Issue 459 26 January 2016
Issue 462 16 February 2016
Shining stars celebrated for achievement and long service
Our awards season got off to a fantastic start on Friday 5 February with the Long
Service and Staff Achievement Awards at the Castle Green Hotel in Kendal.
Those staff with at least 25, 35 or 40 years’ continuous service in the NHS were
presented with a badge and a certificate from Foluke Ajayi, Chief Operating Officer, to
mark their loyal dedication to the NHS. Between them all, they racked up a massive
1,939 years’ service!
They were joined by staff who were there to celebrate their
achievements and qualifications, who were also
presented with a certificate and a badge by Anne Garden, Non-Executive Director.
The invitations for the Your Health Heroes awards have been sent and we look
forward to seeing the finalists on Friday 18 March at the Castle Green Hotel, Kendal.
Thank you to everyone who took the time to submit a nomination to help us recognise
the extraordinary roles carried out by staff across our hospitals.
You can find a selection of photos from the awards on our Facebook page - https://www.facebook.com/UHMBT
Respiratory team win national award!
Our Respiratory team, along with South Lakes Community Respiratory
team, were presented with an award on Friday 29 January by Katie Merrick
from the British Lung Foundation. This was as a result of winning the
national ‘Hospital fund raising challenge’ competition under the name of ‘The
Bay Breathers’. By undertaking various events with family and friends, the
team raised just over £2,500. The events included the Cross Bay walk, a
pub quiz, and a sponsored weight loss and beard shave! This was a great example of cross bay working.
One in five people in the UK are affected by a lung condition. The British Lung Foundation provides support to
patients, family and carers, as well as to healthcare professionals. It funds research for new treatments and
campaigns for better care. Members of the respiratory teams have also been asked to form a Lancashire and
Cumbria BLF forum, one of the first in the country, to help raise the profile of this respiratory charity.
Ward 23 charity night to take place
Ward 23 will be holding a Charity night on Saturday 27 February from 7.30pm until late.
Please join them for a fun filled evening of entertainment at the Longlands Hotel,
Carnforth. It includes charity auction, live music from Tears of the Dead, and a variety of
burgers will be served. Tickets are £15 each and can be bought from Ward 23 or the
Charity Office at the RLI. You can also now get raffle tickets for the event from Ward 23.
Issue 462 16 February 2016
What does Governance mean to you?
All staff should be familiar with Governance in their role such as incident reporting,
investigations, audits, risk registers etc. We have devised a simple reporting framework to
ensure we gather and report all Divisional information in a consistent and clear way, we
call it WESEE (Workforce, Efficiency, Safety, Experience, Effectiveness). WESEE reports
should be shared with staff at ward, departmental and Divisional meetings together with Divisional and
Organisational Learning to Improve Bulletins.
We would like to invite all staff and especially our medical colleagues to complete a short survey, The purpose is
to find out how effective communication about governance issues are throughout the Trust. This is your
opportunity to make suggestions to help improve the sharing of governance related information within and beyond
your department. You can complete the survey here https://www.surveymonkey.co.uk/r/GOVERNANCE02
Job of the Week
We are recruiting an experienced children’s
nurse for the FGH site with excellent,
demonstrable leadership skills who can delegate effectively, and also work well as part of a multi-disciplinary
team. The post holder will be expected to work predominately Monday to Friday in an 80-20% supervisory
capacity. They will have 24 hour responsibility with support from a new management structure providing seven
day support from senior nurses.
Anyone newly appointed to the trust will be subject to the completion of a satisfactory six month probationary
period (this includes bank staff). This will give the new staff member an opportunity to become familiar with the
role and working environment.
We have recently rolled out E-Rostering which offers many benefits to our employees and allows a more
accessible Off Duty, easier requests system, making annual leave requests from the comfort of your own home.
There will be an opportunity on the interview day to have a look around the units and we would encourage and
welcome you to come and have a look beforehand. For further information, please contact Heather Wood, Matron
on 07775 560819.
Book your place now!
Don’t forget that you can now book your place on our Big Conversation
focusing on the NHS Staff Survey results, taking place on Tuesday 1
March at 9.30am. This is a fantastic opportunity to really get involved in
some of the big pieces of work we do each year to improve your
experience of working here. You’ve given us your feedback through the
National NHS Staff Survey so why not now help us by telling us how we
can improve.
We are also still looking for expressions of interest from staff who
want to be part of our Wave 4 Schemes. If you have an idea on how
we can make further improvements at our Trust, get in touch on
[email protected] and we’ll send you a form. The deadline is Friday 4 March 2016.
For more information, please contact Siobhan McCubbin on [email protected] or 01524 512179. More
Big Conversation and other LiA dates are coming up over the next few weeks so watch this space!
Issue 462 16 February 2016
Keeping up to date with AKI
Both Acute Kidney Injury (AKI) practice educators
are continuing to train ward staff using new fluid
balance charts at FGH and RLI. Thank you to
those areas we have covered already for your time
and patience during training. There is now an alert
on Lorenzo for AKI within blood results under
Renal Profile, please look out for this when
reviewing blood results.
If a patient has an AKI alert please ensure you use
the kidney symbol available on the whiteboard to ensure everyone knows they need that little extra care. There is
also a new AKI care bundle to use – anyone who has been alerted with AKI will need one. This is a team
approach to AKI management where doctors, nurses and clinical support workers amongst others can all
contribute! Any patient with an AKI during admission will need specific information included in their discharge
summary. A prompt will appear on Lorenzo to remind you to complete the ‘AKI Discharge Plan’ (see above).
Sepsis kills 44,000 people every year in the UK
As part of our campaign to improve care for sepsis patients, we are
participating in the national sepsis CQUIN for 2015/ 2016 (Commissioning for
Quality and Innovation Payment Framework). This audits our compliance against
the following parameters:
 Screening of all emergency admissions for sepsis using the
sepsis screening tool,
 Administration of antibiotics within the hour for severe sepsis
Whilst we have increased our screening rates from 22% in quarter 1 (April, May
and June) to 51% in December, our average score for
quarter 3 (October, November and December) was 46.9%, just missing the target
of 50%.
Our compliance with antibiotic administration has increased from 55.6% in July to
72.7% in December, our average score for quarter 3 was 66.7%, just missing the
target of 70%.
The target for quarter 4 (January, February and March) is 90% for both screening and antibiotic administration.
This is a national Quality of Care target which as Trust we are failing to meet. What can we do?
 Use the Trust Sepsis Care Pathway and apply the Sepsis 6 interventions
 Attend training … look out for dates for training
… Think Sepsis, Save Lives drop in sessions:Monday 22 February (Drop in 11.00 – 14.00) Skylight Restaurant RLI
Monday 29 February (Drop in 12.00 – 14.00) Conference Room FGH
For further information, or to request training, please contact Amanda Harvey FGH at
[email protected] or Rebecca McLaughlin RLI at [email protected]. Both Practice
Educators for Sepsis and Acute Kidney Injury.
Issue 462 16 February 2016
BCT staff expo - come along!
It has been a year now since we launched
Better Care Together, and in this time we
have seen some real progress in improving
care for our patients, ranging from
Telehealth developments in Millom, through
to self-care initiatives in Garstang. Not only
that, our plans received national recognition
last year with Better Care Together being
awarded Vanguard status.
Date
Location
Tuesday 5 April
Thursday 7 April
Friday 8 April
Tuesday 12 April
Wednesday 13 April
Friday 15 April
Monday 18 April
Tuesday 19 April
Friday 22 April
Tuesday 26 April
Thursday 28 April
Friday 29 April
Lancaster, University
Carnforth, The Heritage Centre
Ulverston, Coronation Hall
Millom, Network Centre
Kendal, Town Hall
Grange over Sands, the Grange Hotel
Kirkby Lonsdale, Lunesdale Hall
Morecambe The Platform
Barrow, Forum 28
Garstang, Wyrebank
Lancaster, University of Cumbria
Barrow Forum 28th
We are planning a “staff roadshow”, visiting
11 different locations across north
Lancashire and south Cumbria in April to
help celebrate some of the successes of
Better Care Together, share our future
plans with you, find out what support you
need and answer your questions. All staff from all the eleven partner organisations across primary, secondary
and community care and county council colleagues, are welcome to attend any of the sessions.
Sessions will run on each of the days mentioned below both in the morning (8.30am to 11am, and between
2.30pm and 5pm) and refreshments will be provided. Please book a date in and join us by emailing
[email protected] with your name, job title, organisation and which session and venue.
You said, We did...LiA feedback!
At the recent LiA Big Conversation about Health and Wellbeing, a question
was raised about the need for assessments for staff using Display Screen
Equipment (DSE) workstations and one of our Health and Safety Reps
committed to taking the question forward. It was clear that not everyone
knows about the policy and that DSE assessments are mandatory for
anyone habitually using a PC, laptop or other DSE. So we put the DSE
policy “on a page” to explain in quick and easy terms what’s required.
This page will now sit at the beginning of the DSE Policy on the Procedural Documents library or by clicking here
and also as an associated document on the library so it can be printed off and kept handy in the workplace. We
hope you find it useful along with the other Policies on a Page the we have developed so far: Driving at work,
Control of Contractors, RIDDOR, Manual Handling Training, Patient Handling and Ligature Management. Watch
out for COSHH and security policies coming shortly.
CLIC Clinical Skills Training - new workshops now available
This training is open to Registered Nurses from all sectors in
Acute Pain Management
Cumbria and will develop, support and update nurses with skills and
8 March | 9:00am – 1pm | Penrith
knowledge in Pain Management. The workshops are being
delivered by Dr Annie Slaymaker and Mandy Lloyd. For further
15 March | 9:00am – 1pm | Whitehaven
information please visit the CLIC website www.theclic.org.uk.
24 March | 9:00am – 1pm | Ulverston
Booking can be made online at
www.theclic.org.uk/education-and-learning/clinical-skills-programme/events
Issue 462 16 February 2016
Trainer Recognition and Approval – are you ready for July 2016?
Meeting the GMC standards and Health Education England requirements: To be fully recognised as a
‘Named’ Clinical or Educational Supervisor, trainers are required to document evidence from the domains, to
demonstrate their engagement in educational activity.
Gaining provisional and full recognition:
 Individuals who are listed on the HENW Trainer
database as ‘Trained’ CS or ES will be provisionally
recognised.
 To become fully recognised by July 2016 and to
retain recognition thereafter each ‘trainer’ will need
to have an annual appraisal which includes
evidence of Educational CPD. This would be
demonstrated by providing one piece of evidence covering domain 7 (CPD) per annum, with 3 separate types
of evidence in any 5 year period
 Anyone not on the HENW trainer database and new Consultants/Trainers will need to attend a taught
course that is externally accredited e.g. by Academy of Medical Educators, a Royal College or HEI to prepare
them for the supervisor role.
 In addition new trainers will need to provide a minimum of 1 piece of evidence from each of domains 1 – 4 for
CS and 1 – 6 for ES to become fully recognised.
 To retain recognition trainers are required to undergo annual appraisal which includes evidence of
educational CPD. This would be demonstrated by one piece of evidence covering domain 7 (CPD) per annum,
with 3 separate types of evidence in any 5 year period.
For any queries, please contact a member of the Postgraduate Medical Education Team on ext 46013 (RLI) or ext
43648 (FGH).
Help with the quality and speed of your mail processing
We often receive complaints that our outgoing mail is delayed resulting in missed appointments. Invariably any
delays are caused by letters that are not folded correctly so the address fits in the window of the envelope, or
where Post Codes are missed off altogether. There are some very basic steps which can minimise delays, save
us money and most importantly ensure patients receive their appointment notifications in good time: All letters and/or envelopes MUST be printed
 Hand Written Mail will NOT be processed and will be returned to the Ward/
Department
 All letters MUST have a fully visible Post Code under the last line of the postal address
 There should only be a legible address showing. If the letter is in a window envelope any words/phrases such
as ‘Dear John’ or ‘Private and Confidential’ must not be visible.
 Do NOT use sticky tape to seal envelopes. This fouls up the franking machinery.
Our postal contractor has provided us with basic information on letter processing, which can be read on the communications page of the intranet or by clicking here. For any further guidance or help, please contact your local
Facilities Manager in Patient Environment Services or General Office.
Issue 462 16 February 2016
Health and Safety: making it simple but doing it well!
Last year, the Health and Safety Team held a series of ‘mini’ Big Conversations with a large number of nursing
colleagues at their Study Days. The energy and engagement was incredible and the outcomes will result in
improvements for all colleagues. As a result ,Health and Safety have produced an improvement plan for 2016.
Health and Safety Documentation’ - you said:
‘
 Simple, essential paperwork that makes a difference
 No repetition of risk assessments
 No duplication of care plans and notes
What we are doing:
 Over the next 12 months, Health and Safety will be redesigning how the Trust
manages risk assessments. Our intention is to continue to use a centralised risk
assessment database similar to the COSHH Inventory, for all types of risk assessments
 E-care plans are currently being implemented and this too will remove duplication
and repetition and maintain quality
‘Support from others’ - you said:
 More visibility of H&S team on ward
 Security support always available immediately
What we are doing:
 The Health and Safety Team is providing managers support visits for all ward and Department Managers to
give detailed and tailored support to each Manager. Book these through Alex Rutlidge on ext 45260
 Health and Safety staff are now part of the RAISE and CQR teams for the coming year
 A second Security provider is being sourced to provide Security cover when Lingwood’s are unable to meet
demand
 Most importantly - If you need us, please call us!
Respiratory masks provision - important information
Recently, there has been some confusion regarding respiratory mask provision and we have now agreed with
stores a new system whereby we will guarantee access to masks and maintain a single central stock which we will
then re-stock through a cross charge provision to ward/clinical area budgets. From this, please ask the person
responsible for ordering masks to contact the stores team on their respective site and call off masks from the
central stock, they will need to provide the ward/clinical area budget code.
On the back of this we now have over 120 trained mask fit testers across the Trust. Stuart Hosking-Durn is now in
possession of ten new testing kits and a large stock of test solutions, so he can now equip local teams to test their
own staff. If you would like to get one of these kits for you areas please contact Stuart on 07887 833420. There is
some useful information and videos on how to fit masks on the below links:
https://www.youtube.com/watch?v=-5zbj3_ezqE
https://www.youtube.com/watch?v=cF4fPeHzDfY
https://www.youtube.com/watch?v=9Rjo117NdSo
http://solutions.3m.co.uk/wps/portal/3M/en_GB/PPE_SafetySolutions_EU/Safety/Resources/RespiratorFitTesting/