JULY 2015 about integrated healthcare Miles of Smiles Supporting National Smile Month see page 6 DIABETES WEEK THINK FAMILY TOWPATH VOLUNTEERING DEAF AWARENESS WEEK NEW LEAF MESSAGE This month sees the Trust hold its Annual General Meeting and Annual Members’ Meeting, on Friday 24 July at the East Midlands Conference Centre in Nottingham from 11am to 3pm. The theme for the day is ‘A Year of Change’ – reflecting on the significant changes that have taken place at the Trust over the past year and what they mean for the future of the organisation, including becoming authorised as a Foundation Trust and the appointment of a new Chief Executive. Teams from across all Trust services will be joined by our partner organisations in the event’s interactive exhibition to showcase how they have developed and changed. They will be demonstrating examples of Supporting mental health awareness at HMP North Sea Camp FROM THE BOARD excellence and good practice which have improved quality and efficiency, leading to benefits for service users, patients, carers and staff. The formal meeting will include a review of the past year at the Trust and look ahead to our plans for the future. If you would like to come along, there is still time to register – visit www.nottshealthcareagm2015.co.uk or call 0115 993 4567 before 15 July. This will be my first Nottinghamshire Healthcare AGM and AMM, so I am looking forward to what I have been told is always a really interesting day with people who are passionate about providing high quality healthcare. My first few months with the Trust have been a really busy time and I would like to say thank you to The Mental Health Team at HMP North Sea Camp supported the Mental Health Foundation’s annual health and wellbeing awareness campaign this May with a promotional event within the prison. Prisoners were given the opportunity to meet in-house services that provide support and treatment, including the Integrated Mental Health Team, Age UK, Addaction, and the Listeners. everyone who has made me feel so welcome and supported me as I have settled in. I look forward to meeting more of you on the 24th and over the coming months. Simon Crowther, Executive Director of Finance The event also featured Nottingham City Let’s Talk – Wellbeing and steps2change Lincolnshire, which both provide a range of therapies in the community for people experiencing common difficulties such as feeling low, anxious or stressed. The aim was to raise awareness of mental health problems and break down the stigma that exists within the prison. It was encouraging that the day was so well attended by both prisoners and staff. A prize draw was organised, with the prisoners being asked: “On 23 May 2014, the prison population in England and Wales was 84,305. According to the Mental Health Foundation, how many of those prisoners had a mental health problem?” Throughout the day 57 prisoners entered the draw and there was lots of debate over the question. The answer was later revealed as 75,875 – equivalent to nine out of 10. New Diabetes programme launched during Diabetes Week County Health Partnerships’ (CHP) Nutrition and Dietetics Department launched a new free NHS course for people with Type 2 diabetes during Diabetes Awareness Week in June. The DESMOND (Diabetes Education and Self-Management for Ongoing and Newly Diagnosed) programme is a six-hour course designed to help people gain an understanding of the condition and provide practical skills to manage it effectively. The first of 70 sessions started in June and will be available to people with Type 2 Diabetes living in Mansfield, Ashfield, Newark and Sherwood. with the right knowledge and education these risks can be minimised. “The DESMOND programme is about changing people’s lifestyles so that they can manage their diabetes. We want to inform people so they can make their own choices. There are misunderstandings about diabetes and some people don’t realise the seriousness of the condition.” Each course is delivered by qualified healthcare professionals and delivered in a group to increase Sarah Kostewicz, CHP Diabetes Educator said: “Type 2 diabetes can be devastating if poorly managed with complications including blindness, heart disease and foot amputations. However, 2 Participants attending the DESMOND course. A big thank you goes to Greg Cejer from IMB who donated a box of chocolates as the prize, and congratulations to the winner. Parading with Pride healthcare professional contact time. This also encourages positive interactions between group members. Bernie Stribling, DESMOND National Director, said: “People with diabetes have a demanding condition to manage, yet on average they see a healthcare professional for an hour a year only. “Structured education programmes are a proven method to enable supported selfcare in diabetes. Based on a solid bed of evidence, DESMOND provides a blueprint to maximise the precious contact time between a healthcare professional and l-r Rachael McKown, Laura Simms and Sarah Priestley Left: Hayley Spencer, Specialist Diabetes Dietitian and Anna Clark, Advanced Specialist Diabetes Dietitian at Kings Mill Hospital, raising awareness during Diabetes Week their patient – ensuring the person can leave with an agreed set of goals addressing their needs based on their latest test results.” If you are interested in attending this course please contact your GP or health professional. Further information on the DESMOND programme can be found at www. desmond-project.org.uk Providing more education and awareness to help people remain healthy and prevent ill health is part of a new Self-Care Strategy within ‘Better Together’; a health and social care transformation programme across Mansfield, Ashfield, Newark and Sherwood. For more information on Better Together and the Self-Care Strategy visit www. bettertogethermidnotts.nhs.uk In January we achieved the accolade of Number One Employer in Stonewall’s Workplace Equality Index. This was a huge achievement which gave recognition to the fact that we strive to promote, create and provide a working environment in which LGBT staff, the people who use our services and their carers can be themselves if they choose to be. The annual Nottinghamshire Pride Festival and Parade takes place on Saturday 25 July this year. As in previous years, we are going to take part in the march and have a Trust stand which will showcase our work and our support for the LGBT community. This year it would be fantastic if we could have an even greater presence on the day, and so are inviting all staff to join us on the march, which will leave Castle Gate at 11.30am, and to be involved in our stand, from 12pm, if you can. To join us and show your support, please email [email protected] For more information about Pride please visit www.nottinghamshirepride.co.uk Positive July 2015 3 Staff from left, Marion Peet, Receptionist; Cathy Mitchell, HCA; and Rachel McVeigh and Tanya Palmer, Staff Nurses Celebrating special memories through cognitive stimulation therapy In May, staff at the Lawrence Day Services in Mansfield and Ashfield, held a tea party reminiscence session for their clients, themed around childhood memories and the 1940s. The event was timed to coincide with the 70th anniversary of VE Day and to promote Dementia Awareness week. Staff dressed in 1940s’ style and served up a cream tea, using a china tea service. The day room was also decorated with vintage bunting, corner shop memorabilia and various posters. “The clients enjoyed the morning, sharing precious memories of their own childhood and that of their children,” said Jane Norwood, Day Services Manager. “We played some forties music and the clients had a ‘sing along’, which linked in with ‘singing for the brain’. During the event, everyone benefited from the stimulation of the music and the visual effects, all focusing on the long term memory and making them feel good about themselves. “Feedback from the clients was that they thought the morning had been a lovely experience and it had brought back so many happy memories. They thanked all the staff for the effort that they put in to make the morning so special.” For further information about cognitive stimulation therapy, contact Jane Norwood, Day Services Manager on [email protected] or call 0115 956 0857. Raising awareness (and funds) for dementia care The Rapid Response Liaison Psychiatry (RRLP) team held an information stand at King’s Mill Hospital to mark Dementia Awareness Week in May. In addition to the information they provided about RRLP and dementia, they ran a cake stall and raised £279.69 for the dementia care appeal at King’s Mill. From left, Rebecca Saunders, Clinical Team Leader; Carla Hanson, Liaison Nurse and Jo Jordan, Assistant Practitioner All funds are going to Ward 52, Medical and Mental Health Unit to make environmental improvements for dementia patients. 4 Positive July 2015 5 Teams get together to mark International Nurses’ Day Celebrating International Nurses’ Day The five integrated care teams across Mansfield and Ashfield came together in May to mark International Nurses’ Day with a ‘Great British Nurses’ Day Bake Off’ competition at Ashfield Health Village. Above: Ibtisam Salim and son Muhammad Noor Right: From left, team members Rebecca SoongTowell, Julia Wilkinson, and Justine Halls Staff baked a variety of cakes with a nursing theme (some more gruesome than others!), with names including The Bristol Stool Chart, All You Need is a Nurse, and The 6 Cs. Paul Smeeton, Chief Operating Executive had the ‘arduous’ task of sampling and judging all the entries, with first prize going to Leah Hall, Community Staff Nurse (pictured). Deb O’Brien, District Nurse, said: “It was really nice to see staff coming together and taking time out as a team to enjoy a light-hearted cake competition, but not forgetting the importance of recognising all the hard work we do day-to-day as a team.” Baking prize winner Leah Hall with judge Paul Smeeton H2O is the way to go! The Trust’s Oral Health Promotion Team supported National Smile Month (18 May to 18 June). Working with local dental practices and schools they promoted the importance of looking after ‘small smiles’ through the ‘H2O is the way to go!’ campaign. The Tooth Fairies from the oral health team reached out to over 1,500 children and their parents at local schools, to encourage drinking water instead of sugary options to help protect those ‘small smiles’. The children were given colourful water bottles, toothbrushes and toothbrushing charts to keep them motivated over the summer. Julia Wilkinson, Head of Oral Health Promotion said: “We are really pleased with the number of schools that wanted to take part in ‘H2O is the way to go!’ By working together with schools and families we can help stamp out bad habits and improve the smiles of our children.” Dental practices also encouraged their younger patients to complete fun and educational activities 6 to highlight the importance of looking after smiles through good oral hygiene and swapping sugary drinks for water. “We’re starting a sugar campaign now at the practice, and we’re looking forward to it,” said Sian Fisher, dental nurse from the Plains Dental Practice. Chief Executive of the British Dental Health Foundation, Dr Nigel Carter OBE said: “I’m delighted that the Nottingham Tooth Fairies have joined the thousands of organisations in engaging with National Smile Month. It is a great reflection of local community spirit and an excellent way to promote good oral health. “By making an event as fun and imaginative as possible, we hope it will inspire more people than ever before to join in the fun while delivering the British Dental Health Foundation’s three key messages for good oral health: brush for two minutes twice a day with a fluoride toothpaste, cut down on how often you have sugary foods and drinks, and visit the dentist regularly, as often as they recommend.” For more information please visit www.smilemonth.org and www.nottinghamoralhealth.com Children and families at the session at Richard Bonington Primary & Nursery School Positive July 2015 7 MIND sales at Arnold Lodge benefit both patients and the charity The Therapy Services department at Arnold Lodge set a new ‘personal best’ in April with its most successful MIND sale to date, raising an amazing £351.50 for the charity. For the last three years, staff from the MIND shop have held a sale within Arnold Lodge, offering discounted clothing and other ‘nearly new’ items to patients who, at the time, do not have any Section 17 leave into the community. The sales are especially important to the patients who are on a lower income and struggle to afford to buy clothing from catalogues. They have become a highlight in the patients’ calendars as they are also a social event where they can interact and browse through the items, bringing a level of normality to their lives. The sales were initially planned for once a year, but are now held more frequently as it was immediately obvious that the concept was hugely popular. This year Therapy Services will be hosting three sales to meet demand from the patients. The manager and staff of the local MIND shop say they love attending these sales because of the atmosphere generated when the patients start shopping. “We weren’t sure what to expect but have grown to love these sales and chatting with the patients,” said Georgina, Manager of the MIND Shop. Arnold Lodge Therapy Services has been working closely with MIND for many years and have developed a fantastic working relationship. The Workskills programme has arranged over 25 placements for patients to gain vital work experience within the local shop across the whole range of roles, from sorting the items to working on the till and serving the public. What patients say about the sales: “I found it positive for me because of the amount of items on sale.” “It was awesome.” “Very reasonably priced items, which was brilliant for me because I’m on hospital money.” “It was nice to be able to actually shop for clothes and not have to browse through catalogues.” “I found the shopping experience therapeutic.” “I really enjoyed buying presents to send out to my family.” “It felt good to support a worthwhile cause like MIND who work hard to support people with mental illness.” “The staff from the MIND shop were really nice, I enjoyed chatting with them and they seemed to enjoy being in the unit.” Have Your Say The Trust is currently asking for people’s views on some proposed changes within mental health services in the City and County. Within Adult Mental Health Services, we are proposing to close two rehabilitation units; Heather Close in Mansfield and Broomhill House in Gedling. A further Community Rehabilitation Team serving the Mansfield and Ashfield area will be created and the successfully developed Community Rehabilitation Team serving residents of the City and South County of Nottinghamshire will be expanded. These developments will allow more people to be supported to meet their rehabilitation need in their own homes, optimising recovery in the home environment. To have your say on these proposals and find out more visit www.nottinghamshirehealthcare.nhs.uk/haveyoursay or contact the Trust for a hard copy of the proposal document at [email protected] or write to The Communications Team, Nottinghamshire Healthcare NHS Foundation Trust, FREEPOST MID30082, Nottingham, NG3 6ZX. Public meetings will be held on: • 16 July, 10.00am – 12.00pm at The Towers, Botany Avenue, Mansfield, Nottingham, NG18 5NG • 17 July 10.00am – 12.00pm at St Georges Centre, 91 Victoria Road, Netherfield, Nottingham NG4 2NN. The deadline for comments is 28 July 2015. 8 Making our healthcare services sustainable There is considerable debate about what being sustainable means and how this relates to healthcare and the services we provide as a Trust. Health professionals now recognise how critical the environment is to our health, with climate change being described as “the biggest threat to global health in the 21st century.” By ensuring that sustainability is at the heart of our service and decision making, we can minimise environmental impacts and enhance the health of both individuals and their communities. It is important to safeguard the environment, so that we have a healthy and sustainable world to live in. The Trust is also proposing changes to Child and Adolescent Mental Health Services (CAMHS) and Perinatal Mental Health Services. With the aim of creating a ‘hub’ for children, young people and families, we are considering moving the Adolescent Unit (creating more beds) and CAMHS community services along with the Mother & Baby Unit and outpatient facilities for Perinatal Services, to a vacant site on Mansfield Road currently known as The Cedars Rehab Unit, Foster Drive. The proposal requires a significant investment, and will be presented to the Trust Board for approval in September 2015. The feedback we receive will form part of this presentation. There are a number of ways you can find out more and let us know what you think: Come to one of our public meetings: • Wednesday 1 July 2015, 7.00pm – 8.30pm at Sherwood URC Community Hall, 1 Edwards Lane, Nottingham, NG5 3AA. • Tuesday 28 July 2015, 5.15pm – 6.45pm at Central Library, Angel Row, Nottingham, NG1 6HP. Find out more and have your say online: www.nottinghamshirehealthcare.nhs.uk/haveyoursay, complete our survey at www.surveymonkey.com/ithinkCYPeri or contact [email protected] or telephone 0115 854 2283. You can also let us know your thoughts on Twitter: #ithinkCYPeri Please submit your feedback by 7 September 2015. Sustainable Action Planning (SAP), a programme run by the Centre for Sustainable Healthcare, provides a framework for clinical teams to take localised action, helping them become more sustainable. It involves asking questions such as ‘What issues are most important to our team and our patients? What are our biggest environmental impacts? What can we influence?’ The Trust’s Environmental Team is keen to explore the SAP programme and is looking for willing clinical teams to get involved. If you are interested, please contact the team at [email protected]. Further information about SAP is available at www.sap.sustainablehealthcare.org.uk. Sustainable Care month July is Sustainable Care month at the Trust, and the Environmental Team is putting together a resources page on the intranet to encourage idea sharing between Patient Green Groups. Do you know of a patient group at your site who may have ideas to share, or who may benefit from this resource? We are looking for session plans, ‘how to’ guides, quizzes, workshops and other activities with an environmental focus. Get in touch with the Environmental Team or visit the ‘Environmental Issues’ pages of the Intranet to find out more. Interested in environmental issues? Why not become a Green Champion and join a growing network of likeminded individuals across the Trust who are working together to make environmental improvements. Email [email protected] Positive July 2015 9 Are you Care Act aware? The Care Act 2014 came into force on 1 April 2015, introducing a new legal framework for meeting an adult’s care and support needs, together with those of their carers. Partner agencies have a legal duty to work closely together to ensure that care and support services are delivered in a co-ordinated manner. The Act requires professionals to think about each adult as an individual and to promote their wellbeing and independence. All decisions made by professionals must be person-led and outcome-focused with the needs, wishes and feelings of the adult kept at the centre of the assessment and decision making process. The Act also introduces statutory duties in relation to the safeguarding of adults at risk of abuse or neglect, including a revision of the categories of abuse. These include the new categories of modern slavery, domestic violence and self-neglect. Professionals must ensure that safeguarding is made personal to Members of the Safeguarding team Think Family for safeguarding Nottinghamshire Healthcare marked United Nations’ International Families Day on 15 May by celebrating the launch of the new Trustwide Think Family safeguarding strategy. A special Think Family flag was raised at Duncan Macmillan House by Simon Smith, Executive Director for Local Services, followed by a special outdoor Think Family roadshow. Simon spoke of our staff’s positive work in supporting children and adults and their families and how the Think Family strategy seeks to secure better outcomes by co-ordinating the support provided. The event was well attended by colleagues from across the Trust and partner agencies. Amanda Clayton, Chair of the Think Family subgroup said: “It was 10 Feedback on Think Family roadshows: “It was an interesting, eye catching display.” encouraging to see so many people take time out of their busy schedules to attend this event. The Think Family subgroup will continue to work over the next 12 months to ensure this remains a priority for all staff.” “You need to get this information out to all staff.” The Trust will focus on ensuring the strategy is embedded across all services over the next year. Julie Gardner, Associate Director for Safeguarding and Social Care, added: “The Think Family launch is very timely with the commencement of the Care Act in April and we now have a great opportunity to secure safeguarding across the Trust through the Think Family strategy.” “You need to make sure that each and every staff member ‘thinks family’.” Look out for a roadshow near you, or if you would like to arrange a roadshow for your service area, contact John Stocks on [email protected]. “Very impressed with the structure and content of the information provided.” “The handouts are very useful.” the adult concerned and that they are supported as far as possible to make their own choices and retain control of how they wish to live. All safeguarding activity should be underpinned by the six key principles set out in the Act: empowerment, prevention, proportionality, protection, partnership and accountability. The Act has also created a new role of Designated Adults Safeguarding Manager (DASM) to whom allegations against staff concerning adults should be reported. The Trust’s DASM is Julie Gardner, Associate Director for Safeguarding and Social Care. You can find out more on the Social Care Institute for Excellence (SCIE) website at www.scie.org.uk or by emailing your Safeguarding Lead: • Local Services – Rosie Roosevelt on [email protected] • Health Partnerships – Carol Williams on [email protected] • Forensic Services – Amanda Clayton on [email protected]. Simon Smith at the Think Family event Updating our systems to support better quality care A great achievement for Natalie As part of the continuous service improvement activities within the Trust and particularly the ongoing Electronic Patient Record (EPR) programme, the Trust’s Mental Health information system (RiO) is being upgraded to a new version. Natalie has worked at Lings Bar Hospital for more than five years, after starting as a Band 2 Healthcare Assistant. In 2014 she was appointed to a Band 3 Senior Healthcare Assistant post on Forest Ward where she has flourished, assisting the staff nurses by taking on responsibility for wound care, continence care, and infection control. The expected benefits of this update include the potential to foster patient participation and lead to better quality care. Plans are being made to start the implementation with Local Services and Low Secure and Community Forensic Services, with Medium and High Forensic Services following some time afterwards. The upgrade will allow staff to update RiO records away from the office, as well as improving the system navigation and enabling a pilot of e-prescribing. For further information contact Edi Herridge, HIS Projects and Communications Manager on 0115 969 1300 ext 14782. Well done and good luck to Natalie Griffiths, who has been successfully selected for Open University undergraduate nurse training. “Natalie was one of only three people in the Midlands to be allocated a place on the Open University course,” said Angela Gamble, Deputy Ward Manager. “We are all delighted for her as she has worked hard, has high standards with patients and their care, and has strived to be the best she can be.” Positive July 2015 11 Arnold Lodge makes a difference through towpath volunteering As a volunteer with the Canal and River Trust, Richard Eltringham, Occupational Therapy Assistant Practitioner for Horticulture, wanted to share this valuable experience with the patients of Arnold Lodge. His decision was inspired by the benefits of volunteering. He said: “Research suggests that volunteers are not just concerned about the environment, but seek out personal benefit from working outdoors such as meeting new people, learning new skills, and improving their health and wellbeing. “This type of volunteering is also a form of pro-social behaviour that involves giving something back to society.” Working alongside colleague Tom McDade and Tom Freeland, Canal and River Trust Volunteer Coordinator, Richard started up a new patient group. Keen to get going, the patients started off by scraping and painting lock gate number 48 of the Grand Union Canal at Cossington Mill, Leicestershire. Painting stopped to help raise the paddles and open the lock gates for the occasional passing boats. “We aim to continue providing volunteering opportunities with the Canal and River Trust for those patients with community leave,” said Tom McDade. “We will also look at developing opportunities for those patients without leave by making components in the workshop to help keep the canal and rivers accessible to all.” Top: Towpath volunteers out for lunch Above: The Lock Keeper Right: Synchronised painting 12 Feedback from the patients included: “It felt so good to be given the trust and responsibility. I did not want to leave because I was having so much fun. I would advise other patients to go as it is so beneficial.” “It was good.” “I found being by the canal a relaxing experience. It was nice and peaceful.” “A sense of normality, fresh air, working with other people.” Developing our future leaders This month we meet Sue Christian, the sixth of twelve staff from across the Trust who we’re introducing in Positive as they transition from being Led to being Leaders, through our yearlong leadership development programme. I started working for the Trust in 1993 as Day Care Officer within Mansfield Day Services working with Adults with Learning Disabilities. In 2002, I joined the recruitment team at The Forest in Mansfield. Seven years later the Forensic recruitment team moved to Rampton Hospital and joined the Human Resources Team. I gained an insight to what happens in the HR world. It was totally different to recruitment and I found myself becoming more curious about this type of work. In 2010 I was given the opportunity to act in to an HR Advisor role. The knowledge and experience I gained during this period was beneficial to me as when the post become vacant, I applied and was successful. I was then given the opportunity to do my CIPD qualification. Without the continuing support from my colleagues and managers I may not be where I am today. When the Led to Lead programme was advertised, I thought it could give me an opportunity to learn more about the Trust, who makes the decisions and how they are made and also give me a greater knowledge of leadership. The members of the group meet regularly and share ideas and successes we have in our work. We have met with some Trust Executives who have given us an insight into their working lives and Sue Christian how they have progressed through their careers. We attend the monthly Executive Leadership Council, where we are able to meet a variety of people, who we perhaps may have heard of but never met or seen. We have mentoring sessions which are really useful. I was a little nervous about this part of the programme to begin with, but my mentor Terry Dean, Head of Facilities in Local Services, put me at ease straight away. I am hoping this journey I have been on so far can continue and I would recommend this programme to anyone who wants to progress in their working lives. The new people I have met during this programme have been a great help. It’s given me the courage to go outside of my comfort zone and to volunteer to be in the thick of things, instead of sitting on the side lines and with a great team behind me, I know I can achieve anything I can put my mind to. Sue Christian, HR Advisor Positive July 2015 13 Michelle Bateman, Associate Director Nursing, Quality and Patient Experience (centre) with members of the team Professor Martin Orrell Focusing on research and innovation The Trust’s Executive Leadership Council (ELC) meeting in May focused on research and innovation and its influence on changing services to ultimately bring benefits to patients and service users. Professor Martin Orrell, Director of the Institute of Mental Health (IMH), a partnership between the Trust and the University of Nottingham, was the guest speaker on the day and presented his vision for the future. Julie Hankin, Executive Medical Director said: “The research agenda is one of the four priorities articulated by Chief Executive Ruth Hawkins, and is one of the priority objectives that I am leading and supporting for the Trust this year. “We used the ELC as an opportunity to see the scope of some of the 14 Trust’s research and innovation and I want to express my thanks to the ten presenting teams, and their ELC member sponsors.” The event included a ‘carousel’ of stands from various teams, with information on research projects from across the Trust. These covered areas including Gender Dysphoria, psycho education for bi-polar disorder, spiritual and pastoral care, trauma in personality disorder, dialectical behaviour therapy, speech and language therapy and integrating research and clinical practice. Feedback from the Council members included; “it was an energising event that demonstrated how to put research into practice” and “it was thought provoking, and wonderful to hear about several of the very exciting research projects – especially those that used frontline staff and effected real change for patients.” National recognition for pressure ulcer work Congratulations go to the Trust’s Tissue Viability team, which has been shortlisted for a national Patient Safety Award, in the Patient Safety in Care of Older People category. pressure relieving equipment, to care home managers responsible for the quality of care. It includes a workbook, DVD and competency tool for staff to work through at their own pace. The team has been recognised for its work to reduce pressure ulcer development in vulnerable care home residents across the County and Bassetlaw, after it developed a new training package in response to the needs of care home staff. The launch in August 2014 in Bassetlaw was accompanied by a drive to strengthen the existing tissue viability link champion network, to build on relationships between homes and the tissue viability team, share good practice across homes and encourage local engagement and ownership. The new package has been designed for all staff – from carers, cooks and general maintenance staff responsible for setting up and checking “Research suggests that around 60 per cent of care home residents are at risk of developing pressure ulcers and the majority are thought to be avoidable if the correct preventative strategies are in place,” said Karen McEwan, Quality Improvement Matron. tests when identifying any skin redness, and can recognise those residents at risk and ensure appropriate interventions are in place to reduce those risks. “The impact of a pressure ulcer on an individual can be severe and particularly for those who are already frail and vulnerable. This includes reduced quality of life such as pain, social isolation, loss of self-esteem and could ultimately lead to death. “There is also consistent evidence that pressure relieving equipment is being set correctly, correct products are used, with greater confidence from staff and pride from the homes themselves who report greater job satisfaction.” “One hundred per cent of the care home staff assessed have passed the competency assessment. Now they are consistently able to initiate and demonstrate blanch The awards will be presented on 6 July at the ICC in Birmingham – look out on www.patientsafetycongress. co.uk for details of the winners. Positive July 2015 15 below and bottom – Staff at the BSL taster event Self-management course to help with fatigue A self-management resource for people with ME, sometimes known as Chronic Fatigue Syndrome, and Fibromyalgia, has been developed as a result of Health Partnerships’ work with an ME support group. Deaf service users and their carers at the Rosewood Centre ‘Pacing’ is a self-management five week course. It is aimed at helping people with fatigue, a common symptom of ME and Fibromyalgia, pace themselves in order to manage episodes effectively and recognise signs that pre-empt a relapse. The course was developed by the Trust’s Self Care Development Manager, Dawn Anderson, and a ME/ Fibromyalgia group in Mansfield. The first delivery of the course will start in August in Mansfield. Deaf Awareness Week The Trust was proud to support Deaf Awareness Week in May. This year’s theme, Connect and Communicate, highlighted the benefits of Deaf awareness and emphasised how engagement with local Deaf communities can help to develop an understanding about deafness and how to communicate with Deaf people. Events were held across the Trust to raise awareness of Deaf wellbeing and to help improve our services and engage with our Deaf communities. At Trust headquarters, staff learnt the basics of British Sign Language (BSL) at a taster drop-in session run by Tarnia Lefevre, a CPN assistant from Mental Health Services for Older People. Tarnia has recently been successful in achieving BSL Level 4 - a wonderful 16 accomplishment. Nina Herbert, Receptionist at Duncan Macmillan House who attended the session, said: “I really enjoyed it! I’ve always thought about learning sign language and this was an easy, convenient way to start. I’d definitely like to learn more.” At the Rosewood Centre in Ollerton, Deaf service users and their carers shared their stories of struggles and successes. At the Stonebridge Centre in Nottingham, Emmanuel Chan and Lucy Gilbert from Adult Mental Health Deaf Services, ran a day of events for Deaf people, including a consultation for those from black, minority and ethnic communities and a mindfulness taster session. Catherine Conchar, the Trust’s Head of Equality and Diversity and colleagues also attended a multi-agency partnership information event during the week, held at the Nottinghamshire Deaf Society. Other public sector organisations who attended the event to raise awareness of their services and consult with Deaf people included Nottingham University Hospitals, the NHS Clinical At the multi agency partnership event Commissioning Groups, Nottingham City and Nottinghamshire County Councils, Nottingham City Homes, Nottinghamshire Police, Nottinghamshire Fire and Rescue, East Midlands Ambulance Services and the British Deaf Association. Speaking about the week, Catherine said: “Deaf Awareness Week provides us with a valuable opportunity to focus on Deaf wellbeing, raise staff and service user awareness of the issues faced by Deaf people and to consult with Deaf people on the services we provide. This builds on our existing engagement work with Nottinghamshire’s Deaf Communities and the excellent Deaf Services we provide at the Stonebridge Centre and Rampton Hospital.” An estimated 250,000 people in the UK have ME. Adults and children of all ages can develop the condition, though it is most common in women aged 25-50. As well as fatigue, symptoms can also include joint or muscle pain, flu-like illness, sleep disturbance, brain fog, low mood and digestive problems. Dawn said: “This has been a wonderful opportunity to develop something for patients, by patients, and empower people to manage their conditions effectively. Fatigue is difficult to manage but pacing is an evidence-based tool which can be very effective.” For more information contact Dawn Anderson: Email: [email protected] Telephone: 01623 673 302 The ME / Fibromyalgia group in Mansfield For more information about Deaf Awareness visit www. deafcouncil.org.uk or www.bda.org.uk Positive July 2015 17 Carers, Family and Friends round up News, Updates and Opportunities Carers, Family and Friends’ Conference – valued, recognised and involved as partners in care Tuesday 7 July 2015 – Join us to improve how we involve, support and communicate with carers as well as celebrating achievements and best practice. Keynote speakers: Ruth Hannan, Policy and Development Manager, Carers’ Trust and Ruth Hawkins, Trust Chief Executive – launching the new Trust Carers’ Strategy 2015-18. For more information contact Ryan Knight on ryan.knight@ nottshc.nhs.uk or 0115 969 1300 ext 12484. Focus on Families, Caring for Carers, Supporting the Supporters Friday 9 October 2015, 11am to 3pm: As part of World Mental Health Awareness Week, Rosewood Involvement Centre is holding an event to say thank you to carers, family and friends. Lots of information and advice will be available on services, alongside many ‘looking after me’ activities, hand massage, nail painting, music, mindfulness, story sharing, bingo, and a free raffle. If you fancy a cuppa, the company of supportive people, a laugh and time for you in a friendly, relaxed environment then please join us. For more information contact Nigel Groves on nigel.groves@ nottshc.nhs.uk or 0115 956 0845 ext 14242. Training opportunity Nottingham Recovery College is developing some exciting training specifically for carers, family and friends. Helen Brown, Manager said: “Carers, family and friends are welcome to attend any of our courses on offer in the prospectus, however they have let us know they would like some training targeted at them. We plan to include ‘Navigating the System’, ‘Looking After Me’, and ‘Introduction to Behavioural Family Therapy’, as these are all issues that carers, family and friends regularly say they want more information about.” All the courses are ideas in development at the moment and the College aims to work with partners to design, deliver and evaluate them. Robyn Devine, Peer Support Trainer is leading the work. She said: “We really want to work with carers, family, friends and partners on these exciting developments.” If you are interested in being a member of the co-production groups, please contact Robyn on [email protected] or 0115 956 0827. New team members Alyson Leeks and Sarah Littler recently joined the Family Interventions Team, Adult Mental Health, job-sharing the post of Family Interventions Coordinator. For more information on the team and Behavioural Family Therapy training, contact Lauren Medlam on lauren.medlam@ nottshc.nhs.uk or 01909 502025. New County Carers’ Group Rosewood Involvement Centre is planning to run a County Carers’ Group from the Centre once every three months, in response to regular requests. Carers, family, friends and partners met to talk about what the group could do, how often to meet and what it should be called - still to be decided! The aim is to offer resources, opportunities, support, information and education to all supporters. For more information contact Nigel Groves on nigel. [email protected] or 0115 956 0845 ext 14242, or Amy Simmons on [email protected] or 0772 536 4026. Drop in to Bracken House Bracken House and Heather Close inpatient rehabilitation units in Adult Mental Health have launched a drop-in afternoon, every Thursday from 1-3pm in the Bracken House Visitors’ Room. Angela Purdue, Unit Manager said: “This time is for patients and their carers, family and friends to have a say about care, when management staff will be available.” For more information, email angela. [email protected]. First meeting of a new group The Carers, Family and Friends’ Community of Interest/Strategy Group will meet for the first time on Wednesday 22 July 2015 in the Blue Room, Learning and Development, at Duncan Macmillan House from 2-4pm. This is the new merged group of the Carers, Families and Friends’ Community of Interest (COI) and the Carers Families and Friends’ Strategy Group. There will be more dates to follow if this meeting proves successful. If you’d like to attend, or for further details contact Jane Danforth on [email protected], go to www.twitter.com/ InvolveT1 or follow @involveT1 or @janedanforth Members of Co-Production Group at the Recovery College, working on the ‘introduction to family work’ session. Catherine takes part in the international panel discussions Discussing physiotherapy developments on the international stage Catherine Pope, Clinical Director, Community Specialist Services and Associate Director Allied Health Professionals in Health Partnerships, recently returned from the 17th World Congress of Physical Therapy and General Meeting in Singapore. Catherine is currently the Vice Chair of the Chartered Society of Physiotherapy (CSP) and was representing UK physiotherapy as part of the CSP delegation. The Congress has 120 member organisations, including eight new additions admitted during the meeting. With some countries having less than 20 qualified physiotherapists, the issues and challenges facing each are very different. The UK is the third largest member after Japan and the USA, with over 41,000 qualified members covering 91% of practising physiotherapists. The event featured posters, presentations, panels and debates from physiotherapists across the world. UK physiotherapists had 156 abstracts accepted and are recognised as being at the forefront of many areas of practice such as self-referral and independent prescribing. There was also significant interest in the CSP’s work on economic modelling, particularly the falls prevention tool which shows that for every £1 invested in physiotherapy, £1.50 can be saved across the whole falls pathway. “I took part in an international panel debating how to address workforce issues, which vary considerably across the world – but which often impact on each other,” said Catherine. “It is ironic that we are talking about safe staffing levels in the UK when some countries may have only one community physiotherapist. In some countries there are shortages as their physiotherapists are recruited to work in other countries such as ours where there are greater career opportunities and wages. And whilst the larger countries are looking to advance and expand practice, in others they are still fighting to be viewed as autonomous practitioners. “Taking a 13 hour flight to travel 6,736 miles to a meeting is not a normal part of the job but it was an amazing experience!” 18 Positive July 2015 19 q What is your job title and what does your role entail? a Adult Mental Health General Manager. q How long have you been with Nottinghamshire Healthcare? a I have been working for the Trust for 15 years. q&a q What do you see as your priorities for Nottinghamshire Healthcare? a To ensure we are providing the best quality, safe and compassionate care to service users. To invest in the development of our staff and provide them with the skills and attributes and the opportunity to deliver a good service that supports a good patient experience. We must keep up with the population and every changing strategic view and deliver a service that is reactive to service users’ needs. q What is your employment background? a I worked as a healthcare assistant from Children’s Centres Spring into Action Representatives from Sure Start Children’s Centres across Nottinghamshire have been specially thanked for their part in Family Action Funday Week held back in April. Fiona McManus, Sure Start Integrated Service Manager and her team, brought together local families from seven Nottinghamshire Children’s Centres in their Spring into Action event. Over 200 people attended the day in Rushcliffe and enjoyed a range of creative activities including Wiggle and Giggle, a drumming class and a smoothie bike. The successful event contributed to Family Action’s fundraising total and also resulted in the accolade of “Most Creative Event” in the Country with an award of £100 from Family Action to be used in the services. 20 This month we pose our questions to Adult Mental Health General Manager Adele Bryan the age of 19 with people with learning disabilities and mental health issues in a variety of settings, from community to locked rehabilitation. I then did my nurse training and moved to Rampton Hospital Give it up with New Leaf New Leaf Nottinghamshire County provided stop-smoking support to more than 5,600 people last year – with services available for colleagues as well as the public. In-house sessions can be arranged for groups within services, or staff can access convenient telephone support or attend local clinics across the County. Supporting the Smoke Free Agenda across the Trust, the service can also help raise awareness by carrying out promotions, training, and stopsmoking sessions for staff, and they have a new mobile clinic van to get out and about to events. About New Leaf If you want to stop smoking, look no further than New Leaf stop smoking service. We can also provide support if you are using an electronic cigarette or vaping. We are a free, friendly and confidential service, offering a 12 week support package that is individually tailored to suit, including access to a certain amount of nicotine replacement therapy, Champix or Zyban (subject to prescription charges). as a staff nurse in the male Learning Disability service for one year. I moved to the female services and became a team leader, ward manager and clinical nurse manager. I worked there for 12 years and thoroughly enjoyed it. I then gained the modern matron’s role and moved to the Mental Health and Learning Disability Directorate (including Deaf services) and managed that area for three years. The changes in roles and service users provided me with extensive experience that I hope will support me in my new role. q What is the best piece of advice you have ever been given? a A quote of Abraham Lincoln: “Better to remain silent and be thought a fool than to speak out and remove all doubt.” q What was the last album you and leadership and completing a marathon in three hours and 18 minutes. q What makes you angry? a Unkindness and rudeness. q What are you most passionate about? a Caring for people and making sure people around me know I care about them, whether that’s my family, friends or services users. q What single thing would improve your working life at Nottinghamshire Healthcare? a Having more time to see the service users and staff. q What is your favourite hobby? a Running, diving and seeing my favourite band with friends. bought? a Catfish and the Bottlemen. q What keeps you awake at night? a Busy mind. q What is your greatest achievement? a Completing my MSC in management q What is your favourite film? a Two – Pulp Fiction and Gorillas in q What is your idea of bliss? a Diving in the warm sea with turtles, sharks, dolphins and pretty fish. q What three words would you use to describe yourself? a Caring, fun and loyal. q What is your favourite holiday destination? a Vietnam. q Who would you take to a desert island? a Friends. q Where do you see yourself in 10 years’ time? a Hopefully somewhere nice but not thought that far ahead yet! q Do you have a ‘claim to fame’? a No, thankfully. q How would you like to be remembered? a Fun and kind. the Mist. Get in touch •Call 0800 389 7712 •Text ‘Leaf ’ to 80800 •Email [email protected] •Internal – 40868, 40845, 40846, 40847, 40848 •Local number – 01623 848868 •www.stopsmokingwithnewleaf.co.uk What people say about New Leaf: “Staff treated me with dignity and respect” “Support and understanding” “I am now a non-smoker, which I thought I could not achieve and I have with the help of New Leaf ” You can access the New Leaf Service as many times as you need to in order to reach your end goal of being Smoke Free. For more information please get in touch or see our website. Positive July 2015 21 Research and clinical work go ‘hand-in-hand’ for Birgit WHO WE ARE... You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare is. We provide integrated healthcare services including mental health, intellectual disability and community health services. We also manage medium secure units in Leicester and Rotherham, and the high secure Rampton Hospital near Retford and provide healthcare in 13 prisons across the East Midlands and Yorkshire. Academic accolade for Dr Birgit Völlm, Professor of Forensic Psychiatry at the University of Nottingham WE NEED YOU! The Trust and the University of Nottingham are together strengthening our leading position in forensic psychiatric research with the promotion of Dr Birgit Völlm to Professor. 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 September issue of Positive, please contact us by 31 July 2015. However, due to space constraints we cannot guarantee the publication of all articles received by the deadline. Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Nottingham, NG3 6AA tel 0115 969 1300 www.nottinghamshirehealthcare.nhs.uk www.facebook.com/ nottinghamshirehealthcare www.twitter.com/nottshealthcare Natalie Jennings Throughout her career, Dr Völlm, who has worked for the University and the Trust since 2008, has always been involved in research as well as clinical work. She says: “I love my clinical work, and being able to make a difference to the most marginalised people in our society is what drew me to the profession in the first place. I would not want to give up my caseload even though it is not always easy to juggle both parts of my job.” Dr Völlm heads the Section of Forensic Mental Health of the Division of Psychiatry and Applied Psychology within the Medical School at the University of Nottingham; clinically she works as an honorary consultant forensic psychiatrist and holds a caseload in the Enhanced High Secure Personality Disorder Service at Rampton Hospital. Congratulations to Natalie, our newest Queen’s Nurse Congratulations go to Natalie Jennings, Senior Manager/Modern Matron Physical Healthcare and Infection Prevention and Control, Forensic Services, who has been given the prestigious title of Queen’s Nurse (QN). The title, awarded by community nursing charity The Queen’s Nursing Institute (QNI), indicates a commitment to high standards of patient care, learning and leadership. Nurses who hold the title benefit from developmental workshops, bursaries, networking opportunities, and a shared professional identity. Natalie said: “I am really proud of the award and it is a privilege to be awarded the title. It feels good to receive recognition for the commitment to improving care.” She also leads the Research Steering Group within the Trust’s Forensic Division, sits on the national NICE guidance group on the management of violence, and is Chair of the Forensic Section of the European Psychiatric Association and Secretary of the Forensic Section of the World Psychiatric Association. Dr Julie Hall, Executive Director for the Forensic Division highlights that Birgit is constantly driving forward research that advances knowledge and improves outcomes for patients. She said: “We are delighted that Birgit’s academic work has been acknowledged and we will do all that we can to support her onward endeavours.” With her appointment, Dr Völlm hopes to continue to foster good relationships between academics and clinicians. She says: “It is easy to think of research as just something extra one can do without but we mustn’t think like this. Research and clinical work should go hand in hand. We must continue to produce evidence for what we do to use resources more effectively, improve patients’ care and avoid doing harm by doing the wrong thing.” New in-house staff mediation service Eleven members of the Trust’s Human Resources team have now been trained as workplace mediators; most by the Advisory, Conciliation, and Arbitration Service (ACAS) and accredited by the OCR examination board. Workplace mediation is a confidential and informal process used to help resolve workplace problems such as communication breakdown between colleagues, complaints of harassment and grievances over workloads and alleged bullying. Mediators listen to both sides of the dispute and work with the parties involved to find practical solutions to problems and to reach agreements between themselves. Their job is to facilitate communication between people in order for them to arrive at mutually agreeable solutions and to improve working relationships. “Interpersonal tensions are inevitable in a large, complex organisation like the Trust,” said Clare Teeney, Interim Associate HR Director. “To have an in-house mediator resource is a fantastic development for the directorates within Local Services and Health Partnerships. It avoids the delay and high cost of engaging external mediators and is undertaken by staff that understand the Trust’s business. The staff involved have worked really hard to produce an extensive portfolio in order to gain accreditation.” Accredited members of the team are: • Paula Herr • Dawn Hughes • Becky Beaumont • Alex Lyon • Barbera Hall • Jane Baldwin • Nichola Rutland • Maria Jessop • Paul Graham • Sue Christian • Lisa Powell The mediation service is now in operation and flyers and guidance will be sent to general managers and heads of service across the Trust. Four of the mediators, (l-r) Lisa Powell, Sue Christian, Paula Herr and Alex Lyon If you require mediation services, please contact Barbera Hall, HR Administrator on email or 0115 969 1300 ext 10265. Printed on Cocoon · 100% recycled paper 22 Positive July 2015 23 A Year of Change Annual General Meeting and Annual Members’ Meeting 2015 Date: Friday 24 July 2015 Time: 11.00am – 3.00pm (lunch provided) Venue: East Midlands Conference Centre, University Park, Nottingham, NG7 2RJ Join us for an exciting and informative day looking at a year of change, showcasing stories of excellence and good practice across the Trust. For further details or to register to attend visit www.nottshealthcareagm2015.co.uk or scan the QR code below. If you are unable to register online please call the Involvement Team on 0115 993 4567. Featuring Closing date for registration is Wednesday 15 July 2015. • Interactive exhibition • Formal meeting and Annual Members’ Meeting from 1.30pm-3.00pm ...and much more www.facebook.com/nottinghamshirehealthcare @NottsHealthcare
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