Graphic Design Work for the NHS 2016 by Astrid Johnson

Astrid Johnson Graphic Design

Work for the

Information for Carers | Achieve Salford Recovery Service Brief

“

Alcohol and Drug Use A Family Concern

Content

I’m really pl eased now – feel much m ore positive now.

”

Why do people use drugs and alcohol? /or

Why4 do 5 people use drugs and /or 6 7 alcohol? 9

Do some peo ple have an addictive personality?

... after refe rral for Fam ily Interven tion

What do we mean when we say someone has a drug or alc ohol problem?

How does sub stance misuse other family affect members? Why are som e

people in ‘den ial’? Why do som e people kee p relapsing back into dru g or alcohol use? How can rela tives help? If a boundary

is broken

How to respon d and assertive appropriately ly if a bounda is broken ry Getting sup port for

Information for family Information for young Single point of

There are many reasons why people take drugs and/or drink alcohol. Some people are naturally curious and want to experiment with different experiences. They may find the initial experiences of drug use to be pleasurable, and that can be a key reason why they continue to take drugs. Other people may take drugs or drink alcohol for different reasons. Some common reasons are: n To be able to relax n To feel more confident n To deal with stress

10 12 14

n To reduce anxious or panicky feelings n To block out worries or difficult memories n To ease emotional or physical pain

n Because of being or feeling dependent on it.

15 16

and carers

carers

contact

24-page A5 booklet

Sometimes people use drugs or alcohol to self medicate. In reality alcohol and drug use can often make these issues worse. Although there may be short-term benefits, in the long term drug and alcohol use can actually increase things like anxieties, worries, and stress, and may bring problems arising from the substance itself.

18 20 21

Pre-Contemplation

Additionally, there may be problems when the person uses substances within the home. Under these circumstances, tension and arguments are common and relatives can feel helpless about what to do for the best. When a person is using a lot of drugs or alcohol it can affect their behaviour. Some common difficulties are: being moody or aggressive, stealing or borrowing money, being late or unreliable, neglecting themselves or their home. These behaviours can place a lot of stress on relatives, and lead them to experience problems with their own mental and physical wellbeing (for example: low mood, anxiety, sleep problems, aches and pains). At these times family members may need to seek additional support. One of the most common concerns is difficulty with the person’s lack of awareness or insight into problems their substance use is causing. You may be able to see how drugs or alcohol are making their problems worse, but your relative may only think of the benefits they get from substance use. Although it seems natural to want to try and talk the person into changing, this can often make things worse. Arguing with a person that a problem exists can lead to that person taking a more extreme position. ●

Sometimes boun Does notdarie recognise the need s may be broken just have beenfor put change is not actively into or place . Then it is temp as soon as they the wholeconsidering process ischange. ting to think ‘just a waste that of time’.

Relapse

Permanent Exit

Lapse may occur and start the cycle again.

Maintenance Is adjusting to change and is practicing new skills and behaviours to sustain change.

But having a plan for bound ary breaking and sticking to it can be really helpful at this stage. Sometimes drug/ alcohol users react to family memb ers effort set boundaries Contemplation by ‘pushing again s to hoping that st’ and family memb Recognises problem ers will feel unable to enfor and is considering ce a boundary and give in change. to what the drug/alcoh ol user wants .●

Achieve Salfo rd Recovery Service consi CAB • Early Break sts of GMW as Lead Provi • Great Place der in partnershi s Housing Grou T.H.O.M.A.S • Triangle of p • Salford Roya p with: Care Member l NHS Foundatio n Trust

Is initiating change

First time a carer had spoke n honestly to somebody about their situation

”

Understand Carer Support Group with GMW Carer Lead Tracy Collar

Preparation

Action

“

Help us to support you

It was living We organise to find out how we can support hell, regular you events canand ’t activities where you can meet you, and there are groups tell people ho w with people the same concerns as you and help each other. We you fee – and their children through our to l parents how do you also offer support say Holding Families Programme. “my son’s This page gives a glimpse into including information for the We Understand an addict anthese activities, d stePlease Group. pages 18 for more information. alsseefro m me, but I sti Karen from We ll love him?

The work of

“

”

think be a young you might carer...

... after referral for Family Interventions

If you are worr ied about some to speak to a body you care trusted adul for, it can help t like a teach who can help er or youth to get you the worker, support you need. We are here to help you too. If you think Carer and woul you are a Youn d like our supp g ort, please conta ct us:

online help

Achieve Family & Carer Listening Event discussions Family Member Cynthia making a suggestion to Achieve

Achieve Young Person’s Service Information Stand

We Understand Group peer led support for individuals dealing with a loved one’s addiction problem 1st Monday of every month at 6.30am & 3rd Thursday of every month at 10.30am at Langworthy Cornerstone Community Centre in Salford.

Achieve is supp

orted by Gate

scored, cut and staple stitched

https://babb le.carers.org / Babble has been created by Carers 18 who are caring Trust as an online space where and access inform for a family member or those aged friend can chat, share their experi under from across the ation and advice. The site aims to bring UK in an online together young ences space which carers is safe, fun and supportive. http://www. youngcarer.c om/ As part of The Children’s Society from all commu , the Include Programme reache nities throug h our nation and statutory s out to young al and services suppor carers ting young carers. local programmes, helpin g voluntary https://www .actionforch ildren.org.u people/supp k/wha orting-youn g-carers/ Online t-we-do/support-for-youn help and suppor ghttps://matt t. er.carers.org / Matter gives young adult carers 17in the UK a space access trusted support. to connect, share advice and www.sibs.o rg.uk Suppo rt and advice if you are caring for your sibling http://www. salford.gov s. .uk/youngca rers http://salfor dcarerscentr e.co.uk/#/yo ung-carers/4 563563787 20

Leaflet printed on 170gsm silk

Single poin t of contact

If you know somebody who tells you they address their drug or alcoh want help to ol dealing with their use your use, or you need some supp self, please ring ort Achieve. number for over 25 yearolds is

creased on two lines

The contact

0161 703 887 3

For young peop le aged 25 and

0161 358 185 8

under the num ber

Booklet 4 cover pages on 250gsm silk 20 content pages on 170gsm silk

Buddies.

Thanks, I did not realise there was this kind of support out there. If you

0161 833 021 7

Is getting ready to change.

It’s important to remember the hardest part of bounda setting can be ry at beginning, and the it’s likely things get easier as tim e goes on, especially 7if you are consistent.

Material 3

Why are some people in ‘denial’? If a bounda is broken ry

6-page DL leaflet

The availability of drugs and drink, and environmental influences, can make it easier for some people to opt into occasional or more frequent patterns of use. But drug use is not just restricted to people who have problems or live in inner city areas. As the media reports of expulsions from private schools and drug use in rural areas show, illicit drug use is an aspect of our society from top to bottom and in all regions. This is also true of alcohol. Frequent, heavy or harmful drinking can arise in all sectors of our society. ●

One model that can be helpful in understanding your relative’s attitudes towards their substance use is the ‘Cycle of Change’ model.

Size & Extent

n Because of depression

If your relative has a substance misuse problem you will no doubt be familiar with some of the difficulties this causes. It is often difficult to understand why someone may be using drugs or alcohol a lot.

Image material shows family groups with one ,member of the family highlighted by a frame, part of the group but needing care.

n To ease withdrawal symptoms

yourself

Help us to sup port you

How does substance misuse affect other family members?

Achieve commissioned me to develop a booklet for carers according to NHS branding guidelines as well as an inviting and friendly leaflet for a Carer Support Group.

Salford Care r’s Centre also has a specialist Family Supp ort Worker – speak to some Substance Misuse you would like body referring, or you can conta at Achieve if ct them your self.

0161 833 021 7 www.salford carerscentre .co

.uk

This group is run by individuals who have experienced first hand what caring for an addict involves. We fully support and guide you to get all the help and information available to you that you so rightly deserve. We aim to offer family and social activities and events as well as giving you some respite from your caring role. We understand the feelings of stigma and isolation around caring for someone affected by substance misuse.

So what is We Understand and what can it offer to you?

So please come along to our group meetings with like-minded, friendly individuals who will really understand how you’re feeling.

You will be welcomed with friendliness and compassion. 1st Monday of every month 6pm-8.30pm 3rd Thursday of every month 10.30am-2.30pm Langworthy Cornerstone 451 Liverpool Street Salford M5 5QQ Contact us weunderstand2015@hotmail.com 07772 803 792 Closed member group: We Understand

We Understand Are you caring for or affected by someone who is an addict or in early recovery from drug or alcohol issues?

Suppor t group for families and carers affected by addiction

● Help and information telephone numbers from organisations relevant to your needs ● Befriending and support with like minded individuals affected by drugs and alcohol

Are you struggling in the wake of a family members addiction and destructive behaviour? Trying to rebuild a sense of family wellbeing through addiction, recovery or rehab? Do you need the tools to stop enabling and find your sense of balance once more? Addicts have professional support resources but all to often the families and love ones get left behind. This is a group designed to help YOU create a life of wellbeing you too deserve to be supported and feel whole again.

● A drop-in for a friendly chat and a cuppa ● Respite from your caring role ● Guidance ● Recovery Academy training courses and family coaching training ● Events and social gatherings ● We are linked in with a number of organisations that would be able to help you deal with whatever your problem is.

Self-help book | Achieve Salford Recovery Service Understanding

This self help guide will help you look at your own drug or alcohol use and help you to make changes if you want to. It is not an information leaflet. It is set out in a particular order so that you can work through your choices regarding your substance use.

What does substance use do for you?

Why should reading this I bother booklet? It could hel

Achieve Salford Recovery Services

There is no time scale that you need to work to. It may be a matter of days, weeks or even months. Work to your own pace. The sections include:

p you:

Self Help

Brief

How to use this booklet

Understanding

3 n Examine What drugs do for you? yo Howur muchow do I really 5 n use? drug or alc The 5 stages of change 7 oh ol us e. n Give you Where are you with information your drug use? and practic al ide Is it worth it?as that 12 will help yo u ma Making yourke mind up! 15 choices that areon,rig ht Carry cut down, or for you. quit? You decide! n Start to maWhat do you want to do? 16 ke changes to your drug Looking after yourself or alcohyou olexpect 17 you do stop can use, whatevIfwithdrawal? er they are, cutting down or quitting… yo u decide!

Stopping is easy! But how do I stay stopped? Cravings: The facts

Ways to cope

Cravings: The facts

Cutting Down

Help and support

Before anyone can change something such as drug or alcohol use, you need to identify what it does for you. Let’s be honest if it didn’t do anything, you wouldn’t use it! You obviously get something out of it. So let’s get honest! What need does it meet? Other people n Does it help me cope? expect me to (especially at certain times: n Does it help me feel better about at myself? recreational activities, weekend, etc.) n Does it help me fit in with my friends?

automati Look over the list below.It’s What do c.drugs alcohol It is whaor t I do do for you? Tick all that applies:

Date & Time Substance

It’s part of my life. I’m attached to it It means I fit it with my mates

Other

It is relaxing I feel I have more fun

List the top 3 things tha t drug or alco for you: hol use does I don’t feel anxious

It helps me be more Now confident thin

Date & Time Substance

Where were you and who were you with?

What were you

Looking at how change happen can help you understand where you are and identify where you want to go i.e. what changes you want to make. Everyone, no matter who they are, or what behaviour changes they want to make will go through the same process. They will go through five stages when making any behaviour change. This includes smoking, drinking, losing weight or drug use. A persons’ next step will depend on what stage they are in. Moving from one stage to the next means seeing “where you are at” and deciding where you want to go and what is going to help you get there.

thinking?

Why did you use? What need did it meet?

How much did it cost?

What was good about this week?

look at

the thin It helps when feeling gs I’m it doe s for you, can k of anythin downg else wh ich may do som you sim ilar. It helps me laugh and find ething It lifts me when I feel bored things funny For example, you may put ‘helps me relax ‘have acupunct ’ and alternativ ure or go tome e to this may It helps me face myspace It helps more thebe gym etc’creative underneath. be Write your alter natives in the responsibilities Alternatives for 1: It improves sex

Alternatives

28-page A5 workbook with illustrations and tables

Material

What are the 5 Stages?

4 cover pages on 250gsm silk 24 content pages on 100gsm offset stock

1. NoT ThiNkiNg abouT chaNge (PrecoNTemPlaTioN) Someone who is at the first stage is not really thinking about changing. They like what they are doing, they don’t see it as a problem. Frank from Shameless is in this stage, he couldn’t care less about his drink and drug use and has no intention of changing.

What was not so good?

3 Alternatives

Size & Extent

The idea behind the stages of change model is that behaviour change does not happen in one step. Rather, people tend to progress through different stages on their way to successful change. Also, each of us progresses through the stages at our own rate. Each person must decide for himself or herself when a stage is completed and when it is time to move on to the next stage. Moreover, this decision must come from you.

Is this more or less that you were using this time last year?

It stops me from thinking too much

The Cycle of Change – 5 stages

How much did it cost?

How much do I really use?

It eases pain

3 high I like the feel of getting

Why did you use? What need did it meet?

It can be help ful to keep a diary of you next week, or r use – you can record what do this you used over Write your answ the past 7 day ers in the box s. belo

It helps me sleep

It helps me forget my 2 problems

What were you thinking?

I don’t feel so nervous or stressed

It helps when I feel lonely 1

Where were you and who were you with?

Achieve needed a work booklet for Service Users to guide them through their pass of recovery from substance abuse and explain the process.

2. ThiNkiNg abouT iT buT NoT quiTe ready To chaNge (coNTemPlaTioN)

for 2:

At this stage, someone is considering change. But that’s all they are doing, considering it. They are more aware of the consequences of what

for 3:

scored, cut and staple stitched

they are doing. However they are still in ‘two minds’, on one hand they know they need to make some changes but on the other hand they still like what they are doing. 3. geTTiNg ready To chaNge (PreParaTioN) Someone in the preparation stage has made the decision to change and is getting ready to make that change. They make a commitment to change. The individual makes a plan of “how” they are going to do it. For example finding out dates and times of NA meetings or setting a quit date.

Along the way to changing, relapse is always a possibility. Although relapse can be discouraging, it can be an important opportunity to learn from and decide to try again. The key is to review your efforts, identify where you went wrong and develop a plan for the next time. People who relapse may need to learn how to anticipate high-risk situations more effectively (like being around people who use drugs). In addition in the Cycle are you Wh develop more appropriate coping strategies such asere assertiveness skills. are? It is useful to know which stage you are at in the cycle of change. you think you re do Whe

4. makiNg chaNge haPPeN (acTioN)

of Change?

ions to help ines suggest e which outl Below is a tabl the stages: you through ion Precontemplat Does not see

a problem

Pre-Contemplation

In this stage, someone begins to make those changes, whatever they may be. Attending support groups and not using in the house etc. 5. maiNTeNaNce (keePiNg The chaNge goiNg)

Does not recognise the need for change or is not actively considering change.

Relapse

Someone in the maintenance stage keeps the decision to change going and maintains the changes they have made.

People can progress in both directions in the stages of change. Some people will “recycle” through the stages of change several times before the change becomes fully established.

Where are you up to with your substance use?

Dealing with Lapse or Relapse

What makes

Permanent Exit

Lapse may

Contemplation

occur and start the cycle again.

Recognises problem and is considering change.

Maintenance Is adjusting to change and is practicing new skills and behaviours to sustain change.

ion Contemplat

about Has thoughts unsure change but is about it

you think this?

Preparation

ed to makes Gets committ a change, plan

t’s your next

t to get to, wha

wan Preparation Where do you

Action

s The person take n to definitive actio viour change beha

Action Is initiating change

it doesn’t not easy and ed change is ree of effort As already stat t, it requires a good deg nigh happen over ent. g on in your goin is and commitm else t support 9 need to look at wha will inued use or

cont Sometimes you ds influence have to h do your frien etimes you will life? How muc seeing g to make. Som example not you are tryin the changes e changes, for in order to mak fices sacri e mak use. who ds frien

What does it do for you?

rtant to you t what’s impo What are the main things you get out of using drugs or alcohol? n Think abou make the t how best to n Think abou 1. change n Make a plan n Get support

step?

Is getting ready to change.

Is it worth it?

the risks awareness of n Increase your of drug useMaking a decision about something like stopping drug use requires and problems udes towards positive attit stepping back and taking a good hard look at your use, what does it n Challenge do for you and how it’s affecting you. If it was all bad, you wouldn’t substance use be using it at all. interests n Get other This will involve answering the following questions… hoNeSTly! change nsnforWhat reaso ive does it do for you? n Identify posit ging chan of not n What problems is it causing? n Discuss fears ge if you you can chan n Why change? What will be better? n Believe that want to

3. into action n Put your plan 4. se ding relap n Work on avoi hobbies r interests and n Build othe 5. or socialise r ways to relax n Find othe ng skills copi lop n Deve yle ges in your lifest n Make chan and friends

e Maintenanc

Now go back over your list. Think about each benefit and be honest with yourself: Does it still help me do this?

Making your mind up!

What problems would you like to avoid? Tick all that apply: Feeling anxious / stressed

Financial worries: too much money spent

Conflict with people I care Reasons for changing Worries about my physical about What are your 3 mai importance. health N reaSoNS for changing ? Write them Mental confusion. I can’t in order of Feeling as if I have no choice think clearly, or I can’t make 1. . up my mind about things Feeling bad about myself

Not doing as well as I could at school or work

Feeling lost

Losing self-esteem

Memory loss

Depression

Feeling like everything is hopeless

Having problems remembering important things

Feeling irresponsible or immature

The aim of the previous pages was for you to take a closer look at what your own drug use is costing you.

If cutting down, I will have

drug/alcohol free days

If you do stop, can you expect withdrawal? Using substances on a regular basis can result in people feeling the need to continue using in spite of continued problems. When people decide to stop they can experience some unpleasant symptoms. These are only temporary and will pass! These withdrawal symptoms can include: n Anxiety n Increased irritability n Depression n Difficulty sleeping n Vivid and disturbing dreams n Mood swings n Tiredness

and not use more than

Getting into trouble with the police

Irregular menstrual cycle

Looking after yourself

The goal you set is entirely up to you. There is additional information to In the right colu good thing s about your mn, write dow substance help you no matter what you decide. Making a decision and making a things about n all the bad your drug use. , unpleasant, Next, give a or difficult commitment to work toward your goal is an important step. item: score of impo rtance to each SlighTly imP orTaNT = 1 moderaTely imPorTaNT Very imPorTa =2 NT = 3 exTremely Looking over what I have written, the best goal for me is to: imPorTaNT =4 Good Score Bad cuT dowN Score

Feeling lazy, no motivation

Messing up my sleep

Carry on, cut down, or quit? You decide!

But what are you going to do?

Difficulty keeping a job

Feeling paranoid

When people make any deci sion, they ofte good and bad n weigh up things to help the them make the right for them . This is part decision that icularly usef is in the “thinkin ul when g about change ” stage (contem someone is In the left colu plation). mn, write dow n some use.

n Physical discomfort such as sweating or hot and cold flushes

times in the week.

These symptoms do pass, usually in one or two weeks. The good news is there are things you can do which help.

quiT comPleTely

I will start on this day:

Any other problems you would like to avoid?

n Get plenty of rest and eat well n Cut back on stimulants such as caffeine, sugar and cigarettes n If you are struggling to sleep, have a warm bath before bed and a milky drink

ns for change

initial reaso n Revisit your the positive benefits Maintaining n Focus on the 12 back changes t to try and get se it’s importan relap or lapse mistakes. rience a learn from your If you do expe 11 and ible poss kly as on track as quic

n Practice relaxation techniques

day

moNTh

year

n Exercise – it releases endorphins and can help the body relax

easy! But Stopping is stopped? ay st I do w ho

Ways to cope! Surf the Urge!

e facts e Cravings: Th natural part of modifying substanc .

1 2

3 4

s to use are over come then Cravings/urge helps people nding cravings use. Understa ol use and can drug or alcoh ier of long-term lt resu the a history of heav Cravings are So people with after quitting. s. continue long e stronger urge rienc expe use will ngs, s, things, feeli place le, by: peop d with be triggered been associate Cravings can else that has ls or anything situations, smel past. using in the Every wave / at the beach. wave a of s t, and ng in term its highest poin Think of a cravi y builds up to l craving rarel s of small and craving start y. Each individua k and flow awa then it will brea 3 minutes. lasts beyond

7 8

Remember the stray cat, you’ve been feeding? In the beginning you feed the cat because it cries for food and attention. You may find it’s a nice thing to do and you feel good for being kind. However by feeding the cat you encourage it to repeat its cries and attention er… seeking. You find yourself giving in every time. Over a period of time loose their pow CRAvINgS the cat grows bolder and braver and louder till eventually other cats quickest the re ensu join in crying and demanding food and attention! to way drugs is the best from ce inen Abst It’s the same with your cravings every time you have a craving it’s the cravings. of ction g food and attention, if you use drugs you feed the cat, extin uttinfor cat crying ing/c s of quitt part early the some for a while but it will come back with louder more in forsatisfied the cats ngs e cravi most intense to experienc Cravings are persistent cries. Just as your cravings will get stronger and longer in le may continue down, but peop duration! SToP feediNg The caT! and months. s stres onseIfto you walk into a room and there’s an awful smell, but you stay in icularly in resp but they will sometimes, part intense the room for 30 minutes is the smell still as bad?…No! Be aware that be particularly ers, craving will certain trigg This is called The faTigue PriNciPle, the smell may knock you sick stress subsides. decline when at first, but after a while you get used to it and the intensity fades. You don’t have to do anything to get rid of the smell, it just goes with time!

Remember each craving will rarely last longer than a few minutes, you can ride them out!

strengthened alive.

are NoT power if they ngs only lose their to keep cravi Cravings will will only serve g occasionally by using. Usin if you keep

cat – like a stray A craving is ing back! will keep com feeding it, it

Some people think cutting down is har Both goals take der than stop a lot of effort ping. intend to con and determi nation. If you tinue using, some method may reduceth s and techniqu e risks of you es r drugs use. An importan

3 D’s delay Avoid triggers, especially soon after stopping. If you do experience a craving delay the decision to use for a minute at a time or longer if you can manage. During this time say to your self ‘I will not use on this craving’ this will help you break the habit of immediately reaching for drugs when you have a craving. You may find that if you delay the decision to use, your craving will go in a few minutes.

t thing to say is these ideas drug use carri can help redu es some risk. ce the risk. All The best way free as possible to make sure is not use. The you are as risk legal risks of there as are using an illeg many of the al drug are still risks to your mental and phys ical health. Self control

tips

diSTracT Once you have delayed the decision to use, you need to distract yourself from thoughts of using. Do something like go to the gym, take dog a walk, listen to music, speak to a family member or friend who doesn’t use.

When I have a craving I will… Write a few options down:

The same is true of a craving. It may be really intense and all consuming to begin with, but if you don’t act on it (doN’T feed The caT!) It will go away!

CRAvINgS: … t three minutes They last abou

Cutting Dow n

er than use in thing else rath peak on does some its power. The Each time a pers craving will loose will be craving, the ler, and the wave response to a become smal will wave ction. of the craving is known as extin ess proc The further apart.

Once you are interested in, or actively doing something else, you will find the craving will reduce in intensity and soon they will go altogether. decide After the craving has passed, think about the reasons why you wanted to stop using in the first place. Decide then and there not to use again and congratulate yourself on not giving in to something that is oNly a thought or feeling.

These are some tips that you might find usef your substanc ul to help you e use: cut

1 2

8 9 10

Spend time with people who will support down or don’ your effo t use.

rts to cut

Reward your self in other ways than drug you have mad use, for e. Find alternativ

Help and support Mutual Aid

es to using drug

What else do you

s or alcohol.

NarcoTicS aNoNymouS http://ukna.org/

think might work for you ?

0300 99901212

uk SmarT recoVery – Self-management and recovery Training http://www.smartrecovery.org.uk/

down

alcoholicS aNoNymouS great britain

Set limits on the day, time , and amount plan to use. you

http://www.alcoholics-anonymous.org.uk/

0800 9177 650

cocaiNe aNoNymouS

Plan ahead for particular situa tions. This can a plan for deal help you have ing with pres sure to use subs really don’t wan tances when t to. you To reduce the risk of overdoin g it, try to spac between using e out the days drugs or alcoh ol. Keep a diary of how much you are using aware when . This helps you you are using be more than you said you wou ld. The more you break up the pattern of use control drug the easier it s or alcohol and is to reduce the risks . If you are tryin g to cut dow n, avoid thing drugs. Certain s that remind places, peop you of le, events or think of your times might substance of make you choice and wan t to take it. Try to identify all the things you associate make an effo with using drug rt to avoid them s and until you feel Plan to do some OK about not thing else at using. the time of day you usually use.

http://www.cauk.org.uk/index.asp

0300 111 2285

Other Support

3 4 5 6 7

Warning

the success

http://www.chemsexsupport.com/

lgbT fouNdaTioN https://lgbt.foundation/get-support/befrienders/

moderaTioN maNagemeNT Self management, balance, moderation, Personal responsibility

http://www.moderation.org/

fraNk – friendly confidential drugs advice 0300 123 6600

Achieve run a variety of support and information groups. Please ask to speak to a member of the PSI Team on

Avoid mixing drugs including alcohol. It makes things and you more unpredictable.

chemSex SuPPorT aT 56 deaN STreeT

http://www.talktofrank.com/

Never drink or use drugs and drive. You may think you are ok, but it lowers your reaction times and puts you and others at serious risk.

0161 358 1530.

Using any substance while pregnant can harm your baby.

Achieve Salfor d Recovery Servic e consists of CAB • Early Break GMW as Lead • Great Places Provider in partn Housing Group T.H.O.M.A.S ership with: • Triangle of • Salford Royal Care Member NHS Foundation Trust

The work of

Achieve is suppo

rted by Gate

Buddies.

Information | Bolton Memory Assessment Services Brief the demen tia Support Group

Bolton Memory Assessment Service

Post Diagnostic Support Group What is Dementia?

Dealing with Stress and Anxiety Practical Strategies and Telecare Legal and Benefits Advice Life Story

Bolton Memory Assessment Service

Memory Activity Group

Come along to the Bolton Mem ory Assessm ent Serv

Physical Hea

The Bolton Memory Service are running a small friendly group using an approach based on Cognitive Stimulation Therapy which is known to have a beneficial effect on memory and thinking.

ice

lth Worksho

Living Well with Memory Difficulties

Each week there will be a variety of enjoyable activities.

I found the group useful and informa tive!

Question & Answer Session The Post Diagnostic Support Group is informative and enjoyable. Both carers and patients are welcome.

Reminiscence Improving Memory Skills

Relaxation

Stress and An xiety Community Gro up Information Keeping Active Healthy Eating Alcohol Aware ness Smoking Ces sation

Please let a member of staff know if you would like to attend.

Contact Bolton Memory Service

Contact Bolton

/ 462675

For carer information.

CaRER dataBaSE GMW MH NHS Foundation Trust keep a carers database, by registering to be on this database you will be kept fully informed about training sessions and events for carers.

tHE dEMENtia SuPPoRt GRouP

Current Affairs Physical Activity

tHE YouNG oNSEt GRouP

Challenging the Senses

A support group for people under 65 who have Dementia and for their carers.

Please let a member of staff know if you would be interested in attending.

BoLtoN CaRERS SuPPoRt

Contact Bolton Memory Service

01204 462676 / 462675

Memory Servic

01204 462676

GMW MH NHS FouNdatioN tRuSt WEBSitE

Bolton Carers Support provides a dedicated service for carers. You can contact their helpline and ‘listening ear’ service and also request a copy of their regular newsletter Carers Contact by phoning.

aSiaN ELdERS RESouRCE CENtRE

ber of staff know if you would be interested in attending.

A5 information flyers

Carers Support Information

The Dementia Support Group runs several weekly sessions for service users and their carers.

Please let a mem

01204 462676 / 462675

Provides support and information for carers and for people living with Dementia.

aGE uK Information and practical support such as a handyman service and complimentary therapies.

CRoSSRoadS

Crossroads provide practical and emotional support for carers and can also provide respite.

WELFaRE RiGHtS Welfare rights are a free service provided by Bolton Council and give advice and information on your entitlement to social security benefits.

Service user identification card Carer IdentIfICatIon Card

IdentIfIcatIon card My name is:

I care for someone with dementia. In case of emergency, please contact: Medical inform

ation:

Relationship to contact person: Contact number:

In case of emergency, please contact:

The Bolton Dem entia Support Group is a loca trained voluntee l charity and rs, present and is staffed by former carers person concern professionally who all fully ed and the imp trained staff, understand how act this disease dementia affe has on the rest MoNdaY cts the of the family.

A4 information leaflet

» »

Memory Caf é

At the Victoria Hall, Bolton Town Centre from 2-4pm

Memory Cafe s offer a frien dly, relaxed and setting where welcoming people living with dementia and carers can , their families drop in to acce http://www.gmw.nhs.uk/about_ and activ ss information, ities. The Cafe support s offer the oppo GMW/CarerInformation.html living with dem rtunity for peop entia and their le families to mee a similar situa tion, find out t others in how and whe and share expe re to get help riences and copi ng strategies. To be put on the carers databasetuE Sda

either telephone Suzanne Grundy Carer Suppor t & Guided on 01204 462676 or email: activity Ses Carers sions Suzanne.Grundy@gmw.nhs.uk from Resource, Thicketford Cen tre, Bolton 10.30-12pm

» For more information, please ring 01204 386696.

Both carers and the people they to attend this care for are welc session as ther ome e is a support provided for session the carers and there is also activity session a parallel for the person being cared support grou for. The ps allow care rs to gain info rmation and

If you would like more info » For more information, please the rmation

» »

Memory Caf é

At the Horwich RMI Club, Cho Horwich from rley New Roa 2-4pm d,

WEdNESdaY activity Ses sion

At Trinity Met hodist Church Hall, Bury Roa from 1.30-3.3 0pm d

tHuRSdaY Further Eve nin

In Farnworth/L

g Events to be arranged

thicketford

Centre

ppportgroup

The centre is a hive of activ ity – including an art group, entertainmen to name a few t, reminiscence . People can support grou sessions, a sens learn compute p with a ded ory garden and r skills and the icated worker. centre offers For more information, please an active care MoNdaY rs ring 01204 651123. Men’s exercise : 9.30 – 10.30am Pila tes: 2-3pm or , £2.50 per class Modern Art 3-4pm, £2 per Painting: 9.30 (provided by class am-12pm or £3 per class Get Active) 1-3.30pm, For more information, telephone Crafts: 1-3pm tHuRSdaY £3 per class 01204 382411. Carpet Bowls: Gentle Seated 1pm and 2pm Exercise: 11.1 , free of char 5-11.45am, free of charge Yoga: 2.15-3.15 ge pm, £2.50 per class

(provided

FRidaY

Stretches and

ring 01204 365025.

Tai Chi: 10-10.45

am or 11-11.45 am, free of char (fortnightly class ge es) IT Tutorials: 10-1 2pm, ring to Please ring 01204 337246 book a place Crafto ts: 12.30-3.30pm , £2.50 per class find out how they can help you.

WEdNESdaY

11.30-12.30a

Exercise: 10.3

m, £1 per

0-11.30am or

class (provide Card Making: d by Get Acti ve) 10.30-12.30, £3 per class. IT Tutorials: 10am -1pm, ring to book a place Line Dancing : 2.30

SatuRdaY

-4pm

Gentle Seated Line Dancing Exercise: 11-1 : 1.30-3pm, £2 1.45am, free (advanced class please Wei seeght reverse » ment: 1.30 IT Tutorials: 12.3 of charge Manage ) 0-3pm, ring to -3pm, free of book a place) charge For further info rmation, plea se contact Emi ly Waller on 01204 337879 .

Medical inform

Contact number:

A4 double sided leaflet, print run of 750 2 x A6 cards, print run of 2000 for one of the designs and 1000 for the other 2 x business card sized information cards, print run of 500 ring binder, 250 with 2-arch clip mechanism roll-up banner, deluxe 200cm x 80cm

ation:

Material flyers and leaflet printed on 170gsm silk stock, A6 cards printed on 300gsm chromo board (one side coated and one uncoated), business card sized printed on 400gsm offset stock,

Bolton Memory Assessment Service

Appointment Card Your Appointm ents: Your Care Co-ordinator:

Physical Health Workshop Roll-up banner

3 x A5 flyers, print run of 750 each

Other useful inform

ation:

Carer identification card

Size & Extent

ation:

Relationship to contact person:

Other useful inform

We chose one of the secondary colours of the NHS palette and created a suite of easily reckognisable products for which we sourced positive images representing memory assessment service users.

ittle Leve

r and Kearsle Please contact y The Dementi a Support Grou for further up p to date

activities. or advice abo dementia Sup ring 01204 397403. ut the full rang port Group, e of services Telephone 012 Carers Resource please contact 04 386696 | , Thicketford : Ema Centre, Bolton, Website ww w.allcommuni il: dementiasupportgrou BL2 2LW. p@googlem ty.co.uk/dem Please phone 01204 363056. ail.com entiasu

by Get Active) » For more information, please tuESda

advice based on dementia care and also them with an provides opportunity to meet othe share experien r carers and ces and coping strategies. The activity session parallel for the person living with dem usually involves entia the use of rem iniscence boxe other activities s or designed to meet the spec of people with ific needs dementia.

The GMW Bolton Memory Assessment Services needed professionally designed information material.

Date /Time

Venue

Contact Details: Bolton Memory Assessment Service Breightmet Health Centre Breightmet Fold Lane Bolton BL2 6NT Tel: 01204 462675 Fax: 01204 463301

A6 appointment card Dementia information ring binder

Bolton Memory Assessment Service

About Your Appointment

Contact Details: Bolton Memory Assessment Service Breightmet Health Centre Breightmet Fold Lane Bolton BL2 6NT Tel: 01204 462675 Fax: 01204 463301

Dear You had an appo

intment with

At (time) On (date) Unfortunate

ly you were

A6 missed appointment card

not available.

Please do not hesitate to cont act the service to reschedule on 01204 462 the appointm 676 ent. Alternatively, a staff member will try to mak with you this e contact week to arra nge a mutuall y convenient time.

Leaflets & posters | Mental Health research campaign

here: email please tick research by

It’s your choice to get in touch.

news about

receive GMW

research projects which might be suitable for you.

Information on FAIR is available at your local GMW service or the R&D Office. Fill in one of the FAIR cards to register your interest.

It’s your choice

Your Postcode:

If you prefer to be contacted by email please give your email address:

For further details please pick up a FAIR leaflet or contact the Research & Development Office on 0161 772 9234 or email fair@gmw.nhs.uk

How to join FAIR

Fill

Your Name:

We need more research to improve mental health services. Let us know if you are interested in taking part in research via the GMW FAIR process. We can send you contact details of researchers on projects which might be suitable for you.

Would you like to hear about opportunities to join in high quality mental health research?

whether the research project is suitable for you and whether you would like to hear more. There is NO obligation to do this.

I want to hear about research which may be relevant to me.

D D MM Y Y Y Y

like to If you would

We will send you by post or email contact details of researchers working on

To note your interest in research in your care record, we need your Name, Date of Birth and Postcode:

Date of Birth:

address: Date of Birth: give your email by email please be contacted If you prefer to

is kept secure and confidential.

Research & Development Office – FAIR Greater Manchester Please West tear off the card along the perforation. Mental Health Foundation Trust Harrop House, Bury New Road Prestwich, M25 3BL

YES

Y Y Y D D MM Y

we need your

Name, Date

e: Your Postcod

Po of Birth and

stcode:

foration.

r care record,

: Your Name

All projects must follow the procedures approved by an Ethics Committee and the Trust.

Your details will NOT be passed on to anyone via the FAIR process – it is YOUR choice to get in touch to find out more.

We will note your interest in your care record which

You can contact the researchers to discuss

your clinical team. If you prefer,

If you have been handed this card by a client, please put in a sealed envelope marked ‘Confidential’ and send to:

put the card in an envelope Please give this card to the (stamp needed) and post toor theto Receptionist in the service Researchof & Development Office. a member your clinical team.

whether the research project is suitable for you and whether you would like to hear more. There is NO obligation to do this.

It’s

To GMW staff member:

You can contact the researchers to discuss

UACT

YES

If you have been handed this card by a client, please put in a sealed envelope marked ‘Confidential’ and send to:

To GMW staff member:

Research & Development Office – FAIR

0161 772 9234

Say Greater Manchester West when you Mental Foundation Trust areHealth asked the question Harrop House, Bury New Road “AreM25 you Prestwich, 3BLinterested in receiving information about future research?” at your yearly Care Plan Co-ordinated Review.

If you have any questions get in touch with the Research & Development Office.

Tel: Email: fair@gmw.nhs.uk GMWMHFT, Harrop House, Bury New Road, Prestwich, Manchester, M25 3BL

Please give this card to the Receptionist in the service or to a member of your clinical team.

Susan Haworth, Service User Consultant & Trust Governor

4 0161 772 923

Tel: w.nhs.uk Email: fair@gm ry New Road, rrop House, Bu GMWMHFT, Ha er, M25 3BL est nch Ma , Prestwich

Would you like to hear about high quality mental health research?

How FAIR works

“Service Users know Please tear off the card many along the perforation give to the Receptionist in the Service or to a member of your clinical team. things and affect their mental health and wellbeing – good quality in your details on the research is key to improving tear-off card attached and give it their life experience. ” to the Receptionist or someone in

h get in touch wit y questions fice. If you have an lopment Of ve De & ch the Resear

Please tear off the card along the perforation and give to the Receptionist in the Service or to a member of your clinical team.

It’s your choice

“UACT support the FAIR your process in providing service choice users with the right to access research.”

to offer you the GMW is keen quality join in high to y nit rtu po op that is h research mental healt u. relevant to yo ur know about yo You can let us W FAIR rch via the GM ea res in st intere contact will send you process. We projects rch teams on details of resea le for you. tab sui be t gh which mi u know y of letting yo FAIR is a wa which ality research qu h hig t ou ab ed and endently review has been indep Committee cs hi Et an approved by and GMW.

you research in interest in To note your

are asked rested in “Are you inte rmation fo in g in iv rece search?” re re tu fu t abou Care Plan ly ar ye ur at yo Review. Co-ordinated GMW is keen to offer you the opportunity to join in high quality mental health research that is relevant to you.

How FAIR works

S when yo Say YE the question You can let us know about your interest in research via the GMW FAIR process. We will send you contact details of research teams on projects which might be suitable for you.

ts must follow the es approved by an Ethics ee and the Trust.

UACT

YES

ort the FAIR “UACT supp e iding servic ov pr in s es proc the right to ith w s er us arch.” access rese

FAIR is a way of letting you know about high quality research which has been independently reviewed and approved by an Ethics Committee and GMW.

ils will NOT be passed on via the FAIR process – R choice to get in touch t more.

er rth, Service Us Susan Hawo r Trust Governo Consultant &

It’s your choice

esearch project is suitable for her you would like to hear s NO obligation to do this.

earch r about resto me. a e h to t n a t Iw be relevan which may

eone ionist or som r, to the Recept . If you prefe m tea l ca ni your cli an envelope in rd ca e th put to the ed) and post (stamp need t Office. Developmen & ch ar se Re

the per the card along

It’s your choice

research projects which might be suitable for you.

contact the hers to discuss

on the your details lcain il it F hed and give ac att rd in tear-off

their lif

We will send you by post or email contact details of researchers working on

cts which might be suitable

is kept secure and confidential.

send you by post il contact details archers working on

Would you like to hear about opportunities to join in high quality mental health research?

e and confidential.

We will note your interest in your care record which

note your interest care record which

How to join FAIR

Would you like “Ser vice to hear about s know ct opportunities to anUsy er things affe m health and join in high quality l ta en m r thei ity mental health wellbeing – goodimqupraloving to y ke is ch research? resear .” e experience

Please tear off

w FAIR rks

Your details will NOT be passed on to anyone via the FAIR process – it is YOUR choice to get in touch to find out more.

Many people find taking part in research helpful and rewarding and we hope you will.

All projects must follow the procedures approved by an Ethics Committee and the Trust.

Brief The Research and Development Department of Greater Manchester West Mental Health NHS Foundation Trust (GMW) needed highly visible and recognisable promotional material to encourage Trust service users to find out about mental health research. They provided us with the “FAIR” campaign logo and asked us to develop an A3 poster and a 6-page DL flyer. They were extremely happy with the design and also appreciated that we could handle their print management, delivering 70,000 flyers very cost effectively.

Size & Extent If you would like to receive GMW news about research by email please tick here:

A3 poster, 170gsm silk stock 6-page DL leaflet, 170gsm silk stock, perforation on one fold

Client feedback: “Thank you for all your help in producing a beautiful leaflet and poster! Your patience is much appreciated, and we are very happy with the final leaflet.” – Jennifer Higham, Research Governance Manager, R&D, GMW

Poster | Psychosis Research Unit Brief

psychosis research unit

Psychosis ReseARch UniT

Single sided A4

Advances in Research, Theory & Practice Pre-conference workshops 3rd March 2016 Conference 4th March 2016 Venue The Curve, Prestwich, Manchester, M25 3BL Workshops delivered by Professor Patrick Corrigan, Professor Anthony P. Morrison and Dr Melissa Pyle Keynote lectures delivered by Professor Graham Thornicroft and Professor Patrick Corrigan

The mission of the conference is to share promising practice and disseminate scientific research. The event will raise awareness of how societal and internalised stigma affects the lives of people who experience psychosis and increase skills to challenge and overcome stigma.

No printing was needed.

Size & Extent

Challenging the Stigma of Psychosis Conference 2016

The Psychosis Research Unit is delighted to announce that we are holding a two day event to bring together people with lived experience of psychosis, clinicians, academics and researchers to exchange and present cutting edge research, theory and practice on the topic of stigma and empowerment.

The Psychosis Research Unit of Greater Manchester West Mental Health NHS Foundation Trust (GMW) needed a simple and effective poster to promote a conference addressing the stigma of psychosis.

For more information and to register please visit www.psychosisresearch.com or contact Dr Melissa Pyle at Melissa.Pyle@gmw.nhs.uk Demand is expected to be high, so please book early to avoid disappointment.

Flyer & postcard | Keeping an address data base up-to-date Brief The Psychosis Research Unit of Greater Manchester West Mental Health NHS Foundation Trust (GMW) needed a simple solution to say thank you to people who had participated in their research projects and at the same time to keep the contact details of their participants upto-date.

Thank

You Dear

You

Thank

We suggested two A5 flyers with a space to personalise the flyer and an A6 return postcard on which former participants were able update their information. Those were sent out with self-addressed stamped envelopes.

Size & Extent Two single sided A5 flyers with a print run of 250 for one design and 1000 for the other

We want to thank you for your support and the time which you have given to

Double sided A6, print run of 1500 Dear

Material

the FOCUS Trial.

Flyers on 170gsm silk stock; We want to thank you fo r your suppor t and the tim e which you ha ve given to the PRODIG Y Trial.

Postcards on 350gsm uncoated stock

To ensure we can keep in touch with you, there is a space on the other side of this postcard that you can use to update your contact information. If you would like to do this, please write your up to date contact information and return it to us in the envelope provided.

psychosis research unit

Thank

You

Name

Address

Postcode Mobile Num

ber Landline

If you have

a preferred

method of co

ntact please

Client feedback: “Many thanks for the work you have done, they look great. I really like the design and how the scheme fits with the colours and design used in the Psychosis Research Unit.” – Melissa Pyle, Research Trial Manager, The Psychosis Research Unit

write it here

Information folder | Specialist Services Matrons Brief The GMW Specialist Services Matrons asked us to produce a set of information sheets, collected in an attractive folder.

Contact the Trust Greater Manchester West Mental Health NHS Foundation Trust Bury New Road Prestwich Manchester M25 3BL Telephone 0161 773 9121 Email communications@gmw.nhs.uk Website www.gmw.nhs.uk

arents

dP ends an i r F , y l i Fam k tion Pac Informa es Network

Family, friends and parents information pack

Greater Manchester West (GMW) Mental Health NHS Foundation Trust would like to welcome you to our Service.

Contact Customer Care Telephone Email Opening Hours

ic st Serv Speciali

Information about their five services and visiting times were different and we produced sets which could be collated accordingly.

Welcome to the Service

We recognise that it can be a difficult experience for you when someone that you love and care about is admitted to our services. We understand that having information and support is important for your own welfare.

0800 587 4793 customercare@gmw.nhs.uk Monday to Friday 9am-5pm

We chose one of the secondary colours of the NHS palette and sourced positive images representing mental health service users.

This pack helps to explain how care is delivered, how you may be included within that care and what support is available for you.

Customer Care Manager Telephone 0161 772 4663

To achieve the best results for our service users, we understand that we need your expertise, experience and commitment. We therefore, value the contribution that you can make to both your loved ones care and treatment and to our services.

Size & Extent A5+ folder with 5mm capacity pocket 22 double and single sided A5 inserts

Material folder on 350gsm silk stock with an outer silk varnish inserts on 170gsm silk stock

MD-FFPINF-GEN-001 01

Adult Forensic Services (AFS) nts ds and pare Family, frien pack information

Contents

the Service Welcome to

n Financial support for family, n Carers assessment n People you might meet

We provide both Forensic and Rehabilitation Secure Services, which means that our care environments are generally locked, and access to our buildings is carefully managed.

Greater Manchester

Your loved one may be admitted to any of our care environments depending on West Mental Health NHS Foundation Prestwich Hospital Trust their needs and gender. It is usual for our service users to move from one ward Bury New Road to another as they progress. Prestwich The aim of admission is for an assessment of your loved Manchester ones mental health and social care needs and then to meet those needs in a holistic, way to M25 multidisciplinary 3BL promote recovery. Service users use our treatment and rehabilitation aid recovery, 0161 773to9121 (Hospital Switchboard) in order to be able to live safely and as independently as possible. We also have a duty of care to maintain the safety of those in our care Edenfield within the wider community.

Centre

Edenfield GMW is committed to ensuring that your loved ones privacy, dignity, spirituality Newland and culture is of upmost importance. Bowness

friends and parents

Unit

Loweswate Further information regarding forensic care can be found r from websites such as:

on the ward

n Visiting

0161 772 3530 (Administratio n Office) 0161 772 4692

Greater Manchester West Mental Health http://www.rethink.org/living-with-mental-illness/policeNHS Foundation Trust Clifton Road courts-prison/forensic-mental-health-services Prestwich Manchester Further information regarding our differingM25 services 3BL can be found on our website: 0161 772 4440 Greater Manchester West Mental Health NHS Foundation Trust

views heard

n Helpful contacts n Accessing health records

www.gmw.nhs.uk/services

» MD-FFPINF-GEN-001

0161 772 3879 (Edenfield Reception) 0161 772 3934

Rockley House

Rethink

n Travelling and car parking n How you can make your

t quality care ng the highes tted to providi in partnership s are commi commitment Our Service to them. to fulfil this ent. We aim t, those closest and treatm their consen You s and, with their loved ones care will be regularly reviewed in with our patient a multi-disciplinary setting for details about a clinical team (called will ask them meeting (CTM) or ward in their our service we round) or in accordance to be involved Care Programme is admitted to with the who they wish Approach (CPA) which When a patient who the patient friends and those is a process that states and those needs are assessed, care that family a person’s . planned, and reviewed we will ensure next of kin, their where possible on a regular basis. The of these meetings is dependent t. With their consent frequency t are involved care and treatmen upon the service and the care and treatmen outmay wish their in persons needs. Your loved to carryone for you to attend these work together wishes to be involved meetings and with their one services and will consent you would that your lovedbe welcome to do so as we recognise the work within our needs nals any nd important role you play of life and Many professio to understa . Plansone’s in your loved recovery. ents to help us care planning for a range of assessm contribute towards person you care Occasionally, perhaps if assessments then d needs of the your loved one is unwell may have. These how the identifie or distressed, they may that they do not wish for plans’ detail decide you to attend these meetings care or ‘care or to be involved in their care. If this occurs, you can request a private meeting are to be met. with any of the involved professionals and we will always attempt to facilitate this for you. We understand They include: that these circumstances can be frustrating for you however we do ask that on of the concern bear concern in this mind descripti our A you need to respect your loved n to recover from ones confidentiality (as the individual confidentiality section). per the be done to aid it n What can minimise can how we If at any time in between or alternatively these meeting you wish to discuss any aspects care your loved one is receiving of the do this then please contact the n How we will ward directly to speak this to the Primary/Named are achieving nurse. monitor if we will we need g How n d to reflect changin has been amende and actively n How the plan collaboratively care for will be written copies , the person you will also receive Wherever possible process. They the care planning involved within process in the care planning of their care plans. also be involved consent, you may With the patient’s

t us

Trust Foundation Health NHS (GMW) Mental n About the Service ester West Service. Greater Manch you to our to welcome someone thatn How we would like involve you in care and ce for you when treatment that having a difficult experien We understand that it can be n Home leave and discharge to our services. We recognise planning about is admitted welfare. t for your own you love and care n The Mental Health support is importan included within Act and be ion may you informat , how care is delivered n Advocacy to explain how you. This pack helps is available for your what support n Family, friends, parents nd that we need that care and and confidentiality users, we understa contribution that for our service the results value e, best n Enhanced observations To achieve the ent. We therefor to our services. ce and commitm treatment and expertise, experien ones care and n The carers charter and the triangle of care to both your loved you can make n Support for family, friends and parents

Wentworth House

and receive a

Greater Manchester West Mental Health NHS Foundation Trust 8 Westminster Road Ellesmere Park Monton Eccles Manchester M30 9HF 0161 707 7366

Enhanced observations MHA) Health Act ( The Mental

As your loved one progresses they will be able to take periods of leave.

» MD-FFPINF-GEN-001

Advocacy

an informal ed to us as hospital been admitt to come into one may have Your loved they have agreed may have been means that tively they patient. This ent. Alterna ation of Your loved one may have the right to appeal ent and treatm MHA) or Depriv for assessm against their detention Health Act ( on the detention used). (depending the Mental If you are the nearest relative detained using you may be able to do on their behalf. Appealing ards (DOLs). this involves your loved one l and Liberty Safegu (or yourself where appropriate) of the individua meeting with individuals ances who are not employed needs and circumst ion with the by GMW, and having what called a tribunal; a meeting used reflects the those in conjunct is where your loved ones The legislation treatment and/or care is discussed from their point of view, yours if appropriate for assessment, include those and that of professionals. s consider then decides The tribunal panel system. whether the detention be what the law criminal justice may requires you modifying, should continue a ‘nearest ones family, or of kin’. Beingshould end. of your loved as being the ‘next writing If you are a member you in For is not the same contact This will further information you le, we can speak with your loved the ‘nearest relative’. Where applicab d to you. one’s care team. you certain rights. will be explaine Alternatively you can contact relative’ gives responsibilities our Mental Health Act your rights and Administration office on 0161 772 3636. (Please about this and note that that Mental Health in to Act Administrators will be able include: remains discuss information relating not your loved one Detentions used to your loved one’s care use this to ensure can provide general information however – A doctor may ent about the sections of the n Section 5(2) further assessm Mental Health Act). ent but can hours to receive can also be obtained for assessmInformation hospital for 72 from websites such section is primarily this days as: 28 Mind – Lasting for n Section 2 t t ent and treatmen http://www.mind.org.u include treatmen is for assessm k/information-support months this section /legal-rights/ mental-health-act-theyour loved – Lasting for 6 mind-guide/compulsor n Section 3 sections to transfer these uses y-admission hospital/ court -to36 or 38 – The t n Section 35, and/or treatmen Rethink for assessment a prison one to hospital n rather than a hospital detentio http://www.rethink.org – The court deems /living-with-mental-illn n Section 37 ess/policecourt appropriate thecourts-priso n. sentencing from sentence is more prison whilst awaiting – Transfer from Royal College of Psychiatrist trial n Section 47 s prison whilst awaiting Mental the Transfer from – of 48 http://www part .rcpsych.ac.uk/healthad – This is n Section ards (DOLS) vice/problemsdisorder to make deprivationlibertysafeg s/ of Liberty Safegu not have capacity uards.aspx n Deprivation your loved one is used should themselves. Capacity Act and treatment for their care and decisions about

Should your loved one be receiving care in accordance with the Mental Health Act they will need to have leave agreed by the Consultant Psychiatrist. Should they have had contact with the Ministry of Justice, any leave may need to be agreed with the justice system. Through careful assessment and management of leave, your loved one may eventually have periods of home leave as they work towards discharge. During Clinical Team Meetings (CTMs) the appropriateness of leave will be discussed. This will be dependent upon your loved ones current needs and progress. We make every effort to ensure that periods of leave are facilitated as arranged. Where appropriate you may be involved in leave and where this is the case you will be consulted beforehand and be involved in agreeing the leave arrangements. We will also request your feedback following the visit. When it is agreed that your loved one is well enough to leave hospital a discharge date will be arranged. It is most likely that care and support will continue in some form whether your loved one is returning home or moving to another care setting. In most instances a discharge CTM /CPA meeting will be held to ensure that arrangements are in place for hospital discharge. We will invite those involved in care from both the hospital and the community. When we are satisfied that appropriate arrangements are in place to ensure that care and treatment can continue as agreed, discharge will go ahead. If your loved one agrees, you will be invited to this meeting.

copy.

MD-FFPINF-AFS-001 01

Home leave and discharge planning

t and treatmen lve you in care How we invo

AFS provides care and treatment for people with enduring mental health difficulties, many of which have had contact with the criminal justice system. People are often admitted from prisons, other mental health services or specialist hospitals. Contac

Family, friends, parents

and e one. In essenc confidentiality your loved empowering e their rights a process of one to exercis Advocacy is independent ting your loved services are it is about suppor . Advocacy GMW has a duty to s their wishes safeguard our service and to expres user’s information a confidential manner. in This means that we of the Trust. can only give you information about can: (IMHA) te your loved one with Advoca their permission. Mental Health An Independent We understand that at times this can be very frustrating information for you should permission not be given. their care n Assist in gaining However, legally disregarding decisions about our patients wishes regarding confidentiality loved one to make ns with their clinical can only occur in extremely n Support your exceptional circumstances or informal discussio one in formal . Your loved one will be loved your regularly asked to review n Support their choices regarding meetings,confidentiality. team s such as CPA formal meeting This does not however loved one during act assessments mean that you cannot n Support your mental health share your thoughts, feelings Act tribunals or any concerns with staff. or Mental Health They are available to listen to you. You are also able to access the support detailed concerns later in this pack. Equally, n Assist to raise you have a right to confidentiality should you not wish your loved one to know any information other services. you impart. is confidential. n Signpost to s with their IMHA something loved one discusse Confidentiality can be i.e. they disclosed Anything your a very difficult and upsetting be related to risk area, therefore you may to this would wish to discuss this further The exception es or others. with your loved ones care team. harmful to themselv that could be may however, your behalf. They e. able to act upon may be of assistanc IMHA’s are not services which t you to other to able be also be able to sign-pos carers centre will to you. y (council) and/or y services available Your local authorit advocac g ion regardin give you informat

MD-FFPINF-GEN-001 03

MD-FFPINF-GEN-001

care triangle of ter and the The carers char

To ensure that we can provide an appropriate level of care and to support your loved one there may be a time when we need to utilise an enhanced level of staff observations for your loved one (i.e. a member of staff is with them more often).

emotional , practical or s with provides unpaid person who illness or problem , A carer is a a disability, , partner, parent someone with support to may be a relative In addition to the Carers The person Charter Greater Manchester alcohol or drugs. West are also committed the The Triangle of Care our. to Gold Award scheme. The friend or neighb Triangle of Care, led nationally ester West by the Carers Trust, brings together many years Greater Manch from of research with carers, they feel will benefit them can expect into what Trust: when involved with mental What carers health services. It is based NHS Foundation with dignity. six principles that ensure carers Health l treated on and d Menta are supported and included. It explores what each principle means in practice informed, supporte will ensure be respected, and provides examples can cause and n Carers will of good practices to learn caring anxiety from. and The six key principles: well. e the distress and physically n Staff will recognis d to stay mentally supporte 1 carers Carers are both and the essential role they play that carers tiality for are identified at first contact need for confiden as possible thereafter. or as soon at all times the n Staff will respect for. lives and whom they care affect their own 2 Staff are carer aware and trained in carer and the people engagement strategies. in decisions which 3 Policy and practice protocols a right to be involved n Carers have for. regarding confidentiality to and sharing information they wish people they care are in place. the lives of the whether or not they are able to choose reflect the support 4 Defined post(s) responsible ensure that carers a Care Plan should n The Trust will for carers are in place. of their role in care. Any mention 5 A carer in orderintroduction to the service and staff provide. is available, alongside a have agreed to g help and support,range of information. relevant regardin ion ing and informat groups, counsell carers to obtain such as support 6 aAcrisis. n Staff will help range of carer support help in of their own’ get ‘life to services a how are have as available along with a self-assessme for them to area as well nt tool. services in the By signing will beup to users other carer support ildren of service rigorousMental the Triangle of Care membership scheme, GMW must undertake children / grandch into contact with self-assessment and develop action plans and dependent to demonstrate how we service users come involving n Young carers carers can and supporting carers, are as possible when so that young as well is soon as as promoting This d the importance of your identifie so that and further d and Health Services. improving our services role for you. ent to a childhoo enjoy their entitlem from possibly ded adequately for an adult in they are safeguar riate caring roles taking on inapprop their family. carer’s views seek and include proposals and n Staff will actively development consulted and ideas in service and ted are represen lly, ensure that carers tion i.e. individua in the organisa at every level and strategically. operationally

We understand how this might seem intrusive or restrictive, however sometimes it is necessary in order to ensure the safety of either the person you love, other service users, visitors or staff is maintained. The aim of increased observations is to engage positively and meaningfully with your loved one at a time of greater need. This could be through the use of activity, discussion, distraction or even silence where appropriate. It can also assist staff to undertake a more intensive assessment of health and wellbeing.

There are three levels of observation: Level 1 Continuous This where your loved one will be with staff continuously. Level 2 Intermittent This is where staff will check on the welfare of your loved one on a regular basis such as every 5, 10 or 15 minutes. Level 3 General This is the level of observation for all environments and involves staff checking on the welfare of your loved one between every 15 minutes and hourly (depending on the service). Where continuous or intermittent observations are utilised, the multi-disciplinary team will complete an assessment every 24hours to determine if the observation level remains necessary. Our staff will also work to ensure that consideration is given to privacy and dignity matters balanced against safety and your loved ones wider needs.

MD-FFPINF-GEN-001 06

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nts ds and pare family, frien Support for our wards you each of support for on providing we can provide who will focus To ensure that parents. This is a person friends and Champion. has a Carer for carers, family, The nearest Carers Centre information to Prestwich Hospital is support and ion, or your loved Bury Carers Centre, Street, Victoria Buildings, 9 Silver Carer Champ find Bury, Lancashire, BL9 0EU. to speak to your to. You canWebsite: ask Tel: 0161 763 4867. need to you hesitate www.burycarerscentre should Please do not the Carers .com, Email: admin@bur Associate Nurse You can access this service ycarers.com. ward or by viewing y/Named or not only if you live in Bury, asking on the one’s Primar by is n but also is you care for Champio someone in the Bury area. out who the Carers You will and on each ward. Youron Notice Board. local area n theauthority (council) will be able each receptio to inform you of a Carers further support are located in you. Centre local to you may access Carer notice boards our reception ways in which from the tter about ion Newsle Alternatively you can find Trust Carer also find informat out what support services up a copy of the are available in the area you live (including carers boards or by picking where centres, access to a carers can raise this assessment or advocacy you need you by visiting NHS Carers areas. services) Direct online www.nhs.u or ward e about any support the ward CarersDirec k/carersdirect/Pages/ to talk to someon care or contact Should you wish and parents tHome.aspx and entering your postcode your loved ones into the search box – this for family, friends will provide you with a attend about list of carers services in the support line in a meeting you your local area, or by telephone 03001231053 between may wish to contact on 9am-8pm Monday to Friday, manager or you basis. ark from excluding Bank Holidays 11am-4pm on a monthly at weekends. up a bookm and pick or which operates on 07717 736265 If you are a young carer the support line (aged 18 years and under), You can contact g dates. you can access information .nhs.ukabove or described details and upcomin as let us know so that we tmatron@gmw reception for can talk to you about any by email: contac might support you you to forneed. us for support an opportunity You can also contact carers that provide ents and also events for our service developm future ck shape We hold regular Feedba help who attend. Our Get active – get involved about our services, find out more friends and parents about your other families, and talk to us Asing theevents familyinmember, friend gain support from for you to come or parent of one of our any opportunity ion about forthcom service users you can now become a member of one Events provide out for informat of our service meetings, our services. Look help to deliver staff training boards. or join our interview panels experiences of our carer notice when we recruit new staff. 772 3833. areas and on You can contribute to the contact 0161 development of our services and our reception help us to continue to Service please improve the quality of our Chaplaincy we provide. from Carers ion services the For support from can access informat you ve can you supporti provide a If you are interested in becoming your local area out the UK. They involved we will provide For support in you with training are situated through and information. and support. support Centres which you to gain advice, You can contact us on environment for 0161 772 3879 extension 2964 for more details. You can also contact us at contactmatron@gmw.n hs.uk.

MD-FFPINF-GEN-001

ly, friends ort for fami Financial supp and parents

MD-FFPINF-GEN-001

Visiting

the ward may meet on People you

Carers assessment

to financial be entitled one you may for a loved If you are caring support. assistance to maintain We understand that, n in council tax, at times, supporting payments someone with mental e with energy health problems benefits, a reductio or issues with alcohol pension), assistanc rent or This may be through l items likechallenging tions (for your or substances can be essentia contribu for e loans . national insuranc ions or eye tests, with disabilities. such as prescript home for those or health costs A carer’s assessment is e to adapt your the person a way for professionals of you and/or furniture or assistanc to find out what your experience of caring is and to see circumstances whether there is any support depend on the largely s they are able to offer you enable you to continue These provision to to provide care. It is an see relevant opportunity to look at your health and wellbeing, you care for. your needs, assessment (please carers whether a you wish to receive support for a areas end that you have and will cover such as: for you, or arrange We would recomm these matters efits-calculator can help to assess titledto.co.uk/ben n Need for information section) which online: www.en You can do this rch.aspx . benefits check. n Need for a break or g.uk/benefits_sea time away from the cared or www.turn2us.or 055 6688. for person Plus on 0800 n A need for practical, Job Centre contact emotional also or financial support You can from: n Looking at opportunities ion is available for leisure, employment Alternatively informat and a ‘life of your own’ alongside your caring role UK Carers Trust n Contingency planning rg and managing a crisis 0844 800 4361 www.carers.o carers.org Your local authority (council) Email: support@ will provide this assessment and any support needs identified. You can contact them directly or raise this matter with us in a clinical team meeting. Further Carers UK information can also be .org found through: 0808 808 7777 www.carersuk e@carersuk.org Carers Trust UK Email: advicelin www.carers.org Direct NHS Carers ect/ Email: support@carers.org s.uk/CarersDir 0844 800 4361 http://www.nh Carers -4pm, 1053 UK 123 ds:11am 0300 , Weeken Friday: 9am-8pm www.carersuk.org Monday to ng : closed Email: adviceline@carersuk.org meetings, dependi Bank Holidays such as to attend 0808 808 7777 expense claims directly to the able to provide e please enquireNHS Carers Direct GMW may be ances, therefor and the circumst http://www.nhs.uk/Car upon the service ersDirect/ attending. service you are 0300 123 1053 Monday to Friday: 9am-8pm, Weekends:11 am-4pm, Bank Holidays: closed 09

our services work within a professionals ry, ensuring and social care care and recove Many health s assessment, include: ute toward ch. These may and contrib Other professionals ary team approa has you may meet: multi-disciplin l Officer) who sible Medica The Matron ensures that you and your loved one’s trist (or Respon s. They have overall problem Psychia experiences are the most health effective and efficient that A Consultant one. treating mental they can be. They also t for your loved diagnosing and ensure that the service continually to improve and treatmen specialised in develops care ent, quality of care and take rist, are for the assessm responsibility for standards cleanliness and infection responsibility Consultant Psychiat of prevention. directly to the responsibilities ars, reporting and have more health the ward team, Overseeing nt Psychiatrist Specialist Registr mental Service Managers are specialising in becoming a Consulta responsible for the day-to-day for a roperational working towards are qualified doctors and financial management who Registra s t doctor of a service. They also lead and the Specialis their services. on developing than ward based nt Psychiatrist nt. e the Consulta their next placeme and work alongsid to on Advanced ble Practitioners/Senior before moving responsi Nurses have undertaken 6 month period Manager; being advanced or Deputy training in their chosen onespecialised leads as a Ward least nurse at has field. They are highly experienced ward a qualified s specialist deputise For each ward and provide advice r and of the ward. Each to the ward team, to compliment ay management the Ward Manage your loved ones plans of who supports for the day-to-d care. Occupational Therapist er or Team Leader (OT’s) will undertake an Ward Manag assessment of self-care, and that . needs from which they leisure their stay onproductivity identify strengths and weaknesses in their absence one throughout will of develop Theyplans of your loved and care accordingly. Plans Associate Nurse. may include individual the nursing care may be and are d Nurse and or group work, and Responsible for care with them carried out on the ward, or within the community. Primary/Name and plan their ward are an allocated one to review Social Workers link with your loved your loved one to the community, regularly meet through liaising with yourselves are and other outside on the ward. who agencies throughout their nurse. Nurses your main contact stay. They will also support (RMN) a safe and given to a qualified Nurse timely discharge from hospital. name Mental d general is a as Registere A Staff Nurse act in the are also known will often Clinical Psychologist’s work in mental health Ward staff nurses with your loved one and met or specially trained s are Health (RNMH). the care team to help them to understand and cope to ensure objective Nurse Mental with difficult thoughts, ating the shift or Registered ion feelings and behaviours. their medicatDieticians in Charge; co-ordin aim to role of the Nurse all patients receive ensure your provide education and advice to both staff ensuring that toregarding ones, and your loved as treatment nurses; nutrition and health. the Nurse in Change for leave Workers assist escorting them nt/Support , facilitating activity, Nursing Assista are met. For instance loved one’s needs They have time with them. a qualified nurse. or spending 1:1 within University to become care at to how studying is in order to learn A Student Nurse periods of time wards for set placements on

MD-FFPINF-GEN-001

that setting.

views heard make your How you can

car parking Travelling and

n AFS welcomes visitors to the service.

Staff will collect you from reception and escort you to the area your visit is place. Young persons under taking the age of 18 are not allowed to visit on ward areas. AFS provides services within a secure environment. In order These to visits will take place in the Family Room; a designated maintain the safety and security of our care environments, we have environments area away from ward and only with an appropriate adult present. arrangements in place which may be different to other hospitals n To ensure safety for all, visits will be supervised by staff at all times. that you have visited. n On occasion it may be necessary to end your visit early in the interests to yourself, your loved of safety one, other service users n Any visitor to our services must be ‘approved’ before they can visit. This means or the care environment. decision would be made This by the nurse in charge; applying to the clinical team to visit, who will consider the application with your loved who would inform you the decision and the reasons of behind it. ones consent. Once a decision has been made this will be relayed to you in writing. n Greater Manchester West NHS Foundation n Any visit must be arranged with the clinical team at least 24 hours before you Trust is Smoke Free. Visitors are not permitted to smoke on and staff hospital premises. are due to arrive. This must include agreeing a time for and duration of the visit. n Alcohol, legal If the team has not approved your visit or if you arrive without notice, your visit highs and illicit drugs are prohibited and it is illegal to bring illicit drugs to our services. Substances may not go ahead. and alcohol can have a negative impact upon a person’s mental health, wellbeing and ultimately n We do recognise that there may be times when you may require some flexibility their recovery. People who engage in legal highs and/or drug taking can suffer poorer around visiting times. Please discuss any needs of this nature with staff. mental health for longer and their stay in hospital can be prolonged. n Each time you visit you will need to present at the reception area of loved the service Please help us to help your one by not bringing legal highs, drugs or alcohol you are visiting. You will be asked to provide photographic identification and you to our care environments n AFS has a zero tolerance policy . regarding violence, aggression may have your photograph taken for your visitor’s badge. Visitor’s badges must including and/or abuse, verbal abuse towards staff or others. Any incidences be visibly worn at all times. very seriously and legal as such are taken action may be taken. n Visitors are expected to leave all personal items such as bags and n heavy Pleasecoats note that you can be removed from the approved visitors within the designated lockers in reception. Any prohibited items including comply mobile list if you fail to with the security arrangements telephones will also be placed into the lockers. we have in place to protect security of our service users, staff, visitors and care environment. the safety and A list of prohibited items is available within our reception areas. This list is not Visiting times exhaustive and is subject to change. Edenfield You will be asked to declare any items you intend to give to your loved oneCentre and you may be asked to have your property searched in orderMonday to ensureto noFriday: 6pm-8pm prohibited items are contained within it. Any item items will beWeekends checked byand staffBank Holidays: 1pm-5pm before they can be passed over, again to ensure safety. These measures are for Loweswate r the continued safety of our care environments and refusal mayMonday lead to the visit to Friday: 6pm-8.30pm being declined. Weekends and Bank Holidays: 1.30pm-4.30p m and 6.30pm-8.30pm n Due to health and safety and infection control, home cooked Wentworth food is not to be House brought to our services. Monday to Friday: 6pm-8pm Weekends and Bank Holidays: 2pm-4pm and 6pm-8pm Bowness Unit (Lowry or Kingsley), Edenfield MD-FFPINF-AFS-001 02 Newland & Rockley Any visits to the unit must House be arranged in advance and will conclude by 9pm. If you have difficulty visiting during these times please discuss ward staff who will endeavour this with to make alternative arrangemen ts.

l ich Hospita on the Prestw t s are located and adjacen of our service of Prestwich The majority to the centre located close site which is arket. to a Tesco Superm Motorway at from the M60 the via the road network k network via accessed Metrolin easily the from The hospital is according to New Road and site that operates the A56 Bury please on the hospital Junction 17, off hours service nal bus a of operatio There is boards). (Out Prestwich stop. and approach e (please see notice arriving on site transport when a published timetabl t upon leaving). rters to arrange to request transpor attend Trust Headqua you have visited visitors in the service l site. Regular the reception on on the hospita an unlimited are in operati y fee that allows our Car parking charges for a monthl please contact a parking permit ed in this service may apply for If you are interest visits. of below: amount details ent using the facilities departm

t: Permits contac Car Parking

ion Trust

Harrop House Health NHS Foundat ster West Mental Greater Manche Bury New Road Prestwich M25 3BL

on Clifton Road. of Prestwich Motorway to the centre from the M60 is located close via the road network Rockley House stop. Turn into can be easily accessed network via the Prestwich Rockley House Spencer. At the Metrolink by Marks and and from the at Junction 17 Road at the Junction from Bury New Chester Street Clifton Road. the into right turn via road from next junction can be reached along in Eccles and for Hope Hospital House is based signs orth follow Wentw 2 and and then right the M602 at Junction turn left into Half Edge Lane M602. Leave (Eccles Old Road), Westminster Road. Gilda Brook Road Victoria road into Turn right off into Victoria Road. 0161 772 3544

MD-FFPINF-GEN-001

Accessing health records Helpful contacts

ent your and treatm raise about the care should firstly any concerns If you have our care you ng whilst in nurse in charge s relative is receivi their primary nurse, the problem MIND helps people take resolve your s with control of their mental these matter will try to help health by providing information and advice, and campaigning manager. They to promote and protect e. or the ward possibl good mental health for as everyone. They provide a range of as quickly on the booklets for carers such the staff carer” or concerns as “How to cope as a and “An outline guide or concerns with to the Mental Health Act”. your problems Customer the resolve to then You can contact MIND on 0845 unable complaint or 766 0163 or online at www.mind If you have been a more formal .org.uk. This can be verbal prefer to make details below. the Carers Centre contact Bury to ward or you would the ion delivers a wide range of on the informat be notified using local services to meet the will bein the community, Manager to pass Care Team should team carers needs of for example providing also ask the Ward customer care can the You information with regarding health issues, response in writing. a fullentitlements, mobility, grants for holidays, Matters raised a timeframe for Team for you. equipment and support. Centre on 0161 763 4867, of receipt and Customer Care Contact the 3 working days online at www.buryc within arerscentre.com or email burycarers@yahoo.co.u acknowledged by using k. d with you. and suggestions will be discusse our ts, compliments and inprovides serviceSANE care and support for people your commen throughout the like to pass on with mental health problems, You may also boxes located their .nhs.uk. families and carers. SANELine is open from and suggestion n@gmw Card nt 6pm to 11pm every day of the including Christmas, New our Comme us at contactmatro year Year and all other public can also email holidays. Contact SANELine on 0845 7678000 or receptions. You SANEMail by email at sanemail@sane.org.uk er Care at: SANE at www.sane. or visit org.uk. Contact Custom Trust r tion Carers UK provide information Manage Health NHS Founda Customer Care on the rights of carers and how to get the help ster West Mental and support you might need. Call 0808 808 7777 Greater Manche or email adviceline@ carersuk.org or visit www.carersuk.org. Bury New Road h, Young Carers.net is Prestwic a website and online support service for young people 18 and under in the UK, Manchester aged who help to look after someone in their family an illness, disability, drug/alcohol 0800 587 4793 M25 3BL who has addiction or mental health condition. Visit the site at http://youngcarers.net 0161 772 4663 Freephone Manager . Email: youngcarers@carers.or telephone 0844 800 4361 Customer Care uk g, Information for young rcare@gmw.nhs. carers is also available from nhs.carersdirect.uk. Email: custome

can also: Carers Trust UK offers t services er Care Team support, recognition and The Custom sign post to specialis an online services for carers. Also forum. Website: provides about NHS services ion n Provide informat ons s and suggesti n Listen to concern s when required resolution to problem n Seek a quick t make a complain if they wish to n Support people MD-FFPINF-GEN-001

www.carers.org, email: support@carers.org, telephone 0844 800 4361.

NHS Carers Direct: You can access information regarding support available you. Website: http://www to .nhs.uk/CarersDirect/, telephone 0300 123 1053 (Monday-Friday 9am-8pm and weekends 11am to 4pm. Closed on bank holidays).

The Data Protection Act (1998) gives you the right to access the information we hold about your loved one on their health record. With your loved one’s permission you can assist them to apply for their health record. If you would like to see or obtain a copy of your loved one’s records you will need to write to the Subject Access Coordinator (this is known as making a Subject Access Request) taking note of the following: n Your request must be in writing (email is acceptable) n There may be a charge to have a copy printed or to view the information we hold n You will need to provide sufficient information (e.g. full name, address, date of birth, NHS Number) so that identity can be verified and the records located n A health professional will survey the records and may choose to deny or limit access. This would be as they feel that the release of information may cause serious harm to the physical or mental health of you or your loved one. n Information from third parties who are not health professionals will not be disclosed without their consent n We are required to respond to you within 40 days.

Further information can be obtained by contacting: Subject Access Coordinator Greater Manchester West Mental Health NHS Foundation Trust Edenfield Centre Bury New Road Prestwich M25 3BL www.gmw.nhs.uk Email: informationgovernance@gmw.nhs.uk

0161 772 3818

MD-FFPINF-GEN-001 13

Client feedback: “Many thanks for this, Astrid. We really like the concept and the colours.” – Hazel Preston, Specialist Service Network Deputy Matron, GMW

Posters | Service user engagement Brief The specialist services at Prestwich Hospital wanted to encourage service user on the medium and low secure wards to share ideas for activities. They wanted us to produce laminated posters to which service users could attach PostIt notes with their suggestions.

Nothing to do...

Bored...

One of the service users, who is an artist produced portraits. I taught him how to scan the images, edit them and we created a set of three posters, which he helped to laminate.

I wish I could...

Bored... Wouldn’t it be interesting to...

I wish I could...

Size & Extent A3 x 26

Material

Wouldn’t it be interesting ... tohi Not ng to do...

Get involved, let us know your ideas about things to do, to see and experience.

100gsm offset stock, laminated

d, let us Get involve ideas r know you , d... dore s to Bo g in about th n e xperi ce. to see and e

Place your Post-it note with your ideas here:

wre : ish eas Ihe with your id I could... te no -it st Place your Po

Wouldn’t it be interesting to...

Artwork by Lloyd Stephenson. Designed by SMaRT Design & Print, a First Step Trust initiative | Charity No: 1077959 | Company registration number: 3730562

ned by Stephenson. Desig Artwork by Lloyd

& Print, a First SMaRT Design

tive | Charity No: Step Trust initia

Get involve d, let us know your ideas about thing s to do, to see and e xperience.

pany 1077959 | Com

er: registration numb

3730562

Place your Po st-it note w ith your idea s here:

Artwork by Lloyd Stephenson. Desig ned by

SMaRT Design & Print,

a First Step Trust

initiative | Char ity No:

1077959 | Com pany

registration numb er:

3730562

Posters | Smoking cessation Brief Prestwich Hospital became smoke free on 1st January 2015. To inform service users about the deadline we produced posters for 8 wards which were changed every month from September 2014.

Size & Extent 4 x A3

Material 100gsm offset stock, laminated

Brochure | Mental Health art project Brief

My Shared Pathway campaign Using art as a vehicle to promote Recovery and Wellbeing

ments:

rvice A group of se ff users and sta field Centre, from the Eden won a bid for d an ed ter en ort from “GMW financial supp * to fund an n” De ’s Dragon aim was eir Th ct. art proje of ss ne are to raise aw d My Shared Recovery an improve Pathway and g for service understandin rers and staff. users, their ca

ed Pathway ser representatives.

& Print g for First Step Trust.

ding drug and alcohol a car valeting service

st. Charity No: 1077959.

page 2

t ele as two distinc The project h

Shared Pathway point for the My service users, borative focal Recovery Map gned as a colla tra, and engages Map was desi is now the recovery man The Recovery very journey. It reco importance of the the t s light ngs abou Campaign. It high ghts and feeli thou their e to shar carers and staff in the AFS. displayed with on, and the service users are lly s pathway that journey very visua Floor Stencil to reflect the g the recovery on cils were designed sten ards. By displayin nity to reflect The floor n the opportu are working tow give they s are rs ome care goals and outc to be. users, staff and ice need s serv step re; cent t the next throughout the made, and wha ress has been how much prog

” Den on’s BBC rag ular WD popl W have “GM on the s GM of the d se rie al se Ba anci rsion sion televi uced a ve fering fin and of s introd n’s Den, tive idea s. am Drago t for crea staff te or W supp om GM fr bids

duced Ar t was intro unit to help throughout the covery re the promote hlight agenda and hig ps service individual ste e to facilitate users can tak e. their discharg

sage had “the mesre the target to be whe would see it.” audience cils are “the sten within integratede of their the textur ent.” environm

page 4

– s and Progress Outcome Plan s Pathway Step lth Recovery My Mental Hea lem Behaviours Stopping My Prob lems Getting Insight And Alcohol Prob Drug From Recovery Plans Making Feasible Staying Healthy My Life Skills s My Relationship

page 9

ncilS FlooR Stojeect introduced a form of street arflet toct

pr s that re This part of the ents and quote Centre. Statem ncilled onto ste re we s the Edenfield ice user d aims of serv stencilled an e s Th ed s. ne rd the courtya in one of the s estions: or qu flo d ing an id walls ing gu swer the follow an How do ’, ps to? ste t ge ay pathw do I want to now?’, ‘Where I’m doing?’. w ‘Where am I ho l tel I n d ‘How ca I get there?’ an

page 8

page 7 page 5

thway Shared Pa

At the heart of this project is the Recovery Map, which is a piece of art created from Ordnance Sur an vey Map of the Lake District. This was cho sen because the wards in Edenfield Ce the ntre are nam ed after places the area. The in recovery mantr a was stencilled onto the map, and the artwo rk was devel further durin oped g a collabora tive session wit service users, h carers and sta ff. The group asked to share was their thoughts and feelings about the rec overy journe y and add the the map on a m to Post-It note. Th e completed was then use map d as a key talk ing point for Mental Health World Day.

the printed Copies of played and map are dis . at the AFS exhibited

es Plans

‘outcom

ress’

and Prog rs

vice use t for AFS ser

ation leafle

m an inform

Excerpt fro

introduction

was The art project positive designed with s in clinical outcome to ks wor It . mind and improve user ent carer engagem ice within the serv as well as to raise what awareness of Centre the Edenfield ice aims to offer serv ort to users: the supp tically engage therapeu very in their own reco way. and clinical path

page 3

Adult Forensic Services in the North West funded an art project as a vehicle to raise awareness of Recovery and My Shared Pathway for service users, NHS staff and carers. They asked us to create a concept to showcase the results. We provided the editorial and design for a 12 page brochure.

What is My Shared Pathway? This is a new way of planning your recovery pathway through Secure & Forensic Serv ices. It is being used in Forensic and Secure Serv ices across England and Wal es and has been develope d with the assistance of serv ice users. My Shared Path way has been develope d to help ensure that you stay in hospital only as long as you need to.

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Where am I now ? 1) A shared Where do I wan understand What is an t to ing outcome? get to? This is about you: This is somethin g that tells The events whic How do I get us how you are h led to you there? doing in a being admitted particular area to hospital, of your life, How can I tell your mental heal how such as your men th and what I’m doing? tal health. your need s are and wha The Milestones t to Recovery info rmation you migh Pathway Poin have been inclu t want. ters ded in the In order to help workbook on 2) My Outcom My Outcome you es with working Plans to help with and Progress Plans through identifying My Outcomes where you are This is about find Plans and now and ing out Prog where you wan how you are doin ress there are t to be. some g in a questions prov particular area ided called What will it of your life involve? ‘pathway poin such as your men ters’. tal health This will involve working recovery and help Thes e can be used s us to together with to your care know how your work on the eigh treatment in team using the t areas following hospital is goin with assistanc g. two workboo e from ks to work your primary nurs We will follow through a set e four or of questions Pathway with someone Steps to help which will help who you us monitor you to feel comfortable your progress discuss your need with and set s with from the ward plans for the futu staff and agre or the e goals. re. These clini Pathway Step cal team. s are:

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My Shared Pathway campaign Using art as a vehicle to promote Recovery and Wellbeing

Recove MaP

Contact the Trust Greater Manchester West Mental Health NHS Foundation Trust

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Bury New Road Prestwich Manchester M25 3BL Telephone Email Website

0161 773 9121 communications@gmw.nhs.uk www.gmw.nhs.uk

Size & Extent 12 pages, 210mm x 210mm

Material printed on 170gsm gloss stock, cover on 250gsm gloss with a gloss varnish

“GMW Dragon’s Den” bid: Using art as a vehicle to raise awareness of Recovery and My Shared Pathway Bid team: Alan Shepley, ward manager of Grasmere Ward, Edenfield Centre AFS, and service user representatives. Art direction and photography: Alan Shepley Brochure Editorial and design: Astrid Johnson and service users AF, PH, AO and ND for SMaRT Design & Print (SMaRT Socially-Minded & Responsible Trading™. That’s SMaRT!), a social enterprise operating for First Step Trust. First Step Trust (FST) provides work and training opportunities for people with mental health issues or other disadvantages including drug and alcohol recovery problems or a history of offending. At the Edenfield Centre FST is running a shop, a painting and decorating business, a car valeting service and a graphic design studio. Patients from the Edenfield Centre are taking part in the work as workforce members. First Step Trust. Charity No: 1077959. Date June 2013

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Client feedback: “I can not wait to see the finished printed brochure.” – Alan Shepley, Ward Manager, Edenfield Centre AFS, GMW

Annual report | National High Secure Commissioning Group Brief

National High

Secure Commiss

ioning Group

– England and

Wales

Annual Report

We were asked to use the Annual Report for 2010/11 to showcase a productive year in the commissioning of high secure services.

2010/11

Governance arrangement High Secure s Commissionin for g

Secretary of Stat e

We were able to choose from a wide variety of photos that showed events from the year for all three high secure units.

for Health

NHS London National Speciali Chair persons

sed Commissioni

ng Group

from all the Spe

cialised Commiss

ioning Groups

Chair: Chief Exec

utive – NHS Lon

Annual Report 2010/2011

National High Secure Commissioning Group – England and Wales

Annual Report 2010/11

National High Secure Commissioning Group – England and Wales

alf of PCTs and

North West scg West Midland s scg Wales

LHBs in accordan

Secure Commiss ioning Lead North West Spe ciali Commissioning sed Team

Mersey Care NHS Ashworth Hos Trust pital

Background

Core National High Commissioning Secure Team National Dire High Secure Comctor of missioning

sioning and Con

Annual Report 2010/11

West London Mental Health Trust Broadmoor Hospital ring

changed with a revised gove rnance structure to und erpin the new arrangements . The co-ordin ating commissioners for high secure services based in the thre e Specialised Commissionin g Groups with high secure hospitals continue to wor k collaboratively to deliver the high secure commiss ioning agenda.

Contact

The key strategic objectives are set out in the High Secure Services Strategic Commissioning Plan and are reproduced below:

If you have any queries about high secure commissioning, contact the appropriate high secure co-ordinating commissioner:

High Secure Services

• Treatment and therapies to reduce risk – the therapeutic objective of the high secure hospital is to provide services that address a patient’s illness or

London Speciali Commissioning sed Team

tract Monito

The National High Secure Commiss ioning Group was esta England and the blished in 200 Welsh Health Spec 8 to commission high ialised Services Team secure services . The National on behalf of the High Secure Commissionin 152 English prim g Group provides ary care trusts and 7 loca informed direction and l health boards advi ce to the Team in Wales. During 2010/11 which in 2010/11 was , the commiss hosted by the ioning of these services North West Specialise was undertaken d Commissionin by the National High g Group and base Secure Commiss d in the North ioning Team on beha West. Governance arra lf of the 10 regio ngements for nal specialised com 2010/11 were unchange missioning grou d. However, from ps in April 2011, commiss ioning arrangem ents have

London SCG South West SCG South East SCG South Central SCG Secure Commiss ioning Lead

Nottinghamshire Mental Health NHS Rampton Hos Trust pital

Service Commis

self-cover, 300gsm silk stock, scored and saddle stitched

nce arrangemen

Strategic objectives 2010/11

Kath Murphy, lead for Rampton Hospital and initial contact for queries from North East; Yorkshire and Humber; East Midlands and East of England Kath.Murphy@emscg.nhs.uk Paul Meechan, lead for Broadmoor Hospital and initial contact for queries from South Central, South East Coast, South West and London Paul.Meechan@londonscg.nhs.uk

This spread Broadmoor Hospital – Main reception Broadmoor Hospital – Staff in conversation

disorder and make their behaviour less dangerous to others and sometimes themselves.

Front cover Ashworth Hospital Reception in Broadmoor Hospital This spread David Wilson Learning Disability Unit at Rampton Hospital Woodwork in Broadmoor Hospital Artwork produced by patients at Ashworth Hospital (partially cropped) Launch of the Healthy Eating Recipe Book at Rampton Hospital

Continuing to build relationships with all key partners is a vital part of delivering the right service at the right time and optimising resources: through national links to the Royal College of Psychiatrists, Nursing and also to National Offender Management services, as well as collaborative working with the Welsh Assembly Government. These have all been vital in ensuring a coordinated and collaborative system. Partnership working between the three hospitals has continued to produce a better understanding of each other’s ways of working, learning from experiences and the sharing of expertise, all of which have been a key part of continuous improvement in service quality and safety. CQUIN has again promoted the development of consistency across the country, ensuring a holistic approach to healthcare: work on preventing cardiovascular problems,

improving health and wellbeing as part of overall progress along the pathway, and steps to rehabilitation and recovery were key achievements in 2010/11. Through collaborative work across the wider system, between medium secure services and local commissioners, and specifically through the work led by case managers, we have seen improvements in access to and discharge from services. Recognising the forthcoming major changes to systems, the team has developed and continues to evolve while a business continuity and transformation plan for commissioning reflects the emerging NHS infrastructure. The requirement to ensure services continue to be delivered within the financial envelope available in 2010/11 has required the three hospitals to examine how to deliver QIPP i.e. ensuring that services explore innovative ways of working to deliver the service. The aim has been to ensure that consistency across all three sites is maintained whilst comparing and discussing options available. The delivery of these will be monitored closely during the lifetime of the plan.

Following on from Phase 1 of the pathways work, Phase 2 picked up on specific issues to explore the reasons for any differences across the three. The output from this is still under debate as at the end of the year and will be picked up in 2011/12. In addition, through the joint hospital work, the aim is to better understand what differences there are between patients and referrals from different areas and what factors underpin these issues. An option appraisal exercise was undertaken about the future site configuration. This confirmed that the current plans were appropriate. Planning work towards the redevelopment of Broadmoor Hospital has continued and changes to capacity as set out in the capacity review have been implemented in year. It was identified that a consistent approach to access to the hospitals from countries outside current arrangements was needed and therefore work has been undertaken to develop a protocol to set out both the circumstances in which such a referral may be accepted and how it will be managed.

Carole Hardwick, lead for Ashworth Hospital and initial contact for queries from Wales, West Midlands and North West Carole.Hardwick@nwsct.nhs.uk Jon Develing, Chief Officer, North West SCG, continues to chair the NHSCG. Jon.Develing@nwsct.nhs.uk

Ashworth Hospital – Koestler Awards: prize winning images

National High Secure Commissioning Group membership

Ashworth Hospital – National Training Awards 2010

Annie Norman

Royal College of Nursing

Caris Vardy

North East Specialised Commissioning Group

Ashworth Hospital volunteer Brian McCormack won the Greater Merseyside Befriender of the Year 2010 award

One of the key objectives in 2010/11 was the development of an overarching High Secure Services Strategic Commissioning Plan in order to set out the context for future change to meet needs within a complex and challenging environment. The 2010/11 – 2015/16 plan was published in February 2011.

High secure services are provided in three high secure hospitals across England – Ashworth Hospital (part of Mersey Care NHS Trust – www.merseycare.nhs.uk); Broadmoor Hospital (part of West London Mental Health Services NHS Trust – www. wlmht.nhs.uk); and Rampton Hospital (part of Nottinghamshire Mental Health NHS Trust – www.nottinghamshirehealthcare. nhs.uk). Rampton Hospital also provides national services for women, learning disabilities and for those who are deaf.

ce with governa

East Midlands SCG Eastern SCG North East SCG Yorkshire & Hum ber SCG Secure Commiss ioning Lead East Midlands Specialised Commissioning Team

Art on the wards at Rampton Hospital

• Security – to ensure the delivery of a safe and secure environment, which prevents escape or abscond, provides security through physical, procedural and relational security and protects the public, staff and other patients. It is the grave and immediate risk presented by patients of high secure hospitals which distinguishes them from patients in other parts of the secure health service pathway.

Material

missioning

Work plan objectives 2010/11

High secure hospitals are for those detained over the age of 18 and admissions are usually either direct from prisons, courts or from medium secure services. However, catchment medium secure services are always involved in this process, as part of the overall care pathway oversight. The high secure services are for those who present the highest levels of risk, who are assessed as mentally disordered and require a period of assessment or treatment as part of their overall pathway through criminal justice, health or a combination of the two. The high secure services have two main objectives:

8 pages, A4

Regional Com Acting of beh

• The populations of England and Wales will have fair and equitable access to the full range of high secure services. • All treatment and care will be patient centred, pathway based and address offending and risk behaviour. • Each patient will receive the right treatment at the right time. • High secure services will be delivered using the principles of QIPP (Quality, Innovation, Productivity and Prevention). • The hospitals will deliver high quality services, meeting the security standards equivalent to Category B in prisons, to deliver a safe and secure environment for patients.

High secure services are a highly specialised and complex part of the NHS portfolio of secure health care. They form part of the forensic mental disorder pathway, linking them not only to NHS services but also to criminal justice services, specifically prisons and offender management services.

Size & Extent

National High Secure Commiss ioning Group Chair: Chief Offi cer – North Wes t Specialised Com missioning Team Representatives of the 10 Spe cialised Commissioning Teams and the National High Health Secure Commission of Commissioning Wales Team Core Nationa Commissioners l Team plus 3 Lead of High Secure Services

Foreword

2010/11 has been another challeng ing but productive High secure serv year in the com ices are an integ missioning of high secure ral part of this work, ensu services in ensu ring the resource ring they are integ s within high secu ral to the who re are only used le pathway of services for for those who present that leve mentally disorder l of risk. ed offenders and others with simil ar needs. The year has also seen further chan The National High ges planned in com Secure Commiss missioning. Subj ioning Group has been ect to Parliamentary in operation for process, a natio over two years. The nal NHS Commissionin governance syste g Board will be ms underpinning esta blish to ed ensure clarity high secure com and consisten missioning are embedded cy in commissionin in the wider func g health care. tions performed by Part of this role will inclu specialised com de com miss missioning ioning groups, on beha specialised and lf of all primary secure services. care trusts in England, This means changes and local heal to the commiss th boards in Wales. Link ioning of high secure s between all services and for partner agencies cont 2011/12, the plan is to mov inue to ensure e commissionin that all aspects of the g of high secure pathway into, services back through, and out of high to those specialised com secure care fit missioning grou with the overall aims that ps which host each of the secure services high secure hospitals deliver treatment in the The specialise . most appropri d commissionin ate and least restrictiv g groups will work colla e environment boratively to cont required to address need inue to deliver the and risk. key priorities in the high secure agenda. 2010/11 has seen major changes in the health service. Services have been asked to find increased levels of efficienc ies, to optimise the available resource s and continue to ensu re that resource s are prioritised to addr ess the greatest Jon Develing need and risk. Chief Officer Individual spec ialised High Secure Servi commissionin g groups have ces Commissioning set up QIPP (Quality, Innovation, Prod uctivity and Preventio n) plans with a focus on ensuring only those who need care and treatment in a secure envi ronment because of the risk they present are in secure services and that the stay in those services is time limited with a focus on timely move on to the next step .

don

Patrick Neville

National High Secure Commissioning Team East of England Specialised Commissioning Group

Ged McCann Dr Ceralin Rogers

• Monitoring and reviewing the contract for high secure services to ensure key targets are met, service quality delivered and risks managed. • Maintenance of effective communications networks. • CQUINs delivered to continue to make progress on improving the physical health and well being of patients; supporting patients to make progress with their pathway; ensuring consistency of access. • Delivering QIPP as part of the delivery of the plan. • Delivering changes in capacity. • Continuing to support the redevelopment of Broadmoor Hospital. • Development of an outcomes framework with performance managers and the hospitals to replace the existing key performance indicators.

• Developing an implementation plan for personality disorder. • Supporting the primary care research programme. • Reviewing the implications of the Women’s Enhanced Medium Secure Services programme. • Reviewing the strategic plan and financial assumptions.

Yorkshire and the Humber Specialised Commissioning Group Welsh Health Specialised Services Committee

Jon Develing (Chair)

North West Specialised Commissioning Group

Karen Howell

National High Secure Commissioning Team

Janet Parrott

Royal College of Psychiatrists

Jo Seward

Department of Health

Mary Ann Doyle

Priorities for 2011/12 The key priorities highlighted for 2011/12 are:

South West Specialised Commissioning Group

Carl Shortland Carole Theobald

West Midlands Specialised Commissioning Group

Kate Caston

East Midlands Specialised Commissioning Group

Simon Jupp

South Central Specialised Commissioning Group

Maria Crowley

South East Coast Specialised Commissioning Group

Sue McLellen

London Specialised Commissioning Group

Carole Hardwick

Commissioner – Ashworth Hospital

Paul Meechan

Commissioner – Broadmoor Hospital

Kath Murphy

Commissioner – Rampton Hospital

The high secure commissioning team work plan for 2011/12 has been approved by the Group.

Client feedback: “This is absolutely fantastic – I REALLY like it. Looks brilliant…” – Jo Stringer, Head of Communications and Engagement, North West Specialised Commissioning Team

National High Secure Commissioning Group Quayside Wilderspool Park Greenalls Avenue Stockton Heath Warrington WA4 6HL Tel: 01925 406013 Published by National High Secure Commissioning Group © Crown Copyright

Leaflets | Physiotherapy instructions Brief

4 Lie on the bed, with arms by your side and legs straight.

Get up and Go with physio • slowly lift your right foot

off the bed bringing your knee towards your chest • Lower it back down and repeat with your left leg

exercises in Lying

repeat ______ times on each leg. repeat ______ times daily.

5 Lie on the bed with arms by your side, your legs straight and shoulders on the bed.

Name

• Keep your knees together and roll them from right to left as far as is comfortable to go • repeat from left to right

dizzy or nauseous:

less

Stop the exerciSeS iMMediate ly

Lie on the bed , with arms by your side and legs straight.

We also created new, simple illustrations, showing a friendly figure, which were designed to support patients to continue their exercise routine at home.

• Press your righ t knee into the bed by tensing your thig h muscle • hold for five seconds, than relax • repeat with left leg

repeat ____ __ times on both legs. repeat ____ __ times dai ly.

Size & Extent

Lie on the bed, with arms by your side and legs straight.

repeat ____ __ times.

repeat ______ times.

repeat ____ __ times dai ly.

• slowly pull you r toes towards you • hold for five seconds • then point them downwards

repeat ______ times daily.

3 x 4 page A5 leaflets 18 illustrations

Lie on the bed , with arms by your side and legs straight.

• Bend both your knees up and place your feet flat on the bed

• hold for the count of three and slowly lower

in pain unduly breath

repeat ______ times daily.

• Push through your feet to lift your bottom up slightly off the bed

If at any time you are:

repeat ______ times.

If you have any queries please do not hesitate to contact us: Monday to Friday 8.30am - 4.30pm (01204) 390859

Warning

you will need to lie on a bed for all these exercise s. support you r head with a pillow if you wish.

• Bend both your knees up and place your feet flat on the bed

PhysiotheraPist

this is an exer cise programme designed specifically for you. the exercises will help you: • improve you r blood circulatio n • strengthen your muscles • assist with movement of your joints • stand and walk more easi ly all the above are important factors in maintaining and increasing your independence Please follow the instructions of your physiotherapist on the repeats and frequency of each exercise.

Bolton Mental Health Services wanted a series of leaflets for patients attending the Greater Manchester West Mental Health NHS Foundation Trust physiotherapy department at Royal Bolton Hospital.

• Keeping you r knees straight, lift you r right leg about six inch es off the bed • hold for five seconds • then slowly lower the leg back to the bed • repeat with left leg

repeat ____ __ times on each leg. repeat ____ __ times dai ly.

Material 150gsm silk stock, scored and folded

5 sit in a chair with your back straight and feet directly under knees.

Get up and Go with physio • Place both arms by your side

• Bend to the left as far as is safe and comfortable to go

exercises in sitting

• slowly come back up to sit straight • repeat same exercise towards the right side

repeat ______ times each side.

Warning If at any time you are:

in pain less unduly breath dizzy or us: seo nau

Stop the exerciSeS ly iMMediate

h leg. es with eac

• Using your hands, push through the arm rests and slowly shift your bottom to near the edge of the chair

ght your back strai sit in a chair with under knees. and feet directly and ls hee r you on • slowly rock toes then on your

• Place your feet under your knees • Lean forward, push through

If you have any queries your arms and stand please do not hesitate • stand up as tall as you can to contact us: Monday to Friday 8.30am - 4.30pm (01204) 390859

• Feel for the chair with the back of your legs • Bend in the middle, reach back for the chair arms with your hands and sit down slowly

__ tim repeat ____

ly. __ times dai repeat ____

h each foot. __ times wit repeat ____ ly. dai es tim __ repeat ____

• stand with your feet slightly apart and knees straight • support yourself with both hands on the work top • Keep your body straight and facing forwards • Keeping the knees straight, take the right leg out to the side as far as it is comfortable to go

h side. __ times eac repeat ____ ly. __ times dai ____ eat rep

• slowly lower it down • repeat above instructions with the left leg

• stand sideways to the work top Get up and Go with physio holding on with one hand for

this is an exer cise programme designed specifically for you. the exercises will help you: • improve you r blood circulatio n • strengthen your muscles repeat ______ times with each leg. • assist with movement of your joints • stand and repeat ______ times daily. walk more easi ly all the above are important factors in maintaining and increasing your independence. Please follow the instructions of your physiotherapist on the repeats and frequency of each exercise.

und and feet directly ss the chest – • Place arms acro rs on the shoulde hands resting from the waist y bod r • turn you t as righ the to ng so you are faci go comfortable to far as it is Name back to face • slowly turn forwards PhysiotheraPist e exercise • repeat the sam to the left

• Place your left foot in front of your right foot (as if you are walking on a tight rope) • ensure that the heel of the left foot is touching the toes of the right foot

repeat ______ times.

If at any time you are:

in pain unduly breath les dizzy or nauseous:

Stop the exerciSeS iMMediate ly

repeat ____ __ times wit h each leg. repeat ____ __ times dai ly.

• swap legs and repeat above instructions

repeat ____ __ each times repeat ____ __ times dai ly.

• stand with you r feet slightly apart and kne es straight • support you rself with both hands on the work top • Keeping you r knees together , bend your left knee to raise your heel tow ards your bott om • Gently lower it back to the floor • repeat with the right leg

3 1

• stay in this position for as long as possible up to a count of 10

If you have any queries please do not hesitate to contact us:

Warning

you will need to stand to do these exercises, plea se use the wor k top for support and to steady yourself .

support

ght your back strai exercises in standing sit in a chair with er knees.

repeat ______ times. repeat ______ times daily.

ght your back strai sit in a chair with under knees. and feet directly hold and e kne t • Lift your righ for 5 seconds r back to the floo • Gently lower as your left knee • repeat with marching are you gh thou

ght your back strai sit in a chair with under knees. and feet directly r foot off the floo t righ r you • Lift r knee to straighten you nds • hold for 5 seco the left leg • repeat with

ably in a chair to sit comfort you will need cises. to do these exer with armrests

• sit straight up in the chair PhysiotheraPist

h each leg. __ times wit repeat ____ es daily. tim __ ____ repeat

repeat ______ times daily.

Name

designed cise programme this is an exer for you. specifically will help you: the exercises n r blood circulatio • improve you your muscles • strengthen your joints movement of • assist with ly walk more easi • stand and factors are important all the above your and increasing ning ntai in mai ce. independen of your the instructions Please follow and on the repeats physiotherapist . cise exer frequency of each

• stand with you r feet slightly apart and kne es straight • support you rself with both hands on the work top • raise both hee ls off the floor as high as you can (as if standing on tip toes) • slowly lower them down

Monday to Friday 8.30am - 4.30pm (01204) 390859

Client feedback: “Will definitely recommend your services. It was really good working with your company – staff extremely helpful, giving great advice.” – Josphat Githaiga, Community Physiotherapist, Royal Bolton Hospital

repeat ____ __ times wit h each knee. repeat ____ __ times dai ly.

• stand sideway s to the work top holding on with one hand for support • stand with you r feet slightly apart and kne es straight • Bend the righ t knee up and raise it towards your chest, then gently low er it back dow n • repeat with the left leg

repeat ____ __ each time. repeat ____ __ times dai ly.

• stand with you r feet slightly apart and kne es straight • support you rself with both hands on the work top • Keep your back straight and bend your kne es slowly into a gentle squat • slowly straight en up back into standing

ASTRID JOHNSON Graphic Design 10 Camborne Street Manchester M14 7PH

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+44 (0)7951 284 318 astridjohnson@me.com skypeastridjohnson @tweetaj