2012/13 THE DCHS WAY
Transcription
2012/13 THE DCHS WAY
2012/13 THE DCHS WAY YEARBOOK The following chapter aims to paint a month-by-month picture of 2012/13. We hope that it gives you an insight into our organisation and the differences we’ve made in the communities we serve. DCHS ANNUAL REPORT 2012/13 11 APR 2012 Our Health Trainers Helping to prevent unplanned pregnancies Our Contraception and Sexual Health (CASH) nurses now deliver a home-based service helping young parents who are unlikely to access our mainstream services. This service reduces the risk of unplanned second pregnancies. Our nurses offer sexual health and contraception advice and this year also introduced antenatal visits. It is very much a multi-agency approach as we work closely with the Midwife for Drug and Alcohol Misuse, Addaction, The Family Nurse Partnership and Ripplez – the social enterprise providing NHS services to young parents-to-be in Derby who are aged 17 or under in their first pregnancy. Promoting healthy living in our community In April we began restructuring the Derbyshire Health Trainer Project, a free service for people who want support to make positive lifestyle changes. The project is commissioned to work with ‘hard to reach’ groups, which includes working in areas with the highest deprivation. The service was originally open to people over 18 years but our research found a lack of services available for 16-18 year olds. As a result our commissioners agreed to lower the client age restriction so we could also support this age group. The restructure also resulted in having a central point for referrals which are distributed appropriately to meet our client needs. Targeted education with vulnerable young people Our Sexual Health Service launched a series of new educational packages on different aspects of young people’s sexual health, specifically supporting vulnerable young people. The packages cover a range of issues including body image, contraception, sexual risk taking, and sexual exploitation and grooming. 12 DCHS ANNUAL REPORT 2012/13 The packages have been welcomed by partner agencies and have been booked by a wide variety of organisations for the young people they support, including schools, colleges, youth services and multi-agency teams. For more information please contact Derbyshire Sexual Health Promotion Service on: 01246 559431. New service to support stroke patients in Dronfield An open day for people to find out more about becoming a communication partner to somebody with Aphasia, was held by our Stroke Coordination and Support Services in April. This is a new service for stroke patients in the Dronfield area whose illness has severely affected their ability to speak and to be understood, a condition known as Aphasia. This is one of the first communication partner schemes to be introduced across the whole of the country. The idea behind communication partners is to offer stroke patients with Aphasia the opportunity to practice conversation and increase their confidence. People can still get involved – we don’t expect a big time commitment, just an hour a week, but we guarantee it will be very rewarding for everyone involved. Anyone who would like to find out more about becoming a communication partner can contact Adrian Morris from the Stroke Services Team on: 0800 8048009. “A priceless gift” from the Ophthalmology Department, Hinckley and District Hospital Copy of a patient letter received: “I had struggled for quite some time and my eyesight had got progressively worse over a number of years. This obviously had a knockon effect in many areas of my life, especially being an elderly person. “One of the first things that impressed me about the whole process was how welcome I was made at the hospital and how at home I immediately felt. From admittance up to the time I was discharged everyone was so kind and took the time to ease any tension I was feeling, and explain what was happening. “Since the operations, my quality of life has improved 100%. I cannot begin to tell you what PATIENT STORY a difference I have found in daily activities such as reading, watching television, visiting people and shopping. So many things are better – even just watching the birds in the garden. “You seem to have performed a miracle in such a ‘simple’ way, and in just 20 minutes with virtually no discomfort to me. “At a time when money is scarce in the NHS, particularly for the elderly, I can only hope and pray that you are able to continue this excellent work and improve the lives of many other people in the way you have transformed mine. I do so want to thank you again – what a priceless gift you have given me.” DCHS ANNUAL REPORT 2012/13 13 MAY 2012 £280,000 DONATION Friends’ generous gift for Whitworth Hospital refurbishment We received a significant pledge from Matlock Hospitals’ League of Friends in May – they very kindly committed to donating approximately £280,000 for Whitworth Hospital to undergo a major refurbishment. We were delighted by this generous and significant support which has since been put towards an extensive programme of refurbishment which got underway in October. The work includes the modernisation of physiotherapy and inpatient facilities; specifically creating en-suite facilities for two single rooms and also converting a day room into a five-bedded bay. Local assessment shows significant improvements May saw significant improvements in our PEAT (Patient Environment Action Team) results. PEAT is a self-assessed programme which demonstrates how well individual healthcare providers are performing in key areas including food, cleanliness, infection control and patient environment (including bathroom areas, furnishings, lighting, floors and patient areas). Sites are each given scores from one (unacceptable) to five (excellent). The scores below demonstrate how well we are performing in three main categories at each site: Site Ash Green Learning Disability Centre Babington Hospital Bolsover Hospital Buxton Hospital Cavendish Hospital Clay Cross Hospital Heanor Memorial Hospital Ilkeston Community Hospital Newholme Hospital Ripley Hospital St Oswald’s Hospital Whitworth Hospital Walton Hospital 14 DCHS ANNUAL REPORT 2012/13 Environment Score Excellent Excellent Excellent Excellent Good Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Food Score Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent Privacy Excellent Excellent Excellent Excellent Excellent Good Excellent Excellent Excellent Excellent Excellent Good Excellent SAY CHEESE! How healthy is your smile? Our Oral Health Promotion Team worked in partnership with Health and Wellbeing Zones in ten libraries across the county to support National Smile Month. Members of the team were available to offer help and advice and to signpost to dental services. A novel approach to telehealth Rowsley Ward (Newholme Hospital) got a new computer system up and running in May for their patients to use as part of their rehabilitation. Patients can now do their online grocery shop in readiness for discharge and will soon be able to Skype family and friends while they are on the ward. Patients and their relatives have also used it to keep in touch with family and friends. International Day Against Homophobia and Transphobia International Day Against Homophobia and Transphobia (IDAHO) which fell on 17 May aims to raise awareness of the impact of prejudice and discrimination against lesbian, gay, bisexual and transgender people throughout the world. In DCHS we are firmly committed to creating an inclusive environment for everyone; homophobia and transphobia have no place in our Trust. Tracy Allen, with members of our ‘Myriad Voices’ lesbian, gay, bisexual, and transgender (LGBT) staff network, marking IDAHO. DCHS ANNUAL REPORT 2012/13 15 JUNE 2012 Tracy Allen presents the coveted Safety Challenge Day Trophy to the winning team, ‘For Peat’s Sake’. GIVE NORDIC WALKING A TRY! Safety Team sets the challenge For the fourth successive year our Safety Team set a challenge to eight teams to analyse, discuss and identify areas of change for six scenarios. Each was based on real life incidents received by the team over the last year. Nordic Walking taster sessions were held at various sites across the Trust. Getting active on Workout at Work day Many of our staff gave Nordic Walking a try last June as part of the national Work Out at Work day. The initiative, which was organised by the Chartered Society of Physiotherapy, aimed to encourage employees to avoid poor work habits which can cause musculoskeletal disorders or stress, and instead to take more exercise. Amanda Rawlings, Director of People and Organisational Effectiveness, said: “Workout at Work Day is a fun way to show our commitment to creating a healthy, happy workforce and hopefully will encourage staff to take up a more active lifestyle.” 16 DCHS ANNUAL REPORT 2012/13 The key message throughout the day was that safety needs to be everyone’s responsibility and in order to provide the highest quality, safe care for our patients, we need good communication and good practice throughout. Staff who attended the day were encouraged to share their learning with their departments and to put in place further measures to minimise risks. Buxton mums and children enjoy a bust-up treat Cupcakes took on a whole new twist at the Children’s Centre in Fairfield, Buxton, to celebrate breastfeeding awareness week. In a light-hearted approach, mums, children and ‘Breastmate’ volunteers were invited to take part in the ‘big breast bake-off’ and get creative with decorating their cupcakes to look like the real thing. Latest figures show 87% of mothers in High Peak and Dales sustain breastfeeding at least until their baby is six weeks old. For breastfeeding support and advice for mothers, partners, parents and friends please visit our Breastfeeding Family Online website: www.breastfeedingderbys.co.uk/ Innovative roof garden opens in Buxton On 25 June staff and patients at the Cavendish Hospital in Buxton were present to witness the official opening of their new roof garden. Guest of honour and member of our Trust, the Duke of Devonshire, cut the ribbon onto the roof and went on to admire the garden and the new mural created in his honour by the patients. The roof garden enables patients to enjoy the fresh air and sunlight without the hassle of travelling downstairs. The patients on the ward are generally over 65 and have a range of mental health problems including dementia. This outdoor environment allows them to benefit from the open air, promoting orientation and reducing levels of distress or anxiety. IT’S ALL SMILES FOR PIPPA The Duke of Devonshire cuts the ribbon The project was made possible thanks to a generous £15,000 King’s Fund charity investment. A proud Olympic journey On Friday 29 June Pippa Goodwin had the once-in-a-lifetime privilege to be an Olympic Torch Bearer in Derby. Nordic walking enthusiast Pippa, who works for our Tier Three Weight Reduction Service as a Weight Reduction Support Worker, was nominated by a work colleague for the honour of carrying the torch. Pippa said: “I had the most amazing experience, I just smiled so much.” Pippa works with severely obese patients referred by their GPs across the county to reduce their weight and the associated risk of health problems like diabetes and high blood pressure. She also encourages colleagues to be more active by organising taster sessions of Nordic Walking. DCHS ANNUAL REPORT 2012/13 17 JUNE 2012 Going the extra mile A red carpet and champagne reception greeted more than 400 staff and guests at the inaugural Extra Mile Awards (EMAs) evening on 28 June. It was our first such black tie awards and received generous sponsorship from a number of our corporate partners covering the cost of the event. CONTINUED Our winners Trish Bailey was honoured with the ‘Leadership award’ (sponsored by The East Midlands Leadership Academy), for being a source of inspiration to her team, and constantly recognising the work of her staff. “He is the glue that holds the hospital together” – words describing George Dennis, Porter at Ripley Hospital who won the ‘Behind the Scenes Hero Award’ (sponsored by Orange). And yet again, George Dennis’ actions are shown to be noticed within the hospital after he received his second award of the evening, ‘The Healthcare Hero Award.’ “George puts the true meaning into what you would expect to receive if you were visiting a community hospital.” The winners of the ‘Team of the Year’ award were the Living with Long Term Conditions Team, a small team with two staff, Julie Lomas and Tracy Harris, who work together to ensure the service runs smoothly and as many patients as possible are able to access the programme. They work with a team of 18 volunteer tutors, who were all patients themselves and previously accessed the service. These volunteers live with a long-term health condition that can prevent them from working. This year the project is exceeding expectations with an expected 200 patients accessing the service and we have been commissioned and delivered extra courses during 2012/13. The Community Dental Service and Linda Cribbens were honoured with the ‘Patient Experience Award’ (sponsored by the Frontline Care Council). The service provides care for adults and children with additional needs. Karen Sherlock embraced her new and 18 DCHS ANNUAL REPORT 2012/13 challenging role as a patient safety lead with amazing enthusiasm, which earned her the ‘LOBO Award’ (sponsored by Deloitte). Sarah Throup was honoured with the ‘Efficiency Award’ (sponsored by BT) for her contributions towards the Speech & Language Therapy (SLT) team as an individual. As well as her very busy mainstream caseload, Sarah is the SLT to a special school for children with complex needs. ‘The Light Bulb Award’ (sponsored by The Improvement Leaders Capability Programme) was awarded to the Care Home Support Team in Amber Valley. The development of the service over the last two years has been instrumental in looking at the needs of the older members of our community that live in care homes in the Amber Valley area. Master of Ceremonies for the evening, Andrew Fry, said: “We have a lot to be proud of as an organisation and this is due to the hard work and dedication of all of our staff. Taking time to recognise and celebrate the outstanding contributions is so important, especially in the fast-changing world of the NHS.” Other kind sponsors include: Derby College and Alldread Burgess Advertising. the Living with Long Term Conditions Team Care Home Support team Sarah Throup Karen Sherlock George Dennis A Great Night! Trish Bailey Linda Cribbens Congratulations! Open day at Babington Hospital’s Day Unit On 24 June Babington Hospital’s Day Unit opened its doors to offer expert health advice to help older or frail people reduce the risk of having a fall. The event was hosted to coincide with Age UK’s National Falls Awareness Week and was aimed primarily at the over-60s, their families and carers. The Babington Hospital-based Falls Team – which includes physiotherapy, occupational therapy, pharmacy, nursing and rehabilitation support staff – treats hundreds of patients every year from the Amber Valley area who are referred to their seven-week falls prevention programme. DCHS ANNUAL REPORT 2012/13 19 JULY 2012 BRONZE STANDARD Dignity in care – exceeding standards Above: Ripley Hospital staff celebrate achieving their bronze award Below: Alton Ward at Clay Cross with their bronze award Staff from Ash Green Learning Disability Centre were thrilled to be awarded the Bronze Standard for Dignity in Care in July which is part of the Derbyshire Dignity Campaign. To date 11 of our services have obtained the Bronze Standard and we have 37 other areas who are currently going through the assessment process. Ben, one patient’s best friend A cancer patient who was transferred to Clay Cross Hospital for end of life care was granted his last wish by our caring staff. Mr Thomas Thorpe got to say goodbye to his beloved Shire horse, Ben, when staff arranged for the horse to visit the hospital. Rita Snowdon, Ward Manager, said: “Mr Thorpe’s family enquired if they could bring Ben to see Mr Thorpe one last time at the hospital. After some negotiations and planning, we managed to pull off this very special visit.” Relieving the pressure MOST excellent! Congratulations went to Judy Green, Occupational Therapist, and the Integrated Community Equipment Service, who were excited to finally be able to manufacture a product they have spent a number of years researching and developing. ‘The Contur’ has been developed to aid pressure relief for people who sit and sleep in rise recline chairs. 20 DCHS ANNUAL REPORT 2012/13 We were pleased to be able to accept the Microsoft Office Skills Training (MOST) ‘Top Centre Award’ in recognition of training more NHS staff in Microsoft Office programmes than any of the other 200 or so registered centres across England, demonstrating our commitment to developing our staff in all areas. HEALTH AND WELLBEING IN 5 TO 19 YEAR OLDS Review of Health Visiting in Derbyshire In July, our Health Visiting Service was reviewed to ensure we deliver against the National Healthy Child Programme, a Department of Health initiative to promote optimal health and wellbeing in 5 to 19 year olds. The review was undertaken by Sustain, a private company, on behalf of Midlands and East Strategic Health Authority, who were very impressed with the passion and commitment of everyone they met within our service. Our service was one of the twenty ‘early implementer sites’ of the new service model for health visiting which was developed within the profession in 2011. The service now faces the challenge of continuing to deliver the programme whilst always striving to enhance the quality of care they provide. DCHS ANNUAL REPORT 2012/13 21 AUG 2012 A summer treat Ilkeston Community Hospital’s Diagnostic and Treatment Centre hosted a special open day on 4 August, where visitors were offered a behind the scenes tour of the high-tech centre demonstrating how surgery is organised and carried out and remakes of real-life scenarios. Pictures courtesy of Ilkeston Advertiser It was also an opportunity to demonstrate new anaesthetic equipment purchased for the unit with support from the hospital’s League of Friends, who kindly donated £46,000 for four state-of-the-art machines. £46,000 DONATION Spending a bit of quality time to deliver an excellent experience in Heanor A patient suffering from Fibromyalgia, (a medical disorder characterised by widespread chronic pain and a painful response to pressure) was referred to the Occupational Therapy (OT) Department at Heanor Memorial Hospital. The patient felt that her condition was explained to her in a way it hadn’t been before, and that the Occupational Therapist really understood how her condition was affecting her. She felt she was able to set achievable goals appropriate for her. 22 DCHS ANNUAL REPORT 2012/13 PATIENT STORY Mrs X reports that her experience was a very positive one and she was extremely happy with the service she received throughout. She did not feel there were any areas that could be improved upon which was excellent to hear and a credit to the OT. The single point she made was that due to her condition and feeling of fatigue, it was sometimes difficult to remember all of the discussion with the OT. She felt that perhaps written information should be provided regarding the advice given. As such, a set of written hand-outs has been developed by the OT Department, addressing the point. 5 5 GISTERED C-Card campaign RE SITES ACROSS DERBYSHIRE Our sexual health experts donned their wellies and promoted our new C-Card Campaign at the Y-Not Music Festival in August. The C-Card is a Derbyshire-wide scheme which provides confidential access to sexual health advice and free condoms and lubrication to young people who are, or are thinking of becoming, sexually active. Under the scheme, young people can use their credit card-style C-Card at one of 55 registered sites across Derbyshire, including youth centres. Since the campaign was first launched in September 2011, 2,213 C-Cards have been issued and over 48,000 condoms have been distributed across Derbyshire. For more information please contact Derbyshire Sexual Health Promotion Service on: 01246 559431. DCHS ANNUAL REPORT 2012/13 23 SEP 2012 Ripley’s centenary celebration Ripley Community Hospital marked its centenary with a special celebration on Friday 7 September. The hospital celebrated its milestone by unveiling a commemorative plaque and hosting a thanksgiving service, involving staff, patients and many others from the local Ripley community. In its early years, the hospital mainly treated local miners; now it is fully-equipped with a Minor Injury Unit, a brand new ward, and offers a wide range of services including diagnostics, physiotherapy and rehabilitation. Finland laps up our improvement programme Our award-winning Improvement Leaders Capability Programme (ILP) was introduced to hospitals in Lapland in September with outstanding success. Our ILP Team was invited to Lapland by Finnish hospital bosses to deliver the programme with Finnish healthcare workers, providing an intensive training package to 20 staff from four hospitals. The invite followed an exchange programme, when Finnish healthcare workers were introduced to the programme and liked what they saw. The ILP is about improving services using a ‘fresh pair of eyes’ approach and has proven so successful that other countries are now showing an interest. Watch this space… Our ILP Team meets Santa! 24 DCHS ANNUAL REPORT 2012/13 Our first Open Day We hosted our first ever Open Day to coincide with our Annual General Meeting on Thursday 27 September. The successful event, held at Ringwood Hall Hotel, was attended by over 100 members of staff and general public from our Trust membership. It was a chance for staff to showcase the variety of services that we provide across the organisation with more than forty stands on offer demonstrating our work on diabetes to innovation, careers in the NHS and even how to keep your hands clean. People who came along were also offered special education sessions on caring for your feet and how to maintain a healthy back. We intend to run many more of these sessions with our public members. See how you can get involved on page 60. Near the end of the event there were cheers all round as our NHS Heroes, who have been nominated for going the extra mile by patients and colleagues as part of a national campaign, were recognised and presented with certificates by Chairman, Andrew Fry. Special I.T. bus does the rounds We launched phase one of our basic Information Technology (I.T.) awareness training initiative in September, complementing other training already in place. One of our objectives is to ensure everyone is trained in I.T. so we can make better use of technology across all services. Part of the initiative involved working in conjunction with Age Concern – we commissioned a mobile I.T. training bus from them which visited many of our sites. All staff were invited to drop in and take in a training session. DCHS ANNUAL REPORT 2012/13 25 SEP 2012 CONTINUED A helping hand… for feet Our outpatient services in Loughborough received a boost with the arrival of new equipment to help test patients’ feet to ensure they’re fit and healthy. Funded by the Loughborough Rotary Club and League of Friends, the kit can review blood pressure and circulation in the feet. It increases the range of tests we can provide locally, saving people a trip into an acute hospital and Stop smoking campaign kicks off with Chesterfield FC Our specialist stop smoking team teamed up with Chesterfield Football Club on 15 September to launch the new Stoptober campaign to encourage smokers to think about quitting for the month of October. Stoptober is a new national initiative to support people to give up smoking for just a month initially. Latest statistics show that if you quit smoking for 28 days, you are five times more likely to quit for good. The campaign helped 184 people across Derbyshire to stop smoking for October, making their permanent quit process easier than ever. Despite our best efforts, we narrowly missed our target this year in terms of the number of people that use the service. 26 DCHS ANNUAL REPORT 2012/13 reflecting the enormous support we are lucky to receive from our local communities. Do you need help and advice to quit smoking? If you are registered with a doctor in Derbyshire (excluding the city of Derby) call the Derbyshire County Stop Smoking Service on: 0800 085 22 99 or 01246 868425. Remember, you are four times more likely to quit with our help than attempting to quit alone. We We were also proud finalists at the Health Service Journal’s Efficiency Awards in September. The awards showcase high standards of patient care, while championing energy and cost savings. Although we didn’t win the award, we are very proud of some of the specific energysaving and carbon-reducing ideas we have introduced, including: • Doubled the cycle mileage payment rate for staff and provided a cycle-to-work scheme • Training for staff on efficient and safe driving • Creating a Sustainable Travel Group with local authority partners. For more of our ‘green activities’ please go to the next page. • Upgraded hospital lighting systems • Automatic shutdown of lights if rooms are empty for a length of time DCHS ANNUAL REPORT 2012/13 27 OCT 2012 A marathon event We were represented in the MPG Marathon in October, the UK’s longestrunning and best-known economy driving event. The MPG Marathon aims to demonstrate how both the vehicle itself, and the person behind the wheel, can make a massive difference to an organisation’s fuel costs and carbon emissions. Awards are given for the most economical drivers, as well as the most efficient cars and vans. Entrants were also challenged to improve on the official fuel consumption figures issued for their vehicle. Winners of the “Percentage Improvement” award were our very own Ian Murray and Mark 84.7 MPG Armstrong-Read who got 84.7mpg from their Citroen C1 1.0 VTR, an improvement of almost 29% over the published figure of 65.7mpg. As a result of our involvement we rolled out the learning and ran driver training sessions on safe and efficient driving for our staff. Caring for our staff wins us national recognition We were honoured to be recognised for our employee engagement at the national People Management Awards in October, run by the Chartered Institute of Personnel and Development (CIPD). We were the only NHS organisation nationally to be shortlisted for the work we do on employee engagement – an excellent achievement in itself. You will find more information about our employee engagement work on pages 53-57. Hospital refurbishment swings into action Phase one of the planned major refurbishment of facilities at Whitworth Hospital in Matlock got underway in October thanks to the generous donation from Matlock Hospital’s League of Friends (further details in May). 28 DCHS ANNUAL REPORT 2012/13 This phase included updating two single rooms with en-suite facilities, converting a day room into a four-bedded bay and updating the physiotherapy outpatients’ area. Out and about and meeting you all Working towards becoming a NHS Foundation Trust brought with it the exciting challenge of recruiting a large number of the population to our new public membership scheme (see page 60 for more information). We had the challenge of recruiting 11,000 members of the public to our scheme which we were pleased to have successfully achieved by the end of October. Poignant moments: One. We were part of the Chatsworth Country Show when the crowd were all stunned into silence as the Red Arrows took to the sky with only eight planes following the death of their team mate Jon Egging ‘Egg Man’. We attended almost 40 different events – here are some of the highlights: Number of dogs petted: Too many to count, from Irish Wolfhounds to the very cutest of puppies and not forgetting Levi the Newfoundland, who even sported a DCHS t-shirt to promote our membership scheme. Number of lives saved: One (that we know of). This year at the Bakewell Show our team were approached by a lady we had seen the previous year. We had taken her blood pressure the year before and found it to be dangerously high; our team advised her to go home and seek medical advice which she did. She sought us out this year especially to say thank you because the doctor she saw felt that the check we performed may well have saved her life. Local MP pays us a visit Amber Valley MP, Nigel Mills, visited Alfreton Park Community School after two of his constituents who had used our Speech & Language Therapy (SLT) Service approached him about the impact of SLT on children’s lives, and in particular, the way that high-tech Number of photos posed for: Numerous, but the most memorable being with Kim the Barn Owl whose owner just happened to be taking her for a walk around Derbyshire County Show that day. If you are interested in becoming a member please see page 60 for further information. communication aids are used in the school setting. Nigel then met with staff, pupils and parents at the school and joined our SLTs for a lunch meeting to discuss the positive work he had seen. DCHS ANNUAL REPORT 2012/13 29 Picture courtesy of Ilkeston Advertiser Matthew and Daniel Pierrepont present the cheque NOV 2012 Come and see how your generous support helps our patients Generous supporters of Ilkeston Community Hospital’s League of Friends were special guests of honour at a ‘thank you event’ in the hospital’s Diagnostic and Treatment Centre on 1 November. Guests included Trevor and Helen Taylor, friends and executors of a generous benefactor who left a bungalow they had inherited to the League of Friends, resulting in one of the biggest single donations in the hospital’s history. A proportion of the £150,000 raised has been Chesterfield sexual health clinic opens its doors used to buy four state-of-the-art machines for anaesthetising and ventilating patients during their operations. Other VIP guests included Cheryl Mitchell and her sons Matthew and Daniel Pierrepont, who presented a cheque for £1,006 raised from participating in a fun run. It is the second large amount that the brothers have jointly raised showing their gratitude for the excellent care their grandmother received at the hospital. Members of the public found out about the full range of services we offer at an open day at our Chesterfield-based Sexual Health Promotion Service. People came along on Wednesday 7 November to have a sneak peek of our new clinic, drop-in space and our client one-to-one area as well as chat to staff about the work they do and the support on offer. Some of the services we offer include: • ‘Well Sexy’ peer education for young people • ‘Open Out’ for lesbian, gay, bisexual and transgender community development • HIV ‘ipositive’ services • C-Card initiative to provide sexual health support and contraception for teenagers. Please see page 23 for more detail on this scheme. 30 DCHS ANNUAL REPORT 2012/13 In Ministerial company Edward Timpson, Children’s Minister, paid a visit to members of our Health Visiting Team in High Peak and Dales to discuss the ‘CANparent’ (Classes and Advice Network) trial taking place in their area. Over the next two years, CANparent is giving over 50,000 parents and carers who have a child five years or under a voucher worth £100 to spend with the CANparent scheme. Parents can choose from a range of different options to suit them and their lifestyle, from online support to local groups. Pictured left to right with Edward Timpson are members of the Health Visiting Team: Jo Trotter, Helen Baker and Emma Havenhand Our David’s a winner On 9 November one of our Groundsmen, David Sanderson, secured the Partnership Award at the Chesterfield Royal Hospital Star Awards after being nominated through the hospital’s staff recognition scheme. We provide the gardening service to the hospital after winning a local contract. David led a gardening team working with pupils from the local Hasland Hall School to transform an area of wasteland into a garden for patients, staff and visitors. Double finalist in national healthcare awards The Trust was recognised for its outstanding achievements by securing runners-up spot in both the Trust of the Year and Good Corporate Citizen categories in the Health Service Journal (HSJ) Awards 2012 held on 20 November. Tracy Allen, Chief Executive, said: “I am immensely proud that the hard work and commitment of our staff has enabled us to achieve such high standards. DOUBLE FINALISTS “The annual HSJ Awards are recognised across the NHS as a badge of excellence and are designed to celebrate NHS organisations that raise the standards of healthcare in the UK. To have that recognition is fantastic.” DCHS ANNUAL REPORT 2012/13 31 Our award winning Erewash Community Therapy Team NOV 2012 CONTINUED Physiotherapists grab national award for falls prevention scheme The Erewash Community Therapy Team, based at Long Eaton Health Centre, was honoured at the Chartered Society of Physiotherapy’s annual awards, held on 26 November, picking up the award for ‘optimising the therapy skill mix to enhance patients’ recovery’. The team delivered an 18-month falls pilot project at three GP surgeries in Erewash, designed to help to reduce falls and fractures. This included a range of exercise programmes to improve strength and balance. Dame Carol visits Derbyshire We were delighted to be selected as the ‘Pathfinder Trust’ for the Making Every Staff Contact Count programme, which aims to enhance staff experience and wellbeing. As the sole Pathfinder Trust we were very fortunate to have Dame Carol Black, National Director for Health and Work, as our mentor. In November she paid us a visit to see how we are progressing and to see what our plans are for workforce health and wellbeing in the future. 32 DCHS ANNUAL REPORT 2012/13 NATIONAL AWARD At the end of the pilot the initiative had helped reduce hip fractures among the over-75s (who had fallen in the previous 12 months) by 25%. It also reduced fall-related hospital admissions among the same group by 12%. The service now covers 14 GP practices in the Erewash locality. Pictured left to right: Amanda Rawlings, Linda Saxe, Chris Bentley, Dame Carol and Nicola Shaw MAKING EVERY STAFF CONTACT COUNT Her Royal Highness the Countess of Wessex with Mary Heritage, Andrea Robinson, Ruth Young and Sofia Watson Speech and Language Therapists grab ANOTHER national award On 27 November our SLT Team won the UKwide Team of the Year at the Royal College of Speech and Language Therapists’ Giving Voice Awards in London; their third national award for their campaign to highlight the value of therapy in helping patients find their voice. The Giving Voice judges said they were impressed by the diversity of the team’s campaigning which ranged from producing Giving Voice postcards containing key facts TEAM OF THE YEAR about communication needs, to gathering feedback from service users about their experiences of speech and language therapy in Derbyshire. Mary Heritage, Head of the service, said: “We are thrilled to receive this award; it recognises the extra mile our speech and language therapists go to every day to achieve a quality service for the people of Derbyshire.” DCHS ANNUAL REPORT 2012/13 33 DEC 2012 Pictured (from left): Joy Fox from Derbyshire Probation Service; Fiona Lytham, Ward Sister and Lorraine Turner, Occupational Therapist, Joy’s twin sister, with some of the completed wreaths. St Oswald’s unveils new Health and Wellbeing Zone A new Health and Wellbeing Zone was officially opened at St Oswald’s, Ashbourne, on 14 December to offer a one-stop shop for easy access to information about health and local services, predominantly for older and frail people. The Zone, which is open to all, enables users to browse a whole range of health and social care literature, in the comfort of armchairs in a newly-designated corner of the hospital’s main reception area. Offenders help with hospital fund-raising in Bakewell Newholme Hospital in Bakewell was given a helping hand by offenders as part of a community payback scheme supervised by Derbyshire Probation Service. The collaboration has helped the hospital reach its fundraising target of £600 for a new chair bed for relatives of patients with Dementia. The offenders made seasonal holly wreaths and patients added the final touches before they were offered for sale. Joy Fox, Community Payback Supervisor with Derbyshire Probation Service, said: “The offenders really enjoyed making the wreaths. When I suggested this way of helping the hospital, they were very happy to be involved.” 34 DCHS ANNUAL REPORT 2012/13 Pat Arnold, Site Manager for St Oswald’s, who has worked in partnership with Derbyshire County Council developing the Zone, said: “The idea behind it is to offer a range of books, leaflets and other information where people can find local services or get advice about staying well and independent.” World Aids Day brings HIV messages home in Derbyshire A series of events run by our Sexual Health Promotion Service marked World AIDS Day on 1 December. The events aimed to promote the need for people of all ages to protect themselves against HIV, the virus that can cause AIDS. Kevin Guthrie from the service said: “HIV remains one of the main challenges to public health across the world, yet it is often the most difficult to talk about. That silence is one of the greatest barriers worldwide to providing effective prevention, information, care and support.” Members of the successful group met for the final time on 17 December to celebrate their achievement. Local work gets much wider adoption In December we launched a patient information leaflet that helps our patients to reduce their chances of getting blood clots, catheter infections, pressure ulcers and of having a fall. The leaflet is easy to read and provides advice on how to detect, and what to do, should the patient or family feel they are at risk of one of these harms. It has been so well received that it has been adopted nationally by the NHS Institute. Angela Slater, one of our Community Staff Nurses, has also developed ‘Angela’s ARK’, an Aid to Record Keeping, which is a pocket-sized tool to help clinicians prevent and manage pressure ulcers effectively. It has been recognised regionally as a ‘best practice’ and ‘innovative’, and will be adopted by other Trusts in the Midlands to help deliver our shared ambition of eliminating avoidable pressure ulcers. Shedding stones A committed group of patients from north Derbyshire celebrated after losing a massive 16st with the help of our Waistwise and the Healthy Lifestyle Hub, our local exercise and weight management programme. The programme is designed to help people achieve healthier lifestyles by increasing physical activity and improving their nutrition. Health benefits which the group has achieved include: • Boosted fitness levels • Lowered body fat • Lowered blood pressure and cholesterol levels • Reduced joint problems and breathing difficulties. Interested? Speak to your GP or health professional who can refer you onto the programme. For further information contact the team on: 01773 525000. Launch of our pool car scheme In December we launched a new pool car scheme to provide a sustainable travel service for our staff. Working with social enterprise, Go Low, we are trialing the scheme and have a number of new Toyota Aygo cars based at four of our hospitals. This service is initially being run as a one year trial with a view to extending the number of locations and vehicles in the future. The Go Low vehicles can be used for both work and leisure by staff and will be available to the wider public later in the trial. The benefits of the scheme include reduced emissions and a healthier lifestyle, as colleagues can leave their own cars at home and even walk or cycle to work where possible. Andrew Fry uses a pool car for the first time DCHS ANNUAL REPORT 2012/13 35 JAN 2013 Mingling with Aristocracy The Duke of Devonshire signed up to our public membership scheme showing his support for local community services. The move to become a member of the Trust followed a visit to Cavendish Hospital where the Duke opened its new roof garden (see page 17). Andrew Fry and the Duke of Devonshire Chairman, Andrew Fry, met the Duke at Chatsworth House to witness the occasion and said: “We are delighted as he has shown wonderful support for the care provided by our teams.” New continence scheme a success Endoscopy services resume at St Luke’s hospital Our specialist Continence Team piloted a new scheme in south Derbyshire where they undertook first continence assessments on behalf of community nurses. The pilot proved very successful and demonstrated that getting specialist input at this early stage can make an enormous difference to patients. It also helped to release a significant amount of community nursing time. On 15 January we were delighted to be able to resume endoscopy sessions at St Luke’s Hospital in Market Harborough. We are looking to work this way right across Derbyshire and extending the benefits to even more of our patients and colleagues. The sessions were suspended as a precaution in September to investigate the cause of rust residue appearing on the casing of our newly-installed endoscopy equipment. After thorough checks the problem was traced to an incompatibility of manufacturer-recommended disinfectant used to clean the machinery, reacting with some metal components of the equipment and causing the rusting. Our first priority was patient safety, but patient care was never compromised. The manufacturers were called in and we were able to offer alternative appointments to our patients at other local hospitals. 36 DCHS ANNUAL REPORT 2012/13 A blind man and his dog – dignity in action A registered blind patient attended Ilkeston Community Hospital’s Minor Injury Unit with his guide dog after falling and landing heavily on his shoulder. The patient was helped to a seat in the waiting room but started to feel faint due to the pain he was in, so he was brought into the treatment area to sit on a trolley. Refreshments were offered to both him and his dog as it was a very warm day. Normal practice would be to call out the patient’s name in the waiting room and for the PATIENT STORY patient to then follow them as appropriate, but we ensured we maintained this patient’s dignity by escorting him and his dog to the x-ray department where handover to x-ray staff took place. The patient thanked staff for their help and was discharged and assisted out of the building with his dog. The owner’s dog became familiar with the grounds of the hospital and was able to take his owner to the bus stop in future. Our DCHS Spa – a five star service January saw further development of our new Single Point of Access (SPA) services in Amber Valley and Swadlincote following the success of our pilot scheme in Chesterfield. SPA is aimed at clinically ‘navigating’ patients with unplanned healthcare needs to the most appropriate service and avoiding inappropriate hospital admissions. We aim to facilitate a safe and timely discharge so that our patients receive the care in the right place at the right time, either closer to home or at home. Patient choice is at the centre of the decision-making process. SPA began as a pilot scheme back in November 2011 after the local NHS experienced significant pressures during the winter of 2010/11. The SPA team at Chesterfield DCHS ANNUAL REPORT 2012/13 37 FEB 2013 Congratulations to Care Home Support Service Our Care Home Support Service collected yet another award when it was ‘highly commended’ in the national NHS Innovation Challenge Awards for the first-rate work the service has been doing in Derbyshire to improve quality of care in local care homes. The team was recognised at a ceremony held on 12 February hosted by the Right Reflecting on the Francis Report The Francis Report, the independent inquiry led by Robert Francis QC into the failings at Mid-Staffordshire Hospital, was published on 6 February. The report made very distressing reading for all of us working hard to provide the very best quality services we can for our patients. It obviously dented the general public’s confidence in the NHS. Despite working the DCHS Way and placing quality at the heart of what we do, the report has challenged us to look at our practice and ensure that the terrible failings it describes never happen again in the NHS. Honourable Jeremy Hunt MP, Secretary of State for Health; Earl Howe, Parliamentary Under-Secretary of State (Quality); Sir David Nicholson, NHS Chief Executive and Sir Bruce Keogh, NHS Medical Director. We all have an individual, personal and professional responsibility for the quality of the services we provide and we felt it was extremely important that we all share our views about the report and what we can learn from it to further improve the way we safeguard quality across our Trust. We opened up this discussion as soon as we could by holding a teleconference for all staff on 7 February to enable us to share our early thoughts, concerns and questions. We are currently planning several staff and public engagement sessions to ensure we work closely with our key stakeholders and make sure we are able to learn from the report’s recommendations. An excellent management system In February, following an intensive three-day surveillance visit by British Standards Institution (BSI), our Estates Department was successful in retaining their certification to both the internationally-recognised ISO 9001:2008 Quality Standard and ISO 14001:2004 Environmental Management Standard. 38 DCHS ANNUAL REPORT 2012/13 Ashbourne’s physiotherapy patients benefit from selfbook service Picture courtesy of Ilkeston Advertiser Physio helps Rebecca back into the saddle Rebecca Waterhouse back in the saddle Keen horse rider, Rebecca Waterhouse, was full of praise for our Physiotherapy Team at St Oswald’s after they helped her to get back in the saddle after breaking her ankle falling from her horse. Rebecca spent six weeks in plaster before being referred for physiotherapy once her cast was removed. She said: “I had a couple of oneto-one physiotherapy sessions at St Oswald’s with my physiotherapist Laura and once I could put some weight on my leg I joined the lower limb gym classes at the hospital, which I’m still attending. Rebecca added: “I didn’t have a programme like this when I broke my ankle before but this one at St Oswald’s has been really good for me.” A scheme offering eligible patients direct access to physiotherapy sessions at St Oswald’s without the need for a referral has gone down extremely well with its patients. Patients suffering from a range of painful conditions or injuries can request a physiotherapy appointment without first having to see their GP. The self-referral system, which is open to patients registered at Ashbourne Medical Practice and The Surgery on Clifton Road in Ashbourne reduces the wait for physiotherapy appointments and saves time for busy GPs. FREE LOANING SERVICE The physiotherapy service at St Oswald’s offers a wide range of care for people over 16 with many different conditions and last year saw more than 1,200 people for physiotherapy treatment. Patients come from as far as Uttoxeter, Stoke and Leek in addition to those local to the Ashbourne area. Health Library Open Day People enjoyed healthy eating cookery demonstrations and a variety of health-related activities at our Health Promotion Resource Centre Open Day on 27 February. More than 150 people visited the centre in Clay Cross to see the resources available that help to promote good health. Our Health Promotion Service has an additional resource library at Babington Hospital in Belper. Both libraries offer a free loaning service of health promotion and educational materials including leaflets, Debbie Herbert displaying some of the health resource library aids and information. videos, dance mats, breast examining kits, posters and model babies. The resources are a great aid for promoting health to the general public and training health practitioners and cover a wide range of health topics. DCHS ANNUAL REPORT 2012/13 39 MAR 2013 £10,000 DONATION League’s gift of electric hospital beds aids patient comfort Ilkeston Community Hospital’s League of Friends paid a visit to the hospital on 1 March to see three newly installed state-of-the-art electric beds following their generous donation of £10,000. The beds – known as profiling beds – enable patients to move position at the touch of a button and to sit up unaided. They replace older-style rigid hospital beds. See the person, not the label Our Sexual Health Service delivered assemblies, classroom sessions and provided display materials to students across Derbyshire as part of our ‘See The Person Not The Label’ campaign. This campaign aims to encourage students to strike a healthy balance between seeing sexual 40 DCHS ANNUAL REPORT 2012/13 Matron, Jenny Harrison said: “The profiling beds are much more comfortable and adaptable for patients and we are very grateful to the League for enabling us to go ahead with these upgrades. We’ve now nearly completed the replacement of all the older style beds on the ward which will make a big difference to patients and staff. The new beds promote dignity and independence as the patients can control the positioning of the beds as they require.” and gender orientation as a ‘big deal’, and feeling like they should never be mentioned at all. They explored the assumptions that can be made about sexual and gender orientation, as well as looking into the reasons Lesbian, Gay, Bisexual, and Transgender (LGBT) History Month exists. Photo exhibition at Walton hospital celebrates people’s diversity LIVING MY LIFE A photo gallery of inspiring people portraits brightened the main corridor at Walton Hospital, in March. The exhibition, entitled ‘Living My Life’, promotes equality in a series of professional and eye-catching images of transgender people. We worked in partnership with the Centre for HIV and Sexual Health and support group campaigners, TransBareAll, to get the exhibition together with the aim to promote wider understanding of the issues and challenges that trans people face. William Jones, Director of Operations, said: “Hosting this exhibition is a fantastic opportunity for us to declare our absolute commitment to equality and diversity and is a Harlem comes to Derbyshire Many of our staff supported the national NHS Change Day on 13 March with a series of pledges to benefit local patient services. NHS Change Day invited healthcare staff – and everyone who uses NHS services – to think about changes, big or small, that they could make to help improve the smooth running of their health services. A group of staff at St Oswald’s Hospital pledged to get more active in the workplace, as great way for us to raise awareness of gender identity.” part of their health and wellbeing, and kicked off their efforts by staying late to do a ‘Harlem Shake’. Their unusual routine in the hospital’s main reception area was caught on film and can be seen on YouTube. Other pledges from our frontline staff included: • Spend more time talking to patients in waiting rooms about their experiences and how to improve services • See the hospital through the eyes and ears of a patient, rather than a working environment • Make sure every patient is given a feedback card on discharge and has the opportunity to give input about the service • Introduce myself by my full name to my patients and show them my I.D. badge at the same time • Ask every patient I treat how their experience could have been better. DOING THE A H RLEM SHAKE! DCHS ANNUAL REPORT 2012/13 41