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Monthly archives: July 2021

Heartbeat: Farwell to Dawn, Mary and Sue – 90 years serving the NHS

 

With a total of over 90 years between them working within the NHS, healthcare assistants, Dawn Norman, Mary Mumford and Sue Steadman look back upon  their time having all recently retired from the Trust.

Not many people can say they have worked in a job they love; in a role they are passionate about and alongside great friends. But for Mary, Dawn and Sue, their time as healthcare assistants (HCAs) has come to an end as they soon enter their well-deserved retirement. Their combined 90 years within the NHS shows their true dedication and passion for their roles and their commitment to caring for others.

Heartbeat caught up with them to find out more:

So, tell us about your journey

Mary: I started as a domestic in 1988, loved the contact I had with patients on the ward, so when an opportunity for an auxiliary nurse arose, I couldn’t wait to apply and get started.

Then I started working on Priory 2 surgical ward with Dawn – I loved every single minute. It’s also lovely that Dawn and I stayed on the ward together for all this time, and are now leaving together too.

Dawn: My career within the NHS started as a member of the NHS Bank staff. I then joined Mary on Priory 2 and we worked together for 30 years. From there we went on to outpatients. I can honestly say I’ve loved every minute of the job.

Sue: I became a HCA many years ago after my gran was admitted to hospital with a shoulder injury. While I was there I started helping patients and chatting to them. This inspired me to leave office work and work in a nursing home for two and a half years before applying for outpatients.

What advice do you have for those at the start of their career?

Dawn: My advice would be to get to know your patients and build a rapport with families. Patient interaction is by far one of the best parts of the job.

Mary: To find pleasure in what you are doing. I have thoroughly enjoyed my time and it really has been like working with a family.

Sue: Make sure you enjoy the area you are in and maybe think about training opportunities to perhaps become a nurse.

What have you enjoyed most about working within the Trust?

Sue: I have enjoyed the variety my role has given me and to learn different clinics.

Dawn: I’ve always wanted to work within the care sector. We’ve had ups and downs on the wards and it has been hard work. But when you’ve got a great team behind you, it makes all the difference.

Mary: I’ve loved all of it but working with a great team makes all the difference.

If you hadn’t worked for the Trust, what would you have done instead?

Dawn: I always wanted to go into care work. If I hadn’t followed this career path, I think I would have worked in a nursing home or another line of care.

Sue: If I had not worked for the Trust, many years ago I wanted to be a midwife. I also did some office work too.

What are your plans for your retirement?

Sue: For me, I plan to spend time baking, catching up on reading, walking and generally enjoying life! I also want to spend some more time in the garden.

Dawn: I can’t wait to enjoy myself and spend lots of time with family throughout my retirement.

Mary: I plan to spend my retirement with my husband, as we approach our 50 year anniversary. We can’t wait to spend more time together and enjoy ourselves.

Jaswinder Verdi, Sister, outpatients department said: “We say a fond farewell to three of our highly thought of HCAs. They have shown dedication and commitment throughout their time working for the Trust and outpatients department. They have worked tirelessly and professionally caring for patients, their knowledge, expertise and presence will be sorely missed in outpatients. We wish them all the very best for their retirement and the future ahead.”

Does your mandatory training expire in August?

 

A number of colleagues have ‘Basic Prevent Awareness Training’ which is due to expire in August.  Previously this was covered by a leaflet attached to payslips, however, it will now need to be completed via e-learning to comply with national standards. Please could colleagues and managers check records and ensure that this training is completed as soon as possible to avoid people going ‘out of date’ and to enable records to be updated.

This training can be completed via e-learning in ESR. The course you need to complete is 381 E-Learning – Preventing Radicalisation (Basic Prevent Awareness).

Click here for more information on how to access and complete the e-learning.

Heartbeat: From Iraq to Birmingham – Bnar’s nursing journey

 

Over the next few issues of Heartbeat we will feature inspiring stories of colleagues who are part of the SWB family through the Healthcare Overseas Professionals (HOP) programme.

The programme supports people from overseas (who are qualified healthcare professionals in their own home countries) to get back into clinical practice. These colleagues are required to pass either the International English Language Test or the Occupational English test before they take their professional exams.

In this issue we meet 35 year old mom of two, Bnar Osman.

She told Heartbeat: “I came to the UK in 2008 after completing a nursing degree in Iraq (Kurdistan). At the time my husband was already in the UK and had been running his own business since 2005.

“When I arrived I hardly knew any English – so you can imagine how difficult things were for me. But then the children came along and brought me so much joy so I decided to study English in the hope of fulfilling my dream of becoming a nurse.

“I heard about the HOP programme through the Brushstrokes community project. When I learned of the scheme I knew it would help change my life. The team gave me the belief I needed to realise that anything is possible and to never give up.

“With the support of HOP, I attended an open day at the Trust in 2019 with the hope of securing a job as a nurse. I was interviewed on the day but because I didn’t have NMC registration at the time, I was advised to apply for a healthcare assistant (HCA) role instead.

“I was really delighted to be given such a wonderful opportunity. The HOP team worked very hard to help me achieve this success. I was so nervous thinking this is never going to happen and that I will never work for the NHS, but the programme kept me focused and I stayed positive.

“Currently, I am working as a HCA at City hospital. Working as a HCA has helped me so much and I am learning more about the UK culture and I’m improving my English too!

“I enjoy my job so much; the team are very supportive, all my patients and colleagues are very happy with me. When I received the position it was Band 2 HCA, now I am going to do some training to move to Band 3 HCA. This job can help me pass my Occupational English Test meaning I will be able to work as a qualified nurse in the UK.

“I am so grateful for this opportunity.”

Stars of the Week: Sophie Barker and Natalie Cutmore

 

Our Stars of the Week this week are Sophie Barker and Natalie Cutmore.

Sophie has been nominated for outstanding work during the COVID-19 pandemic. Sophie came into her senior sister post for the elective arthroplasty unit but because of the pandemic, this service was stepped down. Despite this, Sophie has shone brightly whilst getting the most out of her new team despite the challenging times. Sophie demonstrates courage, commitment and a caring ethos which is then reflected in the team she leads.

Natalie has shown incredible commitment, courage and resilience over 18 months during the height of the COVID-19 pandemic. Not only supporting and guiding her team but also spurring on all her colleagues during a very complex and challenging time within the Trust. Natalie is a credit to the nursing profession and is a rising star of the future. She always makes time to listen to both her colleagues and patients whilst always being a real advocate and the voice for her patients.

Do you know someone in your team that has gone above and beyond the call of duty? Why not put them forward for Star of the Week by clicking here.

Learn more about randomised controlled trials

 

There is a new short course provided by FutureLearn for people who are interested in learning more about randomised controlled trials.

Randomised controlled trials have a huge impact on society by providing evidence of the effectiveness of healthcare, social care, and public health interventions, as has been shown by the importance of research in determining successful treatments and development of vaccines. On this three-week course from the University of Birmingham, you will be guided through the lifecycle of a trial from conception to publication.

The course is wholly online and you can work at your own pace over the three week cycle of the course. There is approximately 12 hours of study time in total. This first run of the course has already started however you can start anytime in the next there weeks. The course can be accessed here.

Note: This course builds on the learning of What is Health Research, but you don’t need to have studied this first. There is also a FutureLearn course call COVID-19: Understanding the Research Behind the Pandemic. All of these FutureLearn course are free of charge and available for anyone to complete.

Yellow warning of flooding and thunderstorms affecting West Midlands

 

Some areas across the West Midlands are forecast to see thunderstorms through Tuesday and Wednesday this week with the potential for travel disruption and flooding.

Details of the weather warning can be found on the Met Office website.

This weather could increase the health risks to vulnerable patients and disrupt the delivery of services. Please refer to the Trust’s Severe weather plan.

What to expect:

  • There is a small chance that some homes could be flooded quickly, with damage to some buildings from floodwater, lightning strikes, hail and strong winds
  • Where flooding or lightning strikes occur, there is a chance of delays and some cancellations to train and bus services
  • Spray and sudden flooding could lead to difficult driving conditions and some road closures
  • There is a small chance that some communities become cut off by flooded roads
  • There is a slight chance that power cuts could occur and other services to some homes and businesses could be lost

Colleagues are expected to make every reasonable effort to attend work (including using public transport when they wouldn’t normally) providing it is safe to do so.

  • If not able to reach their normal base, to attend an alternative base if that is easier to reach.
  • To work from home (if applicable and agreed with their manager)
  • Colleagues unable to attend work or work from home, to notify their managers ASAP and required to either take the day as annual leave or time in lieu (to be agreed locally).
  • Colleagues who are able to walk in but are not rostered to work may be asked to support their work area. This is not mandatory and will be based on mutual agreement and rescheduling of work duties

Please ensure that all staff contact details are up to date and that you have a plan in place so that you are aware of any issues at departmental level.

COVID-19 Bulletin: Friday 23 July

 

Many colleagues will be aware that unfortunately we are seeing a steady increase in community COVID-19 infection rates – currently on a level similar to that seen during the first wave in April last year. This translates into an increase in patient admission to the wards and critical care, and our modelling suggests that we will see further increased admissions.

 As a system we work with other Trusts within our region to try and share the pressure on beds and patient admission.  This to date has alleviated some of the pressure and has meant that patients admitted to critical care have been manageable, and this work with other Trusts will continue in order that we can maintain our services to patients. However we do need to be prepared for the possibility of patients requiring future critical care interventions and the need for reservists to support these patients. Therefore we’d like to prepare you for the possibility of reservists returning in the near future.

 There are steps you can take to help with our response regardless of your role in the Trust, with the foremost one being making sure you have received your two COVID-19 vaccination jabs. If you haven’t done so yet, it is not too late, please read on to see all the options to walk-in (at City site) or attend any one of the vaccination clinics advertised below. If you’ve already been double jabbed – thank you. You can also help by wearing your mask whilst on any of our sites, following infection prevention and control hand hygiene rules, maintaining social distance and undertake weekly LAMP (saliva) testing for COVID.

Numbers not statistics: This week (last week)

 

No. of our patients confirmed with COVID-19 No. of positive COVID-19 patients who have been discharged No. of COVID-19 positive patients who have died in our hospitals No.of COVID-19 positive current inpatients No. of COVID-19 research trial participants to date
6,895

(6,786)

 6,919

(6,803)

 1,229

(1,220)

 66

(71)

 1,146

(1,145)

1. New: Self-isolation rules for colleagues in exceptional circumstances

Due to an increase in COVID-19 infections in our community the number of colleagues required to self-isolate has gone up, leading to pressure on our ability to safely staff services. Following newly published contact tracing guidelines and working with the two Directors of Public Health it has been agreed that double vaccinated frontline colleagues that have been pinged can work in exceptional circumstances following a risk assessment. Staff can only attend work during self-isolation but not undertake any other activities. If you are advised to self-isolate please contact your line manager to discuss your ability to return to work. The following questions and areas will  be discussed as part of the assessment:

 

  • Are you doubly vaccinated?
  • Are you able to wear PPE?
  • Maintain social distancing?
  • Undertake a PCR test which must be negative
  • Will need to undertake lateral flow tests for 7 days

For more information please see here.

2. New: SWB lighting the way on LAMP

LAMP, the COVID-19 weekly saliva testing programme, is now well established across our organisation. In fact looking at the stats SWB are now the largest users of LAMP tests in the region, taking over from The Royal Wolverhampton NHS Trust.

By taking part in a LAMP test you are helping the Trust stay safe, your colleagues stay safe and both you and your family stay safe also. So thank you to everyone who has taken the time to register and continue with the testing programme. While we’re now number one when it comes to taking action, there’s still a lot more to do and a great many out there who are not currently involved.

If you are currently undertaking lateral flow tests for asymptomatic testing, please consider moving to LAMP testing. The tests are far more reliable, they simply require a saliva sample rather than swabbing. Additionally, staff that have tested positive for COVID-19 can recommence LAMP testing after 28 days from a positive result, lateral flow testing remains at 90 days – so you can get peace of mind a lot faster post-COVID with LAMP testing than the alternative.

All line managers are asked to remind colleagues to:

  • Call and book a kit collection slot by calling 0121 507 2664 and selecting option 6, on weekends (Saturday – Sunday, 8am – 4pm) 07816 992873 or 07970 428995
  • To undertake weekly testing and drop off their samples regularly each week

Uptake of the weekly saliva test is monitored to ensure we are doing everything we can to protect our patients, the public and each other.

The latest data by group is below:

3. New: Please ensure patients and visitors use main entrances when visiting our hospital sites

As COVID-19 restrictions in the community are lifted, it’s important to remember rules and restrictions remain in place and unchanged within our sites.

Our current arrangements for infection prevention and control for colleagues, patients and visitors at the Trust will continue in light of the community case rate increase and COVID-19 prevalence in our hospitals. Our PPE rules and visiting restrictions remain in place in line with national guidelines for the NHS.

We must remind colleagues to advise all patients and visitors to our hospital sites to use the main entrances only. Colleagues are not permitted to hold doors open or provide swipe/fob access to patients and visitors in any other entrances which are for Trust colleagues only.

4. New: Vaccination update

Across the Black Country and West Birmingham over 80.9% 846,855 of adults have had their 1st dose of the vaccines and 62.7% 656,172 people have now received a second dose. See the latest figures here.

The percentages below are for those aged 18 and over who have now received their first dose of the vaccine by local authority:

  • Dudley  – 86%
  • Sandwell 82%
  • Birmingham – 74%
  • Wolverhampton – 81%
  • Walsall – 83%

During the second ‘Big Walk-in Weekend’ from Friday 16 June to Monday 19 June almost 17,000 COVID-19 vaccines were administered. However, there are over 300,000 people across the local area still to receive their first dose. As you know getting both doses of the vaccine is vital to ensure maximum protection against the virus and will not only reduce peoples chances of catching the COVID-19, but will also reduce the chance of becoming seriously unwell – or even dying – if they do catch it.

One of our patients from West Bromwich who is still suffering from Long COVID after catching the virus last October – Jeanette Bailey (62) –  detailed just some of the symptoms she was suffering:

“All my fingernails and toenails fell out, and my hair literally came out in clumps. I have pain in all my joints and my breathing is affected, and difficult to this day. On Monday coming – 26 July – I’m attending the cardiology clinic to find out how badly my heart has been affected – I’ve developed irregular heartbeats since contracting COVID. I followed the rules and did everything I could to keep safe, but despite this caught COVID last October. I’m now fully vaccinated, for COVID is no joke, and I’m terrified I could catch it again.”

 5. New: ‘Grab a jab’ is back at the Hawthorns

‘Grab a jab’ is back at the Baggies this Friday (23 July) and Saturday (24 July) with further clinics based there in the weeks ahead.

Sandwell Council – in partnership with NHS colleagues and local community and faith organisations – is continuing with its programme of pop-up clinics to give residents the opportunity to get vaccinated, with anyone aged 18 or over being urged to ‘grab a jab’ at The Hawthorns, as West Bromwich Albion supports the vaccination drive again after a successful visit earlier in the month which saw more than 200 people vaccinated.

And it’s not just Albion fans who are welcome – anyone aged 18 or over can go along to get vaccinated at The Hawthorns, or at several other locations around Sandwell over the coming weeks.

 

  • Friday 23 July and Saturday 24 July at West Bromwich Albion Football Club, The Hawthorns, Birmingham Road, from 10am-6pm. (Pfizer only).
  • Sunday 25 July at Guru Nanak Gurdwara, 130, High Street, Smethwick from 10am-4pm. (Pfizer only).
  • Tuesday 27 July at Church of God of Prophecy, Unit N, Park Lane, West Bromwich from 7pm-9pm. (Pfizer only).
  • Friday 30 July and Saturday 31 July at West Bromwich Albion Football Club, The Hawthorns, Birmingham Road, from 10am-6pm. (Pfizer only).
  • Sunday 1 August at Guru Nanak Gurdwara, 130, High Street, Smethwick from 10am-4pm. (Pfizer only).
  • Tuesday 3 August at New Testament Church of God, 31a Church Street, Oldbury from 7pm-9pm. (Pfizer only)
  • Wednesday 4 August at Windmill Community Centre, Messenger Road, Smethwick from 10am-3pm. (Pfizer only).
  • Friday 6 August and Saturday 7 August at West Bromwich Albion Football Club, The Hawthorns, Birmingham Road, from 10am-6pm. (Pfizer only).
  • Tuesday 10 August at Church of God of Prophecy, Unit N, Park Lane, West Bromwich from 7pm-9pm. (Pfizer only).

Details of clinics are available online at the Healthy Sandwell clinics webpage.

Anyone aged 40 or over who needs their second dose of the AstraZeneca vaccine, can also go to Tipton Sports Academy, Wednesbury Oak Road, Tipton, Monday to Sunday from 8am-6pm. (First and second dose Pfizer and AstraZeneca available).

Please make sure it’s at least eight weeks since your first dose – this is important for your health and protection.

Remember:

  • No appointment is necessary.
  • No NHS number is needed.
  • No need to be registered with a GP.
  • No residential address is needed.
  • Offering both first and second dose vaccines – remember to be bring your vaccine card if you’ve had your first vaccination.

With COVID-19 cases rising both in Sandwell and across the West Midlands region, being fully vaccinated is the best way of protecting yourself and others from becoming seriously ill.

6. New: Critical Care surge learning resources

To support staff being redeployed into critical care during the pandemic, the London Transformation and Learning Collaborative (LTLC) has worked in partnership with Health Education England elearning for healthcare (HEE elfh) to develop a range of resources to colleagues who have a role in the Coronavirus response.

These have been highlighted in a new poster which is also available to view and download:

7. Update: Extension to home guidance update

The Trust’s original working from home (WFH) guidance is currently in place until 30 September  2021. There is still a plan to issue a longer-term strategy or plan about home working arrangements in the coming months to carry the Trust through the period to 2023 and to put arrangements on a firmer and more contractual footing.

This ensures fairness for existing and new employees and clarity about eligibility and decision making. The expectation is that this longer-term guidance will take into consideration the potential future desirability for social distancing and the open plan nature of office accommodation in particular in the Trust’s estate from 2022. Also reflecting the general and now more concrete change in working lifestyle that WFH has brought about over the last eighteen months.

You can view the updated WFH guidance here.

8. Update: Wellbeing hour for teams

Wellbeing hour was introduced in June 2021 following feedback and suggestions from colleagues in relation to what support they would like to see as part of the recovery process from the pandemic.

The purpose of wellbeing hour is to create regular time during the working week for colleagues to focus on their wellbeing. Each team is encouraged to nominate one hour per week as a dedicated time for this.

The latest version of the guidance can now be found on Connect.

9. Update: Which rules rule – Trust or venue?

To answer colleagues questions regarding which rules to follow when we are off site – following the relaxing of restrictions nationally earlier this week – the Trust position is that colleagues must follow Trust rules with regard to mask wearing and social distancing during wellbeing days organised by the Trust. Whilst rules in venues will differ from the restrictions we adhere to across the Trust, please respect our restrictions to keep everyone safe. From our opening summary in this bulletin you’ll be aware that COVID has not gone away and we are seeing numbers rise, hence we must all follow precautions, whilst getting the most out of wellbeing away days.

10. Reminder: Monitoring You At Home (MYAH)

A reminder about a unique project for confirmed and suspected COVID-19 patients monitored via a virtual ward by our clinicians in the community.

Patients referred to the Monitoring You At Home (MYAH) service via their GP or from within the Trust are given an oximeter to measure their oxygen saturation levels for early signs of hypoxia.

COVID-19 mainly affects the lungs and causes a viral pneumonia that can lead to low oxygen levels. By measuring the oxygen levels using the oximeter probe that sits on the patient’s finger, clinicians are able to identify early when a patient’s health deteriorates and can recommend corrective measures.

The programme, rapidly closing in on its first anniversary, is for patients who have suspected or confirmed COVID-19 and who are not unwell enough to be admitted to hospital but still need to be monitored with oximetry. Those under MYAH are given instructions on how to record their oxygen saturation and their pulse as well as keeping a check on general symptoms.

You can find out more about MYAH here.

11. Reminder: Be a part of COVID-19 antibody research study

A new research study – COPE-WM The contribution of occupational exposures to risk of COVID-19 and approaches to control among healthcare workers – is underway at the Trust. The research aims to identify why workers in healthcare settings are at higher risk of catching COVID-19 and how best to maximise safety for all staff. Researchers need your help – colleagues are invited to participate by clicking this link: www.birmingham.ac.uk/COPE-study. But be quick, recruitment will end on 31 July.

To be eligible to take part you need to have had a test (PCR or lateral flow) for COVID-19 or relevant symptoms in March/April last year when testing was not available.

Participation includes a home antibody test kit to test for previous COVID-19 infection. You will also need to complete a questionnaire at the start of the study (online or on paper) and a follow up questionnaire after four months. A finger-prick dried blood spot test is also required which will be used to check for COVID-19 antibodies. The test will be mailed to your house.

There is even an opportunity to win an iPad or £200 prize draw.

To take part go to https://is.gd/copewmret, contact the COPE-WM team by emailing cope-wm@contacts.bham.ac.uk or call 0121 414 3151.

Chief Executive’s Message – Friday 23 July

 

One of the privileges, in fact probably the main privilege of the job I do, is getting out and about and meeting colleagues delivering or supporting the delivery of care, in their work environments.  It keeps me grounded about the realities of what I am accountable for.  It gives me the opportunity to get the Trust leadership message across, about strategy and staff development.  It also shows me that much of the information I receive on which to base my decisions or seek my assurance on, has come through many filters to get to me.  The unabridged, and at times brutal, lived experience of colleagues when shared with me, keeps me humble and allows me to challenge more positive perceptions about life in our Trust.

This week has been a great example.  I have done my weekly drop in session, visited the AMU and ward D30 at City Hospital and have visited Rowley Regis Hospital, to learn about their unique contribution to our service portfolio and the future.  I asked lots of questions about how working life is for people at the moment and their working lives are clearly stressful, difficult and anxiety raising.  My experience and learning from the conversations I have had this week was to remind me and then to remind colleagues, that civility saves lives.

What do I mean by the statement “civility saves lives?”.  Well, there is strong evidence, nationally and internationally, that when a colleague interprets a request, instruction or conversation with another colleague as rude, belittling, dismissive or intimidatory, this can have a profound impact, not just on the recipient, but also on other team members and on patient care.  Did you know that, when a colleague is rude to another, even when they don’t intend to be:

  • 80% of the recipients spend time worrying about the rudeness
  • 38% reduce the quality of their work as a result
  • 48% reduce time at work as a result
  • 25% take out their anxieties on their patients
  • 50% reduction is seen in people’s willingness to help others in the team

In other words, incivility affects everyone, not just the recipient of the incivility.  This week, I have witnessed examples of when managers and leaders, under great strain to meet sometimes unrealistic organisational expectations, treat others with rudeness or incivility.  They probably think that they are just trying to get the job done and none of the examples I heard about, were of people intending to cause hurt or harm people psychologically.  But nevertheless people have been harmed by it and, as the research evidence above shows, it can have a ripple effect on patient care that is very negative.

I have also this week, seen examples of great kindness and understanding between colleagues, whether that’s a focus on their mental wellbeing, or professional development or on the often unheralded work of improving team dynamics and team morale.  Our organisation is friendly and capable of great civility and kindness.  Civility saves lives.

Have a good week

Richard

Be a part of COVID-19 antibody research study

 

A new research study – COPE-WM The contribution of occupational exposures to risk of COVID-19 and approaches to control among healthcare workers – is underway at the Trust. The research aims to identify why workers in healthcare settings are at higher risk of catching COVID-19 and how best to maximise safety for all staff. Researchers need your help – colleagues are invited to participate by clicking this link: www.birmingham.ac.uk/COPE-study. But be quick, recruitment will end on 31 July.

To be eligible to take part you need to have had a test (PCR or lateral flow) for COVID-19 or relevant symptoms in March/April last year when testing was not available.

Participation includes a home antibody test kit to test for previous COVID-19 infection. You will also need to complete a questionnaire at the start of the study (online or on paper) and a follow up questionnaire after four months. A finger-prick dried blood spot test is also required which will be used to check for COVID-19 antibodies. The test will be mailed to your house.

There is even an opportunity to win an iPad or £200 prize draw.

To take part go to https://is.gd/copewmret, contact the COPE-WM team by emailing cope-wm@contacts.bham.ac.uk or call 0121 414 3151

Have you completed the NHS People Pulse quarterly survey?

 

Listening to your views remains as important as ever to us. Starting this month we will be using the new People Pulse, a quarterly survey led by NHSE/I, to regularly check in with you and help improve the support we provide as an organisation.

The survey takes just five minutes to complete and allows you to tell us more about your experiences at work, including how motivated you feel and what other support would make the biggest difference to your experience at work at this time.

By sharing your views, you will help us improve the support we provide to you.

You will have now received the survey directly to your inbox – please give your feedback by Friday 30 July.

If you have any further queries please email the communications team swbh.comms@nhs.net.

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