News from Guy’s and St Thomas’ Issue 19 | 2016 Standing tall Syeda’s incredible story of recovery
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News from Guy’s and St Thomas’ Issue 19 | 2016
Standing tallSyeda’s incredible story of recovery
THIS ISSUE
2 the GiST
WelcomeThe front cover of this edition features aremarkable young woman, Syeda Mannan,who is set to return to university to studylaw and politics after surviving a life-threatening illness which resulted in bothher legs being amputated.
She was interviewed at our AmputeeRehabilitation Centre in Kennington whereteams of highly specialist staff helped herto get used to using artificial limbs so shecan resume her studies and liveindependently. Find out more about Syedaon page 8.
You can also discover what happenedwhen Prince Harry visited Burrell StreetSexual Health Centre on page 10. He spenttime with doctors and patients talkingabout how we diagnose and treat HIV, aswell as how we normalise HIV testing.
Prince Harry had an HIV test during hisvisit to raise awareness and to show howquick and easy it is. Since his visit, charitieshave reported large increases in thenumber of people ordering HIV testing kits,and an astonishing 2.4 million people havewatched Prince Harry take his HIV test onFacebook.
I hope you enjoy this edition of the GiST.
Amanda PritchardChief ExecutiveGuy’s and St Thomas’ NHS Foundation Trust
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Contents05 UK first for children
with curved spinesA pioneering imagingtechnique reduces the use of X-rays
08 Syeda stands tallSyeda has a bright future aftera life-changing two weeks
10 Prince Harry tackles HIV stigmaRaising awareness of theimportance of early diagnosis
14 e Interview Dr Terry Gibson talks about histime saving lives in Sierra Leone
17 e Leading EdgeA new pacemaker positioningtechnique could save lives
18 Work LifeOasis Youth Support Manager TomIsaac describes a typical day
21 History CornerMeet Mary Seacole
Meet the teamTELL US WHAT YOU THINK
If you have any comments about the magazineor suggestions for future articles, please contactthe communications department, St Thomas’Hospital, Westminster Bridge Road, London SE1 7EH, or email [email protected]
Visit us online at: www.guysandstthomas.nhs.uk
Words and photos by Matt Akid, Ann Brown,Michael Carden, Sarah Clark, Cleo Downs,Megan Elliott, Jack Graves, Jean Gray,Maxine Hoeksma, Simon Larson, EmmaOrgill and Ruth Shepherd. Cover photo byDavid Tett.
Design: AYA-Creative www.aya-creative.co.uk
Print: O’Sullivan Communications
Front cover: Syeda Mannan at the Amputee RehabilitationUnit in Kennington.
the GiST is published by Guy’s andSt Thomas’ NHS Foundation Trust
Twitter @GSTTnhs@EvelinaLondon
facebook.com/gsttnhs
youtube.com/gsttnhs
ROUND-UP
www.guysandstthomas.nhs.uk 3
IN THE NEWSA round-up of mediacoverage featuring Guy’sand St Thomas’.
The Times, EveningStandardSpecialists at Guy’s and St Thomas’ printed a 3Dcopy of a patient’sprostate before usingprecision robotictechnology to remove it.
The pioneeringprocedure, which wascovered by The Times andEvening Standard, enabledProfessor Prokar Dasguptaand his team to study theorgan in detail beforeoperating, reducing therisk of cutting vital nerves.
BBC OneTV presenter LucyAlexander rememberedher daughter's treatmentat Evelina LondonChildren’s Hospital inMatron, Medicine and Me:70 years of the NHS onBBC One. The showfeatured interviews withthe Evelina London staffwho treated Lucy’sdaughter.
Daily MirrorThe UK's first successfulkidney transplants from anHIV positive donor to twoHIV positive recipientswere carried out at Guys'and St Thomas'. Theprocedures were madepossible thanks toadvances in themanagement of HIV and –as the Daily Mirrorreported on its front page– they could reduce thetime that patients wait fora vital organ to becomeavailable.
Cancer survivors celebrate hope
Nurses from Guy’s and St Thomas’ joinBaroness Floella Benjamin OBE to unveil the statue
Mary Seacole statue unveiled
fun to meet all the othersurvivors in the fashion show.
“I’ve learned that no matterwhat, you’re never alone. We’reall in this together.”
Professor Arnie Purushotham,breast cancer surgeon at Guy’sand St Thomas’ and Leader ofthe King’s Health PartnersCancer Clinical Academic Group,
says: “This was only the second Cancer Survivors’ Daycelebration to be held at Guy’s,but already it feels like a time-honoured tradition.
“The event will continue togrow and grow and we can’twait to be able to share theexperience with more peopleeach year.”
Sharon Clovis was one of 15cancer survivors who took tothe catwalk to celebrateCancer Survivors’ Day at Guy’sHospital in June.
More than 750 peopleenjoyed a day of live music andentertainment, tours of theCancer Centre, and a specialfashion show.
Sharon trained as a nurse atGuy’s in the 1990s and nowworks at the hospital as aprostate cancer nursespecialist.
She says: “Even though I’vebeen working with cancerpatients for more than 16years, my own diagnosis cameas a complete shock. I knew Iwanted to be treated at Guy’sand I’ve been cared for so well.
“Getting involved in CancerSurvivors’ Day has beenbrilliant. It has been so much
Sharon Clovis on the catwalk at Cancer Survivors’ Day
An imposing new statue honouring Crimean Warnurse Mary Seacole was unveiled in the gardensof St Thomas’ Hospital in June.
The sculpture by Martin Jennings is
believed to be the first of a named blackwoman in the UK.
It was unveiled by Baroness FloellaBenjamin OBE after 12 years of fundraising bythe Mary Seacole Memorial Statue Appeal.
Speaking at the unveiling, Sir Hugh Taylor,Chairman of Guy’s and St Thomas’ said:“Perhaps there has never been a time in ourrecent history when it has been moreimportant to celebrate and stand up fordifference. Mary Seacole was different. She was not and is not defined by what shewas not, or by what she did or did not dowhen compared with anyone else.
“She is being honoured today for herself,for her contribution which has become herlegacy. As she stands proud – overlookingParliament – she bears witness to what itmeans to be different in our society and theneed to recognise it and honour it.”Find out more about Mary Seacole in History Corner on page 21.
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“People waiting for transplants dependon others being willing to donate theirorgans. Sadly, on average three people dieevery day across the UK due to a shortageof donated organs.
“We know families are much more likelyto support a relative’s decision to donate ata time of grief if they know that it was whattheir relative wanted.”
How can you join the NHS organ donor register?
•Online at www.organdonation.nhs.uk
•Phone 0300 123 23 23
•When you register for a drivinglicence, register at a GP surgery, applyfor a Boots Advantage Card, orregister for a European HealthInsurance card (EHIC).
ROUND-UP
Meet thegovernorsElections have taken place tovote for eight representatives onGuy’s and St Thomas’ Council ofGovernors.
The Trust is accountable to itslocal communities and its staffthrough Foundation Trustmembers and the Council ofGovernors which includeselected representatives of thepublic, patients and staff – asvoted for by members.
The voices of our patients,members of the public and staffare vital in ensuring that ourservices are able to meet theneeds of our communities nowand in the future.
The following candidates wereelected:
Public constituency
• Linda Goldsmith
• Prof John Porter (re-elected)
• Jenny Stiles (re-elected)
Patient constituency
• Devon Allison (re-elected)
• Heather Byron
• Anthony Leyshon
Staff constituency (non-clinical staff group)
• Vicky Rogers
• Bryn Williams (re-elected)
Visit our websitewww.guysandstthomas.nhs.uk/membership to find out moreabout the Trust’s governors andhow to become a member.
King’s College London’sGuy’s Campus is goingsmoke-free from Monday 5September. This means thatthe whole of the Guy’s sitewill be smoke-free from that date.
Smoking will not be permitted anywhereon the King’s College London campus or onthe Guy’s Hospital site. E-cigarettes will bepermitted outdoors on the universitycampus but will continue to be banned onthe hospital site.
Guy’s and St Thomas’ banned smokingon its hospital and community premises inJune 2015.
If you want to know more about Guy’s andSt Thomas’ smoke-free policy, or would likesupport to give up smoking, please contactGuy’s and St Thomas’ Stop Smoking Serviceon 020 7188 0995, or via [email protected] further information go towww.guysandstthomas.nhs.uk/smoke-free
Events will be taking place at Guy’s and StThomas’ to celebrate Organ DonationWeek which runs from Monday 5 toSunday 11 September.
You can come and meet the team whowill be available to answer any questionsyou may have about organ donation from10am to 3pm on both Tuesday 6September in Tower Wing reception atGuy’s Hospital and Thursday 8 Septemberin the Birdsong Corridor at St Thomas’.
Sally Johnson, Director of OrganDonation and Transplantation at NHSBlood and Transplant, says: “OrganDonation Week gives everyone across theUK a special week to celebrate organdonors and their families, and to talk tofamily and friends about whether theywould be prepared to emulate our specialdonors and make the decision to donatetheir organs too.
Guy’s Campus to gosmoke-free
Join the organ donor register to save lives
Join us at St Thomas’ onThursday 15 September for our Annual Public Meeting.Refreshments will be availablein Central Hall from 5.30pmbefore the meeting starts at6pm in Shepherd Hall.
www.guysandstthomas.nhs.uk 5
ROUND-UP
More than 2,000 peoplesigned a petition callingon Transport for London(TfL) to re-think plans fora ‘floating’ bus stopoutside St Thomas’Hospital.
Campaigners gatheredat the bus stop on 28June to urge TfL to listento concerns that patients,visitors and staff gettingoff buses would have tocross a busy cycle lane toreach the hospital.
Guy’s and St Thomas’NHS Foundation Trust has also filed anapplication for a judicial review, with supportfrom charities including the RNIB and Guide Dogs.
Trust Chairman Sir Hugh Taylor says: “We are not taking this action lightly, howeverwe believe that TfL’s plans for cycle lanes andso-called ‘floating’ bus stops on Westminster
UK first for childrenwith curved spines A new imaging system pioneered in EvelinaLondon’s ‘One Small Step' Gait Laboratoryuses motion capture technology andultrasound to generate 3D images of thespine’s shape instead of using X-rays.
This will help clinicians to make bettertreatment decisions when caring for childrenwith scoliosis, a condition in which the spine istwisted and curved.
Daisy Biglands, 13, was one of the firstpatients to receive a scan using the newtechnology.
She says: “When I was diagnosed with
TOP TWEETS@martinmoore50 Thanks to the brilliant
nurses at @GSTTnhs for dealingwith my scratched eye so wellthis morning - much appreciated!
@npalmer1@GSTTnhs Thankyou to
everyone in the Nuclear sciencedept and CT scan area, for beingso kind to my dad today!#greatservice
@missy_t_k Had a trip to @GSTTnhs
A&E today (all ok) everyone wemet in A&E, children’s A&E andemergency x-ray was lovely,thank you #LoveTheNHS
@AnastasiaVM Shout out to St Thomas’
Hospital for the shortest wait andeasiest blood test experienceever. The NHS on top form.
@ArronS So today is my
Kidneyversary. This time 20years ago I was on my way to@GSTTnhs @GSTTKPA#stillfiltering #20years
@AndrewSimms_uk Massive thank you to A&Edept @GSTTnhs for
putting me back together afterunfortunate bike encounter withrock on road. I love the #NHS
@RPNolan1Really impressed with@GSTTnhs volunteers
offering free tea/coffee forwaiting patients #care#thesimplethings
Bridge pose risks to both pedestrians andcyclists. We are talking to TfL about possiblesolutions.
“We are concerned about the impact onpatients and carers, especially the elderly,disabled, and families with children in buggiesand wheelchairs coming to Evelina LondonChildren’s Hospital.”
Keep Our Bus Stops Safe!
Campaigners outside St Thomas’ urge TfL to listen to their concerns
scoliosis I was really scared. It’s not a nice thing to be told.
“The ultrasound was easy and took almost notime at all. We watched the 3D image of my spine build up as my back was scanned and I could see the curves really clearly. It helped me tounderstand what was going on with my scoliosis.”
Clinical scientist Eskinder Solomon demonstrates a scanon a colleague
Walking with PrideMore than 100 people joined Guy’s and St Thomas’ Lesbian, Gay, Bisexual and Transgender (LGBT) Forum to march at Pride andshow support for the Trust and the NHS. Eric Pirozzoli, co-Chair of the LGBT Forum, said: “It was an amazing experience. Thankyou to everyone who came to support us – we’ll see you again next year.” You can follow the Trust’s LGBT Forum on Twitter@GSTTLGBT.
SPOTLIGHT
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When Renne Likau was pregnant, heronly wish was to be able to hold her babywhen she was born.
She explains: “My oldest child, Tanisha,was born when I was just 29 weekspregnant. I’d had pre-eclampsia, acondition that can cause fits and stop thebaby from growing, so she had to bedelivered early to give her a chance at life.
“She weighed just 1lb 10oz and shewas in intensive care for five weeks. Icouldn’t hold her. It was awful.
“So when I was pregnant again, I was so worried that history would repeatitself. But when Cataleya was born, I got to hold her as soon as she wasdelivered. I couldn’t believe it! My dreamcame true.”
Renne experienced hypertension(unusually high blood pressure) duringpregnancy. People who have
hypertension don’t always havesymptoms but in severe cases it cancause heart attacks and strokes. Inpregnant women, hypertension alsoaffects the growth of the baby andincreases the risk of pre-eclampsia.
Renne was referred by her GP to aclinic at St Thomas’ which specialises inhelping women with hypertension to havehealthy pregnancies.
At the clinic, Renne met consultantobstetrician Professor Lucy Chappell whoexplains: “So many mothers tell me, ‘I justwant to be able to hold my baby’ – andthe specialist care and advice we providehelps to give women hope.
“We do everything we can so thatwomen can take a baby home with themat the end of a pregnancy. Sometimesthat involves scans and regular bloodpressure monitoring, blood pressure
Easing the pressureWhen Renne was pregnant, she worried she wouldn’t be able to hold her child when she wasborn, but a specialist clinic at St Thomas’ gave her hope for her baby’s future as Ann Brownfound out.
tablets that you can take when you’repregnant, or advice on lifestyle.
“When women like Renne get to meetand hold their babies it really encouragesme to help more women have healthypregnancies.
“Piece by piece the research we do ishelping doctors and scientists tounderstand more about hypertension inpregnancy so we can help more women.”
Professor Chappell and her colleaguesDr Kate Harding and midwife MaryStewart see about 30 women a week inthe hypertension in pregnancy clinic,building relationships, gaining trust, andhelping women to have healthypregnancies.
Renne concludes: “Lucy was fantastic.After we met, I felt for the first time thatit might be ok in the end – I started to
feel hope.”
Advice on hypertension in pregnancy
• Speak up and seek help
• Aim to keep your bloodpressure in the normal range –sometimes this will meantaking tablets
• Eat healthily and try not togain too much weight
• Avoid salt in your diet
• Continue to take sensibleexercise – walking, swimmingand yoga are great.
Renne Likau and her daughter Cataleya with Professor Lucy Chappell
SPOTLIGHT
www.guysandstthomas.nhs.uk 7
Amelia Ferguson, 14, had been unwell formore than a year with an illness which GPsand doctors at her local hospital mistookfor chronic fatigue or glandular fever. At itsworst it left her unable to drink, eat or walk,and she was in constant pain.
She spent hours on the internetresearching her symptoms and finallyconcluded that she had autoimmunepandysautonomia – an ultra-rarecondition which affects the nerves thatcontrol the function of the body’s organs.As a result, Amelia’s stomach and gutstopped working.
Amelia says: “I was so ill I couldn’t go toschool, so I spent my time researching mysymptoms. That’s when I came across agirl in Australia who was the same age andhad similar symptoms to me.
“I spoke to my school doctor about theresearch and he made contact with thedoctor in Australia who told us to contactan expert at Evelina London straight away.
“It was absolutely amazing – Dr MingLim at Evelina London saw me within days.I thought I was going for one appointmentbut he admitted me to hospital straightaway for tests and I stayed for five days.
“As soon as I began treatment mystrength picked up and I felt so relieved
that for the first time someone knew whatmy illness was.”
Dr Lim is a consultant paediatricneurologist at Evelina London whospecialises in autoimmune conditions.
Dr Lim says: “Amelia’s condition isextremely rare. She is one of only threechildren I’ve ever known about with thistype of condition. Most children only havea few of the symptoms caused bypandysautonomia, but Amelia has themall. Her case is very unusual but she’smaking good progress with her recovery.
“Amelia is one of the brightest childrenI’ve ever met. She’s told me that she’sgoing to write a medical paper on hercondition when she’s better so that shecan help others to understand thecondition and learn from her experiencesand treatment.
“I’ve promised her that I’ll read herpaper and help to get it published.”
Amelia’s illness meant she spent amajority of Year 9 and Year 10 in EvelinaLondon rather than at school, but shewas never out of the thoughts of herclassmates at St John’s School inLeatherhead, Surrey.
Her school house, Hazlewood, choseEvelina London as their charity of the
year and began fundraising for thehospital. They held a dinner in Januarywhich raised £5,000 and reached a grandtotal of £6,481.
Amelia’s mum, Kyrste Ferguson, says:“For a lot of the time when Amelia was inEvelina London she wasn’t able to eat andwas fed by a tube. As a parent, you don’twant to go far from your child’s bed but itcan be hard to eat food in front of them.
“The nurses suggested that it would begreat if the money raised by Amelia’sschool went towards improving the familykitchen facilities on Savannah Ward tomake it feel more homely and to providea seating area.
“We’re so grateful for all thefundraising efforts done by the school,especially as it will benefit so many otherfamilies staying on Savannah Ward.Amelia’s older sister Elena and I will betaking part in Guy’s Urban Challenge inOctober as a way of showing howincredibly thankful we are to thewonderful team at Evelina London.Amelia has come so far in the past 18months.”To find out more about fundraising for Evelina London, visitwww.supportevelina.org.uk.
Amelia is one in10 million
A teenager with a rarecondition referred herself fortreatment at Evelina London.She spoke to Megan Elliottabout her determination toget a diagnosis.
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Syeda Mannan was 20-years-old when acatastrophic illness left her with both legsamputated above the knee and withoutthe tips of eight fingers.
Syeda says: “I was just your averageteenager when I was diagnosed withLupus, an incurable condition that affectsthe immune system, and Raynaud’sPhenomenon, whichcauses discomfortand makes yourfingers and toes turnblue. But I never letthem affect me.
“I had a sorethroat which seemed to get worse andworse. At one point I couldn’t evenswallow and I started vomiting. InOctober 2015 I had an endoscopy at mylocal hospital to see what was causingthe problem. The next two weeks werelife-changing for me.”
Doctors discovered that Syeda had a fungal infection and she started acourse of drug treatment. Unfortunately,she had a severe allergic reaction whichcaused her to have a seizure. She wentinto septic shock, which meant her blood pressure dropped to dangerouslylow levels.
Several of her organs, including herliver, heart and lungs, failed while she wasbeing transferred to St Thomas’ Hospital
and she went into a coma. Syeda’s legswere amputated to save her life.
Moving on from intensive careSyeda and her family kept a photographicdiary of her progress, from the day shearrived on the Intensive Care Unit at StThomas’ to her extraordinary first steps.
She explains: “I couldn’t eat ordrink for more thanthree months whileI was in intensivecare. All I couldhave was ice cubes
on my lips so I didn’t get dehydrated. The only way I could communicate was byblinking to spell out words and to tellpeople when I was in pain.
“The first part of my journey was verytraumatic for my family but they havebeen wonderful, making the trip up fromCrawley to the hospital, and now theAmputee Rehabilitation Unit, every singleday. They have completely put their liveson hold since I fell ill. It has been veryscary at times and it’s fair to say myrecovery has shocked and surprisedeveryone.
“The doctors and nurses have beenbrilliant, they became like family to me.They spoiled me lots and would visit me intheir break times and at the end of their
shifts. I can never thank them enough forwhat they did.”
Syeda turned 21 in March while shewas in the Lane Fox Respiratory Unitwhere she was being prepared to move onto the Amputee Rehabilitation Unit at StThomas’. There a large team, includingphysiotherapist Lauren Joseph, got Syedawalking again.
Preparing for the futureSyeda continues: “Every day I’m learningnew skills like dressing myself and how to open cupboard doors and reach forthings safely. It will help me be moreindependent when I go home. They’vegiven me new hobbies like volleyballand tennis.
“Sometimes I do get sad and ask whythis has happened to me. But I don’t let itaffect my outlook. There’s no use dwellingon the past. I want to focus on the future. Iwant to make a fresh start and be the bestI can be.
“The staff at Guy’s and St Thomas’have been amazing. I wouldn’t be herewithout them.”
With the help of occupational therapistSophie Cook, Syeda has applied to returnto university in September where she willcontinue studying politics and law.
Syeda stands tall
IN FOCUS
Syeda Mannan surprised staff when sherecovered from a life-threatening illness. She spoke to Maxine Hoeksma about the brightfuture she’s looking forward to.
“e doctors and nurses havebeen brilliant, they becamelike family to me”
IN FOCUS
www.guysandstthomas.nhs.uk 9
“ere’s no use dwellingon the past. I want tofocus on the future. I want to make a freshstart and be the best I can be.”
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HIV rates in the UK continue to risedespite years of progress in treating theillness. One of the biggest factors is thatup to 17% of people who are HIV positiveare unaware of their status and so canunintentionally pass on the virus topartners.
Late diagnosis also means peopledon’t get the early treatment they needto enable them to lead healthy lives.
Prince Harry visited Burrell StreetSexual Health Centre in Southwark aspart of his work to focus the minds of hisgeneration on the fight against HIV. Whilehe was there, he took a rapid HIV test tohelp normalise and and reduce thestigma associated with testing.
Robert Palmer, lead health advisor andpsychosexual counsellor at Burrell Street,carried out Prince Harry’s rapid HIV test.His blood was mixed with chemicals andpoured into a test tray.
In less than a minute, a negative resultwas indicated by a blue spot in the tray. Iftwo spots had appeared, then more testingwould have been needed.
Robert says: “It’s really important for
someone like Prince Harry to have an HIVtest because it normalises the testingprocess. It lets everyone know that it’s asimple test, it doesn’t take long, and thatit’s important to know your HIV status.
“What we do know is that it’s not peoplewho are HIV positive who are passing theinfection on, it’s those who do not knowtheir status. What we want to do is getthose people into the clinic.
“If Prince Harry can come along todayand let it be known that a royal can havean HIV test, then everyone can have anHIV test.”
Since Prince Harry’s visit to Burrell
Street, the Terrence Higgins Trust hasreported a five-fold increase in peopleordering a self-testing kit.
HIV testing in A&EPrince Harry also heard about a proactiveapproach to HIV testing in the EmergencyDepartment (A&E) at St Thomas’ whichmeans that people are receiving earlierdiagnosis and treatment.
All A&E patients who are having a bloodtest are now tested for HIV as standardpractice unless they opt out.
This approach was introduced in July2015. To date, 30,000 patients have been
PrinceHarrytacklesHIVstigma
Prince Harry visited BurrellStreet Sexual Health Centreto find out more about HIV –and even took an HIV test. Ann Brown and Jack Gravesfound out more.
IN FOCUS
tested and 115 people were diagnosed.Dr Nick Larbalestier, consultant
physician and clinical lead for HIV, says:“Just as we use blood tests to check forother medical conditions such asdiabetes, routine testing for HIV helps usto identify undiagnosed cases.
“People with HIV are able to live longand healthy lives, but this depends onthem being diagnosed promptly andreceiving the specialist treatment theyneed. This is why it’s so important toincrease detection rates.”
When diagnosed, people with HIV aregiven medicines – often a single tablet or
IN FOCUS
Robert Palmer administers Prince Harry’s HIV test (Chris Jackson/Getty Images)
www.guysandstthomas.nhs.uk 11
once-a-day regimen. These are veryeffective, very safe and largely free of sideeffects. They also prevent HIV from beingspread.
Most patients diagnosed with HIV todaycan expect an almost normal lifespan ifthey are receiving treatment. The damagedone by HIV to the immune system can besignificantly repaired and, with betterimmune function, the risk of infection andsome cancers is significantly reduced.
Dr Larbalestier concludes: “HIV canaffect anyone, but testing undoubtedlysaves lives.”
If you want an HIV test, please walk in or book anappointment at any of oursexual health clinics.www.guysandstthomas.nhs.uk/sexual-health
To order a free home testing kit, contact SH:24www.sh24.org.uk
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LIVING WELL
Every year, one in threepeople aged 65 and over has a fall, but there areplenty of simple ways toreduce the risk of falling as Jack Graves and Ruth Shepherd found out.
For many older people a fall can lead toboth injury and a serious loss ofconfidence.
Following a fall, it’s common to feelworried about doing physical activitiesand to become reluctant to leave home.This fear can undermine independenceand affect a person’s social life andhealth. Supporting people to avoid falls is crucial in helping maintain a goodquality of life.
Reducing the risk of falls is alsovaluable for wider society. Falls accountfor half of all accident-related hospitaladmissions, and up to a quarter ofambulance callouts.
Nicole Donnelly is an occupationaltherapist who works in the Trust’s fallsclinic. She explains: “Supporting peopleto keep active and avoid falling – or
falling repeatedly – is vital. Sometimeswe find there is a simple reason whysomeone falls, such as impaired vision.
I worked with a lady who had cataractsand was falling repeatedly. After havingcataract surgery, she stopped falling andwas able to regain her independence.”
Support where it’s needed – inhospital and in the communityThe Older Person’s Assessment Unit atGuy’s Hospital runs a falls clinic for olderpeople. The team includes a geriatrician,nurses, physiotherapists andoccupational therapists.
People referred to the clinic will beassessed and provided with an exerciseplan and may go on to take part in aneight-week course of strength andbalance classes run by physiotherapists,
Reducing your risk of fallswith two classes each week.
Rebecca Edwards is a physiotherapistwho works in the falls clinic. She says:“Our aim is for older people to regainconfidence so that they can take chargeof their own recovery.
“As well as the classes here in theclinic, the Trust also runs classes incommunity centres. Our award-winningcommunity programme runs for up to 35weeks in different venues across Lambethand Southwark.
“Around 600 people go through theprogramme each year. It helps olderpeople improve their strength andbalance, as well as providingopportunities for socialising.”
The community classes are also opento older people who start to noticechanges in their steadiness and want
Occupational therapistNicole Donnelly andphysiotherapist Rebecca Edwards
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LIVING WELL
support before problems start occurring. The feedback from people taking part
is extremely positive. Some started theprogramme using a walking stick and by the end felt confident in walking without one.
Valerie’s storyValerie Collin, 96, from Vauxhall, was admitted to StThomas’ Emergency Department (A&E) after falling andhitting her head. She has a history of falls, and wasreferred to the falls clinic for treatment.
Valerie’s falls were reviewed by the consultant todetermine if there were any medical reasons for them. The occupational therapist made plans to review her athome for a hazards assessment and Valerie is now takingpart in twice weekly exercise classes at Guy’s Hospital totake the first steps in regaining her confidence andstrength.
Valerie says: “I’m really enjoying the classes. I felt lostafter my fall, and it was difficult for me to get out of thehouse or to get on a bus. The exercise classes are reallyuseful in building my strength and they are alsosomething to do and somewhere to go.”
Valerie’s experience is all too common. Occupationaltherapist Nicole Donnelly comments: “When some peopleare first referred to us they are terrified to stand up, oreven avoid drinking water so that they won’t need to go tothe toilet. It’s so rewarding to support people like Valerieto recover from a fall, helping them to regain theirstrength and confidence.”
How to prevent fallsThere are some simple steps toreduce the risk of falling:
•Keep fit and active You can do strengtheningexercises such as squats or step-ups, and balance exercises such aslunges or walking on tiptoes.
•Stay hydrated It’s very important to drink enoughwater – being dehydrated is one ofthe main causes of falls.
•Home improvements There may be elements of yourhome that increase the risk of fallsincluding poor lighting, triphazards and clutter.
•Get your eyes tested regularly.
•Overcome fears Being afraid of falling increases the risk of falls because peopleavoid physical activity and losetheir confidence.
•Review medication Side effects of medicines cancontribute to falls. If your balanceis getting worse, or you are gettingvery dizzy or having blackouts,your medicines may need to be reviewed.
Valerie Collinat a strengthand balanceclass
Residents of Lambeth and Southwark can contact the Guy’s andSt Thomas’ Strength and BalanceHelpline on 020 3049 5424
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e view from Sierra Leone
After retiring from his role as a consultant at Guy’s and St Thomas’, Dr Terry Gibsonvolunteered with the King’s Sierra Leone Partnership at Connaught Hospital inFreetown, Sierra Leone, from April 2014 to January 2016. He has now returned to anew role at St Thomas’ Hospital where he spoke to Michael Carden.
THE INTERVIEW
Q What made you want to goout to Sierra Leone?
A I felt that I had more to offer. Having worked in developing
countries before, Sierra Leone seemedlike a fantastic opportunity to make adifference and stay within the King’sHealth Partners family.
Q Having worked in the NHS most of your life, how didSierra Leone compare?
A I could immediately see lots of challenges, which is what I was
looking for. But I also realised very quicklythat, in order to succeed, it wasimportant not to try and impose ideasand to be aware of local culture,traditions and attitudes towards illnessand medicine.
Q How does Connaught Hospital compare to what wehave at Guy’s and St omas’?
A Very quickly you accept that you don’t have the same wealth of
facilities that you would in the NHS, andyou have to adapt, innovate and beimaginative. It reminds you just how fewtools you actually need to do the basics ofyour job in acute medicine. The patients Iwas seeing were very sick with lots ofdifferent diseases, but they all required a
diagnosis and appropriate treatments. It was very difficult to get things such as
diagnostic scans or blood samplesanalysed. There was a CT scanner but noradiologist to interpret the results. So nomatter how experienced you are, you dopick up new skills out of necessity!
Q What are your reflections on the role the team played during the Ebola crisis?
A I don’t think it can be said too often how crucial the King’s Sierra Leone
Partnership team was in responding to theEbola outbreak. They were the first torecognise how hospitals needed toreorganise in order to meet the threat. If ithadn’t been for their presence in setting upthe first isolation unit in Freetown, therewould have been a much worse impact onoutcomes and spread of disease.
Q What lessons have you brought back from your time in Sierra Leone?
A A reminder to be respectful of different approaches to illness.
I witnessed people who are very poormaking great sacrifices for their lovedones and suffering tragic loss with greathumility. It makes you realise how veryfortunate we are here and how often weare unappreciative of our NHS.
Q Do you have any advice to anyone thinking of volunteering in somewhere like Sierra Leone?
A Be flexible, listen and adapt. Establish relationships with local
colleagues. Roll up your sleeves and jointhe existing workforce, lead by example,teaching as you go along. I think it offersa fantastic opportunity.
King’s Sierra Leone Partnership isan initiative of King’s HealthPartners Academic HealthSciences Centre, our Trust’spartnership with King’s CollegeLondon and King’s CollegeHospital and South London andMaudsley NHS Foundation Trusts. To find out more, visitwww.kslp.org.uk.
www.guysandstthomas.nhs.uk 15
INTERVIEWTHE
There is no doubt that Terry Gibson’s involvement in Sierra Leone prevented the Ebola tragedy from being much worse. After helping with the initial response to the Ebola outbreak, he became the only senior doctor in charge of the hospital’s four
medical wards. As other volunteers responded to the huge numbers of Ebola cases, he single-handedly ran the wards, caring forpeople with malaria, HIV, diabetes, and many other illnesses.
For two straight months he worked seven days a week and his efforts kept Connaught Hospital open during the outbreak. His commitment and bravery are truly inspiring and he undoubtedly saved many lives.
Professor Sir Robert Lechler Executive Director, King’s Health Partners
16 the GiST
INSIDE OUT
Emma Orgill takes a lookat an exciting newdevelopment that will helpfamilies of patients inEvelina London Children’sHospital for years to come.
Since the first Ronald McDonald Houseopened in 1990 near Guy’s Hospital, it hashelped more than 5,000 families byproviding free ‘home from home’accommodation and support.
When Evelina London Children’sHospital opened 10 years ago childrenstarted to be cared for on the St Thomas’site, rather than at Guy’s. So RonaldMcDonald House Charities will soon opena brand new 59-bedroom House just afew minutes’ walk from Evelina London.
The Clayton familyPeta and Tim Clayton from Jersey stayedat Ronald McDonald House when theirson Tommy was born by emergencycaesarean at 31 weeks, weighing only 2lb 8oz.
They had been on a routine visit to anantenatal clinic in Jersey when doctorsrealised that Tommy wasn’t thriving andopted for an emergency operation.
Tommy was rushed to the Special Care
Baby Unit (SCBU) in Jersey and kept on aventilator, but his condition meant thathe had to be transferred to EvelinaLondon’s Neonatal Intensive Care Unit.
Peta said: “Not knowing how long we'd need to be in London, we were sograteful to be able to stay at RonaldMcDonald House.
“Without the House, we, as worriedparents, would have found it so muchharder to deal with everything.
“Having our own safe and secure roommeant we felt there was somewhere tospend quiet time talking and reflecting onwhat was happening and what we neededto prepare ourselves for next.”
After three weeks in London, Peta andTim were given the green light to go hometo the SCBU in Jersey where the unitcontinued to look after Tommy. Finally,when he was three months old, Peta andTim took their baby home.
Back in timeArchaeologist Richard Hewett visited thesite of the new Ronald McDonald Housein Lambeth Park when constructionstarted. Reflecting on the importance ofthe House and what makes this projectso different, Richard says: “It willultimately provide a great benefit to thecommunity and it’s always rewarding to
Keepingfamiliesclose
“Without the House, we,as worried parents,would have found it somuch harder to dealwith everything.”
www.guysandstthomas.nhs.uk 17
THE LEADING EDGE
be involved with suchan enterprise.”
Because the newHouse is located onthe historic site ofLambeth Palace,Richard makes surethat no archaeologicalartefacts are disturbedduring building.
He describes what has been found:“We have begun to reveal a few artefactsrelated to the seventeenth centuryonwards, as well as a few fragments ofmedieval pottery, possibly from the 12thor 13th century.
“There are indications of a prehistoricpresence, although only a few artefactshave been found, including one flint toolwhich may prove to be a scraper, perhapsfrom the Bronze Age.”www.rmhc.org.uk/evelina
Technology boostspacemaker placementA hi-tech improvement to the waypacemakers are implanted into patientswith heart failure is being pioneered atGuy’s and St Thomas’.
Pacemakers are small electricaldevices surgically implanted into thechest. They send electrical pulses to thepatient’s heart to keep it beatingregularly. Having a pacemaker fitted cansignificantly improve a patient’s qualityof life and can even be life-saving.
It is crucial to ensure the pacemaker leads are positioned correctly. Using software developed by clinicians and engineers at King’s
College London in collaboration with experts from Siemens Healthcare,cardiologists can process precise information from cardiac magneticresonance images (MRI) and combine these with live X-rays during theimplant procedure.
This highly detailed fusion of two images means the team implantingthe pacemaker can place the leads into the best possible position,improving the pacemaker’s effectiveness.
Professor Aldo Rinaldi, consultant cardiologist, explains: “This highlysophisticated technology gives us a much clearer image of the patient’sheart and so enables us to carry out the pacemaker implantation withgreater precision.”
Robert Comber, 70, a part-time film actor and languages teacher,was the first patient to receive a pacemaker implant using the newtechnology.
He says: “I was initially wary of having a pacemaker fitted but thecardiologists at St Thomas’ advised me that this was the best way ofkeeping my heart in good health over the long term.”
Since Robert’s pacemaker was fitted, his heart condition hasimproved and he has gained improved stamina for activities like walkingand swimming.
About the new House
• Ronald McDonald HouseEvelina cost around £13million to build and needs£500,000 each year to run
• Only a short walk to EvelinaLondon Children’s Hospital
• 59 en-suite bedrooms.
Watch a video of Dr Jonathan Behar, cardiology registrar and researchfellow, talking about the new technique at www.youtube.com/gsttnhs.
TRUST LIFE
18 the GiST
Work life9:30am – I meet with doctors, nurses
and other staff for our regularpsychosocial meeting. is importantweekly meeting gives us the opportunity to review the cases of all potentially at-risk or vulnerable children and teenagers who have come to A&E in the last sevendays. We make sure no stone is left unturned in terms of their safeguarding.ere are a couple of young people whowould benefit from my support and I note them down for follow-up.
11:00am – Roughly half of my working hours are spent outside
the hospital meeting young people. Today I meet with a teenager who came to A&E last month due a fight. ingsrecently got more serious and he brought a knife into his youth club which resulted in him being banned. We discuss what happened and he explains he brought the knife for protection from gang members who had been threatening him. After discussing his immediate and ongoingsafety, we explore the actions leadingto this incident and what he could dodifferently in future to avoid thingsescalating.
12:30pm – I pick up a falafel and salad wrap from a stand on Lower
Marsh near the hospital (seriously tasty!)
1:00pm – I get a call from our placement student about a girl she
has been mentoring. e girl has toldher some troubling information about her boyfriend's violent behaviour. After discussing it with the hospitalsafeguarding team, we decide we need to notify social care about our concerns, and come up with an action plan. e relationship of trust that our placement student has been building with this young person over the past fivemonths was central to her feeling safeenough to share what she hadn't toldanyone else.
2:30pm – Back in the hospital I checkwhether any new referrals have come
in. A 13-year-old was beaten up for theirphone the evening before. I take their referralform and a copy of the notes for follow-up.
2:50pm – e mother of someoneI have recently started working
with gives me a call. She tells me herson has been admitted to King’sCollege Hospital after being stabbedin the shoulder. He had been inSt omas' A&E three weeks earlierafter being hit with a baseball bat. I give the youth work team based atKing’s a call to make them aware ofthe young person and their previoushistory. I schedule a time to go andvisit him tomorrow morning.
3:45pm – Finally a bit of officetime. I answer emails and write
up diary sheets that record thedetails of all the young people I havemet with and spoken to.
Tom Isaac, Oasis YouthSupport Manager, is based inthe Emergency Department(A&E) at St Thomas’. Heprovides ongoing one-to-onesupport for young peoplewho come to A&E as a resultof violence or aggression. He talked Sarah Clarkthrough his day.
Tom Isaac outside A&E at St Thomas’
TRUST LIFE
www.guysandstthomas.nhs.uk 19
For more information about supportingyour hospitals go towww.supportgstt.org.uk or [email protected] or call 020 7848 4701.
4:55pm – I remember I have anuneaten Kit-Kat and banana in
my bag.
4:57pm – I no longer have anuneaten Kit-Kat and banana in
my bag.
5:00pm – I call the youngpeople I have booked in my
diary for tomorrow to remindthem we are meeting.
6:00pm – Almost done. I pickup a young person from his
home and take him along to afootball group. He came to A&Ethree months ago after punchingthrough a window at home. In ourone-to-one sessions he told me heloves football but has never played
Why I fundraiseCouncillor Dora Dixon-Fyle was theMayor of Southwark in 2015-16 andGuy’s Cancer Centre Appeal was one ofher two chosen charities. During herterm in office she was passionate aboutraising money for the appeal.
“Cancer is such a tragic illness for somany families,” she says. “It was aprivilege to support Guy's CancerCentre, which has the potential to helpso many people from all walks of lifeand backgrounds to both recover fromand survive their illness.”
Dora took part in many events toraise money, including walking up the29 floors of Guy’s Tower as part of Guy’sUrban Challenge, an abseil, a charityball and a successful quiz night. Shealso strutted her stuff on the catwalk ofCancer Survivors’ Day and visitedpatients at Guy’s and St Thomas’ onChristmas Day.
She says: “I want to say thank you toall the people who pledged and donatedmoney to my mayoral events. Yourcontribution will help build the newCancer Centre – saving lives and givinghope. What could be better?”
for a team. I’m hoping that, afterI’ve taken him along to a fewsessions, he will continue to go byhimself.
is particular football project,Hub Athletic, is part of Oasis'wider community work. It meansthat even after my work with himhas officially come to an end, I willstill be able to track his progress.
If successful, it will help himfocus his energy and emotionsinto a productive activity, as wellas keep him surrounded bypositive role models. Which, in anutshell, is what my job is allabout.
www.oasisuk.org/oasis-youth-support
TRUST LIFE
20 the GiST
On the walls of the South Wing corridorat St Thomas’, you can see a collection ofbeautiful tiled panels depicting nurseryrhymes and fairy tales like Cinderella,Puss in Boots and Little Bo Peep.
Generations of children have enjoyedthe tiles which originally covered thewalls of two of the children’s wards at St
Thomas’ that opened in 1901 and1903 (pictured).
The tiled panels were made byone of the great Victorian ceramicfactories – Royal Doulton ofLambeth – which was among themany potteries that were basedin the area at this time.
The tiles were designed byMargaret Thompson and WilliamRowe who worked alongsideleading ceramic artists of the
Ask us: How do we shareinformation? Dr Cormac Breen, Chief Clinical InformationOfficer, explains how the Local Care Record isimproving the way health organisations locallyare caring for patients.
day including George Tinworth andHannah Barlow. Together these ceramicartists left an artistic legacy that RoyalDoulton is still famous for today.
The original children’s wards weredamaged during World War II but some ofthe tiles survived. They were extensivelyrestored in 2008 and displayed in theircurrent locations for patients, staff andvisitors to enjoy.
The Royal Doulton tiles are part ofGuy’s and St Thomas’ Charity’s fine artand heritage collection, one of the largestart collections belonging to a healthcharity in the UK. The Charity uses art toimprove the environment at Guy’s and St Thomas’ for the benefit of patients,staff and visitors.
What is the Local Care Record?The Local Care Record is a shared care record and a way ofquickly and securely sharing patient information between healthprofessionals at Guy’s and St Thomas’, King’s College Hospital,South London and Maudsley NHS Foundation Trusts and local GP practices.
What difference has it made?The Local Care Record was launched in February 2016 and all 91GP practices in Lambeth and Southwark are now using it. We areavoiding about 25 unnecessary or duplicate tests per GP practiceper month and there are 60-75% fewer phone calls from GPpractices to hospitals. It is saving time for both clinical andsupport staff, avoids duplication of tests and is improving
continuity of care between services. It gives patients greaterconfidence that their care teams have the information they need.
Why is this important?A lot of patients locally receive care at different local hospitals aswell as their local GP practice. Care is improved because clinicianscan quickly see the most up-to-date information in both thehospital and GP systems such as test results, medications andprevious visits, which helps them to make better informeddecisions about patient care.
www.kingshealthpartners.org/localcarerecord
Art at St Thomas’
Doctors use the Local Care Record to share information locally
TRUST LIFEHISTORY CORNER
www.guysandstthomas.nhs.uk 21
“I trust that England will notforget one who nursed her sick,who sought out her wounded toaid and succour them, and whoperformed the last offices forsome of her illustrious dead.”
This comment, written by The Times warcorrespondent Sir William Howard Russellin 1857, provided inspiration for the MarySeacole Memorial Statue Appeal over 12years of campaigning and fundraising.
The statue can now be seen by patients,visitors and staff walking through thegardens at St Thomas’.
Much of what we know about Mary’s lifecomes from her autobiography WonderfulAdventures of Mrs Seacole in Many Lands,written in 1857.
The daughter of a Creole mother andScottish father, Mary Jane Grant was bornin Kingston, Jamaica early in the 1800s.She followed in her mother’s footsteps as adoctress, nurse and entrepreneur, with apassion for travel.
She was widowed after only eight yearsof marriage to Edwin Seacole, and in 1851she single-handedly cared for patientsduring a cholera outbreak in Panama. Shethen returned to Jamaica to look aftervictims of yellow fever. In 1853 she wasasked to supervise nursing services at theBritish Army headquarters in Up-ParkCamp, Kingston, a move that created abond between Mary and the military thatwould last throughout her life.
Arriving in London on business thefollowing year, Mary was distressed bystories of the appalling care being offeredto British soldiers in the Crimean War.Florence Nightingale had already left forScutari, so Mary secured funds to get tothe battlefields under her own steam.
The new statue in the gardens of St Thomas’ Hospital isbelieved to be the first statue in the UK of a named blackwoman. Jean Gray reveals more about Mary Seacole.
Meet Mary Seacole
There she set up the ‘British Hotel’, acanteen and store very close to the warzone, where she also ran a morningdispensary before visiting sick andwounded soldiers in their huts or on thebattlefield. She became known to thesoldiers as ‘Mother Seacole’.
Sir William Russell saw her ‘under fire’ atthree battle scenes. He wrote: “A moretender or skillful hand about a wound orbroken limb could not be found among ourbest surgeons.”
When the war ended abruptly in 1856,Mary returned to London and wasdeclared bankrupt. Key figures in themilitary and the media, together withmembers of the Royal Family, ensured shewas not destitute.
One example of their support was thefour-day ‘Seacole Fund Grand MilitaryGala’ held in July 1857 and attended by
80,000 people. The venue was themagnificent Royal Surrey Gardens locatedin the centre of London on the banks of the Thames.
Mary died on 14 May 1881 at her home inPaddington. Her grave is in St Mary’s CatholicCemetery in Kensal Green, west London.
A Statue for Mary: The Seacole LegacyThe story of Martin Jennings’stunning work, is told in thiscommemorative book. It will beavailable, priced at £20, from theFlorence Nightingale Museum and the Black Cultural Archives in Brixton.Mail order details are available atwww.maryseacoleappeal.org.uk.
The striking statue at St Thomas’ Hospital is lit up at night
TRUST LIFE
22 the GiST
Thanks to a new opportunity at Guy’s and St Thomas’, I’mbreaking down my barriers and taking steps towards achievingmy dream of being a nurse.
After working as a housekeeper at Guy’s Hospital for 14years, I’d always admired the nursing staff. My dad is a nurseand I’ve dreamed of following in his footsteps because I’m soproud of what he has achieved.
I was encouraged to apply for a nursing assistantsecondment by a nurse on one of the wards where I was ahousekeeper. I’d begun to feel confident enough with myEnglish so decided to go for it. When I got the email to say I’dbeen successful I was so happy I screamed. I’d proven to myselfthat I can do it.
I can remember my first day really well, I was so nervousgoing to St Thomas’ rather than Guy’s that I left my lunch onthe Tube – I couldn’t believe it!
The nursing assistant secondment programme is designedfor people just like me who want to move into clinical roles. Aswell as working with the nursing teams on the wards, helping to
From the frontline
care for patients, I’m also studying towards my nursingassistant diploma.
I’ve learned so much in such a short space of time. I used tobe shy and not speak to people I didn’t know, but now I speak todifferent people every day and I am able to build lastingrelationships with our patients.
I’m so much happier in myself. My son is so happy for meand I know my father would be proud.
Say what?
Q What did you want to bewhen you were younger?
A I wanted to be a pilot or an engineer. I studied engineering
at university and worked in a factorymaking fibreoptic cables for a whilebefore I became interested ininformation security.
Q What do you do in your spare time?
A I enjoy doing creative thingslike painting, sculpture and
photography. I recently finished my firstpiece of stonecarving.
Q Why stonecarving?
A I started having lessons two years ago and loved it. It’s so
relaxing – you can’t think of anythingelse while you’re working on a piece. It’snice to have a finished product that is sosolid and that you know will last for ever.
Q Who would you like to meet?
A There are so many interesting people in the world that it’s hard
to pick just one. Maybe Leonardo daVinci because he excelled in so manydifferent areas, from art to engineering,and I’d love to know how he did it.
Q Tell us something that yourcolleagues don’t know
A I once worked as a paintballing marshal. It was great – except
when I was being shot at.
Q What superpower do you wish you had?
A To be able to speak every language on the planet – or even
to talk to animals. I wonder what theywould say?
Q If you could time travel,when would you go?
A I’d go back to before the industrial revolution – before
everything started to be done bymachines. Working in IT, sometimes the last thing I want to see when I gohome is another computer.
Vicky Coulibaly Nursing assistant secondment
Alex Colias, InformationSecurity Manager
Vicky Coulibaly
TRUST LIFE
www.guysandstthomas.nhs.uk 23
We have two pairs of tickets to the London Eye up forgrabs. To be in with a chance of winning one pair, simplycomplete the wordsearch below.
Name
Address
Send your entry by 23 September to the GiST competition,Communications Department, 4th floor, Staircase C, SouthWing, St Thomas’ Hospital, Westminster Bridge Road, SE1 7EH;or you can email [email protected].
The winners will be selected at random and notified withinseven days of the draw. The result will be final and we will notenter into any correspondence regarding the competitionwinners. The prize is non-transferable.
Competition
Raise money for your hospitalFor all the latest news about
our amazing fundraisers and how you can support Guy’s, St Thomas’ and Evelina London,
follow @SupportGSTT and like facebook.com/SupportGSTT
and facebook.com/SupportEvelina
30 September & 1 OctoberGuy’s Urban ChallengeRegister atguysurbanchallenge.org.uk or call 020 7848 4701
October Black History Month
17 October Seminar for Foundation TrustMembers – breathlessnessand respiratory conditions6 – 7.30pm Robens Suite, Guy’s Call 0800 731 0319 or [email protected] tobook your place
20 October Friends of St Thomas’ Mini Market 11am – 3pm Central Hall and BirdsongCorridor, St Thomas’
26 October Joint Board of Directors and Council of Governorsmeeting 3.45 – 7.30pm Robens Suite, Guy’s
What’s On6 September Organ Donation Week event10am – 3pm Tower Wing reception, Guy’s
7 September Seminar for Foundation TrustMembers – dermatology 6 – 7.30pm Robens Suite, Guy’sCall 0800 731 0319 or [email protected] tobook your place
8 September Organ Donation Week event10am – 3pm Birdsong Corridor, St Thomas’
12 – 18 September Sexual Health Week
15 September Annual Public Meeting Refreshments from 5.30pmCentral Hall, St Thomas’
17 – 18 September Open House London Register at www.openhouselondon.org.uk to visit theCancer Centre at Guy’s
E W E J A A P O Z A N V
A N D S P K E Y S R I O
M K T O P L I A P M R Y
U E L E I I T A X S A A
X L R L R E L U L T G G
O W A C L P Y C P R A E
Z G Z L U O R V E O G R
H M I F S R I I M N T J
N T M O O N Y Q S G I A
E D I O R E T S A E B Q
G R A V I T Y J M P R S
T E N A L P Q G U Q O T
ApolloArmstrongAsteroidEclipse
EnterpriseGagarinGalileoGravity
LaikaMercuryMoonOrbit
PlanetSatelliteSoyuxVoyager
Free film screenings:
Medicinema ([email protected]) showsthe latest releases for patients and staffGuy’s Tuesdays, 1.30pm and Thursdays, 7pm St Thomas’ Saturdays, 7pm and Tuesdays, 7.30pmEvelina London screenings on Wednesdays, 6pm
Free lunchtime concerts:
Mondays 1 – 2pm, Central Hall, St Thomas’Wednesdays 1 – 2pm, Atrium 1, Guy’s
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