NBT Volunteer Profiles

Regular Off Off

We have spoken to some of our volunteers who have supported us throughout the pandemic to hear about their achievements, memorable moments and challenges.

Moss Thompson- Move Maker

Moss Thompson

What is your volunteer role/roles within NBT?

I’m a Move Maker

How long have you volunteered in this role?

Seven years. It was only supposed to be for 3 weeks, but here we are, 7 years later!

Why did you decide to start volunteering here?

I used to work here. I wasn’t quite ready to retire so I thought I’d come and help out for 3 weeks, and then it just grew from there. We built up a good team, it’s a good atmosphere and we feel we’re doing a good job helping the public, so that’s why we come here really.

What would you say is the most rewarding part of this role?

Seeing the reaction from people as we do our job. Obviously, that isn’t always the same, but generally, people are in a good mood and it’s nice to come in and meet the team and seeing the reaction as we do our job is rewarding.

And what would you say is challenging?

Sometimes you get people who aren’t in such a good mood, which is understandable, we just remember the reason that they’re here and do our best to help as much as we can, but obviously there is a limit to how far we can assist as Move Makers.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

I drive the buggy and there are seat belts in the back. Sometimes when I’m asked “Do we have to belt up?” I have a bit of a laugh and say “No, you can talk as much as you like!”

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I was stood down twice. I came back in September 2020 but was stood down again when Covid cases started to rise again. I just missed doing the job really –being able to come in and do what we do.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I’d tell them what we do and what we’re about and I’d advise them to fill out the forms and to come and see Jill [Jill Randall, Move Maker Volunteer Manager].

Casper Turner- Move Maker

Caspar Turner

What is your volunteer role/roles within NBT?

I’m a Move Maker – I volunteer at the Patient Check In kiosks.

How long have you volunteered in this role?

I started in January 2021.

Why did you decide to start volunteering here?

I’ve always been interested in volunteering in a hospital. When I was younger, I had to come into hospital for a big leg operation, so I always was really interested in how things work in hospital. When you come as a patient, you see little snippets of different areas, so I wanted to get a bigger picture of what other things happen and how it all works. As a volunteer, you get a much bigger picture – especially as a Move Maker, you meet all different kinds of staff. We talk to doctors, to nurses, to radiologists, pharmacists, to reception staff to admin staff; there is so much going on and it’s really nice to be able to get a bigger feel for everyone who is in the hospital and what’s happening and see the patient process.

What would you say is the most rewarding part of this role?

When patients come back through after they’ve been to their appointment and they thank you for helping to check them in, or to get them to their appointment on time or to take people in wheelchairs down to the different gates – when they thank you for making that part of their day easier, it does just feel really good and you feel really proud of yourself, really valued and glad you’ve been able to help. Another thing I really liked was that when we were doing the Patient’s Belongings service before visitors were allowed back in, to take things up to wards for patients, sometimes people were also bringing in little gifts for the staff , to thank them, and it was always really nice to be the messenger there and be the person passing that message of thanks on.

And what would you say is challenging?

Sometimes it can be challenging if people don’t understand why they have to go to a specific area first, or if they have been told they’re going to one place, but when they’re checking in the system will say that they’re going to a different place. Often, that’s because at the moment some things are being moved around because of the pandemic and we have the admissions lounge so that we can bring people in through a different hospital entrance; so people can get a bit confused and that can be a bit challenging trying to support where people are getting to. But I think I’ve picked up where things are in the hospital and what areas of the hospital various things are located at, so while it’s a bit challenging, it’s getting easier every time I come in.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

In one of the earlier weeks, when I had only recently started volunteering, someone came up to me and they were a bit lost and overwhelmed, so I helped them walk to where they needed to be and chatted with them for a little while to help reassure them and help them calm down and I helped them to check in. That was a really stand out moment for me as I went home and thought to myself “I really made a difference to that person’s day!”  –if I hadn’t been there, they would have found the whole experience a lot more challenging and I really helped them through a stressful situation.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I’d absolutely recommend it! I’d tell them that it’s a really worthwhile thing to do. I don’t see it as being like ‘Ah, I’ve got to go to work’; it doesn’t feel like that at all. It feels exciting – something I really look forward to as there’s always something new happening every week. I’d say it’s a really, really good thing to do, to feel like you’re helping the community and also it does just feel like something to look forward to and something that makes you feel good at the end of the day.

 

 

 

 

Chris Lindop- Move Maker

Chris Lindop

What is your volunteer role/roles within NBT?

I’m a Move Maker

How long have you volunteered in this role?

Since the beginning – 7 years now.

Why did you decide to start volunteering here?

I live very close by. I saw a notice in the surgery, and I thought “Oh, that sounds interesting!” as I’d retired, and I had some spare time. It was advertised for 3 weeks, and I thought I could manage that…7 years later, I’m still here!

What would you say is the most rewarding part of this role?

Making people feel better. So many of the people who come through those doors are either ill or in pain or late or worried or any number of things, and we hope to be a relief for them and a friendly face who can go “How can I help?”. It makes such a huge difference to people and that’s brilliant.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

Something I’ve really enjoyed here is that very occasionally, you get someone who has had to come to hospital on their birthday. With their permission, we support them to do check in, including their date of birth, and sometimes you think “Hang on a minute, that’s today!” so we’ve sung Happy Birthday to them and it’s nice as it’s not ideal to be in hospital on your birthday. There have been patients I’ve taken down to their particular gates and tipped them off that it’s their birthday so they’ve made a fuss of them there as well. 

Another one that really stuck with me was someone who I’d sat and chatted with while they were terribly upset. They came back with a box of chocolates to thank me and I was really touched.  They’d obviously been really grateful for my help.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I was stood down in October 2020 and came back in April 2021. I missed seeing the rest of the Monday morning team and chatting to them. It’s a very good team, we have a lot of fun together and I always look forward to coming in on a Monday morning and catching up with them all. Also, I missed just being in touch with other people. If it’s just two of you at home sort of treading on each other’s toes all day, it’s a relief to come out and have other people to talk to.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I’d say go for it! I think you get so much from doing this. It’s a reason to get out of bed at a reasonable hour, which doesn’t happen very much for retired people. It’s great to have contact with so many other people and feel you’re doing something, especially as there’s not very much else you can do at present. But even in ‘normal’ times, it’s a help.

John Evans- Move Maker and Response Team

John Evans

What is your volunteer role/roles within NBT?

I volunteer as a Move Maker on Tuesdays and Wednesdays and on Fridays I’m on the Response Team. I also volunteered at the vaccination hub.

How long have you volunteered in this role?

Since April 2020.

Why did you decide to start volunteering here?

My wife was already volunteering as a Move Maker and told me how badly the Move Maker team’s numbers were affected by Covid 19 as many Move Makers had been advised to shield and could no longer come in. She suggested I came in to help.

What would you say is the most rewarding part of this role?

You get to meet some really nice people who are grateful for your help . Over the time I’ve been here, I’ve seen the progress and change in some of the patients who have still been regularly attending hospital – going from wearing full respirators to now being able to wear a normal mask – it’s really nice to see.

And what would you say is challenging?

Sometimes people who are feeling stressed and anxious about coming to hospital are less tolerant than they might usually be and that can be a bit challenging. It’s also hard when families are called in to see a patient at the end of their life and then when they arrive, they’ve just missed seeing them.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

When Covid 19 numbers were still really high , I dropped some medication off at ICU for a patient who was being discharged to take home. Watching them being wheeled out, it was just really nice to see a patient leaving ICU having recovered. Another time, there was a patient who had quite a story and was having regular appointments here. It was great to see them progressing. In hospital, everyone has a story and it’s good hearing them and chatting to patients.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I was never stood down. I started volunteering because of the pandemic and have continued to volunteer right through.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I would tell them that volunteering has been very rewarding and helps us as much as we’ve helped everybody else. Instead of being at home worrying and having nothing to do, it gave me something valuable to do and keep my mind off the pandemic. It has its highs and its lows, but it’s always a bit of fun! I also have now got the skill and experience of driving the buggy!

Anything else you’d like to say?

There was lots of camaraderie amongst the volunteers during Lockdown 1, when it was very quiet and volunteer numbers were very low as so many were shielding. I got to feel part of the team and meet some interesting people that I wouldn’t have otherwise.

Lesley Roper- Move Maker and dog walker

Lesley Roper image

What is your volunteer role/roles within NBT?

I’m a Move Maker, but from March 2020, I didn’t feel I could do the full Move Maker role, so I slipped into doing ‘Walking a Dog!’

The dog I walk is a guide dog, and his visually impaired owner comes in for treatment 3 times a week. Because of the length of treatment alongside travelling time either side, the dog needs a comfort break and a bit of stimulation.

Prior to Covid, I’d already been walking this dog once a week for a couple of years, but the lovely people who had been doing the other two days had to shield, so I took it on 3 times a week from there!

How long have you volunteered in this role?

I’ve been doing dog walking for a couple of years now but I’ve been a Move Maker since the beginning, so 7 years.

Why did you decide to start volunteering here?

I worked for the NHS for 33 years and then I retired. I had been involved a little bit in the planning of this building in my previous role and at first it was only going to be for a few weeks, plus I was very nosy about what it was actually going to be like, so I thought the best way was to volunteer, see some old friends, catch up with acquaintances and take it from there.

What would you say is the most rewarding part of this role?

I think it’s if you can take away one tiny little bit of anxiety for a patient, however that is. Whether it’s just being in the right place at the right time, knowing where to go, whether they can find the loos, whether they need assistance to get there – all of those little anxiety things – you can’t do the clinical, but you can just take down that one notch of anxiety; it’s better for the patient.

And what would you say is challenging?

Sometimes, the people that are coming in are anxious or uncertain about what’s going and that can come across as quite challenging behaviour, and it’s about understanding that it’s not that they’re getting at you; it’s the circumstances.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

Thinking with the dog theme again, there was a visually impaired person who used to come in with a guide dog. We would coordinate the visits to help them get where they needed to be and they were just so grateful.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I changed roles last March as I didn’t feel I could keep doing the full Move Maker role and come in and do a 4 hour shift. I’d had pneumonia 10 years go – I probably would have been fine but I thought rather than doing that, I’ll switch to walking the dog 3 times a week so I could still be a help to everybody, but with less risk. I missed the team because that’s one of the things when you go from working to being retired; you miss being part of a team with a common goal. So catching up once a week and having a bit of a chat is very important and I think that’s something about being a volunteer that’s really of value: being part of that team.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I’d say go for it! There are lots of different roles. Some people see the Move Maker role as maybe not for them, because it can be physical if you’re asked to push out patients in wheelchairs or whatever and being that meet and greeter isn’t suited to everybody’s personality. Some people prefer to work in areas where they can get to know staff on a ward and get to know a group of clients and patients and that would suit them better. But there are so many different roles, and especially in the recent times it puts structure into a week when so much else has been changing. To have that one day a week, or even a few hours, where you know exactly what you’re doing each week has been very good during lockdown.

Anything else you’d like to say?

I was nominated for an NBT Heroes award, but honestly, all of the volunteers are working really hard – lots of people have done a lot more than I have!

El Green- Antenatal Clinic Meet & Greet

Picture of El Green

What is your volunteer role/roles within NBT?

I work on the Antenatal Clinic as a Meet & Greet volunteer, so I meet all of the patients and their partners when they come into the ward; ask them to sanitise their hands and wear a face mask, and answer any questions they’ve got if I can, or direct them to where they need to ask if I don’t know the answer. At the beginning of the pandemic, I was explaining when partners could and couldn’t come in and where they had to go, but now partners are allowed in for everything so my role has changed a bit.

How long have you volunteered in this role?

Seven months; since October 2020.

Why did you decide to start volunteering here?

I always wanted to volunteer generally; I’ve volunteered in some capacity since I was about 15. I really liked the role and the idea of being involved in the hospital. I also want a career in healthcare so I thought it would be a really good starting point to build communication skills and patient contact as well as just giving back to the community in some way.

What would you say is the most rewarding part of this role?

The interactions with the patients. Sometimes we have a good laugh whilst they’re waiting to go in and some of the things that they tell me can be really touching.

And what would you say is challenging?

Dealing with little bits of conflict at times, particularly around hand sanitiser.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

There was one patient in particular who was the most friendly patient I’ve had so far. They were having a bit of difficulty with something but rather than making a big thing out of it, we had a laugh about it and I’ve remembered that ever since. When I saw them again on another shift, they remembered me and we had a conversation about some of the things we’d talked about the last time, so it was very memorable for me.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

My role was created because of the changes caused by the pandemic so I joined during the pandemic and have been volunteering here since.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I would say do it! I’ve actually talked to my Mum about it; she doesn’t have time at the moment but she’s thinking of doing it one day.

Glen Springer- Antenatal Clinic Meet & Greet, Befriender

Picture of Glen Springer

What is your volunteer role/roles within NBT?

I started as a Patient Befriender on Ward 7a (Stroke and Neuro), but since July 2020 have also been doing the Antenatal Meet & Greet role.

How long have you volunteered in this role?

Befriender since October 2018; Antenatal Meet & Greet since July 2020.

Why did you decide to start volunteering here?

Following me being an inpatient after a stroke, I wanted to give something back and help empathise and give stroke patients hope for the future.

What would you say is the most rewarding part of this role?

Giving patients hope that they too will make a good recovery.

And what would you say is challenging?

It can be hard when I’m talking to patients who are feeling as though their life is over because of the stroke.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

I was talking to a patient who was suspected of having stroke and over the course of our chat, we discovered that we were neighbours, so after they were discharged, we have gone on to build up a friendship over the years.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

When Patient Befrienders were stood down, I missed interacting with the patients and possibly helping them, but fortunately, I was able to come back as an Antenatal Meet & Greeter in July 2020.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I would tell them to always listen to patients and not to be judgemental , and that it is a very rewarding role.

Anything else you’d like to say?

I’ve really missed coming to the hospital as a Befriender and now that  I’ve had both my vaccinations, I hope it won’t be too long before I can return.

Jane Carter- Meet & Greet

Picture of Jane Carter

What is your volunteer role/roles within NBT?

Currently I’m doing Meet & Greet on the boomerang desk outside ward 27B, but also have done antenatal Meet & Greet, and I did that even in February when it was freezing cold!  During Lockdown 1, I was on the TTA team.

How long have you volunteered in this role?

Since Lockdown 1.

Why did you decide to start volunteering here?

Because of wanting to help during the pandemic and wanting to help fill the gap where older volunteers were having to be stood down from their roles.

What would you say is the most rewarding part of this role?

I really enjoy meeting people. Even though in this role people are often feeling a bit stressed and challenged, I hope I can lighten their day a bit by smiling – albeit behind my mask –and helping them. When I was doing antenatal Meet & Greet, even though people were stressed, it was a happier sort of stress and people were happy to chat. This was particularly the case with brand new, first-time dads, who were always very chatty and keen to talk, offload and share their worries and concerns; they made me feel like a wise old woman!

And what would you say is challenging?

Seeing distressed relatives can be quite hard. One time there was a family who had been called in because their relative was dying, but then when they arrived, they were too late. I really wanted to help.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

When I was meeting and greeting on Antenatal,  I would sometimes speak to parents who had lost babies and were part of the Rainbow group, who come regularly for check ups. Sometimes, whilst they were waiting, they were would share their stories with me and speak openly and honestly about what they had been through. It made me feel very privileged. Even though it is upsetting hearing about how a family has lost someone, and I knew I wasn’t really making a difference to their losses, it just made me feel like I was part of something really big and sharing a part of someone’s very momentous moment in their life.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

Actually, it was my choice to stand down, towards the end of Lockdown 1. The reason I had started volunteering was to help during Covid, so when that felt like it was all going to be fine again and everything was going back to normal, then I stopped my volunteering. But by the third lockdown in January, I felt that I should see if there was anything else I could do, so that’s why I came back.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

There are so many different roles and I think one of the things that happens here well is matching you to a role that you’re suitable for, so I can imagine if I was recommending it to family and friends, I’d tell them to have a good think about what they would like to do and what they’re good at. They could be confident that the team here are really good at then matching you to something that suits both what you want to do but also matches your skills and your approach to things.

Anything else you’d like to say?

I think there is something really special about the team who support us here. It makes a big difference and makes you feel part of something bigger and also makes you feel really valued and have that feeling of belonging.

James Pirrie- Response Team

Picture of James Pirrie

What is your volunteer role/roles within NBT?

I’m on the Response Team.

How long have you volunteered in this role?

Since December 2020.

Why did you decide to start volunteering here?

I’m retired and do a bit of other volunteering. A friend who volunteers with the Move Makers told me about the Response Team role and thought it would suit me.

What would you say is the most rewarding part of this role?

During Covid at its height, you could  really see and feel just how busy they were in the wards and just knowing that you were doing your bit to help take a bit of that pressure off with whatever little thing it is you can do is really good.

And what would you say is challenging?

Nothing really. I turn up, get on with it, and it’s absolutely fine.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I have continued volunteering right the way through the pandemic.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I’d say totally! Just go and do it! For me, during lockdown it’s been a bit of a godsend to get out and do something, which is probably as much of a help for me as it is for you. Going out to do something positive is quite nice instead of sitting around.

Anything else you’d like to say?

I have to say you definitely look after your volunteers here at NBT – certainly better than a lot of other organisations do, which is nice. Both my Covid vaccinations were given to me before most of my friends and family had even had their first one! I’m very well looked after here.

Jane Hicks- Response Team

Picture of Jane Hicks

What is your volunteer role/roles within NBT?

I’m part of the Response Team.

How long have you volunteered in this role?

Over a year.

Why did you decide to start volunteering here?

I have two sisters who were both nurses here and one of my sisters had a meningioma, so she had an 18-hour operation here. Also, I noticed I was flicking through Instagram a lot and it comes up with the time and shows you how long you’ve spent on there, so I thought to myself: Right, I’ve wasted 3 hours, I’m going to delete Instagram and put my time to good use instead!

What would you say is the most rewarding part of this role?

Just knowing that you are helping other members of staff, who are so, so busy; I think that’s it for me. If you can help and take that little bit of pressure off, even if it’s just by collecting some drugs and bits like that, that’s what is rewarding for me.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I volunteered right through the pandemic, alongside running my cleaning business.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I’d say it was really rewarding. A lot of family and friends ask about it and say they’re interested in it but I think a lot of them are waiting until the pandemic is over. A few of them have tried to get into volunteering but there weren’t as many roles around because of Covid but I’d tell them it is a really nice thing to do.

Anything else you’d like to say?

I’m very happy here!

 

 

Martin Bowditch- Response Team and Mobile Shop Volunteer

Picture of Martin Bowditch

What is your volunteer role/roles within NBT?

I’m on the Response Team and prior to Covid, I did the Mobile Shop, pushing the newspapers around on the trolley.

How long have you volunteered in this role?

About 2 and a half years.

Why did you decide to start volunteering here?

I’m a retired Mental Health Nurse and had always done volunteering, even when I was still working. I just find it quite interesting, the whole volunteering experience. I quite like being a people person and being involved.

What would you say is the most rewarding part of this role?

I enjoy knowing that my role is definitely helpful - I get that feedback from Nik [Nicola Crane, Volunteer Coordinator], from the Pharmacy, and from the Wards; so it’s great knowing that I’m being useful. I also like that it’s not a ‘flaky’ role; it is a constant and it provides consistency week in and week out.

And what would you say is challenging?

Personally, the only thing I find challenging is remembering which side is A and which is B on the wards! To be honest, maybe that’s what I quite like about this – I don’t find it really challenging. It’s picking up some medicines and dropping them off. So it’s straightforward and I know I’ve been useful.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

With the Mobile Shop, I really liked being able to have a chat with the patients and often you’d get patients who were in for a few weeks at a time so you’d get to know them a bit, which was always nice. Also in the Response role, the feedback from the Pharmacy team, particularly at the height of Covid, when everyone was in their full PPE and there were so few people around, we were being told very clearly that they really valued our role. We really heard that a lot and it was great!

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

My Mobile Shop role was stood down, and I do really miss that; but out of the pandemic this new Response Team role has been born and it’s been brilliant! It’s been that constant during the pandemic that just gave me a bit of structure. It was a regular thing on a Thursday and that bit of structure was a really good thing.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

It is about being realistic and finding your own niche. I wouldn’t say the Response Team role is for everyone, but it’s about finding the role that’s right for you and I would say that once you find that, it is generally very, very healthy and positive.

Anything else you’d like to say?

The way that this Response Team role has been set up and run during the pandemic has been very smooth and I am glad that this role has still carried on beyond the height of the pandemic.

John McLellan- Response Team and Patient Partner

Picture of John McLellan

What is your volunteer role/roles within NBT?

Initially, I was involved in committee roles. I was invited to become a part of the Patient Partnership Group and as a result of that I attend various committees such as the Clinical Effectiveness and Audit Committee and the Medicine Management Group as a patient or public representative.

The other role I do is a Response Team volunteer, which is delivering medicines around the wards of the hospital.

How long have you volunteered in this role?

About 4 years in committee roles; Response Team since April 2020.

Why did you decide to start volunteering here?

I’d worked in the NHS as a Management Consultant for the 8 years previous to coming here as a volunteer, so coinciding with retiring, I really felt I wanted to stay involved in the NHS. But more deeply than that, the NHS has been a part of my life, for good and bad reasons, since I was a kid. It’s in my DNA, so I felt there’s no place I’d rather be volunteering than here.

What would you say is the most rewarding part of this role?

It’s two-fold really. Firstly there’s the sense of doing something useful; contributing to something valuable. Being part of the NHS, even in a small way is very important to me. Also, it’s the interactions with people. Over the last 15 months, I’ve gradually gotten to know people in Pharmacy and on the wards and just other people around the hospital that you see on a daily basis, and I just like the social interaction it really supported me during the pandemic”.

And what would you say is challenging?

Apart from the TLA (Three Letter Acronyms) problem? The committee work can be quite challenging as often there are a lot of senior people in these meetings and at times, as I don’t have that detailed knowledge that they do, it can be a struggle for myself to keep up. Just remembering why you’re there and trying to do something useful or purposeful when you’re in a meeting, which sometimes can just be about asking a question, really just reminding people that there is a patient representative in the room can make a difference.

The most challenging aspect of the Response Team role is a physical one. Doing a 4 hour shift is hard work, and if someone wasn’t physically fit, it wouldn’t be for them. It is 4 hours walking up and down the hard floors of the hospital and it can be really tiring sometimes – but not to the point that I’d want to stop doing it!

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

When Covid numbers were quite high, there were times I’d turn up at a ward with some deliveries just as a patient was leaving the hospital after a long stay. All the staff in the ward would line up to clap them out and I’d just have to join in! Everyone would be in tears including me. It was very emotional.

Also, sometimes the hospital has been pretty empty, especially during the early days of the pandemic and sometimes I would find people just lost, both physically and mentally in the hospital. Sometimes I’ve gone up to someone looking a bit lost and just asked if there was anything I could do for them, if they’d like a glass of water or something and they’d be so grateful. It makes you realise it really doesn’t take much sometimes just to transform things for people. People coming in here are often very anxious and any little thing you can do can make a huge difference.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

With some of the committee work I was doing, a lot of the meetings were all suspended and my work was drying up so I was very grateful when the hospital got in touch and asked me if I’d be interested in doing the Response Team role.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

With the Response Team role, people need to think about the physical demands of the role, but otherwise I would encourage people to get involved because the pay-off is great! There’s a lot of different roles volunteers can do here so if people can give a few hours, I think it’s very rewarding.

Anything else you’d like to say?

Just keep letting me do it! I love it – all of it!

Jan Bowen- Response Team and Pets as Therapy Volunteer

Picture of Jan Bowen

What is your volunteer role/roles within NBT?

I’m on the Response Team but am also a PAT (Pets as Therapy) Dog volunteer with my lurcher, Otis.

 How long have you volunteered in this role?

Otis and I have been volunteering since late 2016 and then I started the Response role in April 2020.

Why did you decide to start volunteering here?

I gave up work and adopted Otis, and that was quite a big change in my life. I wanted to do something with him, so I registered him as a therapy dog and then Otis and I used to visit here, a school and a care home. It was something to do with him, so I could work with him rather than leave him at home. I’d read a little bit about the effect of dogs, but actually seeing it, I was really touched and shocked at how much the dog affected people in a really positive way; particularly Dementia patients.

We used to go into Elgar, which is a transition ward with quite a few Dementia patients and it was just lovely sometimes when patient’s relatives would see them chatting about the dog and say “Oh wow; that’s my Mum / that’s my Dad – I’ve not seen them like this for years!”

What would you say is the most rewarding part of this role?

With the dog, it’s seeing that reaction from people. You can’t walk up and down this place with Otis without somebody stopping you to say hello or putting a smile on someone’s face, so that is very rewarding, because you make a difference. With the Response Team role, during the first lockdown, it gave me a sense of purpose. I’m not medically trained, but I was actually getting out of the house and coming somewhere where I truly felt like I was adding value; and being part of a team is rewarding too.

And what would you say is challenging?

The physical side sometimes. It’s a lot of walking – I do up to 5 miles on a shift sometimes and it can be quite tiring, but other than that it’s not a problem; I enjoy coming in.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

I have had members of staff come up to me and Otis when they are having a difficult day and just need to clear their head. They’ll just spend some time fussing Otis and chatting to him and at the end they’ll tell me it was just what they needed and has done them the world of good.

Sometimes I’ve visited patients who have to be in hospital a while and are missing their own dog. Just sitting with Otis for 15 minutes, just fussing him, while they are really missing that dog contact – they’ve told me how much it relaxes them and helps them come to terms with long hospital stays.

There have also been some end-of-life visits, which are very moving.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

PAT dogs were stood down but then fortunately, pretty much within a week of that, I got the email asking if anyone was interested in doing the Response role, which was great as it felt like my life was empty again. So I really only had a week off and then volunteered right the way through – and that was quite eerie, because the Brunel building is a real buzz normally, with lots of people and noise around, but there were times where there would only be about 10 people, the whole length of the hospital, so that quietness was really strange – it’s nice to have the hubbub back!

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

Oh I’d definitely encourage them – in fact I’m an assessor for PAT dogs and there are a couple of people I’ve referred here and they’ve subsequently signed up as PAT dog volunteers. It also really helps that there is such a good focus on fostering a team spirit and giving us a sense of belonging. It is something that is really important and Nik [Nik Crane, Volunteer Coordinator] provides that really well.

Anything else you’d like to say?

I really enjoy it and I think that when circumstances allow it will be really lovely if the Response Team can actually meet for a coffee somewhere and put faces to names – as the team was formed during the pandemic and all work different shifts – just to engender that team environment in the way that the Move Makers have.

Eleanor Guiney- Fresh Arts Pianist

Eleanor Guiney

What is your volunteer role/roles within NBT?

I am one of the volunteer pianists, so I try to play the piano here (in the Brunel building atrium) once a week.

How long have you volunteered in this role?

I actually started at the beginning of the pandemic so since around March 2020.

Why did you decide to start volunteering here?

I love playing piano and I’ve always played piano throughout my life so I was always really attracted to playing the piano here. I thought it was a really good opportunity to contribute to the community here and I just like adding a touch of positivity into the atmosphere.

What would you say is the most rewarding part of this role?

I think the it’s the feedback I get from patients and staff – it’s been really positive and I do really feel like it makes a difference to people and people really enjoy the music, so that’s been really rewarding. It has also motivated me to practise the piano more, which has been good too!

And what would you say is challenging?

Just the challenges of performing I think, like trying to be confident in playing in front of people and trying not to get distracted by the people in your environment moving around – that’s probably the most challenging part.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

I’ve sometimes been approached by people after I’ve been playing asking me to play at events, so that’s always really exciting! Overall, I’ve always had good feedback and it’s been a really enjoyable experience.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I actually started during the pandemic and it’s been a real lifeline that I’ve been able to do it. It’s been something more positive and been helpful for me to have a focus and something to put my energy into – it’s been good.
 

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I would really encourage them to do it – particularly any pianists who are wondering whether they’re good enough or whether they’d be able to; I would really encourage to do it and I think it really motivates you to get practising more and you feel encouraged by the feedback from the staff and patients.

Anything else you’d like to say?

I’d just like to say thank you to the whole community because it’s been really positive and enjoyable.

Georgina Wilson- Fresh Arts Pianist

Georgina Wilson

What is your volunteer role/roles within NBT?

I volunteer playing the piano in the Brunel atrium a couple of times a week.

How long have you volunteered in this role?

Over 4 years now.

Why did you decide to start volunteering here?

I used to work at the Bristol Royal Infirmary until our entire department moved from there to here and there wasn’t really an opportunity to be able to play the piano there, so when I discovered that there was a possibility to do it here, I thought “Right – let’s join in!”. I enjoy playing and hoped that other people would appreciate the music.

What would you say is the most rewarding part of this role?

There are two answers to that – one is that it certainly helps my personal wellbeing, but it is also when I know that it’s helped others. A number of times people have specifically come up and said thank you and said that it had really helped them – especially during the first lockdown when it was really tough for people and they’d come to me and say “This has made all the difference” – that’s really rewarding. 

And what would you say is challenging?

I can get self conscious! So long as I think about it as being that I’m playing for myself and somebody else might just happen to hear, then I’m fine, but if I think of it as putting on a performance then I’m more likely to go wrong.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

There have been occasions when people have come up to me and said that a particular piece that I was playing had special significance to them and I’ve just happened to be playing it at a time when it was really impactful for them.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I have continued volunteering throughout the pandemic, just as I have continued working here in the Infection Sciences Pathology Department, where my Virology colleagues have been right on the frontline with doing Covid testing and it’s been quite a challenge for the whole department to just keep things going in spite of the impact of the pandemic and with seriously reduced manpower.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

If they were interested I’d say go for it! 

Anything else you’d like to say?

Volunteering has certainly improved my piano playing! Playing on a much more regular basis has definitely made me feel more confident. I’ve played the piano for a long time – I think I started when I was about six years old – so I worked my way through the different grades when I was at school, but when I left school then it kind of went into the background, so it’s nice to be able to do something like that again and for it to be able to help others.

I also play the cello and have played the cello in the hospital sometimes too – we did a Christmas medley one Christmas and I played the cello then; but it’s a bit more difficult logistically as it’s heavy to carry and difficult to store at work – it’s nice just being able to sit just down at the piano, open it up and start to play. It’s a  really nice piano to play as well; it’s got a really nice touch to the keyboard.

Scott Miner- Alcohol Team Peer Support Volunteer. PLEASE NOTE: this profile includes references to alcohol abuse.

Scott Miner - Alcohol Team

What is your volunteer role/roles within NBT?

I’m with the Alcohol Team, providing peer support for patients who’ve been admitted with problems related to alcohol misuse.

How long have you volunteered in this role?

About 2 and half years.

Why did you decide to start volunteering here?

I was a prolific relapser and had utilised the services of the hospital many times myself, so when I was asked if I would come in to volunteer by the alcohol nurses, I didn’t really hesitate as I felt that I could now give something back. Where I’d once been using and abusing the system, this was a way for me to repay. I’m with AA now and the essence of the program is to pay it forward and pass the message on, so I felt that if I was a success, I should give something back. What was given freely to me, I’m giving freely back.

What would you say is the most rewarding part of this role?

When people really listen and engage with you and you can start to see somebody getting better – I think that’s a great thing to see.

And what would you say is challenging?

Alcoholics can sometimes feel like nobody understands them; like they’re all alone in the world and they’re the only ones to have ever lived that experience, so sometimes it can be very difficult to get through to them. You can feel like you’re getting nowhere, but sometimes you can get through a tiny bit. The way I see it is that even if they do go out and drink again and they make themselves ill, at least you’ve planted a little bit of a seed so that the next time they go and do it, they can pause and think “Well actually, Scott said [this] the last time; maybe I could try [that]” so I don’t really feel like anything is wasted.

Is there a particular moment / story that really stands out to you from your time volunteering in this role?

I always remember the moment when a patient finally starts to engage with me – when they’re sitting there not wanting to engage or even look at you, and upset that they’ve got to go for this test or the other, and I say to them “You do realise that not so long ago, I was the one in that chair; I was the patient.” I can tell them “I’ve had to have that test too”  or “That’s what they diagnosed me with as well, but I’ve managed to control my drinking, sort my drinking out, and now I’m doing this”. After hearing that, there is sometimes a moment where they automatically sit up, look me in the eyes and start to actually listen to what I’m saying, because they can see that I have lived experience of what they’re dealing with and now here I am on the other side. That moment when they realise that yes, there is help there; no, they’re not alone in this; yes, it is possible to come out the other side.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

A lot of what I do involves going onto the wards and speaking to the patients so I was stood down for a while we couldn’t have volunteers going onto the wards any more with all the Covid precautions. It was a bit frustrating because they are finding that especially because of the pandemic, the number of people coming in because of alcohol related issues has gone up a lot, so it was really bad timing to no longer be able to go into the wards and support them. Fortunately, they’ve now organised it so that, rather than going onto the ward, I ring people and provide peer support over the telephone.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

As long as you’ve got something to give and you’ve got the time, then go for it! You get treated very well and it’s really rewarding.

Anything else you’d like to say?

When I was at my worst, my confidence was gone; my ability to interact with society was gone. Doing this has really built me up a lot and helped me to recognise that I am still an intelligent person and to have some self-worth again.

Adebomi Olaitan- Kidney Peer Mentor

Adebomi Olaitan - Kidney Peer Mentor

What is your volunteer role/roles within NBT?

I am part of the Kidney Peer Mentor Group and I speak to and support people who are about to start dialysis, need to start dialysis, or are already having dialysis.

How long have you volunteered in this role?

About 2 or 3 years.

Why did you decide to start volunteering here?

I’m quite knowledgeable about renal failure because I have experienced renal failure myself. I know that getting diagnosed with renal failure can be quite daunting to a lot of people because they often don’t really understand what the kidney does – it’s only once you get renal problems you suddenly realise “Oh, the kidney does a lot, actually!”.  So that’s why I wanted to help educate people , and raise awareness for people to look after their kidneys, by controlling the amount of salt in their diet or controlling their diabetes or hypertension better, as those things can lead to renal failure.

What would you say is the most rewarding part of this role?

Simply hearing people say “Thank you” and also when I speak to patients who really don’t want to do dialysis but they need it, and eventually they listen to you and they finally start dialysis. It is nice when the patients I’ve been supporting feel safe to just ring me when they’re anxious about anything and they seem really grateful – I’ve been described as “a Godsend”.

And what would you say is challenging?

Sometimes patients are really reluctant to start dialysis and it’s like no matter what you’re saying to them, it isn’t really registering. In those situations they end up learning the hard way and get a lot sicker than they would have if they had just started dialysis sooner, so that’s quite challenging. Also, sometimes the patient has done research of their own but the information that they have is not correct or from reliable sources.

If you were stood down during the pandemic, what did you miss most about volunteering whilst you were not able to be with us?

I have continued throughout – luckily, we don’t need to do any face-to-face, so I can still do it over the telephone or sometimes we can do it on Zoom.

If a friend / family member was interested in volunteering with NBT, what advice and encouragement would you give them?

I would say yes, do so; especially because here at NBT, I have felt so appreciated. You don’t do it for thank yous or gifts but the team here will take the time to say thank you, and I’ve received a lovely gift saying thank you. I have volunteered in various organisations and I know that sometimes volunteers can be taken for granted, or experience things like favouritism or feeling excluded, but there is nothing like that here at NBT. Here, you take the time and trouble to really thank your volunteers and make us feel appreciated and that made me really want to keep doing it.

Anything else you’d like to say?

Alongside my volunteering at NBT, I also set up an organisation called The Rebel With a Cause (TRWAC) CIC with a colleague. Our #UjimaKeeptheBeat campaign has been funded by the NHS Blood and Transplant’s Community Investment Scheme. It will be a series of radio shows on Ujima Radio 98fm, online workshops and community outreach to schools, colleges and universities in Bristol to raise awareness of the importance of blood, organ and bone marrow donation among BAME communities, get people signed up as donors and also encourage people to have the important conversation with their loved ones before their passing.

Gastroenterology and Hepatology Contact information

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How to contact our teams 

For general enquiries 

For queries related to endoscopy 

If you are already a patient known to the gastroenterology or hepatology service, you can email:  

How to find us 

We are based in several locations including: 

  • Gastroenterology Outpatient Clinic, Level 1, Brunel building Southmead hospital. 
  • Specialist Hepatology Clinic (Thursday mornings), Gate 5, Level 1, Brunel building, Southmead hospital  
  • Gastroenterology and Hepatology Inpatients, Ward 8a, Level 4, Brunel Building, Southmead
  • Hospital 

Find out more about how to find us Our Hospitals | North Bristol NHS Trust  

© North Bristol NHS Trust. This edition published April 2025. Review due April 2028. NBT003606.

Overnight oximetry (Sleep study)

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Important information

  • You should not consume any alcohol on the day or night of the test.
  • You should not wear nail varnish or acrylic nails on the night of the test. If you wear nail varnish or acrylic nails the machine will not work.
  • The machine must be returned to Respiratory Physiology after two nights. 

Thank you for your cooperation. This will assist us in getting the most accurate information and enable us to provide you with the most appropriate treatment. 

What is overnight oximetry? 

“Overnight oximetry” is a test designed to assess the level of oxygen in your body when you are asleep.

You will need to use this machine for the two nights after you receive it, and then return it to the hospital.

Why do I need to have this test?

This is a simple non-invasive procedure to check that you are taking in enough oxygen when you are asleep. 

What happens during the test?

At the appointment you will collect an overnight oximetry machine, which will be loaned to you by the hospital. This is used overnight in your own home. The Physiologist will explain the test to you and answer any queries you may have. They will show you how to use the machine. The instructions are also attached to the machine. You will be asked to complete some questionnaires to give you further information about your sleep pattern. 

What does the oximetry machine do?

The oximetry machine assesses your blood oxygen levels, your pulse, and your breathing when you are asleep. This is done using a probe attached to the outside of your finger before you go to sleep in bed. 

Frequently asked questions

Will I experience any discomfort or side effects?

There is no discomfort or any known side effects associated with this test. 

When will I be told the results of the test?

Once you have returned the machine to the hospital, the results will be processed and passed onto the requesting clinician. You are then usually told your results at your next clinic appointment, or a letter may be sent to your GP or the doctor who referred you for the test. 

What happens if I don’t want to have the test?

If you don’t have the test we won’t be able to assess your sleep. This may affect the medical treatment that you receive. 

Instructions 

What will you receive at your appointment?

  1. A pulse oximeter (with a finger probe attached). 
    Our finger probes are available in 2 sizes: regular and large. We have other attachments available such as an earlobe probe. If you have any difficulty using the finger probe, please speak to a member of the team for more information.

    Pulse oximetry machine
  2. Paperwork: Instructions. Epworth Score Assessment. Sleep questionnaire.

    Example of patient questionnaire

What to do part 1

  1. Get ready for bed, take all medication as normal. 
  2. Place the equipment on your left wrist, as if putting on a wrist watch. 
  3. Tighten the band on the equipment so it is comfortable and stable on your wrist. 
  4. Just before you get into bed place the grey probe on your ring finger, so the wire is on the back of the hand. Make sure that your finger is not poking out of the end of the probe.
Pulse oximetry finger probe and wrist attachment

What to do part 2

  1. The machine will then start recording. 
  2. Go to sleep. 
  3. If you wake in the middle of the night, do not take the equipment off. The probe should be attached for at least 5 hours. If the site of the probe becomes uncomfortable, another finger can be used. The other end of the probe is attached to the machine. 
  4. In the morning, when you get up, remove the equipment. 
  5. Repeat the previous steps for the second night. 
  6. If you think that the equipment isn’t working correctly, please contact us (details on the back of this leaflet).

Once your have completed 2 nights wearing the equipment

Please return it to Southmead Hospital “Welcome desk.” This is near the front entrance of the Brunel building, near the Amigos Shop. (Monday to Friday, 7am to 7pm). 

Southmead Hospital Bristol | North Bristol NHS Trust (nbt.nhs.uk)

If you have any issue returning your equipment, please speak to a member of the team.

© North Bristol NHS Trust. This edition published July 2024. Review due July 2027. NBT002589

Contact Respiratory Physiology

Medical thoracoscopy

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What is a thoracoscopy? 

A thoracoscopy a way of looking inside the space between your lungs and rib cage (the pleural cavity) with a camera.  It is a routine procedure performed with light sedation and local anaesthetic. It is normally done as a day case but some people will need to stay in hospital for a few days afterwards. 

Why do I need a thoracoscopy? 

A thoracoscopy can help diagnose and treat fluid in your chest (pleural effusion). During a thoracoscopy, your doctors will usually:

  • take small samples (biopsies) from the inside lining of the chest wall (the pleura)
  • remove all of the fluid in your pleural cavity 

In some cases, they may also:

  • spray sterile talc powder onto the inside surface of the chest (pleurodesis) to try and prevent fluid from returning
  • Insert a semi-permanent catheter into the pleural space (an indwelling pleural catheter or IPC) to allow any further fluid build-up to be drained regularly at home. If an IPC is planned then you should receive a separate leaflet about this.

The procedure takes 30 to 40 minutes.  You will be given local anaesthetic and sedation to make you feel more relaxed but you will be aware of what is going on around you.

What are the benefits of a thoracoscopy?

The biopsies taken during the procedure may help us to understand why the fluid is building up in the pleural cavity. This can also help us work out which treatments will be best for you in the future. The procedure also aims to improve breathlessness by draining the fluid away from the pleural cavity.

Do I have to have the procedure?

It is your decision whether you wish to have the procedure or not. We will fully explain why the procedure has been recommended, and the risks and benefits. You will be given the opportunity to ask any questions.  We will always ask you to sign a consent form. 

What should I do before the procedure?

  • Do not to eat anything for at least 6 hours before the procedure. 
  • You can take your normal medication in the morning with a sip of water up to 2 hours beforehand. We recommend that you take a simple painkiller like paracetamol on the morning of your procedure.
  • It is important you tell us as soon as possible if you are on any blood thinning medication as these may need to be stopped prior to your procedure.
  • Please bring with you a list of your normal medications and any allergies to drugs, reading glasses (if needed) and a small overnight bag.

What will happen on the day? 

On the day of your thoracoscopy you will usually be asked to come to Gate 20, Level 2 (medirooms) in the main Brunel Building at Southmead Hospital. 

  • During the procedure, you will lie on your side and you will be given some oxygen to breath. You will be given a sedative, pain killing medication and local anaesthetic. A small cut and hole (measuring 1 to 2cm) is made in your chest, and any fluid is drained away. 
  • The camera (which is about as wide as a pen), is passed through the hole to look inside the chest. When the biopsy samples are taken, some people can feel a sharp pain inside the chest, but this should only last a second or two each time.
  • At the end of the procedure, a flexible tube (chest drain) will be inserted through the hole to allow any remaining fluid or air to drain out. 
  • The tube will be stitched in place and attached to a bottle. You may feel the urge to cough after the tube is inserted but this is normal and should pass quickly. 

What will happen after the procedure?

  • You will return to your mediroom after the procedure to recover and for monitoring. 
  • You will have a chest drain in place, which will drain into a bottle next to you.  The bottle must stay on the floor and below the level of your chest. If you have any concerns about the drain, please let your nurse know.
  • 1 to 2 hours after the procedure you will have a chest X-ray and the doctors will decide if the chest drain can be removed.
  • If you go home the same day, the chest drain will be removed before you go. You will need to have someone available to stay with you overnight. You will not able to drive for at least 24 hours and until you are comfortable to do so. 
  • Some people will need to stay in hospital for a few days after the procedure.
  • You can take simple painkillers if needed to manage any discomfort.

Follow up after the procedure 

  • You will usually be given an outpatient appointment around 2 weeks after your procedure. 
  • If biopsies have been taken, your doctor will discuss the results with you then. Please be aware that biopsies may not always provide a diagnosis.
  • Stitches should be removed 7 to 10 days after your procedure. This can either be done by your GP or practice nurse, or we can take it out when you come to your clinic appointment. 

Are there any risks with thoracoscopy? 

Thoracoscopy is a routine and safe procedure. However, like all medical procedures, there are some risks which are important for you to be aware of. The most common and most important risks include: 

Failure of the procedure

In rare cases, it is not possible to remove all the pleural fluid or obtain a biopsy.  This happens in around 1 in 100 cases. 

Pain 

This is common but is rarely severe. Any pain caused by the thoracoscopy is usually controlled with a combination of local anaesthetic, simple painkiller tablets (like paracetamol), and the painkilling injection during the procedure. 

If you are given talc powder into the chest, this can be painful while it is going in or for a few days afterwards. This can also usually be managed with simple painkillers.

A very small number of people may continue to experience pain around the scar (where the camera was inserted) for a few months afterwards. If this occurs, it is usually for very brief moments and can usually be managed with simple painkillers.

Subcutaneous emphysema (air under the skin) 

This occurs in around 1 in 25 patients. It can cause swelling or a ‘crackly’ feeling under the skin, usually just next to the procedure hole. This often settles by itself but very rarely, the swelling can be more extensive and serious. This may mean another drain needs to be inserted. 

Low blood pressure during or after the procedure

This occurs in around 1 in 50 patients and may cause dizziness or light-headedness. This usually settles by itself and does not last long, but may occasionally require treatment. 

Infection of the skin or inside the chest

This occurs in around 1 in 100 patients. It may lead to feeling unwell with fevers and pain, or redness around the drain site. Skin infection can usually be treated with tablet antibiotics at home. Infection inside the chest may require a stay in hospital for intravenous antibiotics and, extremely rarely, an operation.

Persistent air leak 

This occurs in around 1 in 200 patients. During the procedure, if the lung is damaged, a small hole may cause air to leak out into the pleural cavity. If this occurs, the chest drain will need to stay in place until it has healed – this can vary between people.

Tract metastasis 

This occurs in around 1 in 100 patients. If cancer is found inside the chest, this can spread along the path made by the camera during the procedure. Over time this may cause a painful lump to appear around the scar, which may require treatment such as radiotherapy. 

Damage to nearby structures or organs

This occurs in around 1 in 200 patients. During the procedure, organs inside or next to the chest (such as the lung, heart, diaphragm, major blood vessels, stomach, liver or spleen) can be damaged by the camera. If this happens, an additional procedure (such as an operation) may be needed.

Re-expansion pulmonary oedema 

This occurs in around 1 in 200 patients. It is caused by fluid build-up in the lung after it reinflates quickly after the chest drain is inserted and can lead to breathlessness and cough. This usually settles by itself and is short-lived but may occasionally require treatment. 

Bleeding and bruising

A small amount of bruising around the procedure site (or blood staining on dressings) is normal. Very rarely (in less than 1 in 500 patients) significant bleeding at the skin or into the chest can occur. This may require treatment like a blood transfusion or an additional procedure (including surgery) to help control the bleeding. 

Death 

This occurs in much less than 1 in 1000 patients. Any medical procedure carries a very small risk to life, but for thoracoscopy this is extremely low as it is a generally simple and safe procedure.

Your feedback is encouraged 

If you have any questions or feedback for your team, please let them know. We are keen to make thoracoscopy as straightforward and as comfortable as we possibly can. 

We will write down your appointment details for your IPC insertion or removal

  • Gate
  • On (date)
  • At (time) 
  • Medication changes

For any queries regarding the procedure, please call the pleural nurses on 0117 414 1027 (Monday to Friday, 8am to 4pm).

Date published: 9 July 2026 Review due: 31 July 2029 PI number: BFT002292

Mannitol challenge

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What is a mannitol challenge test?

Mannitol is a naturally occurring sugar. A “mannitol challenge” test is a test that involves inhaling a fine mannitol powder, via an inhaler and assessing the response with a breathing test.

Why do I need to have this test?

The test has been requested to see if you have sensitivity of the airways in your lungs.

What happens during the test?

You will be asked to breathe in different concentrations of mannitol powder, via an inhaler. The concentration of the powder is gradually increased to assess the effect it has on your lungs. After each inhalation you will be asked to perform a simple breathing test, which you have probably done before. 

The whole test will last for approximately one hour.

Will I experience any discomfort or side effects?

Sometimes the test can cause a mild spasm of the airways, which may make you cough or short of breath. This is easily reversed by a common medication (salbutamol) that can be given if required at the end of the test. The powder may make your throat slightly dry which will be relieved with a drink of water.

Important information

It is important that you follow the instructions below carefully. You will not be able to do the test if you don’t.

  • Please stop taking all of your inhalers and asthma/ allergy medications (including antihistamines and montelukast) 4 days prior to this test. If required you can take salbutamol (Ventolin) and Bricanyl up to 8 hours prior to the test.
  • Please do not smoke for 6 hours prior to your appointment.
  • Please avoid foods and drinks that contain caffeine (tea, coffee, chocolate, cola and energy drinks) on the day of your appointment. You can continue to drink all other fluids.
  • Please avoid vigorous exercise on the day of your appointment.
  • Please inform us if you are pregnant or currently breast-feeding.

If you are unsure about whether you need to stop your medications or have any other questions about this test please contact us using the phone number on the back of this leaflet. 

Thank you for your cooperation. This will help us to obtain accurate information about your lungs and enable us to provide you with the most appropriate treatment.

Reference

Brannan, J.D., Anderson S.D., Perry C.P., Freed-Martens R., Lassig A.R. (2005) The safety and efficacy of inhaled dry powder mannitol as a bronchial provocation test for airway hyperresponsiveness: a phase 3 comparison study with hypertonic saline. Respir Res. 6:14

© North Bristol NHS Trust. This edition published June 2024. Review due June 2027. NBT002297.

Lung function tests (Breathing tests)

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What is a lung function test?

A “lung function test” is a procedure performed to give us accurate information about your breathing and how your lungs work. 

Why do I need to have this test?

This test provides detailed information about your lungs to your clinical team. This will enable them to provide you with the most appropriate plan. 

What happens during the test?

Before the test starts the Physiologist will explain the test to you in detail and will answer any questions you may have.

The lung function test is painless. It involves a series of breathing tests consisting of breathing and blowing through a mouthpiece connected to special equipment.

The test will take approximately half an hour to one hour depending on the information required.

Important instructions

  • If you are currently taking any inhalers, please stop taking them four hours before the appointment time.
  • Please do not smoke for four hours before the test.
  • Please do not drink alcohol for four hours before the test.
  • Please do not do any vigorous exercise 30 minutes before the test.
  • Please eat and drink as normal.
  • Please do not wear lipstick or nail varnish to the appointment.

Thank you for your cooperation. This will assist us in obtaining accurate information and enable us to provide you with the most appropriate treatment.

Frequently asked questions 

Will I experience any discomfort or side effects?

Some of the breathing tests are tiring, but you will be given time to recover between tests and there are no known side effects associated with this test.

When will I be told the results of my test?

You will usually be told your results at your next clinic appointment, or a letter may be sent to your GP or the doctor who referred you for the test.

What should I wear when I attend for my test?

You should wear normal comfortable clothing.

What will happen if I do not want to have this test?

If you do not attend for this test we will not be able to pass important diagnostic information to the doctors. This may affect the medical treatment that you receive. You can choose to have the test or not.

Reference

Cooper, B, Evans, A, Kendrick, A and Newall, C (2005) Practical Handbook of Respiratory Function Testing: Part 1. Association for Respiratory Technology and Physiology.

© North Bristol NHS Trust. This edition published July 2024. Review due July 2027. NBT002296.

Contact Respiratory Physiology

Indwelling Pleural Catheter (IPC)

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What is an indwelling pleural catheter (IPC)?

An IPC is a soft, flexible tube used to drain fluid from the space between your lungs and rib cage (the pleural cavity). The tube goes under the skin with one end in the fluid and the other outside the chest. It has a one-way valve on it. The pleural fluid can be drained every so often into a bottle or bag. When not in use, it is capped off and covered with a dressing.

Why do I need an IPC?

You have a pleural effusion that is likely to come back. This fluid causes breathlessness. An IPC allows you to drain it regularly, usually at home, to relieve symptoms.

Do I have to have an IPC?

No - this is your choice. Your team will explain the possible benefits, risks and alternatives. This website has more information to help you decide Welcome to ‘My Pleural Effusion Journey’

What should I do before the procedure?

Tell your team if you take blood thinning medications (they may need to be stopped).  We will tell you when to stop and when to restart.

You can eat and drink and take your other medications as usual (unless told otherwise).

Please bring a medication/allergy list and glasses if needed.

What will happen on the day?

On the day of your procedure, you will usually be asked to come to Gate 20, Level 2 (medirooms) in the main Brunel Building at Southmead Hospital. 

  • The doctor will meet you before the procedure and you will have a chance to ask them questions. If you are happy to proceed, you will be asked to sign a consent form.
  • The procedure is usually done lying on your side. An ultrasound scan will find a safe site to put the drain.  You will receive local anaesthetic. This can sting for a short time before the skin becomes numb.
  • Two small cuts are made in your skin (around 1cm each and 5cm apart). You may feel pressure or pulling during the insertion procedure, but it should not be painful. 
  • Stitches are placed to hold the tube in place while it heals
  • The whole procedure normally takes 15 to 20 minutes and most people go home the same day.

What will happen after the procedure?

  • You will be offered painkillers if needed.
  • You will have a chest X-ray to check the drain position.
  • Most people can go home the same day.  If so, you will need someone to take you home (you shouldn’t drive on the day of the procedure).
  • You will usually be given an appointment to speak to a member of the team 2 to 3 weeks after the IPC has been inserted.

Who will drain the fluid at home and how often will this happen?

  • Regular IPC drainages are usually done by the district nurses. Your team will make sure they know when to start coming to your house. 
  • Once the IPC insertion site has healed, a friend or family member can also be trained to perform drainages if you wish.
  • Any stitches will need to be removed after 7 to 10 days. This is usually done by the district nurses.
  • Drainages usually start at 3 times per week, but this may be adjusted depending on how much fluid is coming out. 
  • Drainages usually last for 5 to 10 minutes. At the end of each drainage you will have a new dressing applied.
  • Your district nurses will keep a record of how much fluid is coming out and will inform the hospital team if your fluid dries up.

Looking after your IPC

  • The district nurses will also provide you with an information booklet about your IPC.
  • In general, you will need to:
    • keep the dressing clean, dry, and intact.
    • keep the area around the IPC dry for the first 4 weeks after insertion
  • Between drainages, keep the valve capped and the external tube coiled under the dressing.
  • If you develop fever, increasing pain, redness, swelling, leaking, or discharge at the site, let your district nurse or the hospital team know quickly. 
  • If you think the IPC is broken or is coming out (or it has come out) then seek urgent help.

Are there any risks with an IPC?

IPC insertion is a routine and safe procedure. However, like all medical procedures, there are some risks which are important for you to be aware of. The most common and most important risks include: 

  • Failure to insert the IPC: occasionally it is not possible to insert an IPC because there is not enough pleural fluid. We will use ultrasound to check this before the procedure.
  • Pain: after the procedure you may feel bruised or sore for about a week. This usually only needs simple painkillers like paracetamol to control.  Ongoing pain occurs in less than 1 in 100 patients.
  • Pain or dragging during drainage: can occur if the lung does not fully re‑expand. Draining slowly and stopping if uncomfortable usually helps.
  • Infection of the skin or fluid occurs in less than 1 in 20 people. Good sterile technique and hygiene during drainage reduces the risk. Most skin infections are treated with tablet antibiotics, but infection in the fluid may require intravenous antibiotics and possibly a stay in hospital. Removal of the IPC is rarely needed.
  • Dislodgement: this is rare. If you think the catheter has moved out of place, contact your team.
  • Bleeding: damage to a blood vessel during insertion causing serious bleeding occurs in less than 1 in 100 people. Rarely, this may need an additional procedure or a blood transfusion.
  • Loculations (pockets of fluid) may develop in less than 1 in 7 people. These can limit drainage and increase breathlessness.
  • If the IPC has been inserted for fluid due to cancer, tumour growth along the catheter track can occur in around 1 in 20 people (but usually after a few months). Report any new lump or pain around the catheter to the team.
  • Blockage from debris in the fluid occurs in less than 1 in 20 people. The team can usually unblock the catheter using simple measures like flushing with water.

How long will the IPC stay in? Will it stop draining?

  • The IPC is designed to stay in for as long as needed, as long as it is looked after properly.
  • About 1 in 5 (20%) of patients will stop producing fluid naturally within 12 weeks and can have the IPC removed.
  • If you have 3 drainages in a row of less than 50ml each, please contact the pleural nurses 
  • Some patients may be benefit from having medical talc powder injected into the IPC. Around 2 in 5 (40%) of IPC patients who receive talc will stop producing fluid within 6 weeks. Your doctor will discuss whether talc is the right treatment for you and will arrange this if necessary.

How is the IPC removed?

  • The decision to remove an IPC is made with your doctors. 
  • IPC removal is usually done as a day case procedure under local anaesthetic. 
  • It usually takes 5 to 10 minutes for an IPC to be removed but, in some cases, it may take longer. After the anaesthetic, you will usually only feel pushing and pulling during the procedure. 
  • 1 to 3 stitches will be usually be placed after IPC removal. These will need to be removed by the district nurses after 7-10 days.
  • There is a small risk of infection and bleeding after a removal. Very rarely, the IPC cannot be fully removed but, if this happens, it doesn’t usually cause long‑term problems. 
  • The area may feel sore or bruised for about a week and can be managed with simple painkillers.

Your feedback is encouraged 

If you have any questions or feedback for your team, please let them know. We are keen to make your procedure as straightforward and as comfortable as we possibly can. 

We will write down your appointment details for your IPC insertion or removal

  • Gate
  • On (date)
  • At (time) 
  • Medication changes

For any queries regarding the procedure, please call the pleural nurses on 0117 414 1027 (Monday to Friday, 8am to 4pm).

Date published: 9 July 2026 Review due: 31 July 2029 PI number: BFT002498

Hyperventilation provocation study

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Important information

  • Do not consume any alcohol on the day of the test.
  • Wear comfortable clothes; you will need to remove coats and jumpers for this test.
  • Take all medication as usual.
  • Do not wear nail varnish on the day of the test.

Thank you for your cooperation. This will assist us in obtaining accurate information and enable us to provide you with the most appropriate treatment.

What is a hyperventilation provocation test?

A hyperventilation provocation test is designed to assess your breathing pattern.

Why do I need to have this test?

This test is used to check that your breathing pattern, and that your body maintains the correct levels of gases in your blood.

What happens during the test?

The Physiologist will explain the test to you and answer any queries that you may have regarding it. You will fill out some questionnaires about symptoms that you may be experiencing. Your breathing will be assessed at rest and you will then be asked to breathe hard and fast for 60 seconds whilst measurements are taken of gases in the air you breathe out.

Frequently asked questions

Will I experience any discomfort or side effects?

You may experience some short-term symptoms during the test. There are no long-term side effects of performing this test

When will I be told the results of my test?

You are usually told your results at your next clinic appointment, or a letter may be sent to your GP or the healthcare professional who referred you for the test.

What will happen if I do not want to have this test?

If you do not have this test we will not be able to pass important diagnostic information to your clinical team. This may affect the medical treatment that you receive.

Reference

Rafferty GF, Saisch SGN, Gardner WN. Relation of hypocapnic symptoms to rate of fall of end-tidal PCO2 in normal subjects. Respir Med 1992;86:335–340.

© North Bristol NHS Trust. This edition published February 2025. Review due February 2028. NBT002268. 

Contact Respiratory Physiology

Exercise induced asthma test

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Important information

Please do not use your inhalers for one week prior to the appointment.

Salbutamol (Ventolin) and Bricanyl can be used up to 8 hours prior to the appointment.

Please stop taking the following medications prior to the test:

  • Sodium cromoglycate (8 hours)
  • Nedocromil (48 hours)
  • Theophyllines (12 to 48 hours)
  • Leukotrienes (24 hours)
  • Antihistamines (48 hours)

Take all other medication as normal and please bring a list of all medication with you.

  • Please do not smoke, consume alcohol, eat a heavy meal or perform heavy exercise within four hours of the test.
  • Please do not consume coffee, tea, cola drinks or chocolate on the day of the test.
  • Please wear comfortable clothes and shoes suitable for exercise.
  • Please do not wear nail varnish or false nails.

Thank you for your co-operation. This will assist us in obtaining accurate information and enable us to provide you with the most appropriate treatment.

What is an exercise induced asthma test?

An exercise induced asthma test involves some simple breathing tests and exercising on a treadmill to assess whether this causes your airways to become narrower.

Why do I need to have this test?

This test will help us understand if your airways become narrow in response to exercise. This will help us to provide advice on your ongoing treatment.

Who will perform my test?

The test will be performed by two respiratory physiologists. Respiratory physiologists are staff who have extensive training and knowledge in respiratory physiology and performing lung function tests.

What will happen during the test?

Before the test begins the physiologist will explain the test to you in detail and answer any questions that you have.

To begin with you will be asked to perform some breathing tests through a mouthpiece. You will then have ECG stickers attached to your chest to monitor your heart. You will then be asked to exercise on the treadmill for about six minutes. At particular time periods after you have finished exercising you will be asked to repeat the breathing test.

The whole test will last for approximately one hour. 

Frequently asked questions

Will there be any discomfort or side effects of this test?

Sometimes the test can cause a mild spasm of the airways, which may make you cough or feel tight-chested. This is easily reversed by a common medication (Salbutamol) that is given routinely at the end of the test.

Is there a different test I could have?

There is no other basic test that would give us this information about the sensitivity of your airways.

When will I be told the results of my test?

The results will be sent to the professional that requested the test. They will then discuss the results with you at your next appointment.

© North Bristol NHS Trust. This edition published February 2025. Review due February 2028. NBT002877

Contact Respiratory Physiology

Chest drain

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What is a chest drain?

A chest drain is a narrow tube that is inserted between the ribs - it sits in the space between the lung and the chest wall. This space is lined on both sides by a membrane called the pleura and is known as the pleural cavity.

A chest drain is inserted when air, fluid, blood, or pus has collected in the pleural space.

What is a chest drain for?

You need a chest drain if you have an air leak (pneumothorax), a collection of fluid (pleural effusion), pus (empyema), or blood (haemothorax) in the pleural space. These can cause problems with breathing and can stop the lungs from working properly. The chest drain allows the fluid or air to leave the body, so your lung to re-expand.

How does a chest drain work?

Once a chest drain has been inserted the external end is connected to a bottle via a tube. The fluid or air travels down the tube, into a bottle, which sits on the ground next to you (or on the charging station if it is an electronic bottle).

Before the chest drain is inserted

Before the chest drain is inserted, the doctor will discuss the procedure, you will be able to ask questions. You will then need to sign a consent form.

Blood tests may be needed before the procedure.

If you are on blood thinning medication, they may need to be stopped before the chest drain is inserted, to minimise the risk of bleeding during the procedure.

Please tell the doctor if and why you take blood thinning medication and they will make a plan with you about when it should be stopped. This can have some rare risks, but is less risky than bleeding during the procedure.

How will the chest drain be put in?

  • You may be offered painkillers before the procedure starts.
  • You will sit with your head and arms resting on a pillow on a table, or lie on your bed with your arm above your head.
  • An ultrasound may be done first, using cool gel on the skin - this will not hurt. Where the chest drain will go will be marked, and once marked, you’ll be asked to keep still.
  • Your skin is cleaned to reduce infection risk. A local anaesthetic is then injected to numb the area. It may sting briefly, but once it starts to work you should feel only mild pressure during the procedure.
  • A small cut (approximately 2 to 3mm) is made in the skin and the tube is passed through this into the pleural cavity.
  • The chest drain is held in place with stitches and the exit site is covered with a waterproof dressing. The end of the tube is connected to a drainage bottle. A chest X-ray will be arranged to check the drain’s position.
  • Your chest drain will be checked regularly. You will receive regular pain relief while the drain is in place. Pain can limit movement and breathing, and slow lung re‑expansion, so it’s important to report any discomfort so it can be well controlled.

Will the drain be painful?

About half of people with a chest drain have some discomfort, which is usually controlled with simple painkillers. Some may need stronger medication if the pain is more severe. A small number of patients develop coughing or chest discomfort when the lung re‑expands as the air or fluid drains out of the chest. This usually settles quickly. It can be helped by slowing how quickly the pleural fluid drains and using pain relief.

Looking after your chest drain

As the fluid or air around the lung drains you should be able to move more easily. There are a few simple rules that you can follow to minimise any problems:

  • You can move and walk around with a chest drain but you must remember to carry the drainage bottle with you.
  • Always carry the bottle below the level of your waist. If it is lifted above your waist level fluid from the bottle may flow back into the pleural space.
  • Whilst in bed keep the drainage bottle on the floor. If you have a digital bottle make sure it stays in the charging dock when you are not moving about.
  • Don’t pull on your chest drain or tangle it around your bed.
  • Do not swing the bottle by the tube.
  • Try not to knock the bottle over.
  • If your chest is painful, or you have increasing shortness of breath, please tell your nurse.
  • If you feel your tube may have moved or may be coming out please tell your nurse.
  • Inform your nurse if you notice any leaking around the tube or from the bottle.
  • Inform your nurse if you have a digital bottle and it is alarming or making an unusual noise.

When is the drain taken out?

How long the chest drain will be needed depends on your condition and how well you respond to treatment.

Removing the drain is a simple procedure. Once all the dressings are removed, the stitch is cut and the drain is gently pulled out.

After the chest drain is removed

Once the chest drain has been removed, the site is covered with a gauze dressing. Sometimes a steristrip or a stitch is needed. Steristrips can be removed after 5 days, and you can wash and shower normally after that.

If a stitch is used, it should be removed by your GP practice nurse after 7 to 10 days. Keep the dressing clean and dry until the area is fully healed. Once the dressing and any steristrip or stitch have been removed, you can wash and shower normally If you have discomfort after the drain has been taken out, you can take simple painkillers.

Occasionally after the drain comes out, some fluid can leak out from the wound. If this soaks the dressing, you will need to replace it with the extra gauze and dressing provided.

Are there any risks with chest drains?

In most cases inserting a chest drain is a routine and safe procedure. However, like all medical procedures, there are some possible risks. The most common or serious risks are:

  • Chest drains sometimes fall out and may need to be replaced (this happens in less than 1 in 10 drains). This risk is reduced by stitching the drain in place and covering it with a secure dressing. You can also help by following the suggestions above (‘Looking after your chest drain’).
  • Fewer than 1 in 10 drains become blocked, which can stop them working properly. Regular flushes of sterile water may be given to help prevent blockage.
  • You may feel temporarily dizzy or light-headed when the drain is inserted. This occurs in about 1 in 50 patients and usually goes away quickly.
  • Chest drains can become infected, but this is uncommon, affecting about 1 in 50 patients. Cleaning the skin and using good aseptic technique helps reduce this risk. If you have a fever or notice increasing pain or redness around the drain site, tell your nurse or doctor.
  • Bruising around the insertion site is common. Rarely (fewer than 1 in 250 patients), the drain may damage a blood vessel and cause bleeding into the pleural cavity. This often stops on its own, but occasionally an operation or other intervention is needed to control the bleeding.
  • Occasionally air can collect under the skin near the chest drain, causing swelling or a ‘crackly’ feeling. This is called a subcutaneous emphysema (fewer than 1 in 25 patients). This usually resolves by itself, but occasionally may require a new drain to be inserted or for the drain to be left in longer.
  • If the lung re‑expands too quickly, fluid can build up in the lung itself (around 1 in 200 patients). This may cause sudden coughing, worsening breathlessness and low oxygen levels. Very rarely, this can be severe and cause respiratory failure. If you notice these symptoms, tell the nursing or medical team as soon as possible. Slowing the rate of drainage may help.
  • A very rare complication (about 1 in 200 patients) is accidental puncture of another organ. This may involve structures in the chest (such as the lung, heart, diaphragm, or major blood vessels) or abdominal organs (such as the stomach, liver, or spleen). If the lung is punctured, the drain may need to stay in longer. If any organ is injured, additional procedures or an operation may be required.

Further information

If you require further information, please speak to your doctors and nurses.

© North Bristol NHS Trust. This edition published April 2026. Review due April 2029. NBT003112