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HappyBirthdayCelebrating 150 yearsof Evelina London
News from Guy’s and St Thomas’ Issue 32 | 2019
THIS ISSUE
2 the GiST
WelcomeI am delighted to welcome you to this issue ofthe GiST.
Even though I have worked at Guy’s and St Thomas’ as a doctor for most of my career,I’m still amazed by the incredible work our staffdo across the organisation and I’m pleased thatwe can share this with you.
Many things have changed since Evelina Hospital for Sick Children firstopened its doors in 1869.
Over the years we’ve developed so many new and better ways to treatchildren, and we now care for 95,000 young patients a year in our hospitaland community services.
In this issue of the GiST, we look at our extraordinary history and theinspiring care we provide today.
You can also read about a family who have paid the ultimate tribute to thedoctors and nurses that saved their daughter’s life – by naming her afterEvelina London. Read their story on page 7.
Our Health Inclusion Team are making a difference to the lives of some ofLondon’s most vulnerable people. Find out about the work they do on page 8.
More than 750 dedicated volunteers provide around 33,000 hours of theirtime each year across our Trust. Meet the wonderful team who help ourelderly patients to get active on the wards on page 10.
You can also read about all the things we are doing as an organisation tobecome more environmentally friendly, on page 14.
I hope you enjoy this issue of the GiST.
Contents
Meet the teamWords and photos by Marjorie Allen, Kelly Cook,Nzinga Cotton, Simon Ellery, Ciorsdan Glass, Maxine Hoeksma, Jessica Law, Rebecca Leddy,Eloise Parfitt, Joe Parry and Anna Perman.
Cover photo by David Tett.
Design: AYA-Creative www.aya-creative.co.uk
Print: O’Sullivan Communications
Front cover: Evelina London patient Marina Yaqobi
TELL US WHAT YOU THINK
If you have any comments about themagazine or suggestions for future articles,please contact the communicationsdepartment, St Thomas’ Hospital,Westminster Bridge Road, London SE1 7EH, or email [email protected]
Visit us online at: www.guysandstthomas.nhs.uk
the GiSTis published by
05 Green fingersGetting active in the garden
08 Helping the hiddenHere for everyone
10 Unsung heroes Dedicated volunteers
12 Happy birthday150 years of Evelina London
18 Helping hand A day with a hand therapist
22 Behind the scenesDiscover the importance of art
Dr Ian Abbs, Chief ExecutiveGuy’s and St Thomas’ NHS Foundation Trust
We are delighted that the GiSThas been shortlisted for the
‘Best Corporate Publication – External’
by the CorpComms Awards 2019.
MedTap, which is free to download,provides answers to common questionssuch as when and how to take pills, what todo about side effects and how to re-order.
Users can watch videos on topics such asheart attacks and atrial fibrillation. They canalso record their medicines, appointmentsand test results to help improve how theymanage their own care.
Gayle Campbell, senior cardiovascularpharmacist at Guy’s and St Thomas’, said:“Understandably, people can forget whathealth professionals tell them about theirmedicines during a clinic visit.
“We developed this app to give patientsthat information at their fingertips. Patientsand their families can access the specificinformation they need whenever they need it.
“It’s like having a recorded version of theirconsultation available 24 hours a day.”
hands over his head, tie his shoe laces andride a bike.
“While Sam has always been extroverted,it has really helped to increase hisindependence and confidence.”
Dr Melita Irving, a clinical geneticist atEvelina London and local principalinvestigator for the study, said: “The aim ofthis study was to reduce the seriouscomplications of achondroplasia, which canbe far reaching and can really affectpatients’ quality of life.
“Being able to help prevent thesecomplications means that children like Samwill be less likely to need interventions likesurgery, which is a really fantastic result.”
A new app that features videos with Guy’sand St Thomas’ staff has been developedto help patients take their medications.
Research shows that 10 days afterbeing prescribed a medicine, more thanhalf of patients are not taking themcorrectly.
ROUND-UP
www.guysandstthomas.nhs.uk 3
IN THE NEWSA round-up of media coveragefeaturing Guy’s and St Thomas’.
Daily Mirror The Daily Mirror featured EvelinaLondon patient, Mia Mifsud(below), who was the youngestcompetitor at the BritishTransplant Games.
The three-year-old had bothkidneys removed by the time shewas three months old and akidney transplant from her dadafter two years on dialysis.
ITV London News Klinefelter’s syndrome is acommon condition where men areborn with an extra X chromosome.It can cause male infertility andoften goes untreated.
ITV London News reported thatGuy’s Hospital is running the firstclinic in the UK to deal solely withthe condition.
BBC Look East Theo Walker was interviewed onBBC Look East about how his lifehas been transformed afterpioneering treatment at St Thomas’ Hospital for severeeczema.
The condition was so bad that itleft Theo in constant pain andunable to move, but everythingchanged after he became one ofthe first people in the country tobe given a new drug calleddupilumab.
A schoolboy has taken part in agroundbreaking trial at Evelina LondonChildren’s Hospital which has helpedhim to grow.
Sam Short, nine, has achondroplasia– also known as dwarfism. The conditionis caused by a gene mutation whichmeans that bones do not grow properly.
This can lead to other health issuesincluding developmental delay, sleepapnoea, and chronic pain.
The results of the trial, which havebeen published in the New EnglandJournal of Medicine, showed that a newtreatment called vosoritide helpedincrease the growth rate in children withachondroplasia by 50%.
Sam’s mother, Jenn, from Fulham inwest London, said: “The trial has beencompletely life-changing for Sam.
“He can now stand straighter, link his
Pharmacist develops information app
Sam Short with his sister Issy and brother Alex
Sam soars withbreakthrough study
Gayle Campbell
4 the GiST
ROUND-UP
Your voiceWe love to hear from our patients, staff and supporters so join theconversation by following us on Facebook, Twitter, LinkedIn and YouTube.
@FrancisCoach01 (from Twitter)Thanks as always to the fabcardiology team @EvelinaLondonperfect balance of friendliness andprofessionalism this morning with mydaughter #patientcenteredcare
@_hannah_tomes (from Twitter)Spent my first ever night in hospital(am alright!) and was bowled over bythe warmth and boundless kindnessof everyone I met. I knew the NHS wasincredible, but as a generally healthyperson, it’s easy to forget when youdon’t use it often. To all at @GSTTnhs– cheers!
Roxanne Vaneeza Butt Beechey (from Facebook)Thank you Evelina hospital for caringfor my boy under severaldepartments brilliant care
Twitter @[email protected]/gsttnhs
youtube.com/gsttnhs
The 300 supporters and staff who took part in London's most thrilling 'urban triathlon' – Guy’s UrbanChallenge – raised an incredible £100,000 for Guy’s and St Thomas’ Charity. The classic route sawthem run 2.4km, spin 15km on a Wattbike and climb 29 floors to the top of Guy’s Tower.
@DrRanj (from Twitter) The face youmake whenyou’ve justsecured a$2billion deal at @BGCCharityDay in aidof @EvelinaLondon! #BGCcharityday
@JoWilsonEcho (from Twitter) Once again @GSTTnhs to the rescue!!!Thank you so much to the CongenitalCardiology team at St Thomas’ hospitalfor their wonderful care for @ciciadamoutoday. A barrage of tests carried out withdiligence and kindness and resultsdelivered by yet another lovely doctor!
Alison Jayne Hunt (from Facebook) 20 months after heart surgery I feelamazing thank you Mr Bosco andeveryone at St Thomas xXx
Picture courtesy of B
rendan Foster P
hotography
Picture courtesy of R
afaela Dom
ingos
Inspiring youthTV presenters Dr Ranj Singh and Dr Ronx Ikharia encouraged EvelinaLondon patients to “dream big” atthe annual Inspiring YouthConference.
Young people aged 11 to 16attended the event, which is now inits fourth year.
Dr Ranj, a Strictly Come Dancingstar, and Dr Ronx, presenter ofchildren's TV show Operation Ouch,spoke about their careers and theimportance of looking after yourself.
Dr Ranj said: “It’s really importantthat we nurture and support youngpeople to dream big and become thebest they can be. Moving intoadulthood can be a very tricky timeso it’s also vital that young peopleknow how to stay healthy and behappy.”
Dr Ronx added: “I wanted to showyoung people that regardless of yourupbringing and background you cando anything you want to do, with theright help, passion and dedication.
“I’m passionate about increasingvisibility and encouraging youngpeople not to put any limits onthemselves. My motto is ‘you cannotbe what you can’t see’.”
During the event young peoplewere encouraged to contribute ideasabout how Evelina London couldcare for them even better.
Isabelle Everest, 13, also gave aninspirational speech about living withcerebral palsy and how she becomea judo champion after undergoinglife changing surgery at EvelinaLondon.
You can read more aboutIsabelle’s story on page 17.
Dr Ronx with two attendees
Patients and staff enjoy the garden
www.guysandstthomas.nhs.uk 5
ROUND-UP
Patients get ‘green fingers’ in Brixton
A new project is helping patients and staffto get active in the garden at Guy’s and St Thomas’ Pulross Centre in Brixton.
Many of those benefitting from the
The Duchess of Cambridge with Amina Deen andher daughter Ramira
garden are people who are staying at thecentre to receive intensive rehabilitation.
They are actively encouraged to attendweekly drop-in sessions alongside staff andvisitors who live locally.
Kevin Solomon, 54, has multiplesclerosis and was an inpatient at thePulross Centre in June.
He said: “I live in a high rise flat off theOld Kent Road so this garden project hasbeen so much fun. I know when I go homeI'll be planting herbs for my windowsill.”
All vegetables and herbs grown will eitherbe given away to patients and staff, or soldat a regular market in the staff restaurant onthe King’s College Hospital site.
The project is funded by Guy’s and St Thomas’ Charity and run by Lambeth GP Food Co-op.
New path into nursing
Guy’s and St Thomas’ haslaunched a new nursingassociate degree withCoventry University.
Nursing associates workalongside healthcare supportworkers and nurses toprovide care and treatment to patients in a variety ofhealthcare settings.
The role was created bythe Government in 2017 andis being introduced inhospitals across the country.
The new two year courseinvolves academic work andwork placements at the Trust.
Dame Eileen Sills, ChiefNurse at Guy’s and St Thomas’, said: “The courseis a fantastic opportunity forpeople who want to pursue acareer in nursing andexperience working in one ofthe country’s largest andmost prestigious NHS trusts.
“This new degree will helpensure nursing associates aretrained to the highestpossible standards and areable to provide outstandingcare to our patients.”
The first cohort of studentsare due to begin the course inMay 2020.
Staff celebrate the new degree
The Duchess of Cambridge, Patron of EvelinaLondon, has visited Sunshine House Childrenand Young People’s Development Centre.
During the visit to the centre in Peckham,Her Royal Highness met a specialist team ofnurses who support first-time parents aged24 and under.
The Family Nurse Partnership in Southwarkis delivered by Evelina London communityservices.
Parents are partnered with a speciallytrained family nurse who visits them regularly,from early pregnancy until the child is two.
The programme supports young mums tohave a healthy pregnancy, and improve theirchild’s health and development.
The Duchess was greeted by delightedstaff and families before meeting youngparents who have been supported by theFamily Nurse Partnership.
Amina Deen, 23, spoke to The Duchessabout the care she received during the firsttwo years of her daughter Ramira’s life.
Amina, from Elephant and Castle in southeast London, said: “The Duchess was lovely
and down to earth. She was very interested inRamira and asked lots of questions about thesupport I received from the Evelina Londonteam and seemed very impressed by theservice.
“When I was pregnant with Ramira mynurse, Debbie, helped me find suitable housing.She would regularly visit us when Ramira wasborn, and we attended classes together at mylocal children’s centre.
“I’m very thankful for the support I’vereceived from the team. It’s given me theconfidence and knowledge to be an evenbetter parent.”
Royal Patronshines a light onyoung parents
SPOTLIGHT
6 the GiST
A new singing group at Guy’s and St Thomas’ is proving to be a breath offresh air for patients with respiratoryconditions.
The Singing for Breathing grouplaunched earlier this year and hasproved such a hit that they’ve increasedfrom one session a month to two.
Breathe Arts Health Research pilotedthe programme and developed thegroup with the Trust’srespiratory team, to supportbreath control, increaseenergy and improveconfidence for patients withrespiratory conditions.
Up to 25 singers are ledby Cleo Lane, who has 20years’ experience runningharmony groups andcommunity choirs.
Cleo said: “The benefits of singing forthose with lung conditions are endless.
“When you’re singing you’re naturallybringing in air from lower down the lungswhich helps to build up your lungcapacity.
“You’re also relaxing your muscles inthe upper half of your body which canget tense through shallow breathing.
“In addition to this, the group is an
incredible social activity. It enablespeople to meet others with the samecondition as them.”
Madalene Clegg, fromChislehurst in south eastLondon, found herconfidence hit rock bottomafter getting pneumonia in2015.
The 71-year-old said: “I’vealways loveddancing andtried to get back into itwhen I was feeling better,but my breathing made ittoo difficult.
“Singing for Breathinghas transformed myconfidence. I’ve just startedballet classes again and I
couldn’t have done it without the group.“It’s not just improved my breathing,
it’s improved my life.”Alan Fearn, a retired IT teacher from
Dartford in Kent, suffers from a lungdisease called idiopathic pulmonaryfibrosis, and has been coming to thegroup since it started.
The 72-year-old said: “Singing withthe group really helps with my breathing.
“Three years ago my lung function
Joe Parrymeets asinging group that isimproving both thehealth and theconfidence of patientswith respiratoryconditions.
“It’s not justimproved my breathing,it’s improvedmy life.”
test showed my lungs were working at79% efficiency, now they’re at 91%. Ontop of that I’ve made some great friends
too.”Wai Richardson-Lam, a
clinical nurse specialist inthe respiratory team,approached Breathe ArtsHealth Research with theidea of setting up thegroup.
She said: “Initially therewere only four patients who took part sothe group has come a long way. It’sbeneficial to their physical,psychological and social wellbeing.”
Hannah Dye, head of programmes atBreathe Arts Health Research, said:“This ever growing group is a clearindicator of how eager patients withrespiratory conditions are to accessopportunities which help their condition.
“Collaborating with patients and staffto introduce an arts and health initiativeis a priority for how we work at Breathe– it makes our programme responsive tothe needs within the Trust.”
Breathe Arts Health Research runs aperforming arts programme across theTrust and is made possible with supportfrom Guy’s and St Thomas’ Charity.
Win whenyou’resinging
Singing for Breathing group
“Singing forBreathing hastransformed myconfidence”
SPOTLIGHT
www.guysandstthomas.nhs.uk 7
A family have paid the ultimate tribute tothe team that saved their daughter’s life– by naming her after the hospital thatcared for her.
Evalina ‘Evie’ Coxunderwent two open heartsurgeries and multipleprocedures to mend anumber of life-threateningheart defects, all beforeher second birthday.
Her parents Justin andJo, from Margate in Kent,wanted to do something tothank the staff at EvelinaLondon Children’s Hospitalwho worked tirelessly to save her life.
Jo, a hypnobirthing instructor, said:“We’ve had such incredible care from thestaff since before she was even born, sowe decided to name her Evalina.
“We added our own stamp bychanging the spelling slightly, and we callher Evie for short.”
After something unusual was detectedon her 20-week pregnancy scan, Jo wasreferred to Evelina London. It was therethe couple were told the extent of theirdaughter’s serious heart defects.
Evie’s two main blood vessels, thepulmonary artery and the aorta, were
swapped over. Known as TGA(transposition of the great arteries), thismeans that blood flows to the lungs and
picks up oxygen but isthen pumped back tothe lungs instead oftravelling around thebody.
Doctors alsodiscovered that she hadmultiple other complexheart problems,including only onecoronary artery insteadof two. Without surgery,Evie would not survive.
Jo gave birth at St Thomas’ Hospital soEvie could be assessed by experts assoon as she was born.
Her first surgery took place at just sixdays old and, after her first open heartsurgery at six weeks old, Evie suffered acardiac arrest.
Doctors battled to save her and after77 minutes of CPR (cardiopulmonaryresuscitation), Evie’s heart began to beatagain.
Once stabilised, she was put on anECMO (Extra Corporeal MembraneOxygenation) machine for five days,which does the job of the heart and lungs.
The machine continuously takes bloodfrom the body, adds oxygen and removescarbon dioxide and then returns it to thebody.
Evie spent a further six weeks atEvelina London and during this timesuffered further complications, includinga collapsed lung, seizures and a stroke.
Justin, a PE teacher, said: “Aftereverything that had already happened, tothen have a stroke, you wonder howmuch she can take. Thankfully her brainfunction was not damaged and she madea full recovery.”
When Evie was 19 months old, sheunderwent her second open heartsurgery which lasted nine hours.
Jo said: “I can’t describe the emotionswe felt after the operation was over. SinceEvie was born, I think we’d felt everyemotion possible.”
Despite the major surgery, Evierecovered so quickly that she was readyto go home six days later.
Justin said: “Evie was back to hernormal, ridiculously energetic self just aweek later. She’s now a happy andhealthy two-year-old.”
A couple tell Joe Parrywhy they decided toname their daughterafter the hospital thatsaved her.
“We’ve had suchincredible carefrom the staffsince before shewas even born, sowe decided toname her Evalina.”
Evalina ‘Evie’ Cox with Justin and Jo
A heartfelttribute
8 the GiST
IN FOCUS
Maxine Hoeksmafinds out how Guy’s and St Thomas’Health Inclusion Team are making adifference to the livesof some of London’smost vulnerablepeople.
(L-R) Dr Polly Nyiri, Dr ShaziaMunir, and Dr Uzma Mahmood
Dashini Sukumaran is one of around4,500 people cared for by Guy's and St Thomas' community Health InclusionTeam.
Made up of admin staff, allied healthprofessionals, case workers, GPs, highintensity user leads and nurses, the teamoffers drop-in services for homelesspeople, refugees, asylum seekers andthose with drug and alcohol addiction.
The clinics are held in GP surgeries,day centres, hostels, and drug andalcohol centres across Lambeth,Southwark and Lewisham.
Dashini said: “I was homeless andthought I couldn't register with a GP. TheRefugee Council put me in touch with thehealth inclusion clinic in Brixton. I'm sothankful for their care.
"I'd had problems in my home country
of Sri Lanka and Dr Mahmood never hesitatedto listen to my story.
“Eventually I was diagnosed with post-traumatic stress and I still find it hard toremember things.”
The 39-year-old added: "The teamhelped me to try to manage thesedifficult things. They ring to remind me totake my medication or call if I don't turnup for an appointment – they arewonderful.”
The Health Inclusion Team offerappointments with access tointerpretation services, in-depth healthchecks to ensure vaccinations are up-to-date, and screening for diseases such astuberculosis and hepatitis.
Dr Shazia Munir, clinical lead for GPrefugee services, said: “Refugees and
asylum seekers are ahidden populationwho have difficulty
accessing healthcare.“We see patients with conditions they
might be unaware of, and many withserious mental health conditions,sometimes as a result of ill-treatment ora traumatic experience in their homecountry.
“We like to think of ourselves as a one-stop shop for our patients. As well aslooking after their health needs, weadvise people on issues such as housingand where they can get legal advice, foodvouchers and clothing.
“We also have great links with otherorganisations so we can signpostpatients to the most appropriate servicesfor them.”
Helpingthehidden “As well as looking after
their health needs, we advise people onissues such as housing and where they canget legal advice, foodvouchers andclothing.”
IN FOCUS
www.guysandstthomas.nhs.uk 9
A listening ear Frank Cooper, a high intensity service user projectlead, supports vulnerable people who frequently visitthe emergency department (A&E), often as a result ofhealth anxiety.
He works closely with patients to understand andaddress the underlying issues, and to help themmanage their concerns and become less reliant on theemergency services.
In a single year, a group of just 520 people attendedthe emergency department a combined total of 3,651times, leading to 1,081 admissions to hospital.
Frank said: “If you feel lonely and isolated you canbecome anxious and stressed especially if you are athome most of the day and you're concerned about ahealth problem, like a heart or stomach condition.
“We work more intensely with patients, go round tosee them, speak to them every day and reassure andencourage them.
“By supporting someone to get out of the house –in effect doing the things family members might do ifthey were there – we can begin to make people feelmore confident to cope with their anxiety and reducethe need to go to A&E.”
Kirit Sehmbi, homelessness nurse
Support on our streets Homelessness nurse, Kirit Sehmbi, supports peoplesleeping rough and the hidden homeless sleeping onpeople's sofas.
Research commissioned by the Greater LondonAuthority found 8,855 people slept rough in the capitalbetween April 2018 and March 2019, an 18% increaseon the previous year.
Together with a team of 15 nurses, Kirit provides arange of care including same day health checks,screening for infectious diseases, wound care,contraception, vaccinations and support to registerwith a GP.
The nurses base themselves in hostels, day centres,specialist GP surgeries and provide street outreach.They also work closely with other services such ashomelessness charities and the mobile dental team.
Kirit said: “It’s about trust and familiarity. We seepeople who have been on the streets for several yearsand have not seen a health professional.
“We give them a general health check, sometimescoming across conditions like frost bite from long-termexposure to the harsh conditions of living on the street.
“We don’t make judgements, we give them all thetime they need and are here for them when they feelready.”
Frank Cooper with a patient
10 the GiST
IN FOCUS
Kelly Cook meets thededicated volunteers whoare helping older patientsto get active on the wardsat St Thomas’ Hospital.
An aspiring doctor and a voiceover artistare among the 26 activity volunteers whogive up their time each week to helppatients get up and moving on the OlderPersons Unit.
Set up a year ago thanks to supportfrom Guy’s and St Thomas’ Charity, theactivity programme has involved musicsessions, bingo, themed parties and evena visit from a Pearly King and Queen.
Katie Roff, volunteer and activitycoordinator, said: “The average age of ourpatients is 83 and many have dementia,which means they can spend longperiods of time in hospital.
“They have often lived an incredible lifeso it’s the job of our volunteers to drawthat out.
“This could be by producing a piece ofart during a conversation, taking them tothe cafeteria for a cup of tea, or talkingabout a film.
“These simple thingscan make a hugedifference by lifting thepatient’s mood andgiving them themotivation to get out ofbed. It benefits thepatient, their carers andour ward staffenormously.”
Carroll Beckwith wasadmitted to hospital with a leg ulcer andspent three weeks on Anne Ward.
The 60-year-old said: “The volunteershave made a lot of difference to my timehere, they’ve cheered me up and takenthe time to sit and listen.
“They are all polite, kind and caringand nothing is too much trouble.
“We’ve played board games, made arts
and crafts, had quizzes and visited theChapel and gardens.”
Julian Scott started volunteering sixmonths ago aftergraduating with a degreein biomedical science.
The 21-year-old said: “Iwanted to give back tothe community whilegaining experience on award as I’m planning togo into medicine.
“When you sit downwith somebody and makethem laugh or smile it
makes you feel like you’re doingsomething meaningful.”
Elisa Canas, a voiceover artist, hasbeen volunteering once a week since theactivity programme was launched.
The 35-year-old said “Volunteering isvery rewarding and I really look forward toseeing the patients.
“One of the best things we have on the
Unsungheroes
“When you sit downwith somebody andmake them laugh or smile it makesyou feel like you’redoing somethingmeaningful.”
Carrol Beckwith with volunteer Elisa Canas
Carrol Beckwith with volunteers Elisa Canasand Julian Scott
www.guysandstthomas.nhs.uk 11
IN FOCUS
ward is the record player. Music is such agreat way of transporting people back intime to when they were younger.
“The stories we get to hear areamazing and it’s a privilege to learn abouttheir lives.”
Daniela Davcevska, deputy ward sisteron Anne Ward, said: “The volunteers arevery valuable on our wards as they freeup the nurses’ time so they canconcentrate on clinically unwell patients.
“Evidence suggests that patients whoare able to get out of their bed and movearound while they are in hospital maintainmore of their muscle strength, are lesslikely to get an infection, and tend toreturn home sooner.”
To find out more, visit
Sonia Laing
Volunteers Helen Mansfield and Elisa Canas with Katie Roff
Fast facts
• More than 750 volunteersprovide around 33,000 hoursof their time each year
• There are 80 differentvolunteering roles acrossthe Trust
• Our volunteers are agedbetween 18 and 90
An expert patient Living with a long term health condition can have abig impact on someone’s life, both physically andmentally.
Volunteers are helping patients to manage theircondition closer to home through the Expert PatientProgramme, which is run by King’s Health Partnersat community sites across Lambeth.
The six week course is available for people with along term condition, such as diabetes, cancer,fibromyalgia, depression or arthritis.
It covers a range of topics including managingdifficult emotions, healthy eating, physical activityand sleep.
Sonia Laing became a volunteer facilitator for theprogramme after benefiting from the course herself.
The 58-year-old said: “It was a life saver for mebecause I met people going through the same issues.
“At the end of the six weeks I didn’t want to leave, Istill had the same health problems but with adifferent outlook.
“Volunteering has given me skills for life and I findit very rewarding. I love meeting new people and itkeeps me active.”
www.guysandstthomas.nhs.uk/volunteering
12 the GiST
IN FOCUS
A little star
Marina Yaqobi with matron Carmen Barton
Marina Yaqobi spent eight months atEvelina London receiving treatment for aserious lung problem and kidney failure.
The eight-year-old underwent anoperation to unblock her veins, spent twomonths in the paediatric intensive careunit and had dialysis every night for theeight months.
After building up her strength, she wasfinally able to receive her dad’s kidney inSeptember and left the hospital a monthlater.
Marina said: “I used to feel very unwell,like I couldn’t breathe properly, but nowI’ve got my daddy’s kidney and it’samazing. I eat everything and I feel betterthan ever.
“When I grow up I want to be a nurse, adoctor, a play specialist, a scientist and ashop keeper.”
After spending so long at the hospital,Marina made friends with all the staff –from doctors and nurses to housekeepersand caterers.
Carmen Barton, a matron on BeachWard, said: “Marina had a rollercoaster ofa journey while she was here so seeingher finally go home was very special.”
150 years ofEvelina LondonMany things have changed since EvelinaHospital for Sick Children first opened itsdoors in 1869, but one thing has alwaysremained the same – a commitment toprovide specialist care for children.
Most hospitals at the time did notallow patients with infectious fevers, orchildren under two years old, becausethey were not expected to survive.
But staff at Evelina fought to overturnthese rules, and by 1900 more than halfof admissions were babies and toddlers.
The four-storey building was describedas having ‘the very latest designconcepts’, ‘with no expense spared tomake this a model hospital’.
The large open wards were floodedwith light, scattered with children’s toysand included a playroom.
Now, 150 years on, today’s hospitalremains focussed on the needs of youngpeople and was also designed with thehelp of children.
Its themed floors have brightlycoloured wards with dedicated playareas, and even a helter skelter.
In the early days, visiting by parentswas limited to certain hours and was notallowed on the same day as an operation.
By the 1970s, the hospital allowedparental visiting every day and went on toestablish a cubicle for mother and child,which was the first in London.
Evelina London now cares for more
than 95,000 children and young people ayear in hospital and the community.
Marian Ridley, Evelina London Director,said: “We are here for our children andyoung people every step of the way –before birth, throughout childhood and asthey become young adults. Our expertsare there for when things go wrong, to give the best treatments in the world, 24 hours a day, seven days a week.”
To find out more, visitwww.evelinalondon.nhs.uk/ThenAndNow
Evelina London has been caringfor children and young people for150 years. Rebecca Leddy andJessica Law find out more.
Fast facts
• In 1869 when the hospital firstopened, there were only 30beds and 300 children wereadmitted in the first year
• Evelina Hospital for SickChildren pre-dates the NHSwhich was established in 1948
• During World War Two there wasextensive damage to thehospital building but no liveswere lost
• In 1949 the hospital schoolopened and was one of the firstof its kind in London
www.guysandstthomas.nhs.uk 13
1895
2019
14 the GiST
e biggest challengeof our time
Sustainability manager Amy ButterworthFernandes tells Simon Ellery about all thethings Guy’s and St Thomas’ is doing tobecome more environmentally friendly.
THEINTERVIEW
QWhy is being a sustainableTrust important?
Being a sustainable organisation meansmaking sure that Guy’s and St Thomas’runs efficiently and uses resources wisely.This benefits our patients, staff and localcommunities, as well as reducing ourimpact on the environment for futuregenerations.
I joined the Trust in the summer and waspleased to see the progress that wasalready being made. Combined heat andpower (CHP) engines were installed in 2008and produce enough electricity to meet halfof our energy needs each year, which hassaved us nearly £3 million in energy costs.
QHow are you reducing air pollution?
Toxic air pollution in London is a big problemso we were delighted that the Mayor ofLondon, Sadiq Khan, chose to launch theworld’s first Ultra Low Emission Zone atEvelina London Children’s Hospital. The vastmajority of vehicles used by the Trust meetthe new standard and we’re committed tosourcing environmentally friendly vehiclesin the future.
We’re also trialling cargo bikes totransport blood for testing between ourhospitals, which replaces an hourlymotorbike or van courier service, cuttingpollution and journey times.
QTell us about the newconsolidation centre
The Trust currently receives up to 160deliveries a day, from clinical supplies tobed linen – much of which is stored on sitefor future use. Now those supplies will bedelivered to a consolidation hub in Dartford,close to the M25, and only the supplies thatare needed on that day will be transportedto the hospitals. We predict that this willreduce the 36,000 annual truck deliveriesto our sites by 90%, and remove the 2,000tonnes of cardboard that normally comeswith our supplies. We’re also hoping to pilotan electric delivery vehicle from January2020 to help cut air pollution.
QHow are you reducing plastic waste?
We have introduced four water bottlerefill stations in our hospitals, which wehope will contribute to reducing theunnecessary use and disposal of 150,000plastic bottles every year. As one of thelargest NHS trusts in the country, whichincludes a dental hospital, a high volume ofplastic cups are used in clinical settings, aswell as in our many catering outlets. Wehave a number of initiatives which aim toreduce the eight million disposable plasticcups, including the holders and lids that weuse. We’re in the process of replacing theseon our wards with china or other
alternatives. A group of staff are alsoexamining how to reduce single-use plasticitems when treating our patients.
QWhat can people do to help?
We have excellent public transport links atboth our hospital sites, but if your only optionis to drive, then please respect our no-idlingsigns. These were designed by children atEvelina London and are placed around ourcar parks.
We have 700 bike racks across our sitesand regular bike safety checks and securitytagging sessions. We have also createdhealthier air and green spaces maps, whichhave been designed to show you the leastpolluted walking routes and clean spacesaround our hospitals.
QWhat about the future?
Climate change is the biggest challenge of ourtime so we have to continue to make changes.Our multi-award winning sustainabilityprogramme has had a big impact on drivingefficiency and reducing waste at the Trust, butwe can always do more.
We’re working on a new strategy for 2020,which will be in line with the United Nation’s2030 vision that calls on all countries topromote economic growth while protectingthe environment.
www.guysandstthomas.nhs.uk 15
Amy Butterworth Fernandes,sustainability manager
16 the GiST
It is well known that cycling is a great wayto stay fit and keep your heart healthy.
Now researchers at Guy’s and St Thomas’ are trying to find out if it haseven more benefits – by using a bike fixedto a bed to help diagnose heart diseasemore accurately.
The technology allows patients to cycleduring an MRI (magnetic resonanceimaging) scan, so doctors can getdetailed images of the heart duringexercise, which is often when patients aremost likely to experience symptoms.
The bike is being used in a study ofhypoplastic left heart syndrome, which isa birth defect that affects normal bloodflow through the heart and can cause
breathlessness and difficulty withexercise.
Dr Phuoc Duong, a clinical researchfellow conducting the study, said: “Peoplewith the condition are born with onepumping chamber in the heart instead oftwo.
“They tend to develop symptoms whenthey are exercising, and unfortunately alot of the tests at present are donewithout the patient taking part in anactivity.
“This meansdoctors cannot seewhat changes occurto cause thesymptoms until it’stoo late and thepatient is at muchgreater risk.”
Doctors hope thatunderstanding whathappens to the heart during exercise willhelp them to treat problems earlier anddevelop more effective treatments.
Aaron Hardwick was born withhypoplastic left heart syndrome and wastreated at Evelina London.
The 21-year-old is now being cared forby the adult cardiology team at St Thomas’ Hospital and is taking part in
Anna Perman finds outabout a study that is using a‘bike on a bed’ to helpdiagnose heart disease.
THE LEADINGEDGE
the study. Aaron, from Epsom in Surrey, said: “I
got involved in research because when Iwas young my parents were worried aboutme. I hope this study can give that supportto other families so they won’t have toworry about their little ones.
“Taking part has helped me tounderstand my heart condition more thanI used to, and given my family that extrabit of support.”
Dr Kuberan Pushparajah,a consultant paediatriccardiologist at EvelinaLondon, is supervising thestudy.
He said: “We are in aunique position at the Trustin that we are able to followa patient’s journey frombefore they’re born, bydetecting heart disease in
the womb, to adult life. “This means we can get to know our
patients and give them really great care.“From a research point of view, this
study means we can really understandheart conditions in incredible detail andlearn more so that we can help futurepatients.”
“Taking part hashelped me tounderstand my heartcondition more thanI used to.”
Patients get on their bike for research
Dr Phuoc Duong with a patient using the bike during an MRI scan
Aaron Hardwick, his partner Faith and their son Jonathan
www.guysandstthomas.nhs.uk 17
Isabelle Everest became a judo championafter receiving pioneering surgery atEvelina London Children’s Hospital.Nzinga Cotton finds out more.
“When I first met Mr Kokkinakis I was completelydependent on my wheelchair to get around.
He recommended that I have ‘guided growth’ surgerywhich sounded very frightening at the time, but Iovercame my fear because the team were so caring.
After the most recent surgery I spent two months infull plaster casts and had a year of intensivephysiotherapy.
My feet are now flat and my knees are straight, whichmeans I can get around more easily with my walkingframe. It also means I can participate in judo without awheelchair.
I developed an interest in the sport from my parents,who run a judo club in East Sussex, and have beencompeting since the age of five.
When I was little, my parents told me I could doanything I want, but I would just have to find a different way ofdoing it, and that’s exactly what I’ve done.
I became the Pan Disability European Judo Champion in2017, just a year after my surgeries and I retained my title in2018.
Unfortunately, this year I came away with silver. I will becompeting again next year so hopefully I will be able to win goldagain.
For the last few years I have attended training sessions forsurgeons with Mr Kokkinakis. I speak about the surgeries I’vehad and how to talk to children with disabilities.
So, you see I’m not just the girl in a wheelchair, I’m not justthe disabled child, the one with cerebral palsy. I am me, IsabelleEverest, Pan Disability European Judo Champion and one day –Dr Isabelle Everest, paediatric specialist.”
Isabelle Everest and Mr Michail Kokkinakis
The patient Isabelle Everest
“Isabelle has been my patient for five years. Shehas cerebral palsy, which affects movement andcoordination and is caused by a problem withthe brain that occurs before, during or soon afterbirth.
Due to the condition, Isabelle’s lower limbmuscles were short, her feet were curvedinwards and she wasn’t able to stand up straight.This made it extremely difficult for Isabelle towalk and get around without support.
In February 2014, Isabelle underwent leadingedge ‘guided growth’ surgery to straighten herknees.
During the surgery, I inserted metalwork tothe front part of her lower thighs, whichstraightened her knees over time.
Two years later, Isabelle had further surgery to remove themetalwork from her knees, lengthen her thigh and shin musclesand realign her feet.
She then had intensive physiotherapy to strengthen her weakmuscles and increase her mobility.
If Isabelle hadn’t had the surgeries she would have beencompletely dependent on a wheelchair to get around.
Evelina London was one of the first hospitals in the UK to startusing this ‘guided growth’ procedure and Isabelle was one of thefirst children to have it done at our hospital.
I now train other surgeons how to do the procedure usingIsabelle as an example.
It has been an absolute joy getting to know Isabelle and herfamily and it’s really pleasing to know that we have helped herimprove her quality of life and become a judo champion.”
MY STORY
From theoperating tableto judo starThe surgeon Mr Michail Kokkinakis
18 the GiST
TRUST LIFE
heal so I take off the dressing, clean thewound and speak to him about theimportance of scar management. Scartissue is like glue and sticks to the softtissue structures underneath, which canstop the tendons moving. We discuss arange of exercises before I dress thewound and make him a splint to wear.
12:00pm – I see a patient who has Dupuytren’s disease, a common
condition that causes one or more fingersto become permanently bent towards thepalm. He’s had an operation to release hisbent finger so hand therapy is now animportant part of recovering hismovement and function.
Our hands naturally curl when we sleepso I make him a splint to wear at night tokeep his fingers straight.
Our hands are incredible parts of thebody that allow us to carry out everydayactivities, from tying our shoelaces todriving a car.
Imagine how you’d feel if somethingwent wrong and you couldn’t use yourhands.
I’m one of the 31 hand therapistsworking across Guy’s and St Thomas’ tohelp people regain the use of their handafter an accident, sports injury or longterm chronic condition.
We are a team of occupationaltherapists, physiotherapists and therapyassistants, working closely with theorthopaedic and plastic surgeons.
We provide rehabilitation for peoplewith hand disorders, whether from birthdefects, carpal tunnel syndrome andarthritis, or because they haveexperienced a range of injuries including
fractures, tendon and soft tissue injuries,nerve injuries or ligament problems.
Last year we saw 46,159 patients, frombabies through to the elderly andeveryone in between.
8:00am – I see around 16 patients aday. The first person has wrist pain
after injuring it at the gym and wasreferred by his GP. I diagnose a ligamentinjury and make him a splint to wear,which protects his hand to stop furtherdamage.
9:00am – A barman who injured his thumb on glass arrives for his first
appointment. He had surgery a few daysago to repair his flexor tendons, whichconnect the muscles of the forearm tothe bones in the fingers and thumb.
The injury will take around 12 weeks to
Fiona Moore, hand therapist, tellsKelly Cook how sheprovides support topatients with injuriesand conditionsaffecting their hands,wrists and upper limb.
Fiona Moore, hand therapist
A helpinghand
www.guysandstthomas.nhs.uk 19
FUNDRAISING
2:00pm – A woman who had an accident with a blender has damaged her extensor
tendons on the back of her hand. I measure herstrength and grip and we talk about theactivities that are meaningful to her. She enjoyscycling so we replicate holding the handle barsof a bike.
4:00pm – A man who cut his hand on broken glass while washing up is back for a follow-
up appointment. I use therapy putty to help buildup his endurance. It comes in different resistancelevels and can be squeezed, stretched, twisted orpinched to help strengthen the hand and wrist.
5:00pm – It’s the end of another busy day. The best part of my job is seeing someone’s
progression. Helping them to get back to theactivities they enjoy and giving them confidenceto socialise again is really rewarding.
Fiona Moore with a patient
Fiona Moore and her colleague
Why I fundraise
Liège to London riders
A man who survived testicular cancer hastaken on a mammoth 300 mile bike ride toraise money for clinical research at Guy’sCancer.
Gary Saunders, from Sevenoaks in Kent,was in his early 30s when he was diagnosedwith testicular cancer in 2011.
He said: “Those twelve months were roughbut I’m here today because of treatment thatis only available due to research, which islifesaving but also very expensive.
“Thankfully life got back to normal for mebut with a new perspective and appreciationfor the work of all of those in healthcare.”
The 41-year-old recently organised a 300mile, three day cycle from the Belgian city ofLiège to the Cancer Centre at Guy's.
He was joined by 17 other riders, includingfriends, family, other cancer survivors, and Dr Deborah Enting, Professor James Spicerand Dr Simon Hughes.
Gary said: “Our mix of ages andbackgrounds is a reminder that cancerdoesn’t discriminate, and it can affect anyoneat any time.”
Money raised will fund two clinical researchfellows at Guy’s Cancer, who will carry outscientific research into treatments forurological cancers.
Want to create your own fundraising event?To find out more, visitwww.supportgstt.org.uk/get-involved
Governors play an important role atGuy’s and St Thomas’, acting as a linkbetween the Foundation Trust membersand the Board of Directors.
The Council of Governors is made upof eight patient, eight publicand six staff governors.
There are also ninestakeholder governors whorepresent the interests ofour local partnerorganisations.
This includes localauthorities, ClinicalCommissioning Groups,NHS England, King'sCollege Hospital NHS Foundation Trust,London South Bank University, King’sCollege London and South London andMaudsley NHS Foundation Trust.
Professor Lucilla Poston has been astakeholder governor for two years andwas nominated by King’s CollegeLondon.
She is Head of Department forWomen and Children’s Health, andHead of the School of Life CourseSciences at King’s College London.
Professor Poston, who lives inClapham, said: “I do a lot of workinvolving the Trust and university so it’sbeen useful for me to find out moreabout the management of our hospitals
and how they work.“I’m able to offer a
research and teachingpoint of view, and cankeep the governors up-to-date on recent researchactivities that involve theTrust and its patients.”
Councillor AliceMacdonald, whorepresents Newington
ward for Southwark Council, wasappointed a stakeholder governor lastyear.
She said: “Health and wellbeing is soimportant to people in Southwark.Being on the Council of Governors is agreat opportunity to ensure that localservices are meeting their needs.
“The Trust is also a huge employerand has a big impact on the localeconomy. My role enables me torepresent local people while bringing
Meet the governorsProfessor Lucilla Poston and Councillor Alice Macdonaldexplain how they are using their roles as stakeholder governorsto shine a light on research and patient transport.
20 the GiST
FOUNDATIONTRUST LIFE
Councillor Alice Macdonald
additional resources andcomplimentary skills to the Council ofGovernors.”
Alice, who is also a school governor,has been looking into ways to improvepatient transport and recently met withthe Deputy Mayor of London to discussthe issue.
She said: “Unlike taxis, patienttransport vehicles cannot use bus lanesin London which can delay peoplegetting to their appointments at thehospital, causing unnecessarydiscomfort and distress.
“I’m going to be following up thispoint with the Mayor’s office, ourassembly members and Transport forLondon to explore how we can makethese journeys more efficient forpatients.”
Professor Lucilla Poston
To become a member call 0800 731 0319, [email protected] or visitwww.guysandstthomas.nhs.uk/membership
The governors are your electedrepresentatives and are keen tohear your views. If you have aquestion, comment or idea pleaseemail [email protected] orcall 020 7188 7346.
To read the governor newsletter,Listening line, visitwww.guysandstthomas.nhs.uk/governors
A warm welcome to our new non-clinical staff governors, RachelWilliams and Laura James, whowere elected in August 2019. Rachelis a senior health records officer inthe health records department,while Laura is a graphic design andcommunications specialist in theEssentia marketing andengagement team.
“e Trust is alsoa huge employerand has a bigimpact on thelocal economy.”
www.guysandstthomas.nhs.uk 21
Did you know that 2020 is the bicentenary of Florence Nightingale? To kick off the celebrations,Ciorsdan Glass and Nzinga Cotton exploresome facts about The Lady with the Lamp.
Throughout 2020, Guy’s and St Thomas’will be celebrating the 200th birthday ofFlorence Nightingale.
Born on 12 May 1820, Florencebecame the founder of modern nursing.
During the Crimean War she improvedconditions at a British base hospital,which resulted in far fewer soldiers dyingfrom their injuries.
This led to Queen Victoria awardingFlorence a jewelled brooch in 1855,designed by her husband Prince Albert,as a “mark of esteem and gratitude forher devotion towards the Queen's bravesoldiers”.
In 1860, Florence established the firstprofessional nursing school in the worldat St Thomas’ Hospital, which raised thereputation of nursing as a profession.
She also influenced the design of thewards at the hospital by proposing full-height windows to provide better lightand ventilation.
Florence’s achievements were trulyremarkable. She was awarded the firstRoyal Red Cross, and was the first womaninducted into the Order of Merit.
On 13 August 1910, at the age of 90,she died in her sleep in Mayfair, London.
To honour Florence’s legacy andsupport the development of nurses andmidwives, Guy’s and St Thomas’ haslaunched The Nightingale Nurse Award.
It recognises the Trust’s most
outstanding nurses and midwives, andinvolves them completing a programme ofwork, which is accredited by King’sCollege London.
Once completed they receive a badge,certificate and have the honourof being known as a‘Nightingale Nurse’.
The Trust is also supportingthe Nightingale Challenge,which encourages hospitalsacross the world to provideleadership and developmenttraining for 20,000 youngnurses and midwives by 2020.
The campaign calls on largeemployers of nurses to give atleast 20 young nurses andmidwives the skills they needto play an even more influentialrole in delivering healthcare.
Dame Eileen Sills, ChiefNurse at Guy’s and St Thomas’, said: “We honourand respect our heritage whichis at the heart of modernnursing, and we are very proudof the legacy FlorenceNightingale left us.
“In 2020, we will be holdingactivities throughout the year tothank and celebrate ourwonderful nurses and to honourFlorence’s amazing legacy.”
HISTORYCORNER
Want to be a Nightingale Nurse?The Florence Nightingale Museum has workedwith nurses at Guy’s and St Thomas’ to launch anew exhibition, Family Corner.
Children can dress up as a nurse and find outfrom the Trust’s Nightingale Nurse award-winners what they like most about their jobs.
To find out more, visit www.florence-nightingale.co.uk/bicentenary
Fast facts
• Although we think of FlorenceNightingale as a great Britishheroine, she was actually born inFlorence, Italy
• In the early1850s, she had a petbaby owl calledAthena, which shecarried around inher pocket. The owlhas beenpreserved and ison display at theFlorenceNightingaleMuseum
• Florence had significantpolitical influence and, in the 1870s,she worked with the government topush for legislation to significantlyimprove sanitation
Picture courtesy of Florence N
ightingale Museum
Getting to know Flo
22 the GiST
TRUST LIFE
From thefrontline
Behind the scenes
Q What does your role involve?
A I bring art into our hospitals and community settings,
either as part of a building project or by commissioning standalone pieces to mark special events or milestones. I work with architects, engineers, artists,designers, along with clinical colleaguesand patients, to develop environmentsthat improve the experience of ourpatients. There is a lot of evidence thatshows how art positively impacts onpatient care.
Q How do you incorporateart into buildings?
A With any clinical building project, there are lots of rules around the
materials we use, and these have tocomply with health and safetyrequirements. This provides an extrachallenge to our projects but we’re
always looking for ways to innovate.We recently used magnetic wallpaperin some of our children’s wards. Thiswas designed with young patients inmind and allows them to personalisetheir spaces. They are sometimesaway from home for a while so thiscan help them feel settled.
Q What’s been yourfavourite project?
A There are so many things I’ve loved working on. Art can
inspire, calm and distract us, whichis so important when you’re inhospital. In our rare diseases centre,where patients often can’t gooutside for long periods of time, wedeveloped artwork to bring theoutside in by using LED lights in aforest setting mural. Getting thechance to bring things like this to lifehas been a dream.
Q What could you not do without?
A The support from Guy’s and St Thomas’ Charity is
invaluable. They support many ofour projects and enable us to designspaces that are patient led. Inaddition to the support for newartwork, they also hold an amazingart collection, which brings art intoeven more areas around the Trust.
Kati Paalosalo-Harris, lead cancer family historynurse specialist .
Liz O’Sullivan, arts manager.
The cancer risk assessment service isfor people who have a family history ofbreast, ovarian, bowel or prostatecancer, and who are concerned abouttheir own likelihood of developing thedisease.
My job is to assess their risk and helpput it into perspective.
Nowadays there’s a lot of informationabout health on the internet and in themedia, but these sources can alsocontribute to misunderstanding.
One widespread misconception isthat an inherited faulty cancer gene
accounts for many cases of cancer. Infact, this often isn’t the case and isresponsible for only 5% to 10% of allbreast and bowel cancers.
Most people don’t realise howcommon cancer is, but one in two of uswill develop it at some point in our lives.
Cancer starts when gene changesmake one cell, or a few cells, begin togrow and multiply too much.
This genetic damage usuallyhappens over the course of someone’slife, but in a minority of cases a faultycancer gene is inherited from a parent.
When I meet a new patient we drawout their family tree and go throughtheir level of risk.
I talk to them about breast and bowelawareness, offer advice on lifestyle andrecommend screening.
A small number of my patients mayrequire a referral to the genetics clinic todiscuss further options.
My job is very varied – I never knowwhat worries someone will have whenthey walk through the door.
I enjoy the one-to-one relationship Ihave with each person, and it’srewarding to be able to use my medicalbackground as a nurse to give vitalinformation and reassurance.
Raise money for your hospitalsand community services
For all the latest news about our amazing fundraisers and how you can support Guy’s, St Thomas’ and Evelina London,
follow @SupportGSTT and like facebook.com/SupportGSTT
and facebook.com/SupportEvelina
TRUST LIFE
www.guysandstthomas.nhs.uk 23
We have a meal for two at Florentine restaurant and bar,in Park Plaza London Waterloo. To be in with a chanceof winning, simply complete the wordsearch below.
Name
Address
Telephone
Send your entry by 10 January 2020 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 within seven days of thedraw. The result will be final and we will not enter into any correspondenceregarding the competition winners. The prize is non-transferable.
Your name and details will be collected solely for the purposes of thiscompetition and in order to be able to contact the winner and send themthe prize. By entering this competition, you give your consent for us to usethe data you provide in this way.
10 December Special Event: Picturing Life and Death on the Operating Table(after hours art session) 7–8.30pm Old Operating TheatreMuseum and Herb Garret 9a St Thomas Street London SE1 9RY For tickets call 020 7188 2679 or [email protected]
1–31 January Dry January(alcohol awareness)
8/22 January Friends of Guy’s and St Thomas’ Hospitals book sale 10am–3pm Birdsong Corridor St Thomas’ Hospital
4 February World Cancer Day
What’s OnFree public tours (weekly event) Mon–Fri 3.30pm, Sat–Sun11.30am and 3.30pmFlorence Nightingale Museum Call 020 7188 4400 or visitflorence-nightingale.co.uk
Until 19 January 2020 Free exhibition: Spanish Flu Florence Nightingale Museum Call 020 7188 4400 or visitflorence-nightingale.co.uk
5 December Friends of Guy’s and St Thomas’ Hospitals book sale and Christmas Market 11am–3pm Central Hall, St Thomas’ Hospital
5 December Carols by Candlelight6.45–7.45pm St Margaret’s Church St Margaret Street Westminster SW1P 3JX For tickets visitwww.supportevelina.org.uk/events/carols-by-candlelight
G E C B A S H K H G E Q
L U O Y M H M V O D C M
V Y Y A L T S X B E O Y
G P A R T I E S L C M D
N N D M F W M E C O M R
I Y I F H L B A T R U A
R Y L X I R S G F A N T
A R O G A I M O O T I B
H E H T O L D E R I T J
S T I N C S E P C O Y B
S O Y T I S O R E N E G
N S E I T I V I T S E F
CelebrationCommunityDecorations
FamilyFestivitiesGenerosity
Free film screenings:
MediCinema ([email protected]) showsthe latest releases for patients and staffGuy’s Tuesdays, 1.30pm and Thursdays, 7pm St Thomas’ Saturdays, 7pm and Tuesdays, 7.30pmEvelina London screenings on Wednesdays, 6.30pm
Free lunchtime concerts:
Mondays 1 – 2pm, Central Hall, St Thomas’Wednesdays 1 – 2pm, Atrium 1, Guy’sThe Performing Arts Programme is delivered by Breathe ArtsHealth Research and made possible with support from Guy’sand St Thomas’ Charity
HolidayLightsOccasion
PartiesRelaxingSharing
Competition
A&E
Simply Organized
NHS 111
