News

Charity supports NNUH and QI research role

Delivering innovative new treatments to improve patient care is set to be accelerated following the announcement of the first joint appointment between the Norfolk and Norwich University Hospital (NNUH) and the Quadram Institute.

Dr Ngozi Elumogo has been appointed as a Senior Research Fellow in Translational Medicine, where she will promote collaborative working between researchers and clinicians and ensure that the most applicable research is being carried out for clinical practice.

Dr Elumogo said: “This is an exciting new collaborative role. I’ll be there to act as a bridge between clinicians and researchers and will be asking the appropriate clinical questions to scientists to ensure that clinical practice and patient care are at the forefront of our research work.”

A major focus of Dr Elumogo’s work will be to continue research on Faecal Microbiota Transplantation (FMT), a treatment programme that restores healthy gut bacteria for treatment of recurrent Clostridium difficile (C. diff) infection.

The transplant involves faecal material, or stool, collected from a healthy donor screened and confirmed free from infections by the NHS microbiology lab run by the Eastern Pathology Alliance. It is mixed with saline, filtered and infused via a fine tube placed into the small bowel through the nose. It can also be directly applied to the colon or large bowel via an endoscope.

Dr Elumogo said: “This treatment is effective because it restores healthy gut bacteria. It is a natural product which is very well tolerated with no significant side effects. Since the introduction of FMT, we have successfully treated 26 patients previously diagnosed with C.diff, and I’m very much looking forward to continuing the work we’ve started and also looking at investigating the effect of this treatment on other medical conditions.”

Dr Elumogo will be bringing years of experience to this collaborative research role, having spent the last 16 years as a Consultant Microbiologist both at NNUH and the James Paget University Hospital (JPUH), with the last eight years as Director of Infection Prevention and Control at NNUH. Alongside her new role, Dr Elumogo has also been appointed as the Chief of Service for Laboratory Medicine and the Eastern Pathology Alliance (EPA).

Her role is part funded by the N&N Hospitals Charity.

The FMT service has been developed with Professor Arjan Narbad from the Quadram Institute, a microbiologist with over 25 years’ experience of working with microbes in the digestive tract and vast experience of developing ways of preventing the colonisation of dangerous bacteria In the gut.

The Quadram Institute will be at the forefront of combined research into food science, gut biology and health. The building will house a range of endoscopy and bowel cancer screening services run by NNUH, a Clinical Research Facility, and world-leading food and health scientists. Having clinical expertise alongside academic research will drive the translation of new knowledge into evidence-based strategies to maximise health and reduce the impact of disease and infection.

Mark Davies, Chief Executive at NNUH said: “I’m delighted that Dr Elumogo has been appointed into this new collaborative research role. Her expertise and years of experience will undoubtedly prove instrumental in the bringing together of clinicians and researchers, and I’d like to wish her all the best in the role.”

Professor Ian Charles, Director, Quadram Institute said: “Dr Elumogo’s appointment is the first of a number of pivotal joint appointments for the new Quadram Institute, bringing together clinical expertise with academic research. The FMT work is a good example of the innovation that’s made possible by interdisciplinary teams working together to deliver highly effective solutions to major health issues, benefitting patients and wider society.”

CrombieCharity supports NNUH and QI research role
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Cupcakes Galore!

Staff at the Norfolk and Norwich University Hospitals (NNUH) are getting ready to rise to a very special challenge this Autumn.

To celebrate the new series of the hit television series Great British Bake Off (GBBO), budding bakers at the Trust are being invited to take part in their very own Cupcake Bake Off.

Top Norfolk Chef Richard Hughes, who works with Serco at NNUH to improve the quality of hospital food, will be judging the contest, with the cakes sold off at the end of the event and proceeds going to the Norfolk and Norwich Hospitals Charity.

And the chef director of The Assembly House Norwich and owner of the Richard Hughes Cookery School has donated a first prize of afternoon tea for four at the Assembly House.

The challenge is for each baker to present five of their finest cupcakes to be judged by Richard on October 26, which will be the week of the grand final of GBBO.

The hospital has had a long-running special relationship with GBBO following the appearance our very own nurse Kate Barmby in 2016.

Kate will be judging the winning cakes, alongside Richard, SERCI hospital’s head chef Lee Parrette, and Head of Fundraising Louise Cook, and passing on her own secrets for producing first-class cakes.

Louise said: “We hope as many staff take part and have some fun – even if they are not regular bakers. Maybe we can make a record for the most cupcakes in a hospital as well as raising lots of dough for our charity.’’

For more information about the N&N Hospital Charity 01603 287107 or www.nnhospitalscharity.org.uk

CrombieCupcakes Galore!
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Welcome to our charity’s new digital home

I am so glad you have found your way to our shiny, new N&N Hospitals Charity website and we hope you are enjoying reading about the work we do.

As the charity for Norfolk and Norwich University Hospitals our role is to support the very best care for our patients and our staff outside of that which if funded by the NHS.

I will be using this blog to tell you our very latest news and events and direct you to where you can find more information about the equipment, research and projects we support. Guest bloggers from both inside and outside the hospital will also be making a regular appearance on the page sharing their own news.

We are only just half-way through the year but already it is proving to be very exciting with some fantastic challenges having taken place and many more lined up.

Last month we held our very first dog show as part of our summer fete – it was an amazing site to see dogs of all shapes and sizes descend on the main plaza along with a huge variety of stalls – and it proved to be so popular, we are looking into doing it all over again next year. Watch this space for more details!

And earlier this month, our annual charity bike ride was another huge success and you can read all about it here.

Another first for us is our participation in RunNorwich 10k run through the streets of our beautiful city which takes in some of our finest landmarks.

Having taken part in the race for a number of years, I was so pleased we were able to enter our own 20-strong team of runners all raising money for the hospital charity. Along with dozens of other staff members taking part in the race, NNUH is certain to have a huge presence on the day.

The good thing about the 10k is that it is a nice distance and one which is pretty much achievable for even novice runners with a few months’ training. RunNorwich also has such a lovely, supportive atmosphere with crowds along the route willing the runners to the finish line on Millennium Plain.

So I’m really looking forward to joining our team on the starting line and we’ll let you know how it goes next month.

Let me know if you are taking part in a fundraising challenge which we can share.

AdamWelcome to our charity’s new digital home
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System ‘will transform endometrial cancer care’

The treatment of endometrial cancer is set to be transformed at the N&N after the hospital charity funded a state-of-the-art piece of equipment.

The £110,000 Stryker Laparoscopy Stack System was paid for by donations to the charity’s general fund and the VOiCE campaign which specifically raises money to help patients with Vulval, Ovarian, Cervical and Endometrial cancers.

The system uses the latest technology to identify sentinel nodes, which are the first few lymph nodes into which a tumour drains. This means they can be removed individually and tested without the need to take out every node unnecessarily.

Consultant Gynaecological Oncologist Tim Duncan explained that traditional treatment of endometrial cancer involves removing the cancer and then removing all of the lymph nodes in that region of the body and checking them for disease. The results would influence what further therapy was needed.

If the lymph nodes are all clear, taking them out offers no advantage to the patient because not only has healthy tissue been removed, but it also increases the risk of lymphoedema – a condition where lymph fluid collects in tissues and causes swelling in them.

Mr Duncan said: “You can have a situation where you remove the tumour, take out the lymph nodes in that region and find that they’re all clear but leave the patient at risk of the horrendous complication of lymphoedema which is life-long, and while it’s manageable, it’s not curable.

“The Stryker system uses specialist light sources with filters to allow us to see a fluorescent ICG dye which tracks the sentinel nodes.

“It also gives us ultra-high-definition images which allows for more precise surgery. Within the stack, you also have a monitor and an accessory monitor for the assistant to look at, and an image capture system.

“Because this is emerging technology and the equipment is expensive, it’s very difficult to get funding through normal Trust means. So this has been funded exclusively from charitable funds and this could not have been possible without the charity.”

The new treatment will involve more sensitive pathology, called ultra staging. This involves the examination of just a small number of nodes, compared to up to 50, but now these can be looked at in even finer sections which can pick up even very tiny metastases.

Mr Duncan said: “In the coming months, our treatment for endometrial cancer will involve taking out the sentinel node alongside our standard treatment because we must show the accuracy of the new system.

But there are still advantages to the patient because we will be ultra staging the sentinel nodes, and then we can start to realise all other benefits next year.

“We are extremely grateful for all the support we have received from the charity and it shows that giving to the hospital charity and VOiCE means money goes directly towards improving patient care at this hospital.”

He added that he expected the new equipment would have a huge positive impact on patients and compared it to the introduction of a high definition laparoscopic stack nine years ago to carry our hysterectomies, also funded by the charity.

He said: “This enabled us to carry out laparoscopic hysterectomies and we went from doing none to doing 98% which is the highest rate in the UK by a long way.

“Length of stay for that procedure is now 24 hours, down from three to four days, recovery is a third of the time, complication rates are halved, and we are expecting a similar impact with this latest piece of equipment as well.”

AdamSystem ‘will transform endometrial cancer care’
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Thousands turn out for dog-themed fete

The N&N opened its grounds to visitors for the annual summer fete, helping to raise funds for the Hospital Charity.
This year’s theme was Woof, Wellies and Wellbeing, with the highlight being a fun dog show and woodland walk. The dog-themed fete comes as the hospital welcomed its first Pets as Therapy (PAT) dogs earlier this year and are now regular visitors to Heydon Ward.
The PAT team was at the fete demonstrating what they look for in a PAT dog, and a Staffordshire Bull Terrier display team proved to be a very popular introduction to the main show.
Dogs of all shapes and sizes competed for classes including best young handler, best rescue dog, best old timer and top dog.
Once again, Darth Vader, Boba Fett and the Stormtroopers were a hit, particularly with our younger visitors, while Transformer Bumblebee made his first appearance at the fete and Taverham Vets was hugely popular with its pet photo booth.
Entertainment was provided by hospital radio, young dancers from Busybodies Stage School, with live music from the fantastic Hospital Choir and Rock Choir.
Almost 50 stalls, including dog and animal-themed stalls, tombolas, food and drink, took part in the day while a BBQ was provided by Serco – a huge thank you to everyone who took part, came along and helped out on the day and we will let you all know how much was raised once all donations are in.

AdamThousands turn out for dog-themed fete
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