InTouch magazine - March-April 2021 by communicationsPAHT

March - April 2021

InTouch

Back to better Our values New hospital update World Kidney Day

Foreword 2

Welcome to InTouch magazine

Putting our values at the centre

Back to better

New chief information officer

More ways to have your say in your new hospital

More ways to have your say in your new hospital (continued)

Work experience students take on virtual hospital placement

Healthcare group update: surgery Introducing...

A fond farewell to Martin Smith

Our patients said...

Our charity update

World Kidney Day PAHT people in the spotlight: Jo Englefield, health and safety manager

Welcome to InTouch magazine – your insight into the latest news and updates from across PAHT. In this edition, you can read about how we are putting our values at the centre, refreshing the values that matter to you following our recent survey. There is also an opportunity to hear the latest about our Back to better campaign, as we focus on the future. Please continue to look out for a range of information over this month (March), April and May, to include a schedule of virtual events, webinars and information. You can read the latest news from our charity and how you can support us. We also cover an important new quality improvement - patient initiated follow up - and have an update from the surgery healthcare group. Please take the time to refresh your understanding of consent and of your responsibilities regarding declarations of interest. Additionally, this magazine features the latest update on the programme to build a new hospital that is fit for the future.

Quality improvement: patient initiated follow up begins

If you would like to share your news with colleagues and to see your team featured in InTouch magazine, please let the communications team know via paht.communications@nhs.net.

Declarations of interest

I hope you enjoy the read.

CQC: Consent

PAHT people

Best wishes Lance McCarthy Chief executive 2

Putting our values at the centre Our values underpin our way of working and the standards of behaviours we all expect and strive for at PAHT. As we look to the future and the organisation we want to continue to grow to be, we are taking the opportunity to review and refresh the values that matter to you. Last month (February), we opened a short online survey of just two questions. The survey was open to all. We asked for your sense of what makes what we do important, and a time when everything just came together and it felt good to you. This was an opportunity to highlight those aspects of your work and how we work that should be appreciated and nurtured into the future and to be part of our refreshed values. Thank you to everyone who took the time to respond more than 400 of you shared your thoughts about the organisation. We have collated those results and are currently evaluating the themes that came through in your feedback so that our new values reflect PAHT into the future. We will keep you updated with further information about how we are putting our values at the centre.

Back to better We know how challenging the last year has been for you all. Many of you have given us positive feedback about how valuable you have found the range of health and wellbeing support we have provided over this time, from our sessions with keynote speakers at Events not in a tent and Winter webinars, to the variety of information we have signposted you to. This includes our employee assistance programme and other support lines from our partner organisations.

So far, sessions have included International Women’s Day virtual events and an InTouch briefing on psychological Plus, we understand how useful support in other areas of support and the Here for your service from Essex Partnership your day-to-day management University NHS Foundation of your work and teams has Trust (EPUT). been to you too. We are now approaching a year since the first lockdown of the COVID-19 pandemic, and the Government has announced its roadmap to cautiously ease lockdown restrictions. Now is a time to focus on the future and how we move to being Back to better.

Judith Friedman, consultant clinical psychologist at Essex Partnership University NHS Foundation Trust (EPUT), explained more about the Here for you service which they lead, together with Hertfordshire Partnership University NHS Foundation Trust (HPFT).

Please look out for a range of events, webinars and information throughout this month (March), April and May, covering four themes:

Introduced in response to the COVID-19 pandemic, the service is specifically for staff who work in healthcare, social care, the voluntary sector and not-for-profit sector.

z Health and wellbeing z Compassionate leadership z Civility, values and behaviours z Operational

You can call the team 24/7 to confidentially talk through any problems you’re facing, whatever they may be, on 0344 257 3960.

Attendees had the opportunity to find out more detail about the support on offer and to ask questions. Watch out for more events in the days and weeks to come. You can access a wide range of helpful information on our Back to better Alex page. Additionally, you can watch a variety of health and wellbeing videos on our Back to better YouTube playlist. Our trailer video and the InTouch briefings are also available on our Back to better YouTube playlist. If you have suggestions of content that you would like to see as part of the Back to better campaign, please contact the communications team on paht. communications@nhs.net.

New chief information officer fuses technology with operational experience to improve patient care Phil Holland, the recently appointed chief information officer at PAHT, has carved a notable path to his role leading the development of technology for a new hospital that is fit for the future. Phil fuses a technical background in informatics with the fast-paced operational oversight of his previous position as director of operations for medicine and deputy chief operating officer for urgent care at PAHT. Now, he is focusing on bringing the energy and sustained change of an operational role to lead the continued large-scale modernisation of technology across the organisation. Phil was appointed as chief information officer in January this year, having joined PAHT in 2018. Phil brings a wide range of NHS experience in operational, informatics and transformation roles. Phil will underpin the development of information technology

at PAHT, with an aim for the new hospital to be the most digitally enabled in the country. With teams across PAHT, he is looking at how we can use the latest technology to provide patient centred care. In the future, this could include a wide range of improvements from stateof-the-art digital wayfinding around the hospital and improving efficiency via automation of key processes, to enabling ward based teams with remote monitoring to provide a gamut of realtime information to support care decisions. Phil said: “I am delighted to have joined the

executive team at The Princess Alexandra Hospital NHS Trust at this pivotal moment as we work towards our programme of modernisation and our new hospital.By working in roles with both an informatics and an operational focus, I have a full perspective of the technology available and how it can be implemented to continually enhance patient care. I am committed to every change improving the experience of our amazing people and the outcomes for our patients.” Lance McCarthy, chief executive, said: “I am pleased to welcome Phil to this new role at PAHT, putting technology at the centre of our ambitions for our organisation. “Phil brings a wealth of experience across informatics and operations and joins us at an exciting time as we continue to progress with planning for our new hospital.” 5

More ways to have your say in your new hospital The rollout of our engagement plan continues, following our hugely successful public events in January and February. We want to say thank you to all of you who attended our events, completed our survey or shared the information with family and friends. The response to our various engagement activities was really positive, especially given the challenging time of year. Over the coming months we will be increasing opportunities for collaboration with you, our healthcare partners and other local organisations, making sure our activities reach as far into our community as possible, giving everyone a chance to have their say. Local students share their views In February we met with a group of young people from Harlow College who

are part of the college’s supported studies department. The students were invited to give their thoughts and ideas on the design aspects, including arriving and checking in at the new hospital, as well as hospital facilities and wayfinding. The students welcomed the opportunity and were enthusiastic in their responses. Many of them are keen to stay involved as the new hospital programme progresses.

“I feel really happy that I can support the NHS and find the hospital and college partnership meetings helpful in giving us ideas about the new hospital plans” – Holly, supported studies student “Our learners recognise that their views matter and they have the chance to make a difference in their local hospital.” – Arzum Tuzci, learning co-ordinator, supported studies and SEND at Harlow College 6

Supporting your health and wellbeing Your health and wellbeing matters to us and it is important that the new hospital is designed to support it. Within our vision we aspire to create an environment which promotes recovery, not just physically but also mentally. Through summer 2020, we talked to many of you to find out what mattered to you. By attending team meetings and asking you to share your ideas, over 230 of you had your say and shared your views. At our In Touch briefing in February, we continued this conversation, discussing how some of the most common ideas you shared could be incorporated into the design (right).

As well as these features, you wanted to see things such as water fountains, artwork, natural light and access to outdoor spaces.

too and are committed to reaching as many people as possible. Do you have connections beyond the hospital that we could reach out to?

If you have more ideas, please share them with us. We want to make sure the spaces created support you as well as our patients.

As always, you can share your feedback with us any time via paht. newhospital@nhs.net.

What’s next? You tell us! What do you want to know more about? Could we better engage with staff, if so, how? Do virtual events work for you? Would you like other opportunities to have your say? We want our patients, visitors and community to be closely involved

Work experience students take on virtual hospital placement As part of National Careers Week, over 150 students from BMAT STEM Academy in Harlow took part in a virtual work experience placement with teams at PAHT. The BMAT STEM Academy is a state-of-the art and unique centre that offers a programme of science, technology, engineering and mathematics team, patient experience, site (STEM) based curriculum. management and the daily running of the hospital. The national campaign, which ran from Monday 1 March until “The students applied their Saturday 6 March, allowed learning to make evidence year 10, 11 and 12 students, based recommendations aged 15-18 years old, to for improvements to the gain first-hand experience of departments.” what it is like to work within a hospital environment and set Kain West, a year 11 student them the challenge to plan an from BMAT STEM Academy, improvement project. said: “The experience of meeting some of the NHS Karen Kingsmill, school and workers has given me insight college liaison coordinator said: into their workplace and their “Although this year’s work mindset while working there. experience placements were different due to the coronavirus “This experience as a whole (COVID-19) pandemic, we has given me ideas of what were excited to offer a number jobs to consider if I ever am to of virtual work experience join the NHS.” places to local students. “The tailored work experience schedule allowed the pupils to develop their understanding of the workplace and gain an insight into the many employment opportunities in the NHS. “The students learned more about the quality improvement

about their roles, including the business, administrative, and resource allocative side of the NHS really showed me and the rest of the students diverse careers within the NHS. “It’s paramount that future generations learn about this and I was lucky enough to have that opportunity this week.”

Tara Osman, a year 12 student from BMAT STEM Academy, said: “Listening to the staff talk about their diverse roles as part of the NHS was intriguing because the NHS is often thought of as being nurses, doctors and surgeons, when in fact that is not the reality. “Listening to the staff talk 8

Healthcare group update: surgery During the latest wave of the COVID-19 pandemic, we have continued to operate on urgent and emergency patients and have worked with local private providers to treat some of our more urgent elective patients. We have taken the opportunity to undertake some remedial estates work in theatres in preparation for resuming elective surgery. Our consultants review the patients waiting to assess their clinical priority and this is an ongoing process. Innovative working has allowed us to work differently with our community partners and patient at home service, which we are looking to continue. We would like to thank the surgery and critical care team for their resilience and for embracing new ways of working during the last few months.

Introducing... Anne Wafula-Strike MBE, associate non-executive director Born in Mihuu, Kenya, Anne was a fit and healthy child before polio struck when she was two years old. After completing A-levels and graduating from Moi University with a Bachelor of Education degree, Anne taught at Machakos Technical College in Kenya before meeting the man she would marry - which led her to Britain, motherhood, wheelchair racing, disability advocacy and charity work.

Darshana Bawa, nonexecutive director Darshana is a finance director, with extensive financial In 2006, Anne became and a British citizen and joined Team GB. In 2007, commercial leadership she was among the Commonwealth delegates experience. invited to a recognition reception at Buckingham She has a background in the delivery of strong Palace and she was financial and commercial officially recognised with information, with a an MBE in 2014 for her services to disability sport successful track record in organisational change. and charity work. She Working across online is a strong campaigner retail, e-commerce and for diversity, inclusion, third-party logistics, she and accessible living for 2004 marked the brings a broad perspective disabled people. Anne beginning of an Olympic to this role. lives in Harlow and is career when Anne became proud to have taken on the first wheelchair Darshana is delighted to the role of associate racer from Sub-Saharan have joined the Board in non-executive director at Africa to compete at the PAHT, her local hospital, in 2021. 9 Paralympics in Athens. 2021.

A fond farewell to Martin Smith Martin Smith, associate director of training, development and education, retires at the end of March after a career of over 20 years at PAHT. A huge thank you to Martin for his hard work, commitment and dedication to PAHT – you have made a real difference for our people and patients. Although, in these times, marking Martin’s retirement will be different, we are keen to make sure that he knows how valued he is and how much he will be missed by sharing a number of well wishes - take a look at the messages below:

“Enjoy your retirement Martin, you will be much missed! You have helped me and the pharmacy team so much over the years with your experience and patience and made all our dealings stress-free.”

“Martin, you have been an absolute pleasure to work with, and I truly wish you all the very best for your new adventures beyond PAHT. All good wishes.”

Dear Martin, where has that time gone? I remember when you were a newbie and interviewed me about my boss who was about to retire. Enjoy your retirement Martin, you will be sorely missed take care.”

“Hi Martin, wishing you a long and happy retirement. Thank you very much for all the support you have given myself and the rest of sterile services over the years, you really have made a huge difference to people at PAHT.” 10

Our patients said... “Everywhere I went in the hospital (A&E, X-ray, scans, Ray Ward, operating theatre and Tye Green Ward) I was met with such care, kindness, and professionalism. “It was obvious how busy everyone is, but doctors, nurses and support staff, whilst dealing with me, all made me feel I could have as much time as I needed. In A&E and surgery, I was skilfully worked on in order to ‘fix’ me. “Thank you is too small a phrase to convey all I feel for the work of all staff - the NHS at its best - but I am truly grateful, so thank you.”

“Whilst positive for COVID, following breathlessness and chest pain, and from triage to discharge, I was treated amazingly. The triage nurse and healthcare assistant were extremely reassuring. “I was placed straight into a private room but was never forgotten. I was seen quickly by an A&E doctor, within an hour and a plan was put in place. From the porter who took me to X-ray, making me laugh on the way, to the lady who brought me tea and cornflakes in the morning, you really all worked hard to make me forget the fears coronavirus causes. You were all rushed off your feet but all I could hear was your time for patients. Thank you and well done.” “I just want to say a huge thank you to all volunteers who are helping us to keep in touch with our loved ones during this awful time. “You are amazing and give us a glimmer of hope and respite.”

“Thank you all so so much for your hard work and making the virtual visit happen today. “It really meant the world to me - I needed that today, so thank you.”

Our charity update Going the extra mile to raise funds for our neonatal unit A firefighter from Kent has put his best foot forward in order to raise funds for our Neonatal Intensive Care Unit (NICU). Marc, aged 41, undertook the gruelling challenge to run one extra mile each day throughout February and has surpassed his fundraising target, raising an astonishing £32,376 for our hospital charity and Young Minds. Marc’s long-term family friends have two sons that were cared for in NICU and wanted to give back to the dedicated teams who supported them. Marc ran one extra mile

every day for the 28 days in February. On day one, he ran one mile and on day two, ran two miles and so on. By the end of February, he ran a staggering 406 miles, which is just over 15 marathons.

bilirubin (a yellow substance found naturally in the blood), and reduces jaundice in newborn babies. Thank you! Pictured below: Marc and his family.

Marc’s generosity does not stop there – he also took part in last year’s virtual London Marathon and raised nearly £6,000 for the neonatal unit. With the kind donation, we hope to purchase a phototherapy machine that helps to break down the

Half a million metres on a rowing machine

Kelsie’s 100 miles for our charity

A patient who had been admitted to PAHT with coronavirus (COVID-19) has raised over £2,000 for our hospital charity to give back and say a huge thank you to the teams who cared for him.

Kelsie Filby has walked and jogged 100 miles throughout February to raise money for our hospital charity in memory of her grandad, who sadly passed away. Kelsie said: “We couldn’t have asked for better nurses and doctors who looked after our grandad at the end of his life, so I am raising money to show our appreciation for them all.” Kelsie has surpassed her target of £600 and has raised £1,476 - a huge thank you Kelsie.

Dedicated teams raise awareness of acute kidney injury Thursday 11 March was World Kidney Day. To mark the occasion, the acute kidney injury (AKI) project team and quality first team raised awareness of AKI and shared best practice advice on protecting our patients from developing AKI and on treatment. The team encourage you to focus on FLUIDS as an acronym which can help with the management of an AKI:

F – fluid status: remember to

complete fluid balance charts for all patients with AKI or at risk of an AKI

L – low blood pressure

(SBP <100): remember fluid

resuscitation and hold off on giving anti-hypertensive and diuretics

U - Urine output: take

urinalysis for blood, protein and nitrites. This may help identify the cause of the acute kidney injury.

sepsis 6 protocol You can also take a look at the teams latest AKI newsletter for the latest updates, which has been published in the InTouch weekly newsletter.

I – Imaging: request urgent

renal US scan if there is a suspected obstruction or no clear cause for acute kidney injury.

D - Drug review: if an acute kidney injury is suspected, drugs with nephrotoxic potential must be stopped.

S - Think sepsis: remember to

treat sepsis promptly using the

PAHT people in the spotlight Jo Englefield, health and safety manager We caught up with Jo Englefield, health and safety manager, who has recently joined PAHT, for a 60-second interview. Jo said: “The most satisfying aspect of my role is changing the negative views into a positive ones – health and safety is actually about getting things done, and in a safe way… it’s great getting our people on board and promoting a positive health and safety culture.”

Quality improvement: Patient initiated follow up begins We have begun to offer a scheme, patient initiated follow up (PIFU), which puts patients in control of making an appointment with their consultant or healthcare team when they need it the most. The first pilot is for our fracture clinic patients and started on Monday 22 February.

symptoms, within a specified timeframe. This prevents them having regular review appointments when they do not want or need them.

Attending regular outpatient appointments arranged by the hospital does not prevent conditions or symptoms returning or result in a shorter recovery period. Many people find that routine follow up visits to the hospital cause unnecessary stress and anxiety.

Key benefits of PIFU include: z Improved patient experience, as patients only attend when they need to, reducing unnecessary journeys and time wasted z Reduction in did not attend (DNA) rates, which releases these appointments for patients who do want/need to be seen z Release of capacity from follow ups to new patients z Clinical time used more effectively

When a patient is placed on a PIFU pathway, they can make an appointment to see the appropriate team if they have any concerns related to their specific condition or

The project team would like to thank Dennis Kosuge for his commitment and ongoing support to implement this pilot to improve our patients’ experience.

This has been a huge team approach and the following are just some of those involved – thank you: z Orthopaedic surgeons z Orthopaedic operational team z Outpatients operational teams z Secretaries and administration z Outpatient bookers z Cosmic and Cosmic training z Quality First Once the pilot has been evaluated, there are plans to roll out to other specialities. If you would like more information about this pilot, please contact the Quality First team at paht.qualityfirst@ nhs.net.

Declarations of interest Please be reminded that you are required to declare any interest, gift or hospitality received which may result in a conflict with or impact on your duties. This is particularly relevant to those in a senior management role or with responsibility for the procurement of goods and services. This includes affiliations with private companies or external organisations, hospitality received from companies the Trust may be affiliated with and gifts from private companies, patients or patients’ families. You must declare the offer, or receipt of any hospitality or gifts over the value of £50, regardless of whether this was accepted. The Trust’s Governance Manual is available on the intranet and contains full guidance for declarations on page 89. If you need to make a declaration, the relevant form is available on the intranet and should be completed, signed and returned to Becky Warwick, corporate governance officer, (becky.warwick@nhs.net). 14

CQC: Consent Our consent to examination or treatment policy has recently been revised. This policy sets out the standards and procedures to assist our healthcare professionals in appropriately obtaining valid consent from patients before starting any treatment, physical investigations, or care. Valid consent to treatment based upon patient understanding is central to all forms of healthcare, from providing personal care to undertaking major surgery. Seeking consent is also a matter of common courtesy between healthcare professionals and patients.

important points as respecting patients’ views, checking whether patients understand what is being asked of them, and appropriately recording decisions. Whilst the overall consent process remains the same, the revisions are aimed at making the issue of consent clearer and easier for users to understand, including who should be involved in the consent process, how consent applies in emergencies, and how the condition of the patient can significantly affect any consent required. The importance of the two stage consent process for non-emergency and elective procedures has also been emphasised. In most cases where written consent is required, treatment options will usually have been discussed well in advance of the procedure/s being carried out. There is now a clearer explanation of the two stage consent process, clearly highlighting the provision of information, discussion of options and initial decision making at stage 1, and then further confirmation of the patient’s continuing consent and understanding at stage 2.

The context of consent can take many different forms, ranging from an active request by a patient for a particular treatment to the passive acceptance of a health professional’s advice. In some cases, the health professional will suggest a particular form of treatment or investigation and after discussion the patient may agree to accept it. In others, there may be a number of ways of treating a condition and the health professional will provide advice on the risks and benefits of each and will be available to assist the patient For patients who entirely lack to decide between them. capacity, clearer advice is now given on optimising a Significant revisions to our patient’s overall understanding policy include the inclusion of of the process. Best interest a quick reference guide at the decisions and best interest beginning of the document meetings are explained in incorporating the principles detail, and clearer guidance of consent, highlighting such is given for when a patient is

mentally able but physically unable to sign consent. The section relating to children and young people has been expanded and clearer explanations provided of ‘Gillick competence’, parental responsibility, and refusals of treatment. The policy now contains references to the possibility of obtaining potential e-consent, and clearer guidance for departments who may wish to develop their own procedure specific consent forms, beyond those consent forms already approved for Trust use. Finally, a section entitled ‘where to go for guidance’ has been added to the policy in the event that further advice is still required to support our health professionals in their roles. You can access the policy on the policies and guidelines Alex page.

PAHT People NHS Overseas Workers Day Overseas nursing recruitment programme update On Friday 5 March, the NHS celebrated the first year of NHS Overseas Workers Day on the great contribution, value and uniqueness that overseas workers bring to our NHS family. Last year, over 100 international nurses joined us and we continue to recruit and support overseas nurses to help reduce our nursing vacancy rate. We have recruited international nurses from: India, the Philippines, Australia, Nepal, Jamaica, Barbados, Kenya, Uganda, South Africa, Nigeria, and Ghana. We have a dedicated overseas educator who supports from the moment that our nurses arrive in the UK, and throughout completing their Objective Structured Clinical Examination (OSCE). The OSCE is an examination designed to assess the overseas nurses’ ability to competently apply their professional nursing or midwifery skills and knowledge in the UK. Our team of clinical practice educators then support the newly recruited nurses during their first few months at PAHT - our pass rate for the OSCE programme has remained at 100% for the past three years. Some of our international nurses have gone on to become successful in more senior roles such as a clinical site manager, part of the discharge team, band 6 ward sisters, infection control specialist nurse, and a clinical practice educator, to name a few.

PAHT people in the spotlight Hannah Byram, assistant practitioner Hannah joined PAHT in 2012 and then left and re-joined as an NHS Professionals (NHSP) bank staff member in 2013. Hannah’s role includes meeting, greeting and speaking to our patients, answering phone calls, chaperoning, requesting and collecting blood samples, checking blood results and communicating with the GP, recording vital signs, blood glucose monitoring, recording electrocardiograms (ECGs), applying simple wound dressings, maintaining infection control, escorting patients to the right department and handing over to the team.

InTouch magazine - March-April 2021

Articles inside

Declarations of interest CQC: Consent