The Word Edition 196 19th September 2014 Over the past week I have spent time away from our organisation to support the Care Quality Commission (CQC) as chair of an inspection team inspecting NHS services in a different Trust. Working with the inspection team was a very rewarding experience and has given me a real insight into the rigour, quality and knowledge that CQC employ. Our own services will be subject to a CQC inspection at some point over the coming months. Recently I have had an opportunity to spend time with a complainant regarding end of life care for a family member. Meeting with them face to face was extremely helpful and gave me a greater opportunity to understand and appreciate their experience. Where possible our complaint processes should always endeavour to meet with complainants face to face. Thanks to those of you who attended the quarterly 1Vision event this week and I hope that you will all feedback the key themes to your teams. The event was held in Hednesford and I was delighted to see a great turn out, excellent contributions and challenging questions. Planning Toolkit. We will be working hard to ensure that the right staff are carrying out the right duties and our service improvement staff will work to support teams to implement the changes necessary to deliver improvements and address these issues of concern. Earlier this week I was very pleased to have the opportunity to share with regional health service colleagues the background and progress of our journey to integrate health and adult social care services in Staffordshire. It was helpful to share our experience, discuss what we have learned and hopefully inspire others to consider similar approaches. I would like to take this opportunity to acknowledge what I appreciate is ongoing uncertainty for many staff regarding our adult social care contract with Staffordshire County Council. Please be assured that I am working hard to resolve the contractual situation and ensure a positive outcome as soon as we can. Our question and answer session was very detailed and staff clearly articulated their concerns about workload pressure and ongoing issues about having to undertake work which can be more effectively carried out by other colleagues. I am confident that the model of care that we are working to is absolutely the right approach to support more people across Staffordshire and Stoke-on-Trent to live independently in their own homes. I do recognise that this is an issue of concern for many of you and has mirrored the findings of the Workforce Thank you to all our staff who have lent great support this week to our local acute hospitals who are experiencing extremely high demand at present. Your Continued... We Put Quality First We Focus on People We Take Responsibility 1 From the Top continued hard work and effort has really contributed to supporting patients to return home or be cared for in the most appropriate place at a time when all services are under huge pressure. Finally, this week I was very pleased to speak at the annual general meeting of Age UK in Stafford and talk to them about how we can work together in much closer partnership to support older people, their families and carers. It was a really useful and interesting opportunity and I very much look forward working with Age UK on a number of ideas that could really help local people. Stuart Stuart Poynor Chief Executive The Word 196 - What’s In 2 | Joining up Health & Social Care Through Integrated Local Care Teams 3 | Stoptober 8 | Standardising Trust Wide Purchasing 9 | Notts community Matron Shares Telehealth Success 10 | NHS Leaders Meet American Health Executives 4 | 1 Vision 11 | Your Team need you! 5 | Social Media Digital Professionalism 6 | Communicating In a Crisis 12 | User/Carer Experience 13 | IG E-Learning 6 | Trust Welcomes NHS England District Nursing Advisor 14 | Thank You 7 | Your View Counts… Joining up Health & Social Care Through Integrated Local Care Teams Following the launch of 33 Integrated Local Care teams across Staffordshire, work is ongoing to develop new ways of working to improve quality of care and reduce unnecessary duplication and repetition of actions. As part of this work, teams are being asked to focus on personalised patient-centred care; case management and emergency care planning and using new technology such as FLO to better align health and social care and support care in the community and care closer to home. Staff in new ILCTs are currently being invited to attend training sessions available via OLM and smartcard. If you are social care staff and do not currently have smartcard access, please book via [email protected] We Put Quality First We Focus on People We Take Responsibility 2 Time to Quit supports swapping fags for gags this Stoptober During October, smokers in Staffordshire and Stoke-on-Trent are being encouraged to quit together, as Stoptober - the nation’s biggest ever mass participation stop smoking challenge – launches for its third year. Last year nearly 4,000 people across Staffordshire successfully quit with Time to Quit. Ian Saberton, team manager for the Trust’s Time to Quit Smoking Service, said: “This year’s Stoptober has a real fun theme running through it. Stopping smoking on your own can be really hard to do, but with one to one appointment with our smoking advisors along with support and advice when you need it, we can make sure as many people as possible quit smoking in Staffordshire and Stoke on Trent”. Time to Quit are asking smokers who would like to stop smoking to get in touch on 0800 043 4304. Research shows you are four times more likely to quit with this extra support than stopping on your own. Stoptober quitters can join up on at www.stoptober.smokefree.nhs.uk to receive a new stop smoking pack including a scratch card, wealth wheel and calendar. You can also get daily tips and advice (as well as jokes) from famous comedians by email, text as well as a mobile phone app to download. Lichfield resident Alan Edwards, (48) who has just finished his 12 weeks on the programme urged people to sign up: “Time to Quit is a fantastic service. I’ve tried in the past to quit and failed every time, but the adviser at my clinic was really understanding and treated me with respect. It’s amazing what difference their support makes ” For more information about your local service call Time to Quit on 0800 043 4304 or visit http://www.staffordshireandstokeontrent.nhs.uk/time-to-quit.htm We Put Quality First We Focus on People We Take Responsibility 3 Vision 1 Staff from across services and districts of the Partnership Trust came together for two special 1 Vision events in September to discuss how together we can work better together. 1 Vision events are your chance to speak to senior leaders from the organisation and share your views as well as contributing to discussions about key issues we face. Thank you to everyone who came along to the September events held at Port Vale and Headnesford football clubs. Prioritising time to join in the discussions when workload pressures are particularly heavy is not easy and your contribution therefore is very much appreciated. The autumn 1 Vision events focused on the financial challenge the Trust faces and the need to make a significant saving of £22.3m this financial year. The transformation team led an interactive workshop with attendees looking at ideas to work better with less without compromising the care experience of people who use our services. Coming together for 1 Vision Couldn’t come to 1 Vision? A quick guide to the key points and messages from the September events is available here for sharing with your team: http://ssotp.ns.xnsht.nhs. uk/newscentre/comms/1 vision briefing September 2014.pdf A summary of the points raised and responses provided in the question and answer session will also be shortly available. Chief Executive Stuart Poynor attended the Headnesford event and was pleased with contributions staff made “I hope representatives who attended will now feedback the main message from the event that frontline staff really have the answers to working better and improving the value of our services. Please get engaged; the transformation and service improvement teams are very keen to help and want to hear your ideas.” We Put Quality First We Focus on People We Take Responsibility 4 Social Media Digital Professionalism What the ‘tweet’ is it all about? Social media in nursing with Professional Lead for Community Nursing Sue Jackson Social and electronic media have tremendous potential for strengthening professional relationships and providing valuable information to service users, as well as affording nurses a valuable opportunity to interface with colleagues from around the world. However, nurses need to be aware of the potential consequences of disclosing patient-related information via social media, and mindful of employer policies, and professional standards regarding patient privacy and confidentiality and its application to social and electronic media. By being careful and conscientious, nurses may enjoy the personal and professional benefits of social and electronic media without breaching their code. WeNurses www.wenurses.co.uk is run by Teresa Chinn who is a registered nurse. Teresa was an agency nurse who found herself professionally isolated and reached out to social media to connect with other nurses. It was Teresa who first brought the concept of Twitter chats to nursing in the UK. Since then Teresa has become a social media specialist and now works with healthcare organisations delivering workshops, We Focus on People Toolkit seminars, speaking at conferences and providing social media consultancy. The last decade has probably seen more changes in nursing than the previous 50 years. With increased workloads and constant change, recent developments in the use of online social networking in healthcare can seem like just another thing for nurses to manage. However, rather than adding to nurses’ workload, social media can simplify and enhance care. We Put Quality First Click here to download our Social Media Senior leaders within the NHS, who are starting to use social media more, advocate its use with nurse leaders such as Jane Cummings, NHS England Chief Nursing Officer, and Viv Bennett, Department of Health & Public Health England Director of Nursing, using Twitter and commending its qualities. Dean Royles, NHS Employers Chief Executive, sums this up nicely by stating: “It is clear that we as a community of healthcare professionals are starting to see the benefit of engaging in open space. The fear, anxiety and nervousness senior staff felt about being accessible is being replaced by an understanding of the benefits of engaging in open spaces, having natural conversations as we would offline with little effort and resulting in an increased level of engagement with many more people.” It’s not just the senior people within healthcare who see the benefit, there are many different types of nurses across the hierarchical system that exists in healthcare and throughout the UK (and the world) that are seeing the value in Tweeting. @WeNurses is a weekly Twitter chat predominately aimed at nurses and takes place every Thursday at 8pm on Twitter using #WeNurses. Why not have a go? We Take Responsibility 5 Communicating In a Crisis Expect a Text As a large community based organisation with staff in many locations, the Partnership Trust’s Emergency Planning Resilience and Response team (EPRR) are investigating how we can communicate better, particularly when a crisis situation such as severe weather all a major incident affects our services. We want to be able reach key staff quickly during an emergency and one approach we are exploring is mass text messaging to work mobile phones. • It will ask you for: your name and job title, your base and your mobile number • The text message is generated via an email and you will not be able to send a text response, you will be asked to reply by email • however there will be a number in the text for you to reply to if you cannot access your emails. Please do take part and help us establish a quick and effective way to keep in touch during an emergency situation. Thanks to everyone who has recently responded. We will shortly re-run the pilot so if you have not yet responded, please do. For more information please contact: Next week the EPRR team will send out text messages to all staff who have a work mobile phone. Wendy Williams Emergency Preparedness, Resilience and Response Officer • You will receive this as an email which you will receive as an email from: emergency. Tel: 01889 571534 Mobile 07738 857080 [email protected] • It will start; SSOTP exercise, exercise, exercise. This is not spam or a live incident but a test – please respond! Mobex 64526 E: [email protected] Trust Welcomes NHS England District Nursing Advisor Earlier this month, Acting Director of Operations Kieron Murphy outlined in The Word how the Trust is using new and innovative tools to transform the way we deliver our joined up health and adult social care offer to the people of Staffordshire. The Trust approach is based on a workforce planning toolkit and brings together professional judgement, competences and activity analysis to help teams provide good care efficiently and ensure safe staffing levels. NHS England are now looking at our innovative approach with a view to disseminate it as best practice across the NHS. As a result the Trust will welcome Sue Hill, District Nurse Advisor from NHS England on Monday 22 September for a week-long visit to look at how we are implementing our toolkit. Sue said: “My background is as a district nurse, service manager, service transformation manager We Put Quality First We Focus on People and I was involved in the development and training programme for Productive Community Services with the NHS Institute of Innovation and Improvement. “My key role now is to provide leadership, guidance and support in the development of a national, strategic workforce planning toolkit that will support effective commissioning and future planning.” She added that there was a significant gap in availability of workforce tools required at both a strategic level and an operational level which was especially important with the changing requirements of an integrated care agenda. “I am currently learning what is happening with workforce planning across the country and am spending the week in the Partnership Trust to fully understand the system in place here. I look forward to meeting some of you whilst I am in the area,” Sue said. Sue will be visiting operational teams and key staff during her visit. We Take Responsibility 6 Your View Counts… It’s National NHS Staff Survey time again and this year the Partnership Trust will be carrying out a full census for the Staff Survey electronically via your work email address. If you don’t have a work email address, a paper copy will be sent to your home address. Surveying all staff will give the Trust an excellent opportunity to understand how you are feeling about your work, see where we have improved and the areas that we need to focus on. Last year 46% of staff responded to the survey, by conducting the survey online we hope to increase this number. In 2013 our top five strengths and improvements were: • Percentage of staff appraised in last 12 months So, what have we done about it…. • Percentage of staff believing the Trust provides equal opportunities for career progression or promotion • Low percentage of staff witnessing potentially harmful errors, near misses or incidents in last month You said… • Percentage of staff receiving job-relevant training, learning or development in last 12 months • That you wanted more ‘effective team working’ and ‘support from your immediate managers’ • Percentage of staff experiencing discrimination at work in last 12 months We did… Areas identified for improvement were: Introduced the new Management and Leadership Essentials Programme for all managers • Effective team working • Fairness and effectiveness of incident reporting procedures • Percentage of staff reporting good communication between senior management and staff • Percentage of staff feeling satisfied with the quality of work and patient care they are able to deliver • Support from immediate managers Introduced the Leadership Development Masterclasses including Empowered Teams, Coaching for Managers, Leading Upwards, Courageous Conversations, Political and Strategic Awareness and Leading for Quality/Service Improvement. You said… • You wanted fairness and effectiveness of incident reporting procedures Continued... We Put Quality First We Focus on People We Take Responsibility 7 Your View Counts… We did… Introduced the new incident reporting system which allows managers to ‘send email feedback to reporter’ so that staff are aware that their incident has been acknowledged Refreshed and re-launched our approach to raising concerns including a new raising concerns video to promote a culture of fairness You said… • That there should be improved communication between senior management and staff We did… Introduced the 1Vision events at the end of March where the executive team host staff communication events to let you know what is going on in and around the Trust Communicated the email etiquette guide for staff Introduced Twitter and other social media channels It is important that you take the time to fill in your survey as evidence shows us that there is a clear link between strong staff survey results and the quality of services we provide to our service users and clients. The 2014 survey asks questions about your job, your work with colleagues, the leadership and supervision you receive, health and safety, and your views on the trust. Please support this year’s staff survey when it arrives and remember; your view counts so have your say! If you have any questions about the confidentiality of the survey please visit the intranet and search staff survey for advice. Standardising Trust Wide Purchasing A new group bringing together clinical leads, infection control teams, finance and procurement staff among others is helping to simplify and standardise the process of ordering clinical products for the Trust. The Clinical Product Assessment Group (CPAG) recently held their third monthly meeting to focus on: • reviewing Trust-wide spend by product category • agreeing a final product list to be used across the Trust • championing the adoption of chosen products in the Trust to ensure compliance • monitoring ongoing compliance, savings and product performance We Put Quality First We Focus on People Standardising and rationalising the products the Trust purchases is a key to helping the organisation to become more efficient, reduce costs, improve supplier relationships, better support staff and reduce potential risks. Head of Financial Accounting Paul Matthew said; “The aim of the group is to put product selection and rationalisation in the hands of Trust staff to ensure an informed choice can be made on the products we purchase. “As the work of the group progresses, the first product areas have been reviewed with the standardisation implementation process about to begin. We will be letting everyone know in the next few weeks what areas we will be looking at next and the list of products approved for use. “ We Take Responsibility 8 Visiting Community Matron Shares Telehealth Success Nottinghamshire Healthcare NHS Trust community matron, Trish Charnley visited the community matron nursing team in East Staffordshire on Wednesday (16 September) to discuss how community matrons and district nurses in Nottingham are benefiting from Simple Telehealth Florence (Flo). The visit, which was an opportunity to share best practice and understand how the use of telehealth is used in other parts of the country, helped Partnership Trust community matrons get a better understanding of the versatility Flo can offer to patients and nursing staff. Ros Dawson, community matron in Tutbury said: “The visit from Trish was valuable for me and fellow community matrons who were able to attend, but especially valuable for a specialist practice nurse who up until Wednesday had no knowledge or experience of Flo. “It was reassuring to hear Trish discuss how nursing teams in Nottingham use Flo in rural communities much like the ones here in East Staffordshire. However I found it most interesting to hear how district nurses across Nottingham are now using Flo, something which we hope to roll out in Staffordshire and how they are using the tool to do things like prompt medications, something which we are yet to implement.” Flo is a simple telehalth tool which motivates patients to take more responsibility for their own health by allowing patients to monitor their own conditions and received personalised information and guidance to manage their condition. We Put Quality First We Focus on People We Take Responsibility 9 NHS Leaders Meet American Health Executives Health leaders from across Staffordshire met with American health executives on Monday (15 September) to hear how state of the art technology, used widely across the United States, can transform the way the NHS treats local people in their own homes. been used across the States by providing care in the community which is supported by technology. These technologies include video consultations conducted with patients in their homes, monitoring of patients from a distance and the use of technology to share best practice and efficiently co-ordinate care between health and social care professionals. The Partnership Trust welcomed Dr Robert Petzel, previous under secretary for health and Kathleen Frisbee, co-director of the Connected Health programme for the Veterans Health Administration (VHA), to discuss the benefits of digital health care. The event, held at Staffordshire County Council, was an opportunity for NHS leaders to understand how the VHA has transformed the way which health care is delivered in the United States by using technology to help patients’ better look after themselves at home. Joanne Harding, Associate Director of Transformation for the Partnership Trust, said: “Hearing from Dr Petzel and Dr Frisbee and their work in the United States, was interesting, inspiring and a great platform to showcase how technology can truly impact patients lives. We were able to see how technology used by the VHA is providing person centered care, closer to home which puts the patient and their family in control of their own health and well being.” With the use of digital health care the VHA has successfully reduced the number of acute beds We Put Quality First We Focus on People Ms Harding added: “As a community care provider, with patients based across a large geographic area, the Partnership Trust strongly believes that developing and investing in technology and digital health care will help improve patient outcomes and significantly improve the way staff treat, assess and manage patient case loads.” Stuart Poynor, Partnership Trust Chief Executive added: “Meeting with VHA gave a good insight into how well thought out digital health care can transform the way patients are able to be cared for and manage their own conditions. It was also a good opportunity to discuss the practicalities of implementing new technology and understanding what’s needed to ensure technology works most effectively for staff and patients.” Partnership Trust has committed to ensuring its health and social care professionals have leadership skills to support the implementation and development of Technology Enabled Care Services in Staffordshire to benefit local patients. We Take Responsibility 10 Your Team need you! Could you be a flu champion and deliver flu vaccinations to staff? Requirements: • Trained in vaccination and immunisation (ideal if you are already giving your patients flu vaccination) • Updated within the last 12 months • Up to date with basic life support and anaphylaxis training Training will include: • Explanation of staff flu vaccination PDG • Consent form requirements • Differences between patient and staff vaccination Please book on a session and support your staff and colleagues to keep well this winter We Put Quality First Date Location Room 29 September 2014 Springfields Health and Wellbeing Centre, Rugeley Heal and Wellbeing room Springfields Health and Wellbeing Centre, Rugeley Heal and Wellbeing room Haywood Hospital Lecture Room Haywood Hospital Seminar Room Bradwell Hospital Seminar Room Cheadle Hospital Seminar Room 9.30-10.30 29 September 2014 10.00-11.00 30 September 2014 15.00-16.00 1 October 2014 12.00-13.00 3 October 2014 10.00-11.00 3 October 2014 12.30-13.30 We Focus on People We Take Responsibility 11 User/Carer Experience To recognise the hard work of all staff involved in ensuring we can collect real time reporting about patients’ and service users’ experience of care and treatment, Director of Nursing and Quality Siobhan Heafield presents monthly awards: In August 2014 the Partnership Trust received 1871 User and Carer Experience surveys. August’s winners are featured here SILVER is awarded to GOLD is award ed to North Sexual Health Service s • For the com pletion of 179 R eal Time Patien Experience surv t eys during Aug ust 2014 • Users and ca rers gave a Net Promoter Score of +61.71 stating that they would recommend this service to their fr iends and family • 100% of use rs reported that all staff members were definitely polite, helpful and courteous towar ds them. • 100% of use rs reported they were extremely satisfied or satisfi ed with the clin ical treatment and q uality of care re ceived BRONZE is awarded to Stoke Physiotherapy Team Stoke Physiotherapy • For the completion of 70 Real Time Inpatient Experience surveys during August 2014 • Users and carer gave a Net Promoter Score of +68.12 stating that they would recommend this service to their friends and family. • 100% of users stated that all staff members were definitely polite, helpful and courteous towards them. • 100% of users reported that they were extremely satisfied or satisfied with their overall clinical treatment and quality of care received. • For the recognition of receiving of 65 Real Time Patient Experience surveys in June 2014 • Users and carers gave a Net Promoter Score of +76.92% stating that they would recommend this service to their friends and family • 87.69% of users reported that all staff members were polite, helpful and courteous • 76.92% of users reported they were extremely satisfied or satisfied with the clinical treatment and quality of care received Congratulations to each of the teams. Each team will receive a signed certificate to acknowledge their achievement. We Put Quality First We Focus on People We Take Responsibility 12 W E N E-Learning Information Governance The training covers all aspects of information governance from data protection and information security to records management Interactive online course designed specifically around the issues we face • AllstaffmustcompleteIGtrainingonan annualbasis • Trainingcanbeaccessedbylogging intoESR • Onlytakesonehour • Includesvideosandquizzes For more information contact the IG Team: Email: [email protected] Tel: 0300 124 0093 IMPORTANT REMINDER - “Staff are reminded that compliance with statutory and mandatory training (including IG) will be assessed at their Appraisal as one of the criteria to meet in order to gain their next pay increment. All staff will be assessed on this criteria (including those on the top point of their pay scale), and it is possible that failing to complete statutory and mandatory training without robust mitigation agreed by their manager, will be managed in accordance with the Trust Disciplinary Policy.” We Put Quality First We Focus on People We Take Responsibility 13 Thank You Brighton House Rehabilitation Centre in Newcastle-under-Lyme have been warmly praised in several lovely thank you cards they have recently received, including a very generous donation on £100 towards the home’s Comfort Funds. “To you all at Brighton House. My seven week stay with you was beyond my expectations. When the ambulance men wheeled me in, although I was tired and fell asleep at the dining table, I felt at home immediately. “All the staff are fantastic, caring and loving, every service offered is carried out cheerfully. Now I am at home I am getting stronger each day - I do miss my buzzer when I need something! From my husband and myself a huge thank you and we enclose a donation to your comfort fund.“ “Thank you to you all for helping in my recovery, such fantastic staff” “To all the staff at Brighton House. I can’t express the gratitude I feel to all of you for the great care you have given me for the whole time I’ve been here with you! Please keep it up for all your careers’ (because we need you). I’d recommend you to everyone who needs your help.” Staff in the Rehabilitation Centre at Samuel Johnson Hospital in Lichfield have received great feedback for their care. “I became more aware of the importance of exercise and posture to aid my Parkinson’s. I found the sessions fun - we were informed without being preached at - at all times treated with patience and respect.” The Respiratory Team based at Stoke Health Centre have received a lovely thank you card from an appreciative local patient. “Thank you for your kindness and professionalism during my rehab time.” Staff at Billbrook House in Codsall have been kindly thanked for their care provided. “Thank you so much for all your visits to our home. Also for making sure we were always early. You have a lovely team.” Some lovely feedback has been received by the social care staff part of Lichfield and Tamworth Living Independently Staffordshire team. “Thank you to Mandy and all the girls who looked after me. Bless each and everyone of you. Keep up the brilliant work that you do. Missing you already.” Please send all compliments to [email protected] who are now recording all compliments for the Trust. A range of selected compliments will be forwarded for inclusion in The Word. We Put Quality First We Focus on People We Take Responsibility 14
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