Positive June 2015 - Nottinghamshire Healthcare
Transcription
Positive June 2015 - Nottinghamshire Healthcare
JUNE 2015 about integrated healthcare Tricks of the trade New vocational training facility for patients see page 4 ‘SPINNING AROUND’ SLEEP TO WIN CELEBRATING ELDERSHIP CARERS’ WEEK ST GEORGE’S DAY MESSAGE FROM THE BOARD ‘Sign Up to Safety’ is aiming to help reduce avoidable harm in the NHS over the next three years by listening, learning and acting when things go wrong. The five ‘Sign Up to Safety’ pledges that we are committed to are: There is already significant work going on under each of these categories, but the campaign will provide the opportunity to bring together all of this work within a framework with clearly identified goals and the ability to measure and analyse in order to inform improvements. The Trust has recently signed up to the national ‘Sign Up to Safety’ campaign. You will see more information about this and what we are doing as our commitment in the coming weeks and months. 1.Put safety first – committing to reducing avoidable harm within the Trust and making public the goals and plans developed locally 2.Continually learn – make our organisation more resilient to risks by acting on feedback from patients 3.Honesty – be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong 4.Collaborate – take a leading role in supporting collaborative learning 5.Support – helping people to •Suicide and self-harm •Assaults and violence •Medication errors •Pressure Ulcers •Falls understand why things go wrong and celebrate improvement In signing up to the campaign, we have committed to strengthening our patient safety by making initial pledges against each of these areas. These have been supported by the Trust Board and have been submitted for publication on the ‘Sign up to Safety’ website as a public expression of our commitment to safety. Based upon our current quality priorities and strategic drivers, we have identified six key areas for the campaign to focus on within the Trust. These are: •Restrictive practices We want to ensure the focus of our work reflects what is important to our local communities and so we will be engaging with patients, service users and staff over our safety improvement plan for the coming three years. I hope you will all support this work and share in our commitment to improving safety across all services. Dr Julie Hankin, Executive Medical Director Update on changes from the Safeguarding Team The way that the Local Services’ Safeguarding Team works is changing, to be more proactive in promoting the message that Safeguarding is Everybody’s Business. “Our new approach will give us more time to spend in clinical areas supporting frontline staff to think through complex safeguarding issues and enhance or develop their confidence and skills in this area,” explained Helen Pritchett, Specialist Practitioner Safeguarding and Domestic Abuse. “To enable us to engage fully with this approach, we will no longer operate the advice line service, which will be gradually phased out in July 2015. Instead we will be developing a service with higher visibility across the Division, offering focused work with teams, and bi-weekly drop-in sessions giving staff and managers the opportunity and quality time to discuss issues in depth and develop their own plan about how to progress. “We will also be enhancing the awareness of safeguarding and the Think Family agenda through road shows and targeted training, amongst other initiatives. “However, in an urgent case the first point of call for staff remains your line management structure and if you need more specialist safeguarding support, safeguarding practitioners will still be available.” Safeguarding supervision launched Safeguarding supervision has now been launched within Local Services, with the safeguarding teams from Health Partnerships and Local Services coming together to train staff to provide safeguarding supervision within the Division. During the initial phase, supervision will be provided in Child and Adolescent Mental Health Services and Substance Misuse Services with supervision groups comprised of workers from each speciality, allowing the sharing of knowledge and expertise across the Division. In July 2015, another group of supervisors will be trained, enabling supervision to be offered more extensively across the Division to ensure all staff have access to safeguarding supervision. If you are interested in becoming a supervisor and have experience in providing clinical or managerial supervision, please email Rosie Roosevelt, Local Services Division Safeguarding Lead. Supporting children and young people with special educational needs and disabilities Nottinghamshire provides a wide range of support to children and young people with special educational needs and disabilities (SEND) and their families. The support is offered through a variety of partners with parents, carers, children and young people working together with schools, other agencies such as health and social care, and the voluntary sector. A number of significant changes have recently taken place to the way that services for children with SEND are identified, assessed and supported, and Nottinghamshire was one of 20 areas across England selected to pilot the reforms proposed in the draft legislation. The new plans were designed to make it easier to access joined-up services across health, social care and education. One of the requirements of the new legislation was the development of a 2 ‘local offer’ to describe the services and provision available to families of children and young people aged 0 to 25 years with special educational needs and/or disabilities. Rachael Isaac-Pascoe, Head of Service for Newark & Sherwood Child & Family Health Teams, secured funding from Mark Evans, SEN Reform Champion, and they worked together with Becca Riley, SEND Implementation, to arrange two awareness events in March. Almost 150 delegates from Health Visiting, School Nursing, Children in Care, CAMHS, Early Years teams, and other specialist child and family health teams from across the county attended to learn more about Nottinghamshire’s local offer and its graduated approach to providing support to children and young people with SEND. The sessions also looked at how the SEND reforms and the educational, health and care (EHC) plan pathway link with other national and local initiatives. A mother of a child with SEND also attended to talk to delegates about her family’s experiences and demonstrated an ‘All about me’ EHC plan pathway in practice. Other speakers included Ruth Hardy; Paula Vyze, Assessment and Commissioning Manager; Simon Ray, Professional Practitioner, SEND Commissioning (local offer); and Alison Holloway, Team Manager, (SEND Commissioning). Simon Ray, Paula Vyze, Rachael Isaac-Pascoe, Becca Riley, Alison Holloway – Team Manager, Rachel Tyler – parent, Susanne Godber – Secretary to Head of Service and Mark Evans Positive June 2015 3 in different areas from brickwork skills to carpentry, plumbing, using power tools, health and safety, animal care, sowing seeds and identifying parts of plants. The service is dedicated to meeting the needs of all patients within the Hospital, regardless of skill level and ability. Every patient is subject to an individual risk assessment before any placement is agreed. New Trade Skills Building for patients at Rampton Hospital Last month a special event was held to celebrate a new facility at Rampton Hospital for patients to learn trade skills. The trade skills building is based in the Horticulture and Trade Skills (formerly Work Skills) area at the Hospital, part of the Occupational Therapy Service within the Therapies and Education Department. The new building offers a larger space than the department could previously offer, providing an increased range and number of work stations where patients can learn a variety of skills which are graded for function and risk. The area gives patients the opportunity to develop individual and team working skills by working collaboratively on major tasks such as wall building construction; painting and decorating; block paving; fence construction; push fit plumbing and tiling. The building has been named The Munro Centre in recognition of Pauline Munro, Vocational Services Manager who retires this month. Pauline has been a driving force throughout the project and passionately championed horticulture and work skills in the Hospital. Dean Fathers, Trust Chair, declared the building officially open. He said: “This is a fantastic facility which will provide many opportunities to our patients to learn, gain qualifications and help towards their recovery and future after moving on from the Hospital. I know from speaking to people here today, just how important this project is and the difference it makes to so many. The process would not have been as successful in getting to this stage if it hadn’t been for Pauline and everyone in the team, their vision and collaboration in working as a team (staff and patients) to turn the vision into reality. It has been great to see the enthusiasm and pride of everyone involved. Thank you to you all.” The new building and expansion is Phase 3 of a project which started in 2012. Scoping work found that educational levels in patients fell considerably short of those in the general population and the majority had some kind of employment experience, with manual labour jobs most frequently cited. Staff advised that patients lose work related skills once admitted to the Hospital and along with the patients, wanted the vocational services to be more like ‘real work’. The importance of work for mental health and prevention of reoffending has been widely recognised and documented. Dr Birgit Vollm and Dr Gopi Krishnan were instrumental in the study and the project to address the findings. Phase 1 saw an increased range of work skills activities offered. Phase 2 concentrated on expanding the horticulture activities. Horticulture is a garden centre and small animal unit providing male and female patients the 4 Female patients will also have use of the new building and another open day event is planned to allow them to visit and find out more about the opportunities available. opportunity to partake in indoor work in polytunnels, including seeding, propagating, and planting. Outdoor garden work includes learning how to undertake various activities in a garden environment, including the welfare and feeding of poultry and fish, garden maintenance and use of machinery. The team is working with AIM, a national awarding organisation offering a large number of Ofqual regulated qualifications, to put together a bespoke package that suits the needs of the patients and enables them to get a recognised qualification. The qualifications are made up of a variety of credits gained Hanging baskets This year the team has broken its previous records and due to a concerted effort from staff and patients has made up a total of 115 hanging baskets so far, and there are still some late orders coming through. Over the coming season plans are underway to expand the range of flowers and vegetables available, and for something special leading up to Christmas. Keep a check on the intranet site for details. Karen Elliott, Associate Director AHP(Forensic) and Therapies and Education Manager said: “Patients thoroughly enjoyed the day and the chance to share what they are doing and plans for future. We are all delighted to see the difference this project has made and how patients are gaining so much from it, not only work skills, but also in selfconfidence, esteem and a sense of achievement.” Seasonal produce for sale There is an abundance of fresh produce available from the Horticulture and Trade Skills Department. Items for sale include plants and freshly laid free range eggs. To place an order, pop in to see the team, call 01777 247 925, visit the horticulture area of the intranet or email horticultureworkskills@ nottshc.nhs.uk Please note purchases can only be made by employees of Nottinghamshire Healthcare. l-r Dean Fathers, Pauline Munro, Dr Julie Hall, Executive Director Forensic Services, Kay Carley, Occupational Therapy Manager and Karen Elliott Front page – Pauline Munro and the Horticulture and Trade Skills Team Positive June 2015 5 ’ s r e r Ca ek W1e4 June Carers’ Week is an annual awareness campaign to recognise and celebrate the UK’s 6.5 million carers; the challenges they face and the contribution they make. The focus this year is on building Carer Friendly Communities to support carers to look after their loved ones, while recognising that they are individuals with needs of their own. 8- Look out for activities and opportunities to get involved across the Trust, or visit www.carersweek.org for more. Sarah takes the helm Local carer and Rosewood Involvement Centre Volunteer Sarah Batty has taken over the organisation and management of Bassetlaw Carer Support Group, working closely with the Secondary Mental Health Services in Bassetlaw. The group has been established for more than four years and is very well attended by carers, families, friends and supporters whose loved one has been, or is under, the care of the local Secondary Mental Health Services. Jinny Slack, a member for a number of years said: “I couldn’t have coped in my caring role without the support group; it’s a place where I can come and share my thoughts, feelings and think about different ways to cope. We also have a good laugh and go out socially together which is wonderful.” The group is also very lucky to have speakers on a regular basis covering topics such as the Carers’ Act, mindfulness, relaxation techniques, medication and welfare rights. Sarah said: “All the speakers attend on a voluntary basis, giving up their very busy time, and we are so grateful for this.” Sarah, who is a carer for her brother, previously worked on the Acute Mental Health Ward B2. She said: “I have always enjoyed working for the Trust and when I left I really missed my role with the Carer Support Group, so I wanted to return and continue this as a volunteer.” Andrea Emmens, Family Interventions Coordinator added: “It’s fantastic that Sarah is happy to give up her time to ensure the group is effectively and efficiently run. Having a carer at the helm ensures the group remains focused on the needs of its caring members and provides a service that is really needed.” The Bassetlaw Carer Support Group meetings take place on the first Tuesday of each month, 1.30-3.30pm at Bassetlaw Mental Health Unit. For more information contact Lauren Medlam, Family Intervention Team Administrator on 01909 502025 or [email protected]. Watch out for updates in Positive. Sharing a passion for working with families A refresher day for Adult Mental Health staff trained in Behavioural Family Therapy (BFT) was held in March, to reinvigorate everyone’s passion and enthusiasm for working with families and implementing BFT in practice. Nineteen staff attended the event which followed the structure of BFT, including information sharing, staying well, problem solving, communication skills and role play. The participants rated their own levels of confidence and enthusiasm both before and after the event, and many were already very enthusiastic about family work and shared how they were implementing BFT in practice. Overall, we saw a 10% increase in confidence across the staff group by the end of the day and a 15% increase in enthusiasm. Participants also gave their feedback on the content of the day, saying that the role play sessions, delivered by family members and the BFT Trainers, and the family member stories were particularly helpful. Mindfulness, information sharing and networking opportunities were also mentioned as being really beneficial. Another BFT refresher day is planned for 19 November 2015. For more information on BFT training contact Lauren Medlam, Family Intervention Team Administrator on 01909 502025 or [email protected]. A carer’s perspective By Trevor Clower Being asked to go to a meeting of any kind by Andrea Emmens is always an adventure, as she always gets me to enlarge on my involvement. This was my first BFT refresher day and I was wondering quite what else I would be led into, extra to what was in the programme. This meeting had all the earmarks of being a good day, when, it actually turned out to be a brilliant day indeed. I delivered my bit on the Five sequences of events, all carers fall victim too, and Sarah Batty (see article left) gave an incredibly moving account of her life with her brother. You could have heard a pin drop as she captured the whole audience with her brother’s struggle. During lunch, Andrea whispered to me that I would be ‘Dad’ in the next part of the event. I had no idea what she was talking about, but I am getting used to being surprised when Andrea gets the bit between her teeth. As it transpired, I was Dad to Lauren and her sister Alyson, as we sat together, while Andrea and Christine came on stage like the Family Workers from HELL! They did as many things wrong as they could during our interview, which felt more like a grilling at the Spanish inquisition! It was impossible to keep a straight face, as some of their antics became more and more bizarre! After this the audience was asked all the things that were done wrong. The discussion was both lively and very enthusiastic indeed; bringing the best out of the best in this very experienced audience who deliver BFT during their work. Tim Constable (see below) made a huge contribution to the event and it is clear the management would benefit greatly by going on a BFT course, as would carers and family members too. The whole day was highly successful as it did exactly what it set out to do - refresh people’s minds and fire up their imagination and enthusiasm. Behavioural Family Therapy, a very necessary service, keeps families together while dealing with mental illness and keeping people from ending up in hospital. I recommend this training course to anyone who cares about people, to learn how to deal with families head on, and make a positive difference in their turbulent lives. A manager’s perspective By Tim Constable, Service Manager, County Community and Residential Inpatient I was really pleased to be invited to attend the Behavioural Family Therapy refresher day, which provided me with a sense of how BFT training is progressing across Adult Mental Health. It also highlighted really positive practice with regard to moving the approach forward and identified some of the challenges faced by staff after attending the training, with regards to implementation. ‘How not to do a BFT session’ and see how the learning that followed was encouraged through discussions about what had been done wrong. A funny yet thought provoking session. Our guests talked about how BFT had been implemented in Dorset and Derby, comparing and contrasting the different approaches, which provided some useful thinking points to help us move forward with our I was really inspired by the first-hand accounts from family members of their personal stories and encouraged by their feedback that Family Work had, or would have been really helpful to them. service delivery. We are now achieving a high number of Family Work trained staff across Adult Mental Health, with the necessary support structures in place to enable them to maintain their enthusiasm and motivation. I am really pleased to be involved in this area of practice development and following the inspiring day, look forward to progressing this and ensuring that Family Work is integral to all of our service delivery. Alyson Leeks, Family Interventions Co-ordinator said: “It was great to have Tim with us for the whole refresher day as it reinforced the value that management and the Trust as a whole, places on family interventions.” It was great to see the Family Intervention Team staff members role play Sarah Batty 6 Tim Constable, Service Manager with Alyson Leeks, Family Interventions Coordinator Positive June 2015 7 ‘Spinning around’ to raise money for Breathe Easy Health professionals from across the area recently came together to support Breathe Easy’s fundraising ‘Spin-athon’ event in May at the River Maun Recreation Centre. Breathe Easy Mansfield and Ashfield members have been working hard to raise money to set up a new exercise class for people affected by respiratory illness. The aim is to enable people to continue exercising after finishing a course of pulmonary rehabilitation delivered by respiratory professionals. Regular exercise is needed to help maintain the benefits of the course, and the group wanted to provide access to dedicated classes in the Mansfield area. Sally Chapman, Respiratory Technical Instructor with the Mansfield and Ashfield Respiratory Service organised the event. She said: “Exercise is really important for everyone. I 8 used to run three COPD exercise classes in Ashfield which helped to keep people fitter, well and out of hospital. “It’s only fair that the people of Mansfield have access to the same thing and that’s why we decided to support the group in setting up their Breathe Easy Exercise Class.” Peter Burrows, a member of Breathe Easy Mansfield and Ashfield and a Pulmonary Rehabilitation Volunteer added: “There are so many positives that come out of a fitness class for people affected by lung disease. If we gave each one a colour we’d have a fantastic rainbow, but the end of our rainbow isn’t a pot of gold, it’s a better quality of life for all.” Ca rer Weeks ’ 8-14 Community of Interest goes ‘on the road’ The Carers’, Family and Friends’ Community of Interest went ‘on the road’ to hold its regular meeting at the alternative venue of Bassetlaw Mental Health Unit, Worksop in April. A Community of Interest (COI) is a group of people with a shared interest, understanding or passion who want to work together to shape or improve services. The Bassetlaw meeting was well attended by more than 20 carers, family members, friends and staff. It focused on the future of the COI and how it could work with the Trust to deliver its refreshed Carers’, Family and Friends’ Strategy 2015-18. June Members of the Community Interest Group A local carer said: “This is the first time I have attended a Community of Interest and I am really impressed with it. I think it gives me the opportunity as a carer to voice my opinion and people genuinely listen and take forward the things I am saying. It is also fantastic to meet other carers in a similar role to me so that we can share ideas.” Jane Danforth, Involvement Officer added: “The Carers’, Family and Friends’ Community of Interest, which usually meets in Nottingham, works in partnership with Nottinghamshire Healthcare for the benefits of carers, families and friends. to compile a carers’ handbook, and been involved in developing and delivering training for staff. They also work hard to improve the involvement and recognition of carers, families and friends and the important role they play.” “The group has so far been involved in writing a carers’ strategy which is currently under review, worked with staff For more information contact Jane Danforth at [email protected] or call 0115 952 9430. Positive June 2015 9 New Director of Finance Simon Crowther has taken up the role of Executive Director of Finance for the Trust. Simon joined Nottinghamshire Healthcare on 30 March, bringing with him a wealth of experience. Prior to his appointment, Simon was Chief Finance Officer at Mansfield and Ashfield and Newark and Sherwood Clinical Commissioning Groups. Before this, Simon worked at a senior level in Primary Care Trusts and Derbyshire Community Services. He has gained extensive experience in not only finance but also in commissioning, contracting and performance management. Developing our future leaders Since qualifying as a management accountant in 1996, Simon has complimented his accountancy background with further studies in leadership and change management, strategic financial management and corporate governance and assurance, the latter being completed at the Cass Business School in London. Meet Andrew Robinson, SystmOne Trainer, the fifth of twelve staff from across the Trust who we’re introducing in Positive as they transition from being Led to being Leaders, through our year-long leadership development programme. Welcome to the Trust Simon! Spring start for new apprentices In April we welcomed 13 new apprentices into various services across the Trust. One is following a clinical pathway in the podiatry service at Park House, Carlton and the others are completing Business and Admin level two. given a presentation on the benefits to hosting an apprentice as part of their induction. Recruitment is now responsive to service requests and takes place throughout the year. Managers are fully involved in the recruitment and selection process for their apprentice, to ensure the best fit to their team. Any manager considering offering a placement can contact Heather Porter, Apprentice Lead on 0115 969 1300 ext. 10269 for more information. I have worked for the Trust for 17 years and during this time I’ve held a number of different positions. I am currently a SystmOne Trainer in the IT training department. Part of my role is to train new Health Partnerships staff on how to use SystmOne effectively for their job role. Although based in Nottingham, I visit health centres across the County. I go out to the user’s base and the sessions can be done on a one-to-one basis or in small group sessions. Our team also works on SystmOne projects such as mobile working. Having been with the Trust for many years I wanted to do something that could help me progress. Led 2 Lead (L2L) is a mentoring and leadership course where we are gaining knowledge and experience through group meetings and work placements. We also have a group leadership challenge. As we approach halfway through the course we are being challenged more and more to think like leaders. I have regular meetings with my mentor and during these I am encouraged to think about how I can improve myself and to find the direction that I want to move towards. Through my mentor I have been given access to other parts of the Trust that really interest me that I had previously not explored. All members on the L2L course are also invited to attend the monthly ELC. This gives us all the opportunity to sit at tables with the most senior members of staff who work for Nottinghamshire Healthcare. We get to hear from other Directorates from Local Services, Forensic Services and Health Partnerships. The L2L course is enabling me to challenge and improve the way I work. Over the coming months we will meet many times as a group as we look to continue the journey further. Andrew Robinson They are all here for 12 months on a fixed term training contract and have received an induction with the training provider. They also attended the Trust induction in May, and additional training courses offered during the year will include Excel, advanced Excel, word processing and minute taking. Business and admin locations Three apprentices will be based in the admin team at Wathwood Hospital, and two at Rampton Hospital in the Clinical Governance and PALS services. In the Mansfield area, there are two apprentices in Ashfield Community Hospital and Hawthorn House. Nottingham services with an apprentice include Offender Health, Facilities at Duncan Macmillan House, CAMHS inpatients at Thorneywood, the Children’s Development Centre at City Hospital and the Let’s Talk Wellbeing service on Wells Road. Trust managers and Prostart staff were 10 Positive June 2015 11 Making plans for our first Sustainable Travel Day To mark national Green Transport Week (13 to 21 June), the Environmental Team is organising the first Trustwide Sustainable Travel Day on Tuesday 16 June. The team is asking all staff to join in by changing their journeys that day to a more environmentally friendly alternative. This could include: Walking - Set up a walking group with colleagues for the day or park your car a mile away from work and walk the last leg. Visit www.walkit. com for walking routes. Good for your health as well as the environment! Liftshare - The Trust has its own Liftshare scheme to help identify people who drive similar routes to you. You’d be surprised how many people might be driving past your road. To sign up visit www.nottshc.liftshare. com or organise your own car share with colleagues for the day. Cycling - Find out about the Trust’s bike facilities, Cycle2Work scheme and Bicycle User Group (BUG) on the environmental issues pages of the intranet. Visit www.sustrans.org.uk/ ncn/map for cycle paths across the UK. Did you know, the Trust pays mileage for cycling to meetings? Public transport - Plan your public transport journey anywhere in the UK at www.traveline.info. The Trust also provides discounted public transport through the NCT Easyrider Scheme in Nottingham. Pool cars - The Trust has two low CO2 pool cars based at Duncan Macmillan House, run by our partner Co-Wheels. An additional (non-low CO2) pool car is available at Rampton Hospital, bookable through the Transport Department. Conference calling - Do you really need to commute to that meeting? Could you phone instead? This still counts! Help us to monitor just how much carbon we can save on 16 June by filling in the sustainable travel form available on the Environmental Issues pages of the intranet or by emailing [email protected]. All we need to know is your name, site, how many miles travelled and the mode of transport. By submitting your details you will be entering your site into a competition with other Trust sites. The participants at the site which, on average, has reduced its travel carbon footprint the most will receive a prize! Are you interested in environmental issues? Become a Green Champion! Contact the Environmental Team to find out more on environment@ nottshc.nhs.uk. National award success Rampton Recycling The Environmental Team and Green Champion Russ James attended the NHS Sustainability Day awards ceremony in London in April, where the Trust was highly commended in the IT, Clinical and HR categories. Rampton Hospital is lucky enough to have its own waste yard where waste from the Hospital is segregated into lots of different streams for recycling. Since August 2014, staff have segregated 39 bales of cardboard which equates to 20 tonnes of waste – the equivalent of 20 adult polar bears!!! Well done to all involved. Rosy Moore, Environmental Officer said: “It was great to meet other leaders in sustainability and to hear about the fantastic work which is taking place across the country. We came away feeling inspired and with high hopes for next year’s awards.” The team with one of their awards and presenter Monty Don 12 Positive June 2015 13 Members of the team with The Rosewood Rockers A poem written by one of the patients Back row from left: Julia Hagger – Clinical Matron Primary Care; Andrew Read – Nurse Primary Care; Gordon Ross – Pharmacist; Suzan Lilley – Primary Mental Health Team; Chris Haigh – Pharmacy Lead; with two colleagues from prison gymnasium Promoting good health for prisoners – both now and for the future Joining together to celebrate St George’s Day The Male Personality Disorder Service at Rampton Hospital enjoyed another fantastic recovery-centred event, celebrating Saint George’s day on the Chiltern Unit. patients to make their own contribution, promoting self-confidence and selfworth, while immersing themselves in the freedom that music provides.” Staff and patients were delighted to welcome some of the Rosewood Involvement Volunteers who came to play live music, and in turn to hear some music, poetry and songs that some of the patients had been working on as part of their individual recovery projects. “I really enjoyed finding myself through music and being able to express words in poems or songs to show that life can be better; we will all get there in the end and I do hope others will do the same in songs or poems to see their own recovery blossom.” The event began with The Rosewood Rockers playing guitar and singing some favourite old classics, by the end of which everybody was singing and swaying. The performances from patients then included a drum solo, some poetry and a song called ‘Treatment, Treatment’. In the evening patients also socialised over our national dish of fish, chips and mushy peas. “I am grateful to the people from Rosewood for all their kindness and for their time coming to be with us and sharing with us.” Martina Griffiths, Clinical Nurse Manager said: “The event was inclusive as always, with staff and patients all joining in to enjoy the music. This empowered our 14 HMP Lincoln’s primary care, pharmacy and mental health services joined colleagues from the prison service and neighbouring organisations including public health to take part in a prisoner health and wellbeing day in April. Comments received were very positive, including: “Rosewood, your stories and life experiences are inspiring and offer people like me hope for the future. Thank you for your time, energy and understanding.” “May Saint George keep an eye on all of us who are recovering and intercede for us.” The healthcare team showcased a variety of information relating to stress, anxiety, depression, men’s health, cardiac health and the upcoming ‘Lift the lid’ campaign raising awareness of bowel cancer. Pharmacy team members also spoke to patients who wanted more information about medications, and were supported by Karen Murray, a specialist Hepatitis C nurse. Julia Hagger, Clinical Matron – Primary Care, Offender Health said: “The day planned by prison staff was a great opportunity for a variety of healthcare staff to engage with our patients to promote good health not only whilst in custody but also for the future. “We were able to engage with lots of individuals who don’t access healthcare on a regular basis and educate them on what services are on offer, and the day was a great success. We look forward to continuing to support health education in the near future.” Feedback included: “Gave me more knowledge on how to lead a healthy lifestyle.” “I saw where I can improve my healthcare.” “There were many stalls which opened my eyes to things which I would ordinarily take for granted.” “It was good to see all those people under one roof.” “I have nothing but praise for the team at healthcare and the staff at the gymnasium.” “The healthcare is good because when I’ve put appointments in to see healthcare I get to see them pretty fast.” Positive June 2015 15 Helping diabetes patients make healthier food choices The Nutrition and Dietetics Department recently launched some new resources for use in diabetes education groups, reflecting national changes in food labelling requirements that came into effect in December 2014. The new legislation is designed to help standardise food labelling and make it easier for people to make healthier choices about what they buy and eat. It recommends that food manufacturers display ‘traffic light’ coding to visually highlight the nutritional value of food portions, allowing people to see at a glance if the food product has high, medium or low amounts of fat, saturated fat, sugar and salt; the more greens, the healthier the choice. Celebrating Eldership By Katja Milner, Spirituality Lead Old age is something we often struggle with in our culture. With so much emphasis on youth, glamour and being at work, those who have lived to tell many tales of life can sometimes be forgotten. It is easy in our busy lives to take for granted the depth of human experience which only comes from living through life’s challenges year after year. I was struck by the teaching from ancient cultures who would not only respect but revere their Elders, seeing them as vital for the learning and health of their communities. The telling of stories has always been important in culture and the passing on of learning would often happen between the elders and the young. Inspired by these ideas, I contacted Cherry Ward at Highbury Hospital and asked if they would like to collaborate in a ‘Celebrating Eldership’ event where the Spiritual and Pastoral Care Service would provide practitioners from our partnership organisations – artists, musicians and some wellbeing practitioners – to bring some lovely activities to the ward. Researching the topic of age and eldership I was surprised to find so many beautiful pictures and quotes on this topic and I collated them as an inspiring focal point on the ward. On a beautiful spring day professional artists from the community arts 16 organisation SEND and Cherry Ward residents co-created a fantastic image of the sun with rays shining out. They asked residents to think of words they associated with the theme of the day and stuck these on the picture. There was also live music which included a sitar and tabla sing-along rendition of ‘What a Wonderful World’ and practitioners from Om Wellbeing Centre in Nottingham gave many residents massage and healing to help them to relax. I personally really enjoyed listening to the stories of some of the ladies who, with a glisten in their eyes, spoke to me of their past adventures. There were many smiles and laughter and one patient fed back that she “had a wonderful day from the glorious art work, absolutely fantastic musicians and a very relaxing Reiki massage, and felt wonderful afterwards.” event; those that participated clearly enjoyed thinking about the positives in their lives and their achievements. It was a pleasure to see the personal glows and smiles that reminiscence brought to them.” Many thanks go to all the great practitioners, artists and staff involved in this event and to all the people who participated. Whilst traffic light food labelling isn’t new, previously manufacturers could use their own colour codes and values, making it potentially confusing for customers buying different products from different brands. As well as traffic light labelling, ‘Reference Intakes’ (previously ‘Guideline Daily Amounts’) have also been introduced to show the amount of energy, fat, sugar and calories in a portion. “As part of our diabetes education groups we include sessions on food labelling to help patients manage their diabetes and reduce cardiovascular risk factors,” said Sara McKenzie, Diabetes Specialist Dietitian. “These changes in food labelling legislation meant that we had to review the resources we used in our groups. Our new pop-up stowaways look more professional and are light weight and easy to take out-andabout. “They’ve made delivering the traffic light labelling part of our group much easier – for both us and our service users.” Diabetes Specialist Dietitians Hayley Spencer and Sara Mckenzie with the new labelling resources for diabetes education groups Helen Forrester, Ward Manager said: “I was immensely pleased with the “A man’s age is something impressive, it sums up his life: maturity reached slowly and against many obstacles, illnesses, griefs and despairs overcome, and risks taken; maturity formed through so many desires, hopes, regrets, forgotten things, loves. A man’s age represents a fine cargo of experience and memories.” Antoine de Saint-Exupery Positive June 2015 17 Alec Crossland It is with great sadness that we learnt of the passing of Alec Crossland, one of our Public Governors. Alec had been a committed and energetic member of the Council of Governors with a real passion for ensuring high quality service provision to patients, service users and carers. Since Alec was elected to the Council he had shown such enthusiasm for the role, for which his time and dedication had been greatly appreciated by the Trust. On behalf of the Council of Governors and the Trust we would like to extend our condolences to Alec’s family and friends. Alec’s passing is a great loss to the Council and his humour and caring personality will be deeply missed. Reducing falls in care homes A reduction in falls is a key priority for Nottingham West CHP, which provides targeted support to those residential care homes with the highest number of falls-related hospital admissions. The support includes additional specific educational sessions and ongoing support to senior carers to increase their awareness, inclusion and ownership of the falls pathway. Project lead, Physiotherapist Nicola Adkin explained: “We work with care homes to identify those residents who are at risk of falls, and deliver assessments and falls interventions. All care homes targeted are offered an ongoing evidence-based falls maintenance programme. This ensures that the residents at risk of falls on the programme continue their improvement and do not lose functionality. “The new model of support was initially delivered within six of the 24 care homes in the Nottingham West area, and after its success, it has now been extended to another four homes. In the first six homes, falls reduced by 32% between 2013 and 2014.” For further information contact Nicola Adkin by emailing [email protected] From left, Nicola Sorsby, Clinical Nurse Manager, Peaks Unit; Tina Pritchard, Team Leader, The Mental Health and National High Secure Learning Disabilities Directorate; Audrey Ridge, Rosewood Involvement Volunteer; Ruth Kavanagh, Clinical Nurse Manager; and Jenny Crossland, Clinical Nurse Manager, Personality Disorder and National High Secure Healthcare Service for Women Website Update Involving patients in the Rampton recruitment process Work is continuing on the development of the Trust’s new website to be launched later this year. We have been engaging and consulting with stakeholders including involvement volunteers, Trust members and staff around the look and feel of the site and content over the last few months. Our focus for the website launch stage has been on the information about our services, how to access services and support information. This is a starting point; the website will evolve over time. In April Adrian, Involvement Volunteer, attended one of the engagement workshops held to enable people to feed back their thoughts and suggestions. He said: “Compared to the old site this is a lot clearer, a lot more precise and has detailed phone numbers; it’s no use putting things without contact details. The initial viewing looks like this has been amended and contact details are easily accessible. The A-Z is brilliant! I thought that was what made it easier to find what you wanted.” Thank you to everyone who has given up their time to help shape the website and develop it to be user friendly and a helpful resource for everyone. 18 Service leads from Rampton Hospital have been working hard to not only forge strong links between the Hospital and the Rosewood Involvement Centre, but also to create exciting opportunities for patients within high secure services to access further training and development, including a direct involvement in recruitment. “Thanks to the ongoing support of Nigel Groves, Centre Manager and Audrey Ridge, Rosewood Involvement Volunteer, we’ve been able to provide opportunities and support to patients across the Directorates to become actively involved in the development of services, with a focus on improving the recruitment process,” explained Ruth Kavanagh, Clinical Nurse Manager, Mental Health and National High Secure Learning Disabilities Directorate. “During April 2015, patient representatives from the Learning Disabilities Directorate formed a patient panel and developed a set of recovery-focused questions for use in staff nursing interviews. The patients were supported by Audrey and Tina Pritchard, Team Leader from the Mental Health Directorate and worked alongside a staff panel of Clinical Nurse Managers from around the hospital. “Feedback from the patients was that they had thoroughly enjoyed the process, which was fun and interesting. They also valued having a say in the decisions made around which staff would be coming into the hospital and supporting them in their recovery journey.” The Rosewood team will be returning to Rampton Hospital in July to offer further training to patients who are interested in becoming future interview panel members, leading to further collaborative working between staff and patients in the recruitment process, prioritising compassion and a focus on enabling patients in their recovery with a real emphasis on embedding values based recruitment throughout the Hospital. Positive June 2015 19 Sleep to win A collaboration between Nottinghamshire Healthcare and the Clinical Sleep Research Unit (CSRU) at Loughborough University is proving a great success in delivering a new sleep management course to Trust staff and workshops for British athletes. Patient Opinion – the movie! Staff from Bingham Sure Start Centre and the Involvement Team found themselves the focus of a recent film by Patient Opinion. PO Exemplars is a series of five short films looking at how different trusts have ‘gone above and beyond’ to use and maximise feedback about their services received via Patient Opinion. The films, produced with the help of Ricky Derisz, Subscriber Support Officer from Patient Opinion and students from Sheffield Hallam University, look at how trusts use the feedback site and why, in a bid to share good practice with others. Staff talked about how the website, which has over 2,200 stories about the Trust, has become integrated into their work during the last seven years. In the spotlight was: Lisa Metcalfe, Podiatrist; Sue Dyke, Involvement Manager; Jenny Newman, Patient, Carer and Public Engagement Manager; Toni Morley, Involvement and Experience Project Lead; Jane Danforth, Involvement and Experience Officer; Clare Gore, Sure Start Centre Coordinator; Tina Hancock and Tim Freestone, Children’s Centre District Managers. Speaking about the Trust’s work with Patient Opinion, Jane Danforth said: “It is a partnership where we challenge each other to make it as easy as possible for people to share their stories about our services and to help staff respond to feedback about their services publicly, online. All feedback, good or bad, can improve services – and we know it works!’’ To watch the video visit www.vimeo.com and search ‘PO Exemplars: Nottinghamshire Healthcare NHS FT’. To read stories about the Trust, go to www.patientopinion.org.uk and search ‘Nottinghamshire Healthcare NHS Foundation Trust’. 20 In a new initiative made possible by the Trust’s support for the East Midlands hub of the National Centre for Sport and Exercise Medicine, Dr Maureen Tomeny, Consultant Clinical Psychologist and Clinical Director of Let’s Talk-Wellbeing is working together with staff from the CSRU, Professor Kevin Morgan, and Luke Gupta, Sports Scientist. The team are using their sleep expertise to support Team GB athletes preparing for the Rio Olympics in 2016, following a request from the British Paralympic Association for sleep advice and training. Many elite athletes find that their sleep is challenged by training schedules, psychological and exercise stress, and the travel required for international competitions so the NHCT-CSRU team recently provided a series of one-day ‘Sleep to Win’ workshops attended by the sports clinicians, coaches and managers responsible for the performance of British Paralympic and Olympic athletes. Dr Maureen Tomeny said: “The workshops addressed many issues that athletes have to face when they are under a lot of pressure, how this can affect their sleep and in turn, their overall performance. We explained the mechanisms that regulate sleep and also advised how to deal with issues such as jetlag and considered common sport practices like the large consumption of caffeine to enhance performance. “From this fantastic collaboration, the overall feedback was very positive and the workshops are now being made available to further squads and sports throughout the UK.” New Regional Tutor role for Pharmacy’s Michelle Congratulations to Michelle Lad, Senior Clinical Pharmacist, on her appointment as a Regional Tutor for the East Midlands Centre for Postgraduate Pharmacy Education (CPPE). The CPPE provides educational opportunities for the 60,000 registered pharmacists and pharmacy technicians providing NHS and Public Health services in England. It organises and delivers over 500 workshops, distributes more than 25,000 open learning programmes every year and has a wide range of online learning. Michelle is based at the pharmacy on Highbury Campus. Matthew Elswood, Chief Pharmacist said: “I am really pleased for Michelle. She is a highly motivated, Senior Clinical Pharmacist who is passionate about the training and education aspects of the pharmacy role. “This role will provide Michelle with an excellent platform to improve knowledge and understanding of mental health conditions and their management in the wider pharmacy audience. Michelle will also be a great advocate for our Trust.” Michelle Lad Congratulations to Mark on his outstanding achievement award Mark Flanagan has been awarded an outstanding achievement award at the Infection Prevention and Control (IPC) Link Network, in recognition of his hard work and commitment to IPC over the last year. Mark, whose award was presented by Penny Keith, Deputy Associate Director, Nursing, Quality and Patient Experience, has instigated many practice changes with a significant impact in terms of improving patient safety and efficiency, in both time as well as cost savings. Mark with his award certificate and congratulatory gifts “I have been involved in amending the MRSA policy for our department, and liaising with various companies to trial sharps bins and waste management processes and equipment. Through the audit process I am able to monitor that the high standards we require in a theatre department are maintained consistently and improved on where possible. He said: “I took over the role of Infection Prevention & Control Link Professional for Podiatric Surgery in April 2013 and attended my first Link Network meeting at Robinsons Healthcare that September. “I was provided with support from the IPC Nurses, Sheila Smith and Diane Churchill-Hogg enabling me to quickly settle into the role. The meetings are held quarterly at various locations to allow all IPC links to network and discuss IPC and receive updates on local and national infection control issues. link role, I have been able to change some of the working practices in our department which has led to cost savings, greater patient and staff safety and improvement on the already high standards. “With the support of the IPC team I have developed my skills and knowledge in relation to infection prevention and as a result of my “I really enjoy my role as IPC link and was honoured to be chosen to receive the outstanding achievement award. It is of course a credit to the whole of the Podiatric Surgery department who have supported me in implementing the changes that I have introduced.” Positive June 2015 21 q&a This issue we chat with Cognitive Behavioural Psychotherapist Sarah Priestley q What is your job title and what does your role entail? a I am a Cognitive Behavioural Psychotherapist working at HMP North Sea Camp. I work within the Integrated Mental Health Team providing CBT (Cognitive Behavioural Therapy) and EMDR (Eye Movement Desensitisation and Reprocessing) to individuals who are experiencing depression and / or anxiety disorders such as Obsessive Compulsive Disorder, Post Traumatic Stress Disorder, Generalised Anxiety Disorder etc. In addition to my clinical role, I undertake a number of management responsibilities to support our Team Clinical Matron and liaise closely with the Prison. as part of my role as Psychological Wellbeing Practitioner (PWP). I then progressed to become an accredited Cognitive Behavioural Psychotherapist and EMDR Practitioner. q What are you most passionate about? a Improving the access to and quality of mental health services particularly within prisons. q How long have you been with q What is the best piece of advice q What single thing would improve Nottinghamshire Healthcare? a I have been in my current post for 18 months however, with the Trust since 1 October 2014, when it took over our service from another Trust. q What do you see as your priorities for Nottinghamshire Healthcare? a Within the Mental Health Team we hope to contribute towards the development and growth of Offender Health and increase recognition and understanding of mental health difficulties within prison settings. q What is your employment background? a I have worked prominently within community IAPT services before my current post. I completed a BSc in Psychology in 2007 and then went on to complete a post graduate certificate you have ever been given? a Go with your instincts… if something doesn’t feel right it generally isn’t. your working life at Nottinghamshire Healthcare? a More staff and resources! q What was the last album you bought? a 1000 forms of fear, Sia. q What is your greatest achievement? a The completion of University education, and the opportunities this has brought. q What makes you angry? a The stigma that is still associated with mental health. People easily accept physical health problems however there are still perceptions that having a mental health problem means someone is dangerous or ‘crazy’. Launching care delivery at Morton Hall q What is your favourite hobby? a Most definitely retail therapy. q What keeps you awake at night? a Cheese! Never eat cheese before bed. q What is your favourite film? a Any film directed by Martin Scorsese especially Shutter Island or the Departed! q Who would you take to a desert island? a Bear Grylls so he could teach me how to survive! q Where do you see yourself in 10 years’ time? a I should say that I’d like to progress my career further however I love my job and the difference I make. I can’t imagine doing anything different to this but ask me again in five years. q Do you have a ‘claim to fame’? a I’ve been to London quite a few times q What is your idea of bliss? a This one is easy… lying in the sun on a deserted beach with a cocktail. but I’ve never seen anyone famous. The closest I got was Spencer Moon from Eastenders! I once saw Jodie Marsh and Kenzie in Burger King at a service station. q What three words would you use to describe yourself? a Approachable, caring and positive. q How would you like to be remembered? a The therapist who made a difference. At the beginning of April, the Offender Health Directorate took over the integrated healthcare services provided at Morton Hall, an Immigration Removal Centre (IRC) in Lincolnshire. A launch event was held for Morton Hall healthcare staff, the IRC senior management team and Home Office immigration team based at the Centre, and commissioners from NHS England. Luke Baumber, Area Manager, outlined the mobilisation journey and vision for the future of the healthcare provision at Morton Hall. Main: Morton Hall staff Ryk Izycki, Helen Daykin, Linda Wilmot, Gemma Halfpenny, Joy Francis, Helen Candlin, Edith Devonish, Sam Jordan, and Trisha Linton q What is your favourite holiday destination? a Thailand, as I love the food and culture. Luke said: “The Offender Health Directorate now delivers services in 14 establishments, and Morton Hall is the first Immigration Removal Centre in our portfolio. Detainees at the Centre are in the process of seeking their right to remain in the UK or are awaiting deportation following an unsuccessful bid for asylum. “The average length of stay of a detainee is 33 days, but for some, it’s much longer and for others, much shorter. This presents obvious challenges in delivering health interventions and care planning. “The 392 bed centre also houses a vast diversity of nationalities. This is a very exciting challenge for the Directorate and our team has already begun to enhance their knowledge of delivering healthcare in this multi-linguistic and multifaith environment.” At the launch event, Luke outlined the plan to bring the physical healthcare provision in line with the new care model which is being rolled out across the Directorate. Mental health and substance misuse pathways will also be bolstered and formalised to ensure that the provision is fully integrated. Luke added: “The staff are very motivated and passionate about delivering high quality healthcare to their patients, and many are positive about returning to work for the NHS. I’m sure that all our Trust colleagues will join us in welcoming the Morton Hall teams into our organisation.” Right: Luke Baumber 22 Positive June 2015 23 WHO WE ARE... You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare is. We provide integrated healthcare services including mental health, intellectual disability and community health services. We also manage medium secure units in Leicester and Rotherham, and the high secure Rampton Hospital near Retford and provide healthcare in 13 prisons across the East Midlands and Yorkshire. WE NEED YOU! If you have any ideas or suggestions for the newsletter, please contact Suzanne Aitken in the Trust Communications Team on 0115 955 5403 or via email at suzanne.aitken@ nottshc.nhs.uk We are always pleased to receive articles for possible publication, but ask that they do not exceed 300 words. Wherever possible when naming individuals, please include details of their job titles/roles and the organisation they are from. If any individuals other than yourself are mentioned in what you write or featured in accompanying photographs, please make sure you check with them that they are happy to be potentially featured. It is your responsibility to ensure this consent is given. Please send photos as separate image files and not in Word documents. Please note that the Communications Team has full editorial control and may have to edit articles appropriately. Therefore, if you want to see the final version please ensure you send your article in with plenty of time before the deadline and state clearly what you require. If you would like copies of any past editions of Positive, or if you are having any ‘distribution issues’ with the newsletter – whether you’re receiving too many copies, too few, or none at all – then please contact us. If you would like your story in the August issue of Positive, please contact us by 03 July 2015. However, due to space constraints we cannot guarantee the publication of all articles received by the deadline. Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Nottingham, NG3 6AA tel 0115 969 1300 www.nottinghamshirehealthcare.nhs.uk www.facebook.com/ nottinghamshirehealthcare www.twitter.com/nottshealthcare Printed on Cocoon · 100% recycled paper 24 Widening knowledge with NVQ success Two Community Health Support Workers from Ashfield Child and Family Health Team, County Health Partnerships have recently been successful in completing their Level 3 NVQ in Business and Administration. Emily Askin and Abigail Richards graduated after around 14 months of hard work to complete the course. They received their certificates at the Royal Albert Hall in March from Silver and Bronze Para Olympics medallist, Jade Etherington. “We feel completing the course has helped widen our knowledge on the NHS, policies and procedures. Throughout the course we had to introduce new systems within our roles to help provide an improved service for the team and clients. During the NVQ we were able to complete Functional Skills, such as IT and Maths, which had enabled us to complete further qualifications.” Emily and Abigail now hope to progress with this qualification to Level 4. l-r Emily Askin and Abigail Richards Working together to deliver better care in Bassetlaw Since March 2014 Bassetlaw Health Partnerships (BHP) has been working with a number of organisations, including Bassetlaw CCG, primary care, Bassetlaw Hospital, Notts County Council, Bassetlaw District Council, the Trust’s Local Services Division and the voluntary sector to integrate community care for patients, their carers and families. Four Neighbourhood Teams have been created across Bassetlaw, drawing together health, social care and voluntary sector professionals to deliver an integrated approach to patient care; wrapping care and support around the patient and putting them at the centre of the decision making process. Each team includes general practitioners, practice nurses, community nursing including community matrons, care support workers, occupational therapists, physiotherapists, social workers and the voluntary sector. Further work is underway to implement an integrated way of working with hospital based geriatricians and local mental health services. The integrated approach to patient care will adopt a range of principles including a focus on prevention and treatment, delivery of multidisciplinary led interventions which are personalised to meet the needs of the service user, and proactively supporting service users in recovery and self-management of their condition. “Embedding an integrated, multi-professional approach to community health, primary care and social care services provides us with an exciting opportunity to make a real difference to patients and their families,” said Julie Walker, General Manager.
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