News https://www.rbht.nhs.uk/ en Inside a hospital unit fighting to save sickest Covid-19 patients https://www.rbht.nhs.uk/news/inside-hospital-unit-fighting-save-sickest-covid-19-patients <span>Inside a hospital unit fighting to save sickest Covid-19 patients</span> <span><span>S.Anand</span></span> <span>Tue, 19/05/2020 - 11:11</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-05-19T12:00:00Z">19 May 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>Royal Brompton’s Adult Intensive Care Unit appeared on Channel 4 News last night (Monday, May 18<sup>th</sup>) as Health and Social Care Correspondent Victoria Macdonald reported on ECMO (extracorporeal membrane oxygenation machine) and how, when ventilation is no longer enough to keep a patient alive, ECMO is often the last hope for the sickest patents. </span></span></span></span></p> <p><span><span><span><span><span>ECMO is used when a patient has a critical condition which prevents the lungs or heart from working normally. ECMO oxygenates the blood drained from the patient, which is then returned to the patient when their lungs are unable to do so. An ECMO machine is similar to equipment used during a heart-lung bypass operation.</span></span></span></span></span></p> <p><span><span><span><span>The Trust is one of five ECMO units in England and Royal Brompton is currently caring for some of the most critically-ill Covid-19 patients in the country. In the piece, Channel 4 News explores how ECMO works with Dr Stephane Ledot, intensive care consultant and ECMO lead, and Jo Tillman, critical care senior nurse. Members of the Trust’s ECMO team talk through the patient retrieval process and what it is like caring for patients on ECMO - giving viewers a valuable insight into the entire ECMO process.</span></span></span></span></p> <p><span><span><span><span>The piece also shines a light on the Trust’s Family Liaison Team, established to work with patients’ families to ensure they are kept informed and updated everyday on their loved one’s condition. ECMO patient, Damion, speaks fondly of the care he received from the team while his wife Margaret talks of the comfort she found in working with the Trust’s Family Liaison Team. </span></span></span></span></p> <p><span><span><span><span>The full piece can be viewed <a href="https://www.channel4.com/news/inside-a-hospital-unit-fighting-to-save-sickest-covid-19-patients">here</a> and below:</span></span></span></span></p> <div class="video-embed-field-provider-youtube video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src="https://www.youtube.com/embed/IqfW1t_gvRY?autoplay=0&start=0&rel=0"></iframe> </div> <p> </p></div> Tue, 19 May 2020 10:11:15 +0000 S.Anand 2700 at https://www.rbht.nhs.uk Trust researchers at forefront of COVID-19 research https://www.rbht.nhs.uk/news/trust-researchers-forefront-covid-19-research <span>Trust researchers at forefront of COVID-19 research</span> <span><span>S.Anand</span></span> <span>Sun, 17/05/2020 - 10:53</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-05-17T12:00:00Z">17 May 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>Specialists at Royal Brompton Hospital’s severe respiratory failure service have established a clear link between Covid-19 and blood clotting, by using hi-tech CT scans to take images of lung function in patients most seriously affected by the disease. All of those tested suffered a lack of blood flow, suggesting clotting within the small vessels in the lung. This, the clinical team told the Sunday Telegraph newspaper, partly explains why some patients are dying of lung failure through lack of oxygen in the blood.<br /><br /> Doctors believe that careful use of anticoagulants (known as blood-thinners) can eventually save lives, but testing will need to be extremely careful as the drugs can also have serious consequences, so a "blanket" use of anticoagulants would not be appropriate. Any treatment would also have to start very early to prevent clots forming. </p> <p>Dr Brijesh Patel, senior intensivist and clinical senior lecturer at Royal Brompton and Imperial College, London, commented: "These are very unwell patients but I think the majority of patients will end up on significant therapeutic doses of blood-thinning agents as we learn more about this disease. If these interventions in the blood are implemented appropriately, they will save lives."</p> <p>Other recent European studies found signs of blood clotting in a third of coronavirus patients, but Dr Patel explained "we have to be cautious" with how we proceed with blood thinning agents.</p> <p>“You have to do it in the right way otherwise you can cause harm,” continued Dr Patel. “There are a variety of blood-thinning agents as well. Which you use depends on the patient so we have to have a more personalised medicine approach."</p> <p>Professor Peter Openshaw, a specialist in experimental medicine at Imperial College, London and honorary physician at St Mary's hospital, expressed optimism over the discovery at the Royal Brompton. "It does sort of explain the rather extraordinary clinical picture that is being observed with people becoming very hypoxic, very low on oxygen and not really being particularly breathless," he said. "That would fit with it having a blood vessel origin."<br /><br /> Immunothrombosis experts at Hammersmith Hospital and Royal Brompton are also looking at the link between immune inflammation and blood clotting.<br /><br /> "It's an unprecedented amount of collaboration and development of a really quite extraordinary story about a virus that we hitherto knew nothing," said Prof Openshaw, a member of the Sage sub-group on clinical information. All the time we are discovering new twists and this intravascular clotting is a really nasty twist that we haven't seen before with many other viruses."</p> <p>Dr Patel added: "We've seen over 150 patients that have come through the Royal Brompton and having had a look at many of them over the past couple of months we've learnt a lot about them. We have the sickest cohorts of those in intensive care because of our extracorporeal membrane oxygenation (ecmo) service, which effectively is an artificial lung service where we take blood out of patients and oxygenate them outside their body. All these patients have perfusion problems seen in the tiny vessels of the lungs. Blood flow is decreased in these patients and it's only visible from dual energy scans.<br /><br /> "When you have the flu, the immune system is activated but it's appropriately done so. In Covid, it seems to be hyper activated and dysregulated, which then prompts this storm. We are still conducting lots of research but one of the hypotheses that we think is happening is that the virus is often directly affecting the cells that line the vessels in the lungs. The vessels in the lung can be quite sensitive to infection or any trauma and they can activate an immune response which then goes on to activate the clotting system. It's inflammation and coagulation. We think that might be causing clots to be forming within the lungs itself.</p> <p>"Multi-disciplinary and national collaboration with scientists like Prof Openshaw and specialist haematologists like Dr Deepa Arachchillage from Imperial College, is changing our understanding of this disease and how we can quickly but safely treat these patients in intensive care.”</p> <p>For further information:</p> <p><a href="https://www.rbht.nhs.uk/news/supporting-global-research-efforts-for-covid-19" rel="noopener noreferrer" target="_blank">https://www.rbht.nhs.uk/news/supporting-global-research-efforts-for-covid-19</a></p> <p>For media queries:</p> <p>Please direct media enquiries to <a href="mailto:c.elliott@rbht.nhs.uk" rel="noopener noreferrer" target="_blank">Clare Elliott</a>, assistant director of communications and public affairs. Outside office hours a member of the team can be contacted via the hospitals' switchboards on 020 7352 8121 (Royal Brompton Hospital) or 01895 823 737 (Harefield Hospital). </p> <p>For the Sunday Telegraph extended news piece (paywall access):</p> <p><a href="https://www.telegraph.co.uk/news/2020/05/16/blood-thinning-drugs-can-help-save-covid-19-patients-lives/" rel="noopener noreferrer" target="_blank">https://www.telegraph.co.uk/news/2020/05/16/blood-thinning-drugs-can-help-save-covid-19-patients-lives/</a></p></div> Sun, 17 May 2020 09:53:04 +0000 S.Anand 2698 at https://www.rbht.nhs.uk COVID-19 patients thank Trust for ‘outstanding’ care https://www.rbht.nhs.uk/news/covid-19-patients-thank-trust-for-outstanding-care <span>COVID-19 patients thank Trust for ‘outstanding’ care</span> <span><span>S.Anand</span></span> <span>Tue, 12/05/2020 - 10:54</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-05-12T12:00:00Z">12 May 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Two COVID-19 patients recently discharged from Royal Brompton and Harefield hospitals have spoken about their experience being treated for the virus and gratitude for the teams who contributed to their recovery.</span></span></span></p> <p><span><span><span>Angela Schlegel, 36, was admitted to Chelsea and Westminster Hospital after 11 days of Covid-19 symptoms. After being transferred from its intensive care unit to Royal Brompton Hospital Angela, who has a history of asthma and chest infections, was told that alongside Covid-19 she had an undiagnosed condition called eosinophilic granulomatosis with polyangiitis (EGPA). </span></span></span><img alt="Angela Schlegel" data-entity-type="file" data-entity-uuid="f8a7f5d3-da05-4899-bbe1-6fbce5fe17c6" src="https://www.rbht.nhs.uk/sites/nhs/files/Angela3.jpg" class="align-right" /></p> <p><span><span><span>The condition can damage various organ systems in the body including the heart, joints, lun</span></span></span><span><span><span>gs, and nerves.</span></span></span></p> <p><span><span><span>"Coronavirus was putting my body and my heart under a lot of stress and doctors said it had accelerated my EGPA,” Angela said.</span></span></span></p> <p><span><span><span>“I had been going back and forward to the doctor with asthma for two years but had no idea my heart was in trouble. I will forever be grateful to the doctors at Royal Brompton for their specialist heart and lung knowledge and for my treatment plan.”</span></span></span></p> <p><span><span><span>Angela was hospitalised for just under five weeks. Speaking about her experience at Royal Brompton Hospital, she said: “No one goes into hospital and has a good time, but despite everything I have some great memories, which is quite special.”</span></span></span></p> <p><span><span><span>“The level of care I got was outstanding. With the absence of family visiting I was so comforted by the level of care that the nurses gave me and their supportive presence.</span></span></span></p> <p><span><span><span>“We laughed together and cried together, even sang, they really are extraordinary human beings. During my stay I had my hand held when I needed comforting the most. The gentleness I saw from the nurses and their care of other patients moved me to tears.” </span></span></span></p> <p><span><span><span>Angela, who is now recovering at home, will continue to be a Royal Brompton outpatient under the care of its respiratory and cardiology departments to help manage the EGPA.</span></span></span></p> <p><span><span><span>Mahesh Gorasia, 31, was admitted to Northwick Park Hospital after complaining of a fever and dry cough. As an asthma sufferer, Mahesh noticed his breathing was much worse than normal, and when he measured his blood oxygen, the reading was much lower that it should have been.</span></span></span></p> <p><span><span><span>After calling 111, Mahesh was told to go straight to A&E as he has an existing respiratory condition. A day later, Mahesh was diagnosed with coronavirus and put into a medically induced coma. He was then transferred to Harefield Hospital and spent a week on its Intensive Therapy Unit (ITU).</span></span></span></p> <p><span><span><span>Mahesh’s wife Reshma has expressed her gratitude for the care he received and the support the team gave her and their family. She said: “From the moment Mahesh was transferred to Harefield, we were kept updated with calls from the nurses and doctors. They provided us with daily updates and gave us information about his care, treatment and progress. </span></span></span><img alt="Mahesh and Reshma" data-entity-type="file" data-entity-uuid="d771609b-48bb-430a-b4f5-fb2c66bf4cac" src="https://www.rbht.nhs.uk/sites/nhs/files/Mahesh%20and%20Reshma2.png" class="align-left" /></p> <p><span><span><span>“It was hard for us to cope, especially as we couldn’t visit him, but we knew Mahesh was in the best hands. </span></span></span></p> <p><span><span><span>“One of the nurses even arranged for us to have a video call – he couldn’t communicate with us, but it really meant a lot – it was the first time we had seen him in over two weeks.”</span></span></span></p> <p><span><span><span>Following time on the ITU, Mahesh was transferred to a standard ward and kept under close observation. After being tested for coronavirus for a</span></span></span><span><span><span> second time and returning a negative result he was moved to a recovery ward and discharged shortly after. </span></span></span></p> <p><span><span><span>Commenting on the care he received, Mahesh said: “The staff on all the wards were brilliant. I felt extremely lucky to be under such expert care. I can’t thank them enough for what they did for me and for the compassion they showed my family at what was an extremely difficult time for them.”</span></span></span></p> <p><span><span><span>Mahesh is now recovering at home and monitoring his breathing closely: “I still have some symptoms, but I’m feeling better every day. </span></span></span></p> <p><span><span><span>“I’m so grateful to the staff at Harefield that I’m back home with my wife and I hope the story of my ongoing recovery will bring hope to others.”      </span></span></span></p></div> Tue, 12 May 2020 09:54:35 +0000 S.Anand 2696 at https://www.rbht.nhs.uk Supporting global research efforts for COVID-19 https://www.rbht.nhs.uk/news/supporting-global-research-efforts-for-covid-19 <span>Supporting global research efforts for COVID-19</span> <span><span>S.Anand</span></span> <span>Fri, 01/05/2020 - 16:15</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-05-01T12:00:00Z">1 May 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>As the world attempts to deal with the COVID-19 pandemic, clinicians and scientists around the world, including our own at the Trust, are working around the clock to find effective treatments. </p> <p><img alt="" data-entity-type="file" data-entity-uuid="2d9f47e7-7ef5-4280-889c-08aa886e91d5" src="https://www.rbht.nhs.uk/sites/nhs/files/Covid%20virus2.jpg" class="align-right" /></p> <p>Research forms the backbone of the work we do to provide the best possible specialist care for our patients, and in early March over 200 studies were taking place into cardiovascular and respiratory conditions, across Royal Brompton and Harefield hospitals. The majority of these have been put on hold to ensure the safety of patients and volunteers, and to free up staff to focus on COVID-19 research activity.</p> <p>Several COVID-19 research studies have been approved and are actively recruiting across both hospitals. Some will be testing existing treatments that are already in use for other diseases, others will involve determining any genetic variation between patients and how this affects the development of the disease. </p> <p>They have been chosen because they hold the greatest potential for tackling the virus and are designed to gather the necessary clinical and epidemiological evidence that will inform national policy and enable new diagnostic tests and treatments to be developed and tested.</p> <p>The Trust’s COVID-19 research would not be possible without the support of frontline and critical care staff as well as the existing research staff who have been redeployed to support the research activity. Patient advisory groups have also been supportive in contributing to the necessary information to help guide research staff when obtaining consent from relatives over the phone.</p> <p>Lyndon Bridgewater, associate director of research at the Trust, said: “Our participation in these nationally prioritised research studies is vital, the contribution this research makes to the understanding of COVID-19 is of great importance in tackling the virus.</p> <p>“We are extremely grateful for the dedication of all those involved in the delivery of this research, as well as our patients and their families who agree to participate. Without all of this support the research would simply not be possible.” </p> <p>Many more projects are also in the pipeline, some awaiting funding and others seeking the necessary regulatory approvals before starting. These studies are not limited to patients who are critically ill but include a vast cohort, including survivors and staff members.</p> <p>Some of the actively recruiting studies are detailed below.</p> <h2>COVID-19 studies</h2> <h4>RECOVERY (Randomised Evaluation of COVID-19 Therapy)</h4> <p>This clinical trial is testing some of the treatments which have been suggested for COVID-19. Any new information on potential or promising new drugs will be reviewed regularly and included in the trial where appropriate.</p> <p>The drugs currently included in the trial are:</p> <ul><li>Lopinavir-Ritonavir (commonly used to treat HIV)</li> <li>Low-dose Dexamethasone (a type of steroid)</li> <li>Hydroxychloroquine (related to an anti-malarial drug)</li> <li>Azithromycin (a commonly used antibiotic)</li> </ul><p>Data from the trial will be regularly reviewed so that any effective treatment can be identified quickly and made available to all patients. </p> <p>The study is led by <a href="https://www.rbht.nhs.uk/specialists/dr-anand-shah">Dr Anand Shah</a>, consultant respiratory physician at Royal Brompton Hospital, and <a href="https://www.rbht.nhs.uk/specialists/dr-anna-reed">Dr Anna Reed</a>, consultant in respiratory and transplant medicine at Harefield Hospital, in collaboration with the University of Oxford. </p> <p><a href="https://www.recoverytrial.net/">More information on the study</a></p> <hr /><h4>DeVENT (Decision Support System to Evaluate VENTilation in ARDS)</h4> <p>Patients with severe symptoms of COVID-19 may develop a condition known as Acute Respiratory Distress Syndrome (ARDS) and require mechanical ventilation, which takes over breathing for the patient.  </p> <p>The DeVENT trial is testing a new device called the Beacon Caresystem which is connected to a ventilator to help monitor the effect that the mechanical ventilation is having on a patient’s lungs.  </p> <p>The device will advise the clinical team of appropriate ventilator settings and help them decide which type of ventilation is working best for the patient.  The study will be looking to answer important questions such as: </p> <ul><li>What is it that defines and drives lung damage and critical illness in COVID-19? </li> <li>What is causing a lack of oxygen reaching parts of the body and what is the best way to combat this? </li> <li>When are interventions like ECMO, prone positioning (patients placed on their front) and recruitment manoeuvres (opening up collapsed airless alveoli) most beneficial? </li> </ul><p>The study is led by <a href="https://www.imperial.ac.uk/people/brijesh.patel">Dr Brijesh Patel</a>, honorary consultant at the Trust, in collaboration with Imperial College London.</p> <hr /><h4>GenOMICC (Genetics of Susceptibility and Mortality in Critical Care)</h4> <p>This study, also led by Dr Brijesh Patel, aims to help understand the variable responses seen in patients with COVID-19.  It is believed that there may be a genetic element at play which determines an individual’s susceptibility to the virus and how it develops in the body. GenOMICC aims to find the genes that cause susceptibility, which will help prioritise treatments.  </p> <p><a href="https://genomicc.org/">More information on the study</a></p> <hr /><h4>REMAP-CAP (Randomised, Embedded, Multifactorial Adaptive Platform trial for Community-Acquired Pneumonia)</h4> <p>This is an adaptive clinical trial which will evaluate a number of treatment options for patients who develop community acquired pneumonia (CAP) as a result of COVID-19. The design of the trial increases the likelihood that patients will receive the treatment that is most likely to be effective for them.</p> <p>The potential treatments that will be tested currently include:</p> <ul><li>Macrolide therapy as a modulator of immune function</li> <li>Different corticosteroid strategies</li> <li>An antiviral therapy (lopinavir/ritonavir)</li> <li>Immune-modulating therapies (interferon-beta-1a and interleukin-1 receptor antagonist).</li> </ul><p>The trial is led by Dr Anna Reed at Harefield Hospital and Dr Brijesh Patel at Royal Brompton Hospital.</p> <p><a href="https://www.remapcap.org/coronavirus">More information on the study</a></p> <hr /><p><strong>ISARIC/WHO Clinical Characterisation Protocol (CCP) for Severe Emerging Infection</strong></p> <p>This study, led by Dr Brijesh Patel, aims to better understand the virus, its spread and behaviour. This will be done by analysing biological samples and data from patients with confirmed cases of the disease across the UK. The data will be used to help control the outbreak and improve treatment for patients by generating important evidence around:</p> <ul><li>Who in the population is at higher risk of severe illness</li> <li>What the best way is to diagnose the disease</li> <li>What actually happens in immune systems to help or harm patients</li> <li>The effects of drugs used in patients with COVID-19</li> <li>How long people are infectious for, and from which bodily fluids</li> <li>Whether people are infected with other viruses (e.g. flu) at the same time.</li> </ul><p><a href="https://isaric.tghn.org/clinical-characterisation-protocol-ccp/">More information on the study</a></p></div> Fri, 01 May 2020 15:15:19 +0000 S.Anand 2694 at https://www.rbht.nhs.uk Important information for visitors https://www.rbht.nhs.uk/news/important-information-for-visitors <span>Important information for visitors</span> <span><span>S.Anand</span></span> <span>Wed, 11/03/2020 - 11:09</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-05-01T12:00:00Z">1 May 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h2>Important information for visitors</h2> <p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><strong>All wards are now closed to visitors in response to coronavirus.</strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span>We are sorry that we are not currently allowing visitors in our hospitals. This has been a difficult decision to make but we no longer feel we can prevent the risk of spreading the infection if we continue to allow visitors to our hospitals.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span>Visitors will only be considered in exceptional circumstances, including:</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul><li><span><span><span><span><span>For patients at the end of their lives </span></span></span></span></span></li> <li><span><span><span><span><span>One regular carer for a patient with additional needs, such as a patient with dementia</span></span></span></span></span></li> <li><span><span><span><span><span>One parent/guardian for a child. </span></span></span></span></span></li> </ul><p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span>Please speak to the nurse in charge of the ward or unit to consider any exceptional arrangements.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span>Any visitors who are allowed must:</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul><li><span><span><span><span><span><strong><span>Not </span></strong><span>come to the hospital if you are feeling unwell, including cold or flu symptoms</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Wash or gel your hands as soon as you enter a ward or unit</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Follow the additional measures that will be requested by our staff if you are visiting a patient with an infection</span></span></span></span></span></span></li> <li><span><span><span><strong><span><span>Not</span></span></strong> <span><span>belong to the <a href="https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults">high-risk group</a> identified by Public Health England as those who are at increased risk of severe illness from coronavirus</span></span></span></span></span></li> <li><span><span><span><span><span>Follow <a href="https://www.nhs.uk/conditions/coronavirus-covid-19/">NHS guidance</a> related to how to avoid catching and spreading coronavirus.</span></span></span></span></span></li> </ul><p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span>We understand how important the support of family and friends can be for patients in their recovery while they are in hospital so while visiting restrictions are in place, patients are encouraged to use the RBHT Guest Wi-Fi facility to ensure contact with friends and family is maintained. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span>We thank you for co-operating with us during this time.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><strong><span><span><span><span><span><span><span><span>    </span></span></span></span></span></span></span></span></strong></p> <h2>Important information for outpatient appointments</h2> <p><span><span><span>To help prevent the spread of coronavirus (COVID-19), your outpatient appointment may be replaced with a telephone or video consultation or postponed to a later date. If this is the case, we will let you know by phone, text message or post, so please make sure you check your usual method of communication with us. The decision to delay or use telephone appointments is being made by the clinical team involved in your care. Thank you for your understanding.</span></span></span></p> <p><span><span><span>For more information about coronavirus, please visit the <a href="https://www.nhs.uk/conditions/coronavirus-covid-19/">NHS website</a>. If you are worried that you may have coronavirus, </span></span></span>please use the <a href="https://111.nhs.uk/covid-19">NHS 111 coronavirus service</a> or call NHS 111 if you need to speak to someone.</p> <p>For more information about coronavirus, please visit the <a href="https://www.nhs.uk/conditions/coronavirus-covid-19/">NHS website</a>.</p> <h2>Support and advice</h2> <p>For further information and guidance, please check the web pages relevant for your condition, which will be updated on an ongoing basis. </p> <p><a href="https://www.rbht.nhs.uk/our-services/heart/transplantation/coronavirus-covid-19-qa-for-heart-and-lung-transplant-recipients">Guidance for heart and lung-transplant patients</a> </p> <p><a href="https://www.rbht.nhs.uk/our-services/heart/pulmonary-hypertension-service">Guidance for patients with pulmonary hypertension</a></p> <p><a href="https://www.rbht.nhs.uk/our-services/heart/congenital-heart-disease/advice-for-adults-congenital-heart-disease-achd">Guidance for adults with congential heart disease</a></p> <p class="darktext"><a href="https://www.rbht.nhs.uk/our-services/lung/sleep-and-ventilation/support-and-advice-for-sleep-and-ventilation-patients-coronavirus-covid-19"><u>Support for patients using home ventilation</u></a></p> <p> </p> <p> </p></div> Wed, 11 Mar 2020 11:09:12 +0000 S.Anand 2665 at https://www.rbht.nhs.uk How to get extra support if you are shielding https://www.rbht.nhs.uk/news/how-get-extra-support-if-you-are-shielding <span>How to get extra support if you are shielding</span> <span><span>S.Anand</span></span> <span>Wed, 29/04/2020 - 13:45</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-04-29T12:00:00Z">29 April 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span><span>People who have been identified as extremely vulnerable to coronavirus (COVID-19) have been asked to ‘shield’ – that is to not leave their home and minimise all face-to-face contact with other people. If you have had an organ transplant, have a severe respiratory or cardiac condition, or are on immunosuppression therapy, you are included in this group (full details </span>of who is in the higher risk group <span>can be found <a href="https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk-from-coronavirus/whos-at-higher-risk-from-coronavirus/">here</a>.)    </span></span></span></span></span></p> <p><span><span><span><span><span>People who are shielding can get particular help and support for things like: </span></span></span></span></span></p> <ul><li><span><span><span><span><span>Collecting shopping, medication, or other essential items </span></span></span></span></span></li> <li><span><span><span><span><span>A friendly ‘check in and chat’ with an NHS volunteer</span></span></span></span></span></li> <li><span><span><span><span><span>Transport for urgent NHS appointments.</span></span></span></span></span></li> </ul><p><span><span><span><span><span>If you are shielding and would like support with any of the above, you can request the services directly through the following schemes: </span></span></span></span></span></p> <h4><span><span><span><strong><span><span><span><span>NHS Volunteer Responders </span></span></span></span></strong></span></span></span></h4> <p><span><span><span><span>NHS Volunteers Responders has been set up by the Royal Voluntary Service to support extremely vulnerable people during the coronavirus outbreak. Further information about how to refer yourself for this service and how the volunteer responders can help you, is available </span><a href="https://volunteering.royalvoluntaryservice.org.uk/nhs-volunteer-responders-portal/isolating"><span>here</span></a><span>.</span></span></span></span></p> <h4><span><span><span><strong><span><span><span>Gov.uk</span></span></span></strong></span></span></span></h4> <p><span><span><span><span>You can also register for support via the </span><a href="https://www.gov.uk/coronavirus-extremely-vulnerable"><span>government website</span></a><span>. To read government guidance on social shielding <a href="https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19">click here</a>. </span>  </span></span></span></p></div> Wed, 29 Apr 2020 12:45:19 +0000 S.Anand 2691 at https://www.rbht.nhs.uk Virtual communication transforms delivery of critical care to patients https://www.rbht.nhs.uk/news/virtual-communication-transforms-delivery-critical-care-patients <span>Virtual communication transforms delivery of critical care to patients </span> <span><span>S.Anand</span></span> <span>Thu, 16/04/2020 - 12:36</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-04-16T12:00:00Z">16 April 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>A new virtual communication system has been set up in just fourteen days to give frontline teams treating patients with coronavirus at Royal Brompton and Harefield hospitals, round-the-clock remote access to specialist colleagues at the Trust. The system will also enable some family members of critically ill patients to see and speak to their loved ones. </span></span></span></span><img alt="Clinicians using webcam to access virtual support from consultants" data-entity-type="file" data-entity-uuid="23923370-326c-4d14-aa93-5a787c2cc8f4" src="https://www.rbht.nhs.uk/sites/nhs/files/ICUORIGINAL.jpg" class="align-right" /></p> <p><span><span><span><span>The simple set up uses a high-resolution webcam that is attached to a computer at a patient’s bedside in intensive care, enabling frontline clinicians delivering critical care, on-demand access to virtual support from consultants any time they need it. This helps senior clinicians provide constant remote support to all the critical care areas under isolation<em> </em>– the so-called red zones<em> –</em> helping facilitate team communication, save time and reducing the need to use Personal Protective Equipment.</span></span></span></span></p> <p><span><span><span><span>The new webcam system is also being used to enable families to see their loved ones on the intensive care unit (ICU), when they are unable to enter the critical care environment due to infection risks. </span></span></span></span></p> <p><span><span><span><span>For the wife of one patient, the webcam was an opportunity to comfort and connect with her husband by singing to him, alongside their two children. For another family, it allowed them to spend an hour speaking to their loved one at his bedside to support his recovery.          </span></span></span></span></p> <p><span><span><span><span>Speaking about the effect the webcam system is having on patients and families, Laura Rowlands, senior staff nurse on Harefield Hospital’s Intensive Therapy Unit (ITU), said: </span></span></span></span><span><span><span><span>“It’s such a worrying and anxious time for families who have a loved one in critical care, compounded by the fact that they’re not able to visit them, but the webcams have made such a positive difference in helping bridge this distance.</span></span></span></span></p> <p><span><span><span><span>"What started as a way of helping staff communicate with each other, has evolved into a way of letting families onto the ward as if they were physically there. A huge part of my role is to look after the family as I would their loved one in my care, so seeing what this has meant to them and for their morale – whether it be patients speaking to their husband or wife for the first time since entering the ITU, or a whole family getting together on a smartphone to dial in to the virtual system – has been incredibly uplifting.”  </span></span></span></span></p> <p><img alt="" data-entity-type="file" data-entity-uuid="abbf885d-884f-49d4-b994-b80f19151e66" src="https://www.rbht.nhs.uk/sites/nhs/files/Picture4.jpg" class="align-left" /><span><span><span><span>Dr Louit Thakuria, consultant in adult intensive care, said: “As capacity for critically ill patients with coronavirus has expanded at the Trust, new ways of working have been introduced to serve patient and family needs that are quick to set up, adopt and expand. This simple yet innovative solution will keep critically ill patients who may be nearing the end of their life, connected to their loved ones at a time they need them most.”</span></span></span></span> </p> <p><span><span><span><span>The system has been a positive force for one patient’s family: “My mother, sister and I have taken tremendous comfort from the video calls that the ITU team at Harefield Hospital have been able to arrange with my father. <span>This incredible system has allowed us to see Dad, to tell him how much he is loved and means to each of us, and to encourage him to remain strong and recover. </span></span></span></span></span></p> <p><span><span><span><span><span>"We have also been able to see and talk to some of the incredible doctors and nurses that have been so attentive, dedicated and professional. The system has even allowed them to monitor Dad’s responsiveness to our voices while they are reducing his sedation and slowly waking him up. When all we want to do is be by Dad’s bedside and will him on to a full recovery, the system has given us the opportunity to be a little closer to him. It’s an amazing tool that we hope will spread across the NHS.”</span></span></span></span></span></p> <p><span><span><span><span>The project harnessed the power of social media to combat the difficulty of sourcing webcams that have seen a recent surge in demand. </span></span></span></span></p> <p><span><span><span><span>Dr Thakuria explained: “Integral to the time-critical set up of this project has been the response from the social community. Following a call out on social media for key pieces of hardware, we were able to amass over 100 webcams that were generously donated from various organisations – over half of these came from the University of Reading. </span></span></span></span></p> <p><span><span><span><span>“Following a brief pilot in a live setting, the system has been fully implemented on Royal Brompton and Harefield Hospitals’ ICUs, and there are plans to roll it out to other critical care wards across both our hospitals, if needed.”</span></span></span></span></p></div> Thu, 16 Apr 2020 11:36:15 +0000 S.Anand 2687 at https://www.rbht.nhs.uk New guidance for transplant and respiratory patients asks them to stay at home for 12 weeks https://www.rbht.nhs.uk/news/new-guidance-for-transplant-and-respiratory-patients-asks-them-stay-home-for-12-weeks <span>New guidance for transplant and respiratory patients asks them to stay at home for 12 weeks</span> <span><span>S.Anand</span></span> <span>Mon, 23/03/2020 - 17:17</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-03-23T12:00:00Z">23 March 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span><span><span><span>People who have been identified by the NHS as being at higher risk of severe illness if they contract coronavirus (COVID-19) will be sent a letter asking them to stay at home for 12 weeks in order to protect themselves. People in this high-risk group are considered extremely vulnerable due to their serious and long-term health conditions, they include: </span></span></span></span></span></span></span></p> <ul><li> <p class="darktext"><span><span><span><span><span><span><span>Heart and lung transplant recipients </span></span></span></span></span></span></span></p> </li> <li> <p class="darktext"><span><span><span><span><span><span><span>People with severe respiratory conditions, including all types of cystic fibrosis, severe asthma, interstitial lung disease and chronic obstructive pulmonary disease (COPD)</span></span></span></span></span></span></span></p> </li> <li> <p class="darktext"><span><span><span><span><span><span><span>People on immunosuppression therapies sufficient to significantly increase risk of infection. </span></span></span></span></span></span></span></p> </li> </ul><p class="darktext"><span><span><span><span><span><span><span>Our patients who fall into one of these categories should expect to receive the letter from NHS England, followed by text and phone call, by Sunday 29 March 2020. The letter will outline the steps they should take to keep themselves safe, which include new social shielding measures to minimise all interaction between them and others and therefore the possibility of coming into contact with coronavirus. This means that they: </span></span></span></span></span></span></span></p> <ul><li> <p class="darktext"><span><span><span><span><span><span><span>Stay at home at all times for 12 weeks from the day they receive the letter</span></span></span></span></span></span></span></p> </li> <li> <p class="darktext"><span><span><span><span><span><span><span>Avoid all face-to-face contact and gatherings, including in private spaces </span></span></span></span></span></span></span></p> </li> <li> <p class="darktext"><span><span><span><span><span><span><span>Do not go out for shopping, leisure or travel and, when arranging food or medication delivered, these should be left at the door </span></span></span></span></span></span></span></p> </li> <li> <p class="darktext"><span><span><span><span><span><span><span>Keep in touch using remote technology such as phone, internet and social media. </span></span></span></span></span></span></span></p> </li> </ul><p class="darktext"><span><span><span><span><span><span><span>People who will need to follow social shielding measures and may require help with food and shopping deliveries or other additional care, can register for government support on <a href="https://www.gov.uk/coronavirus-extremely-vulnerable">gov.uk/coronavirus-extremely-vulnerable</a>. <a href="http://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19">Read government guidance on social shielding</a> in full.</span></span></span></span></span></span></span></p> <p class="darktext"><span><span><span><span><span><span><span>Many of our patients will have been contacted by the clinical team involved in their care to notify them of any changes to existing appointments, planned procedures or tests, and information relating to their specific condition in light of the current situation.    </span></span></span></span></span></span></span></p> <p class="darktext"><span><span><span><span><span><span><span>If you are a heart or lung transplant patient at Royal Brompton & Harefield NHS Foundation Trust, please read our <a href="https://www.rbht.nhs.uk/our-services/lung/transplantation-lung/coronavirus">frequently asked questions page</a> on coronavirus, which we will continue to update if guidance changes.</span></span></span></span></span></span></span></p> <p class="darktext">If you think you fall into one of the categories of extremely vulnerable people and have any concerns, please contact your GP or check the web pages relevant to your condition for further information, which will be updated on an ongoing basis.</p> <p class="darktext">Further information about coronavirus is available on <a href="http://gov.uk/coronavirus">gov.uk/coronavirus</a> and the <a href="https://www.nhs.uk/conditions/coronavirus-covid-19/">NHS website</a>.</p> <hr /><p><span><span><span><span><span><span><span>Other useful resources: </span></span></span></span></span></span></span></p> <p><span><span><span><a href="https://www.blf.org.uk/support-for-you/coronavirus"><span><span><span>The British Lung Foundation</span></span></span></a></span></span></span><br /><span><span><span><a href="https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health"><span><span><span>The British Heart Foundation</span></span></span></a> </span></span></span></p></div> Mon, 23 Mar 2020 17:17:12 +0000 S.Anand 2681 at https://www.rbht.nhs.uk Coronavirus update https://www.rbht.nhs.uk/news/coronavirus-update-0 <span>Coronavirus update</span> <span><span>S.Anand</span></span> <span>Thu, 12/03/2020 - 16:54</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-03-12T12:00:00Z">12 March 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span lang="EN" xml:lang="EN" xml:lang="EN">A healthcare professional who works on our paediatric respiratory team at Royal Brompton Hospital has tested positive for coronavirus (COVID-19).</span></span></span></p> <p><span><span><span lang="EN" xml:lang="EN" xml:lang="EN">We would like to reassure our patients and their families that anybody who came into close contact with this individual is being informed and will be offered advice. No current inpatients are affected. The majority of our children’s services are unaffected and all essential treatment is being carried out. </span></span></span></p> <p><span lang="EN" xml:lang="EN" xml:lang="EN"><span>The Trust is working with Public Health England and implementing NHS guidance to control risk from the virus. We will continue to monitor the situation closely.</span></span></p></div> Thu, 12 Mar 2020 16:54:16 +0000 S.Anand 2669 at https://www.rbht.nhs.uk Information about coronavirus (COVID-19) https://www.rbht.nhs.uk/news/information-about-coronavirus-covid-19 <span>Information about coronavirus (COVID-19)</span> <span><span>S.Anand</span></span> <span>Thu, 27/02/2020 - 12:11</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2020-03-12T12:00:00Z">12 March 2020</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>The NHS in London and Public Health England (PHE) are prepared for outbreaks of new infectious diseases. Further information about coronavirus (COVID-19) is available on <a href="https://www.gov.uk/government/topical-events/coronavirus-covid-19-uk-government-response">gov.uk/coronavirus</a> and the <a href="https://www.nhs.uk/conditions/coronavirus-covid-19/">NHS website</a>, including: </span></span></span></p> <ul><li><span><span><span>Advice for travellers who have recently returned to the UK from Category 1 and Category 2 countries</span></span></span></li> <li><span><span><span>How to avoid catching or spreading coronavirus, and </span></span></span></li> <li><span><span><span>What you should do if you are worried that you may have symptoms related to coronavirus. You can also use the <a href="https://111.nhs.uk/covid-19">NHS 111 coronavirus online service</a> that can tell you if you need medical help and advise you what to do next.</span></span></span></li> </ul><p><span><span><span>Everyone is being reminded to follow Public Health England advice to: </span></span></span></p> <ul><li><span><span><span><span>Always carry tissues with you and use them to catch your cough or sneeze – then bin the tissue, and wash your hands, or use a sanitiser gel</span></span></span></span></li> <li><span><span><span><span>Wash your hands often with soap and water, especially after using public transport (use a sanitiser gel if soap and water are not available)</span></span></span></span></li> <li><span><span><span><span>Avoid touching your eyes, nose and mouth with unwashed hands</span></span></span></span></li> <li><span><span><span><span>Avoid close contact with people who are unwell. </span></span></span></span></li> </ul><h3>Guidance on social distancing</h3> <p>Public Health England has issued <a href="https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults">guidance on social distancing for everyone in the UK</a>. The guidance sets out the measures you can take to reduce the social interaction between people, particularly if you: </p> <ul><li>Are over 70</li> <li>Have an underlying health condition</li> <li>Are pregnant.</li> </ul><p>The guidance lists those who fall into the high-risk group identified as people who are at increased risk of severe illness from coronavirus. The list includes those who have a chronic respiratory or heart disease, or chest conditions such as cystic fibrosis or asthma, and those who have received an organ transplant. <a href="https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults">Read the guidance in full</a>. </p> <p><span><span><span>Please note: Harefield and Royal Brompton hospitals are not testing centres for coronavirus. If you are worried you may have coronavirus, please use the <a href="https://111.nhs.uk/covid-19">NHS 111 coronavirus service</a> or call NHS 111 if you need to speak to someone.</span></span></span></p> <h3>New guidance for transplant and respiratory patients</h3> <p>People who have been identified by the NHS as being at higher risk of severe illness if they contract coronavirus (COVID-19) will be sent a letter asking them to stay at home for 12 weeks in order to protect themselves. People in this high-risk group are considered extremely vulnerable due to their serious and long-term health conditions and are being asked to observe new social shielding measures. <a href="https://www.rbht.nhs.uk/news/new-guidance-for-transplant-and-respiratory-patients-asks-them-stay-home-for-12-weeks">Read more</a>. </p> <p><span><span><span><a href="https://www.rbht.nhs.uk/news/important-information-for-outpatient-appointments">Important information for outpatient appointments</a>.</span></span></span></p></div> Thu, 27 Feb 2020 12:11:57 +0000 S.Anand 2649 at https://www.rbht.nhs.uk