Positive March 2014 - Nottinghamshire Healthcare

march 2014
about integrated healthcare
Recovery in
Nottingham
Integrated drug treatment service making
a difference see page 4
HITTING THE RIGHT NOTES FIFTEEN STEPS HIGHBURY LIVE! QUALITY AWARDS BACK TO THE FLOOR DIVERSITY
MESSAGE
March looks like another exciting
month for the Trust as it will be for
me. For those of you lucky enough
to have attended the first session
of Invest to Lead 5 in February,
you will be feeling brilliant and
hopefully transmitting that positivity
and enthusiasm to your colleagues,
your family and for those in direct
patient contact, to your patients. We
were privileged to have a fantastic
day together with the emphasis on
teamwork and mutual support and to
hear from guest speaker Andy Cope.
Last month also saw the start of a
fantastic development programme for
clinical staff in Bands 2-4. Feedback
so far is that this seems to be a great
programme. Highbury Live! has also
launched. This will bring together
everyone on the Highbury Hospital
site, service users and staff, along
with local people, in a way which
will bring a community feel to the
whole site. Recovery in Nottingham
has been officially opened. Delivered
by a partnership of experienced
and specialist health and social care
providers, it brings integrated drug
services under one roof in the centre of
Nottingham City.
FROM THE BOARD
Within Forensic Services we have
had some great stories about patient
involvement in the Ashby Day Centre
at Rampton Hospital which you can
read about on page 8. This month we
look forward to celebrating 10 years
of The Peaks Unit. Reading the Care
Quality Commission (CQC) Annual
Mental Health Act Report, I was
pleased to see Wathwood Hospital
recognised in a great story about
patient involvement (page 10 of the
report if you are interested in having
a look).
From a personal point of view, March
is my last month working in the Trust
before I retire, having started in 1978
and having had either a substantive
or honorary contract for the whole 35
years. I have been making plans for
what comes next and am involved in a
couple of charities which will take up
some of my time.
I have had a great time in our services
and worked with very many wonderful
Colleagues on
the fast track to
nursing careers
Three colleagues from Bassetlaw Health Partnership (BHP)
have been working hard on the NHS Fast Track Access
to Nursing course at North Notts College and achieving
excellent results so far.
Claire White, Secretary to Keeley Sheldon, Community
Nursing Manager, has been inspired to pursue a career
in nursing by the nursing team she works with.
She is volunteering with the Twilight Service
and being mentored by “fantastic” District
Nurse, Loraine Garner. Claire is actively seeking
employment within the Trust as a Health
Care Support Worker and hopes to then gain
a secondment to ‘earn as she learns’ via the
Open University route.
Zoie Caudle, Clerical Officer, has worked for
the NHS for nine years in various roles. She
2
Paul (third from left) and
some of the Involvement
Team at the awards
Many of you will be aware by now
that the Trust’s Involvement Team has
won two more awards in the Patient
Experience National Network Awards.
people and learned from everyone I
have been involved with. I think my
successor Dr Julie Hall will be a fantastic
member of the executive team and a
great leader for the Forensic Services
Division. I look forward to hearing
great things about Nottinghamshire
Healthcare in the future and as you
move towards Foundation Trust Status.
I’ve enjoyed pretty well every day of my
time in Nottingham and hope that will
be the way for all of you.
Dr Mike Harris,
Executive Director, Forensic Services
has gained an insight into the different professions within
the organisation, spending time in a variety of clinical
settings while completing the course. She says nursing has
always interested her: “It is a challenging and dynamic role
which makes you feel like you are making a difference to
people.” Following the Access course, Zoie hopes to carry on
to university to become an Adult Nurse.
Chloe Brumpton, Rehabilitation Assistant, joined the Trust
as an apprentice and successfully gained employment as
a Health Care Support Worker within the Rehabilitation
Team as an assistant. The Access course is giving her the
skills she needs in preparation to go on to university to
become a Health Care Professional.
“BHP has been extremely encouraging
and positively promotes staff furthering
themselves,” said Claire White.
“The Workforce Team has a
wealth of knowledge about
what is available and they have
supported staff through the
whole process. Our colleagues
have also been amazing in
covering and clinical teams
have also gladly passed on their
knowledge and time.”
From left, Zoie Caudle, Chloe
Brumpton and Claire White
Commitment to patient
experience recognised
in national awards
The Trust’s Involvement Team is celebrating a double win for its commitment to patient experience.
The team was recognised
at the Patient Experience
Network National Awards
held in Birmingham last
month. The awards highlight
best practice in patient
experience across the
country.
The Involvement Interview
Team was named winner
in the Strengthening the
Foundation category for the
work involving service users
and carers in the Trust’s
recruitment process. The
Trust ensures that as often
as possible, applicants are
interviewed by a service user
panel. Eileen Burnside, an
Involvement Interview Team
interviewer commented:
“You get a feel for the
person sitting in front of
you. We need professional,
qualified individuals that
have a real passion for
people and the job they will
do. You can’t teach empathy
and as service users we are
best placed to make this
judgement.”
The ‘Your Feedback
Matters’ website and
the work the Trust has
developed online with
Patient Opinion was top
in the Innovative Use of
Technology/Social Media
category. ‘Your Feedback
Matters’ is a publicly
accessible patient experience
website that enables staff
to see feedback about their
team or service at any time
online.
Paul Sanguinazzi, Head
of Involvement said:
“Thanks to all those staff
and volunteers across the
organisation who have made
such amazing contributions
to our work. Their efforts
have been recognised and
make a real difference to our
service users and carers. We
should be proud of what we
have achieved together.”
The Trust was also
named runner up in
the Strengthening the
Foundation category for the
Patient Feedback Challenge;
a programme that works
with teams to ensure they
are excellent at listening and
responding to feedback.
Professor Mike Cooke
CBE, Trust Chief Executive
said: “At Nottinghamshire
Healthcare we are proud of
the way in which we engage
with and involve our patients
and service users in shaping
our services. It is vital that
we listen to and learn from
patients’ experiences to
ensure we are delivering high
quality services that meet the
needs of the communities we
serve. I am delighted for Paul
and our Involvement Team;
these awards are very well
deserved.”
Positive March 2014
3
treatment areas, as well as communal areas for groups and
activities.
All individuals accessing the service have a recovery
focused care plan, which is coordinated by drug workers
who oversee the individual’s care from accessing the
service, through to recovery and aftercare. Recovery
planning and a range of prescribing options are offered,
which include detoxification, stabilisation and harm
minimisation.
Recovery in Nottingham is delivered by a consortium
of experienced and specialist health and social care
providers with a proven track record of delivery. They are
Nottinghamshire Healthcare (lead agency and contract
holder), Double Impact, BAC-IN and Framework Housing
Association.
Simon Smith, Executive Director Local Services, said:
“This exceptional service provides vital support for people
with a variety of drug related problems. The service
offers individualised care and challenges the root causes
of addiction; helping to change people’s lives. Working
together with our partner agencies, we are able to provide
integrated care, ensuring people can access services in one
place and that all their care needs are met.”
Accessing
the service
Dave Manley, Clinical Director, Specialist
Services and Simon Smith (back centre) and
Mike Cooke (front right) with service users,
commissioners and partners
Recovery in Nottingham
officially opened
Recovery in Nottingham, an innovative and
high quality integrated drug treatment service
for Nottingham, was officially opened at its
newly refurbished premises in January.
More than 50 people attended the special event to celebrate
this fantastic service, including staff, service users, partner
organisations and commissioners. Mike Cooke, Trust Chief
Executive, officially opened the service by unveiling a large
piece of artwork which is part of a series placed throughout
the building featuring inspirational statements from people
in recovery. Attendees then heard a powerful and emotive
4
Recovery in Nottingham Centre, 12 Broad Street,
Hockley, Nottingham, NG1 3AL (Monday, Wednesday
and Friday 9am – 5pm, Tuesday and Thursday 9am –
7pm and Saturday 10am – 3pm) or call FREEPHONE on
0300 300 2200 and ask to speak to the Access Team or
visit the website at www.recoveryinnottingham.co.uk
Unveiling the artwork
in the Ballroom
story from Jamie, an ex-service user, who talked about his
own personal experience of substance misuse, the invaluable
support provided by the service and his successful journey to
recovery.
The service offers a fully integrated and seamless recovery
focused pathway for drug users aged 18 and over, with a
wide range of treatment options available. Its new base
on Broad Street provides an ideal City Centre location,
with access to a range of services under one roof for people
experiencing problems with drugs. Alternatively people
can access the service via a freephone number or website.
The newly refurbished base includes private clinic rooms,
Positive March 2014
5
New Executive Director
of Forensic Services
Appointed
D
r Julie Hall has
been appointed
as Executive
Director of
Forensic Services
and will take up the post on 28
April following the retirement
of Dr Mike Harris from the
Trust at the end of March. Ian
Tennant, Associate Director for
Forensic Services, will be acting
into her role until that time.
She has also made a number of
professional contributions and
gained accolades including holding
the title of Queen’s Nurse, being
a Senior Fellow of the Institute
of Mental Health and Visiting
Fellow at the University of Lincoln,
and appointment to the East
Midlands’ Clinical Senate. Julie is
professionally known particularly
for her research into the use
of care pathways in mental
health, service redesign, quality
improvement and governance.
Currently Director of Nursing and
Operations at Lincolnshire Partnership
NHS Foundation Trust, Julie brings
with her a wealth of operational and
leadership experience.
Julie will be familiar to many at
Nottinghamshire Healthcare, in her
former role as Associate Director for
Local Services and previously within
the Trust’s Forensic Services, where
she was Head of Performance
and Service Strategy for four
years from 2005.
Julie began her career as a Registered
Mental Nurse, and has since worked
as a clinician, senior manager and
director within mental health services
in the East Midlands. Between these
appointments Julie spent time as a
full time lecturer in Nursing at the
University of Nottingham, before
returning to the NHS.
Capital
Planning
Unit looks
forward
Following a very successful
period of being hosted by Mike
Harris, the Capital Planning Unit
6
development of such a strong service
as the Forensic Division. I look forward
to the opportunity to lead these highly
specialist services onward securing the
best possible effective and high quality
services for people requiring forensic
care and treatment. This service, with
its national component, has already
achieved a great deal. I hope we can
add to the legacy of Mike Harris and
take the Division onto even greater
things.”
Mike Cooke, Trust Chief Executive
said: “I am delighted that Julie has
accepted this position. The decision
to appoint her was unanimous and
follows a robust external recruitment
process against a strong field of
candidates. I look forward to Julie
rejoining us in April.” “I am really looking
forward to coming back
to Nottinghamshire
Healthcare, with
the ability to lead
and influence the
is looking forward to moving
under the umbrella of the Business
Development and Marketing Unit.
Dr Julie Hall
Richard Brown, Associate Director of
Capital Planning and Property said “We
welcome the change and the strength
the alignment will provide. This will help
our business prioritisation for capital
across the whole Trust.
annual planning processes. This will
ensure that we prioritise this limited
resource to where our greatest needs
are across the organisation. This move
will enable even greater synergies across
the Trust’s capital planning teams and
the business planning functions. I would
also personally like to thank Mike for
his valued support and sage advice in
hosting Capital Planning.”
“As we move into the era of greater
financial austerity it is essential that we
ensure our capital funds remain strongly
aligned to our business strategy and
Recent examples of transformational
capital projects led by the Unit have
included the completion of the final
phase of works at Millbrook, the creation
of a Low Secure Forensic hub site at
The Wells Road Centre and providing
a vastly improved environment on
Lister and Porchester wards, and the
Orion Unit at Highbury Hospital.
Looking ahead for 2014 and beyond,
works include the Rampton Boiler and
Effluent Treatment Plant project and
the Arnold Lodge Phase 3 and C&D
Block at Rampton Hospital schemes.
The Unit will shortly commence work
with the service leads around CAMHS
and the Children and Young People
services.
l-r: Mike Cooke, HH Sivarama Swami, Dr Paul Oliver, Dr Heena Patel
Understanding the
soul in maintaining
fullness of health
In January Mike Cooke was invited to attend the inaugural
Peacock Healthcare lecture series and introduce the special
guest speaker, HH Sivarama Swami, who was giving a
talk entitled ‘The importance of understanding the soul in
maintaining fullness of health’.
HH Sivarama Swami is based in Budapest and India. He teaches that selfknowledge is the unravelling of the soul, the inner potential for life, and that
this empowering process leads to greater motivation and realises happiness. His
teachings are based on the Vedas books of scientific knowledge, hailing from
ancient India. Ayurveda, for example is knowledge (Veda) pertaining to long life
(Ayu). The lecture at Peacock Healthcare elaborated further on these topics with
a scientific, yet spiritual approach. It was also part of a celebration to mark the
practice’s move to its new premises.
Peacock Healthcare GP Practice has been cultivating an integrated and holistic
approach to personalised healthcare for a long time. Dr Heena Patel explained:
“Early in our GP years, late eighties, we were introduced to HH Sivarama Swami
who told us that “Now you are doctors of the Body, become doctors of the
Soul”. This has intrigued us ever since.
“Meeting social, emotional and mental healthcare needs is also an important
part of a GP’s duty. Over and above this are many situations that need a deeper
understanding of the person, or their disease predicament, and how a deeper
realisation of their real self – both by the caring practitioner and as possible by
the patient – could lead to enhanced recovery, and a deeper level of satisfaction
and compassion experienced in the care process by both parties.
“The speaker developed the theme that understanding the soul means
understanding my real identity – myself. That is profound in maintaining my
wellbeing, without which it is not surprising many of us feel short changed? This
understanding is the basis of providing compassionate care to all our patients.”
Positive March 2014
7
Hitting the right notes for patients at Ashby
the confidence to sing in
front of his peers, placing
trust in others to guide
him,” added Samantha.
Ashby Day Centre at Rampton
Hospital has been open for a year
now, and over that time staff
and patients have been sharing
ideas on how they can offer
patients opportunities they would
otherwise struggle to access.
“A particular patient asked us if Ashby
could offer music sessions. He clearly
had a passion for music and at that
time was a member of the hospital
band,” explained Samantha McDaid,
Day Centre Manager. “He described
the positive impact that music has had,
allowing him not only to lose himself
within the music he plays, but also to
capture within his own song writing
his innermost thoughts and feelings at
different junctions of his life.
“It is his belief and hope that music
will have the same positive effect on
the journeys of others.”
Ashby’s music session has now been
up and running for four months
Adele Bryan, Modern
Matron has also supported
this initiative, taking
forward ideas and gaining
funding for musical
instruments.
Staff and patients at the Ashby Day Centre
and ideas such as ‘Jam Nights’ have
become a reality for all to share
in. More patients are now coming
forward asking to perform their own
raps and poems, and share their
journey of recovery with their peers.
“What has been quite touching has
been the development of a friendship
between two particular group
members and a deaf patient, who has
learnt to play the guitar and found
Symptoms of BPD vary but frequently
include rapid and frequent changes of
mood, marked impulsivity, problems
with self-image and interpersonal
relationships, intense fears of
abandonment, intense anger and
irritability. Self-harm and suicidal
behaviour are also common.
From left, Clinical Studies Officer Natalie Marking, Sandra
Simpson and Georgia Lykomitrou
A research study is currently
running within the Trust
for people with Borderline
Personality Disorder (BPD),
sometimes known as Emotionally
Unstable Personality Disorder.
8
Problems that can be associated with BPD
include poorer social functioning, higher
rates of unemployment, reduced physical
health and increased levels of mortality.
“These difficulties and the prevalence of
BPD, estimated as around 2%, make it
essential that further research is done to
determine the best treatment options,”
“I have rapped from the days that
I remember when times were hard.
When I had everything, I then lost
everything and now I am on the road
to a better life.”
Adele said: “Thanks
to the ideas brought
forward by patients, we are offering
the opportunity to learn the basics
of playing the guitar. This is being
delivered not just by a member of
staff who has been kindly released
to us one afternoon a week, but also
by the patient from where the story
began.”
This year we have welcomed 17
new apprentices into services
across the Trust, including the
new pathway of Finance. The
apprentices are undertaking a
12 month fixed term training
contract leading to an NVQ
Level 2 in Accounting or Business
Administration.
They have all completed their
induction with the training provider
and attended the Trust Induction in
February. Additional training courses
are also offered during the year long
placement, including Excel, Advanced
Excel, word processing and minute
taking.
Business and Administration
placements include:
Comments from patients have
included:
“I have really enjoyed the opportunity
Research into Borderline Personality Disorder
Researchers are looking for people
to take part who have a diagnosis or
suspected diagnosis of BPD, do not have
a psychotic disorder and are not currently
taking a mood stabilizer.
to practice my music and use the
time to write my songs and perform
for other patients. I have had really
positive feedback and really enjoyed
myself in the process.”
Welcoming our
new apprentices
From left, apprentices Paige Middleton, Courtney Jones,
Chloe Richardson, Sian Hill, Kaysey Badham-Aabbott, Elle
Parry, Ashley Titley, Kayley Lawrence, Georgia Broad, Nicola
Musgrove, Chloe Shaw and Aleisha Scott. (Not pictured,
Michelle Marriott, Holly Garnett and Emma Harratt)
• Two at Wathwood Hospital and
three at Rampton Hospital; in the HR
Department, Hotel Services and the
Social Work Admin Team
• Mansfield services with placements
include the Procurement Team,
Heatherdene Community Forensic
Admin and the Hawthorn House
Involvement Team
• In Nottingham there are apprentices
at Thorneywood CAMHS, Park
House Health Centre, the HR Team,
Offender Health at Westminster
House, The Wells Road Centre and
the Stonebridge Centre.
The Finance Department at Duncan
Macmillan House also has an apprentice
on an accounting placement.
Manager information
and briefing session
The next recruitment campaign will
be for a July 2014 start. Anyone
wishing to consider hosting a young
person can find out more at one of the
information sessions:
• Wednesday 12 March: 10am
– 12pm, Green Room, Duncan
Macmillan House, Nottingham
• Thursday 13 March: 1pm – 3pm,
Meeting Room 1, Birch House,
Mansfield
To book a place contact Heather Porter
on [email protected] or
0115 9691300 ext 11269.
explained Sandra Simpson, Clinical
Studies Officer.
“Psychological treatments such as
Dialectical Behaviour Therapy have been
shown to improve the mental health of
people with BPD. However, they aren’t
suitable for everyone, due to problems
with access or engagement.
“The alternative is drug therapy, but no
drugs are currently licensed for people
with BPD. This is why this study is being
carried out – to look at whether the drug
Lamotrigine helps to reduce symptoms
of BPD.”
To find out more go to the study website
at www.labile.org.uk or contact study
team members at
[email protected]
or 07553 384315, or
[email protected],
or 07771 944659.
Positive March 2014
9
Highbury Live!
Highbury Live! is an exciting
and transformational venture to
bring together staff, patients,
carers and partners to create
a real sense of community
at Highbury Hospital, where
everyone takes pride in the
fantastic range of services
on offer in these exceptional
facilities.
Staff and teams at Highbury are fully
committed to providing the best care
for patients whilst working towards the
same ambition for this important site;
getting things right for patients and
staff, and moving forward to an even
greater future together.
Fifteen Steps
in the community
From left, Susan Poultry
from Mencap and BHP’s
Vanessa Sharpe, Sally Bailey
and Marcia Basford
Volunteers from Mencap visited Bassetlaw’s Dental Services across their sites at
Mansfield, Worksop, Ollerton and Newark in November and December to undertake
the 15 Steps Challenge on behalf of Bassetlaw Health Partnerships (BHP).
The idea for the 15 Steps Challenge
came initially from a carer who said: “I
know within 15 steps of walking onto
a ward what kind of care my daughter
will receive.” (Read more about 15
Steps in January’s Positive newsletter.)
involve service users, carers and
staff throughout the process. They
discussed what ‘good’ looked like for
community services, and how it could
be measured, particularly in people’s
own homes and community settings.
“The NHS Institute for Innovation
and Improvement had developed the
challenge as a quality measurement
tool for inpatient areas. We challenged
them to work with us to shape what
that might look like for community
services,” said Loraine Garner,
Productive Community Services
Facilitator and Lead for Involvement.
This involvement directly informed
the development of a national quality
measurement tool, which was launched
at the Queen’s Nursing Institute
Conference in October 2012.
Health Partnerships worked with
the Institute, holding a series of
focus groups and follow ups to
10
“Dental Services was the sixth BHP
team to participate in 15 Steps and
the overall findings have been really
positive,” added Loraine.
“Many patients liked the regularity of
going to the same place and seeing the
same dentist and dental nurse. This
was especially so for patients with a
learning disability who like to have
routine and know what to expect.
“The environment was often
important to patients with a learning
disability, and the quiet and relaxed
atmosphere that the clinics offered was
appreciated.
“The most positive comments were
about the dentists and dental nurses
themselves. Their friendly, warm
and kind approach was regularly
mentioned.”
This will be achieved through
Highbury Live! developing a vibrant,
welcoming and recovery focused
environment, where innovation and
creativity are encouraged, leadership is
truly distributed and everyone’s views
are not just heard, but responded to.
A change team has been
established to drive
these developments,
led by Andrea
Ward, General
Manager for
Mental Health
Be clear
on breast
cancer
The Trust is supporting the new
NHS Be Clear on Cancer ‘breast
cancer in women over 70’
campaign.
Services for Older People and Suzanne
Foulk, Highbury Live! Champion.
Suzanne said: “I am delighted to
be working with Andrea on leading
this important venture. Highbury
Live! provides us with a fantastic
opportunity to harness the enthusiasm
and passion of our staff and patients,
to achieve our ambitions for Highbury.
We are already making great progress
with this exciting work. However, we
know that there are teams, patients
and carers across the Trust who will
have ideas and experiences of how
they have affected change
in their area of work and
helped to improve the
lives of patients and
staff. We would really
welcome their input
and support.”
To share your ideas,
suggestions and
feedback, or to find
out more about
Highbury Live!
contact the team on
highburylive@nottshc.
nhs.uk
Suzanne Foulk,
Highbury Live!
Champion
The campaign, which runs until 16
March, has the main message of ‘1 in
3 women who get breast cancer are
over 70, so don’t assume you’re past
it’. It also emphasises that a lump is
not the only sign of breast cancer and
women should tell their GP if they
notice any changes to their breasts.
Around 1,100 women aged 70
and over are diagnosed with breast
cancer in the East Midlands each year.
Survival rates are lower in this age
group compared to younger women.
Research shows that older women
have low knowledge of non-lump
breast cancer symptoms and are more
likely to delay presenting to their GP
with breast cancer. They might be
embarrassed, afraid of treatment,
unaware that they are more likely to
develop breast cancer, or dismissive of
symptoms as a sign of ageing.
The earlier breast cancer is diagnosed,
the higher the chance of survival.
More than 90% of all women
diagnosed with the earliest stage
survive for at least five years. This
figure is around 15% for women
diagnosed at a late stage.
Possible signs of breast cancer include
a lump in the breast or armpit, nipple
changes, changes to the skin of the
breast, changes in the shape or size
of the breast and pain in the breast or
armpit.
Campaign adverts will appear on
TV and in national newspapers and
women’s magazines. For further
information about the signs and
symptoms of breast cancer, visit
www.nhs.uk/breastcancer70
Well done to everyone involved,
and many thanks go to the Mencap
volunteers.
Positive March 2014
11
out across the rest of the wards at The Peaks
Unit at Rampton Hospital.
The nursing team had been using a
whiteboard to record information
that they needed regular access
to, such as a patient’s date of
admission, date of birth and
named nurse. They felt an
electronic version would offer
far more opportunities than
the conventional board.
“I was aware
that private
Patient status
board goes
electronic
A new electronic patient status board developed
by Chris Anthony, Ward Manager for Hambleton
Ward, has been so successful, it’s set to be rolled
companies
were developing
software, but this would
be a cost to the Trust
and the system wouldn’t
be bespoke to our
services,” said Chris.
“I decided to set
about developing
a bespoke Excel
spreadsheet myself
which houses all the
patient status information, and is
displayed on a TV screen in the ward office. The screen has
a dedicated computer and can be updated very quickly and
easily.
“With the backing of The Peaks Unit management team, I
created and tested various templates and the board went
‘live’ in November 2011.”
The board has all the information typically seen on a patient
status board, with the added benefit of extra features such
as colour coding and alerts to enable the nursing team to
see when a CPA review or a named nurse session is due.
Calendar appointments such as physical healthcare checks
are clearly visible and because of the added features of
Excel, it can be used as a clinical dashboard. The board has
a front screen activated by one click of the mouse which
hides any confidential information.
Chris added: “The board has received a very positive reaction
from both the Hambleton Ward Team, who update the
information regularly, as well as the wider Forensic Division.”
As well as going ‘live’ at the Peaks, there is a trial board at
The Wells Road Centre and one planned for Rutland Ward
at Arnold Lodge.
Well done to Chris on this innovative and cost effective
creation.
Chris Anthony
demonstrates the new
electronic board
For further information contact Chris on 01777 248321 or
[email protected]
Health Education
East Midlands
Showcase and
Networking
The Trust partnered with Health Education
East Midlands and the University of
Northampton in January to hold a showcase
and networking meeting on mental and physical
ill-health exacerbated by obesity and physical
inactivity.
A wide range of speakers gave examples of best practice
from across the region, showcasing areas as diverse
as using supermarket data for public health and a
physiotherapy student going back to school.
The event was well received by delegates from
numerous organisations and areas, and the hashtag
#HEEMshowcase proved very popular on Twitter.
The Trust hopes to take this partnership forward to
provide a networking group for sharing good practice in
the region over the next few years.
Spreading the word about Flo
Trisha Charnley, Rushcliffe
Community Matron has
successfully applied to become
a clinical advocate for Simple
Telehealth Florence (Flo).
Simple Telehealth is an NHS initiative
led by Stoke-on-Trent Clinical
Commissioning Group which uses
Flo, a very simple healthcare system
provided via the patient’s own mobile
phone. It’s primarily an SMS or text
based system that clinicians use to
send reminders to patients and collect
their health readings.
12
care home, supported by Sian Clark,
Project Change Manager and Linda
Dilks, Senior Long Term Conditions
Nurse.
Several experienced clinical users will
be taking part in a project funded
by NHS England to share their Flo
case studies at events across England,
and as part of an exchange visit to
Washington DC with the ‘Veterans
Health Administration.’
County Health Partnerships’ use
of Flo. “One involved an elderly
gentleman with Chronic Obstructive
Pulmonary Disease and heart failure,
who is housebound and living in a
rural location,” said Trish. “The use of
Flo for monitoring his health means
greater reassurance for the patient
and his family, with fewer crisis
interventions and hospital admissions.
In her application, Trisha supplied
two case studies to demonstrate
“The other was the innovative
introduction of Flo into a residential
“All 25 residents were given
personalised equipment and
monitoring plans in this unique local
pilot which highlights how such a
simple and cost effective approach can
achieve great results. The care home
and team are keen to trial Flo further,
potentially through a dedicated care
home app.”
All health checks are automated and
monitored and readings are presented
on graphs that help identify and track
long term health issues and trends.
Health tips and reminders are sent to
patients to help them follow recovery
plans, or manage long term conditions.
Congratulations go to Trisha, and good
luck for the project.
Speakers at
the event
Positive March 2014
13
Congratulations to
Quality Awards
winners and nominees
The Estates and Facilities
(Forensic) awards event in January
celebrated the commitment of
teams in the Directorate, with
nominations received from clinical
areas, managers and colleagues.
The awards, which have been running
for more than 15 years, are an extension
of the Quality Standard that the services
hold; a standard which has been held at
Rampton Hospital for 16 years.
Kay Mulcahy, Head of Estates and
Facilities (Forensic) opened the
ceremony and Professor Dean Fathers,
Trust Chair presented the awards.
During the ceremony staff with
100% attendance throughout 2013
were recognised, as well as those who
received Employee of the Month
throughout the year.
Wathwood Catering Team was also
acknowledged for its work and adaptive
practice for the Section 17 Restaurant
and for winning the National HefmA
Team of the Year Award.
(Top) A few of the 100%
attendance from Rampton
14
Education &
Learning Award
Leadership
Award
For an individual who has gone the
extra mile in assisting staff with their
training, and has achieved success in
external education and/or personal
development.
For somebody
who inspires,
motivates and
successfully leads
a team.
Nominees:
Clare Saville – Hotel Services
Admin (winner)
Vincent Keep – Estates and Capital
Services
Stuart Lee – Estates and Capital
Services
Nominees:
Diane Mann –
Catering
Nicola Buxton
– Admin
Wathwood
Lezley Walker
– Estates and
Facilities (winner)
(John Clarke,
pictured, Estates and Capital Services
Manager received the award on
Lezley’s behalf)
Nominees:
Lezley Walker –
Estates and Facilities
Fiona Denovan – Housekeeping
(winner)
Mavis Drew – Domestic Services
Wathwood
Customer
Services Award
New Member
of Staff Award
For an individual
who has
demonstrated
an outstanding
contribution to
customer care.
For an individual
who is new to the
organisation and
has demonstrated
outstanding
commitment to
their colleagues,
customers and the
wider Trust.
For an overall
outstanding
performance from
someone whose
inspired or original
thinking has led to
improvements to the
department, Trust or
customer care.
Nominees:
Vincent Keep –
Estates
Sam Wilcock – Catering (winner)
Jayne Salmon – Housekeeping
(Bottom) A few of the 100%
attendance from The Wells
Road Centre
In addition to the main Quality Awards,
Kay Mulcahy acknowledged Nicky
Forman, HR Manager. “Nicky received
the award for ‘Outstanding Contribution
to Service’, as she has demonstrated a
true commitment to her role and has
been a pillar of strength and support to
the facilities teams,” said Kay.
Kay Mulcahy with Nicky
Forman, HR Manager
and Dean Fathers
The Innovation,
Performance &
Creativity Award
“Her knowledge of the service, attention
to detail, accuracy and extreme patience
under immense pressure is second to
none. This excellent support ensures
patients continue to receive a high
level of care and her contribution
is invaluable, giving confidence to
managers, peers and colleagues alike.”
Lifetime
Achievement
Award
For an individual
who has contributed
to the delivery of a
high class service in
their chosen field of
work and career over
a sustained period.
Nominees:
Stephen Holland –
Housekeeping
John Stronach – Portering (winner)
Nominees:
Louise Chattaway – Catering
Robert Wilson – Housekeeping
(winner)
Doreen Walker – Hotel Services Admin
Unsung
Hero
Award
For someone
who deserves
an award for
just being them! They are helpful,
co-operative and have the right
work attitude and get on well with
colleagues. A ‘Steady Eddie’ who
can be relied upon.
Nominees:
Cynthia Mack – Hotel Services
Arnold Lodge
Diane Mann – Catering
Lezley Walker – Estates and Facilities
Karen Barr – Linen
Andrea Corringham – Housekeeping
Nigel Marrison – Catering
Martina Finney – Housekeeping
Alma Stronach – Catering (winner)
Dr Mike Harris, Forensic
Services Executive Director,
joined the teams for the
Award Ceremony and
everyone wished him all
the best for his upcoming
retirement. He is pictured
here with Catering Manager
Dave Hunter
Congratulations
to all our winners!
Positive March 2014
15
Have you checked
out the Choice and
Medication website yet?
Patients are supported by
occupational therapists and the
Hotel Services Team and have the
opportunity to gain qualifications
in food preparation and food
service, while increasing their
confidence and gaining experience
of working within an exciting,
operational business. The menu
is rotated to reflect today’s trends
and styles using local and seasonal
produce and that from Wathwood’s
own Farm Shop.
Following its success over the last year,
the Trust has renewed its subscription to
the Choice and Medication website. The
site offers staff, patients and carers access
to high quality information about mental
health medication. The site can be found
at www.choiceandmedication.org.uk/
nottinghamshirehealthcare. The website
supports the National Institute for Health and
Care Excellence recommendations that healthcare
professionals should explain to patients the
possible benefits from a treatment and openly
discuss the pros and cons, and that information
about a medicine should be offered before it
is prescribed. That information should be clear
and easy to understand and should meet each
individual patient need.
The restaurant was named by
a patient at the Hospital after
a Section of the Mental Health
C hef Stephanie gets
7
1
n
io
t
c
e
S
f
o
e
t
s
a ta
Yorkshire food champion
Stephanie Moon has been
sharing her culinary skills at
Wathwood Hospital where
she cooked with patients at
Section 17, the Hospital’s
training restaurant.
Stephanie is a recognised figure on
the Yorkshire food scene and has
many accolades to her credit including
Yorkshire Life magazine
Chef of the Year, Deliciously
Yorkshire Champion and is
a Bronze medal winner in
the National 2010 British
Culinary Federation Chef of
the Year Competition. As well
as being a regular demonstrator
at food shows, Stephanie has
also made appearances on
radio and television including
BBC2’s The Great British
Menu.
16
Stephanie spent the day at Wathwood,
working with patients and staff to
prepare and cook a three course menu.
She said: “Working with the team
here in the Section 17 restaurant at
Wathwood Hospital has been a great
experience. The patients have been
very careful in their presentation and
have shown a great deal of enthusiasm
to serve the customers some stunning
food. I would also like to say well done
to the staff. I have received a very
warm, genuine welcome from everyone
and felt very well looked after. In a
very short time I felt like I was part
of the restaurant brigade. It is good
to see everyone engaged and focused
and working together to produce some
cracking food.”
Stephanie first visited the restaurant
back in November with a view to
becoming involved in the project and
setting up a ‘pop up’ restaurant with
the team. She met the catering and
noon, serving a three course
menu for only £9.95 (excluding
beverages). The income generated
goes towards the food costs of the
restaurant. front of house Section 17 teams
and then dined in the restaurant
with a patient who has been
involved in helping establish the
project.
Section 17 is a training restaurant
which was set up in 2012 at the
Hospital to provide patients with
the opportunity to gain vocational
experience and qualifications, enhance
future employability and aid recovery.
Researchers to develop
new tool to measure
involvement in care
planning
Researchers at the Universities of
Nottingham and Manchester are
recruiting service user and carer
participants to help in developing
a new tool to measure service
user and carer involvement in
care planning in mental health
services.
The new tool is a Patient-Reported
Outcome Measure (PROM), which is a
type of questionnaire that asks about
health or healthcare experiences
from the perspective of the service
user or carer. The team will use
this questionnaire to find out more
about how much service users and
Act 1983 which grants the
patient leave into the community,
signifying progression and recovery.
The restaurant seats up to eighteen
people with one sitting at 12.00
carers have been involved in care
planning, to identify which areas are
most important to service users and
carers, and get service user and carer
views on how care planning could be
improved.
Professor Patrick Callaghan, who
leads the Nottingham arm of the
study, said: “Developing the right
tools to capture service user and
carer experiences of care planning
in a meaningful way is crucial to
better mental health services. It is
impossible to do so without the
involvement of those with experience
of these issues. I look forward to a
healthy response to this call.”
The study is part of the EQUIP
(Enhancing the Quality of User
Involvement in Care Planning in
Mental Health Services) research
Section 17 is open to patients and
their families and friends, staff
within the Hospital and the general
public. The restaurant is open
every three weeks on a Tuesday.
Reservations must be made in
advance. Bookings can be made by
emailing: [email protected].
uk, [email protected],
or [email protected]
programme. EQUIP aims to develop
and evaluate a new service user and
carer-led training package for health
professionals to improve service user
and carer involvement in care planning
for mental health. It is funded by the
National Institute for Health Research’s
Programme Grants for Applied
Research (NIHR PGfAR) Programme.
The team worked with service users
and carers to develop the PROM
and are now seeking participants to
complete the questionnaires.
For more information, or to take part
in the Nottingham arm of the study
contact Andrew Grundy, Research
Associate at andrew.grundy@
nottingham.ac.uk, or Dr Oonagh
Meade, Research Fellow at oonagh.
[email protected] or go to
www.nursing.manchester.ac.uk/equip/
“The site can be accessed via the Trust’s website,
the pharmacy intranet sites and via a general
internet search,” explains John Lawton, Clinical
Pharmacy Services Manager, Nottingham Services.
“Clinicians can print off information for patients
at the point of consultation, and patients and
carers can access the information from home.”
The website provides answers to 20 of the most
frequently asked questions about 110 commonly
used psychotropic medicines, and 10 of the most
commonly asked questions about 15 mental
health conditions. The ‘handy charts’, which
compare drug treatments for each mental health
condition, are particularly useful for helping
patients make informed decisions about their
current and future treatment.
During the year to November 2013, there were
nearly 3,000 visits to the site, with 11,800
pages viewed and over 1,600 individual leaflets
printed off.
“The findings from recent CQC National Mental
Health Community Patient Surveys highlighted
that our Trust scores well for informing people
about the side-effects of medication, involving
patients with their medicines and providing
information about medicines,” added John.
“The Choice and Medication site is being
accessed by all groups of healthcare professionals,
patients, carers and members of the public.”
The website is produced and maintained by
specialist mental health pharmacists and is
endorsed by the National Institute for Mental
Health in England (NIMH-E), the UK Psychiatric
Pharmacy Group (UKPPG) and the College of
Mental Health Pharmacy (CMHP). The content is
updated regularly, with new medicines quickly
added to the site.
Positive March 2014
17
Adrian Perks goes ‘back to the floor’
“Since starting out as a healthcare assistant many moons
ago, I have been fortunate enough to have worked in some
very interesting, varied and rewarding positions. From
primary care to psychiatric intensive care, I have worked in
many different healthcare settings.
“Now as Associate Director of Offender Health, I love
the challenges the role brings and it is exciting to work
alongside colleagues as we continue to lead and develop the
Directorate. To do this successfully, I really believe that it
is important to not lose touch with what happens on the
‘shop floor’ by experiencing first-hand the great work our
frontline staff carry out and deal with on a daily basis, in
what can often be very challenging environments. It is also
important to take the time to meet with and listen to our
patients; after all, they are the users of our service and we
want to ensure we’re getting it right.”
Gaining experience and inspiration
from work with the Trust
Antonia Lagou reviews
the personal impact of her
psychology placement:
“I am currently on a placement
with two Trust services as part
of my Psychology Degree at
Loughborough University –
the Nottinghamshire Eating
Disorder Service and the Step 4
Psychological Therapies service.
“Working for the Trust has
been a valuable experience
and I am beginning to
learn that it is such a vast
organisation, with so many
services that work together
to provide care in the mental
health sector. It is comforting
to know that such services
exist and I feel it is not
emphasised enough to the
general public. Many people
18
are unaware of what services
are available to them, and
don’t realise that help really is
just round the corner!
“The majority of my
placement involves drawing
statistical conclusions from
questionnaires completed
by clients at different stages
of therapy. It is extremely
warming to see that their
responses show constant
development and progress,
suggesting they are constantly
learning more about
themselves and appreciating
who they are and what they
can do.
“Although I am only part-way
through, I have learned more
than I could ever have hoped
for. I have been inspired to
pursue my career within
Clinical Psychology.
“My next steps are to
complete my placement and
finish my degree, with one
year left to go. I hope to
have gained valuable skills
and a work ethic to support
me through my final year at
university.
“Following my graduation, I
hope to apply for an accredited
clinical counselling course in
the Nottinghamshire area,
and ultimately become a
counselling psychologist. There
are many steps to take and I
still have a long way to go, but
I am as driven as I will ever be
and I have my work placement
and those within my workplace
to thank for that.”
the staff on duty, enabling us to provide him with an insight
into how we work and how far we have come as a healthcare
department since the Trust took over at HMP Ranby back
in April last year. It was also good to speak to him and learn
how we could develop certain areas based on his experience
from visiting other prisons.
“During his visit Adrian attended a physical triage session
with our registered general nurses and also met and spoke
with members of the mental health team. He observed
how we dispense methadone in our Substance Misuse
Department and worked alongside myself in the main
dispensary. Adrian also assisted the psychosocial team who
work with substance misuse patients and participated in
the group activity with patients.
HMP Ranby was the location for one of Adrian’s recent
‘Back to the Floor’ sessions where he worked alongside
Julia Hagger, Clinical Nurse Lead and the wider healthcare
team.
“I think that it is really important that senior managers
spend time with frontline staff. I will often hear staff say
that their manager(s) would see it differently if they were
working in their positions. The fact that Adrian is doing
this is a positive thing, helping senior managers see the
point of view of staff based in the prisons.”
Julia said: “It was great having Adrian come and work with
us for the day. He was extremely keen to get stuck in and
help out where he could. He made the time to speak to all
Adrian regularly goes ‘back to the floor’ at each of the
11 prisons that make up the Trust’s Offender Health
Directorate.
Reaching higher for Investors in People accreditation
As the Trust takes forward its application
to achieve the Investors in People
standard, it is important for everyone
to understand how we will achieve the
higher levels of accreditation, so that
we can evidence that our organisation is
among the best.
Business Strategy
Our organisation already successfully met
the following standards back in 2011:
• The organisation has a vision/purpose,
strategy and plan
• People are involved in planning
• Representative groups (where
appropriate) are consulted when
developing the plan.
We’re now striving to move ahead to
Silver Accreditation, by providing evidence
of meeting the following extended
standards:
• Clear core values that relate to vision
and strategy – through the business
planning process
• Key performance indicators are used
to improve performance – producing
targets that are relevant and achievable
• Social responsibility is taken into
account in the strategy – consideration
of the environment, ethical labour
practices and recruiting young people
and apprentices
• People and stakeholders are involved
in strategy development – via
Involvement, and through forums such
as the Executive Leadership Council and
Invest to Lead.
Learning and Development Strategy
We have already ensured that:
• Learning priorities are clear and linked
to the plan
• Resources for learning and development
are made available
• The impact will be evaluated.
We must now evaluate and confirm that:
• The Learning and Development Strategy
builds capability – in leadership,
professional development and
compassionate care. For example, the
Professional Development Programme
for Clinical Bands 2-4
• Plans take account
of learning styles
– provision of a
variety of delivery
methods such
as face-to-face,
e-learning and
interactive sessions
• People help make
decisions about their own
learning – while some training
is mandatory, there is a wide range of
additional training to supplement roles
• Learning and development is innovative
and flexible – as programmes run, they
are constantly evaluated and revised to
keep abreast of innovation
• There is a culture of continuous
learning – through Performance,
Appraisal and Development, and
having a continuous programme of
development opportunities for all staff.
For more information about Investors
in People, contact Denise Harrison in
Learning and Development on
[email protected].
Positive March 2014
19
Well
done
to Mick
on his
new role
in Local
Services
Two Trust psychiatrists recently
visited Albania to offer their
expertise as part of the European
Commission’s Technical Assistance
and Information Exchange
(TAIEX).
Dr Simon Gibbon, Consultant Forensic
Psychiatrist from Arnold Lodge and Dr Najat
Khalifa, Associate Professor and Consultant
Forensic Psychiatrist, visited a number of
prisons and mental healthcare facilities
to help local teams who are working to
improve conditions within prisons and
psychiatric hospitals.
“Conditions there for people with mental
illness, both in prison and hospital, are very
poor and there is an urgent need to improve
things,” said Dr Gibbon.
“They seemed to find our feedback and
advice helpful, and we will be submitting
recommendations regarding the
establishment of a new secure hospital in
Tirana.”
Dr Khalifa added: “The visit will hopefully
pave the way for a longer term collaboration
between the Trust and the Albanian Ministry
of Health, and the Albanian teams are keen
to visit Trust services in the future.”
Drs Gibbon and Khalifa added: “Our thanks
go to Dr Mike Harris and the Trust for their
support in making this work possible.”
Supporting
forensic service
development
in Albania
New Year,
New Kit for
AMH County FC
AMH County standing
proud in their new kit
Millbrook patients and staff took to the football pitch again in the
New Year as part of the ‘Positive Goals Football League’, but this
time wearing their new kit. Adult Mental Health (AMH) County
Manager Matthew Vickers, Clinical Lead explained: “This is a
new and exciting time for Millbrook. Now we have the new kit
it motivates and encourages the patients to participate and feel
integrated, have a role and sense of worth.”
On match day the other teams
noticed the new kit and wanted to
know where AMH County were from.
Three matches were played and lost
unfortunately. However, the patients
thoroughly enjoyed themselves,
meeting others including a player from
the Magpies FC who put on one of the
new shirts to play as the fifth player.
Najat Khalifa (second from left) stands
next to Health Minister Ilir Begaj and
Simon Gibbon (fourth from left), with
members of the Albanian team
20
Jamie, one of the AMH County
players, found out about the football
team when he came to his outpatients’
appointment. He said: “I love football
and when I saw the poster and article
Congratulations to Mick
O’Driscoll, Clinical Risk Nurse
Specialist, who is starting
in his new role of Deputy
Divisional Nurse for Local
Services this month.
Mick said: “I’ve been working in
and around adult mental health
acute inpatient services since
qualifying as a nurse in 1992, first
in City services and latterly across
County services as well.
“My main area of interest in
psychiatry has been working with
people who are acutely unwell,
and supporting nurses, clinical
governance, and the organisation
in understanding and working
with people’s risks in a way that
puts the patient and their family
at the centre of their care, and also
supports staff to work in a safe
environment.
about the football team I knew it was
an ideal opportunity to keep playing
to have fun and positive contact with
mental health services.” Matthew
added: “We (Millbrook) are finally on
the ‘football’ map and the future looks
positive. Thank you to everyone for
their continued support.”
“I will be joining Sandra Crawford’s
Local Services Divisional Support
Team in March. I am looking
forward to working with them
and the teams of Mental Health
Services for Older People, Specialist
Services and Adult Mental Health
in the delivery of high quality and
safe care for patients and their
families.” The remaining football matches for the
Positive Goals Football League will be
played on 13 March and 17 April.
For more details please contact
Matthew on 0115 956 0836 or
[email protected]
Sandra Crawford, Associate Director
of Nursing, Quality and Patient
Experience added: “I know you will
all join me in congratulating Mick
and wishing him every success in his
new role.”
Positive March 2014
21
Welcome to
new Trust Staff
Side Chair
Congratulations to Andrea
Dickens, who has been appointed
as Trust Staff Side Chair.
“I want members from across the
different unions and professional
bodies to have the opportunity to
influence the decisions made in our
Trust as we move forward.”
Andrea’s particular interests include
health, safety and wellbeing, and
Equality and Diversity. She’s proud to
be the first female to hold this position
within the Trust, saying it’s a fantastic
way forward. Andrea has been a UNISON
representative for many years and says
she is absolutely delighted to have been
elected.
“Andrea’s extensive skills and work
as secretary for County Health
Partnerships Staff Side were recognised
by colleagues from the trade unions
and the Trust in the recent election,”
added Local Services Staff Side
Chair Dave Miller. “I look forward to
working with her in this new role.”
“I am passionate about the Trade
Union movement and work tirelessly
to inform staff of the benefits of union
membership and how important it is to
have a voice,” said Andrea. Andrea would like to thank Neil
Thompson for his work as acting Trust
Staff Side Chair. Contact Andrea on
[email protected] with
any queries on partnership working.
Andrea Dickens
Trust partners’ work
to support Integritas
The Trust’s Capital Planning Unit would like to thank their
P21+ partners Balfour Beatty and Scunthorpe Joinery for
the work they have carried out for Integritas.
Integritas is a local, free advocacy service that supports vulnerable adults
in St Ann’s and Sneinton. The charity has close connections with the Trust
and partner agencies, and is supported by Mike Harris, Executive Director
Forensic Services and Sheila Wright, Non-Executive Director.
Balfour Beatty works with the Capital Planning Unit on Major Capital
Projects, and the recent work for Integritas was part of their Corporate
Responsibility Initiative arising from the work carried out in connection with
the Trust’s new Orion Unit.
Ann Clayton, Capital Planning Unit Business Manager explained: “Both
labour and materials were donated to Integritas free of charge, with several
essential maintenance projects being undertaken for local people including
the decoration of the living room of an elderly gentleman who lived by
himself in very poor conditions. “General maintenance repairs were also provided for a lady to change the
interior door handles, box in pipework and repair and secure her shed. For
these people and others, these changes have made a huge difference to
their environment.”
Wathwood Hospital also
raised its own Positive flag
Flying the flag
for diversity
The Trust showed its support for Lesbian,
Gay, Bisexual and Trans (LGBT) History Month
by flying the Rainbow flag at some of its
main sites throughout February.
Mike Cooke, Chief Executive and Dean Fathers, Chair
were joined by service users, carers, staff and community
members in hoisting the flag at Trust Headquarters
Duncan Macmillan House. Rainbow flags were also flying
at Rampton Hospital, Arnold Lodge and Wathwood
Hospital, where they also celebrated LGBT History Month
with specially themed coffee mornings and theme nights
involving staff and patients.
Catherine Conchar, Head of Equality and Diversity, said:
“Each year we take pride in supporting LGBT History
Month. As a Trust we are passionate about embracing
and respecting the diversity of our service users, patients,
carers and staff. This was reflected recently when we
were named top healthcare organisation and second
place overall in Stonewall’s 2014 Workplace Equality Index
which features the best employers in Britain for lesbian,
gay and bisexual people.”
LGBT History Month takes place every February. It celebrates
the lives and achievements of the LGBT community and
encourages everyone to recognise the positivity of diversity
and differences in culture across society.
22
Raising the Rainbow flag at
Duncan Macmillan House
Coffee morning at Wathwood
Positive March 2014
23
Judging
the OSCARS
The Trust’s Outstanding
Service Contribution
and Recognition Scheme
(OSCARS) award ceremony
will be held this month.
The judging took place back
in December, and Antonio
Dawson, a patient at Arnold
Lodge, was a member of one of
the panels.
“Arnold Lodge has never had a patient
involved in the judging of the Oscars,
so when I was asked by my MultiDisciplinary Team (MDT) if I’d like to
be involved, I obviously had to accept
as I knew it wouldn’t be fair to deny
the other judges my wisdom. There
was a lot of responsibility involved,
which went to show that my MDT
had a lot of confidence in me (and
why shouldn’t they?!) to be able to
handle this.
“When the judging packs came, I was
a little shocked with how much there
was to read, especially as I have to
commit to a treatment programme
here on Cannock Ward, plus I was hit
with a virus and sick for two days, but
I knew I had to soldier on as judging
surely wouldn’t have been the same
without my input.
life disagreeing with people’s opinions
anyway!).
Health education
takes centre stage
“After a couple of hours, we’d made
our decisions, and I was happy with
my input. We were then provided with
a nice meal and some chocolate cake
which was delicious.
Health education took centre stage in Nottingham in February,
with a visit from Sir Keith Pearson, Health Education England
Chair and Dr Lisa Bayliss-Pratt, Director of Nursing, together with
Kaye Burnett, Chair of Health Education East Midlands.
“All in all, I really enjoyed the
experience, and apart from being the
only logical choice as the first patient
from Arnold Lodge to be involved, it
was a huge boost to my confidence
(and ego) knowing that the team
had faith in me to be able to act
responsibly. I’d like to think that
more patients can be involved
in the future, as long as
it’s noted that I was the
pioneer for Arnold Lodge!”
They were in the city to visit the School of Health Sciences at the
Queen’s Medical Centre, where they spoke to students and people
undergoing the recruitment process at the University of Nottingham. The visitors also spent some time in discussion with the Nottinghamshire
Local Education and Training Council (LETC), which is chaired by Trust
Chief Executive Mike Cooke, also a member of the East Midlands Local
Education and Training Board.
l-r Mike Cooke, Sir Keith Pearson
and Dr Lisa Bayliss-Pratt
Antonio Dawson
Patients feel the benefits of podiatric surgery
“After a few days reading through the
nominations and weighing up all the
evidence I had in front of me, I made
my choices and sent off my score sheet.
“A few weeks later I was off to Duncan
Macmillan House in Nottingham, to
meet up with the other judges on my
panel so that we could go through the
short listed nominations and decide
the overall winners. This involved
me having to speak out if I agreed or
disagreed with other people’s opinions,
and even though I was in a room full of
professionals, including a polite Dean
Fathers, Trust Chair, I managed to do
this without any difficulty (probably
because I’ve spent many years of my
Almost 1,500 patients
benefited from podiatric
surgery at Park House
over the last two
years, with more
than 2,200
procedures
carried out as day
cases. 84% of
those patients were
female, and while
they were typically
aged 40-79, 73% were
of working age.
secondary care,” said Anthony Maher,
Consultant Podiatric Surgeon.
conditions again; and 96% felt their aims
had been partly or wholly met.
“94% of the procedures were
completed within an hour,
demonstrating that foot surgery is
ideally suited to a community day case
setting, avoiding the inconvenience
and cost associated with hospital
admissions.”
The team also uses a questionnaire to
evaluate the impact of foot deformity on
patients’ quality of life, both before and
six months after surgery, across the areas
of pain, walking and social interaction. So
far 985 patients have completed pre and
post-operative questionnaires, and the
scores show an improvement in health
related quality of life across all three
domains.
“This has made a significant
contribution to cost savings
across the local health
economy, by diverting
surgery which would have
otherwise been performed in
More than 1,000 patients have now
completed a satisfaction survey at six
months post operation. Of those, 89%
felt their foot condition was better or
much better following treatment; 92%
would have surgery under the same
The most commonly performed
procedures were bunion repair, hammer
toe repair or correction of digital
deformity, arthritic big toe joint repair
or replacement, nerve surgery and
dermatological procedures.
The results from both surveys, alongside
data on safety and complications, have
been used by the team to inform their
work on quality assurance, patient
choice, updating all surgical advice
sheets, reflective practice, clinical
supervision, service promotion and
feedback for Clinical Commissioning
Groups. As a result of feedback, post-op
telephone calls have also been reinstated.
Podiatric Surgeons Anthony Maher (right) and Lance Hogg (second from left) with the team at Park House
24
Positive March 2014
25
q&a
q What is your job title and what
does your role entail?
a Executive Director Forensic Services
and Honorary Consultant Psychiatrist.
My main role is managing the Forensic
Services Division of the Trust. These
are all the secure services provided at
Rampton Hospital, Wathwood, Arnold
Lodge, The Wells Road Centre and
offender health services into 11 prisons.
In all, this covers about 3,000 staff and
11,000 patients. I also had responsibility
over the last 10 years for the Trust’s
Capital Development programme and
am responsible for a variety of other
things on a Trustwide basis such as
security and health and safety. I have
always retained a small clinical caseload
and for the last few years this has been
an outpatient clinic in Bassetlaw.
Ahead of his
retirement, Dr Mike
Harris, Executive
Director Forensic
Services agreed to
go under the Q&A
spotlight...
q How long have you been with
Nottinghamshire Healthcare
NHS Trust?
a In one way and another for the
last 36 years. Even when I worked
as Medical Director at St. Andrews,
Northampton I retained an honorary
contract with the Trust, supervising
doctors and patients.
q What do you see as your priorities
for Nottinghamshire Healthcare?
a I have seen my main priority as
providing a safe, compassionate and
therapeutic set of secure services
providing as we do to the whole of
the UK. We also need to be mindful of
our responsibilities as a major provider
of services to be involved in research
and development and as a very large
employer, to look after our staff. I
have felt an especial responsibility at
Rampton where we are the major local
employer and for many of our staff the
alternative would be unemployment.
q What is your employment
background?
a I am a doctor/ psychiatrist and have
been for over 40 years. I have been a
board director for over 20 years. Prior to
medicine I worked in Harrods, for over
five years, I did factory and office work
and drove heavy goods vehicles.
q What is the best piece of advice
you have ever been given?
a Politeness costs nothing but reaps
rewards.
q What was the last CD
you bought?
a The last CD I bought was a
26
compilation of English concertos but my
favourite is one of the Buena Vista Social
Club, it always makes me want to get up
and dance.
q What makes you angry?
a Arrogance, rudeness and a lack of care
q What is your favourite holiday
destination?
a The South of France. I fell in love with
it at 14 and I love the azure blue.
q What are you most passionate about?
a My family first, my patients second and
doing a good job.
q Who would you take to a
desert island?
a My wife Pat.
q What single thing would improve
your working life at Nottinghamshire
Healthcare?
a I daren’t say!
q Where do you see yourself in 10
years’ time?
a Relaxing between the South of France
and Nottingham.
q What is your favourite hobby?
a DIY. I can completely lose myself if I have
q Do you have a ‘claim to fame’?
a That’s for others to say. However
to focus on a piece of physical labour, it is
almost the only time I don’t think about
work.
q What keeps you awake at night?
a Worrying about my daughters. Worrying
about work I haven’t done.
q What is your favourite film?
a Zorba the Greek.
Photographs of carers working on the
mosaic along with other images were put
together in a special scrapbook, in which
carers also wrote their well wishes.
The carers’ day event, ‘Moving on
from Rampton’ in December was to
be Mike’s last time in attendance, and
in front of 50 carers, Janet Toogood
(formerly Phillips) presented the
mosaic.
perhaps introducing patient advocacy
to the UK, being a good and
compassionate doctor and running
services as a manager that helped others
to run excellent services.
q How would you like to be
remembered?
a As someone who cared, who went the
extra mile and thought outside the box.
Janet has now retired but was the
original Family Support Manager and
Volunteer Befriender Manager for
Rampton. Janet and Mike worked
together to set up the Visitors’ Centre
and the volunteer service within the
Hospital which has benefited carers
and patients over the years.
Afterwards, Mike wrote: ‘Thank you
for the lovely surprise of the mosaic,
the book and Janet; a very well-kept
secret.’
The mosaic is a mini version of that
designed and created by carers as
part of the Rampton’s centenary
year, which now has pride of place in
the Hospital’s main reception. The
sunflower design has now also been
used to symbolise Rampton carers and
is the main source of inspiration for
the newly designed information pack.
have a period without worrying.
q What three words would you use
to describe yourself?
a Driven, compassionate and angry.
and compassion.
O
ver the past few
months carers popping
into and staying at
the Rampton Visitors’
Centre have been
adding to a special
mosaic for Mike Harris. The mosaic is
a memento and thank you for all his
involvement and work with carers
in his time as Executive Director of
Forensic Services.
q What is your idea of bliss?
a Having a long holiday where I can
q What is your greatest achievement?
a Successfully treating patients who have
been seriously ill.
An early retirement
gift from Rampton
Hospital Carers
l-r Janet Toogood and Lorna Breckall, Family
Support Manager, present the mosaic
Mike with his commemorative book
Loving those professional
development opportunities…
This Valentine’s Day,
the Learning and
Development Department
ran the first session of the
Professional Development
Programme for Clinical
Bands 2-4.
Colleagues at the event
benefited from sessions
on values and portfolio
creation, provided by staff
from across the Trust and
the Institute of Mental
Health.
The programme will focus
on developing the principles
of the Professional Conduct
Guide and the Six Cs:
• Care
• Compassion
• Commitment
• Communication
• Courage
• Competence.
The Trust values the
professional development
of non-registered clinical
staff, and the Learning and
Development team hopes
to extend the programme
over the coming years. Staff
taking part will receive an
Open University qualification
as a result of their
attendance and through
assessment.
A second cohort will
begin in September. More
information is available
from Hatty Grant, Events
Management Coordinator at
[email protected].
PositiveMarch
March2014
2014 27
27
Positive
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,
learning 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 11 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
May issue of Positive, please contact
us by 4 April 2014. However, due to
space constraints we cannot guarantee the
publication of all articles received by the
deadline.
Nottinghamshire Healthcare,
The Resource, 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
28
Remember to
‘Be Sharps Safe’
The ’Be Sharps Safe’ campaign was launched at the end of January
to raise awareness of how sharps should be managed and how to
prevent avoidable incidents from occurring.
Anyone that comes into contact with a
sharp is at risk. Injuries commonly occur
during use, before disposal and while
resheathing needles. Some procedures
have a higher than average risk of causing
an injury, including cannulation and
venipuncture.
What to do if you have a sharps/
needlestick or blood splash injury
• Bleed it – squeeze
wound to encourage
bleeding
• Wash it – with soap,
under running water
• Cover it – with a
waterproof dressing
• Report it – contact the
nearest Occupational
Health Department
(numbers below)
or A&E as soon as
possible following
the needlestick
injury. Complete an
untoward incident
form.
N.B In the case of a
blood splash injury – rinse with copious
amounts of water and contact the nearest
Occupational Health Department or A&E
as soon as possible.
Most sharps injuries can be prevented
and everyone has a role to play in their
prevention; from the Chief Executive who
has a legal responsibility for the health
and safety of staff, to the individual
practitioner, who has a duty to ensure
that they protect themselves and others
by safely using and disposing of sharps
equipment.
How to be ‘Sharps Safe’
• Never assume that you are not at risk of
a sharps injury
• Eliminate the unnecessary use of sharps
• Use a safety engineered device
wherever possible
• Wear gloves at all times when handling
sharps
• Ensure the sharp is
disposed of immediately
at the point of use
• The disposal
of a sharp is the
responsibility of the user
• Do not pass a sharp directly from hand
to hand, or to another person – handling
should be kept to a minimum
• Never resheath a needle
For more information, keep a look out
for the bright yellow posters around the
Trust, go to the ‘campaigns’ area of the
Intranet or contact Janine PatricksonDaly, Matron Infection Prevention &
Control/Service Lead – [email protected].
Occupational Health Departments
• Mansfield Community Hospital –
01623 785135
• Nottingham City Hospital –
0115 962 7657 ext 56657
• Queen’s Medical Centre –
0115 970 9268 ext 61268
• Bassetlaw Hospital – 01909 502979
• Rampton Hospital – 01777 247645