2gether NHS Foundation Trust Summer Newsletter

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gether NHS Foundation Trust Membership News / Summer 2014 2

Time 4 U

Recipe, poem and competition

Living with Bipolar Jane’s story

Ask the Experts

We answer your questions

Win a day

at Cotswold Wildlife Park See page 15

Out&About In the Forest of Dean

Summer 2014

Welcome Welcome

Contents Contents

Hello and welcome to your new Membership Newsletter. We’ve given it a fresh look and added some new features, as well as changed its name and size. We hope you like the new style and we’d love to hear your comments, suggestions or ideas for future editions.

The new look newsletter is based on feedback members have already given us. It’s more portable in size and helps us to deliver efficiencies by costing less to print. It’s also been printed on the UK’s first Carbon Neutral print press in the UK, which is owned by Gloucester-based Alpha Colour Printers.

One of our new features is ‘Ask the Experts’ section, in which staff answer the questions they are frequently asked. If you want to ask the panel a question please get in touch.

We’ve also included an interview with one of our service users, and former staff member, Jane McGraham, about her experiences of living with Bipolar. That’s in addition to the usual news and our regular competition – this time to win entry to the Cotswold Wildlife Park.

We hope you enjoy reading the newsletter and thank you for your continued support.

Get in in Touch Touch Remember you can also receive this newsletter by email, if you are not already, to help save resources even further. Please let us know if you’d like to.

Local Brief

Date for diary

If you have an article, letter, poem or story you would like to be included in the next edition, just let us know.

Telephone

Website

Email

Download document

Well done/good news

Idea/innovation

Communications, gether NHS Foundation Trust, Rikenel, Montpellier, Gloucester, GL1 1LY Write or fill in

Information

Local Brief Announcement

Date for diary Question

01452 894022 2gether.comms@glos.nhs.uk www.2gether.nhs.uk www.twitter.com/2gethertrust www.facebook.com/2getherNHS Telephone Look out for

Local Brief

Telephone

Website Survey

Download document Pick up a leaflet

Emailfor diary Date Meeting or Board Visit

Well done/good Website news

Fax

Idea/innovation

Download document Write or fill in

Information

Idea/innovation Announcement

Question

Write or fill in

Information Look out for

Survey

Announcement

Questionor Meeting Board Visit

Pick up a leaflet

Email

Well done/good news

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Trust News and Updates

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Jane’s Story, Living with Bipolar

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Out and About with 2gether

10

Ask the Experts

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Trust News and Updates

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Time 4 U

15

Poem, Recipe and Competition

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Useful Contacts

Contents

Say Hello to Maggie A new Non Executive Director has been appointed to our board.

Maggie Deacon, from Stow on the Wold, spent the majority of her career in public services, including the NHS, higher and further education and local Government.

Maggie said: “I have a deep commitment to public services, particularly in support of those who are disadvantaged in some way.

“I am delighted to have been appointed as a Non Executive Director for 2gether, and very much looking forward to my new role”.

Ruth FitzJohn, our chair, said she was very pleased to welcome Maggie.

She said: “Maggie is a very welcome addition to the Board. She brings a rich breadth of experience and expertise to our organisation.

“I am very much looking forward to working alongside Maggie in the important role we play in making life better for people across Gloucestershire and Herefordshire.”

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Trust News&Updates Danes Look to 2gether for Advice Campaigners, politicians and clinicians hoping to modernise the treatment of mental health patients in Denmark have been looking to us for guidance.

James Wright, Modern Matron, and Roland Dix, Consultant Nurse, are both based at Wotton Lawn Hospital in Gloucester. They recently spoke at a conference in Copenhagen, where they explained that the mechanical restraints still used in Danish psychiatric hospitals have been out of use here for many years.

Roland (left) and James outside Greyfriars “The Psychiatric Intensive Care Unit in Gloucester has inspired a number of Danish doctors, nurses and others involved in bringing the use of mechanical restriction down.

After speaking at the conference, James and Roland were interviewed by Danish journalist Bente Bundgaard of the Journal of the Danish Medical Association.

“It was really interesting to see for myself what I had heard them speak about. I have no doubt that a lot of the ideas and approaches used here Bente said: “There’s a tense debate in Denmark at the moment about reducing the use of, in particular, will wind their way into the solutions chosen in Denmark”. mechanical restriction of psychiatric patients.

Journal of the Danish Medical Association >>

Royal Seal of Approval Our Managing Memory 2gether service has received national accreditation from the Royal College of Psychiatrists.

Managing Memory offers memory assessment, diagnosis and treatment as well as an information and education service for people worried about memory, people with dementia and their carers.

The accreditation was based on the Gloucester locality team which operates as part of a countywide service.

Dr Cathey Dukes, Consultant Psychiatrist for Older People, said: “We are absolutely delighted to have received this accreditation, which reflects the high standards of support and care Managing Memory ²gether aims to provide.

“The accreditation process was very thorough, involving a visit from the accreditation team.

People with dementia, carers and local GPs were also asked for their views on our service. Their contribution to the process was very important and we thank them for their time in supporting us.

“The accreditation lasts until January 2016.

Over the next two years our challenge will be to continue to provide a good service with an increasing number of referrals. We have a dedicated multidisciplinary team and we will continue to concentrate on providing the very best support, treatment and care to everyone”.

To contact Managing Memory 2gether tel: 0800 694 8800 or email: managingmemory@glos.nhs.uk www.2gether.nhs.uk/managing-memory-2gether

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Summer 2014

Sign up to Safety: Listen, Learn, Act gether is one of the first wave of trusts to have ‘signed up to safety’.

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The national campaign, which was launched by the Secretary of State for Health on 24 June, has the ambition to make the NHS the safest healthcare system in the world.

Whenever possible, healthcare providers must do all that they can to deliver harm free care for every patient, every time, everywhere. By listening to patients, carers and staff, and learning from what they say when things go wrong, trusts will take action to help improve patients’ safety.

Along with the initial 12 trailblazing trusts, 2gether will continue to develop plans that outline key actions against local and national priorities.

Our plan describes what we will do to reduce harm even further by working to reduce the causes of harm and by taking a preventative approach. We will publish our plans and update them regularly including progress against the actions.

We join the national safety campaign having already been involved in the South of England Improving Patient Safety in Mental Health Programme since 2011.

Details of the organisations that have signed up already can be found on the campaign website www.signuptosafety.nhs.uk. You can follow progress on Twitter via @signuptosafety and using #signuptosafety

VIEWPOINT SURVEY We are proud to support the Viewpoint Stigma and Discrimination Survey 2014, which aims to record the experiences of stigma and discrimination of mental health service users across England.

The national project started in 2008 and will be repeated annually until 2015. Every year, 1000 mental health service users are recruited from across five NHS Trusts.

With the support of care coordinators we are sending out invitation packs to randomly selected service users. The survey is conducted over the phone by trained interviewers, many of whom have experienced mental health problems themselves, and all data collected is anonymised.

There is a £10 voucher to compensate for the time taken to participate.

The study forms part of the evaluation of the national anti-stigma programme Time to Change.

The results will help to better combat stigma and discrimination in the future.

If you would like more information about the study please email 2gether.research@glos.nhs.uk or ring 01452 894048.

If you have received an invitation pack and you would like to participate in the survey, please email jessicacotney@mcpin.org or ring 0207 9227875. www.time-to-change.org.uk

New Herefordshire Dementia Service Our Herefordshire Community Dementia Service launched in April 2014.

It provides specialist advice and information to people who are worried about memory as well as those living with dementia, their family and carers.

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You can contact the team at: memoryservice@herefordpct.nhs.uk 0800 234 6343

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Our Get 2gethers

ROSCAs 2014

Thanks to everyone who attended our three ‘Get 2 gethers’ held in Cirencester, Cheltenham and Gloucester earlier this year.

Nominations can now be made for our 2014 Recognising Outstanding Contribution and Achievement (ROSCA) awards.

They were a great opportunity to update people on our services, and for you to ask questions.

Each event focused on a separate theme - eating disorders, anxiety and mens health. It was great to also be joined by members of local voluntary groups that we work alongside.

The ROSCAs highlight and acknowledge the huge contribution and achievements of individuals and teams across our organisation, as well as our volunteers.

We will hold more Get 2gethers later this year.

Please look out for details on our website, in the local media and on our social networking sites.

Pat Ayres in Cirencester

Kathy Holmes (left)Cheltenham

Technology Award gether has received a £50,000 grant from a fund set up to help nurses make better use of technology.

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The funding – from NHS England’s Nursing Technology Fund – will enable us to trial mobile computer devices for staff to access and update the records of service users while out in the community.

“We’re delighted that our application for funding was successful, and are looking forward to starting this exciting project,” Trust Deputy Director of Nursing John Trevains said.

“The mobile devices will save the time it currently takes inputting handwritten notes into computers when staff return to their office, which will enable us to spend more time on clinical care.

“We will begin our trial in September, and I look forward to seeing the outcome and the impact it has upon our staff and service users.”

The awards are now in their eighth year, and service users and carers are eligible to nominate in the following categories: Service User and Carers Choice Nominations for this award can only be made by service users or carers who have contact with 2 gether NHS Foundation Trust and it is intended to allow service users or carers to nominate an individual who, in their opinion, has made an outstanding contribution. This contribution could be in any area: clinical care, service user involvement, administrative support. The decision is entirely up to the proposer but must clearly demonstrate that the nominee truly sees from a service user’s perspective.

Clinical Team of the Year This award is for working together to get the job done well. The definition of a team in this context is members of staff from the same team or a group of people sharing the same goals and working together on a particular service or project on a day-to-day basis.

Non Clinical Team of the Year This award is also for working together to get the job done well. The definition of a team in this context is members of staff from the same team or a group of people sharing the same goals and working together on a particular service or project on a day-to-day basis.

How do I nominate?

Visit our website at www.2gether.nhs.uk or request nomination forms by ringing Nick Grubb on 01452 894658.

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Jane’s Story Summer 2014

L i v i n g w i t h B i p o lar

When Jane McGraham worked as a Community Support Worker with one of our Assertive Outreach Teams, she could identify with our service users on many levels.

Not only did she have her mental health training and nursing background to rely upon, Jane was also coping with a lifelong mental illness herself – Bipolar Disorder.

Despite her difficulties, Jane gained several qualifications and successfully worked for a number of organisations, including 2gether.

But she still suffered with extreme highs and lows.

It took many years for Jane, now 52 and living near Cheltenham, to receive a formal diagnosis. She had always felt there was something ‘different’ about herself from an early age.

For many years her GPs diagnosed depression, and prescribed anti-depressants, due to the depressed state Jane was often in.

“I’ve always known that I’ve got mental health issues,” Jane explained.

“I was either really really low, or I was totally the other way – really hyper and manic.”

“I just always felt that I was different to other children, but it wasn’t until I was in my late teens or early 20s that I got the feeling there was probably some kind of mental health issue.

“The trouble is, when you are high life is absolutely fantastic and wonderful and you don’t feel anything is wrong.”

Adopted as a baby, Jane had a difficult childhood as she was diagnosed with a mild learning disability and mild celebral palsy. She was also abused and left school with few qualifications.

However, as Jane explains, when she was growing up there was not the support there is now.

“Nowadays children are able to access counselling,” Jane said.

“In the '60s and '70s it was not really talked about, so I had to struggle on myself.”

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Several admissions to Wotton Lawn hospital and support from a psychiatric team have helped her to manage her condition. However, the process of managing the correct combinations of medication is an ongoing process.

Having a diagnosis has enabled Jane to understand her condition, as well as seek support from others in a similar position through Bipolar UK. Happily married, with a supportive husband, grown up stepson and two grandchildren, Jane has written about her life and her illness in a book.

“If I can help one or two other people it will have been worth it.”

What is Bipolar Disorder?

The Royal College of Psychiatrists says sufferers of Bipolar Disorder (also known as Manic Depression) will have severe mood swings. These usually last several weeks or months. About 1 in every 100 adults has Bipolar Disorder at some point and it is unusual for it to develop after the age of 40.

The condition runs in families – making it more likely to be genetic. It is thought there may be a physical problem with the brain systems which control our moods, however episodes can sometimes be brought on by stressful experiences or physical illness. If an episode of mania or depression becomes very severe, people may develop psychotic symptoms.

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What support is available?

If you are concerned you have Bipolar Disorder speak to your GP.

What Does Having Bipolar Feel Like?

Jane describes her illness as feeling like she’s living in a glass box. She said: “When I’m depressed it feels like I’m falling down a well. It’s dark and I’m trying to find footholds. I become almost catatonic and find it difficult to speak. Life doesn’t feel like you want to go on. The highs feel absolutely fantastic. You feel like dancing; anything feels possible.”

Sometimes her depressed state can last for a month or two, and similarly the highs last weeks or months at a time. However, when ‘rapid cycling’ Jane can go from depressed to high within the course of a day.

Bipolar UK offers information and support groups. Visit their website at www.bipolaruk.org.uk to access their website or ring 020 7931 6480.

Jane’s book is entitled ‘Learning to live with bipolar disorder: Reflections of living life through trauma and mental illness’. The book, available from Amazon, is an open and honest account of her life and also provides information on the ways she manages the condition. >>

“I’ve already been told that people are finding it helpful.”

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Summer 2014

BIG HEALTH CHECK DAY The sixth annual Big Health Check Open Day took place in Gloucester in May. The event is aimed at promoting healthy eating and healthy living for people with learning disabilities.

Those attending were able to take part in a wide range of activities, and Simon Shorrick, co-ordinator of the event, said it was an action packed and informative day.

He said: “It’s a great opportunity to bring people with learning disabilities and their carers together, find out more about local services, share their views, and have some fun.”

Lots of fun was had at the Big Health Check day.

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The recovery and learning disabilities walking group ready for the off

Out & About D o g walk i n g i n t h e F o r e s t Our physiotherapists are always looking for new and engaging ways to help service users get active, interact with others and enjoy spending their time in a productive and meaningful way.

In the Forest of Dean our Community Learning Disability Team has the advantage of some marvellous countryside, as well as a wonderful asset in Pets as Therapy (PAT) Dog Bear with his owner and handler Dominique Masquelier.

Their dog walking sessions are proving very popular and we went along to see the marvellous impact the sessions are having on those who participate.

Domi said: “It can sometimes be hard to motivate service users to go for a walk, but as soon as I mention walking Bear they are really keen to get involved. He’s a great attraction and laps up the attention, so everybody wins.”

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Summer 2014 What is Psychosis?

Askthe

Experts What is the difference between Counselling and Cognitive Behavioural Therapy (CBT)?

Deputy Director of Nursing

In Britain around 3 out of every 100 people will experience a psychotic episode. This makes psychosis more common than diabetes yet psychosis can still be misunderstood.

The term psychosis is used to describe conditions which affect a person’s mind; where there is a loss of contact between imagination and reality.

When someone becomes ill in this way it is called a psychotic episode.

Rachel Parham-Connolly

Clinical Team Lead for Let’s Talk (IAPT) in Herefordshire

The term ‘Counselling’ is commonly used as an umbrella term for a number of different psycho therapeutic approaches but there are important distinctions to be made.

Counselling is aimed at enabling clients to explore their concerns, problems and aspirations in a safe and sensitive environment. The aim is not to give advice, but to encourage clients to express themselves openly, to reflect on their feelings and experiences and to reach their own insights.

Counselling is well suited to situations of bereavement, relationship breakdown and depression.

CBT focuses on how thoughts, feelings and behaviour influence each other. Client and therapist work as a team, to identify and change patterns of negative thinking and behaviour, which can lead to distressing emotions. This can lead to a greater sense of control. CBT is a focused way of working, encouraging clients to set realistic and achievable goals. It is an active therapy, with clients regularly asked to complete tasks between sessions aimed at testing out new ideas or actions.

CBT is used for a wide range of conditions from anxiety and depression to eating disorders and trauma.

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John Trevains

Psychosis affects people of all ages and is most common in late teenage years and early twenties.

A psychotic episode can occur after a stressful event, like losing a close friend or relative. It can also be the result of a physical illness, like a severe infection, the use of drugs like cannabis or a traumatic event. Sometimes, it is difficult to know what causes psychosis. Genetics can also play a part so you may be more at risk if a close family member has experienced a similar illness.

Psychosis can lead to changes in mood and thinking, making it hard to understand how a person feels. Some of the more characteristic symptoms include confused thinking, false beliefs, hallucinations including sight, sound and smell, changed feelings and behaviour, not functioning well at school or work and feeling unmotivated or too anxious to leave your house.

Symptoms vary from person to person and may change over time. If you suffer with psychosis you may realise something is wrong but not really understand what is happening.

Getting support early makes a real difference.

There are lots of things that can help. This includes talking with a trained professional who will help you deal with your negative feelings, education about the illness so that you can identify early warning signs and medication.

By getting help and treatment early, you are much more likely to recover quickly and help you feel more like yourself again.

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What is the difference between Dementia and Alzheimer’s disease?

Kathy Holmes

Engagement and Involvement Lead with Managing Memory 2gether, Gloucestershire

We are often asked this question, which is not surprising because dementia and Alzheimer’s are often talked about as though they are two separate illnesses.

The term “dementia” is used to describe a group of symptoms (syndrome) associated with the progressive loss of mental abilities. These symptoms occur when the brain is damaged by certain diseases.

The symptoms associated with dementia are progressive (get worse over time) and can affect: • Memory - most often short term memory • Cognitive skills - how we think about things • Communication skills - how we express ourselves • Functional skills - Managing everyday tasks People are often referred to the Memory Assessment Service to try to find out the ‘cause’ for these symptoms. This enables the right treatment and support to be offered.

There are many different causes of dementia and Alzheimer’s disease is just one of them. Other disorders include Vascular dementia, dementia with Lewy bodies and frontotemporal dementia. It is possible to have one or more of these diseases together and this is usually called mixed dementia.

1in3 Two thirds of people with dementia are women **

people over 65 will develop dementia **

20-30% of young people are affected by mild mental health problems *

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Alzheimer’s disease is a specific disease that causes dementia. It is not known exactly what causes Alzheimer’s disease; although people with this condition have been found to have abnormal deposits of proteins forming amyloid plaques and tau tangles throughout the brain, and once-healthy neurons (brain cells) begin to work less efficiently.

Over time, the damage spreads to a nearby structure in the brain called the hippocampus, which is essential in forming memories. As more neurons die, affected brain regions begin to shrink (atrophy). By the final stage of Alzheimer’s, damage is widespread, and brain tissue has shrunk significantly.

Alzheimer’s disease usually begins gradually with mild memory loss; over time people will also develop problems with thinking and behaviour that will affect work, lifelong hobbies and social life.

In conclusion, Alzheimer’ s disease is a particular type of dementia and dementia is a set of symptoms that are seen in people with Alzheimer’s disease.

If you or someone you know has some of the symptoms of dementia described above and you need help or advice then talk to your GP or talk to us at Managing Memory ²gether 0800 694 8800 or email managingmemory@glos.nhs.uk.

We will listen to your concerns and offer advice on what to do next.

65,000 The estimated number of people in Gloucestershire who suffer from depression, anxiety and phobias

2025 2014

2025

The number of people with dementia in Britain is expected to rise by 59% by 2025 **

Have you got a question for our panel? Is there something that you’ve always wanted to know about mental health? We cannot answer questions about individuals or specific cases but if there is something you’ve always wondered about, get in touch via 2gether.comms@glos.nhs.uk * British Medical Association (2006) **Alzheimer’s Society**

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Summer 2014

Trust News&Updates Pharmaceutical Needs

Crucial Crew

Gloucestershire County Council is currently re-assessing the availability of pharmaceutical services across Gloucestershire.

Children from across Herefordshire learnt crucial information about staying safe and happy in a two-week long event held at Hereford United Football Club.

They are keen to hear the views of Gloucestershire residents and have developed a short questionnaire to gather feedback from anyone who uses community pharmacies or GP dispensaries.

The questionnaire is open online at www.gloucestershire.gov.uk/yourpharmacy until Monday 29 September. Responses to the survey will inform the Gloucestershire Pharmaceutical Needs Assessment, which is used to plan and commission future pharmaceutical services.

Help is available to assist with the completion of the questionnaire if needed. The help-line number is 01452 426260 which is available between 8:30am and 5pm Monday to Friday excluding bank holidays.

Heart of Gloucestershire Awards Physiotherapist Andy Knowles, who is based at Park House, in Stroud, has been named Public Sector Non Uniform Hero in the Heart of Gloucestershire awards.

Andy was announced as the winner during a ceremony held at Hatherley Manor Hotel.

Justice for ALL Gloucestershire’s Learning Disabilities and Criminal Justice Group held a conference aimed at raising awareness of the issues faced by those with learning difficulties who go through police custody, the courts, prison and other aspects of the justice system. The event was attended by more than 130 people.

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The ‘Crucial Crew’ event is held annually to educate primary school children on issues such as road, water and fire safety, first aid and emotional wellbeing.

This year more than 1,600 children from 68 schools attended, and we were there to teach children about emotional wellbeing with the help of an interactive snakes and ladders game.

PC Paul Sparrow, of West Mercia Police, said they all had a great time while learning vital life lessons.

PC Sparrow, who is one of the main organisers of the event, said: “The Crucial Crew has been taking place every year for a considerable time now, and each year it gets better and better.

“The children who come along have a great day out with lots of fun workshops and activities, and most importantly they learn about how to stay safe, healthy and happy.”

Agencies involved in Crucial Crew include Hereford and Worcester Fire and Rescue Service, West Mercia Police, the British Red Cross, 2gether, Herefordshire Council, and Western Power.

Organisers and speakers at the conference

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Severn and Wye Recovery College A celebration event was held to mark the graduation of the first set of students to complete courses through the Severn and Wye Recovery College.

Students, tutors, coaches and partner organisations all attended, to mark the successful conclusion to the Recovery and Resilience Course, which ran in Hereford and Gloucester last Autumn.

Shine Programme, and we were extremely grateful for their support. Our own Charitable Funds committee has now agreed to fund further courses during 2014/15.”

Jo Denney, Non Medical Consultant for Social Inclusion, is on the college steering group.

She said: “The college was set up as a result of a successful bid made to the Health Foundation’s

More information about the college and any future courses can be found at www.swrecovery.org.uk or by ringing Jackie Baker on 01452 894204. You can also email: recoverycollege@glos.nhs.uk

The Recovery College students receive their certificates

CHARITABLE FUNDS Our Recovery College is just one of the many good causes supported with funding from our Charitable Funds.

The Charitable Fund is a Charity Commission – a registered charity established to receive gifts and donations, which may then be used for any charitable purpose relating to the NHS. People contribute to the fund in a number of ways – through personal donations, fundraising events, legacies and bequests.

Funds are used to enhance patient care, staff welfare and service user and carer support.

Charitable Funds are also used to improve the working and therapeutic environment throughout the Trust.

Projects recently supported by Charitable Funds include: • The Carers Garden Party at Wotton Lawn • A Patients’ Christmas Party for Wotton Lawn, Charlton Lane, Honeybourne Unit and Laurel House • Musical afternoon tea at Stonebow Unit • The Herefordshire Community Football Project • The Stonebow Unit Storytelling Project • Big Health Check Day at Barnwood How do I make a donation to 2gether’s Charitable Funds?

Ring the Trust’s Finance Department on 01452 894000

www.2gether.nhs.uk/charitable-funds-leaflet

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Summer 2014

Time4U

Put the kettle on, sit down and relax while you read stories and contributions from our staff, service users, Governors and other members.

Don’t Judge a Book by its Cover!

They always say you should not judge a book by its cover – and the saying certainly applies to Trust Governor Pat Ayres MBE. Pat is a woman of many guises. Among her many roles and interests she is a Standard Bearer for a branch of the Royal British Legion Women’s Section, something she has done for over 20 years. She is also branch secretary and poppy area organiser for Kemble and District, as well as county Vice President having done a term of office of four years as a County chairman. She has also been a bellringer for over 40 years, is the village historian of archives, having set up a display unit in the village school, and is the secretary for the Kemble and Ewen W. I. She was a Parish Councillor for 19 years and currently sits on the Parochial Church Council. She also runs the Cirencester branch of eating disorders support group Beat.

On top of all this and in any spare time she might get, Pat also rides pillion on her husband’s 1200cc sport tourer motorbike wearing black leathers!

Pat (right) as a Standard Bearer

“Not bad for a pensioner,” says Pat

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‘Dedication of Love’

by Terry Mansley

at Cotswold rk Wildlife Pa

Apple and Cranberry Muffins This recipe makes about 12 muffins of 50g each.

The feeling of the sunshine The warmth in the heart A love that feels the world A freedom you know within The beauty of the colour The resting clouds above A beautiful reflection of love Flowers deep with structure The peace in the sky A blue sky waiting A lip of emotion The tender gold expression A lifting time to inspire The passion of life saying A driving force of love A feeling that grows The sunshine lightening up the voice A free day of love The beauty you see everywhere A sound of life echoing The joy you feel about love A strong join to life The progressing colour The window of the sky A lifting tower of light A inspiring spiral The angel in your day Love deepening Flowers earning the shade The warmth of your breath The morning reflection Colours of light expressing the sky

Win a day

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Ingredients 60g polyunsaturated spread 1 large egg 100g soft brown sugar Grated rind of 1 large orange Juice of 1 large orange 140g plain flour 1 teaspoon baking powder ½ teaspoon bicarbonate of soda 1 teaspoon ground cinnamon ½ teaspoon grated nutmeg ½ teaspoon ground allspice ¼ teaspoon ground ginger 1 large eating apple 100g dried cranberries

This recipe has been taken from a new recipe book produced by 2gether Specialist Dietitian Carly Atkinson, with material from the Caroline Walker Trust

Method 1. Pre-heat the oven to 180ºC / 350ºF / Gas 4.

2. Place 12 paper muffin cases in a muffin or cake tray.

3. Melt the polyunsaturated spread and leave to cool.

4. Place the egg in a mixing bowl and whisk, adding the melted spread while whisking.

5. Add the sugar, orange rind and orange juice and mix to blend.

6. In a large bowl sift together the flour, baking powder, bicarbonate of soda and the spices.

7. Peel, core and chop the apple into dice.

8. Make a well in the dry ingredients and pour in the egg mixture, stirring gently to blend.

9. Add the apples and cranberries and mix well.

10. Fill the muffin cups to about 2/3 full with the mixture.

11. Bake for about 25-30 minutes until the top springs back when touched lightly.

12. Transfer to a rack to cool.

Competition

Cotswold Wildlife Park and Gardens have kindly given us one adult ticket and one child ticket for admission to the park, which is in Burford, mid way between Oxford and Cheltenham. To win this prize, simply email your name and address to 2gether.comms@glos.nhs.uk and we will draw names out of a hat. Closing date – July 23 2014.

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Summer 2014 gether’s Community Involvement Team Information, advice and support for service users, carers and volunteers, including details of how to get involved in helping to improve Trust services.

Tel: 01452 894200

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Carers Gloucestershire Local information, support, advice, advocacy and support groups for carers.

Tel: 01452 386283 www.gloscarers.org.uk Gloucestershire Community & Adult Care Directorate Helpdesk Information and help for adults and older people, their carers and relatives regarding social care, health, housing, financial and general support needs.

Tel: 01452 426868 www.gloucestershire.gov.uk Gloucestershire Children & Families Service Helpline Information and enquiries about services for children and families, including requests for a needs assessment.

Tel: 01452 426565 www.gloucestershire.gov.uk Gloucestershire Young Carers Support for young people aged 8-25 years whose lives are affected by caring for a relative.

Tel: 01452 733060 www.glosyoungcarers.org.uk Healthwatch Gloucestershire Consumer champion and provider of information and advice about health and social care.

Tel: 0800 652 5193 www.healthwatchgloucestershire.co.uk Healthwatch Herefordshire Consumer champion and provider of information and advice about health and social care.

Tel: 01432 364 481 www.healthwatchherefordshire.co.uk

Herefordshire Carers Support A registered charity providing practical support and advice to the carer community in Herefordshire.

Tel: 01432 356068 www.herefordshirecarerssupport.org Independence Trust Support for individuals, families and communities with concerns about mental health, alcohol and drugs.

Tel: 0845 8638323 www.independencetrust.co.uk Let’s Talk Information, guidance and therapy during times when you feel stressed, anxious or depressed.

Tel: 0800 073 2200 www.talk2gether.nhs.uk Managing Memory 2gether Information, advice and support for people affected by memory problems.

Tel: 0800 694 8800 Mind Information, advice and support for people experiencing mental illness and their carers.

Tel: 0845 7660 163 www.mind.org.uk NHS Direct Health advice 24 hours a day, seven days a week.

Tel: 0845 46 47 www.nhsdirect.nhs.uk Samaritans Help and support 24 hours a day, seven days a week.

Tel: 08457 90 90 90 Cirencester Eating Disorders Support Group (Beat) Confidential, approachable and understanding group for help, support and information. The group meets every month at 7.30pm on the first Wednesday of the month, and is open to anyone in Gloucestershire - sufferers, relatives and friends.

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06/03/20