InTouch magazine - January - February 2024 by communicationsPAHT

January - February 2024

InTouch

Community Diagnostic Centre Alex Health LGBT+ History Month

Foreword 2

Welcome

Community Diagnostic Centre staff exhibition event

Hosting our Winter Summit

Alex Health: Connecting devices for better data

Alex Health: Timely decision making when it really matters

New charging facilities for mobile devices

New charging facilities for 10 mobile devices 11 Recruitment and career showcase event 12 Everything equality, diversity and inclusion... 13

People Pulse Survey Continuous professional development (CPD) funding Our patients said...

15 Wise about wellbeing... 16 #PAHTPeople

Welcome to InTouch magazine – your insight into the latest news and updates from across PAHT. In this edition, you can find out more about our plans for a Community Diagnostic Centre at St Margaret’s Hospital, Epping, and details of the upcoming staff exhibition event (p.3). You can also reflect on our Winter Summit, where colleagues across the healthcare system met for an engaging workshop on how to improve care for our community (p.4). Additionally, there is an opportunity to read the latest updates about our fantastic new electronic health record (EHR), Alex Health, with blogs from the bedside medical device integrated (BMDI) solutions workstream lead (p.5) and critical care workstream lead (p.7). We share that we have installed new charging facilities for mobile devices to improve the experience for our patients, visitors and our people (p.9) and hosted a recruitment and career showcase event with our partners for our community to find out more about current opportunities (p.11). We get ready to celebrate LGBT+ History Month next month (February), which we focus on in our equality, diversity and inclusion column (p.12); encourage you to share your feedback and take part in the People Pulse Survey (p.13); and to apply for continuous professional development (CPD) funding (p.13). You can also take a look at the latest feedback from our patients (p.14); wellbeing tips (p.15) and much more. 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. Best wishes Lance McCarthy Chief executive

Community Diagnostic Centre staff exhibition event Thank you to everyone who attended our Community Diagnostic Centre (CDC) public consultation event at St Margaret's Hospital, Epping, on Wednesday 10 January. We are now also hosting a staff exhibition event at the Alex Lounge at The Princess Alexandra Hospital on Thursday 8 February, 12pm2pm. This will be another opportunity to view our proposals for the facility, which will support quicker and more local access to diagnostic tests close to patients’ homes, share your feedback and ask questions. Planned to be open from summer 2025, there will be extended opening times and additional equipment at the St Margaret’s Hospital CDC, including: y Two additional computerised tomography (CT) scanners; y Extended hours for X-rays; y New ultrasound equipment; y New cardiology equipment; y New respiratory equipment; y Relocated MRI scanner; and y More phlebotomists to be recruited – increasing the number of blood tests that can be carried out This will significantly improve the experience for our patients accessing diagnostic services, enabling our community to be seen more quickly and

closer to their homes, with more options for appointment times that are convenient for them. This aims to have further benefits of contributing to the NHS’s net zero ambitions by providing multiple tests at one visit, reducing the number of patient journeys and helping to cut carbon emissions and air pollution. The public consultation was specifically focused on the CDC development at St Margaret’s Hospital, Epping. Additionally, as part of the CDC programme, the services provided at Herts and Essex Hospital, Bishop’s Stortford, will include extended hours for cardiology, ultrasound and X-ray. Extended hours for non-obstetric (non-pregnancy) ultrasound have begun to be provided, with additional hours to be available early this year (2024). There will also be additional hours for X-ray early this year (2024). Michael Meredith, director of strategy and estates, said: “The Community Diagnostic

Centre at St Margaret’s Hospital will support us to provide modern, integrated and outstanding care to our local community. “We will be able to provide quicker access to diagnostic tests, closer to our patients’ homes. We are focused on having our patients at the heart of our services, with new and enhanced ways of working and providing care. We look forward to hearing your feedback.” You can take a look at the full exhibition boards here > Pictured: An artist's impression of the CDC (above) and the CDC project team (below).

Hosting our Winter Summit Colleagues across the healthcare system met for an engaging workshop on how to improve care for our community on 12 December. The focus of the Winter Summit (pictured), hosted by our teams at The Princess Alexandra Hospital, was on identifying how we can improve patient flow and ensure patient safety with our system partners.

The session featured an update from Lance McCarthy, chief executive, with an overview of system pressures in recent years; our system approach to patient risk; and calling on the more than 60 attendees representing healthcare partners across Hertfordshire and west Essex to focus on actions to make a difference for our community. The group reflected on the impact of delays in care being provided to a patient, with an emotive talk from Naomi Rees-Issitt, whose son Jamie died after suffering a cardiac arrest on New Year’s Day in 2022, with the ambulance service in the West Midlands not reaching him in time. They then discussed how we can improve flow and reduce waiting times in our healthcare system, with enhanced collaboration between partners. Bethan Graf, divisional director for urgent and emergency care, then led a session on feedback from the Getting it Right First Time (GIRFT) urgent care pathways review.

This included key data including that every month, 10 whole time equivalent (WTE) ambulance crew shifts were lost sitting outside our emergency department due to delays. In our area, category 2 ambulance response times are at an average of 45 minutes, compared to the quality standard of 18 minutes. Bethan also discussed topics including the delay related harm to patients and the impact on staff wellbeing, together with system pathways, patient flow and ward round processes, and the Virtual Hospital.

The attendees split into groups to discuss how we could provide improved care for patients in a series of scenarios focusing on care at the hospital and in the community, with actions across the system. The outcomes which will now be taken forward include: y Alternative pathways to the emergency department (ED) and establishing criteria to enable this y Enhanced multidisciplinary team (MDT) and collaborative working, focusing on building relationships across the system. This is to include an improved level of information sharing y A hospital-wide focus on discharging at least two patients before 10am (at least one patient is expected to move to the discharge lounge by 10am)

y Work to strengthen and improve organisational culture, including an acknowledgement that patient flow is a wholesystem issue, rather than for urgent and emergency care colleagues y A review of how the Internal Professional Standards of how to enhance patient flow through urgent and emergency care can be applied y An increased focus on the support of the Virtual Hospital y Work to ensure that the West Essex Care Coordination Centre provides a 20-minute response to patients y Criteria led discharge to trial in acute medicine and general surgery y Increasing the visibility of the frailty service, developing community next day assessments Camelia Melody, deputy chief operating officer, said: “Thank you to all for attending this fantastic event to support our plans to manage winter pressures. There were a great deal of exciting contributions and we're now focused on taking these ideas forward to support patient flow and experience across the system.” 4

Alex Health: Connecting devices for better data years and have a background By Jakub in project management and clinical analytics. Whilst Kaczmarek, medical device integration is bedside medical a new area for me, I’ve been to use my background device integrated able to support the steep learning (BMDI) solutions curve. I’m really enjoying the challenge of making sure Alex workstream lead Health is the best fit for PAHT. In my email signature my job title says BMDI\VitalsLink\ infusion pumps\mobile integrated workstream lead. It’s a bit of a mouthful I’ll admit, but simply put, I’m responsible for the integration of medical devices with Alex Health, our new electronic health record system. My workstream is a purely technical one, in contrast to the clinical workstream leads who are looking at the design and integration of specific workflows. But my workstream very much underpins theirs, as my job is to get the technology right to support clinical workstream innovation and integration. I’m one of three technical workstream leads, working closely with Anoop Murala (Alex Health integration and interface lead) and Joynal Abedin (Alex Health infrastructure lead), reporting to Jeff Wood in IT and Kaushik Samanta, Alex Health programme manager.

Connectivity means productivity

I’ve worked in the NHS for 12

Why is integration between Alex Health and medical devices important? It means staff won’t have to spend unnecessary time transcribing information manually from devices into Alex Health. Better data connectivity, shared in real time, will help automate workflows and processes, achieve significant reductions in errors, and release precious staff time to focus on bedside care.

Technology powering the workflows

Alex Health is powered by Oracle Health’s Cerner Millennium electronic health record system. The benefits of integrating BMDI with Alex Health are huge: y Increased patient safety thanks to interoperability between medical devices and Alex Health, improving workflows and communication y Enhanced interface capabilities connecting bedside medical devices to Alex Health, giving access to supported medical devices, barcode

scanning to associate devices for enhanced device association, automatic disassociation of patient monitors from the patient's medical chart, and association of reports and device connectivity through Cerner Millennium’s CareAware platform y Built-in bidirectional device integration to send data from the medical device to Alex Health and vice versa y The ability to connect any validated medical device to Alex Health, regardless of vendor so we can be responsive to emerging industry standards y The ability to collect and store large amounts of data from connected devices, helping caregivers to make more informed decisions at the point of care and biomedical staff understand utilisation trends and needs y Cybersecurity safeguards and the usability of the device will ensure that the security controls are appropriate for the 5 intended use

Start as we mean to go on

Regarding scope, it’s clear we won’t be able to integrate every PAHT medical device in time for go-live. Learning from other Cerner Millennium Trusts, we’re setting out very clear expectations of which devices to go live with. We can’t and shouldn’t do it all by October 2024, as there is too much room for error if we rush. Engagement with all the individual vendors of our medical devices is a complex and lengthy process which is taking time to work through, as many of them have to upgrade their own technology to be fully compatible with Cerner Millennium. And then there’s the cabling and infrastructure to sort out, as well as working through the process of upgrading some of our existing devices, many of which are not tested and validated for Cerner Millennium integration. But to me, this is a good thing. We need to take time to get Alex Health right. We need to embrace it as a journey of continuous optimisation and improvement. If go-live is the birth, then we all have the responsibility to work together to raise Alex Health into the best child possible. Forgive the baby metaphor, but I hope you get my point.

To improve is to change Alex Health is a massive change journey for everyone,

but you will all be supported throughout. System training will be there for you at the level and depth you need, as well as our full support to use new and existing medical devices whilst embedding different ways of working. Alex Health won’t solve every problem from day one, but it will be safe from day one. And as I’ve already mentioned, there will be a continuous programme of new device integration post go-live, so we continue to optimise the system for PAHT. Looking into my crystal ball, I see a moment in the foreseeable future when all medical devices will be integrated with Alex Health, seamlessly synchronising data in real time to our desktop or device. Imagine that level of connectivity in the event of another pandemic, where any patient bed can be instantly converted into a critical care bed. To be able to adapt swiftly in an emergency is vital.

Following FSV, we will be undertaking months of testing followed by a comprehensive programme of training for all users. This is when you’ll really see the difference Alex Health will make to your work. In the meantime, you can stay in touch through our communications channels, inlcuding AlexNet, InTouch briefings, and Our Journal. And please share your thoughts and concerns with your local Alex Health Ambassadors. They are there to make sure your voices are heard.

Alex Health needs you

Alex Health: Timely decision making when it really matters

By Daisy Philip, critical care workstream lead, Alex Health We care for some of the sickest patients in adult and neonatal critical care. In these challenging environments, every second of care counts.

Currently, if a patient comes through A&E onto a ward, and then from a ward into ICU, their data is inputted into multiple systems - some paper, some digital. This can lead to avoidable delays in clinical decision making.

When every second counts

A new electronic health record that holds a patient’s data in one place will be hugely beneficial in making timely and informed decisions about each patient’s status and their plan of care, throughout their time in hospital. In my current role as critical care workstream lead for the Trust’s new electronic health record Alex Health, this is what excites me most - the system’s ability to track a critical care patient’s data quickly and safely, leading to faster, real-time decision making, reduced data inputting time and ultimately more time spent on bedside care.

From frontline to back end

I’ve worked in critical care for most of my professional life. Following my graduation as a nurse, I gained two years of experience as a staff nurse in the medical and surgical Intensive Care Unit (ICU) in India. In 2004, I came to the UK to gain a better understanding of the NHS. I have dedicated 19 years of my career to working in critical care at PAHT, where I worked as a senior sister until July 2023. The decision to transition to a new electronic health record has provided me with an opportunity to explore the administrative side of hospital operations and how complex these operations can be. As an Alex Health workstream lead I have a whole new ‘behind the scenes’ perspective, and it is really clear to me that the clinical aspect of healthcare is just a single cog in a more extensive and comprehensive healthcare system. My role in implementing and optimising Alex Health for critical care teams is vital, and I’m working closely with our clinicians and the Oracle Health team to ensure Alex Health aligns with Trust policies and is fit for purpose specific to critical care and NICU requirements.

This includes making formal system ‘change requests’ and then testing these so we can be confident the changes will actually work in practice. It also involves working with third parties to ensure Alex Health integration with, for example, Medicus for the purpose of the Intensive Care National Audit and Research Centre (ICNARC) reporting. Currently, the data for national reporting is manually entered into Medicus by the critical care admin team and we want to avoid clinical data being entered twice, increasing the risk of missing patient information. We are looking into how electronic data in Alex Health can automatically populate the fields for ICNARC.

The benefits speak for themselves

Alex Health is powered by Oracle Health’s Cerner Millennium electronic health record system. The benefits 7 of an EHR for adult critical care

and NICU are significant: y all of the complex information critical care and NICU need to give best patient care are in one place reducing the need to look in different applications y clinical information can be seen from arrival in hospital to arrival in critical care in one application improving clinical decision making y the infection control solution in Alex Health will support the reduction in infections caused by catheters, central line, catheter and wounds y our ability to prescribe the right antimicrobial medication for patients with infections will be improved y the recognition of patients with sepsis and AKI reducing demand on critical care beds will be improved y there will be more informed handovers of patients coming in or out of critical care areas, including NICU y clinicians who are less experienced working in these complex areas will have enhanced decision support y integration of bedside monitors will reduce likelihood of transcription error and improves visibility to all clinicians of deteriorating patients y a CCOT dashboard will document and record all CCOT clinical activity, removing the need to manually enter each patient data, saving up to 20 minutes per patient y the dashboard will also provide prompts to support and improve the clinical

management of acutely ill and/or deteriorating patients

One login, one password Alex Health will give us one sign-in for everything we need to use across the Trust to record, monitor and report patient data.

Cosmic, JAC, Nervecentre, ICE will all be replaced by Alex Health. For the systems that will stay, such as BadgerNet (our electronic neonatal notes system) and Chemocare (our specialist chemotherapy prescribing software) we are looking at ways to integrate them with Alex Health so that data is automatically exchanged between systems and visible within the patient’s Alex Health record. Just think how much easier that will be. Patient data inputting on multiple systems takes hours out of our day and with Alex Health this time will be reduced significantly. This will release us to spend more time on direct care for some of our most vulnerable patients.

Change moves us forward

Alex Health is a massive change journey for everyone, but you will all be supported throughout. System training will be there for you at the level and depth you need, as well as our full support to facilitate and embed different ways of working. Alex Health won’t solve every problem from day one, but it will be safe from day one. Post go-live we’ll keep working to

optimise the system, so we arrive at the best solution for PAHT. When we get there, we’ll have taken a gigantic step forward in our transformation journey to be modern, integrated and outstanding.

Alex Health needs you

It’s less than 9 months to golive, we’re about to complete our Future State Validation (FSV). This month (January 2023), all the individual workstreams and workflows will come together in a series of live demos of the whole system so we can make sure it is ready to meet the needs of PAHT. Getting to this point has involved a colossal amount of hard work by everyone involved in the programme. Following FSV, we will be undertaking months of testing followed by a comprehensive programme of training for all users. This is when you’ll really see the difference Alex Health will make to your work. In the meantime, you can stay in touch through our communications channels, inlcuding AlexNet, InTouch briefings, and Our Journal. And please share your thoughts and concerns with your local Alex Health Ambassadors. They are there to make sure your voices are heard. Please turn over the page to continue reading.

Spotlight: Adult and neonatal critical care FAQs How will Alex Health benefit the patient?

The patient record will be accessible to all healthcare providers within the trust, pre-visit, during their stay and post step-down to the ward. This will enable the exchange of information across different departments and healthcare organisations e.g. NICU babies' records will be accessible if the baby returns to ED post-discharge. Adult critical care patients' records can be accessed at all points during their stay at PAHT.

Will Alex Health mean I spend more time on the computer and less with the patient?

Once Alex Health is implemented, you will need to spend more time on the computer, however as a critical care nurse this means you will save time looking for notes and finding out information, and therefore you will have more time to spend with your patient. Our aim is for you to either be on the computer or be doing direct patient care. Find more Alex Health frequently asked questions here >

New charging facilities for mobile devices Over the past few years, the trust has increased investment in the provision of mobile devices to enable clinicians to access systems more quickly to support patients at the point of care. As part of this, and in order to support the increased use of mobile devices, new charging facilities are being installed to ensure our people have convenient access. Charging wall units Located in multi-disciplinary team areas or staff rooms, the new charging wall units are for staff use only and can charge up to 10 devices at any one time.

A four digit pin code, issued at the discretion of ward managers, is used to securely lock the locker to keep devices safe whilst being charged. The top three shelves charge trust devices that have lightning connectors; the remaining seven shelves charge trust devices with USB-C connectors.

Installations have been completed in the following rooms: y Emergency department glass MDT, Same Day Emergency Care (SDEC) MDT, AAU MDT 2, ITU/HDU (staff room), Harvey Ward MDT

Installations coming soon include: y Lister Ward MDT, Winter Ward MDT, Dolphin Ward

MDT, Locke Ward MDT, Ray Ward MDT, Henry Moore Ward MDT, John Snow Ward MDT, Penn Ward MDT, Saunders Ward MDT, Main Theatres (room next to staff room), Fleming Ward MDT, Kingsmoor Ward MDT, Charnley Ward (staff room), Harold Ward (staff room), Tye Green Ward (staff room), Alexandra Day Stay Unit (ADSU) (location TBC), Maternity Ward (sister’s office) OPAL Unit and Nightingale Ward have been reviewed but there is insufficient space. Charging lockers for our people, patients and visitors In addition to the charging wall units, the trust has also invested in secure charging lockers for personal devices belonging to our people, patients and our visitors. It’s important that everyone has the ability to stay connected whilst visiting our hospitals. The new charging lockers can charge up to 16 personal devices (one per locker) and are located in public areas and also the Alex Lounge. Users enter a four digit code of their own choosing and use the lockers at their own risk.

Each locker has three connectors available: lightning, USB-C and USB-Micro to accommodate the majority of mobile device types. Installations have been completed in the following locations: y Emergency department waiting area, children’s emergency department waiting area, Same Day Emergency Care (SDEC) waiting area, Urgent Treatment Centre (UTC) waiting area, Adult Assessment Unit (AAU) near the nurses’ station Installations coming soon include: y Alex Lounge, Alexandra Restaurant, main entrance (near Costa Coffee), Fracture Clinic, Maternity Ward waiting area, NICU parents room, Alexandra Day Stay Unit (ADSU) waiting area, Eye Unit waiting rooms (ground floor and first floor), Learning and Education Centre, Kao Park break room, St Margaret’s Outpatients, Herts and Essex Cafe Can’t see your department listed and think you would benefit from one?

listed above, but wish to be considered for one in your area, please email Donna Walker, ICT project manager at donna-marie.walker@nhs. net and she will review your request.

If you do not see your area

Recruitment and career showcase event On Thursday 18 January we held our most successful recruitment and career showcase event to date. Over 400 of our local community braved the cold to come and meet our teams at Harlow College and find out about us and what it's like to work in the NHS.

This was our first collaboration event with Essex Partnership University NHS Trust (EPUT), and with support from the Hertfordshire and West Essex ICB. This event was an opportunity for people to find out more about the current opportunities at both PAHT and EPUT, and speak to our people and development teams about career pathway and training options. A massive thank you to the departments who supported us and helped engage with our community: • IT services • Pharmacy • Theatres – operating department practitioners • Information and business intelligence • Practice development team We also had support from these external teams: • Department of Work and Pensions • Herts and West Essex Health and Care Academy • NHS Professionals (NHSP) If you are interested in supporting our upcoming events or if you are aware of recruitment events we can support, please contact Karen Kingsmill, outreach and retention resourcing partner, at karen. kingsmill@nhs.net.

Everything equality, diversity and inclusion... Celebrating LGBT+ History Month

The UK LGBT+ History Month 2024 theme is medicine – #UnderTheScope and is a great opportunity to celebrate our wonderful mix of people and cultures at PAHT. The 2024 theme celebrates LGBT+ people’s contribution to the field of medicine and healthcare, both historically and today. We want to showcase the amazing work of LGBT+ staff across the NHS, in providing healthcare. LGBT+ stands for lesbian, gay, bisexual and transgender. The + is an inclusive symbol to mean 'and others' to include people of all identities. What is LGBT+ History Month and why do people celebrate it? LGBT+ History Month is for everyone. It is celebrated every February across the UK and was founded in 2004 by Schools OUT UK co-chairs, Paul Patrick and Professor Emeritus Sue Sanders. It was first celebrated in February 2005. This month is about acceptance, equality, celebrating the work of LGBT+ people, education in LGBT+ history and raising awareness of issues affecting the LGBT+ community. There’ll be lots going on in February: • #EqualityMatters – ensuring that our people know that it is ok to talk about any equality issues and who to speak to if they have any concerns • #BreakDownBarriers – showcasing the career progression of our people from different backgrounds • #Inclusive – encouraging our people to sign up to wear a rainbow NHS badge as a visible demonstration that PAHT is an open, non-judgemental and inclusive place for people who identify as LGBT+ Wishing everyone a happy and successful month. For more information, please contact Charles Hancock at charles.hancock1@ nhs.net or kieran.burn@nhs.net. You can read more here > 12

People Pulse Survey - share your PAHT experiences Thank you to those who completed the 2023 annual NHS Staff Survey.

Our organisational development team will soon be contacting department leads to outline our approach this year for using the feedback to improve how we work together. As part of our commitment to regularly hearing your views, we are starting the year with our quarterly People Pulse Survey. The survey is currently open and closes on 31 January. You can complete the survey via this link > More about the survey y The survey takes five minutes to complete and runs across the NHS y In addition to core questions about your experience at work, focus questions this

month are around flexible working y The survey is anonymous, however you are asked to confirm your division and staff group to help us act on your feedback y You are able to provide free text comments for some questions y The responses go directly to NHS England and we later receive summarised results which are shared with senior managers to enable learning from your feedback y To protect confidentiality, scores will not be shown for divisions/staff groups with fewer than ten responses (but will still be incorporated into the organisation's overall scores/findings) y The survey supports the NHS People Promise by theming comments provided around the seven People Promise elements,

y supporting us to understand where we are doing well and where we can improve. Read more about the NHS People Promise via this link > Role of managers y Print a copy of the survey poster and place in staff areas y Brief your teams at 1:1 and team meetings Your voice counts and we want to hear from you thank you.

Funding available for continuous professional development (CPD) for a trust-wide or service-wide initiative Do you have a training need, or a development initiative, which can upskill our people and improve service to our patients? If the answer is yes, then there may be an opportunity to gain funding for this. The trust finds itself in the unusual position of having unallocated continuous professional development (CPD) funding, which will be returned to NHS England if this remains unused by the end of March.

As we draw closer to the end of the financial year, our newly established CPD Governance Group will be looking to allocate any remaining CPD funds towards meaningful learning for our people. If you have a training need, or a development initiative, and you would like to submit a request to the group; or if you have any questions, please email paht.cpd@nhs.net. The deadline for submissions is Wednesday, 31 January. 13

Our patients said... "A very big thank you to all the staff in the Eye Unit and Day Stay Unit for their kindness and consideration during my recent eye surgery, and to all the hospital staff who keep on going often under difficult circumstances."

"My doctor sent me straight to the emergency department with a potential blood clot. My blood pressure was extremely high and my pulse was racing. I can't fault the treatment I received from the nurses, doctors and porters - it was all five star."

Some recent feedback from families that have made use of our Butterfly Hub: "Amazing room and service, so nice to have this room to escape for a cuppa. Thank you so much." "This room was a blessing whilst we were visiting Mum in her final days. It allowed us to break up visits, rest, have a moment together, and take turns visiting her. Super grateful for this facility."

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 share practical information and tips as part of our wise about wellbeing feature. This month, we are focusing on menopause awareness training sessions. Our staff health and wellbeing (SHaW) team have arranged menopause awareness training sessions to explain what the menopause is, why we need to talk about it, understand the signs and symptoms and how to support our people going through it. Are you a line manager that needs to support someone going through the menopause? Do you want to understand more about the menopause and the signs to look out for? The SHaW team have arranged separate sessions for line managers and general sessions for all of our people. Training dates for this year are as follows. All sessions are run via MS Teams from 1pm to 2pm. Line managers: • 31 January • 29 May • 27 November General sessions: • 27 March • 25 September How to book: All sessions are available to book via TiMS here > If you have any questions or want further information, please contact the SHaW team by emailing tpa-tr.shaw@nhs.net or calling x 7015. You can access details of the full range of health and wellbeing resources on the staff health and wellbeing workspace on AlexNet > 15

Welcome to our new #PAHTPeople In the last month, 51 new #PAHTPeople have joined us: Michelle Sortwell Vikki Stone Ella White Amy Britton Megan Howard Carlie Owen Jennifer Sirrell Yvonne Apendi Hayley Edridge Viktoria Pozdniakova Esther Graham Chloe Dollard Jane Moore Selcan Shermin Enrico Malizia Pavan Natt Natasha Cooke Harshiv Shah Vivienne Narburgh Anima Ahiaku Rupesh Jobanputra Sanjay Sudheer Nair Abdul Shomon Chantelle Brooks Marie Carr Daiana Buliga Benita Mangwi Stephen Evans Kelvin Langford Kayla Burt

Peter Kirk Victoria Peprah Amy Large Siddhraj Gohil Jamal Shah Wayne Langridge Lenindas Dhanapalan Roulla Hussainy Chirag Sheth Amy Idestroem Ruby Fussell Matthew Hatchwell Barbara StewartEvans Mo Clarke Jennifer Lawrence Carlos Branco Beksy Mathew Joice Madzima Mohammad Ali Sharmin Farhana Karen Fechter

In this time, 46 people have left PAHT - thank you for supporting our patients and our people. 16