Quality: from board to ward

Trustlink
February 2015
Quality: from board to ward
Page 2
Quality Conference
Page 3
Theory of Everything
Page 3
St Ann’s Investment
Page 6
Winter Pressures
Providing care all of us would recommend to family and friends
Page 7
Charity Champions
News
Quality in
Healthcare
Dorset HealthCare
recently hosted a Quality
Improvement Conference
to showcase the initiatives
taking place across the Trust
to improve the quality of
healthcare for local people.
The event set out draft quality
drew
ith winners Dr An
priorities for the coming year whilst also
uthgate (right) w
So
ra
Ca
d
an
ft)
Dr Claire Vick (le
announcing and celebrating the winner
eanor Smith
Brannac and Dr El
of the Trust’s ‘clinical audit of the year’
award, which went to Dr Eleanor Smith
and Dr Andrew Brannac. Their project
was called ‘The Empty Boxes Audit’ and
addressed the issues of boxes left empty on
drug forms. The delegates voted unanimously
for this project as the winner and, as a result
of this project, the relevant services have seen
a 50 per cent reduction in the number of
boxes left empty on drug related forms.
The one day conference held at The
Hamworthy Club was also the ideal platform
to launch the Trust’s new ‘Sign up to Safety’
pledge. The UK-wide initiative is designed
to help realise the ambition of making the
NHS the safest healthcare system in the
world. To achieve this goal the Trust pledges
to: create a system devoted to continuous
Dr Unmeet Dhariwal (centre) receives the runners up award from
Claire and Cara on behalf of himself and his colleagues Dr Wael Foad
learning and improvement; collaborate with
and Dr Simon Brown
external services; be transparent when sharing
information; and support staff, to ensure
patients are confident in the care they receive.
She also thanked the four sponsors – Blue Chip, Honan
Katrina Kennedy, Head of Clinical
Building,
Athona Recruitment and Wessex Fire and Security
Effectiveness and Audit, commented: “The
– whose generosity enabled Trust teams to share their
conference was a fantastic opportunity to
quality projects at national and international conferences. n
map the growth of our Trust in terms of our
commitment to quality.”
02 Trustlink n February 2015 n www.dorsethealthcare.nhs.uk
Theory of Everything
The Trust’s Wheelchair Service has played a unique part
in one of this award season’s most talked about films.
The set decorators of The Theory of Everything, starring Oscar winning
actor Eddie Redmayne, found just what they were looking for when Dorset’s
Wheelchair Service offered them an exact replica of the wheelchair used by
Stephen Hawking to help capture the authenticity of the era in which the
film is set.
In 2013, the makers of the Stephen Hawking biopic began a national search and approached
Posture Mobility Group and National Wheelchair Managers Forum with an unusual request for three different
wheelchairs from the 1970s. As luck would have it, Dorset’s Wheelchair Service had available a pristine 8BL, which
is a small self propelling wheelchair, and was able to provide it for the production of the film. The film charts
Stephen Hawking’s student years, his first marriage and the onset of his motor neurone disease; it is during this
period of his life that the 8BL wheelchair prominently features in the film.
Monica Young, the Trust’s Rehab Engineering Lead said: “It was wonderful to be able to supply the chair and
support the production of this fantastic film. We received a lovely letter of thanks from the production team and,
since the film has been released, it has provided a great conversation starter amongst our clients with motor
neurone disease.” To find out more about the wheelchair service, call 01202 892874. n
St Ann’s Investment
The Trust has announced a £4.2 million investment
in St Ann’s Hospital, bringing the total investment in
the mental health inpatient facility to more than £18
million over the past four years.
St Ann’s Hospital has already benefited from a new state-of-theart building on its Canford Cliffs site which opened in October 2013,
creating high quality, single sex and therapeutic accommodation
for up to 30 patients. The next stage of the major redevelopment
will see environmental improvements to three of the existing wards
housed in the older buildings on the site.
Dudsbury Ward is set to be extended across much of the
ground floor of the attractive grade II* listed building at the heart
of the site. It will enjoy significant refurbishment to provide 19
female acute beds, new-look bathrooms and wet rooms and
an additional large quiet lounge for patients to relax in. There
will also be a secure outside space and the addition of a separate smoking
courtyard, as well as a purpose built patient laundry room, an examination room and an additional room for
therapeutic activities such as cooking and artwork.
Haven Ward, which is a psychiatric intensive care unit, will be expanded from a five to a six bedroom male ward and
will benefit from redecoration throughout, including new flooring and lighting. There will be a new patient dining area,
separate medication and examination spaces, and the outside courtyard will be transformed into a sports space and
sitting area.
Finally, Twynham Ward is set to be improved with the creation of a new multi-faith and family room for inpatients.
www.dorsethealthcare.nhs.uk n February 2015 n Trustlink 03
Tackling Eating
Disorders
Patient Safety Awards
The Patient Safety Awards continue to recognise
and reward outstanding practice within the NHS
and independent healthcare organisations. Joining
forces this year with the Patient Safety Congress,
there is even more opportunity to showcase our
practice standards. We know there are some
excellent examples within the Trust and we invite
staff to send us your ideas for nominations. The
deadline for submissions is 6th March, so we’d like
to hear from you as soon as possible. There are 17
award categories to choose from – contact kate.
[email protected] n
HSJ Value in
Healthcare Awards
In support of Eating Disorders
Awareness Week (starting on
23rd February), the Trust is
working in close partnership with
Bournemouth University and local
eating disorder charity, I*EAT to
host a series of informative events.
Events will include lectures from mental health
professionals, as well as discussions led by people
with personal experience of living with an eating
disorder. The first lecture will raise awareness
of the early warning signs of self-harm and
eating disorders, alongside practical advice for
concerned parents and friends. One brave young
woman will be sharing her personal account
of how childhood trauma contributed to her
developing anorexia and the challenges it held
on her journey to recovery. There will also be a
workshop focused on current knowledge about
male eating disorders, exploring the myths,
misconceptions and the support available.
Held at Bournemouth University, all the
sessions are open to anyone interested in finding
out more.
For more details, visit www.eventbrite.co.uk/d/
united-kingdom--bournemouth/eatingdisorder-week. n
04 Trustlink n February 2015 n www.dorsethealthcare.nhs.uk
The HSJ Value in Healthcare Awards is an
opportunity to reward outstanding efficiency and
quality in healthcare. It is a way of showcasing
projects in front of key NHS decision makers,
benchmarking achievements and putting the
spotlight on your team’s achievements. The
deadline for entries is the 13th March and we would
encourage teams to enter. Find out more by visiting:
https://value.hsj.co.uk n
A Stronger Code
Following a consultation last
summer, the revised Mental Health Act
(1983) Code of Practice was published
last month. Subject to Parliamentary
approval, this will come into force on
1st April 2015.
The revised code aims to provide stronger
protection for patients, clarifying rights and
responsibilities. This includes involving the patient
and, where appropriate, their families and carers in
discussions about the care pathway at every stage.
It also includes providing personalised care plans
and minimising the use of inappropriate blanket
restrictions, restrictive interventions and the use of
police cells as places of safety. To read more about
the revised code, visit: www.gov.uk/government/
publications. n
News
Pop-up Library
East Dorset Library and Knowledge
Service held their first Pop-up
Library at Sentinel House at the
start of the month.
Lead Librarian, Alison Day and Assistant
Librarian, Katherine Waters manned a stand
which allowed staff to borrow and return
books, learn how to access online journals,
receive training on literature searching, critical
appraisal and much more. To find out about
future sessions, call 01202 442101. n
Time to Talk Day
The first Thursday of the month was ‘Time to
Talk Day’, which aims to raise awareness about
mental health and reduce the stigma and
isolation that surrounds the illness.
Sentinel House marked the day with an information stand
(pictured left), encouraging staff to stop and talk about mental
health, even if only for five minutes. The Trust’s equality
and diversity team also got involved with an event held at
Bovington Garrison – joining the Garrison’s welfare team and
a local group of military wives to mark the occasion and break
the silence that all too often surrounds mental health. n
Feedback
Friday
The Trust receives a large amount of feedback
via the Friends and Family Test, which gives us a
rich insight from which to learn and improve.
The vast majority of that feedback is very positive but we
do receive some feedback where it is clear we need to make
improvements.
As a Trust, we believe it’s important to share this feedback and
so we’ve launched a new initiative via the Dorset HealthCare
Twitter account. Every Friday (at 11.00am and 3.00pm for
half an hour) we will be posting continuous tweets to share the
feedback, using the hashtag #FeedbackFriday. The feedback
will also be shared on the Trust’s Facebook page to ensure
as many people as possible are able to share the results of our
Friends and Family Test. Follow us on Twitter @DorsetHealth or
find us on Facebook. n
DBTalk
The Trust recently held its second ‘Special
Interest Group Day’ organised by the Intensive
Psychological Therapies Service for all trained
dialectical behavioural therapists (also providing
CPD for these DBT practitioners).
It was a day to update, practise and learn the fine tuning of DBT
skills, as well as networking with each other. Dr Stuart Purcell was
able to use the day to feed back exciting new developments from a
recent conference in Rome on the treatment of personality disorders
and there was a great sense of opportunity as the teams increase
links with each other, sharing best practice from the different Trust
sites in East and West Dorset.
Another ‘Special Interest Group Day’ day is planned in six months
and a shared drive, to be called DBTalk, is being organised to
increase the regularity of communication for DBT practitioners. n
www.dorsethealthcare.nhs.uk n February 2015 n Trustlink 05
News
News
this success story.
My special thanks
go to Louise Beer
(Hotel Services
Manager) and
Lorraine Braybrook
(Business Support
Manager), who
both managed the
project
through
To help ease pressures that
to
its
successful
local health services have been
conclusion. Also to
experiencing this winter, St
the facilities service
Leonard’s Community Hospital in
teams for their
support and hard
Ringwood opened a new ward in
work involved in
January.
setting up the food
Prior to this, the space had been used both
and cleaning services, and the movement of a
to accommodate community teams and as a
significant amount of equipment and furniture.
temporary ward whilst a ward at Wimborne was
“I’m confident that patients will have nothing
refurbished. The new ward can care for 16 patients but a positive experience during their stay and
at any given time and has proved popular. Head
I look forward to further visits over the coming
of Facilities, Richard Forrest visited St Leonard’s
weeks.” n
last month and had this to say…
“I paid a visit to see the winter pressures facilities
on Canford Ward for myself and have to say how
impressed I was. The last time I saw the space
was before Christmas and the ward is now a
relaxed and lovely environment to work in. Would I Bridport Community Hospital is in the
process of having a new digital x-ray
recommend it to family and friends? Absolutely!
“The opening of the ward is confirmation of
machine installed.
what can be achieved in a short period of time
As a result, the x-ray department will be closed
through the hard work and dedication of all of our
for about nine weeks during the building work
staff - from Helen Hunt and her nursing staff, to
(which started in the second week of February).
the estates team, IT, facilities and infection control Watch this space for news of the unveiling of the
teams.
new and improved resource for local patients… n
“Huge thanks to everyone who was involved in
from the ward
Winter Pressures
X Marks the Spot
Annual Leave Top-up
Scheme Launches
Would you like to spend more time with your
family? Perhaps you’ve always wanted to go
on an extended holiday overseas? Or maybe
you’d like more time to learn something new?
Dorset HealthCare’s Annual Leave Top-up
Scheme gives you the chance to gift yourself
time for these things.
We are delighted to tell you that the Annual Leave
Top-up Scheme is now available for the leave year,
April 2015 to March 2016. The application window
opened on Monday 2nd February and you will have the
opportunity to request to purchase additional annual
06 Trustlink n February 2015 n www.dorsethealthcare.nhs.uk
leave, on top of your usual entitlement. The approval
process (liaising with your line manager) must be
completed by 31st March 2015. Salary sacrifice means
that you can swap part of your gross salary for a
non-cash benefit and therefore save on tax, National
Insurance and pension contributions. There’s lots
of information about the scheme in our Key Facts
pack which is available on the intranet under the
‘Supporting Staff’ tab. If you have any queries about
the scheme, email [email protected]. n
News
Charity Corner
Nurture Africa
Debbie Wood
and Tracy
Broomfield
who work on
Haven Ward
at St Ann’s
Hospital are
heading to
Uganda for
two weeks
this October
with Nurture
Africa. The charitable organisation provides
voluntary work to enable, nurses, teachers and
anyone who wants to help, to be involved with
their latest projects. The charity wants to nurture
the mental, physical and emotional growth and
wellbeing of Ugandan children affected by HIV/
AIDS by providing health care, education, food,
clothing and shelter.
Debbie and Tracy plan to organise various
activities to raise money for the trip – such
as a cake sale at St Ann’s and Debbie is even
planning a sky dive next month! Visit Tracy’s
fundraising page - www.mycharity.ie/event/
tracybroomfield_event - for more details.
Marathon effort for Scope
Gemma Leach (E-Roster Project Manager) is set
to run the Virgin London Marathon on 26th April
in order to raise more than £2000 for Scope.
Gemma explained: “Taking part in the world’s
most famous and iconic marathon for Scope
is a real honour and privilege. In 2012 I was
involved in a traffic accident and it has been a
real battle ever since to keep fit and healthy with
having limited mobility and such long lasting
injuries. I chose to raise funds for Scope due to
my connection with the
charity. My youngest
sister Amy (pictured with
Gemma), has a number
of life limiting disabilities
and she has shown me
that despite this, with the
right help and support
that charities such as
Scope offer, the lives of
people can be improved.”
To support Gemma,
please visit: http://uk.virginmoneygiving.com/
GemmaLeach
Congratulations…to Kate Hardy
(Business and Project Manager for
Innovation) for a fantastic feature in HSJ
this month about the Trust’s i-matter
platform. The article showcases the best
practice coming out of the Trust as a
result of the online innovation tool. It
outlines the project, that allows patients
in the community to monitor themselves
for signs of pressure ulcers using short
handled mirrors that let them see every
part of their body. It also talks about the
platform creating a common culture at
the Trust and its aim of engaging staff
from all areas of Dorset HealthCare,
giving them the chance to have their
My job matters
Emma Derbal-Jones
What is your job? I am the Speech and Language
Therapy (SALT) Team Assistant for Adults with Learning
Disabilities.
How long have you been working with the Trust? I
have been working with the Trust since April 1999.
What do you see as your priorities? In order for me to be
happy and sleep well I must finish what I start as unfinished projects play
on my mind. This is both in my working life as well as my personal life.
What is your background? When I left school I travelled for a while and then got a job
working for a nursing agency in challenging behaviour units (as they were called then). I
worked in nearly all of the local units in Bournemouth until I was offered a permanent position
at The Addington where I worked for many years until I was offered a part time post in SALT. I
still work for SALT now and also for Audiology (ALD clinic).
What do you most enjoy about your job? I really think I have the best job in the world! I
love it. I love to see the faces of clients light up when their hearing aids are turned on for the
first time and they are no longer living in a silent world. I love to work with support workers and
share with them my experiences over the years (including my mistakes!) and put together
documents to help clients with their communication.
What is the best piece of advice you’ve been given? “ You could fight with the world every
day, pick your fights!”
What is your favourite book, film and song? My favourite film is Billy Elliot; I can’t
remember the title of my favourite book but it was an autobiography by a Moroccan princess
called Malika who was taken prisoner in her 20’s and released when she was 46; I love music
and don’t really have a favourite song as I like lots…and it changes daily!
Do you have any hobbies? I have a little girl and she is my hobby. Before she came along I
would reupholster, sew, read, play the piano, socialise, dance ( Latin American and ballroom)
and cycle. Now I do things with my daughter and we laugh until we cry!
What is your greatest achievement? Probably my 3rd gold bar in Latin American dancing
although part of me wants to say that my greatest achievement is yet to come…
Three words to describe yourself? Particular, playful and determined.
Who would you take to a desert island? I would take my little girl with me to a desert island
but if I had to take an object it would be my piano or a very large box of matches and a boat! n
100k Trek
Theresa Cochrane, a practice educator in the
Learning and Development Service, is undertaking
a 100k trek from London to Brighton this coming
May in support of the Alzheimer’s Society.
Theresa is taking on the challenge with her
son in tribute to her beloved Uncle Roger, who
started demonstrating symptoms of early onset
Alzheimer’s last year. Theresa explained: “As the
disease took hold, the man I loved began to
disappear. This is why I want to raise as much
voices heard. Kate explains: “What we’ve
found is that innovation is often sparked
by staff exchanges and engagement.”
Ultimately, staff know how to do things
better and should be central to the change
process. Contact Kate at kate.hardy@dhuft.
nhs.uk for more details.
Congratulations…to five staff and
one healthcare officer at Guys Marsh who
were recently invited to receive a Deputy
Director’s Commendation, following a
serious incident that took place in December
where their actions helped to prevent a
potential self-inflicted death in custody.
The commendation stated that the staff
money as possible to support this amazing charity
and help fund vital research into prevention,
treatments and support for families.”
You can support Theresa by visiting: www.
justgiving.com/theresacochrane
Tandem Skydive
Tonia Bolger, a Secretary within the Mental Health
Directorate, is undertaking a tandem skydive for
the Alzheimer’s Society. Good luck to Tonia and all
our other charity champions!
showed ‘exceptional dedication and skill’
and that their efforts ‘provide an example of
team working at its best.’ Congratulations to
Jenny Lillywhite, Peter Hodder, Jan Carling,
Fiona Alford, Anne Hayden and Jim Dayman
(HCO).
Congratulations…to Dr Richard Law
Min and Dr Claire Simpson and to Dr
Judith Barnsley for having their two entries
(intermediate care service for dementia
/ parent groups in the children’s learning
disability service) shortlisted for the South
West Division of the Royal College of
Psychiatrists Innovation Prize.
www.dorsethealthcare.nhs.uk n February 2015 n Trustlink 07
Spotlight on
Team to Board Quality Metrics
The way we assess the quality of our
services is changing. Every Trust has a duty
to understand the quality of the service it
provides to its patients.
At Dorset HealthCare we are clear that quality means a safe,
effective, positive patient experience. Understanding whether
or not every person achieves that outcome is important for
us, so we can continue to improve our services. This means we
must constantly review the ways that we measure our impact.
Sometimes this will be speaking to patients, their families and
carers, but it also includes capturing information that gives us
the opportunity to benchmark and understand our performance
against national quality and other standards.
This is not a tick box exercise. The Trust recognises that many
staff feel they spend a lot of time inputting data or sharing
information without being included in the discussions about
what the information is telling us and what the outcomes
actually show. We want to change that. From April, we will
introduce a new quality dashboard that every member of staff
will be able to access (see the example below). This will show
consistent information about every Trust service via a series of
quality metrics and will be discussed by the Board at its monthly
meetings. The information is not new and we are not asking you
to submit anything different. The only difference is the way that
we pull that information together and how we then use it.
Gathering information in a single place in this way will enable
all services to take a consistent view of their quality outcomes
across a range of measures. For the first time, teams will be
able to see information about workforce, expenditure, patient
experience, clinical effectiveness and safety in a single place.
We believe that this will support you to understand what all
of the information tells us and be able to take steps quickly to
implement improvements where required.
The purpose of introducing a single quality dashboard is to
improve our services for patients and to have a full and proper
understanding of each service. Sharing information in this way
demonstrates our commitment to being open and transparent.
Every team and service will have access to the same information
and insight that is discussed by Directors and the Board.
So what do we need you to do? The systems we currently use
to capture service information are not changing but we need
to improve our data quality. We need everyone to commit to
providing high quality, timely, accurate data. The dashboard
will become available via your ‘favourites’ this month. When
the dashboards go live, take a look and start to become familiar
with the quality metrics and think about how the insights might
help you make improvements. Engage in discussions about the
new quality dashboard and look out for further information
in Trustlink, the Weekly Round-Up and via your line manager
between now and April. n
A sample table from the Quality Metrics Dashboard
> Contact us Produced by Grayling in conjunction with Lesley Ford, Communications Assistant at Sentinel House,
Poole. (Telephone: 01202 277014). Something you’d like to include in TrustLink? Please email your news to us direct at:
[email protected] Trustlink is produced monthly and the deadline for the March issue is 27 February 2015. n
08 Trustlink n February 2015 n www.dorsethealthcare.nhs.uk