News https://www.rbht.nhs.uk/ en Hospital team celebrates milestone achievement https://www.rbht.nhs.uk/news/hospital-team-celebrates-milestone-achievement <span>Hospital team celebrates milestone achievement</span> <span><span>S.Anand</span></span> <span>Mon, 12/04/2021 - 17:23</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-04-12T12:00:00Z">12 April 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Royal Brompton and Harefield hospitals’ Clinical Genetics and Genomics Laboratory team is celebrating the milestone of analysing 10,000 samples of DNA. </span></span></span></p> <p><span><span><span>Genetic testing is carried out to confirm a diagnosis of a suspected inherited cardiac or respiratory condition in patients who have symptoms. Blood or saliva samples are collected and are then sent to the Clinical Genetics and Genomics Laboratory where the DNA is analysed by clinical scientists and bioinformaticians. Discovering if patients have an inherited disease can help doctors to decide on the right medical treatment. It also means that relatives of patients can be invited for genetic testing to find out whether they are at an increased risk of developing the same disease before symptoms even start. If they are, then clinical screening and tests can be done more frequently to catch the disease in an early stage when it may be easier to treat, or they may be able to prevent the disease from developing at all through medical treatment and lifestyle changes. All of this can put people’s minds at ease.</span></span></span></p> <p><span><span><span>The laboratory team was established in 2015 to provide genetic testing for inherited cardiac conditions, and two years later introduced genetic testing for inherited respiratory conditions. Starting as only four people just six years ago, the team has gone from strength to strength, and is now a team of 14; four clinical scientists, three bioinformaticians, five technical and two admin staff.</span></span></span></p> <p><span><span><span>In 2018, the laboratory became part of the South East Genomic Laboratory Hub, based at Guy’s and St Thomas’ NHS Foundation Trust, as part of a new national NHS Genomics Medicine Service. As one of four cardiac hubs and one of only three respiratory hubs in the country, the team now receives samples to analyse from the whole of London and South East England.</span></span></span></p> <p><span><span><span>Dr Deborah Morris-Rosendahl, consultant clinical scientist and head of the Clinical Genetics and Genomics Laboratory, said: “We started off receiving just 200 samples a year to analyse, so it is a real achievement for the team to receive the 10,000<sup>th</sup> sample. Among those 10,000 samples there have been many new and confirmed diagnoses for both patients and their family members – this was only possible due to the close working between the laboratory and our fantastic clinical colleagues at Royal Brompton and Harefield hospitals.” </span></span></span></p> <p><span><span><span>Joanne is a Harefield Hospital patient who was offered genetic testing for her cardiomyopathy in 2020 after her brother developed the same condition. Joanne said: “The testing has been a quick and simple process and the implications of the results were explained thoroughly beforehand. Our 10-year-old son was also worried he may have the same gene for cardiomyopathy. Thankfully genetic testing has shown that he has not inherited it, which was a relief. And for those whose genetic testing does discover they have a gene for an inherited condition, clinical screening can be done to help catch the disease at an early stage when it is easy to treat.”  </span></span></span></p> <p><span><span><span>The team at the laboratory works closely with both the paediatric and adult clinical teams and can diagnose conditions such as cystic fibrosis, primary ciliary dyskinesia, aortopathies, inherited arrhythmias and cardiomyopathy. The team is also involved in many national and international research collaboratives as well as the European Molecular Genetics Quality Network and the UK National External Quality Assessment Service.</span></span></span></p> <p><span><span><span>Detailed medical and genetics information is complicated and can be confusing for patients, so clinical geneticists and genetic counsellors are available at all stages of the process to help them make informed decisions about testing and treatment.  </span></span></span></p></div> Mon, 12 Apr 2021 16:23:40 +0000 S.Anand 2896 at https://www.rbht.nhs.uk Royal Brompton and Harefield hospitals team lead Heathrow Mass Vaccination Centre to success https://www.rbht.nhs.uk/news/royal-brompton-and-harefield-hospitals-team-lead-heathrow-mass-vaccination-centre-success <span>Royal Brompton and Harefield hospitals team lead Heathrow Mass Vaccination Centre to success</span> <span><span>R.Dalton</span></span> <span>Wed, 31/03/2021 - 14:34</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-03-31T12:00:00Z">31 March 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Staff from Royal Brompton and Harefield hospitals have teamed up with NHS colleagues from Central and North West London NHS Foundation Trust to open the Heathrow Mass Vaccination Centre.</span></span></span></p> <p><span><span><span>Open seven days a week from 8am to 8pm, the Centre has the capacity to vaccinate 5,000 people every day – around 35,000 people a week. </span></span></span></p> <p><span><span><span>Samantha Cliffe, lead nurse for cardiac nuclear medicine, is one of eleven members of staff from Royal Brompton and Harefield hospitals who have been deployed to the Centre. Samantha said: “It’s one of the most exciting projects I’ve been involved in and I’ve seen both ends of the spectrum now. This end – the vaccine – is the polar opposite to the one in critical care. It offers our patients and their families hope and a brighter future ahead. </span></span></span><img alt="" data-entity-type="file" data-entity-uuid="6fc47cd0-3b9c-49f9-8cbb-ac1dc9546f38" src="https://www.rbht.nhs.uk/sites/nhs/files/news/Heathrow_website.jpg" class="align-right" /></p> <p><span><span><span>“There’s a great camaraderie among staff. Even though we have come from different organisations – Central and North West London, Chelsea and Westminster, and Royal Brompton and Harefield – we have gelled so well together. It’s such a brilliant team. Also, a big thanks to my colleagues in the clinical and operational teams at Heathrow. It really has been an honour to work with everyone.</span></span></span></p> <p><span><span><span>“There have been emotional moments because the vaccine means so much to people – it means they can start to really think about hugging loved ones they have dearly missed <span>and yet it’s a sad reminder of what they have missed out on or lost</span>. The feeling of hope at Heathrow is tangible and exciting. The atmosphere is vibrant and everyone is really happy. We have even received some wonderful artwork from local schools, which brings a big smile to staff and members of the public.”</span></span></span></p> <p><span><span><span>Local Heathrow residents have expressed their gratitude for the Centre. One resident said: “The whole experience has been painless. All staff have been very organised and caring. Eliminated my fears and helped me to relax. Thank you.” Another commented: “Found my whole experience to be welcoming and professional. Was treated well as soon as I entered”</span></span></span></p></div> Wed, 31 Mar 2021 13:34:51 +0000 R.Dalton 2887 at https://www.rbht.nhs.uk One year on: remembering the anniversary of admitting our first Covid-19 patient https://www.rbht.nhs.uk/news/one-year-remembering-anniversary-admitting-our-first-covid-19-patient <span>One year on: remembering the anniversary of admitting our first Covid-19 patient </span> <span><span>S.Anand</span></span> <span>Tue, 16/03/2021 - 16:11</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-03-17T12:00:00Z">17 March 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>On March 17<sup>th</sup> 2020, a patient with Covid-19 was admitted to Royal Brompton Hospital, the first of over 450 such patients who have since been treated by our expert teams.                    </span></span></span></span></p> <p><span><span><span><span>As the pandemic swept through the country, critically ill Covid-19 patients were transferred to Royal Brompton and Harefield from neighbouring hospitals across north west London, to benefit from the skills </span><span>of our clinical teams, particularly in ECMO (extracorporeal membrane oxygenation), a form of life support that oxygenates blood outside the body. </span></span></span></span></p> <p><span><span><span><span>Treating the sickest patients, not only in the region but across the country, has seen the critical care capacity at our hospitals swell significantly over the past year, as our specialist teams responded to growing patient demand. While some teams cared for patients severely hit by the pandemic, other teams ensured services such as transplantation, cardiac procedures and cancer surgery continued, leaving no corner of our hospitals untouched.</span></span></span></span></p> <p><span><span><span>As we remember the anniversary of admitting our first Covid-19 patient one year ago, we mark the extraordinary efforts of our staff, whose commitment, dedication, sacrifice and bravery has never wavered. </span></span></span></p> <div class="video-embed-field-provider-vimeo video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src="https://player.vimeo.com/video/521764440?autoplay=0"></iframe> </div> </div> Tue, 16 Mar 2021 16:11:16 +0000 S.Anand 2849 at https://www.rbht.nhs.uk A legacy of kindness: film highlights continued efforts of staff during the second surge of Covid-19 https://www.rbht.nhs.uk/news/legacy-kindness-film-highlights-continued-efforts-staff-during-second-surge-covid-19 <span>A legacy of kindness: film highlights continued efforts of staff during the second surge of Covid-19</span> <span><span>S.Anand</span></span> <span>Fri, 05/03/2021 - 13:04</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-03-05T12:00:00Z">5 March 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>A Legacy of Kindness, a film produced by Royal Brompton and Harefield’s communications team, captures the continued efforts being made by staff at Royal Brompton and Harefield hospitals to care for some of the sickest Covid-19 patients. </span></span></span></span></p> <p><span><span><span><span>Through the film, we follow the stories of frontline staff, who speak openly and emotionally about their experiences, the personal sacrifices they have made and the pride they have in the level of care given to patients. From stepping into completely new, unfamiliar roles to help care for critically ill patients, to taking up voluntary work helping staff put on personal protective equipment, staff recall the kindness, courage and resilience that has shown up endlessly in the fight against Covid-19 – and in doing so, promises to leave a legacy of kindness. </span></span></span></span></p> <p><span><span><span><span>Joy Godden, director of nursing and clinical governance said: “The film says so much more about our staff than any report could. It beautifully captures the essence of the type of organisation we are. Covid-19 is still with us but with cases continuing to fall and the vaccine roll-out going well, it is good to reflect on what we have achieved so far.”</span></span></span></span></p> <hr /><div class="video-embed-field-provider-vimeo video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src="https://player.vimeo.com/video/514358499?autoplay=0"></iframe> </div> </div> Fri, 05 Mar 2021 13:04:25 +0000 S.Anand 2843 at https://www.rbht.nhs.uk Collaboration between hospital teams saves newborn https://www.rbht.nhs.uk/news/collaboration-between-hospital-teams-saves-newborn <span>Collaboration between hospital teams saves newborn</span> <span><span>S.Anand</span></span> <span>Tue, 02/03/2021 - 09:46</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-03-02T12:00:00Z">2 March 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>Close collaboration between clinicians from Royal Brompton Hospital and Evelina London Children’s Hospital, part of Guy’s and St Thomas’ NHS Foundation Trust, has saved the life of a new-born baby with a rare congenital heart disease. After making a diagnosis while in the womb, clinical teams were able to perform life-saving surgery on the baby boy just hours after being delivered. Seven months on, baby Leo is thriving, thanks to the joint efforts of specialists across the hospitals. </span></span></span></span></p> <figure role="group" class="align-right"><img alt="Baby Leo" data-entity-type="file" data-entity-uuid="d6233bdd-2532-4604-96e4-dbe4ab634045" src="https://www.rbht.nhs.uk/sites/nhs/files/news/Leo%20Coe%20with%20toy%203.jpg" /><figcaption>Baby Leo</figcaption></figure><p><span><span><span><span>Leo was born with total anomalous pulmonary venous drainage (TAPVD), a rare congenital heart disease where the veins that carry oxygenated blood from the lungs do not connect to the heart properly. A problem with his heart was suspected at the 20-week pregnancy scan and Leo's mother was referred to Royal Brompton Hospital’s fetal cardiology unit, where Dr Laura Vazquez-Garcia, consultant fetal and paediatric cardiologist, diagnosed him with TAPVD.</span></span></span></span></p> <p><span><span><span><span>As Leo’s fetal echocardiogram showed cause for concern  from very early in the pregnancy, Dr Vazquez-Garcia wanted to see his lungs and blood vessels in more detail before he was born. Having a close relationship with paediatric and fetal cardiology colleagues at Evelina London, Dr Vazquez-Garcia referred Leo´s mother to the fetal cardiac MRI service there, currently the only one in the world using 3D MRI technology. </span></span></span></span></p> <p><span><span><span><span>Dr Vazquez-Garcia said: “It can be difficult to know which babies with TAPVD will need an operation immediately after birth based on ultrasound scans alone and having additional information regarding the status of the lungs is very helpful to plan the immediate postnatal management. Additionally, the new 3D MRI technology at Evelina London has enabled us to also see the blood vessels in more detail, which is particularly useful for the cardiac surgeons performing the operation.” </span></span></span></span></p> <p><span><span><span><span>Based on his fetal 3D MRI scans, clinicians across both hospitals agreed that Leo was likely to become very unwell soon after birth and would need immediate surgery. A multi-disciplinary team arranged for him to be delivered at St Thomas’ Hospital, with Mr Guido Michielon, neonatal cardiac surgeon at Royal Brompton Hospital, present and ready to operate as soon as it was needed. Just hours after Leo was born, he had the procedure.</span></span></span></span></p> <p><span><span><span><span>Mr Michielon said: “I am happy and proud to have been part of the team that cared for Leo. It was a great example of what we can achieve when we work together. My thanks to everyone involved.”</span></span></span></span></p> <p><span><span><span><span>Dr Vazquez-Garcia added: “I’m very pleased that Leo is doing well. By sharing expertise and technology with Evelina London, we’ve been able to give Leo the best chance at good health.”</span></span></span></span></p> <p><span><span><span><span>Dr David Lloyd, the paediatric and fetal cardiology consultant at Evelina London who worked with Dr Vazquez-Garcia, commented: “It’s wonderful to see Leo doing so well. Collaboration enables us to give the best possible care to babies and their families.”</span></span></span></span></p> <figure role="group" class="align-right"><img alt="Leo with mum and dad" data-entity-type="file" data-entity-uuid="27b1651e-08f3-470c-81aa-3d66cf7e39cf" src="https://www.rbht.nhs.uk/sites/nhs/files/news/Leowith%20mum%20Laura%20and%20dad%20Justin%203.jpg" /><figcaption>Baby Leo with mum Laura and Dad Justin</figcaption></figure><p><span><span><span><span><span><span>Leo’s mother, </span></span></span><span>Laura, said: “We feel incredibly lucky that Leo’s condition was picked up. No-one wants to have that diagnosis, but for Leo it might have been a completely different story if his condition hadn’t been picked up before he was born. This has saved his life and given him a better life.</span></span></span></span></p> <p><span><span><span><span>“We’ve benefitted from this great partnership with specialists at Royal Brompton and Evelina London.</span> <span>We appreciate so much what all the doctors and nurses have done for Leo and us during this past year. We could never thank them enough.</span></span></span></span></p></div> Tue, 02 Mar 2021 09:46:27 +0000 S.Anand 2836 at https://www.rbht.nhs.uk New research helps identify treatment plans for patients diagnosed with PIMS-TS https://www.rbht.nhs.uk/news/new-research-helps-identify-treatment-plans-for-patients-diagnosed-pims-ts <span>New research helps identify treatment plans for patients diagnosed with PIMS-TS</span> <span><span>S.Anand</span></span> <span>Thu, 25/02/2021 - 09:59</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-02-25T12:00:00Z">25 February 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span><span><span>A new study authored by Royal Brompton Hospital paediatric cardiology consultants, Professor Alain Fraisse and Dr Carles Bautista, in collaboration with the infectious disease department at St Mary’s Hospital (part of Imperial College Healthcare NHS Trust) has been published in the journal </span></span></span></span><a href="https://pediatrics.aappublications.org/content/147/2/e2020024554"><em><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span><span>Pediatrics</span></span></span></em></a><span lang="EN-US" xml:lang="EN-US" xml:lang="EN-US"><span><span><span>. The study </span></span></span></span><span><span><span><span><span>will help clinicians to identify which patients with a new syndrome, called paediatric multisystem inflammatory syndrome (PIMS-TS), will go on to become very sick and therefore what treatment is best for them.</span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span>The syndrome, associated with coronavirus, was first reported in the UK in mid-April 2020 and triggered an NHS England National Alert. The Royal College of Paediatrics and Child Health </span></span></span><a href="https://www.rcpch.ac.uk/resources/pims-covid-19-linked-syndrome-affecting-children-information-families"><span><span><span>issued guidance</span></span></span></a><span><span><span> about the emerging syndrome in early May 2020. It has overlapping features with Kawasaki disease (a very rare condition that mainly affects children under the age of five) but is more common in older children and teenagers. </span></span></span><a href="https://jamanetwork.com/journals/jama/fullarticle/2767209"><span><span><span>One other major difference</span></span></span></a><span><span><span> is that patients with PIMS-TS can develop life-threatening shock – a condition where not enough blood is being pumped around the body.  </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>PIMS-TS symptoms vary from patient to patient, but researchers found that all patients had a fever. Other typical symptoms include heart problems such as dilated coronary arteries and excess fluid surrounding the heart, conjunctivitis, gastrointestinal problems and shock. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Clinicians studied 183 children from 13 different countries in Europe, Asia and America, making it the first international study to investigate PIMS-TS. The children had an average age of seven, with 60 per cent reporting current or recent infection with Covid-19. Obesity was noted as the most common underlying health condition and was present in 25 per cent of the children. <span><span>Of the 183 children, 39 per cent required intravenous inotropic drugs, 23 per cent required mechanical ventilation, and two per cent required ECMO. Very sadly, three children died, all of whom were younger than two.</span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span><span><span>The study also found that the quicker children deteriorated before being admitted to hospital, the more likely they were to become seriously ill and need treatment such as extracorporeal membrane oxygenation (ECMO) – a life support system where blood is pumped out of the body and into an artificial heart and lung machine that adds oxygen to the blood, before returning it to the body, allowing the heart and lungs to rest. </span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Professor Fraisse, principal investigator, said:<span><span> “An important finding from our research is that even the sickest children with PIMS-TS, many of whom experience severe heart failure, usually recover. However, during the early phase of the disease we found that half of the patients required intensive care treatment and were in a potentially life-threatening situation. So, it is very important to identify ways we can predict which children will become the sickest patients.”</span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span><span><span>Dr Bautista, who suggested performing the international online survey of PIMS-TS patients, said: “Our study not only found that the quicker children deteriorate the more likely they are to require intensive treatment, but also that 45 per cent of children with the syndrome had potentially life-threatening shock. These findings may lead to a quicker diagnosis of PIMS-TS, which is still a very new disease that we do not know much about.”</span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span>The syndrome affects multiple organs, but children usually go to hospital with severe heart failure. Patients are currently being assessed and treated by a multidisciplinary team from St Mary’s Hospital and Royal Brompton Hospital. Larger studies are now needed to establish how this syndrome is linked to Covid-19 and the best way to treat it. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>The research was reported on by </span></span></span><a href="https://www.mdalert.com/news/article/kids-with-covid-19-linked-mis-c-may-present-with-wide-clinical-spectrum"><span><span><span>Reuters Health</span></span></span></a><em><span><span><span>.</span></span></span></em></span></span></span></p></div> Thu, 25 Feb 2021 09:59:31 +0000 S.Anand 2835 at https://www.rbht.nhs.uk Recovered Covid-19 patient thanks staff for giving him a second chance at life https://www.rbht.nhs.uk/news/recovered-covid-19-patient-thanks-staff-for-giving-him-second-chance-life <span>Recovered Covid-19 patient thanks staff for giving him a second chance at life</span> <span><span>R.Dalton</span></span> <span>Wed, 10/02/2021 - 10:33</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-02-10T12:00:00Z">10 February 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>A Covid-19 patient at Royal Brompton Hospital who was on ECMO for more than 60 days, longer than any other patient treated at the hospital during the first wave of the pandemic, has thanked staff for performing ‘a miracle’ and giving him a second chance at life.</span></span></span></p> <p><span><span><span>Raj, 42, who lives with his wife Ami and two sons Aarav (5) and Ayaan (2), was treated at the hospital during the first wave of the pandemic and spent four months in hospital. </span></span></span></p> <p><span><span><span>Raj was initially admitted to Northwick Park Hospital in April 2020 but was transferred to Royal Brompton with respiratory failure due to Covid-19 and put on Extracorporeal Membrane Oxygenation<span><span><span> (</span></span></span>ECMO) – a form of life support, after conventional ventilation failed to work.  </span></span></span></p> <p><span><span><span>He had multiple heart and lung problems and went into multi-organ failure with staff worried he wouldn’t survive. However, after 62 days on ECMO, and almost four months after he was first admitted, Raj defied all odds and walked out of hospital on 6 August 2020. </span></span></span><img alt="" data-entity-type="file" data-entity-uuid="8c9a6cbe-4d2c-41dd-9944-a0c07d06c45b" src="https://www.rbht.nhs.uk/sites/nhs/files/news/Nair%20%285%20of%2010%29_cropped_0.jpg" class="align-right" /></p> <p><span><span><span>Commenting on his care, Raj said: “The doctors, nurses and staff at Royal Brompton performed miracles. I want to thank every person who stood by me, cared for me 24/7 and gave me a second chance at life. I’m thrilled to be back on my feet and doing well, with my wife and kids, who are my life. All these magical moments are down to you – thank you.”</span></span></span></p> <p><span><span><span>Raj’s wife Ami also wanted to thank staff for saving her husband’s life: “I honestly don’t have the words, it’s like they treated Raj, not as patient, but as one of their family. I’ve never seen anything like the care and support Raj received.  </span></span></span></p> <p><span><span><span>“It’s been six months since Raj left hospital and there isn’t a single day we don’t think or talk about the staff who saved his life – they are a part of our life now and we will be forever grateful.”</span></span></span></p> <p><span><span><span>Jo Tillman, AICU senior nurse and matron, who along with her team looked after Raj throughout his time in hospital, said: “For so long he looked like a patient that wouldn’t survive due to how sick he was. We were always quite cautious and guarded with his progress because he had been in multi-organ failure for so long, but despite everything he did start to slowly improve. </span></span></span></p> <p><span><span><span>“Eventually, his journey turned around, and he kept improving against all the odds. We got to a point where he could come off ECMO in June and after this he continued to get better. It was amazing, as a team we were so happy to see Raj improve and be discharged back home to his family.” </span></span></span></p> <p><span><span><span>Although memories of his time in hospital are hazy, a moment Raj will never forget is staff lining the corridors to clap and celebrate him going home. </span></span></span></p> <p><span><span><span>Raj said: “The celebrations started two or three days before my discharge. Staff came to say goodbye and to wish me luck; they came on their breaks, before and after shifts, it made me feel really special. </span></span></span></p> <p><span><span><span>“Then the night before my discharge, I feared the worst and couldn’t sleep. I kept thinking something would come up on the doctor’s report and my discharge would be delayed. Staff lifted me up though, they were so excited for me and it gave me the confidence to feel excited too. </span></span></span></p> <p><span><span><span>“The day came, and I didn’t know what Jo (Tillman) and others had planned so when I left my room to clapping and cheering, I was overwhelmed with surprise. There were decorations, my name on a banner, staff lined all the way from my corridor to reception. I felt like a king, on top of the world, it was so special and emotional. </span></span></span></p> <p><span><span><span>“I came out by reception and requested staff stop the wheelchair so I could walk out of hospital. I was able to walk out to see my lovely kids’ faces and my dad. It was a bittersweet moment; I knew my journey at the hospital had come to an end, but I was positive and hopeful for the future – a new journey was beginning at home.”</span></span></span></p> <p><span><span><span>Jo, who was there when Raj left, said: “To see him walk out, I thought ‘wow, is this really happening?’ It was such a special moment and one that I will always remember. Raj is a very positive person, and his family are amazing. They had strength and faith throughout it all and when he woke up, I thought ‘you are the same – positive and strong’.”</span></span></span></p> <p><span><span><span>Since leaving hospital, Raj has been doing rehab at home to regain his strength and energy. Although it’s been a long and hard process, Raj is motivated to keep going. He said: “Every pain has been realised but I’m determined to carry on. I will be doing rehab for another six to 12 months, but it’s become a part of my life, I can’t think without it. Every day, I’m finding new ways to regain my strength and get back to normal.”</span></span></span></p> <p><span><span><span>The best part of being at home though, has been time spent with his family. Raj said: “It’s been like I’m in heaven. Every second has been precious with my lovely kids – talking, playing, dancing, singing, getting them ready, preparing their food, helping them with studies – it’s honestly been an out of this world experience for me. </span></span></span></p> <p><span><span><span>“And being back with my wife, who is my eternal world and strength. My second life has made me feel special and worth living even more, and it’s all thanks to staff at the hospital. We hope to go on our first family holiday when things get back to normal. But for now, I’m so happy to be able to say: ‘I am Raj and I am alive’.” </span></span></span></p> <img alt="" data-entity-type="file" data-entity-uuid="1d7c68ce-c88d-4430-9c4d-0bd54c22a8a4" src="https://www.rbht.nhs.uk/sites/nhs/files/news/Family%208_1.jpg" class="align-center" /></div> Wed, 10 Feb 2021 10:33:24 +0000 R.Dalton 2829 at https://www.rbht.nhs.uk Royal Brompton and Harefield hospitals join Guy’s and St Thomas’ NHS Foundation Trust https://www.rbht.nhs.uk/news/royal-brompton-and-harefield-hospitals-join-guys-and-st-thomas-nhs-foundation-trust <span>Royal Brompton and Harefield hospitals join Guy’s and St Thomas’ NHS Foundation Trust</span> <span><span>S.Anand</span></span> <span>Fri, 29/01/2021 - 12:38</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-02-01T12:00:00Z">1 February 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>We are delighted to announce that Royal Brompton & Harefield NHS Foundation Trust has officially joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. </span></span></span></span></p> <p><span><span><span><span>The merger of the two NHS foundation trusts was approved by the Boards and Councils of Governors of both organisations in December 2020. It comes into effect today, 1 February 2021, seeing the creation of a newly expanded Guy’s and St Thomas’ NHS Foundation Trust, with Royal Brompton and Harefield forming a new Clinical Group within the Trust. </span></span></span></span></p> <p><span><span><span><span>Since 2017, Guy’s and St Thomas’ and Royal Brompton & Harefield NHS Foundation Trusts have been working together, and with colleagues across King’s Health Partners, to develop plans to transform care for adults and children with heart and lung disease. This merger is a key step towards achieving these ambitions. </span></span></span></span></p> <p><span><span><span><span><span>To begin with, the merger will mean clinicians and teams working more closely together, building on the partnership work over the last three years, but generally providing services to the same patients and in the same places as they do now. </span></span></span></span></span></p> <p><span><span><span><span><span>Subject to the necessary public consultation, children’s services will move from the Royal Brompton Hospital site to an expanded Evelina London Children’s Hospital at St Thomas’ in around five to six years’ time</span></span></span><span><span><span>.</span></span></span><span><span><span> Subsequently, and again subject to consultation, we hope to build a new centre for heart and lung services at St Thomas’, which will be the home to adult heart and lung services from across the new Trust and potentially other partners as well. There are no plans to move services from Harefield Hospital, but these services will be an integral part of the integration across the new trust.</span></span></span></span></span></p> <p><span><span><span><span><span>Professor Ian Abbs, Chief Executive of Guy’s and St Thomas’ NHS Foundation Trust, says: </span></span></span></span></span></p> <p><span><span><span><span><span>“I am proud to welcome colleagues from Royal Brompton and Harefield to the Guy’s and St Thomas’ family. Together, and with our partners, we have a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients from before birth to old age, and conducting world-leading research.</span></span></span></span></span></p> <p><span><span><span><span><span>“We have already demonstrated that by working together we can achieve more for our patients, not least during our current pandemic response, where partnership working has helped us care for many patients requiring the most specialist treatment.</span></span></span></span></span></p> <p><span><span><span><span><span>“I am looking forward to taking the next step on our exciting shared journey, both with our new colleagues and our clinical and academic partners.”</span></span></span></span></span></p> <p><span><span><span><span><span>Dr Richard Grocott-Mason, Managing Director of the new Royal Brompton and Harefield Clinical Group at Guy’s and St Thomas’ says: </span></span></span></span></span></p> <p><span><span><span><span>“This is a hugely significant moment in the history of Royal Brompton and Harefield hospitals. From our earliest discussions with Guy’s and St Thomas’ we realised we had the chance to create something new and dynamic with colleagues who shared our values and appetite for innovation and transformation – vital for a specialist Trust with a strong reputation for breaking new ground in heart and lung disease treatment and research.</span></span></span></span></p> <p><span><span><span><span>“Healthcare will undergo radical transformation over the next ten years and hospitals and</span></span> <span><span>healthcare providers will need to respond. Joining Guy’s and St Thomas’ gives us the best chance of leading and shaping the transformation of heart and lung care and research on a national and international stage.” </span></span></span></span></p> <p>For more information about our partnership with Guy's and St Thomas', read our <a href="https://www.rbht.nhs.uk/about-us/kings-health-partners-collaboration/our-plans-for-closer-working-guys-and-st-thomas-nhs-foundation-trust/frequently-asked-questions">frequently asked questions</a>. </p></div> Fri, 29 Jan 2021 12:38:29 +0000 S.Anand 2823 at https://www.rbht.nhs.uk How does a hospital continue life-saving treatment in the middle of a global pandemic? Christina Lamb, from the Sunday Times, investigates https://www.rbht.nhs.uk/news/how-does-hospital-continue-life-saving-treatment-middle-global-pandemic-christina-lamb-sunday-times <span>How does a hospital continue life-saving treatment in the middle of a global pandemic? Christina Lamb, from the Sunday Times, investigates </span> <span><span>S.Anand</span></span> <span>Mon, 25/01/2021 - 15:41</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-01-25T12:00:00Z">25 January 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>Last week, Christina Lamb from The Sunday Times visited Harefield Hospital to find out how the hospital’s clinical teams are continuing with life-saving surgery in the middle of the latest Covid-19 surge.</span></span></span></span></p> <p><span><span><span><span>Lamb met with clinicians from the hospital’s cardiac, transplant and intensive care teams to see how it is possible to continue with these vital services while looking after some of the sickest Covid-19 patients who need the highest level of critical care. Nick Hunt, the hospital’s director of service development, attributed this to clinical innovations and sheer staff dedication</span><span>: “Emergency situations often bring out the best in people and that’s certainly been the case at Harefield. Initiatives that we’d talked about for months, or even years, have materialised in weeks. </span></span></span></span></p> <p><span><span><span><span>“Even with the incredible demands on staff and capacity we have somehow managed to introduce digital outpatient clinics, home testing, webcam support in ICU, and new ways of collaborating remotely with other hospitals that effectively give patients access to expert opinion from multiple sources. We’re well-known for our innovation, but the speed at which these solutions were found was remarkable; we have literally transformed the clinical landscape.”</span></span></span></span></p> <p><span><span><span><span>The formation of the ‘Cardiac Hub’, established during the first wave of the pandemic last spring, has ensured that priority cardiac procedures can still go-ahead. Spearheaded by consultant cardiologist, Dr Shelley Rahman Haley and cardiac surgeon Mr Mario Petrou, the cardiac hub <span><span>ensures that patients who need cardiac surgery are promptly reviewed and treated. It is made up of an expert team of consultant cardiologists and surgeons from across London who review and discuss patient cases from Royal Brompton and Harefield Hospitals and other trusts across the South East – to decide if urgent surgical intervention is needed. Experts at Harefield Hospital have performed 100 cardiac procedures since Christmas. Commenting on the cardiac hub, Mr Petrou said: “Patients are not just getting a second opinion, but maybe 20-plus, which is incredible.”</span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Surgeons at the hospital’s world-famous transplant unit have carried out three lung transplants in the last week alone. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Like many other teams across the Trust, the lung transplant team has had to adapt how it delivers its services to patients, many of whom are shielding and have been able to benefit from having their appointments virtually. Speaking about the virtual clinics, patient Vanessa Tedbury said: “I prefer it. I used to have to write off the day.” </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Dr Reed and her colleagues also organise regular webinars for their transplant patients so they are kept informed on the latest Covid developments and how these might impact them. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>And all of this activity is taking place against a backdrop of critically-ill Covid-19 patients, who are under the hospital’s specialist care, and require advanced life support. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>“Increasing our intensive care capacity to support the sickest Covid patients has inevitably affected how we prioritise non-Covid cases”, said Dr Robert Smith, consultant cardiologist at Harefield Hospital’s heart attack centre. “But for patients who come in with urgent, life-threatening cases, we have not compromised on getting them the care they need, when they need it – which, to a large extent, means it is still business as usual at our heart attack centre.”</span></span></span></span></span></span></p></div> Mon, 25 Jan 2021 15:41:34 +0000 S.Anand 2821 at https://www.rbht.nhs.uk Latest information on procedures and appointments during Covid-19 https://www.rbht.nhs.uk/news/latest-information-procedures-and-appointments-during-covid-19 <span>Latest information on procedures and appointments during Covid-19</span> <span><span>S.Anand</span></span> <span>Fri, 08/01/2021 - 12:33</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-01-08T12:00:00Z">8 January 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>In light of the significant increase of new Covid-19 (coronavirus) cases, we have put measures in place to ensure our patients and staff are safe in our hospitals. As part of these measures, we have reorganised the way care is delivered, with non-urgent, planned procedures being reduced and priority given to urgent cases where patients’ health would be at risk if treatment was delayed. </span></span></span></span></p> <h3><span><span><span><span>Outpatient services</span></span></span></span></h3> <p><span><span><span><span>Most of our outpatient clinics at Royal Brompton and Harefield hospitals are continuing to run as normal via </span><a href="https://www.rbht.nhs.uk/patients-visitors/patients/outpatient-information#Telephone%20and%20video%20consultations"><span>telephone or video</span></a><span>. Patients who have an existing appointment should attend as planned. If a decision is made to postpone an appointment, patients will be contacted by their clinical team. </span></span></span></span></p> <h3><span><span><span><span>Urgent and emergency care</span></span></span></span></h3> <p><span><span><span><span>Urgent and emergency care, including cancer surgery, will continue. We are working closely with our partners to ensure that patients receive the appropriate level of care and treatment that they need. </span></span></span></span></p> <h3><span><span><span><span>The Cardiac Hub </span></span></span></span></h3> <p><span><span><span><span>The Cardiac Hub has been set up to ensure that patients who need cardiac (heart) surgery are promptly reviewed and treated. The hub is made up of an expert team of consultant cardiologists, surgeons and other specialist staff across Royal Brompton and Harefield hospitals, who review and discuss patient cases and decide if urgent surgical intervention is needed. Each cardiac case is considered carefully by the clinical teams involved in the patient’s care, who decide on the need for surgery and the timing of it. </span></span></span></span></p> <h3><span><span><span><span>If a decision is made to go ahead with a procedure </span></span></span></span></h3> <p><span><span><span><span>If your clinical team believes that the risk to your health of not having treatment is very high, surgery will be advised. In this instance, it will have been agreed that your health would be at risk if treatment was delayed. Your clinical team will discuss with you the benefits and risks of the procedure and answer any questions you have, before going ahead with surgery. </span></span></span></span></p> <h3><span><span><span><span>If a decision is made to delay a procedure </span></span></span></span></h3> <p><span><span><span><span>If your clinical team believes that the risks of having surgery at the present time outweigh the benefits, your treatment will be delayed until a later date. Your clinical team will continue to monitor your condition. However, if your condition worsens, you should contact your clinical team without hesitation, to access the advice and support you need.      </span></span></span></span></p> <h3><span><span><span><span>Testing for the virus</span></span></span></span></h3> <p><span><span><span><span>If you are being admitted to one of our hospitals for a cardiac procedure, you will be asked to take a series of tests for Covid-19 before surgery goes ahead. This is to ensure that we keep you as safe as possible and reduce the chance of spreading the virus to other patients or staff. The tests will be explained to you fully by your clinical team. You can also find more information </span></span></span></span><a href="https://www.rbht.nhs.uk/sites/nhs/files/COVID19%20Patient%20information%20leaflet_0.pdf">here</a><span><span><span><span>. </span></span></span></span></p> <p><span><span><span><span>We are sorry for any disruption to your care during this difficult time. We are doing everything we can to provide the best care and treatment for you, and we will be reviewing how this is delivered on an ongoing basis. Thank you for your understanding.</span></span></span></span></p> <hr /><p><span><span><span>Useful links:</span></span></span></p> <ul><li><a href="https://www.rbht.nhs.uk/sites/nhs/files/COVID19%20Patient%20information%20leaflet_0.pdf">How your care and treatment may change during the Covid-19 pandemic</a></li> <li><span><span><span><a href="https://www.rbht.nhs.uk/patients-visitors/patients/inpatient-information"><span>Information for patients visiting the hospital for a procedure</span></a></span></span></span></li> <li><a href="https://www.rbht.nhs.uk/sites/nhs/files/COVID-19%20and%20heart%20surgery%20(002).pdf">Covid-19 and heart surgery</a></li> </ul></div> Fri, 08 Jan 2021 12:33:28 +0000 S.Anand 2819 at https://www.rbht.nhs.uk