations, which includes introducing social mealtimes and engaging activities.
#endpjparalysis
Elaine Inglesby-Burke CBE, Group Chief Nursing Officer, Northern Care Alliance NHS Group, says:
When I launched our first Alliance-wide Quality Improvement collaborative, I said that this was one of the most important pieces of work for the organisation and I am proud that so many different teams across the Alliance have taken this social movement to heart. The enthusiasm of staff to improve patient experience has been infectious. When I visit our wards and areas I am constantly impressed with the creative ways in which staff are overcoming challenges to End PJ Paralysis and reduce the amount of precious time that patients spend in a healthcare setting. I look forward to supporting the next steps of our last 1000 days/end PJ paralysis journey.
● Day clothes and footwear to promote a sense of well-being and normality ● Nightwear to help patients feel more comfortable at bedtime
If possible, please bring these items for the patient to use on the ward:-
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The Royal Oldham Hospital
● Toiletries, such as their own toothbrush! ● Medications to ensure patients can have access to their regular medications on time
The team tested this change and received very positive feedback from patients who were supported to use the toilet as normal. The AMU now has minimal commode use.
Case Study 2
Oldham League of Friends purchased furniture for social dining
Rochdale Infirmary
The Clinical Assessment Unit at Rochdale Infirmary has introduced a new ‘hydration station’ which allows patients to access hot and cold drinks when they need them. This has also been trialled across other areas of the Alliance. A nominated member of the ward team also visits the patients to ask if they would like refreshments, but encourages them to access the facility on their own, if they are able to walk. Areas have received positive feedback from patients, who appreciate being able to help themselves when they need a drink.
Case Study 3
One of the new ‘hydration stations’
Salford Royal
The Pendleton Suite opened in November 2016, following the merger of two wards at Salford Royal. Shortly after opening, two patients on the ward incurred pressure sores. Embracing the need for change, the ward became a champion for End PJ Paralysis and worked closely with the tissue viability team to reduce pressure ulcers. As a result, they have had no pressure ulcers for over 200 days. The ward uses their day room as the main location for events through the week, converting the room into a beauty parlour, gaming centre and even for a pub quiz.
Case Study 4
Enjoying social mealtimes on ward L4
North Manchester General Hospital
Like other areas across the Alliance, Ward I6 (Respiratory) at North Manchester General Hospital introduced an information leaflet to provide details on what to expect, details of doctors, and timings for meals and activities. The ward also provides information, on admission, to patients and relatives to explain the background of the project, and encourage them to bring in personal items, and clothing. Starting the conversation early means that patients and carers can be aware of the benefits, and feel involved in their own care and recovery.
Staff from ward I6 with a pets as therapy dog
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Salford News New major trauma centre planned for Salford Royal An artist’s early impression of how the new centre could look.
Improving patients’ experience with innovative technology Salford Royal is using the very latest, state of the art and innovative technology to help improve the experience of patients and service users. As one of 16 acute NHS Global Digital Exemplar sites, the organisation is an internationallyrecognised NHS provider delivering exceptional care using world class digital technology.
A £48m treatment centre is planned for Salford Royal to care for some of the region’s sickest patients. Salford Royal is the principal receiving site for the Greater Manchester Major Trauma Service (GMMTS) and has been designated as the high acuity site (high risk surgery) for the north west sector of Greater Manchester.
a resuscitation area, five emergency theatres, additional critical care beds and diagnostic imaging – all of which are also vital following Salford Royal’s designation as the High Acuity site for the NW sector of GM.
The GMMTS is a partnership between Salford Royal and the key receiving site at Manchester Royal Infirmary (MRI).
In July 2017, Health Secretary Jeremy Hunt and Chief Executive of NHS England Simon Stevens announced that Salford Royal would receive £48m from the Sustainability and Transformation Partnerships (STPs) fund to make improvements to the emergency care facilities for major trauma and high risk surgery.
Rather than be taken to the nearest hospital, the majority of patients suffering these often devastating injuries are now taken to Salford Royal, ensuring they have rapid access to specialist treatment and state of the art imaging. A helipad will be installed as part of the plans for the new building at Salford, which is scheduled to be completed in 2020, and the centre will include
The plans are still in the initial stages and the full business case will need to be approved by NHS England before building work can begin.
Following engagement with a number of key user groups and stakeholders, including the Salford Royal service user disability forum, Salford Clinical Commissioning Group’s Citizen Panel and the North West Sector Patient Participation Group, a number of recommendations have been put forward to the project group for consideration. These include additional relatives’ rooms, phone charging stations, a disability audit and food and drink facilities. More public engagement will take place in the coming months.
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Our programme of work includes more than 50 digital projects and is already seeing positive outcomes for patients, service users, staff and the wider healthcare community. Early results of the two-year programme include: ● A new electronic assessment tool helping to detect delirium earlier ● Our VTE (Venous Thromboembolism) rate reduced from 411 to 333 with a new electronic assessment tool and we have been awarded exemplar status for VTE ● We are automatically screening 100% of patients for sepsis and reducing mortality rates by the administration of antibiotics within one hour ● The number of preventable HAT (Hospital Acquired Thrombosis) cases reduced by 13% to a total of 358 in 2017 This year we are launching a new online appointment booking service for outpatients. Patients will be able to book, reschedule and cancel appointments online. Visit www.srft.nhs.uk for more information.
Salford News Salford’s ‘Big Health and Social Care Conversation’ to transform services Health and social care staff hit the streets of Salford to gather residents’ views on how to transform services. As part of Salford’s Big Health and Social Care Conversation, Salford Together staff attended over 180 community events and spoke to 4,200 people. Over 1,600 questionnaire responses were returned, some of the main findings included: ● People who went to hospital regularly say their experience could be better if there was more support at home ● Three quarters of people agreed that most routine care could be provided locally instead of at hospital ● More than half of people had good access to a GP and three quarters were happy to receive health and social care from a professional other than a GP The findings of the ‘Big Conversation’ supports Salford Together’s vision to bring care closer to home and the work already underway to achieve this. This spring, a new enhanced care team made up of different health and social care professionals to support people in their homes will start in Swinton and then other areas of the city. A new urgent care team will also launch to support ambulance crews and then GPs to give urgent care to Salford people in crisis but who do not need to go to hospital. Salford Together is a partnership between health and social care organisations within Salford, including Salford Royal. For more information visit www.salfordtogether.com
Social care workers’ long service celebrated in Salford
Charlotte Ramsden, Helen Lorenc, Administrative Supervisor, award recipient and James Sumner.
Long service awards have been presented to 14 social care staff, who have each worked for more than 25 years in Salford. Keith Darragh, Director of Adult Social Care (Resources), Salford Health and Social Care, introduced the celebration event. He said: “From the paper-heavy, no-email offices of the early 1990s, we’ve seen a lot change over the past 25 years. During that time all of the staff at the Awards Ceremony have played a significant role in supporting the population of Salford. Today, there are still people in our city who need our help. As a team, we do fantastic things for people in Salford, but there’s more to be done. Thank you for all you have done and all you continue to do.” The group attended a celebration lunch and received their long service awards from James Sumner, Chief Officer of Salford Royal, and Charlotte Ramsden, Strategic Director for Community, Health and Social Care. Staff receiving the award were: ● Rachael Betteridge, Advanced Social Work Practitioner
● Diane Parker, Welfare Assistant
● Ronald Cohen, Support Worker
● Sue Potts, Community Assessment Officer
● Michele Cornwell, Finance Support Officer
● Gillian Pugh, Community Assessment Officer
● Lesley Curran, Community Assessment Officer
● Mohammed Qureshi, Administrative Officer
● Nina Johnson, Community Assessment Officer
● Julie Walsh, Team Manager
● Karen Kirkbride, Team Manager
● Kathryn Whitfield, Mobile Warden ● Elaine Wigglesworth, Social Worker
● Helen Lorenc, Administrative Supervisor
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Oldham News Calling time on chemotherapy
New cone beam CT scanner installed at The Royal Oldham Hospital
Oldham News New Bereavement Centre opens for Oldham Labour Ward
Patients requiring complex dental imaging are set to benefit from a new cone beam CT scanner. The dental cone beam CT scanner uses x-rays and a computer to produce 3D cross sectional images of the jaws and teeth. It is a compact, faster and safer version of a regular CT scanner.
Patients who need dental implants and complex wisdom extractions will be able to have scans and it is expected that referrals into the service will rise to around 600 patients per year.
The bell which has been placed in the waiting area of the unit is a bell that only chemotherapy patients can ring when they are celebrating the end of their treatment plan. Gillian Matthews from Middleton was the first person to ring the bell. She said: “When I was first diagnosed with breast cancer it completely floored me. I have had an aggressive form of cancer but thankfully the early detection of it has saved my life. “I was terrified of having chemotherapy as I had heard so many stories of people being ill with the side effects from it. The wonderful Macmillan nurses at the Victoria Breast Care Unit, whom I call Gill’s angels have got me through the treatment. They have saved my life and brought me through the toughest time of my life. “Ringing the bell was a very poignant moment for me. It felt emotional to ring it as it was me saying to the cancer ‘I have
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beaten you’ and it symbolised the start of my new life after cancer.” Lindsey Dawson, Macmillan Lead Chemotherapy Nurse for The Royal Oldham Hospital, said: “Completing a course of chemotherapy is a momentous occasion for any patient. The bell gives the patients something to aim for as it signifies the end of their current journey and fills them with a sense of hope and strength for the future. We were so proud when Gillian rang the bell and all the staff cheered.” The bell was donated by Elizabeth Burns who had also received treatment at the Victoria Unit for breast cancer. Pictured helping Gillian to celebrate are: left to right Macmillan Chemotherapy Nurses Rachael Tomkins, Jane Lees, Gillian Matthews, Lindsey Dawson, Macmillan Lead Chemotherapy Nurse and Hannah Whittaker, Macmillan Chemotherapy Nurse.
Mr Jawad Husain, Medical Director for Oldham Care Organisation which runs The Royal Oldham Hospital, said: “The installation of the cone beam scanner at The Royal Oldham Hospital is wonderful news for the patients who use our oral surgery service. It puts us at the forefront of dental technology and will mean that our patients will benefit from increased accuracy when placing their dental implants.” Pictured: Mr Jawad Husain, Medical Director for Oldham Care Organisation and Paul Barker, Senior Directorate Manager, Radiology and Neurophysiology at The Royal Oldham Hospital.
A team of nurses at The Royal Oldham Hospital helped a frightened 10-year-old face one of her greatest fears by singing a Disney song to her as she had a blood test. Alicia Hall was terrified of having the test and had tried to stall it for another few weeks when Jenny Walsh, Shabana Kosar, Lianne Fielding and Play Specialist Louise Gallagher stepped in to help. They sang ‘Let it go’ from the film Frozen, danced, gave her hugs and showed her pictures, to help take her mind off having the blood test.
The machine moves around the patient’s head in a circular motion in a similar way to panoramic dental radiography units, and gives radiographers detailed information which cannot be obtained from more conventional x-ray equipment.
A breast cancer patient at The Royal Oldham Hospital has called time on her chemotherapy treatment by ringing a special bell installed at the hospital’s Victoria Breast Care Unit.
Singing nurses help Alicia face her fear
A new Bereavement Centre for the labour ward at The Royal Oldham Hospital has had its official opening. Staff from maternity services and families who have sadly lost babies at the hospital attended the opening on Saturday 10 February 2018. Located in a room adjacent to the labour ward, the suite offers a place where parents can be alone with their child for reflection, with the aim to provide a safe haven for bereaved families away from the clinical area, in a comfortable, homely setting. Prior to the new centre opening, bereaved families were cared for in a fairly normal clinical delivery room, with no proper facilities for partners to stay. This accommodation means partners can stay, come in and go out of the room without having to go into the main labour ward area, offering them privacy away from other families. It is staffed by a bereavement specialist nurse who offers
support within maternity and is also assisted by ward staff. The suite comprises a double bed, bedroom furniture and ensuite facilities, and is decorated with pictures of butterflies. Stunning artwork created by pupils from North Chadderton school and the renowned artist Lily Greenwood adorn the walls of the suite and reflect the butterfly theme with a three dimensional piece of work with lights to symbolise the beautiful babies flying off into the air as butterflies would. There is also a tree of life art work which contains hooks and tiny pictures of butterflies. The idea is for parents to hang a tag on the tree in memory of their baby if they wish.
The nurses’ star performance was shared on Facebook by Alicia’s mum Andrea Fitzgerald. She said: “They promised to sing for her and make her laugh as they each said they couldn’t sing. They promised her it wouldn’t hurt and that she would skip out of the door. These ladies are worth their weight in gold, they are fantastic.” Kathryn Krinks, Divisional Director of Nursing for Paediatrics and Neonates at The Royal Oldham Hospital, said: “This is a lovely example of the team recognising Alicia’s needs and responding in such a unique and fun way. I am very proud to work with staff that make a difference every day and I am delighted that Alicia left the department with a smile on her face. I understand she is already giving great thought to which song she would like the team to sing on her next visit.”
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Bury and Rochdale News Local GPs, hospital and community services partner up to improve primary care in Rochdale From 1st April 2018, GP practices across Rochdale under the name Rochdale Health Alliance (RHA) - will partner with staff and services run from Rochdale Infirmary and community health and care services to enhance and improve GP and primary care services for the 230,000 residents of the Rochdale borough area. The move, a contract worth £7.2m each year commissioned by NHS Heywood, Middleton and Rochdale Clinical Commissioning Group (HMR CCG), will be delivered in partnership with RHA and the Bury and Rochdale Care Organisation. This new contract will allow GPs across the borough to benefit from standardisation of elements of patient services and enhance the working relationship between GP practices and the local community and hospital services. Delivery of this new contract will provide opportunity to: ● reduce the variation in care quality between GP practices ● improve prescribing, improving access to primary care including prevention and screening ● improve integration across health and social care across the Rochdale borough ● help more people to access and receive timely care from their GP practice ● help people in the community through community health and social care teams to reduce the need for hospital visits. Dr Shona McCallum, Medical Director for Rochdale Infirmary and the Bury and Rochdale Care Organisation, said: “The majority of GP practices across Rochdale already work in practice groups or federations, such as the RHA.
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Working more closely with hospital and community care at scale can have a number of benefits for patients, practices and the wider health and social care system, such as economies of scale, quality improvement, workforce development and delivering innovative new services through collaboration.” Dr Mohammed Jiva MBE, local GP and the Chair of the Rochdale Health Alliance (RHA), said: “Over the past seven decades many changes have occurred within general practice, from public demand and expectations changing, to funding invested into the NHS dwindling. To ensure that moving forward we can continue to adapt and deliver what is expected of general practice, this new opportunity of working in partnership with our local community and hospital service provider will allow new areas to be explored, develop new patient pathways and standardise what works well and benefit from economies of scale with reduction in waste across the NHS. “This will ultimately strengthen the healthcare providers across the borough and result in more efficient, easily accessible, safer services for the residents of the borough. These are exciting times and the willingness of the Northern Care Alliance NHS Group to work closely with Rochdale Health Alliance on behalf of GP practices across the borough is a sign of a new stronger healthcare service becoming easily available across the borough of Rochdale.”
Sponsored silence shouts out communication difficulties message A Speech and Language Therapy Assistant at Fairfield General Hospital has given a voice to patients who have communication difficulties as a result of having a stroke.
Bury and Rochdale News New expanded unit provides ‘Oasis’ of calm for Rochdale dementia patients
Samantha Thinnesen who works on the stroke unit at Fairfield decided to undertake a 24-hour sponsored silence to raise funds for communication therapy aids on the ward, at the same time increasing awareness of the difficulties that people can experience if they are unable to talk. A lot of stroke patients develop aphasia which affects their ability to talk, read, write and understand language. This can have a devastating effect on a person’s quality of life. She said: “My day comprised a visit to the optician, drinks with family, and friends visiting in the evening. The visit to the opticians was particularly frustrating as I was constantly writing things down and gesturing, and I could feel the stares from other members of the public. Throughout the day my frustrations intensified and I increasingly became more and more withdrawn. Trying to join in conversations by writing comments down and gesturing frantically was too much of an effort and I slowly isolated myself from conversations. The challenges of trying to achieve normal day to day activities with communication difficulties were exhausting.” Samantha raised a fantastic £275. The money will be spent on buying therapy objects and therapy picture cards/activities for the stroke ward.
Bury Consultant opens sensory space in southern Cambodia Dr Bratati Bose-Haider, a Consultant Paediatrician at Fairfield General Hospital has jointly opened a firstof-its-kind facility that will provide valuable support for children and young people attending a children’s centre in Sihanoukville, southern Cambodia. This is the second SicKids Sensory Space to open, after the first was unveiled at North Manchester General Hospital in September 2017.
The Oasis Dementia Unit at Rochdale Infirmary has been fully refurbished, expanded and relocated to a new bigger ward. The new 10 bed facility provides assessment and diagnosis for patients presenting with symptoms of dementia and confusion, and serves people from Rochdale, Heywood and Middleton. Patients are often referred to the Oasis Unit after presenting at the hospital with acute medical conditions at either the Urgent Care Centre (UCC), Clinical Assessment Unit (CAU) or through a direct GP referral. The Oasis Unit offers a safe and suitable purpose-built environment to support the recovery of dementia patients, with access to nursing and mental health staff. It is believed to be the first of its kind in a hospital setting in England. In addition to the beds, the unit boasts its own relaxing lounge area, kitchen and dining area and visiting time is open for relatives and carers.
A patient’s length of stay is usually between five and seven days, depending on their individual needs, as referral and care pathways are designed to meet the needs of each individual patient, providing a better quality of continuing care. Julie Archibald, Unit Manager said: “The Oasis Unit is a bespoke unit designed especially for patients who are living with dementia. The Unit has an increased staff to patient ratio to support care delivery and utilise a number of reminiscence and distraction therapies to complement general medical and nursing care.”
Dr Bose-Haider opened the new sensory space with Roth Chanphalkun, Co-Director of M’Lop Tapang children’s centre. She then spent a week providing medical clinics and outreach work for children and young people who will benefit greatly from the Sensory Space, alongside Professor Andrew Rowland, Consultant in Paediatric Emergency Medicine at North Manchester General Hospital and also SicKids’ founder and chairperson. The sensory space is the first-of-its-kind in Cambodia, and has been built thanks to the generosity of SicKids’ supporters and Rompa®, a leading supplier of sensory equipment.
Professor Andrew Rowland and Dr Bose Haider
The service is provided by a multidisciplinary team of doctors, nurses and healthcare professionals from The Pennine Acute Hospitals NHS Trust and Pennine Care NHS Foundation Trust. Along with a social worker from Rochdale Council Social Services, the staff have specialist skills in elderly care, dementia and mental health care.
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North Manchester News New £5m North Manchester Intermediate Care Unit Opens
North Manchester embraces Theatre Cap Challenge
North Manchester News Honouring nurses at North Manchester who gave their lives
Theatre staff at the main theatre department at North Manchester General Hospital participated in the #TheatreCapChallenge during February.
A brand new purpose-built £5m, 24 bed community Intermediate Care Unit situated in the grounds at North Manchester General Hospital has opened. The new unit, known as Crumpsall Vale, will support patient flow from the hospital and the community. Initially there will be 16 residential beds and eight nursing beds, but this will increase to 16 nursing beds and eight residential beds. All rooms have their own bathroom with a shower. The unit is low-rise in design and has a welcoming homely feel for patients, featuring a sunken communal garden, a patient gym and a mock apartment to help patients adjust to home life again. Crumpsall Vale has an open visiting policy and all referrals will be seen within 48 hours, Monday to Sunday, between 9.00am and 4.30pm. Intermediate care is a service that is designed to rehabilitate people with input from a multi-disciplinary team of dedicated professionals. That team is led by Ward Manager Louise Lewis and
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is made up of nurses, physiotherapists, occupational therapists, assistant practitioners, GPs, trainee nurse associates and podiatrists. The majority of patients who access intermediate care services are over 75 years of age and Crumpsall Vale will provide an enhanced service for community patients who require a period of rehabilitation. The unit will also support patients who do not require, or no longer need, specialist acute hospital care and treatment, but who do still need support within a community setting. The unit offers patients support in the transition period between illness and recovery. The Crumpsall Vale unit is a joint partnership between The Pennine Acute Hospitals NHS Trust and Manchester Health and Care Commissioning.
This was a national initiative which has been promoted among a number of NHS hospital Trusts on social media to improve patient experience and help drive improvements. The initiative helps enhance the WHO safety checklist in theatre briefings where staff introduce themselves and their role and also helps improve patient experience in the theatre department as it is easier for patients to identify staff. The theatre team decided to trial the challenge in one theatre for a month as a test of change as part of the improvement journey. The department will obtain patient feedback about their experience and will be asking if patients could recall the names of staff involved in their care. The department started to trial the challenge from 5 February 2018. Gillian Shannon and Helen Collinge were involved in organising the trial at North Manchester theatres with help from Theatre Practitioner Jo Williamson (pictured).
A lasting memorial The parents of a theatre practitioner at North Manchester General Hospital have created a lasting memorial to those caught up in the Manchester Arena terror attack in 2017. A historic plaque honouring nurses who died in the first World War and during the Spanish flu epidemic of 1918-19 has been given pride of place at North Manchester General Hospital. The memorial which was originally displayed in the former Limbert Nurses’ Home on the hospital site was taken down for safekeeping whilst the accommodation was undergoing a huge programme of works to transform it into a suite of training facilities. Bernard Murphy who works as a staff nurse in the critical care unit at North Manchester, as well as a Unison rep/ education co-ordinator and Staff Side chairperson, noticed that it was missing and so undertook a mission to find its whereabouts and ensure that it went back on public display. The plaque which names the five nurses who died – Frances Mary Hall and Louise Jordan on active service in India and Serbia, and Elizabeth Owen, Ethel Milicent Davies and Eva Hammond - acts as a timely reminder of the importance of staff being vaccinated against flu as three of the ladies died from contracting Spanish influenza.
Bernard said: “Reading the inscription on the plaque, I believe it is so important to keep these connections with our history. This plaque particularly resonates when we think about current flu outbreaks and pandemics and it is also possible that there are relatives of these women still connected to the North Manchester area.” Members of the infectious diseases ward staff at North Manchester General Hospital joined Bernard in admiring the new positioning of the plaque. The memorial plaque can be found opposite the entrance to outpatients B at North Manchester General Hospital. Pictured are: Bernard Murphy with ward J3/4 staff - Ward Manager Lindsey Clark, Staff Nurse Sarah Graham, Healthcare Assistant Nicola Burke and Lead Nurses Sarah Slicker and Helen Riley.
Over six months Chris and Tim Edwards created a crocheted rug taking colours from the Manchester Coat of Arms. The bee symbolism which is associated with Manchester has been woven in by using honeycomb shapes and a Manchester bee created by Jo’s father has also been sewn onto the rug. Their daughter Jo Williamson, who was on duty at North Manchester General Hospital, the day after the bomb went off, explains: “I remember hearing that staff saw injuries that only military medical personnel have seen before in war zone environments. I talked to my parents about it and was thrilled to see that they had crafted the rug to represent the coming together of all involved and had created it with their thoughts, compassion and warm wishes.” Jo tweeted the story of the creation of the rug and following lots of interest, it caught the attention of Greater Manchester Police who invited Jo and her parents to bring the rug to the launch event of #WeStandTogether. Chris Edwards said: “We enjoyed making the rug as both of us have been patients in hospital and it was the little touches and kindly words that helped us through the difficult times. We are indebted to the NHS for saving our lives and giving us quality time in our retirement.” Plans are currently being discussed to frame the rug and put it on temporary display in Manchester Cathedral.
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Your Views, Your Voice PLACE Assessments – get involved Patient-led Assessments of the Care Environment (PLACE) take place each year focussing on the quality of the care environment. The PLACE assessment team for each hospital site and Care Organisation is made up of both Staff and Patient Assessors who will carry out assessments of wards, discharge lounges, A&E and external areas of the hospital and
community services. Most importantly, patients and their representatives will make up at least half of the assessment team.
● How well the building meets the needs of those who use it, for example through signs and car parking facilities
PLACE assessments put patient views at the centre of the assessment process, and uses information gleaned directly from the Patient Assessors to report how well a hospital is performing in the following areas:
● Quality and availability of food and drinks
● Cleanliness of the environments ● Condition, inside and outside, of the buildings, fixtures and fittings
● How well the environment supports people’s privacy and dignity The official PLACE assessments will take place between 20th April – 15th May 2018. If you are interested in being part of the team, then please contact the membership team for more details on 0161 2063133 or via email at
[email protected]
Find a job with us via social media on Twitter @NCAlliance_Jobs and Facebook @NCAllianceJobs
Your opinion matters
Your opinion matters Your feedback helps us to ensure that our services are the best that they can be. There are plenty of ways in which you can give us your feedback. If there are any events that you would specifically like to see, then get in touch by calling 01706 517302 or 0161 2063133 or emailing membership@pat. nhs.uk or
[email protected]
Stay in touch and up to date – Have your details changed? Have you
moved or changed your email address? If so, please inform the membership office so that we can ensure we address any correspondence correctly.
Send us your email address – Please send us your email address, so that we can send future communications, including this newsletter, to you electronically. Useful Contacts PALS (Patient Advice & Liaison Services)
Salford: 0161 206 2003 Oldham, North Manchester, Bury & Rochdale: 0161 604 5897
Volunteering
Salford: 0161 206 8942 Oldham, North Manchester, Bury & Rochdale: 0161 604 5892
The Northern Care Alliance NHS Group The structure
£
Northern Care Alliance NHS Group Committees in Common
The Pennine Acute Hospitals NHS Trust
Salford Royal NHS Foundation Trust
Four Care Organisations
1 Salford Royal and community services
2 The Royal Oldham Hospital
3 Rochdale Infirmary and community services
3 Fairfield General Hospital
4 North Manchester General Hospital and community services
£1.3bn
Operating budget to spend on healthcare
17,500
Staff members
2,000
Beds across the four Care Organisations
1 million
Patients provided for
Providing safe, reliable and high-quality care
