News

We wanted to keep you updated with important developments in the collaboration between the five adult acute and specialist Trusts in Liverpool over the coming months.

As you may know, the Liverpool Clinical Services Review, published in January 2023, set out a number of opportunities to deliver improved health outcomes, quality and experience of care, and financial and clinical service sustainability, requiring a different way of working in Liverpool. 

Since the publication of the report, progress has been made towards more collaborative working across the system. As the next step in this work, NHS Cheshire and Merseyside have asked the five adult acute and specialist Trusts in Liverpool to establish a joint committee with purpose of creating sustainable healthcare systems for the future with a clear focus on improving patient care and outcomes.

Recognising the widely acknowledged capacity and demand, workforce and financial challenges that are impacting on the quality, timeliness and effectiveness of patient care, our plans will make it easier to work together for the benefit of patients and our colleagues.

The Chairs and Chief Executives of the five Trusts, outlined below, will sit on the joint committee.

·         Liverpool Heart and Chest Hospital NHS Foundation Trust (LHCH),

·         Liverpool University Hospitals NHS Foundation Trust (LUHFT),

·         Liverpool Women’s NHS Foundation Trust (LWH)

·         The Clatterbridge Cancer Centre NHS Foundation Trust (CCC), and

·         The Walton Centre NHS Foundation Trust (TWC)

This will enable more streamlined decision making and will help to build upon existing collaboration with a specific requirement to collectively manage the financial position across the Trusts, deliver economies of scale and manage vacancy controls.

The focus of the joint committee will be to establish the new governance arrangements, meeting in shadow form (i.e no formal authority) in September 2024 and be in place formally (i.e. with authority to make decisions) by April 2025. Over the coming weeks the detailed delivery plans are being developed.

Shared board of directors for Liverpool University Hospitals NHS Foundation Trust and Liverpool Women’s NHS Foundation Trust

In addition, Liverpool University Hospitals NHS Foundation Trust and Liverpool Women’s NHS Foundation Trust are working towards establishing a shared Board of Directors for late Autumn 2024.

This supports Liverpool Women’s Hospital’s long-stated ambition to be aligned to a larger acute Trust to support the management of identified clinical risks.

This follows a period of appointments to joint posts across the two Trusts. Work is underway to develop the detailed plans for establishing the joint Board by late Autumn 2024.

An Executive Managing Director will be appointed to lead Liverpool Women’s NHS Foundation Trust, who will sit as a voting member of this joint Board of Directors. This will ensure equity with other sites, retaining Liverpool Women’s Hospital’s identity, and voice and influence at board-level.

The Women’s Hospital Services in Liverpool Programme, commissioned by NHS Cheshire and Merseyside will continue to progress with developing proposals for safe, high-quality maternity and gynaecology services in Liverpool through public consultation and engagement. The new governance arrangements will not impact upon this established programme of work.

These new governance arrangements will not impact on the delivery of services at the respective hospital sites or on this established programme of work.

As more detailed plans are developed for the move towards new governance arrangements, details will be shared with patients, colleagues and all stakeholders.

Read Next Steps for Collaborative Working in Liverpool…

What is your job role?

Registered Nursing Associate (RNA)

What made you choose to do the job you are in?

I chose this job because I want to continue making a real difference in the lives of others but, in a more hands-on role. At the time of applying for the Nursing Associate apprenticeship, I worked as a Clinical Support Worker with the amazing Neuro-Oncology and Skull Base Specialist Nurses here at The Walton Centre.

The team not only encouraged me to apply, but also taught me a vast amount of knowledge about caring for patients with a Neuro-oncology or Skull Base diagnosis. To this day, I remain passionate about delivering safe, patient-centred care and my job allows me to feel emotionally fulfilled.

What is the favourite part of your job?

My favourite part of my job is the fact I can use my knowledge and skills to help people. Seeing patients recover is a wonderful feeling and knowing you have supported them, along with their families and friends, fills me with happiness.

Tell me about the most rewarding experience you have had in your role.

My most rewarding experience is when I have previously cared for an extremely unwell individual but later down the line, our paths have crossed again, and they are neurologically stable and rehabilitating.

What is the best advice you have received at work?

The best advice I have received is to always treat your patient as an individual and not just see and treat their diagnosis.

What/who is your biggest motivator at work?

My biggest motivators at work are everybody who has played a part in my journey here at The Walton Centre. Without all your knowledge, guidance and support, I wouldn't be the person I am today.

What is on your bucket list for this year?

As I have just completed my apprenticeship this month, my plans involve settling on my new permanent ward, starting my preceptorship and attending several study days to enhance my knowledge further. I would also like to complete my Registered Nurse top-up when I feel ready. As for outside of work, I plan on making more memories with my family and plenty of adventures with our dog, Pearl.

Read Spotlight on... Kayley Pooley, Registered Nurse Associate…

When Michael Morris started experiencing double vision, he thought it was just age catching up with him, and a new glasses prescription was needed. But when he got to the opticians and had an eye test, the results were far more serious.

The optician told the 53-year-old from Liverpool to head immediately to A&E as the test had revealed a neurological problem.

Michael said: “I initially thought it was my screen at work tiring my eyes out. But when the optician impressed upon me that it was something more sinister. St Paul’s Eye Unit referred me urgently to The Walton Centre for further investigations, via the rapid access clinic.”

The Rapid Access to Neurological Assessment (RANA) clinic sees urgent referrals from A&Es across Cheshire and Merseyside, who would otherwise be admitted and wait in hospital for a neurological appointment. Introduced shortly after the Covid-19 pandemic, this new pathway has reduced wait times for neurological patients, and also saved a significant number of bed days in neighbouring hospitals.

Michael continued: “A week after the A&E visit I found myself in The Walton Centre having further tests. The team was attentive and thorough, I didn’t feel like I was being rushed or just a number in the system. I really appreciated the care and attention. It was there my neurologist confirmed the diagnosis of Myasthenia Gravis.”

Myasthenia Gravis is a rare long-term condition that causes muscle weakness. It most commonly affects the muscles that control the eyes and eyelids, facial expressions, chewing, swallowing and speaking. But it can affect most parts of the body. Once identified, the condition can be managed with medication.

Consultant Neurologist and Divisional Clinical Director Dr Anita Krishnan (pictured right) said: “A significant proportion of acute inpatient referral requests from our partner hospitals can be common neurological disorders ranging from new onset headaches and seizures, to functional disorders and sensory disturbance.

“Before RANA, many of these patients with new neurological signs or symptoms, would often be admitted to the hospital they reported to and wait for a visiting neurologist, who would assess them and, in most cases, agree next steps and discharge them. With RANA, patients who fit the criteria are referred immediately here. Then the appropriate assessment is carried out, usually leading to a diagnosis and further care.”

Michael added: “It’s the start of an ongoing relationship with my Neurologist and The Walton Centre. I’m managing my dosage with their help and I’m keen to know more about lifestyle choices that may be having an influence. I’m really grateful that it was discovered early and together we’re able to manage my condition going forward, maintaining my quality of life.”

If you want to know more about The Walton Centre’s neurological services and RANA, head to the service page: Neurology

     

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Notes to editors

Further information, or to arrange an interview, please contact the Communications Team at The Walton Centre on 0151 556 3397 or wcft.communications@nhs.net

The Walton Centre NHS Foundation Trust is the only hospital trust in the UK specialising in neurology, neurosurgery and pain services. Although the majority of patients come from Merseyside, Cheshire, North Wales, Lancashire and the Isle of Man, for some specialist treatments of complex disorders we see patients from all parts of the country, referred by their GPs or other neurologists, neurosurgeons and pain clinicians.

The Walton Centre NHS Foundation Trust was rated as ‘Outstanding’ by the Care Quality Commission. The independent regulator of all health and social care services in England published its rating on Friday 21 October 2016, following announced and unannounced inspection visits to the Trust in April 2016.

For more information please visit: www.thewaltoncentre.nhs.uk or follow the Trust on Twitter, Facebook or Instagram.

The Walton Centre NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool L9 7LJ
0151 525 3611

Read Michael received early diagnosis thanks to our rapid access clinic, seeing neurological emergencies quickly…

Kay Coslett, 83 years old from South Liverpool, has been a patient at The Walton Centre for ten years, struggling with Essential Tremor for a big part of her life.

After watching a piece on the news about The Walton Centre’s first patient for Focused Ultrasound, which is a treatment for Essential Tremor. Essential Tremor is considered one of the most common neurological movement disorders and is estimated to be eight to 10 times more prevalent than Parkinson's disease according to the National Tremor Foundation.

Focused Ultrasound can decrease symptoms immediately for patients who qualify for the procedure. Kay decided to ask her consultant if she was eligible.

Kay said: “When I found out I was a successful candidate for Focused Ultrasound, I was delighted. However, I was told by my surgeon, Mr. Farah, that for this procedure, my hair would have to be shaved off. I was devastated but wanted this operation more than anything”.

Kay had been a hairdresser for most of her life and loved doing her hair, so deciding to have the treatment and lose her hair was a big decision to make.

Kay said: “I had the procedure in October 2023 and was in and out on the same day. My symptoms had completely cleared, I couldn’t believe it. My only worry after it was how I would adjust to having no hair.”

The Walton Centre Charity funds a wig service for patients, to ensure that after procedures/conditions that require head shaving or side effects including hair loss, patients are offered vouchers which can be redeemed on wigs.

Kay said: “Wigs made such a difference to the way I felt after my operation, and I was so surprised how natural and comfortable they were. I couldn’t be more thankful to The Walton Centre Charity for providing this funding."

Kay’s hair is now growing back, and her symptoms are still clear.

Kay said: “My overall experience was fantastic, and I couldn’t thank The Walton Centre enough. The Nurses on the ward were amazing and looked after me so well. Thank you for everything you have done for me.”

If you want to fundraise for our charity, go to www.thewaltoncentrecharity.org.

If you want to learn more about Essential Tremor treatments, head to our website: Essential tremor - Ultrasound thalamotomy

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Notes to editors

Further information, or to arrange an interview, please contact the Communications Team at The Walton Centre on 0151 556 3397 or wcft.communications@nhs.net

The Walton Centre NHS Foundation Trust is the only hospital trust in the UK specialising in neurology, neurosurgery and pain services. Although the majority of patients come from Merseyside, Cheshire, North Wales, Lancashire and the Isle of Man, for some specialist treatments of complex disorders we see patients from all parts of the country, referred by their GPs or other neurologists, neurosurgeons and pain clinicians.

The Walton Centre NHS Foundation Trust was rated as ‘Outstanding’ by the Care Quality Commission. The independent regulator of all health and social care services in England published its rating on Friday 21 October 2016, following announced and unannounced inspection visits to the Trust in April 2016.

For more information please visit: www.thewaltoncentre.nhs.uk or follow the Trust on Twitter, Facebook or Instagram.

The Walton Centre NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool L9 7LJ
0151 525 3611

 

Read The Walton Centre Charity wig service helped Kay return to normal life…

The Walton Centre NHS Foundation Trust welcomed its first group of year four medical students from Edge Hill University’s new degree programme. The cohort of 26 fourth year medical students gained specialist neuroscience training, based with the specialist Trust for the month of June.

During their time here at the UK’s only specialist Trust dedicated to neuroscience, students experienced busy outpatient and inpatient environments, learning core skills in examining and treating patients with neurological conditions.

Dr Andrew Nicolson, Deputy Chief Executive and Medical Director, said: “It’s been really great to see the students integrate with staff and embrace that hands-on experience on offer.

“The Walton Centre has some of the highest skilled practitioners in neuroscience in the country, and I’m proud that we as a specialist Trust can offer this training to the doctors and clinical professionals of tomorrow. The hope is we continue to work with Edge Hill University, and build on this fantastic first step in our relationship.”

Many departments across the Trust help in the delivery of training programmes, including Neurology, Neurosurgery, Neuro-Rehab, Neuroradiology, Neuropathology, Theatres and Ward teams.

Dr Viraj Bharambe, Consultant Neurologist and Student Coordinator, said: “It’s been amazing to get the medical students stuck into work here at The Walton Centre. We are able to offer a rare insight into a specialist neurosciences hospital, something not all medical students will be able to have unless they seek it out for themselves in other degree courses.

“Students have got stuck into every aspect of neurology and neurosurgery, shadowing clinics and procedures and getting firsthand experience of patients presenting with neurological symptoms.

“The overall aim is to increase their confidence in this field, and hopefully be inspired to pursue neuroscience further in their education and future careers.”

Davina Vadher, one of Edge Hill University's fourth year medical students, said: “It’s been an enriching placement and has given me a glimpse of what the neurosciences have to offer. We were able to see the patient journey from clinics to theatres, as well as seeing acute pathology on the wards.

“It’s been inspiring to work with an excellent group of consultants and specialist registrars, with a keen interest in medical education.”

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Notes to editors

Further information, or to arrange an interview, please contact the Communications Team at The Walton Centre on 0151 556 3397 or wcft.communications@nhs.net

The Walton Centre NHS Foundation Trust is the only hospital trust in the UK specialising in neurology, neurosurgery and pain services. Although the majority of patients come from Merseyside, Cheshire, North Wales, Lancashire and the Isle of Man, for some specialist treatments of complex disorders we see patients from all parts of the country, referred by their GPs or other neurologists, neurosurgeons and pain clinicians.

The Walton Centre NHS Foundation Trust was rated as ‘Outstanding’ by the Care Quality Commission. The independent regulator of all health and social care services in England published its rating on Friday 21 October 2016, following announced and unannounced inspection visits to the Trust in April 2016.

For more information please visit: www.thewaltoncentre.nhs.uk or follow the Trust on Twitter, Facebook or Instagram.

The Walton Centre NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool L9 7LJ
0151 525 3611

Read The Walton Centre receives first ever cohort of medical students from Edge Hill University…

Over ten years ago, while Mairead Clabby, from Wirral, was beginning her career in the police force, she sustained a head injury which put her life on hold. Attempting to deal with her recovery with physiotherapy, Mairead knew there was something more going on.

She said: “My condition got so bad that I was beginning to lose sensation in my right arm. I tried to keep working, but I was dropping things and struggled with my balance towards the end of 2021. Eventually in 2022, my physiotherapist sent me for a scan, where they found four slipped discs in my neck and Chiari Malformation at the base of my skull.”

Mairead was referred to The Walton Centre shortly after this discovery for further treatment and intervention.

Mairead continued: “I was shocked at the discovery, but also realised this was why previous physiotherapy and other treatment wasn’t working. It had been a long time, so I was glad that something was now happening which could improve my quality of life.”

Mairead underwent an Anterior Cervical Discectomy and Fusion (ACDF) at The Walton Centre in January 2023, in a bid to relieve the nerve pain she was experiencing.

Last year, The Walton Centre performed 256 ACDF procedures. Consultant Neurosurgeon and Major Trauma Lead Mr Oluwaseun Sobowale said: “Broadly speaking, we offer this operation to patients who are experiencing spinal cord or nerve root compression.

“Cord Compression can lead to deteriorating fine motor skills, and after time this can affect balance, mobility, and potentially a loss of bladder function. Nerve compression can manifest in pain, tingling and numbness. So it really can have a huge impact on someone’s quality of life.

“The benefit of performing the ACDF procedure means stabilising the symptoms and potentially improving that pain or weakness a patient may have after an injury or degenerative disease.”

Mairead continued: “It was like a great big weight had been lifted off my shoulders. Four months or so afterwards I began to feel a real shift back to the way I was before the injury. I became a lot more active and have so far lost the six and a half stone I put on since being injured. I still have some residual pain and other things, but I’m working through them with The Walton Centre. I’m confident I’ll be fighting fit in no time, so much so that I’ve returned to work this month!”

For more information on The Walton Centre’s many services, please visit our website www.thewaltoncentre.nhs.uk  

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Notes to editors

Further information, or to arrange an interview, please contact the Communications Team at The Walton Centre on 0151 556 3397 or wcft.communications@nhs.net

The Walton Centre NHS Foundation Trust is the only hospital trust in the UK specialising in neurology, neurosurgery and pain services. Although the majority of patients come from Merseyside, Cheshire, North Wales, Lancashire and the Isle of Man, for some specialist treatments of complex disorders we see patients from all parts of the country, referred by their GPs or other neurologists, neurosurgeons and pain clinicians.

The Walton Centre NHS Foundation Trust was rated as ‘Outstanding’ by the Care Quality Commission. The independent regulator of all health and social care services in England published its rating on Friday 21 October 2016, following announced and unannounced inspection visits to the Trust in April 2016.

For more information please visit: www.thewaltoncentre.nhs.uk or follow the Trust on Twitter, Facebook or Instagram.

The Walton Centre NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool L9 7LJ
0151 525 3611

Read Thanks to life-changing spinal surgery, Mairead has returned to work…

The Walton Centre NHS Foundation Trust has reached a milestone in using a cutting-edge treatment for people living with Essential Tremor – a neurological disorder that causes an uncontrollable shake or trembling in a part of the body.

The UK’s first specialist neurosciences hospital won the contract to deliver the new service at the end of 2021, making it the first centre in the North of England, second in the country overall, to offer an incisionless treatment for the condition. Since the service launch in April 2022, 100 patients have undergone the innovative procedure.

Called Trans-cranial MR-guided Focused Ultrasound, or Focused Ultrasound for short, it involves thermal tissue ablation, targeted at the key areas of the brain causing the tremors.

Essential Tremor is considered one of the most common neurological movement disorders and is estimated to be eight to 10 times more prevalent than Parkinson's disease according to the National Tremor Foundation.

53-year-old Steve O’Connor, originally from Manchester, now living in West Yorkshire, is the 100^th patient to receive Focused Ultrasound at The Walton Centre. He said: “I’ve had Essential Tremor all my life, so I’ve never known anything different. But over lockdown a couple of years ago, the tremors got much worse. I lecture in Creative Writing, so being able to write on a whiteboard and even hold a pen to write on paper is incredibly important to me. Having Focused Ultrasound on my dominant side has been revolutionary. It’s new to have a hand that doesn’t tremor, and I can’t tell you how much it means to me. Thank you to Mr Osman Farah, his team and everyone at The Walton Centre who has supported me during the procedure.”

Eligible patients get one Focused Ultrasound treatment to reduce the tremors on one side of their body. Current regulatory approvals demonstrate good clinical durability, with tremor relief maintained at three years. Long term plans for the service will include reviewing patients who have had the treatment for a second round to address their other side of their body.

Medical Director Dr Andrew Nicolson said: “The clinical teams have been full steam ahead since the service launch in 2022. All of those who have been treated with Focused Ultrasound have seen huge benefits, the majority seeing their tremors essentially disappear as soon as the procedure is over. Before, patients would have to undergo major surgery to achieve similar results, so it’s certainly a milestone to be proud of.”

Mr Jibril Osman Farah, Consultant Neurosurgeon and lead clinician for this project said: “We’ve had a very productive two years delivering this service to patients with Essential Tremor. The outcomes have been nothing short of incredible. I’m regularly seeing patients returning to clinic after treatment continuing to be tremor-free. It’s an ongoing team effort, and I’m delighted we can continue to offer this pioneering treatment to patients, and expand it in the future.”

Maureen Greenough, from St Helen’s, was the first Essential Tremor patient to receive Focused Ultrasound at The Walton Centre. She had experienced tremors for several years before being offered this treatment. The procedure was a complete success and she no longer has tremors in her right hand-side.

She said: “I couldn’t believe how immediate the change was. As soon as I left the treatment room I noticed that my right hand had stopped shaking, it was like the team at The Walton centre had flipped a switch! Before this my writing was terrible, I couldn’t hold a cup without using both hands. I felt a lot of embarrassment and I didn’t feel comfortable eating in front of people. Now that’s all changed. The treatment The Walton Centre provides is excellent, and I will be forever grateful to the team for helping me.”

For more information about Focused Ultrasound, go to our website: Essential tremor - Ultrasound thalamotomy

 

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Notes to editors

Further information, or to arrange an interview, please contact the Communications Team at The Walton Centre on 0151 556 3397 or wcft.communications@nhs.net

The Walton Centre NHS Foundation Trust is the only hospital trust in the UK specialising in neurology, neurosurgery and pain services. Although the majority of patients come from Merseyside, Cheshire, North Wales, Lancashire and the Isle of Man, for some specialist treatments of complex disorders we see patients from all parts of the country, referred by their GPs or other neurologists, neurosurgeons and pain clinicians.

The Walton Centre NHS Foundation Trust was rated as ‘Outstanding’ by the Care Quality Commission. The independent regulator of all health and social care services in England published its rating on Friday 21 October 2016, following announced and unannounced inspection visits to the Trust in April 2016.

Read 100th patient receives pioneering treatment for Essential Tremor…

At The Walton Centre, hundreds of non-medical staff help to keep the hospital running smoothly. We meet four colleagues whose work behind the scenes has a huge impact on our patients.

Steve Holland, Head of Estates

The Estates Team deals with everything – from the big to the small – to keep the hospital functioning and patient activity going. Every day brings its challenges, a scanner not working, a burst water pipe, a door lock not working, but this is a job I love. I’ve been at the Trust for 15 years and seen a lot of change; the development of the Sid Watkins Building, the installation of the iMRI scanner and the replacement of the entire heating system last year. The next big project is the Theatres refurbishment which will be very complex, and new to me and the team.

We have to balance strategic planning for new work with ongoing scheduled maintenance and reactive jobs – sometimes these swallow you up, but they have to be done – if something is broken and affecting patient treatment or staff wellbeing, it’s a priority. I work with a great team and we have great links across the hospital.

I always feel proud to work in the NHS - it’s like working in a big family at The Walton Centre, whatever role you do.

Pamela Armitage, Medical Secretary

How many hats can you wear at once? That’s the life of a Medical Secretary!

We’re a first point of contact for the patients, and the gatekeepers for our consultants – answering queries from the start to the end of every day. I’ve worked with Miss Catherine Gilkes and Mr Ajay Sinha for 10 years and really feel part of the team, with the surgeons and the specialist nurses. I’m never made to feel like ‘just the secretary’, but a crucial part of the team.

It’s a real privilege to do this job, at the end of every job is a patient, sometimes going through the worst times of their lives. It can be stressful, but I try and treat the patients like they’re a member of my family.

When someone calls and they’re upset or frustrated, I find it really rewarding to be able to help, find an answer to their query or problem and reassure them. It really makes a difference – to their life, and mine.

Terri-Anne Scattergood, Bed Manager

It’s all about the right patient, in the right bed, right time – that’s the key to being a good bed manager. We manage patients from pre-admission right through to discharge, ensuring patient flow across the Trust to prevent delays in Theatres and timely transfers from ICU to the wards.

All three of our bed managers have a nursing background and have worked on the wards, so we have a good understanding of the patients’ conditions and which ward is suitable and safe for them. We’re supported by our discharge planner and administrator – both vital members of our team.

It can be very challenging – it’s like a big jigsaw puzzle, constantly working against a clock, but everyone across the Trust pulls together to help and we always manage to find a bed for everyone.

It’s so rewarding once every patent is in, especially emergencies from other Trusts – they could be patients needing time-critical, life-changing treatment. It’s the best feeling knowing they’re in the hospital, and will get the care they need.

Paula Bickley, Ward Clerk, Cairns Ward

As a Ward Clerk I look after the administration side of Cairns ward, including making sure all patient information is correct before a patient goes to Theatre. I also help to cover emergencies on other wards and admin needs across the hospital.

Everyone makes a contribution to the care of our patients. Once, a patient’s family lived far away and couldn’t visit. I used to pass on messages from his wife, and had many chats and even sing-songs with him when he was upset and missing his family and his pets. Watching him go home was so rewarding, and he even sent me a photo with his dogs and cat which was lovely.

I love being part of a team and working on a really busy ward – we’re a really good team, all working together. There’s never a dull moment – every day is different!

 

Read Our team behind the scenes...featured in the latest edition of Neuromatters…