InTouch magazine - February - March 2022 by communicationsPAHT

February - March 2022

InTouch

Everything equality, diversity and inclusion New hospital update National Apprenticeship Week Supporting World Cancer Day Our quality and patient safety strategy

Foreword 2

Welcome to InTouch magazine

Welcome to our new non-executive directors

Our teams nominated for local community award

Everything equality, diversity and inclusion..

New hospital update

Charity update

National Apprenticeship Week

Supporting World Cancer Day

Lead freedom to speak up guardian appointed

Our patients said...

Welcome to InTouch magazine – your insight into the latest news and updates from across PAHT. It continues to be a challenging time, with a high demand on our services across the hospital. Thank you for your hard work and commitment to provide high quality care for our patients or support those who provide care. Please remember to look out for yourselves and each other, as well as our patients. A wide variety of health and wellbeing support is available to you, with details on AlexNet and our staff health and wellbeing webpage: www.pah.nhs.uk/healthandwellbeing. We are pleased to have introduced two new nonexecutive directors recently, who will support us in our work towards a modern, integrated and outstanding organisation. You can read more on page three. This edition includes the latest on our new hospital and our strong focus on sustainability. You will also have an opportunity to be one of the first people to view our new website for the new hospital (pages six and seven). We also focus on being wise about wellbeing and equality, diversity and inclusion (EDI) - part of our commitment to support our EDI focus and the health and wellbeing of our people. You can read about how our apprentices continue to blaze a trail and a 60 second interview with one of our very own apprentices, Daniel Reading, biomedical scientist, who joined us in 2015. Additionally, please read the latest from our charity and how you can support us, together with our latest CQC update, how we supported World Cancer Day, our teams who are nominated for local community awards and much more.

CQC update

Our quality and patient safety strategy

Wise about wellbeing...

This magazine is for and about you, our #PAHTPeople – please contact the communications team if you would like to see your team featured, at paht.communications@ nhs.net.

#PAHTPeople

I hope you enjoy the read. Lance McCarthy Chief executive

Welcome to our new non-executive directors We have appointed two new non-executive directors to our board. Colin McCready (pictured right) has joined the hospital as a non-executive director, and Liz Baker (pictured right) as an associate non-executive director. Colin is currently chief financial officer (CFO) with NHS Supply Chain, a role he has held since December 2019 (he was additionally acting chief executive officer (CEO) from November 2020 to August 2021). Before this, he worked at NHS Professionals, where he held the position of CFO and then interim CEO. Liz has a wealth of experience from the transportation sector, particularly in the capital delivery of major rail projects such as Crossrail and High Speed 2, and major industry

reviews. Liz said: “I am proud to have been appointed to this role – I am dedicated to developing our ambitious plans to benefit our patients and our people.” Colin added: “I am delighted to join the PAHT board and I look forward to working together to enhance the services we provide for the local community.”

Share your good news with us We are keen to share your good news and celebrate our amazing PAHT people.

Lance McCarthy, chief executive, said: “I am pleased to welcome Colin and Liz to PAHT, as they support us in our work towards a modern, integrated and outstanding organisation. “We are committed to transforming the way we provide care and collaborate with our health and social care partners, as we continue to improve the experience for our patients and our people.” y Please note that Darshana Bawa is now an associate non-executive director (previously NExT nonexecutive director).

Please share your proudest moments with us at paht.communications@nhs. net. 3

Hospital chaplains and estates and facilities team nominated for local community award

y The chaplaincy team and the estates and facilities team have been nominated for Heart for Harlow Community Awards. y y The annual community awards focus on a culture of appreciation and organisations who make a real difference to everyday life in Harlow. y y The chaplaincy team were nominated for their ongoing commitment to providing spiritual care throughout the COVID-19 pandemic, working collaboratively with clinical colleagues to develop their services, and their involvement with plans to create a new tranquil sanctuary area. y y Reverend Gill Newman, hospital chaplain at PAHT, said: “We are delighted to have been nominated for the ‘Churches and Chaplaincy’ Heart for Harlow Award. y y “We appreciate that a visit or stay in hospital can often be a time when pastoral, religious and spiritual support and a listening ear is helpful and we are committed to going the extra mile to enhance patient experiences. y y “Since our new sanctuary space opened last December, the modern and inclusive

environment has been wellreceived by our people.

engineering (EMBE) department, porters, domestics, housekeepers, business improvement and sustainability support, transportation team, postal team, the estates department and caterers are committed to going the extra mile to enhance patient and staff experiences.

y y “We look forward to the awards ceremony that will take place later this year – y thank you to our patients, y “The estates and facilities people and visitors for your team play a vital role in the continued support.” daily running of the hospital y and it’s fantastic to see y The estates and facilities them recognised for their team were nominated efforts – we look forward for their ongoing hard to the awards ceremony work throughout the that will take place later this COVID-19 pandemic, to year.” provide patients and staff with nutritious meals, maintain high standards of cleanliness, manage specialist medical equipment, transport patients around the hospital and undertake important and regular estates maintenance. y y Packa Risi, associate director of estates and facilities, said: “We are thrilled to have been nominated for the ‘’Health and Wellbeing’ Heart for Harlow Award. y y “Our teams, including the electrical and biomedical 4

Everything equality, diversity and inclusion... #LGBT+HistoryMonth2022 LGBT+ History Month takes place every February. It is a month long celebration of LGBT+ history. The first LGBT+ History Month was celebrated in the UK in 2005. Since then it has grown, and now has a different theme each year. 2022 is the 50th anniversary of the first Pride March in the UK in 1972. This year’s theme is art, with five LGBT+ artists who have used their talents for positive political achievements. At PAHT, we are committed to supporting equality, diversity, and inclusion and have a dedicated LGBT+ network. The network aims to increase the visibility of employees who identify as LGBT+, promoting equality across the organisation by supporting personal and career development. We encourage our people to sign up to wear a rainbow NHS badge as a visible demonstration that PAHT is an open and inclusive place for people who identify as LGBT+. We will share more information about the rainbow NHS badges initiative in our next edition. LGBT+ History Month also has its own YouTube channel. A wide range of videos are available, including the online launch of LGBT+ History Month, interviews with prominent LGBT+ people, and personal stories of coming out and facing prejudice. More information and resources can be found on www.stonewall.org. uk, lgbtplushistorymonth.co.uk and on Twitter @LGBTHM. If you would like to be involved in promoting and supporting LGBT+ equality at PAHT, including if you are interested in joining the network and would like to attend the next meeting, please contact Monika Kalyan, the new head of equality, diversity and inclusion, at monika.kalyan2@nhs.net. 5

New hospital update Green from the roof down Our new hospital will have a strong focus on sustainability. Our mission is to be one of the first fully electric hospitals in the UK with a net zero carbon footprint.

How do we create a net zero carbon hospital?

Everyone who visits or works at our new hospital will have a vital role to play in helping us cut our carbon emissions. From how we travel to hospital, to what we use, buy and eat on site. Our behaviours will need to change if we are to achieve our goals.

Getting to our new hospital

How we travel to and from hospital everyday will be critical and will be a hugely important factor in creating a greener hospital and in meeting the environmental targets of our local and regional partners.

Green fact Our current site uses 14,082,358kWh gas for heating and hot water each year, which equates to about 2,605,236kg CO2. We are aiming for 0kg CO2 by the middle of this century. That's a saving of 32.5 million cups of tea every year. encouraging walking, cycling and public transport wherever possible. Other measures to be considered include options for agile working and understanding the occasions when car journeys are the most effective way to travel. This shift away from car dependency is in line with national policy to help the NHS meet its net zero carbon emission targets.

of our people, patients and visitors will be asked about their journeys to hospital. Questions will include: y y y y

timing of trips frequency of trips mode of travel specific factors which currently affect travel choices

Our priority is to understand what is needed to ensure that necessary journeys to our Capturing the data all new hospital are convenient, As part of the travel plan We will soon be preparing a affordable and quick for our comprehensive travel plan with development, it is necessary to patients and our people. local councils and specialists to understand how staff, visitors and patients currently travel promote sustainable travel to, Work on our travel plan and and provide appropriate vehicle to The Princess Alexandra transport strategy is being space and car parking on, our Hospital site or undertake any undertaken by appointed traffic hospital related travel. It is new site. and highways consultants Mott also important to understand MacDonald. travel behaviours prior to the The travel plan will develop pandemic. measures to support more sustainable travel to To capture this data a travel and from the hospital, by survey will be created and all 6

When and how can I take part?

y We will be launching the survey in the coming weeks and will let you know when the survey goes live.You can access the survey: y y via an online survey link y via QR codes which will be provided at convenient locations around the hospital

y via a paper copy if you do not have access to the online survey

What will happen after the survey?

Survey data will provide the essential baseline evidence to underpin the travel plan and help us monitor its effectiveness.

We strongly encourage as The answers you provide will many of you as possible to take be carefully analysed and used part, so you can have your say to help develop measures that in shaping our new hospital will encourage and promote travel plan. sustainable travel and working practices.

New website

We have launched a new website for the new hospital, with a strong focus on user engagement. This site will grow as the project progresses, with more to communicate and more ways to for you to feed your ideas in. You will be able to have your say through polls, surveys and direct feedback links. If you place a vote in our latest poll for example, the results are updated in real time on the site, so you see how your vote has made a difference.

to be built to respond. You can read the blog here. The lead banners on each of the main pages on the new hospital website (pictured) feature PAHT people. In autumn 2021 we ran a photography campaign inviting our people to be the faces of the new hospital programme.

Tell us what you think

We welcome any feedback and ideas for how to make this site work for you. Website: www.newpah.org Email: paht.newhospital@nhs. net

We were delighted to have a real cross section including porters, pathologists, consultants, nurses and domestics.

These photographs will form the backbone of our new We have published some blogs hospital campaign across all on the site, including the latest other collateral too, including one by Dr Jon Keene looking print and digital, outdoor at how we determine the future advertising, signage, onsite demands on our services and environmental graphics and how our new hospital will need more. 7

Charity update... Call for keen runners to take part in marathons to support our charity Are you a keen runner or do you know a keen runner who is looking to raise funds for our hospital charity? The TCS London Marathon will take place on 2 October and The Royal Parks Half Marathon will take place on Sunday 9 October - whether you are a seasoned runner, or thinking of taking on your first marathon, this is the perfect event for you. The 26.2-mile and 13.1-mile races take a scenic route winding through some of London's most iconic landmarks including the London Eye, Buckingham Palace and the Houses of Parliament. Run the flat course on closed roads and enjoy the amazing central London location and atmosphere - play your part in enhancing patient care, purchasing special equipment, improving facilities and investing in vital research that support patients now and into the future.

Entry requirements TCS London Marathon To be considered for one of the two available spaces for the TCS London Marathon, you will need to submit 50 words telling us what it would mean to you to represent our charity at the event. Entries should be sent to paht.fundraising@nhs.net by 28 February and successful participants will be contacted with further details. Successful entrants will be required to raise a minimum of £400 in sponsorship. Royal Parks Half Marathon There are eight places available for the Royal Parks Half Marathon. There is an initial entry cost of £50 and a minimum sponsorship target of £250 - you will receive your very own PAHT charity running vest. Spaces are open to all - if you know somebody who may be interested in joining our team, please encourage them to get in touch. To claim your place, contact paht.fundraising@nhs.net.

Apprentices continue to blaze a trail At PAHT, we grow our own... February marked National Apprenticeship Week (713 February), which is an opportunity to celebrate the thousands of organisations and apprentices who are succeeding together and raise the profile of apprenticeships. It is a win-win opportunity for all - apprentices can learn new skills and earn at the same time, gaining a nationally recognised qualification, whilst employers get to see a fresh injection of talent who are keen, inquisitive and bursting with new ideas. The only difference with apprentices is they spend 20% of their time in off the job training in partnership with the training provider.

We support apprenticeships at all levels for our people, the apprenticeship qualifications or standards range from levels 2-7. This is the equivalent of GCSE level up to a master's degree level. Over the last year, we have supported 19 people to complete their apprenticeship and currently have 79 people undertaking their apprenticeship.

• Apprenticeships are a potential pipeline of future talent • Apprentices earn as they learn, so this is an attractive route into a career Did you know? • Apprenticeships are available y Over 85% of our apprentices to new and existing employees remain working at PAHT • There is no upper age limit to y The Apprenticeship Levy is becoming an apprentice deducted from our allocated training funds and cannot be used for any other purpose funds

A spotlight on... Daniel Reading, biomedical scientist What is your role? My current role is microbiology biomedical scientist. I undertook a Bachelor's of Science in Applied Biomedical Science and also had to complete a registration portfolio of evidence to show that I have the knowledge required to practice as a qualified biomedical scientist. What is the most rewarding part of your role? My favourite part of my role is the variation of my workload

and being able to see a patient recovering from infections that I have helped provide a diagnosis for. What inspired you to join the NHS? I have always wanted to help people and to be a scientist. When I heard that there are biomedical scientists within the NHS, I investigated further and and it seemed like the perfect career path for me.

Would you recommend an apprenticeship and why? I would recommend an apprenticeship, it is a great way to gain the relevant skills, training and education whilst 9 working.

Supporting World Cancer Day y This month, we marked World Cancer Day, which starts the first of a new three-year campaign centred on the issue of equity. The campaign theme 'Close the care gap' recognises the power of knowledge and challenging assumptions relating to cancer. y y We continue to focus on enhancing the experience y of patients with cancer, y working to introduce faster appointment pathways and virtual follow-up appointments. y y Our fantastic cancer services are dedicated to ensuring that patients receive a y diagnosis and their treatment y at the earliest opportunity and support them with the physical and emotional challenges that y can present during treatment for cancer. y y Louise Edwards, head of nursing for cancer, said: "World Cancer Day was an y opportunity to raise awareness and importantly, the signs and y symptoms to look out for to y support early detection of the y disease. y y "We have continued to deliver a very high standard of cancer care for our local community. Thank you to all teams for your continued support."

The facts and figures

y National data shows that the y lifetime risk of cancer has increased and that the rate of new cancer diagnoses will y increase over time (shown in y the graphs below) Reasons for y increased incidences include: y People are living longer and y subsequently a rise in age standardised risk y More cancers are being diagnosed as a result y of improved screening y programmes, early diagnosis y and detection and increased public awareness campaigns Reduction in deaths from other illnesses

Looking after yourself Take a look at how you can look after yourself and help reduce the risk of cancer: Be smoke free Maintain a healthy weight Eat plenty of fruit and vegetables Drink less alcohol Be sun smart - wear a high SPF Eat less processed and red meat Eat a high fibre diet Be active Eat less salt

A spotlight on... Fathima Firdose, cancer pathway development manager y When did you join PAHT? y What is the most rewarding part of your I joined the hospital in role? September 2021, which has Helping and supporting our been absolutely amazing so patients when they need it far. most. What is your role? What inspired you to join I am the cancer pathway the NHS? development manager, Working for the NHS gives I am passionate about me a sense of purpose my role that focuses on and pride - I feel closely transformation and recovery aligned to the ethos of the of services. NHS. Can you describe any Where do you see yourself stand out moments you in five years? have had? Continuing to work within the I have previously worked NHS and helping to support as a trainee maxillofacial and deliver high quality surgeon and now work as a patient care. manager, which has been a big turning point in my professional career.

Lead freedom to speak up guardian appointed Our freedom to speak up guardians are here to ensure that all our people are supported to have the freedom to speak up and someone to turn to if they have witnessed something that is a cause for concern for them and the care of our patients. We are pleased to share with you that we have appointed Lindsay Hanmore as our new lead freedom to speak up guardian. Lindsay joined the freedom to speak up team last year and is well-respected for her commitment to making things better and more open at PAHT. The new lead role was offered to all freedom to speak up guardians and following a stakeholder panel that included some colleagues who have chosen to speak up themselves, and interview, Lindsay was offered the post. Lindsay said: “I am delighted to have the opportunity to make more people aware of the support offered by the freedom to speak up guardians. It is important to me that people feel safe to speak up and to know what the next steps are to put things right.” *Lindsay is pictured in a library image. 11

Our patients said... "I would just like to say a huge thank you for the care I received when I was admitted to the Adult Assessment Unit (AAU). " All the staff that I had dealings with were absolutely fantastic. From doctors, nurses, care assistants, tea and meal servers and the cleaners, there is not one person that I came in to contact with that was not helpful."

"From the moment I got to the John Snow Ward to the time I left, the way they looked after me was exemplary. I just wanted to let you know that they are a credit to you."

"I attended paediatric A&E today with my son. We were treated very well by all the staff we encountered. "The doctor was very calm and explained everything carefully to my son. Thank you."

"Thank you to Mr Antscherl and all of the staff who have looked after me during my recent referral for BCC skin cancer treatment. This includes the staff at St Margaret's Hospital too. "I have felt really well communicated with and cared for and I am very grateful."

CQC update Quality compliance y The external quality project management office (PMO) continue to work with the project leads on the CQC recommendations. y y We are now in a transition period, in which we are working to progress projects, ahead of our external team leaving PAHT at the end of March. This will allow more of a focus on new quality projects. y y Progress update y Projects are red, amber green (RAG) rated to indicate progress. The project leads have made good (green) progress and we now have no red projects. Over the coming weeks we will target reducing ambers by 5% to 10%. Green projects will

y y

Project progress

also reduce and move to business as usual as we are pending 14 final reports. y y Embedding and

sustaining the work

y A key part of our quality project management office work has been to give assurance that projects will embed and sustain. y y To support this,we hosted a table top review for some of the projects which have

moved to business as usual in the last two months. System partners and project leads came together virtually to present and discuss the work. Feedback from project leads and system partners has been very positive. We will host more table top reviews on closed projects in the coming weeks. y y For more information, please contact the QPMO team: y ciara.moore1@nhs.net and nicky.massey1@nhs.net.

Our quality and patient safety strategy y In December 2021, the Board formally approved the quality and patient safety strategy, which is aligned to the PAHT 2030 strategy. y y Our quality strategy focuses on all three parts of the NHS definition of quality. y Patient safety y Patient effectiveness y Patient experience y y The strategy was developed in line with the national

the reason for admission y Pressure ulcers: to reduce all hospital acquired pressure ulcers that could not y otherwise be avoided, and to y Falls prevention: to reduce reduce moderate and severe falls with harm by 50% pressure ulcers by 50% by y Venous 2021/22 with the ambition thromboembolism: to of 0% preventable harms by become an exemplar 2023 trust for venous thromboembolism in the UK y Medicines optimisation: to increase the reporting y Diabetes: to run an of medicine incidents while outstanding service to reducing the harm all patients with diabetes y whether or not diabetes is y patient safety strategy and includes five PAHT patient safety priorities:

y Local picture y In response to our staff survey results, we have also identified three priority areas of focus, which our quality and patient safety strategy align to, and these are: y Priority one: Improving the physical and mental health and wellbeing of our people. Our people’s mental health and wellbeing is a key factor of our mental health strategy y Priority two: Improving our learning and safety culture, encouraging people to openly raise concerns and ensure they are acted upon (improving psychological safety) y Priority three: Improving the effectiveness of line managers y y Patient effectiveness y For patient effectiveness, our focus will be to improve on our mortality rates. y Mortality: We will maintain

‘as expected’ for the Hospital Standardised Mortality Rate and Summary Hospital-level Mortality Indicator rates (12 months rolling position). y y Patient experience y The patient experience team have identified the top three areas which we need to focus on: y Addressing harms related to communication, ensuring we develop a culture of learning and psychological safety: reduction in proportion of complaints where communication is the primary cause in years 2-3. y Assessing and mediating the impact of technology on patient experience: reduction in evidence of concerns raised by the implementation of new technologies through peer review as shown by PALS and complaints cases

y Developing a culture of kindness and compassion to our patients and people which we can measure: measurement of the number of times compassion and kind are mentioned in friends and family test (FFT) results over the period of the strategy, and; monitor and improve our scores across CQC satisfaction and the FFT. y y We will formally launch the quality and patient safety strategy next month, with an InTouch briefing with special guest Aidan Fowler, national director of patient safety at NHS England, on 9 March, from 2.30pm-3.30pm. Invites have been sent to all diaries. y y In the next edition of this magazine, we will focus on each of the priorities, along with specific InTouch briefings to find out more.

PhysioMed - support available for our you

PhysioMed launched at PAHT last May. They provide a physiotherapy advice line that helps our people to self-manage their condition. Most people will only require telephone advice and support; however, face-to-face consultations will be available to those who need it. PhysioMed are able to provide:

y Advice and education y Workplace modifications y Home and lifestyle modifications y Exercises to reduce pain and improve movement, strength and balance y Advice on the use of ice/heat, strapping and supports y Referral to other professionals for further investigations

Criteria needed to be able to If you think you would benefit from Physiomed, please access PhysioMed complete the self-referral form via AlexNet. y You need to be a permanent member of staff y You need not to be currently seeing a physiotherapist, osteopath or chiropractor y Under the care or have an appointment with a consultant 14

Wise about wellbeing... While you are caring for our patients, or supporting those who provide care, it is extremely important to remember to focus on your wellbeing and to check in with your colleagues too. There are a wide variety of resources available to you to support your health and wellbeing. Each month, we will be sharing practical information and tips as part of our new wise about wellbeing feature. You can access details of the full range of health and wellbeing resources on the staff health and wellbeing hub on AlexNet and on our staff health and wellbeing page: www. pah.nhs.uk/healthandwellbeing. 1) Know the support available to you – menopause The Peppy menopause support App provides you with personalised, professional and anonymous support throughout your perimenopause and menopause journey. Peppy is available now for NHS colleagues and you can download the Peppy App from Google Play and the App Store. You can also visit the Peppy website for more information: https://peppy.health/ 2) Recognise if you may need substance misuse support You may feel alone when recognising that you are misusing substances, including alcohol. However, a wide range of support is available to help you address these issues in confidence, with details available on AlexNet. 3) Motivate yourself to move more Movement for Modern Life is a British online yoga platform that brings together world class yoga teachers, inspired movement and mindfulness. It is focused on looking after your physical health, in order to promote good mental health and wellbeing. NHS staff are being offered free access to a range of resources, including breathwork sessions, stress reduction classes which can be taken at a time convenient to you, in your home or in the workplace, and a selection of energising morning classes and evening classes that aim to help you wind down or recharge. You can find out more on AlexNet. 4) Creating calm In our busy lives, it is important to find time for calm. Whether that is taking time out to read a book, watch your favourite TV programme, or practices such as mindfulness, it is beneficial to set aside time in your day for calm. There are a series of helpful videos on the topic available on the NHS website, with more information on AlexNet. 5) Seek physiotherapy support for persistent pain Physiomed provide a physiotherapy advice line which has been designed to help our people to self-manage their condition. Most people will only require telephone advice and support, however face-to-face consultations are available if appropriate. You can find out more on AlexNet. 15

#PAHTPeople - making a difference Wishing Anne Adams a fond farewell Anne Adams (Annie), research facilitator, retires on 24 February after working at PAHT for an astonishing 35 years. Annie started her lifelong career at PAHT on 16 March 1987, in the chiropody department, before moving onto the outpatients department, clinical audit team, clinical effectiveness team and her current role within the research, development and innovation (RDI) team. A huge thank you Annie for your dedication and commitment to enhancing experiences and care for our patients and people. We wish you a wonderful and happy retirement.

Compassionate care volunteers on board to lend a helping hand Our voluntary services team are recruiting a number of compassionate care volunteers to help enhance patient experiences. Following a recent recruitment campaign, the team has received over 40 enquiries and the recruitment process is now underway, with two new volunteers already in post great news. As part of the role, volunteers will perform a variety of duties, including sitting alongside patients to encourage conversation or to be with them to provide company, reading them a newspaper or a story, and playing music from a device. Once appointed, the volunteers are offered a full training programme, including caring for our patients who have a learning disability, or are living with dementia, and oneto-one support sessions. The training programme will continue to be developed by working with specialist leads in each area. We are delighted to offer this life enriching opportunity to help make a difference for our patients and people.