Welcome to the latest issue of Progress. Read on to find out how you’ve helped staff in the Critical Care Unit to cope with the pressures of the pandemic.
Team of CCU nurses at a desk, wearing masks

Going above and beyond

The pandemic has been a stressful time for the The Royal Marsden’s Critical Care Unit. But, thanks to The Royal Marsden Cancer Charity, the team can count on psychological support.
The Critical Care Unit provides 24/7 care for more than 1,400 patients a year

The Royal Marsden’s CCU is the largest facility of its kind in the UK – and one of the biggest in Europe – to be dedicated to cancer. The CCU is designed to help patients recover from complex surgery, and offers highly specialised one-to-one care to seriously ill patients and those with complex needs.

After a devastating fire in 2008 that damaged the original CCU, The Royal Marsden Cancer Charity raised £10 million to fund a complete refurbishment of the unit, doubling its previous capacity. Now, it has seven isolation rooms, including two teenage and young adult bays.

COVID-19 was a new experience for us all and everyone was trying to get through it together

Catherine Forsythe, Practice Educator
Stepping up

Throughout the pandemic, CCU staff have provided round-the-clock care for critically unwell patients. The unit has been incredibly busy, with more admissions due to COVID-19 and the Cancer Surgical Hub.

Set up at the start of the pandemic, the hub enabled cancer patients from London and the southeast to access surgery at The Royal Marsden when local hospitals were overwhelmed by COVID-19. The hospital expanded the number of beds on the CCU to provide specialist care to more patients recovering from operations.

 

Nurse in a mask operating equipment

Catherine Forsythe, Practice Educator on the CCU, has a dual nursing role that combines caring for patients with taking the lead in training and supporting clinical teams on the unit to improve their professional practice. During the pandemic, she was responsible for training the team in new COVID-19 processes, ensuring that everyone was as well-equipped as possible, in addition to looking after patients.

Staff on the unit were looking after more patients than ever before as we expanded our capacity from 14 beds to 24 during the first wave

“When COVID-19 hit, it was a new experience for us all,” she says, “and everyone was trying to get through it together.

“Our biggest challenge was mobilising the teams to quickly take on the increased numbers of patients who were being admitted to our CCU from all across London. 

“Nurses from other areas of the hospital were volunteering their skills. We tailored our medical care not only around the clinical needs of our patients, but also based on their psychological needs, offering extra pastoral care. This has been important during the past year.”

The staff lifted me and got me through the rough patches. I’ll always be grateful to the staff who cared, encouraged and motivated me when I was very sick, especially during such a challenging time for them.

Kevin McNulty, 71, Critical Care Unit patient
A vital support network

Meeting the psychological needs of patients and staff was a key element of The Royal Marsden Cancer Charity’s £2 million emergency COVID-19 appeal. The funds raised enabled the Staff Counselling and Psychotherapy Service to offer additional support for staff caring for patients throughout the pandemic.

“Working through the waves was tough and had a real impact on our resilience and wellbeing,” says Catherine. “Staff were stressed about keeping patients and their colleagues safe. We were having to wear PPE for very long hours.

“A lot of the team are from overseas, so emotions were high from the worry of not being able to see relatives. Having psychological support on hand was invaluable, and still is.”

Two CCU team members using equipment

Kevin McNulty, 71, was looked after in the CCU last year. “The care and treatment I received on the CCU were exemplary. The staff lifted me and got me through the rough patches. They had to become our friends and family as well as undertaking their clinical roles. I’ll always be grateful to the staff who cared, encouraged and motivated me when I was very sick, especially during such a challenging time for them.”

“Everyone pulled together so well,” Catherine adds. “The whole experience has brought the unit closer together and I’m so proud of the team for all their efforts.”

Ventilators are vital pieces of equipment, and the latest models offer sophisticated features and increased comfort to give CCU patients a better experience and aid their recovery.
Large building under construction with scaffolding

Building hope, brick by brick

Now under construction, the Oak Cancer Centre is set to open next year – and we’re asking for your help to raise the money we need to complete this vital building and provide hope to even more cancer patients.
Reception of large building, receptionist and x2 people, 2 people midground, bench with green cushions

Our public appeal is now under way to raise the final few millions we need to complete the Oak Cancer Centre in Sutton – and we’re incredibly excited to see this state-of-the-art research and treatment facility take shape.

The construction team has made impressive progress: the centre has already reached the fourth storey and is on track to open in 2022.

Our dedicated supporters have been donating to the appeal and taking part in challenges to get us to our fundraising target. The Triple Challenge team recently took on the Lake District National Park by foot, bike and kayak. In October, supporters will host their own Marsden Mornings, with every cake sale or crafting session helping to raise funds. And, in 2022, a group of explorers will trek to Machu Picchu with former Olympian Iwan Thomas.

 

Two women walking side by side on a veranda, one in a white coat

Named after our biggest-ever single donation of £25 million from Oak Foundation, the Oak Cancer Centre will revolutionise cancer research, improve patients’ experiences and help save more lives.

The centre will bring more than 400 researchers – who are currently dispersed across the Sutton site – under the same roof. Here, the Kuok Group Foundation Research Centre will encourage researchers who specialise in different cancer types to work together, sharing ideas in breakout spaces to help speed up the development of new treatments.

The new Day Care Unit will have room to allow a relative to sit with a family member or friend. Having space to have a loved one with you will make an enormous difference.

Samantha Wigfall, Lead Nurse for the Oak Cancer Centre
Waiting room with couches, people waiting and a tree in the middle of the room

On the ground floor, outpatients will be able to have blood tests, see their consultant and collect a prescription all on the same level. In the Day Care Unit on the second floor, patients receiving chemotherapy and immunotherapy will be able to enjoy quiet, spacious, modern surroundings with natural light from the floor-to-ceiling windows.

“We know that patients find it hard when they come in for chemotherapy alone,” says Samantha Wigfall, Lead Nurse for the Oak Cancer Centre. “The new Day Care Unit will have room to allow a relative to sit with a family member or friend. Having space to have a loved one with you will make an enormous difference.”

Read more of our latest news in the full magazine
Solid green colour background

Making Celebrate a Life extra special

This year, we’re planning to make our Celebrate a Life carol service even bigger by holding in-person events at Chelsea and Sutton, as well as live-streaming them online so that anyone can take part.

Taking place every December, Celebrate a Life is our annual carol service and a time when we celebrate everyone dear to us. We held our first-ever virtual service last year as we couldn’t come together in person due to the pandemic. It was a huge success, with an incredible £112,059 raised.

I attend the carol service each year in memory of my father and brother. It means a lot to me and is my chance to thank The Royal Marsden for giving me more time with them both. I am so pleased we could still take part last year despite the restrictions.

Roma Sharma, who took part in the virtual event in 2020
Visit our website to name a star for someone special
Portrait of Vinidh Paleri

Q&A: Professor Vinidh Paleri

The Consultant Head and Neck Surgeon and Director of the International Centre for Recurrent Head & Neck Cancer reveals the aims of the new virtual centre, funded by The Royal Marsden Cancer Charity.
What is recurrent head and neck cancer?

This is an umbrella term for cancers of the voice box, throat, lips, mouth, nose, and salivary and thyroid glands. It’s often hard to treat and aggressive, and, depending on the type and site of the cancer, between a fifth and half of cases return.

What is IReC and why has it been launched?

At The Royal Marsden, we have great expertise in managing head and neck cancers. IReC will harness the specialist knowledge of The Royal Marsden and The Institute of Cancer Research, London, by bringing together talented clinicians and researchers to create a global centre of excellence. Through research, it will set national and international standards in the treatment, palliation and supportive care of patients with recurrent head and neck cancer. The centre is being funded by The Royal Marsden Cancer Charity, thanks to the generous support of Charles Wilson and Dr Rowena Olegario, and Keith and Isabelle McDermott.

What projects are being funded?

A national registry to develop our understanding of recurrent head and neck cancer and capture variation in how it is treated across the UK, plus a tissue biobank to help explore and validate key research findings. New research staff, including three PhD research fellows, a trial manager, a clinical trial nurse and a data manager are also being funded.

IReC will harness specialist knowledge to create a global centre of excellence

Vinidh Paleri, Consultant Head and Neck Surgeon and Director of the International Centre for Recurrent Head & Neck Cancer
How will the centre benefit patients?

IReC data will form the basis for multicentre clinical trials which, ultimately, will lead to improved patient outcomes. We aim to explore minimally invasive surgery using the da Vinci Xi robots, and combining surgery with immunotherapy and other novel agents. We also hope to investigate the role of viral therapies and biomarkers in developing new treatments

What are your hopes for the next few years?

Through the registry, biobank and leading-edge global research projects, IReC will help define standards for the treatment of recurrent head and neck cancer in the NHS and, in future, internationally.

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