July 2014 - South Staffordshire and Shropshire Healthcare NHS
Transcription
July 2014 - South Staffordshire and Shropshire Healthcare NHS
ISSUE 07 July 2014 A Keele University Teaching aching T Trust e-PoD Positively Different Dif Diff fer erent ent this issue Have you applied yet? Celebrating Service Users and Carers P.4 World Cup Creations P.6 Week in the life of an RPIW P.13 Nursing Winners with Greg Searle and lots, lots more ... Celebrating Nursing Chairman’’’s Award for Leadership Chris Holley Award for Innovation Governor’s’’ Award for Making a Positive Difference Clinican of the Year Clinical Team of the Year Non Clinical Team of the Year Support Worker of the Year Partnership Award Unsung Hero and new this time, Apprentice of the Year Award Two exceptional nurses were recognised at the Trust’s Celebration of Nursing at a special event and awards ceremony on Monday 23 June 2014. Polly Mears is a learning disability children’s nurse who works in the East Community Paediatric team which is based at Lanxess House in Burton, and covers the Lichfield, Tamworth and Burton area. She was nominated for her work with vulnerable children with severe learning disabilities and their families. The parents may also have learning disabilities and mental health issues. She was the winner of the Nolan Award, named after Professor Peter Nolan who himself has made a significant contribution to nursing both in the Trust, nationally and internationally. Mark Buitendach is the clinical lead for Inclusion Cambridgeshire Substance Misuse Service. He is a mental health nurse and an Independent Nurse Prescriber. He was nominated for his work in moving the service from secondary care to a care consultant led model, including the “take home Naloxone project”. Mark was the recipient of the Breeze Award, presented by the Trust Chairman in memory of his mother who was cared for in the Trust and recognising innovative and excellent practice with positive outcomes for patients. Delegates to the event also enjoyed a presentation by Greg Searle, Olympic rower, who shared his experience of gaining achievement through dedication, commitment and hard work. Alison Bussey, the Trust’s Director of Nursing said “Our nurses make a significant contribution to improving people’s lives and I am so pleased that the Trust is able to recognise them in this way. Polly and Mark have shown exceptional commitment and dedication and are very deserving winners”. Find all the details and how to apply at www. podawards.co.uk twitter.com/podawards to find out more info on this year’’s awards! Polly Mears with Prof Peter Nolan Chairman Steve Jones with Mark Buitendach FO R Neil Carr - Chief Ex ecutive Two years ago, the Trust B oard approved the decision to implement a new clinical system that would better meet the needs of our service users, clinical work force and corporate services, helping to improve the quality of care we provide our service users. I mportantly, we ensured that clinicians were fundamentally involved in specifying the requirement, reviewing suppliers and selecting the final product RiO. In June 201 we commenced the first RiO Pilots and, a year later, we have successfully completed the Phase 1 implementation across 12 sites, supporting more than 2000 staff working in Staffordshire, Shropshire and Telford & Wrekin. ut the roll out of RiO is not the only work that has been undertaken. Our colleagues in IM&T have been working hard on a number of supporting technical pro ects including: the digitisation of all our archived and live paper medical records so we can work paper- lite; the scheduling of technical upgrades to our I T network s at k ey locations to ensure all teams can access the clinical system; investment in new devices and equipment to enable staff to access the network remotely; and establishment of secure video conferencing for staff & service users alik e. No-one said it was going to be easy. ut it’s a credit to the dedication, hard work and tenacity of everybody involved in the pro ects that we have been able to implement such large-scale changes simultaneously, on-time and within budget. It will take some time for us to see the full benefits that these new systems and ways of working will bring, but staff across the Trust are already reporting many improvements, particularly regarding the availability of up to date patient information at the point of care. These pro ects herald a new way of working for the Trust. Our clinical teams are some of the first in the country to work ‘paper-lite’ - well ahead of the Department of Health’s agenda for a paperless NHS. We are one of the first Trust’s to extensively use RiO’s Store & Forward functionality enabling staff to work off-line within the community and one of the first to be integrating the Electronic Prescribing & Medicines Management (EPMA) system into the core clinical system. W e should all feel a sense of pride that we are seen to be at the leading edge of using I T innovatively to improve patient care. Positively Different J U LY 2014 RiO: Phase 1 - Draws to a Close Pauline B onner and Carolyn G avin, Co- Chairs of the New Clinical System Assurance G roup, provide a brief update. A year ago we commenced the roll out of RiO and the final sites in Phase 1 are going live with RiO this month. We would like to say a huge thank you to all staff involved with the pro ect, but especially to the Clinical Regional Super Users (CRSUs) and Regional Super Users (RSUs) for all their hard work and perseverance in ensuring the system meets the needs of our clinicians and to the Pro ect Office for keeping RiO on track and supporting our requirements. Nex t Steps: The Pro ect Team will continue to work with service and clinical leads to progress individual team/service outstanding build needs, including forms previously submitted. Governance relating to the future of the RiO Assurance Group and Pro ect oard is currently under review and a proposal about future structures and roles will be made shortly. The Trust’s uality & Clinical Governance Sub-Committee will consider any clinical practice and clinical quality issues. Phase 2 : The development of IAPT and HALO systems functionality within RiO. Phase 3 : IM&T is reviewing internal systems to help with prioritisation for integration with RiO such as Safeguard Risk Management and Prison in-Reach. External partner system integration will include Local Authority Social Care system and Pathology results. The ‘Ready for RiO’ mini-site remains a key communication tool for helping to keep teams informed so please ensure you regularly check the Latest page: http://nww.intranet.sssft.nhs.uk/RI O- Proj ect/Ready- for- RiO- Latest.aspx Acute Care Pathway Lead I nterim Head of Mental Health ( Shropshire, T elford & W rekin) Email: [email protected] or call the Helpline on: 01283 504450 option 5 For archive copies of the RiO Bulletin Pages visit the Ready for RiO mini-site Dr Enio Sema is a Psychiatrist who works in Norbury intensive care unit which deals with detained patients who are acutely unwell and require a high level of observations & treatment. He also works with adults in the community within Stafford. New Offline Care Plan completion and Printing becomes available (for MH Community Staff Only) Using RiO: Overall RiO is good and IT has been very helpful despite being stretched. When I see patients during Clinics, I write my notes because it’s important to look at the patient to see their response to questions. It’s not practical to turn around and type into a laptop/PC after each question as you lose the connection with your patient. Following issues and concerns raised by Mental Health Community staff, from 1st July 2014 the way they record their Community Care Plans will change. During Clinics I can see Care Plans, Risk Assessments and other professional notes in RiO. However, with large patient files, it can be harder to find what you’re looking for than flicking through a file. The new Community Care Plan, called My Plan, will be found in the list of Core Documents in the Mental Health & Dementia folder in RiO. Clinical Regional Super Users (CRSUs) have been involved in all the changes and both Clinical and Divisional Directors have agreed the new format. When you prescribe a patient medication and wish to print a prescription, you have to re-iput the date in order for it to print. Note: This issue has been identified during Pilot & is being investigated. The system is fairly straightforward until you wean patients off medication a you have to re-prescribe every change as it's not all on one prescription. All new Community Care Plans (My Plans) will be inputted using the new format Note: This issue has been identified during Pilot & is being investigated. After Clinics, I record the diagnosis and medication plus brief notes, but link to ‘GP Letter’ or ‘Clinic Letter’ which contains the full assessment. I dictate notes which my secretary types up and uploads into RiO. At any Review of Care, the current Community Care Plan should be transferred into the new My Plan Using EPMA: All Medical Letters as Plans should be inputted directly into My Plan (contact your CRSU for details) It’s now easier to input diagnosis and medications in RiO. I have used EPMA for prescriptions for outpatients. All Care Plans should be transferred into the new format My Plan by 30th September 2014 (you can cut and paste content across) When you prescribe a patient medication and wish to print the prescription, you have to re-input the data in order for it to print. The system is fairly straightforward until you wean patients off medication as you have to re-prescribe every change as it’s not all on one prescription. On 1st October 2014, the existing Community Care Plan will be switched off but still available for viewing history Printing Prescriptions We’ve experienced issues printing prescriptions because we don’t have printers in our consultation rooms. Patients have to return to reception whilst we collect the printed prescription as we cannot leave them alone in the room with PCs, laptops, mobiles etc. For further information or clarification please contact your CRSU. Note: Desktop printers are available specifically for printing prescriptions and these are now being installed. Teams who require prescription printers should request them before their EPMA Go-Live date. All staff within clinical teams are reminded to use the within RiO for all emails and notes related to a Service User. Whether a member of the admin team takes a message or a clinician requests transfers, further information or follow up actions, these should ALL be recorded in the clinical system using the To Do List function. For more information, check out the How To Guide within RiO. Advice about optimising usage of the To Do List for 7 Day Follow Up and Transfers of Care will follow shortly. Clinics & Diaries There is a known issue of Clinics not transferring to Diaries within RiO. Our Team uses an office based Clinics diary until this is resolved. Note: Information has been requested by the RSU to investigate the issue. Staff are politely reminded that any communication of an urgent nature should always continue to be followed up in person to ensure that the message has been accurately and safely received and/or actioned accordingly within the specified timescale. ! Secretaries My Team now has a pool of secretaries, but when one secretary was assigned to one doctor they acted as a check/reminder to ensure Notes/ Letters had been completed after Clinics. I know it’s our responsibility, but there’s a human factor here - we’re not computers. Messages / Alerts The office based paper diary used for Clinics also acts as a repository for messages. How are we alerted in RiO if there is a message about or from a patient? You wouldn’t know there was a message unless you opened the patient’s record. Could the system send an automated text or email to the consultant notifying them of a message/alert? Note: To Do lists & Messages are managed within RiO. They are attached to clinicians rather than patients & display via a pop up when you first log in, followed by an envelope icon whilst working in RiO. If you would like to speak to Dr Sema about his experiences, email: [email protected] Interview: May 2014 Positively Different Email: [email protected] or call the Helpline on: 01283 504450 option 5 For archive copies of the RiO Bulletin Pages visit the Ready for RiO mini-site RiO® is a registered trademark of Servelec Healthcare a division of Servelec Group Plc. Produced by: G2 Creative Communications Limited. © 2013-2014 SSSFT All Rights Reserved. Information correct at the time of publication E&OE. page 4 Celebrating Service Users and Carers We held our annual Service User and Carer Involvement Celebration Day on 19 June. The theme of this year’s event was Then and Now with an opportunity to reflect on how services for people with a mental health problem, or a learning disability, have changed, including a presentation on the Shelton Heritage Project. People who have used the Trust’s services also spoke about their experiences. Attendees were able to experience some complementary therapies, take part in craft activities, and join various discussion groups. A “Who Wants to be a Millionaire” quiz saw two colleagues from Food 4 Thought in Stafford walk away with a million (Quest) pounds – or to put it another way, a free meal for two. They had shown great knowledge of how mental health services have changed locally. The climax of the event was the Service User and Carer Awards. There were four categories; Personal Development Award; Service Improvement Award; Contribution to Learning Award and the Volunteering Award. The winner of the Personal Development Award was Nakeeb Khan from Burton. Nakeeb has overcome significant life trauma and illness to rebuild his life and health, and contribute to the wellbeing of others. His sponsor said of him “Nakeeb’s determination, resilience and tenacity is inspiring and quite breathtaking.” Nakeeb & Chairman, There were joint winners for the Service Improvement Award category. Joy Thorneycroft set up a Steve Jones reading group called “Mad about Books” in Lichfield which has been of great therapeutic benefit to service users, promoting their recovery. She initiated and supported this project throughout her own mental health recovery. Leon Gallagher was nominated for his long term commitment to improving the Park House Drug and Alcohol Programme and supporting the recovery of service users. Leon’s sponsor said “he instils inspiration of recovery through his words”. Leon was also the winner of the Volunteering Award for his work helping service users in their recovery from drug and alcohol misuse by engaging them through art work and peer mentoring. Leon and Joy with Chairman, Steve Jones The winner of the Contribution to Learning Award was Kathryn Taylor who was nominated for sharing her experience and knowledge as a service user and carer to improve inpatient services and influence policy development. After telling her story to the Trust Board, Kathryn went on to produce an information pack for inpatients at St George’s Hospital in Stafford. This year also saw an additional award. The Discretionary Award for Outstanding Commitment to Service Improvement went to Dennis Firmstone. Dennis was nominated for the huge amount of time and effort he has put in to listening to inpatients at both St George’s and The Redwoods, and to working with the facilities and estates team to improve the ward environment. Therèsa Moyes, Director of Quality and Clinical Performance said “The involvement of Dennis with Steve Jones service users and carers is of paramount importance in ensuring that the services we deliver are the right ones, delivered in the right way, and making a real difference to those who need them. This celebration day is a great opportunity to demonstrate how we value the contribution of our service users and carers, and to celebrate their engagement in all that we do. page 5 Inpatient Clinical Network Meeting Hosted by Brocton Ward, St. George’s Hospital, Stafford Led by Dr. M. Kumar, Consultant Psychiatrist The first Adult Acute Inpatient Clinical Network Meeting took place on Tuesday 24 June 2014 in The Learning Centre, St. George’s Hospital. Kiren Kaulder and Carly Simpson The Primary Care Mental Heath Team in Burton and Uttoxeter are happy to share the positive feedback they have received from their new Wellbeing and Mood Management Course. The course, nick-named WAMM, was set up in December 2013 by two Wellbeing Practitioners Carly Simpson and Kiren Kaulder, and will be running for the fifth time in July. Previous attendees have commented; “I have learnt some useful techniques and also some useful facts that help put things into perspective.” Aim: This was a platform for all Clinicians working in Acute Inpatient Care (across South Staffordshire and Shropshire) with specific aims of improving knowledge and skills of inpatient teams. Thus enabling them to provide the best possible care to patients. The Forum is to promote sharing of good practices as well as mistakes/incidents. The Forum offers team an opportunity to discuss and gather suggestions on managing challenging and complex cases. It is also envisaged that this will generate co-ordinated audits and enhanced participation in research. The first meeting included a Welcome presentation along with presentations on : Personality Disorder in Inpatient Units: therapeutic or counterproductive – presented by Kiah Johns Ward Sister, Brocton • Illicit Substance Use in inpatient wards: What can we do – presented by Sarah James, Ward Sister and Will Hogg, HCSW, Brocton ward • Two interesting cases: Are we missing something? – presented by Dr. Johnson, FY1, Brocton ward • How serious can a mistake be: Learning from one: presented by Dr. M. Kumar, Consultant Psychiatrist • MOCA – not a cup of coffee!!!! – presented by Barbara Whitehouse, Occupational Therapist, Brocton House “Covered so many areas, I only thought I had low mood but didn’t realise how interlinked everything is, brilliant.” • “It exceeded my expectations, I was sceptical about CBT but I have personally seen results and enjoyed it, I was impressed by the friendly approachable course leaders and the scientific approach to WAMM.” The course, based on Cognitive Behaviour Therapy, aims to help you ‘become your own therapist’ by learning the basics of CBT and how to apply the skills to manage common mental health problems. Throughout the five week course there is a focus on learning about stress, anxiety and depression, managing physical symptoms, managing behaviours that maintain these problems, challenging negative thoughts, low self esteem and worry, problem solving skills, managing panic attacks, sleep hygiene and staying well for the future. For the people who attended through to the end of WAMM, the course has provided an effective treatment and knowledge about skills that can be applied to maintain a healthy lifestyle. The most recent report also showed a significant improvement on the clinical measures used to assess services; a 50% improvement for depression and a 51% improvement for anxiety meeting national IAPT recovery rates. For more information about the course speak to your GP, pick up a leaflet from your local surgery or contact the Primary Care Mental Health Team; That Place, 56A High Street, Burton on Trent, DE14 1JS. Each presentation was followed by discussion and actions plans for the future. There were two Trust wide audits planned from this. Feedback from attendance at the meeting was very positive and future meetings imperative. The next meeting will be held at The Redwoods Centre, Shropshire on Thursday 18 September 2014 in the Seminar Room from 2pm to 5pm with Shropshire Inpatient teams hosting. page 6 World Cup Creations Yew Ward Forensic Unit During the period of the World Cup 2014, service users have focused their attention on this special football occasion. The ‘World Cup Creations’ project held on Yew Ward within the Clee Unit has enabled service users to create their own flag designs using different materials, based on the national teams competing in the FIFA World Cup. The Project however, took things a little further with participation and engagement in World Cup quizzes, themed evening events, penalty shoot outs, prizes, food and music from around the world and other artwork based on the tournament The World Cup Creations Project has been put together to help service users to achieve their 25 hours meaningful activity, promote social inclusion and identify valued roles. It takes place in the evening time and has increased rapidly from 1 hour per week to 5 hours per week and includes a cohort of at least five service uses per session. For more details contact Sheila Murray or Donna Lloyd, Brockington Mother and Baby Unit 01785 221554 There is clear evidence that the World Cup Creations Project provides a link for the needs of the service users and the Trust’s vision, values and priorities; putting service users at the heart of everything we do. The Project also fulfils targets such as promoting physical health and social integration set out for quality improvement. The multi-disciplinary team has acknowledged the benefits of the service user’s engagement in the Project and has enabled staff to continue to forge a therapeutic relationship with service users. The Project has enabled service users to set goals, complete tasks, gain new skills and embark on a journey around the world. Julie Simpkin (Project Lead) would like to thank the service users and her colleagues for their enthusiasm, commitment and contributions over the last few months. “It has been a delight to be a part of everyone’s creativity. I am proud of the willingness and hard work, the service users have put into the Project to make it happen”. page 7 Health and Wellbeing Preparing for the holiday season We all look forward to getting away from it all for a week or two, and spending quality time with the family, but without the proper planning, what should be a relaxing time, can turn stressful! Here are some pointers for successful planning for long journeys, and some general holiday health tips to help you make the most of your down time. Preparing your car for long journeys When you are setting off on holiday it’s likely you will have a lot of things to transport. It can be a challenge to get everything into a small space, but remember the following points to ensure you and other road users stay safe.You will probably need to adjust your tyre pressures to suit the heavier load. Check the handbook, and remember to adjust them back again after the trip. Plan for the worst - make sure you have a good spare tyre which you can access easily if need be. You should bear in mind that heavy loads affect the car’s performance and that stopping distances will be increased. When loading the car you should take care that things won’t slide or tip over when you are driving. Using plastic boxes can be a useful way of packing smaller items so they don’t move around, and bags don’t spill at the first corner. Remember to HEALTH AND WELLBEING keep the foot wells clear. Loose items rolling around can be distracting and dangerous if they lodge under the foot pedals. You should also keep your parcel shelf clear. Loose items stored here could be dangerous if you were involved in an accident and they are propelled forwards. When packing, load the bigger heavier items into the car first. This will not only make it easier to fit everything in, but will also distribute the weight better and keep the centre of gravity low, reducing the affects on the car’s handling. Make sure you can still see! Avoid packing things higher than the level of the seat backs. A roof rack or roof box can provide additional storage if you are short on space within the car. Make sure you fit any child restraints before packing the car as it may make access difficult afterwards, and remember to allow plenty of space around the child to give them a safe and comfortable journey. Don’t drive tired Fatigue is a factor in 10% of accidents, so don’t get behind the wheel if you are tired. If you feel sleepy you should stop in a safe place and take a break until you feel able to continue. If you are driving a long distance, you should limit the amount of driving to a maximum of 8 hours a day and take regular breaks every couple of hours. Make sure you plan breaks into your journeys, and allow for overnight stays if necessary. When you stop make sure you stretch your legs and get some fresh air and don’t re-commence your journey until you feel fully alert. Have a Happy, Healthy Holiday If you are travelling abroad, make sure you get any relevant vaccinations. You should also make sure you have travel insurance in place, so that if the worst happens, you don’t have the additional worry of financial difficulties. On long haul flights, make sure you get up and move around the cabin throughout the flight to stretch your legs. You should avoid alcoholic drinks, and make sure you have plenty of water as the atmosphere on the plane can dehydrate you. To avoid jet lag, adjust your watch to the local time and start eating your meals and going to bed at the appropriate times for your destination as soon as possible. If you have to take medication according to a strict timetable (such as insulin, or oral contraceptives) you should seek medical advice from your doctor before you travel. Try to avoid drinking or brushing your teeth with the local water. Use bottled water and try to avoid ice in your drinks. Always make sure you pack and take a travel kit with you containing the basics, such as sunscreen, painkillers, antiseptic, insect repellent and antidiarrhoea pills. These will be useful wherever you are going. Further tips and advice on travel health can be found on the NHS website page 8 Jonathan with Hippie Shakespeare Update “the songs for you group has done wonders for me and being part of the singing group I find it very uplifting and remedial. Also I would recommend the songs for you to anyone who feels lonely and is in need of companionship and in need of support. “ Idris (Service User) “It is such a relief to meet other folk with problems and join in with them in the joy of music. Jessica, Kate are wonderful people who help us enjoy an hour in lovely surroundings. Really good friends!” Olive (Carer) “Familiar and non-familiar songs – brilliant all the same!” “Really enjoyable – both classical and modern – a very talented and relaxed performance.” Absolutely fantastic! Good selection of pieces.” “Nice music from nice people” “Lovely happy music”“It is a joy to listen to two very talented musicians. I especially liked the Chopin piece. Look forward very much to hearing them again soon! Thanks again”. John. Songs for You (Shrewsbury) We have 3 more sessions at Trinity Centre before an August break – July 3rd, 17th and 31st. All at 2.30pm with tea and cake of course! Plus on the 17th July we have a special event as young musicians Trio Volant are coming along with a vocalist to join in the session. The trio will play some pieces of their own, plus accompany some of our songs and we will finish with some of our favourites. Steve Roberts on 10th June playing a range of popular tunes and some classics. Steve is a regular at Redwoods and is appreciated by many – “Wonderful experience – Stuart – fantastic talent and greatly appreciated, hope to hear you again soon.” Paul Robson – see below with Stuart by the piano. Wellbeing in partnership with Carers Association Southern Staffordshire, Arts for Health have coordinated three venues to deliver Songs for You singing sessions for those in the community suffering with Trio Volant – returned for their dementia plus their carers. 4th time at Redwoods on June 17th playing again a range of well-known light classics and contemporary tunes. Susie Allan and Emma Lindsey at Redwoods on June 24th Songs for You has been successfully running in Cannock at St Mary’s Social and Community Hall for the last fifteen months with more than twenty people each session. AND that evening at 7.30pm we have a summer concert by the same Trio Volant. This event is part of a partnership Sessions have now commenced called Creative Inspiration – in Stafford at Walton Village wellbeing through music for all. Hall and Aldergate Methodist Church Tamworth. The first few These two musicians have been sessions were packed which incredible! “out of this world” as one inpatient described was fantastic. them. They have given us the A lovely vicar and his wife most expert and accomplished attended the Tamworth performance through music by session...a great chance for Bach, Rachmaninov, Mozart Gillie the singer to say ‘ More and Chopin. tea Vicar’!! More info from: jane.povey@ Recitals at St George’s for Recitals at Redwoods in nhs.net Songs for You (South Staffs): Triple success!! June Stuart Goodhew on June 3rd – great music played by very Following the success of an proficient musician, a range of application to Community and songs, ballads, swing and jazz. June – Nigel Evans local saxophonist and clarinet player visited St George’s Hospital bringing with him a varied recital for the two page 9 but building to create a collaborative piece for the ward. They will continue over the summer. Forthcoming recitals: At St George’s we have: • Photo Box project Wednesday 9th July - Gillie Nicholls on Baswich and Bromley and Brocton and Chebsey. different wards...on Baswich and Bromley he played both clarinet and saxophone from the warm sounds of a rumba to Acker Bilk’s Stranger on the Shore followed by Gerry Rafferty’s Baker Street. The service users loved the session. On Chebsey and Brocton we ‘Got Lucky’ and ‘Had all our family with us’ with a request for Baker Street which brought tears to the service users eyes. Reading for Wellbeing The training is now completed and 17 staff have gone out there to start reading for wellbeing sessions themselves. At the Redwoods Centre, 4 of the staff who took part in the training have begun a session on a Monday afternoon for all the wards to attend. So far they have run 4 sessions and they have all been really well attended….. comments Hippie Hippie Shake Stafford Festival Shakespeare recently included Milford House as part of its Learning and Participation Outreach programme in support of production of As You Like It. The popular annual festival Photo Box delivers outreach to local schools and adults with various Anne Kinnaird, local artist and difficulties. photographer has started on wards across the Trust – using The much loved comedy is our photo box equipment the 24th production at Stafford – inviting inpatients to take Castle and will be set amid the photos of their gardens or culture wars of the late sixties the Trust grounds – as a way just as cold war paranoia and of supporting staff to better repression, is giving way to understand the equipment the counter culture of free so they can run projects expression, free verse and free themselves. A bit of training love. whilst at the same time Milford created Shakespeare enabling service users to get as a hippie in bright colours creative with the cameras. We chosen by service user are hoping to compile pictures Jonathon. This programme has into a series of collages at the been funded by Stafford District end of the project and have Arts Council and Staffordshire an exhibition of work in late County Council. summer/early autumn. Seen left are some pictures taken by inpatients in the gardens at Redwoods and also artist Anne Kinnaird with AHP Assistant Anna Hughes and OT student Sanjida Mahmood who supported the session. At Redwoods we have: Tuesday 1st July, 2.30pm – Daylevel, acoustic duo (Sal and Bri) singing a range of harmonies in contemporary songs and playing guitars! • Tuesday 15th July, 2.30pm – Steve Roberts on piano • Tuesday 29th July, 3pm – Harriet Earis on Celtic Harp – not to be missed! Creative Ward Activities • With our additional activities starting on wards across the Trust, we have had a good start on Oak ward at the Redwoods Centre with Sally Tonge bringing a range of music, singing and storytelling to the inpatients. Supported by the OT Bev Roberts, Sal has been able to engage with people on the ward through well-known songs, music and stories that she tells but also stories that they will compile together as a group. A great start has been made and Sal will be visiting the ward over 12 sessions. All other information from Arts for Health on 01785 221328 / 01743 210048. “Mesmerising – thank you!” Caitlin – Activity Coordinator (Holly Ward). “Excellent recital – what a memory. Never heard better.” “ I found photography very enjoyable. I might take it up as a hobby after discharge!” On Holly Ward we have had the Project Group from Oswestry delivering creative art sessions. They have started with silk paper-making – with the aim of creating book covers in the first instance “The photographical session was fun, easy to shoot, and I’m addicted, I’ve got the bug!” page 10 People in the News This will be my last opportunity to say something to you through IE pod as I retire at the end of June. I have been on the Board for twelve years, eight years of which has been as your Chairman. The Trust has over that time changed in many ways both in terms of geographical size and service delivery. One thing that has not changed however has been the commitment of my Board to the delivery of quality care to our patients and service users. It is of course you that makes this happen every day of every year for the benefit of those that we are here to care for and I personally thank you for your on going commitment. With all best wishes for your future and that of the Trust. Its been a blast! Kind regards Steve Steve Jones, Chairman The Shrewsbury Dragon Boat Festival The Extra Miller’s a motley crew from Oak at the Redwoods Centre took part in the Shrewsbury Dragon Boat Festival on Sunday. The sun shone which made it a perfect day for some frolic and fun on the water. After motivational speeches by Prof Elliott and some physio warm up exercises by David Bengry we took part in 3 preliminary races improving our times in each race! We did not make it to the finals, however we did beat the Shrewsbury Community Team! In between each race there was plenty of time for eating and drinking possibly too much by the end of the day. So far we have raised £2200 but more is still coming in. The whole team enjoyed the day but some aches, pains and sunburn were felt the next day. We are already planning for next year if anyone else is interested watch this space………. Kirstie I am delighted to announce that one of our previous Trust Apprentices, Kirstie Thomson, has gone on to win ‘Apprentice of the Year Award’ for her area of work as part of Telford College of Arts and Technology’s Celebration of Work Ceremony Awards 2014. To qualify, the learner was required to have been studying their apprenticeship during the academic year (between 01/08/13 31/07/14). Kirstie is now in the running to receive the ‘overall’ College Apprentice of the Year Award and we wish her every luck to secure the overall title during the Celebration Evening. Every year the College recognises the excellent work that their learners achieve and celebrates the knowledge and skills that apprentices gain out in industry whilst achieving their apprenticeship with the help and support of their employers. The Trust is fully supportive and proactive in working with Apprenticeship/Trainee Schemes and this is a fantastic opportunity for young people to build their careers and create the workforce for the future. Kirstie joined the Management Admin Office team in April 2013 and has shown commitment, hard work and a strong desire to learn and progress since first joining us, so much so that her reputation as a trustworthy and reliable member of staff is now well established around not only the mental health division but other directorates and fellow colleagues. Kirstie has produced some outstanding work for senior managers, often of a complex nature requiring a lot of thought, careful planning, attention to detail and being mindful of deadlines and priorities. She has taken on many tasks without prior knowledge and proactively seeks out answers and resolutions via her own initiative and sheer hard work combined with a positive ‘can do’ attitude. She has re-designed and organised processes within the office and is always seeking out additional opportunities to enhance ways of working and make ongoing improvements to service provision without prompting. Kirstie was promoted and obtained a permanent position as a secretary well before her apprenticeship ended and has since gone on to prove herself again and again over the last few months. She has now been given an amazing opportunity to act up even further to a senior administrative post supporting a senior director. Kirstie is more than capable of taking on this challenge and in just a short space of time has already organised herself and put all necessary changes in places to ensure she is well equipped with knowledge and information to fulfil this role. As Kirstie’s manager I feel she wholly deserves this award and to be recognised for her huge achievements in such a short time. Well done Kirstie! Julie Andrews Admin Manager page 11 I'm running the Great North Run on Sunday 7th September to raise money for the Stroke Association. I wanted to advertise this within the Trust to see if there was anyone wishing to sponsor me. It is a half marathon distance. I will be running it with some running colleagues from Stafford Harriers. Having joined Stafford Harriers through the Trust scheme 2 years ago I have run some fantastic races; Aviemore Half Marathon in Scotland; 3 Marathons, including recently completing the Liverpool Rock N Roll Marathon; and an international run in Lisbon, Portugal to name a few. I thought colleagues might be interested to hear about how the Trust promotion of Stafford Harriers led to me joining and how I have progressed and got involved in with lots more exciting things I enjoy doing outside of work. You can find out more about Stafford Harriers at www.staffordharriers.org or to contact me directly and I can have a chat with you or put them you touch with someone from the club. Ange Brookes, Ward Sister, Brockington Mother and Baby Unit, St George’s Hospital, 01785 257888 ext 5560 Ange Kath Rumney is the new Head of Service for the Mental Health Division in Shropshire. Kath says, “I am a dual trained Mental Health and Registered General Nurse and have worked in Senior Management roles for approximately 10 years. I trained in Manchester and qualified in 1987 and have always worked in the NHS. I am currently working as a General Manager, managing a range of mental health and physical health services including neurosciences and dentistry. My partner Neil and I are looking to relocate to the area. You can contact Kath on 01743 210041 or email at kathryn.rumney@sssft. nhs.uk Kenny My name is Kenny Laing and I am the new Associate Director of Mental Health Nursing. I am a registered mental health nurse and have worked in a variety of different roles across the NHS and independent sector. I trained in Coumar Nottingham and my most recent role has been as Deputy Director of Nursing ‘up the A34’ at North Staffordshire Combined Healthcare NHS Trust. I have been here for a few weeks now and I have been fortunate enough to meet colleagues across Staffordshire and Shropshire during my induction period. I have been made to feel very welcome by everyone I have met. I have been impressed with the attitude and dedication of all the staff who are working tirelessly in challenging times, continuing to deliver excellent care to the people in our communities. My primary focus within the Trust will be to ensure that mental health nurses are supported to deliver the highest standard of nursing care possible. I feel that nurses need to be clear about the vital contribution they make in people’s recovery journey. Too often nurses can become complacent about how important their interventions are and blasé about how their actions effect services users and carers. I want nurses to feel confident to articulate what they do and I am really looking forward to helping to raise the profile of nursing at SSSFT and join in celebrating success in the future. Kath “I qualified as a nurse in India in 1994 and specialised in mental health. After nine years of working as staff nurse in India, I migrated to Birmingham and joined Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT) in 2003 (as an adaptation nurse). In May 2004 I joined Reaside Clinic (as a staff nurse) which was very fortunate as I had a particular interest in forensic psychiatry. After three years of working as deputy manager, I was successful in my application for the post of Unit manager in September 2008. I managed both acute and rehabilitation medium secure units. I was also the bed manager for the Men’s Forensic Mental Health Directorate. In April 2013, I was seconded to ‘Programme Lead – Listening Into Action’ for BSMHFT and I reported directly to the Chief Executive. This programme aimed to empower and engage the frontline staff to deliver a high quality care. The principles of engagement and empowerment of frontline staff behind ‘Listening into Action’ inspired me to take up this post. I strongly believe that staff engagement is vital to deliver high quality, compassionate care. I managed multiple projects to improve the quality of care under this programme. Within a year, BSMHFT trust achieved excellent staff survey results. My key strengths are service user and staff engagement, change management, human resource and financial management. I am really delighted and looking forward to join SSSFT as ‘Inpatients Manager’ and share my experience. Being a frontline clinical manager, I believe listening to frontline staff and engaging them makes a positive difference in the delivery of high quality care. Apart from my general and mental health nursing qualification, I completed a Master’s Degree in Forensic Mental Health Care (University of Birmingham) and an MBA (Health Executive) at Keele University. My hobbies include playing cricket, visiting waterfalls and watching football.” page 12 Apprentice of the Month Alice This month Alice Kitson has been recognised by her team as our Apprentice of the Month. The award is a way in which line managers, teams and staff at SSSFT are able to recognise outstanding apprentices (both current staff on the Accredited Staff Development Programme and newly recruited apprentices) who show exemplary individual achievement, contribution, and performance in their jobs and in their learning. Alice is a college recruited or ATA (Agency Training Agreement) apprentice who commenced her Level 2 (Intermediate) apprenticeship in Business and Administration with the South Staffordshire Memory Service almost 12 months ago. Mandy Wakelam, Alice’s line manager describes Alice as “a highly valued member of the memory service team and consistently produces a high standard of work, over and above what is expected of her as an apprentice. She puts the service users’ care at the forefront of everything she does. She always uses her initiative and is an excellent team player. She is willing and able to complete any task given to her and is fully adaptable to the changes working in our busy team can bring.” Further to this Alice not only serves as a positive representative of SSSFT in her apprenticeship role but also acts as a good role model to another apprentice who works within the Memory Service Team. Alice advises regularly on the apprenticeship scheme and offers support as required. Indeed, it seems Alice is not only an asset to her team but as her colleagues also state “she is a happy person who thoroughly enjoys coming to work and is a joy to work with.” If you might be interested in recruiting an apprentice to your team or you are a Band 1-4 staff member and are interested in undertaking an apprenticeship, please contact Sarah Appleby, Workforce Development Facilitator via email sarah. appleby@sssft. Prue Hayes Over the last few months, we’ve been telling you about Credit Union Staffordshire’s partnership with your Trust. Prue Hayes was the first to pilot our payroll savings scheme, so we thought we’d catch up with Prue and ask her some questions. Can you tell readers a bit about yourself and how you first heard about Credit Unions? “Hello! Yes, I work as Head of Operations for S&S Health Informatics Service, helping to manage the delivery of IT, networking and data services to local Trusts. I first heard about Credit Unions on the radio, actually. There had been a spate of news coverage about Payday Lenders and the difficulties people who used them were getting into. The report drew comparisons with the US and Ireland and how, there, Payday loan-related debts were far less common as so many people used Credit Unions. I decided to do some research to see if Credit Unions existed here too. As a single mum and the sole-breadwinner for my teenage daughter and me, managing my finances is crucial. I particularly dread things in my house breaking down so it’s essential for me to budget for sudden expensive emergencies. Debt spiralling out of control is a terrifying prospect – I’ve seen it happen so easily. Borrowing or putting too much on a credit card is so risky. I liked the idea that a safer, more ethical alternative existed so I thought I’d check them out.” And that’s when you found us! “Yes! I discovered the Staffordshire Credit Union was based near our Trentham base in Blurton so I called into your office to open a savings account. I especially like the ethics of the Credit Union. I’m lucky to have secure employment but the Credit Union is there for everyone and it’s a co-operative, so you save when you can and borrow when you need. I personally benefit by saving so that money is there whenever my daughter and I need a bit extra. I also like that it’s possible to borrow smaller amounts than banks would normally lend at much better rates than the pay day lenders, so if my boiler does breakdown, I don’t need to panic. Now the office has opened in Stafford it has made it even easier to get my money out when I need it.” We ended up inviting Prue to pilot our payroll scheme, so she could pay money into her savings account directly from her wages. How have you found it, Prue? “It’s been great. I genuinely haven’t noticed the money going out and I love knowing it’s building up without me having to think about it. It’s also been a really good feeling to be able to bring the Credit Union to more people’s attention. I hope that by showing that a good alternative to Payday lenders exists, I can help protect my NHS colleagues from getting into difficulty with debt. It’s so important for people to know that there is a better way”. Thanks Prue! If you’d like to follow Prue’s lead and come and have a chat with us about our membership, payroll savings, and borrowing services, just give us a ring or drop us an email: 0845 224 12 17 or [email protected] page 13 Here is some feedback from our regular team, Heidi, Janet, Claire, Ben, Zoe, Nick and Jess, to the benefits of producing the magazine: “it’s contact with the outside world rather than being on my own. I’ve gone from having no friends to having many especially a very close best friend” “I have a passion for writing and the magazine gives me an outlet for it” “I get a lot of visiting interesting places” “I get to express myself, meet other people and feel better” Contact Magazine Contact magazine is written and produced by people with various mental health issues. The aim of the magazine is to help people with similar issues by presenting personal and informative articles about mental health from our own experiences as well many other entertaining features. We are proud to have just celebrated our first birthday. The idea fell off the back of the Creative Writing group at Quest which had come to an end. We wanted to continue writing with purpose and we thought a magazine would be a really good way to showcase all the work we do. We decided to call ourselves Contact as we wanted to make contact with service users, professionals and most importantly people in the community who may not be able access services and so feel isolated. We encnouraged people to send in articles themselves about anything and everything, we don’t just write about mental health we have short stories, poems, recipes, craft ideas, photography, concert reviews, word searches etc etc . Contact comes out about every 6 weeks and we make sure it goes to the relevant services as well as places in the community, for example the post office. We are really pleased that we now have people who do contact us and make contributions. If you are interested in contributing to contact magazine or would like a copy (it’s a free magazine!) please contact us [email protected] Support for Parents Staff from The Child and Adolescent Mental Health service (Camhs) have introduced a self harm parent support group and an eating disorder parent support group into their service, covering the Stafford and Cannock areas. The group has been set up in response to an increase in the number of young people who are self harming and presenting with eating disorders. CAMHS recognised the importance of supporting the parents Kathy Minns, Kim Reeves, Bronwen Spence of these young people as these issues and Sarah Childs can have a huge impact on the young person’s family and their relationships. The first group ran in April and the plan is to run the support group every month. Parents are required to be under the care of CAMHS in order to access the support group. The group is also being run in The Seisdon Pennisula area. As part of the Early Intervention service provided by the Primary Mental Health team in Seisdon, a limited number of spaces are also available for families who are currently not accessing a CAMHS service. Parents who attended the group found the group to be supportive and provided them with the opportunity to talk with other parents who are experiencing similar emotional difficulties with their children. Staff who set up and are running the group’s are Kim Reeves Clinical Nurse Specialist, Bronwen Spence Art Psychotherapist, Sarah Childs Primary Mental Health Worker and Kathy Minns Clincial Nurse Specialist. page 14 "Mindfulness in schools - Corbett Primary starts a trend! In Brief ... The West Midlands Academic Health Science Network first annual report is now available. This details the progress made in meeting challenges and solving problems within the local health economy during hte WMAHSN’s first year of operation. There are also vignettes on projects that the WMAHSN has helped to deliver in 2013-14 that are already making a real difference to local patients and the economy. www.wmahsn.org West Midlands Health Informatics Network supports NHS and affiliated healthcare organisations to improve the efficiency and effectiveness of healthcare by using technology solutions. It brings together Health Informatics professionals, clinicians, academics and industry leaders by providing a forum for discussion and collaboration. If you are involved with health informatics you can join the network for free. (Fig 3) (Fig 4) You are unlikely to have heard of Bobbington, a tiny village in deepest, lightest South Staffordshire, and even less likely to have heard of Corbett Primary, a tiny (64 pupil strong) school on the edge of the village - but exciting things are happening there thanks to its lovely Head teacher, Margaret Southall, and her staff. It all began when I was invited to deliver some "Anxiety Management for Kids" training to year groups 4,5 and 6, in my "early intervention and prevention" role as a Camhs' Primary Mental Health Worker. The sessions went down really well - amongst staff as well as the children, especially the concluding relaxation exercises using music, play dough, sand, rice and bubbles. It led me to wonder about introducing the idea of mindfulness, as a life skill that children could use anywhere, any time, to help manage difficult feelings , increase a sense of calm, concentration, reduce conflict and more. That may all sound a little fanciful and too good to be true but it works - it really does, as evidenced by not only expert practitioners but ordinary people the world over, and increasing numbers of children. Margaret was quick to respond positively to my suggestion of some mindfulness workshops and she managed to create some space in a very busy school timetable for me to spend three first-thing-in-the-morning sessions with the Yr 5/ 6 class, and a month or so later with the Yr 4s (9 year olds). I began with some information about the body's fight-flight response, triggered by the alarm system (the amygdala) in the brain (Fig 1). Focussing on difficult feelings (e.g. fear, anger, anxiety) rather than nice ones (e.g. excitement) I then suggested that the emotional part of the brain (we're talking VERY simple science here) could be likened to a cat or tiger, whilst the thinking part of the brain could be likened to an owl. This combined with the idea that when the alarm goes off, triggering a "scaredy cat" or "wild tiger" response, the "owl" switches off and goes to sleep (Fig 2) - so, lots of stuff happens (e.g. running away, fighting, (Fig 1) freezing etc), but little thinking. In order for thinking to happen, the cat/ tiger need to be peaceful and calm, and then the owl can wake up and start thinking about how best to deal with the situation. (Fig 3). Enter "mindfulness" - an incredibly simple yet hard to master technique involving attending to the here and now, using one or more senses, to be fully in the present moment (and so wake up the owl). Often associated with deep breathing techniques, mindfulness gives a sense of focus, control and calm. So then we practiced different ways of being mindful...listening to music, watching bubbles float and burst, watching a candle, doing a positive visualisation exercise involving being a leaf, focussing on the sensation of air as one breathes in and out - all the while allowing other thoughts to come and go and returning our attention to whatever we were hearing, seeing, touching. With the owl wide awake, we then thought about some helpful thoughts which we could use to manage difficult situations (Fig 4) . The leaf and candle exercises produced pieces of art work that was then displayed in the classroom as a reminder for the children of what they had done. Each child was given a small laminated reminder card, with an illustration of an owl on one side, and some "helpful thoughts" on the other. www.wmhin.org (Fig 4) And its impact? Their teacher gave some very positive feedback - the best part of which for me read:- "The breathing exercises, or at least the realisation that that is an option in times of stress, has really helped certain children....one pupil even suggested last week when we were doing a challenging task that his group took time on the floor to breath for a while and then resume the task!". The only down side of doing such work as far as I can see, is that ifsuccessful, I am doing myself out of a job! Pippa Gray Senior PMHW 01902 895502 07791198236 page 15 A week in the life of an RPIW? Monday – Today is the first day of the Rapid Process Improvement Workshop with the CAMHS West Team. We’ve been working with the team for the last three months, but today is the first day of ‘the week’! I work in the Quality Improvement Team, usually planning the programme of RPIWs, but this week I’m facilitating the event, along with colleagues, Helen and Martin. We’ve been working with the team for the last 12 weeks, observing how they work, speaking with staff about the processes they use, and what things they’d like to improve, how long things take etc. We have lots of data to share with them – like it takes 71 days from receiving a referral to a family getting their care plan letter after an appointment – and that’s something the team want to improve. There’s another RPIW running this week, with F&E, so today we are all together in the Learning Centre, learning more about Lean and how it can help us look for ‘waste’ in our processes, remove it and ultimately create a better service for our service users and carers, and indeed, a better working environment for our staff. Tuesday – Yesterday we learnt all about various Lean methods, and the team thought about how they could apply each of these to the processes they want to improve – altogether, they produced 32 ‘idea forms’. Today we are going to work through these and start to plan what we can change – this week… that’s why it’s called ‘rapid’! We agree to focus on key three elements of this 71 day long process; how long families wait to receive an appointment; what happens in and after the appointment and what clinicians and administrative staff do; and what happens after the appointment and how long it takes to get the letter out to families. Wednesday – We continue to look at the various parts of the pathway today, and we are joined by two young people who have used our services in the past. It’s really beneficial to hear their point of view on what it feels like to be part of this process, and they share with us how it could be better for them. We decide to ‘eliminate the waste’ and strip out any bits of the process which don’t add value to young people and their families. The CAMHS manager makes sure we keep the ‘home team’, our colleagues back at base keeping things going, fully updated on what we are doing, and they in turn make improvement suggestions to us. Thursday – today is a great day! We base ourselves at The Bridge and try out our ideas for improvement. We immediately stop sending out letters asking people to ring in for an appointment, something which was adding some 30 days into the process, and instead, we trial ringing people as soon as the referral has been accepted. The home team report back to us in the morning that this has worked, and so we continue to take out any more steps in the process which don’t add value. We change the paperwork which clinicians take into the appointment, so it matches what is on RiO and we create some ‘standard work’ prompt sheets. Throughout the day, we re-measure what we had done at the start and are pleased to see we’ve shaved off nearly 60 minutes of clinician time chasing paperwork, typing letters and scanning documents – that another appointment! Friday – the last day! We report back to colleagues and the rest of the trust what we have achieved in the week. The room is packed and, along with F&E, we each present what we have done in the week. The CAMHS team, in just 4 days, have reduced the amount of time clinicians were spending on ‘non value adding’ activities and the time taken to receive a care plan letter is now shorter. F&E have reduced the time it takes to process a request for new works down from 18 weeks to 9 days! There’s more work to do, and the hard part comes after today, when the teams have to sustain these improvements and go further. That will be something we as facilitators and the Quality Improvement Team, will help with. We will keep in close contact with the team, and measure again how things are at 30, 60 and 90 days. Katy Morris Head of Quality Improvement Tel. 01785 783092 Internal tel. ext. 8492 Mobile 07580 127579 page 16 Submitting an article to e-PoD If you have something you would like included in a future issue, please contact Amanda Godfrey in the Communications Team. amanda.godfrey@ sssft.nhs.uk 01785 783041 e-PoD comes out on the first of each month (or the first Monday) and copy is usually required about a week before, but feel free to call or email to discuss your submission. Copy deadline for the August issue will be 27 July 2014. Hope to hear from you. Amanda Pedal Power Jean Breakell (physiotherapist) has been involved along with the personalisation team and Serco in setting up weekly sessions where adults with learning disabilities can access a range of activities at Sundorne Sports Village, as well as benefitting from a social group. The Sports Village has a 1km cycle track which loops around a lovely setting with Haughmond Hill nearby. They have a range of adapted cycles including trikes and tandem trikes, meaning that a wider range of people can be supported on 2, 3 or 4 wheels! Recently, there has also been a working party aiming to improve what's on offer. Training on how to assist sessions was given by Wheels for ALL in June and they will be rolling out sessions at different sites in Shropshire (starting at Derwen College near Oswestry) over the Summer. (see Wheels for All website) Also see www.travelshropshire.co.uk/cycle for details of Oswestry Bikefest on Sat July 5th ...come along and have a go/get involved! Also, EVERY month there are free Pedal for Health sessions at SSV for anyone to come along & get cycling with trainers if needed. Fran Virden (Speech and Language Therapist) has also used the adapted cycles provided by Quest 88 to practise signing communication skills in a Makaton Storytelling day in March. Trying out the cycles gives carers and service users the opportunity to enhance signing and communication skills whilst doing different activities such as riding, pumping-up tyres, cleaning bikes, etc. Quest 88 also brought cycles to 2 adult learning disability day services in Shrewsbury last December for anyone to have a go...& most DID! It provided 2 days of fun and excitement for service-users and staff alike..... and they hope to do it again! Mileage reimbursement rates are changing The new, lower rates of reimbursement will apply to journeys made by an employee on AfC T&CS on NHS business on, and after, 1 July 2014. The change to the reimbursement rates has been made in line with provisions under the national NHS collective agreement. New rates are as follows: Type of vehicle/allowance Annual mileage up to 3,500 miles (standard rate) Annual mileage over 3,500 miles (standard rate) Car (all types of fuel) 54 pence per mile 20 pence per mile All eligible miles travelled (see paragraph 17.15 and Table 8) Motor cycle 27 pence per mile Pedal cycle 20 pence per mile Passenger allowance 5 pence per mile Reserve rate 27 pence per mile Carrying heavy or bulky equipment 3 pence per mile Further information regarding the above changes can be found at : http://www.nhsemployers. org/~/media/Employers/Publications/Pay%20circulars/Mileage-allowance-pay-circularAfC-2_2014.pdf page 17