Hull’s hospital heroes will be back on our screens in the New Year as A&E After Dark returns for a second series.

The Channel 5 docu-series, produced by Crackit Productions, first broadcast in June this year and follows the night shift at Hull Royal Infirmary with a specific focus on the emergency department and staff working in urgent care.

Series two was filmed over a two month period in the autumn of this year, and the first episode of the new series will be broadcast on Channel 5 at 9.00pm on Monday 4^th January 2021.

A&E After Dark will once again accompany Hull’s team of dedicated doctors, nurses and other healthcare specialists as they respond to out-of-hours falls and fractures, assaults and overdoses, car accidents and cardiac arrests. What will be unique about this series is the insight it gives into caring for patients in the context of Covid-19, including the additional stresses and strains it not only places on health services but on the people working within them.

Chief Executive of Hull University Teaching Hospitals NHS Trust, Chris Long, says:

“A&E After Dark provides a very realistic look at the clinical challenges, the emotional dilemmas and the often difficult decisions our staff have to make on a nightly basis. Being able to respond to the unknown, day in, day out, and have lives depending on you takes a special type of person, but when you consider all the extra challenges presented by Covid-19 over the last nine or ten months, the team has been nothing short of amazing.

“We felt it was important for the public to see and to understand not only the operational impact that coronavirus is having on emergency care, but how it has affected staff on a personal level too. Staff have to try and put their own fears aside about the virus when they come to work, but through A&E After Dark, we still see some of the difficulties Covid-19 causes for staff; their ability to connect with patients and communicate with each other through layers of PPE, the abuse they receive from people who don’t want to follow infection control rules, and in some cases, the crucial extra seconds Covid safety preparations add when getting ready to receive critically ill patients in the hospital.

“ED staff have been incredibly open and brave in accepting cameras in to document what is a really important point in history. I have nothing but admiration for our incredible emergency care staff and those they work with to keep people safe; the radiology staff, the security team, the orthopaedics, plastics and critical care outreach staff to name a few. As a city and as a region, we should be incredibly proud of the people we have here caring for us and I hope series two of A&E After Dark shines a light once again on the fantastic work they do.”

Dr Chris Srinivasan, consultant in emergency medicine at the trust (pictured, right) says:

“Our emergency department really is the front door to the hospital; you never know what is going to come in but our staff have to be ready for the unexpected at all times.

“While we have seen a fair amount of Covid-related activity this year, we have still continued to see many of the other injuries, illnesses and major trauma cases which are typical for the A&E night shift and these are reflected throughout the series.

“For me, the challenge and the sheer variety of cases are what make working in emergency care so exciting and I think many of the team would say the same. Much of this work goes unseen by the general public though, so this is our opportunity to explain how and why some of our urgent work can lead to longer waits for other patients, for example, as well as to showcase the first-class facilities and the outstanding team of health professionals we have here in Hull.

“In watching the second series, I hope viewers will not only gain a better understanding of what goes on behind the scenes at the hospital, but will also develop a new respect and appreciation for the amazing people who are here to care for them should the worst happen.”

A beaming smile on her face, Sheila Page declared it “one of the best Christmas presents in my life.”

Sheila Page, 84, became the first person in Humber, Coast and Vale region to receive the Covid-19 vaccine.

Sheila, who has seven grandchildren and eight great-children, said: “I couldn’t wait. People who don’t want it are silly. I was absolutely chuffed when they rang me to offer me it.

“I think it’s marvellous. I feel on top of the world, and it’s one of the best Christmas presents I’ve had.”

Sister Kristy Costa, who delivered the first vaccine

Hospital sister Kristy Costa, who normally works in the cardiology department at Castle Hill Hospital but is one of the team of trained vaccinators at Hull University Teaching Hospitals NHS Trust, delivered the first vaccine to Sheila.

Kristy said: “I was really excited but a bit nervous today. It’s not your average day at work with all the television cameras around.

“But it’s a great day. I’ll definitely be getting the vaccine when it’s my turn because it’s the light at the end of the tunnel.”

Sheila was one of the first of the priority groups including the over 80s, care home workers and clinically extremely vulnerable members of NHS staff to receive the Pfizer-BioNTech vaccine.

These priority groups have been determined by the Joint Committee of Vaccinations and Immunisation (JCVI) because they are at greatest risk from Covid-19.

As more supplies of the vaccine are received, the programme will be rolled out to other groups, including frontline NHS staff, using that national framework.

Chief Nurse Beverley Geary, Senior Responsible Officer for the programme in the Humber, Coast and Vale region, said: “We are proud to be playing our part in the national effort to protect people from this virus.

“We will start vaccinating people over 80 who are coming to our hospital for outpatient appointments from today and we are working with local authorities to identify care home staff who can receive the vaccine and protect residents in their care.

“But it is important to say that while we are moving fast, this will be a marathon, not a sprint. The Pfizer vaccine is complex to move, store and prepare – that’s why initially it will be given in hospitals.

“We are working as quickly as possible with the Medicines and Healthcare products Regulatory Agency (MHRA) and others to agree ways of expanding the programme and deliver it in more ways over the coming days and weeks, like through local vaccination services delivered by GPs, pharmacists and practice nurses and in people’s homes and care homes if they can’t come to us.”

Our team, delivering the vaccines to patients

Hull University Teaching Hospitals NHS Trust today joins the national effort to protect people most at risk from Covid-19.

The trust, running Hull Royal Infirmary and Castle Hill Hospital, is one of 50 Hospital Hubs in the country and will be lead provider for the vaccination of people living in East and North Yorkshire and parts of Lincolnshire.

Over 80s, those working in care homes and NHS staff identified as clinically extremely vulnerable including people with specific cancers, severe respiratory conditions and those who have received solid organ transplants will be among the first to receive the Pfizer-BioNTech vaccine.

These priority groups have been determined by the Joint Committee of Vaccinations and Immunisation (JCVI) because they are at greatest risk from Covid-19.

As more supplies of the vaccine are received, the programme will be rolled out to other groups, including frontline NHS staff, using that national framework.

Chief Nurse Beverley Geary, Senior Responsible Officer for the programme in the Humber, Coast and Vale region, said: “We are proud to be playing our part in the national effort to protect people from this virus.

“We will start vaccinating people over 80 who are coming to our hospital for outpatient appointments from today and we are working with local authorities to identify care home staff who can receive the vaccine and protect residents in their care.

“But it is important to say that while we are moving fast, this will be a marathon, not a sprint. The Pfizer vaccine is complex to move, store and prepare – that’s why initially it will be given in hospitals.

“But we are working as quickly as possible with the Medicines and Healthcare products Regulatory Agency (MHRA) and others to agree ways of expanding the programme and deliver it in more ways over the coming days and weeks, like through local vaccination services delivered by GPs, pharmacists and practice nurses and in people’s homes and care homes if they can’t come to us.”

Due to the Covid-19 pandemic, Hull University Teaching Hospitals NHS Trust, which is responsible for Hull Royal Infirmary and Castle Hill Hospital have to look at Christmas a little differently this year.

Traditionally, generous members of our community, businesses and sporting teams deliver an astonishing amount of Christmas gifts for the areas sickest children the hospitals care for.  To keep patients safe during the Covid-19 pandemic, the highest infection control procedures and restrictions on visiting loved ones are in place across the hospitals to prevent the spread of the virus.  Hull Hospitals in association with WISHH Charity are enabling our community to still help make a difference across our hospitals in a safe way by supporting our Christmas appeal.

Members of our communities who would like to help spread the festive cheer to patients Hull Hospitals care for over the festive period and beyond, are being encouraged this Christmas to “Help the NHS with the WISHH National Elf Service!” Appeal.

The WISHH Charity, has created a festive fundraising pack, bursting with creative ideas to get our community involved in, but at the same time observing Covid guidance, by taking part in socially distanced fundraising and at home fundraising ideas from sewing to baking, donning festive attire, to adopting one of our Christmas WISHHes, to spread the festive spirit safely in work places and schools by supporting the appeal.

Donations and fundraisers can be set up online via the dedicated Just Giving page https://www.justgiving.com/campaign/happyxmas One-off online donations can also be made this way.  Donations to the appeal can also be made by sending a cheque made payable to “WISHH Charity”, and posted to WISHH Charity – National Elf Service Appeal, First Floor Administration Block, Castle Hill Hospital, Castle Road, Cottingham, HU16 5JQ. Writing on the back “National Elf Service”.

Funds raised from the appeal will enable the hospitals to purchase ‘Covid safe gifts’ for children of all ages from babies, toddlers, primary and secondary aged young people who will be staying on our wards over the Christmas period. Such support will also make a difference to patients being looked after in Children’s Emergency Department, Eye Hospital, Anlaby Suite and other specialist areas.  Any additional funds will be used to support patients across our hospitals throughout the year.

We will also be supporting our medical elderly patients, providing patients with reminiscence items for dementia patients and other items to make their stay in hospital more comfortable.

This is how your donations could help make a difference:

• £10 will provide a patient with a toy or reminiscence gift
• £15 will provide a patient with a mindfulness colouring book and pencil crayons
• £20 will fund an Art/Crafts Bag – A take-home gift to encourage activities post discharge
• £25 will provide a teddy bear for a vulnerable child who undergoes medical examination within the hospital
• £100 – £500 will provide sensory items for our Eye Hospital for example bubble tubes and sensory boards
• £250+ will provide a Santa sack of games and gifts for children on wards and for those patients with dementia
• £1,000+ will enhance playroom learning toys and reminiscence areas on our wards for patients now and in future years.

Businesses which would like to support this appeal, please get in touch with Lisa Whitton on 01482 622299 or 07827881766 or email HelloWISHH@hey.nhs.uk

Beverley Geary, chief nurse for Hull University Teaching Hospitals NHS Trust said:

“Members of our local community always go the extra mile at Christmastime to support patients, young and old, who find themselves in hospital; it’s one of the things that’s so great about Hull and the East Riding.

“We are always overwhelmed by the many offers of Christmas gifts and donations we receive, but this year, for the protection of our patients and to enable staff to focus on their care, we are having to do things a little differently.

“While we know people love to collect toys and gifts, we hope people will also understand that safety has to be our number one priority. That’s why, this year, we are asking people to make monetary donations to our hospital charity rather than donating physical gifts, so that we can coordinate Christmas surprises for our patients in a Covid-safe way ourselves.

“The WISHH Charity ‘National Elf Service Appeal’ provides plenty of ideas for ways in which individuals and community groups can still get involved and help us bring some festive cheer for patients spending time in hospital. We’d really encourage anyone who wants to do so to get involved in this way, and help us to keep our hospitals Covid-safe this Christmas.”

Lisa Whitton, WISHH Charity Manager said:

“Covid-19 has dramatically impacted on everyone’s lives.  Our top priority as Hull Hospitals’ official charity, is to keep patients safe, and also to enable members of our community to help us spread the festive cheer to our paediatric and medical elderly patients through our “Help the NHS with the National Elf Service Appeal”.  We have already received calls from businesses and individuals asking about how they can support patients we care for at Hull Hospitals, by enabling members of our community to either make a donation or to become involved to raise funds to the appeal.  We look forward to sharing our festive ideas to inspire our community to brighten the lives of patients at Hull Hospitals.”

For further information call us 01482 622299 or HelloWISHH@hey.nhs.uk

You can also follow the charity on Facebook, Twitter and Instagram @WISHHcharity

Hull University Teaching Hospitals NHS Trust Chief Executive, Chris Long, said:

“It is with the deepest regret that I have to announce the death of Nicola Diles. Nicola was diagnosed with Covid-19 and died in our Intensive Care Unit at Hull Royal Infirmary on 15 November 2020.

“We send heartfelt condolences to Nicola’s family, friends, workmates and everyone who loved her.

“Nicola became a part of the Hull University Teaching Hospitals family when she permanently joined the trust in 2016 and she worked as an admin assistant supporting the dietetic team based at Castle Hill Hospital. Prior to that she worked in a variety of agency administration roles across the trust, hence many more staff and patients will have had the honour of knowing her. Nicola was a highly valued member of the team and we are very grateful for her years of service to the people of Hull and East Yorkshire.

“Nicola’s death is a terrible reminder that Covid-19 continues to devastate our staff and our wider community. She is the third member of our team to die following the deaths of Adrian Cruttenden and Rich Albufera in the past few months and we feel the pain of the loss of all three.

“A Book of Condolence for colleagues to pay tribute to Nicola will shortly be shared among our staff.

“We will continue to support Nicola’s family and ask the media to respect their privacy as they come to terms with their terrible loss. We would ask that the privacy of Nicola’s friends and workmates is also respected.”

Hull University Teaching Hospitals NHS Trust has taken the decision to reschedule some routine day surgery, elective procedures and outpatient appointments following a significant increase in patients being admitted with Covid19. All urgent and emergency surgery continues as normal.

Chief Operating Officer Teresa Cope said: “We’ve seen a sudden and dramatic increase in patients with Covid-19 who need to be admitted to our hospitals over the past fortnight and it’s continuing to climb, reflecting the high numbers of people in the city currently being diagnosed with the virus.

“It has become increasingly clear that if we are to have the capacity and staff to care for these patients, we have to reschedule our other work.

“We know this will impact on patients and we are really sorry that we are having to do this. We are deeply sorry to every person affected by this decision. We assure them that we will seek to restart all of our services as soon as possible.

“Thank you for bearing with us through these difficult times, the toughest any of us have ever experienced in the NHS.”

If your appointment is within the next seven days and is to be rescheduled or changed to a telephone consultation, you will receive a telephone call from the Patient Admin team and a follow-up letter.

If your appointment is seven days or more from now, you will receive a letter if your appointment is to be rescheduled or changed to a telephone consultation.

Some patients will still be required to attend to continue treatment so, if you do not receive a letter or a phone call, please turn up for your appointment as normal.

Women and their birth partners are being asked to observe safety measures at Hull Women and Children’s Hospital to prevent the need for further restrictions during the second lockdown.

Birth partners will still be able to attend 20-week scans and be with their partners when they are admitted to the Labour Ward or the Fatima Allam Birth Centre. They will also be able to book one-hour visiting slots on antenatal and postnatal wards.

However, maternity leaders are asking women and their birth partners to co-operate with contact tracing, social distancing and safety precautions as England prepares to enter a second lockdown from Thursday until December 2.

L-R Katie Headlam, Nicola Easby, Angela Rymer, Janet Cairns, Lorraine Cooper, Joanna Melia, Wendy McKenzie

Janet Cairns, Head of Midwifery at Hull University Teaching Hospitals NHS Trust, said: “Everything we do is to keep women, their babies and our staff as safe as possible during the pandemic.

“We understand how difficult this situation is but we need everyone’s cooperation, patience and understanding to prevent the virus spreading.

“It is really important that women continue to access maternity services if they have any concerns. We are open 24/7, and we urge them to attend all their appointments.

“But if women are experiencing any symptoms of Covid-19, they must let us know as soon as possible so we can make appropriate arrangements for them to be seen.”

Birth partners must not come to hospital if they are showing any symptoms of Covid-19 such as a high temperature, a new, continuous cough or a loss or change to their sense of smell or taste. They should stay away from hospital if they have come into contact with anyone testing positive for the virus.

Women attending the antenatal clinic and antenatal day unit should follow the one-way system and the waiting area has been expanded into the former café to enable social distancing.

One birth partner can still attend the 20-week scan and women will be given details of how this will operate before attending the appointment.

Women staying overnight as an antenatal inpatient on Maple Ward can pre-book one-hour visits for one named birth partner with their midwife involved in their care on the ward.

Women admitted to the Fatima Allam Birth Centre and Labour Ward can be accompanied by one named birth partner on admission, who must remain in the birth room at all times until their partner is either discharged home or transferred to the postnatal ward.

Those women who need to stay in hospital after their babies are born can also pre-book a one-hour visit for their named birth partners.

In ward areas which allow visiting, only four birth partners can attend at any one time to protect women, their babies and hospital staff.

Women must give the contact details of their named birth partners to ward staff in advance and these will be kept for one month following the women’s discharge from hospital.

If they have symptoms of Covid-19, birth partners must stay at home, arrange a test and self-isolate in line with national guidance. If this happens, their partner will be supported to select another birth partner who must be part of their support bubble.

Staff will assess and support any woman with additional communication or care needs who may require more support.

For women giving birth at home, only the named birth partner can be in the room with the woman and the community midwife. Another family member from their support bubble can be in the house but not in the same room.

Parents with babies in Neonatal intensive Care are both allowed to visit the unit at any time but are asked to, where possible, limit themselves to one at the cot side as much as possible. They should wear hospital-provided masks and wash their hands regularly. Parents who think they may need a test for Covid-19 should speak to the neonatal nurse in charge.  All efforts are made to give parents the chance to be together with critically ill babies.

Anyone requiring more information on safety measures during lockdown should speak to their midwives or chat ‘virtually’ to a senior midwife via the Ask the Midwife on the Women and Children’s Facebook page. The live chat service is available Monday to Friday between 10am and noon and again between 2pm and 4pm.

Janet Cairns said: “Our measures will be kept under constant review and will not hesitate to bring in additional safety precautions should they become necessary.

“Until then, we ask everyone to wear face masks, wash their hands regularly, observe social distancing, stay at home when they can and only come to hospital when absolutely necessary.”

She remembers being fascinated by the Head of Midwifery, a tiny woman puffing on a cigarette who reminded her of Margaret Rutherford, as she spent her school holidays helping her hospital secretary mum put letters in envelopes.

Her interest in the NHS sparked at such a young age, Janet Cairns became a nursing auxiliary at 18 and qualified as a nurse in the early 1980s.

But she stumbled on a career which would see her lead a team transforming maternity services in Hull after taking a short cut through hospital grounds and spotting a recruitment advert for midwives.

L-R Katie Headlam, Nicola Easby, Angela Rymer, Janet Cairns, Lorraine Cooper, Joanna Melia, Wendy McKenzie

Now, after dedicating 42 years to the NHS, Janet – known as Jan to her friends and colleagues – is retiring as Head of Midwifery at Hull University Teaching Hospitals NHS Trust.

Jan said: “I just feel the time is right to step back and let someone else take over the next stage.

“I was on holiday in June, thinking how I’d be 60 in November and realizing there’s a lot of things I would like to do with my life outside of work.”

Jan never envisioned that her connection with that first Head of Midwifery at a hospital in Bury near Lancashire as a schoolgirl would have such a profound impact on her life.

Back then, she cleaned the nurses’ home for nothing, just to be part of it. She remembers the Head of Midwifery asking if she’d like a job and Jan saying she’d like to work with the babies.

“Everyone wants to work with the babies,” the Head of Midwifery said. “But if you want to be a credible nurse, start by caring for older people. If you can care for old people, you can care for anyone.”

So, that’s exactly what Jan did. At 18, she got a job as a nursing auxiliary and went to work in geriatrics, caring for the elderly.

Again, an older woman had an impact on her life that resonates to this day – Minnie, a long-term patient on a ward with what we’d now call dementia but was probably put down to senility back then.

Jan said: “Back then, around 1977/78, elderly wards were almost like care homes and people were there for a very long time. Minnie was so lovely but she was completely in her own world. I never forgot her because she was so challenging to look after.”

It gave Jan a fantastic grounding in patient care and she went on to study nursing at St James Hospital in Leeds – Jimmy’s – from 1980. Always drawn to acute medicine, she worked in plastic surgery and then theatres.

A year after qualifying, she took the shortcut one day on her way from one block to another, past the School of Nursing, and saw the advert for midwives, applied and landed a place.

“I was in the right place at the right time, I suppose,” she says.

She qualified in 1986 and became pregnant with her son Iain that November. She remembers going for a promotion and being told she wouldn’t be interviewed because she was “having a baby.” The advancement of working mothers in the service has been just one of the changes she’s seen.

After her first baby, she returned to work part-time and had Fiona, her second, in 1990. She moved to Hull in 1997, landing a job at Hedon Road Maternity Hospital.

“That first day, I couldn’t believe what I was walking into,” she says, reminiscing about the prefab building which served the population for decades before it was replaced by the purpose-built Hull Women and Children’s Hospital. “It was like something out of Call the Midwife.

“But the warmth of the staff you were working with made it such a lovely place. The canteen there cooked their own food and it was a bit like being at home.”

She moved to the new hospital in the grounds of Hull Royal in 2003 and worked in practice development, sharing a job with Julie Jomeen, now Professor of Midwifery at the University of Southern Cross in Queensland, Australia.

“Taught her everything she knows,” Jan laughs, the sunlight catching a twinkle in her eye.

After a spell as Clinical Governance Midwife and managing a small team, Jan became Head of Midwifery in 2011. And that’s where she had stayed, overseeing and driving through major change such as the opening of the Fatima Allam Birth Centre and the Continuity of Carers teams.

“The opportunities I’ve been given at this trust have been phenomenal,” she said. “I’ve been supported to do a Masters, put through a leadership programme and I’ve been supported through every step of my career by senior people and a very supportive executive management team.”

But she’s repaid that faith in her talents by establishing Hull firmly at the heart of the national transformation of maternity services. The implementation of key recommendations in the Better Births programme for reform has attracted national attention, with visits from the report’s author Baroness Cumberledge to Professor Jacquline Dunkley-Bent OBE, England’s first Chief Midwifery Officer.

She puts those achievements down to the dedication of her team. “The best part of my job, without a shadow of a doubt, is the people I work with.

“Even on very difficult days, we pull together. We might not always see eye to eye or agree on steps we are taking but I have complete faith in their professionalism and everyone is doing what they believe is best for the development of trust services.”

She’s a no-nonsense type, is Jan, and is all the better for it. She knows what she wants and will go all-out to get it. And what she wanted was to put women at the heart of maternity care, to listen to them and adapt and change services to meet their needs.

“I have seen a sea change in maternity care,” she says. “Women’s voices have become stronger. We listen to what they have to say, more than ever before, and try to give them those services.

“We provide a service but we are listening to women about what they want.”

She’s toyed with retirement for a while. This time, it’s happening and she will leave the trust, and a job and team she clearly loves, on November 27.

“I used to say I’d go when the Birth Centre got sorted, then it was when the Continuity of Carer teams were set up. But there was always something else to do.

“One of the midwives has been waiting for a new laptop and I used to joke I’d retire when she got her laptop. She got it the other week and offered to give it back so I’d stay.

“But it’s time for me to do something else now.”

Quite what that something else will be, she’s not sure. “I’ve no idea what I’m going to do,” she laughs, that twinkle back again. “My son’s just got married, my daughter lives in Tunbridge Wells so it’ll be great to go and see them without having to get back to work or thinking about work. It’ll just be time for myself.”

Chief Nurse Beverley Geary said: “Women across Hull and the East Riding have a lot to thank Jan Cairns for because her commitment and dedication has driven through real and lasting changes in maternity services.

“There is no doubt we will miss her but we thank her for her decades of public service and her passion to provide the best possible maternity services for the women in our care.”