Recent publications

Medway NHS Foundation Trust is home to world-leading experts who are consistently working towards finding innovative changes in medicine and care. Their breakthroughs have the potential to change lives not just here in Kent, but around the world.

Breath Testing for Intra-Abdominal Infection

Authors: B.T. Andrews, P. Das, W. Denzer, G.A. Ritchie, R. Peverall, A.M. Hamade & G. Hancock

To cite this article: B T E Andrews et al 2018 J. Breath Res. 12 036015

Pilot study aimed to determine whether breath analysis could be used to help diagnose intra-abdominal infection, using acute appendicitis as an exemplar condition.

Pathway to prevent pressure ulcers in the UK


First published: Wounds International 2020 | Vol 11 Issue 2 | ©Wounds International 2020 |

Heel ulcers are the second most common location for pressure ulcers to develop after the sacrum and cause long-term pain and emotional distress for patients. They are also a key indicator of the quality and experience of patient care, and it is paramount that a Trust designs and implements new ways of working to ensure proactivity in preventing pressure ulcers. Most pressure ulcers are preventable, and in 2016 the tissue viability team in the authors’ Trust noticed a rise in hospital-acquired pressure ulcers to the heel; therefore, a new pathway and educational programme was designed on how to prevent
pressure ulcers to the heels. The new approach to education was to take the new pathway and training to the staff on the ward; this was known as the ‘Heel Dash’, which later evolved to ‘Trolley Dashes’ . The first dash took place in 2017 and this involved tissue viability nurses and company representatives going onto the wards, approaching staff and educating them in relation to the heel prevention pathway, along with products available for them to use. Due to the 51% reduction in heel pressure ulcers following the first heel dash, it was decided that the dashes would continue, in order to sustain this reduction.

Quality improvement report: setting up a staff well-being hub through continuous engagement

Quality improvement report: setting up a staff well-being hub through continuous engagement


The coronavirus pandemic has presented a new set of challenges for the frontline National Health Service staff. It is not only the long working hours but also the uncertainty and increase in patient mortality that has affected mental health and staff well-being. Hospitals all around the country have rightly responded with various well-being initiatives to help their staff such as wobble rooms and developing online resources. Our vision was to set up a safe space for staff away from clinical noise to enable and encourage mindfulness and psychological resilience through a calm and serene environment. We used the continuous quality improvement methodology and administered an initial needs assessment survey to see if our trust staff will be interested in having such a space. Within our team, we managed to secure a place, and used donations to hospital charity and set up a space within a week. Since opening the hub, we have had excellent feedback from various staff groups. Immediate feedback was obtained using emoji stickers asking for feelings before and after visit. A mood board was put up allowing anonymous expression of feelings. Delayed feedback was requested using a repeat survey. We believe that while there is a lot of talk about well-being and an increasing number of resources being offered electronically, the need for a neat and quiet space cannot be overlooked. We collect feedback on a weekly basis and adapt the space to meet the needs of staff. Long-term impact of such spaces will be reassessed at a later stage.

From medical student to project manager: a leadership in healthcare experience

Author: Dr Synthia Enyioma

First published: November 12, 2018.


As part of the 70th anniversary celebrations, a Student-led Health Commission was recruited by the Policy Institute at Kings College London. The group, commissioned by the NHS, was tasked to recommend radical changes to the UK National Health Service.The commission was challenged to identify young people’s views of what our health and social care system should deliver and envision fundamental changes to healthcare over the next 15 years.

This project improved the commissioners’ understanding of health policy process and allowed future health professionals to have hands on experience in health leadership and management, interacting with senior health management and organising an ‘unconference’.

Dr Synthia Enyioma,
Junior Doctor Lead for Improvement & Innovation

Due to varying personal and educational commitments outside of the project, coping mechanisms for time management strategies were developed by all members of the commission. Professionalism was another key learning point throughout the project. We were in continual contact with senior health management, clients and other stakeholders, and a professional attitude was essential.This experience highlights the importance of this type of project for students and alumni, equipping the interns with skills and knowledge that cannot be learned at university while making an impact on the population.

By managing two teams of commissioners, I was able to oversee several tasks informed by external stakeholders, for which we collected data using interviews and were advised by a team of Harvard interns. We engaged healthcare professionals and other young voices by circulating surveys to student networks and healthcare bodies. During our unconference, I presented recommendations to an audience of front-line staff, policymakers, senior managers and students, as well as live-interviewing a senior stakeholder on recommendations implementation.

Prevention of stillbirth: impact of two-stage screening for vasa previa

Authors: W. Zhang, S. Geris, J. Beta, G. Ramadan, K. H. Nicolaides and R. Akolekar

First published: Ultrasound Obstet Gynecol 2020; 55: 605–612

This significant study led by clinicians from Medway NHS Foundation Trust shows the feasibility of introducing a two-stage screening program for diagnosis of vasa previa, a high-risk condition where fetal umbilical cord blood vessels run across or very close to the internal opening of the cervix.