About Anna Nowak

Five-year strategy published for services at MWI

Tuesday 21 June 2022: Bermuda Hospitals Board has published a five-year strategy for Mid-Atlantic Wellness Institute services. The MWI Directorate Plan 2021-2026 was developed following the launch of the BHB Strategic Plan 2021-2026 last year. It provides a pathway for mental health, intellectual disability and substance use services.

R Scott Pearman, Deputy CEO, says: “I’m very proud to see the Plan published after an incredible amount of hard work by MWI staff and clients, through a very challenging period. It highlights work with international and local partners and supports the over-arching BHB vision ‘To pursue excellence through improvement, to make Bermuda proud.’”

Acting Chief Operating Officer and Vice President of Clinical Operations (MWI) Preston Swan says: “The strength of the Plan is to provide us with a roadmap to truly transform services and experiences for our clients. While dovetailing to the BHB vision, MWI staff and clients defined the MWI purpose ‘To inspire strength, hope and wellness in our community by promoting independence, choice and person-centred support’.”

“The Plan also re-affirms the recovery model as the heart of all we do,” Preston adds. “This is a model that encourages client participation not just in decisions about their own care and treatment, but in service planning.”

There are four goals that give overall direction to the strategy:
1. Transition outpatient and long term care into the community and close the MWI site in the long term
2. Ensure active patient participation in our services using the recovery model
3. Use a needs-based approach to care that ensures people get care at the right time and place and from the right provider
4. Challenge the stigma and discrimination associated with MWI services

Acting Chief of Psychiatry Dr Anna Nielson comments: “Shifting outpatient services to community settings helps bring the care to the people who need them. It makes accessing services easier, and people don’t have to visit MWI which can have a stigma associated with it. We have already started the process: last year mental health services and support were offered from Lamb Foggo Urgent Care Centre, Victoria Clinic, the courts and a nurse led pilot has run in a GP office. Lastly, a Community Intellectual Disability Team (CIDT) was launched last year to support clients in their homes.”

The Plan goes further, however, with a long term goal of co-locating acute inpatient mental health services on the KEMH campus, where inpatient acute medical services are delivered.

“People would be able to go to the same campus whether they have an acute mental illness or physical illness,” Dr Neilson-Williams explains. “They would be separate, purpose built units, but on the same campus allowing for better support and cooperation between the two services.”

Mr Swan also highlights a promotional campaign in partnership with Public Health England (PHE), MIND (UK) and local partners to help break down the stigma associated with mental illness. “We want to end the stigma that many people feel is associated with mental illness. It impacts how people are treated at work and home, and also can discourage people from seeking help when they need it. We truly want to see a transformation take place in Bermuda.”

You can read the full MWI Directorate Plan here and a summary of the plan here.

21 June 2022 Home Page, News

Congratulations, Butterfield & Vallis, Corporate Blood Drive Winner 2022

Tuesday 14 June 2022: Bermuda Hospitals Board today announced that Butterfield & Vallis had won the Corporate Blood Drive Winner 2022. In this ninth competition, 15 local companies competed. Every blood donation from an employee or an employee’s friends and family counts towards the final total. The winner is always announced on World Blood Donor Day, which is today, 14 June 2022. As a further celebration, the King Edward VII Memorial Hospital Acute Care Wing will be lit in red in this week.

The winner’s trophy was presented to Butterfield & Vallis by the Minister of Health, the Hon. Kim Wilson JP MP, the Chief Medical Officer, Dr Ayoola Oyinloye, BHB Chief of Staff Dr Wesley Miller, and the Bermuda Blood Donor Centre team.

Dr Eyitayo Fakunle, Consultant Haematologist, comments: “Every one of the fifteen competing companies must be applauded. Every donation is a donation we need, and just by participating they are supporting their employees to be able to come and donate. Thank you all, and a special congratulations to Butterfield & Vallis, for coming first in the competition. The last two years have been very hard for individuals and companies, and your continued support of blood donation has helped us maintain our blood supplies and save lives in Bermuda.”

The fifteen competing companies in this year’s competition were: AF Smith, Ascot, Axis, Bermuda Monetary Authority, BF&M, Butterfield & Vallis, Conyers Dill & Pearman, Fidelity, FIL, Freisenbruch, Lancashire, Liberty, Marsh McLennan, Ministry of Public Works and Renaissance Re.

Lucy Correia, Nurse Phlebotomist at the Blood Donor Centre, comments: “We are so thankful to each company and to everyone who donates. Butterfield & Vallis joined the 2014/15 competition and have participated every year since then. They’ve truly earned their win this year! We hope more companies will consider joining. It can be a great way to bond and build morale, and every donation can help up to three people in Bermuda. There is no better way to support the community. And we are going into the tenth competition, so it will be a special celebration!”

Terri Durrant, Advertising Manager and Wellness Chair of Butterfield & Vallis, comments: “Supporting blood donation is something Butterfield & Vallis and its employees are passionate about. Congratulations and thanks to all of my colleagues who have rolled up their sleeves this year to donate blood. For some, it took a lot to pluck up the courage to donate in the first place but now they are regulars . We look forward to a strong competition in the year ahead and we’re determined to make it a double!”

Companies wishing to join in the friendly competition should email blood.donation@bhb.bm or call 236-5067.



14 June 2022 Home Page, News

Temporary chillers to be installed on the KEMH General Wing site

Sunday 12 June 2022: Bermuda Hospitals Board today advises the public that five temporary chillers will be installed on the KEMH site near to the Berry Hill visitors’ car park and delivery area of the General Wing.

There should be no impact to patients accessing patient parking areas as the construction site is not a public area. Vendors who deliver to KEMH will find there is traffic control to help them safely deliver supplies.

Trench work will start on Monday, and through the week a high lift and crane will be visible. Work is expected to be completed within five days.

The temporary chillers will assist cooling water for KEMH while repairs are undertaken on the chillers in the Acute Care Wing.

12 June 2022 Home Page, News

Donate blood up to 30 June and have a chance to win a prize!

Wednesday 8 June 2022: Bermuda Hospitals Board (BHB) and Bermuda Blood Donor Centre today thank the Hamilton Princess & Beach Club for donating two prizes to recognise the blood and apheresis donors in Bermuda. This is the second year running Hamilton Princess has offered the prizes, which are a stay at the hotel and a champagne brunch. The winners will be drawn from Bermuda’s most active and new blood donors who have donated over the last year up to 30 June 2022.

Alongside the prizes, Hamilton Princess is sponsoring an online advertisement to encourage blood donation, and is encouraging and supporting its employees to donate blood by participating in the annual Corporate Blood Drive Competition. The corporate winner will be announced on World Blood Donor Day, Tuesday 14 June.

Dr Eyitayo Fakunle, consultant haematologist at BHB, comments: “Thank you, Hamilton Princess, for being a partner in our drive to increase the number of blood and apheresis donors in Bermuda. Behind this generous donation and support is the goal of increasing donors. The need for blood transfusions in Bermuda is increasing. There were nearly 2,000 transfusions in 2021 compared to 1,590 in 2017, an increase of 26%. Blood donors over the same period have only increased from 1,002 to 1081, or 8%. This means our existing donors are being true heroes and donating frequently. We hope people will see the great good they can do by joining our donors and helping us save lives.

“The increasing need for transfusions is not down to any one reason. We see people who have internal bleeding due to illness, trauma, surgery or childbirth, as well as sickle cell patients who may need therapeutic transfusions throughout their lives. We need each new generation to join so we can keep saving lives in Bermuda for years and decades ahead.”

Tim Morrison, General Manager of the Hamilton Princess, comments: “Hamilton Princess & Beach Club is proud to be able to do its part to thank the blood donors in Bermuda and encourage more people to donate. Providing raffle prizes for donors and also being a participant in the Corporate Blood Drive Competition are ways we can make a difference to our community. If anyone is thinking of donating for the first time, or returning to donating, then this month is a great time to start as you’ll be included in this year’s draw. Our goal, however, is to thank all Bermuda’s blood donors, who are helping to save lives year round.”

Bermuda Blood Donor Centre Nurse Phlebotomist Lucy Correia adds: “We are so pleased all our active donors can participate in this draw. We can promise anyone who is considering donating for the first time that we will make it as comfortable and easy for you as possible. The process only takes about 30 minutes and your one gift of blood can help up to three people. We are based on the first floor of the General Wing of the King Edward VII Memorial Hospital and are open Monday to Thursday 8:30am to 2:30pm and Friday 8:30am to 1pm for appointments. Call 236-5067. You can also go to bdahospitaldev.wpengine.com for more information about donating.”

8 June 2022 Home Page, News

Lamb Foggo UCC returns to normal weekday hours

Sunday 1 May 2022: Bermuda Hospitals Board today announces that from Monday 2 May, the Lamb Foggo Urgent Care Centre (UCC) will be returning to its normal Monday to Friday hours of 2pm to 10pm, following the implementation of temporary hours on weekdays due to staff pressures.

Weekend hours were not changed, and still remain at 9am to 9pm.

X-ray services at the UCC will restart later this month, and an update will be provided in due course.

The Integrated Care Clinic at the UCC will continue on its normal hours.

1 May 2022 Home Page, News

KEMH Acute Care Wing traffic diversion from 18-22 April 2022

Sunday 17 April 2022: Bermuda Hospitals Board (BHB) advises the public that there will be traffic diversions for those driving to the front of the Acute Care Wing, including the Emergency Department entrance. The diversions will be in place from Monday 18 to Friday 22 April 2022.

Cleaning of the outside of the hospital building necessitates use of a lift that will block the road on the campus in the vicinity of the front of the building.

Pedestrians and vehicular traffic will be redirected where necessary. For your safety and the safety of others, please use caution and adhere to the barriers, signage and directions given by staff at the scene.

BHB apologises to the public for any inconvenience caused by the disruption.

14 April 2022 Home Page, News

No through road traffic at King Edward VII Memorial Hospital on Friday 8 April 2022

Thursday 7 April 2022: Bermuda Hospitals Board advises the public that there will be no through traffic on the King Edward VII Memorial Hospital (KEMH) campus between Point Finger and Berry Hill Roads on Friday 8 April 2022.

Cleaning of the outside of the hospital building necessitates use of a lift that will block the road on the campus near the Botanical Gardens.

Pedestrians will not be affected.

Emergency vehicles and people attending the Emergency Department should use the Point Finger Road entrance. Ambulances will enter and exit on Point Finger Road.  Visitor parking lots will still be accessible from both Point Finger Road (Acute Care Wing) and Berry Hill Road (General Wing and Agape House). Traffic will not be able to travel between the General Wing lobby roundabout and Point Finger Road.

For your safety and the safety of others, please use caution and adhere to the barriers, signage and Point directions of the security officers.

Bermuda Hospitals Board apologises to the public for any inconvenience caused by the disruption.

7 April 2022 Home Page, News

BHB statement on financial management, audits and Government guarantee

Thursday 17 March 2022: On behalf of Bermuda Hospitals Board, we are providing clarity on issues relating to:

1.            BHB financial management,
2.            the filing of the BHB financial audits and,
3.            the reporting of Government Guarantees in the Budget Book.

BHB financial management:

BHB’s finances moved to a very small surplus in 2020-21 for the first time since the $25 million budget cut imposed in 2017, and this year BHB hopes to break even.

This improvement has been possible due to the hard work of staff and leadership to save costs even through the pandemic. Government has supported us by meeting its budget commitments and providing smaller grants to support MWI improvements and the implementation of the electronic medical record. We are also deeply grateful for the assistance from donors who helped us manage personal protective equipment costs, the purchase of an oxygenator and cover costs associated with running the vaccination clinic. It has truly been a community effort to bring us to where we are today, even with the challenges we are experiencing.

We remain concerned about improving our cash levels, but these too have improved very slightly at the beginning of this year. This has been helped by a savings programme that has delivered about $20 million savings in this year alone. There is a long way to go and financial stability remains a key focus of the Board. This has not, however, prevented us continuing to prudently invest in improvements in this fiscal year.

We are extremely grateful to our staff who have managed a pandemic, financial pressures, and continued to modernise and improve the quality of our services and care, which is at the heart of what we do each day. Improvements include a new five-year strategy and completing the first year of implementing an electronic medical record, which will transform how we deliver care and also provide major improvements to patient care. We have just gone through a certification process as a primary stroke centre in a year when we launched a tele-stroke programme with Johns Hopkins, and we achieved stroke care standards that are equivalent to some of the best hospitals in the US. We have also continued integrating our model of care to bring care closer to people in the community and hopefully support a healthier community where chronic illnesses are better managed and controlled, even for people who do not have insurance or are under-insured.

Filing of the BHB financial audits:

It is reassuring that audited financials up to 2019 have shown us to be in good standing, with unqualified audits. The 2015-16 audits in the annual report are due to be tabled in the House shortly, followed by subsequent reports in the following months.

The reporting of Government Guarantees in the Budget Book:

The Government guarantee for the PPP contract is a Government-owned responsibility and changes have no relation to financial management of the hospital.

BHB’s responsibility is the payment of the contract, which it has managed over the last seven years. The contract covers the building, maintenance and lifecycle costs.

The guarantee in the budget remains an estimate as the hospital has not defaulted and is currently not at risk of defaulting on its payments. Despite the many financial challenges we have as hospitals and as a country, BHB has and expects to continue to meet its obligations of the PPP contract.

17 March 2022 News

BHB and Brown Darrell collaborate on CT service

Thursday 27 January 2022: Bermuda Hospitals Board today announced that it will be working with the Brown-Darrell Clinic to deliver a CT service while both its CT scanners undergo repairs.

Dr Daniel Stovell, Chief of Radiology, comments: “Many times patients who are scanned using a CT, such as stroke patients, can use alternative modalities, such as MRI. For patients whose only option is a CT scan, we are very grateful to the collaboration with the Brown-Darrell Clinic who will carry out the CT scan for us. If patients who attend Emergency require a CT, they will be transported by ambulance to Brown-Darrell, then return to KEMH where diagnosis and treatment will resume.

“We apologise for anyone who is impacted. It is very unfortunate that both CT scanners have been impacted at the same time and we are working closely with the manufacturer, GE. The parts will be on island this week and we expect the service to resume by next week.”

27 January 2022 Home Page, News

UCC temporary changes to evening hours only on week days

Wednesday 12 January 2022: Bermuda Hospitals Board today announces that there will be evening-only hours from 6pm to 10pm Monday to Friday at the Lamb Foggo Urgent Care Centre (UCC) from Thursday 13 January, to assist with ensuring adequate staffing levels are available in the Emergency Department at KEMH. The weekend hours will remain the same from 9am to 9pm.

Dr Chikezie Dean Okereke, Chief of Emergency, comments: “The temporary change in the weekday hours are due to a number of factors, including staffing issues, with some existing vacant positions and COVID-19 quarantine absences. We are extremely busy in the main Emergency Department at the moment. We are seeing many very unwell patients who need admission. This is not primarily driven by COVID-19 infections, but pre-existing medical conditions.

“We are struggling to get patients discharged in a timely manner from inpatient units, as they need community services, nursing home placements or family support. This has resulted in an increasing number of people waiting in the Emergency Department following admission, delays in timely assessment and management of the new patients attending and a high overall number of patients in the ED needing care. We are managing, but the reduced staffing numbers and the high acuity patients attending means that the Emergency Department service delivery is under a lot of pressure.”

Judy Richardson, Chief of Nursing, comments: “As community infections rise, so does the number of BHB staff who are impacted. BHB currently has nearly 150 staff off work due to positive results or as close contacts. While generally we have maintained services to date, the reduced UCC hours allow us to redeploy a full time nurse back to the ED which will assist in delivering care where the most unwell people are in need. We continue to review our situation as more people are impacted by positive cases. While hospitalised COVID patient numbers have been relatively low with omicron, they are rising, and with staff levels under pressure we may have to review the delivery of care in non-urgent outpatient areas should the situation continue to escalate.”

12 January 2022 Home Page, News