Spring 2014 Summer 2014
Stepping Up Stepping members newsletter
Wedding bells on stroke unit Ten years as a Foundation Trust A major milestone in our reception history on unit Patient in first ever wedding Safest Cancer Surgery Top ratingBowel from CQC UKNew first for kidney cancer surgery Specialist Diabetes Service Building our new Stockport Eye outdoor Centre play area
Contents
3-11 News
12-16 Features
17-19
Chairman’s Introduction Welcome to our latest edition of Stepping Up. As you will have seen from our cover this is a rather special edition of the newsletter, because we are celebrating ten years as a Foundation Trust. Over the years we have grown and developed as an organisation in so many ways, and the lead article on our Governors and Membership section highlights some of our achievements over the last decade. In this edition we also take a look at our Stockport eye centre and outpatient clinic, which has been helping thousands of patients with a variety of conditions. The team are leaders in their field, and have recently shown their flair for innovation by being one of the first in the country to use new eye injection techniques for quicker recovery times.
Staff Focus Everyone is invited as we open our doors this year for a grand open day. The theme for the day is ‘Back to the Future’ with great entertainment, behind-the-scene tours, interactive stands, and a brilliant range of activities.
20-22 Attractions include... Information Zone ✓ 50 stands, many with interactive elements ✓ Health checks including blood pressure tests ✓ Laboratory services under the microscope ✓ Healthy lifestyles ✓ Fake wounds ✓ Pedal your way to smoothie
Events Activities and Entertainment Zone
✓ Giant walk-through colon ✓ Behind the scene tour of our operating theatres ✓ Live music and dancing and much more Free parking is available
There is no need to book – just turn up on the day. Open Day, Stepping Hill Hospital
Saturday July 19th, 10:00am to 2:00pm
23-24 Awards & Achievements
25-31
One of the major changes in the past few years is that we now run community services in Stockport, Tameside and Glossop, as well as hospital services at Stepping Hill. There have been a lot of developments in the community recently, with a new integrated diabetes service in Tameside and Glossop and success in reducing teenage pregnancies in the same area. And one of our community nurses in the area, Suren Beebakhy, was chosen as one of the top four nurses in the country at this year’s Patients Choice award voted. There is immense pressure both financially and operationally on NHS organisations across the country. In fact, the stakes have never been higher for the NHS. We take a look in this issue at some of the partnership working we are undertaking to steer us through the challenging times ahead. While times are hard, we are still able to achieve great things. As we also report in this edition, the CQC has confirmed again that we are one of the safest hospitals in the country through their new intelligence monitoring report system. Amazingly, one-in-three of the children born across England this very day are likely to live to celebrate their 100th birthday. Our mission is to ensure that we continue to develop our services so we are there for them throughout their lives - every step of the way. Thank you for your continued support.
Governors & Membership Gillian Easson, Chairman
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Summer 2014 www.stockport.nhs.uk
News
Bowel cancer surgery – safest at Stepping Hill The latest national statistics show that Stepping Hill Hospital is the safest place in Greater Manchester to have bowel cancer surgery. Patients having the specialist surgery at our hospital are at least twice as likely to survive as others in the area. The figures from the national bowel cancer audit programme place Stepping Hill as one of the best hospitals in the country for bowel cancer surgery. We treat around 200 bowel cancer patients each year, with cases being similar to other hospitals in terms of complexity and risk. Our specialist bowel cancer team includes surgeons, oncologists, cancer nurses and stoma therapists, as well as state-of–theart critical care facilities. This ensures each patient has the highest quality advice, support and care throughout their time with the hospital. Adrian Botham from Offerton in Stockport had surgery for bowel cancer at Stepping
Hill in May 2013. The retired local government officer was in hospital for two weeks following a five hour operation and has recently been given the all clear. Adrian, who is married with two children and two grandchildren, said;
Adrian Botham
“I was shocked when I was diagnosed with bowel cancer. I am a healthy person and didn’t feel ill. I was wary of the unknown, but confident I was in good hands. At the time I didn’t know Stepping Hill was one of the best places in the country for bowel cancer surgery, but now looking back it’s no surprise. “Everything went like clockwork and I had excellent care. It’s brilliant news that the hospital has been ranked so highly for bowel cancer surgery. I am so grateful and feel so positive about the future.”
We have a proud history of quality and innovation for our surgery, and often lead the way in our field. We were the first hospital in the country to use a special robot for prostate surgery in 2012, and the first in the country to use a special dye technique for kidney surgery last year. “Surgery is the only definitive curative treatment of bowel cancer and we are delighted that this independent audit confirms the high quality and safety of our care. “For patients to know how safe it is for them to come to this hospital is a huge message and I think it’s a great tribute to the team here. Our results are constantly improving thanks to the multi-disciplinary team work and improved postoperative care. These facets are constantly advancing. “Having cancer surgery is always a stressful experience, but patients at Stepping Hill can be assured that they are in the very best hands.” - Mo Saeed Consultant Surgeon and Clinical Director of Surgery
Mo Saeed
Bowel cancer is the most common cancer in nonsmokers and second most common cause of death from cancer. Over 40,000 people in the UK are diagnosed with bowel cancer each year, that’s around 110 people every day. In Greater Manchester, over 1,500 will be diagnosed with the disease each year, of which 600 will unfortunately not survive.
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Top CQC Rating retained
We have retained our ranking as one of the best hospitals in the country under the national Care Quality Commission (CQC) rating system.
This system is based on a new intelligent monitoring tool to measure high quality and safe care. It looks at a wide range of information including patient experience and death rates. The monitoring tool has six bands (with band one the worst and six the best) - and Stepping Hill is in band six. The first intelligence monitoring reports
were published in October 2013. We were one of only two Trusts in Greater Manchester to retain the best ranking (alongside The Christie), and one of only four Trusts in Greater Manchester to receive the top ranking in the March 2014 report (alongside The Christie, Central Manchester and Pennine Acute hospitals). The Care Quality Commission is using the bandings to prioritise their inspections.
Partnership and plans
It’s a difficult time for the NHS. There is immense pressure both financially and operationally on NHS organisations across the country.
While budgets have not been reduced, the costs of running the Trust are much higher than the money we receive to pay for it. We need to save £17 million this financial year in order to stay within our finances. A lot of work has therefore been taking place within our organisation to really understand the challenges we face and the best way to approach these. We are working on a raft of activities to help us change the way we work, which will help us to achieve savings. The four most important of these follow: 1. Building a Sustainable Future programme Our ‘Building a Sustainable Future’ programme is a three year plan (2014 – 2017) which aims to deliver transformational change. There are nine areas of work within the programme: •
Service transformation
•
Estates and facilities
•
Income generation
•
People and policies
•
Technology
•
Engagement and culture
•
Unscheduled care
•
Traditional cost improvement activity
•
Unidentified gap against total target
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2. Stockport Transformation Board We are working closely with Stockport Clinical Commissioning Group, Stockport Council and other local partners to further integrate health and social care services for improved care. One of the first pieces of work has been to integrate management teams for children’s services between our organisation and Stockport Council. This should remove the barriers between the teams - as well as reduce costs. The new integrated service for Stockport will provide whole family support for children, young people, families and younger adults up to the age of 25. This will be through four teams in areas across Stockport, with each local team made up of children’s centre staff, family support teams and health visitors. School nurses and specialist community public health nurses will be part of the team. Our staff will continue to be employed by us, but savings will be made as working closer together will require less management posts.
develop training, build a sustainable & resilient workforce, share best practice, make savings and exceed outcome standards. Each organisation is now creating a five year strategic plan. We will look at collaborating in areas such as general surgery, emergency medicine and orthopaedics. We will also continue to work on the areas of pathology, radiology and pharmacy, where progress has been made on collaboration. 4. Healthier Together review Healthier Together is a review of NHS services across Greater Manchester. The Healthier Together team will be running a public consultation on proposals to change NHS services over the summer months. We will share their plans with you so that you can have your say on the future of healthcare in our area.
3. Southern Sector Partnership Our Southern Sector Partnership with East Cheshire NHS Trust (which runs Macclesfield Hospital), Tameside Hospital and University Hospital of South Manchester (which runs Wythenshawe Hospital) is also progressing well. 120 staff from the four organisations attended a big clinical congress in March. The congress examined new ways to attract new business opportunities,
Summer 2014 www.stockport.nhs.uk
News
Easy on the eye We have become one of the first in the country to use an advanced injection treatment for eye problems, which replaces the need for complex surgery. The new procedure, which is an injection of a substance called ocriplasmin into the eye, is a quicker, easier and safer way of treating conditions which cause blurred or distorted vision. It takes five minutes to perform compared to the operation which takes much longer. Conditions such as broken tissue or fluid in the eye’s retina can cause these problems, and in some cases can lead to blindness. Holes in the retina or traction on the retina can lead to visual loss. Previously, the only way to treat this condition for local patients was an operation called a vitrectomy. Patients in Stockport had to travel to another hospital in the region for the complex, invasive surgery.
As well as being quicker to perform, the recovery time for patients is faster and decreases the risk of cataracts which can also arise from vitrectomy surgery. Ocriplasmin injections have only recently been authorised by National Institute for the Health and Care Excellence (NICE) and Stepping Hill is among the first hospitals to make use of it. One of the first patients to receive the treatment was Anne Foster from Glossop. She said “I couldn’t believe how quick it was, I was in and out in no time. There were no side effects at all, and I felt fine afterwards. I couldn’t recommend it highly enough.” For more about the work of the Stockport Eye Centre, see page 12.
“The ocriplasmin injection has totally changed the way that these conditions are treated. Previously patients would be referred to another hospital, undergo an operation lasting over an hour, and then a recovery which would last days. “We have worked closely with our commissioners who have supported us in providing this treatment at Stepping Hill. Patients can now be in and out of hospital very quickly with their vision hugely restored.” - Anthony Moriarty, eye surgeon
Short stay progress Our new Short Stay Unit for Older People, which opened near the end of last year, is progressing well in helping older patients. Did you know
The unit is the first of its kind in Greater Manchester. It provides specialist, multidisciplinary assessment of frail, elderly patients at an earlier point in their care. It also identifies patients who can be safely managed outside of hospital through community care and helps ensure the safe discharge of frail older patients at an earlier stage to reduce
We carry out around 2 million diagnostic tests every year?
hospital related complications. The unit works closely with partner agencies and provides advanced care planning with families for patients at a palliative stage in their care. While the unit is still at an early stage in its use, it appears to be working well in all these areas with a significantly improved discharge rate.
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Technically sound We are continuing to lead the way on a number of technology initiatives for improved patient care. The latest development is a unique i-Pad system for our district nurses in Stockport, which has sparked national interest. The DominiC (Domicillary care system in the community) i-Pad system reduces the need for nurses to go back to the office to pick up new referrals and amend patient treatment plans. This enables them to spend more time seeing patients. As well as saving time, the system also predicts and manages their working days and gathers patient safety data. National nurse leaders have visited the Stockport district nursing team to see how
the i-Pad system works. It is also being showcased in the House of Commons during a Parliamentary Briefing on improvements to district nursing. The i-Pads are currently being tested by district nurses in the Hazel Grove area. If the pilot is successful, there are plans for nurses across the Stockport area to use them.
District nurses Sarah Wakefield and Sharon Gardner with the new i-Pads
The i-Pad system for district nurses is the latest in a long line of high-tech developments which are revolutionising the delivery of healthcare for local people. Our A&E department was recently one of the first in the country to introduce a ‘paperless’ patient record system. A new computerised way of organising patient care and treatment on hospital wards is also being introduced for faster and safer care. Electronic prescribing is also being used across most of Stepping Hill Hospital for improved medication safety.
Compassion in Practice Our new Compassion in Practice strategy is focussed on providing the highest quality and most compassionate care for our patients. It has six areas of action: 1. Helping people to stay independent, maximising well-being and improving health outcomes – for example, dementia training, assistant practitioners as health promotion champions. 2. Working with people to provide a positive experience of care – for example, i-Pad surveys, ward
reports . 3. Delivering high quality care and measuring impact – for example, open and honest care programme. 4. Building and strengthening leadership – for example, ward / community leadership programmes and evaluating options to introduce ‘supervisory’ ward leaders.
5. Ensuring we have the right staff, with the right skills in the right place – for example, daily staffing reviews, healthcare assistant training, support and continual development. 6. Supporting positive staff experience – for example, using shared leadership events to keep nurses and midwives informed.
Study to help heart attack care Doctors from Stepping Hill Hospital and Manchester Royal Infirmary have been involved in new research which could help A&E departments across the country diagnose heart attack patients quickly. The new approach, called the Manchester Acute Coronary Syndromes Decision Rule, combines existing blood and electrocardiogram (ECG) tests with an additional new blood test. The importance
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of this research is that it is based on just a single blood test when patients first present at hospital with chest pain. A simple computer programme based on the research results is used to analyse the combined tests and allows for patients who haven’t had a heart attack to be discharged safely.
of patients who present with chest pains, reducing the number of patients who need to stay in hospital.
As a result of this study, which was published in the international medical journal Heart, it is believed it should be possible to discharge a significant number
The Stepping Hill Hospital doctors involved in the study were Dr Gillian Burrows, Dr Philip Lewis and Dr Gary Cook.
The next phase of the study is further examining the benefits of the ‘decision rule’ approach for both patients and the NHS.
Summer 2014 www.stockport.nhs.uk
Cheese and Spinach Quiche
1. Line the flan case with the pastry and bake blind
A couple in Woodley now have a new dish on their home menu thanks to our catering department. Ricky Dobson’s wife Jean, who used to work as a secretary in the gynaecology department at Stepping Hill, now suffers from memory problems and recently needed to stay overnight on a ward.
Cheese and Spinach Quiche (for 9 inch flan case) 300g Shortcrust pastry
2. Gently cook/ soften the onions in a small amount of oil
Vegetable oil
3. When cool add the (well drained) spinach to the onion and season
200g frozen baby leaf spinach thawed and drained
4. Sprinkle half the cheese mix into the cooled flan base, layer on enough of the spinach to completely cover the cheese 5. Add the rest of the cheese on top 6. Whisk together the eggs, milk and cream and season 7. Cook in a preheated oven at gas mark 7 / 220° for 30- 40 mins or until it has set
50g diced onions 200g grated cheddar 50g grated gruyere cheese 3 medium eggs 200mls milk 20mls fresh cream Salt and cracked black pepper to season
During her stay, Ricky was so impressed with both the care and the food served on the ward that he was moved to write a thank you letter praising the “four star hotel quality” service. He was particularly impressed with a cheese and spinach quiche, and said that he “would not mind the recipe”. Catering Manager Craig Bradford sent Ricky the recipe, used by his staff, to make the popular meal for his wife. “I may have overdone the cheese, but it was still very tasty”, said Ricky. “I made enough for a small army so I think we may be eating it for some time to come!”
ef
Head Ch Ricky Dobson with Duncan O’Neil
Food Bereavement improvements support project On the ward We have been working on a joint project with the Beechwood Cancer Care Centre to improve the support we offer to relatives who are suffering from bereavement. The bereavement support pilot has been identifying those who are in need of extra help, and putting them in touch with agencies which are able to assist them. Relatives are being kept fully informed of all the different support networks which are available, with a new leaflet summarising the different services.
New trolleys have recently been introduced to wards to make sure food can be kept warmer for longer. Chairman Gillian Easson and Deputy Chairman Carol Prowse were there as patients tasted the food from the new trolleys.
They have also been given the chance to offer feedback about the end of life care their relatives have been given, and where improvements could be made. Evaluations of relatives have shown a positive response to the increased support.
Each of our non executive directors has a specialist area in which they lend their expertise and support. For Deputy Chairman Carol Prowse this is our maternity services. She recently spent time with Stepping Hill’s antenatal team as they worked with patients. Page 7
News
Give quiche a chance
The hospital’s catering department is always busy, serving around 850,000 meals direct to inpatients every year, as well as more than 400 meals bought by staff, visitors and outpatients in the restaurant every single day.
Diabetes dedication A new service has been set up to provide more specialised care for diabetes patients in Tameside and Glossop. The Tameside and Glossop Integrated Diabetes Service is a centre of excellence which brings together clinical specialists in all aspects of diabetes treatment and care.
transitional clinic, insulin pump clinic and diabetes ante-natal care. With diabetes staff working closer together, the service aims to reduce hospital admissions and readmissions as well as diabetic complications.
There is also a Tameside and Glossop Integrated Diabetes emergency phoneline with diabetes specialist nurses on hand to offer advice - 0161 366 2354.
Based primarily at Ashton Primary Care Centre, it also has clinics across other areas in Tameside and Glossop to provide care closer to home. Diabetes patients previously got their main care from GP surgeries. If they needed more specialist care, they had to travel to Tameside Hospital.
The line is available between 8.00am and 10.00pm on weekdays, and between 9.00am and 1.00pm on weekends and bank holidays.
The new approach has dedicated diabetes specialists in the community to provide the most effective care possible, with lifestyle and diet education and advice on hand as well as treatment. Services offered include specialist diabetes consultant, nurse and dietician care, high risk podiatry, young people’s
Baby teen drop The latest figures show the number of pregnancies under the age of 18 have fallen by a larger rate than anywhere else in Greater Manchester. The rates in Tameside are the lowest since Tameside Metropolitan Borough Council began compiling the figure back in 1998. The sexual health team works in clinics across Tameside and Glossop, with a dedicated vulnerable outreach worker working closely with young people. One of the initiatives developed by the service was to provide advice to young people who may not be able to come in to the clinic. A texting service was launched and has proved very popular. The team has also significantly increased access to more reliable long term contraception such as
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Teenage pregnancies have dramatically dropped in Tameside as a result of our local community sexual health team.
contraceptive implants. The latest figures, which have just been made available, are that the conception rate for girls in Tameside aged 15-17 fell from 45.2 per 1000 in 2011 to 32.7 per 1000 in 2012; a reduction of 27.4%, which was the biggest fall in Greater Manchester. Linda Leach, senior clinical nurse manager of the team said, “It is great news that the levels continue to fall. This is the result of good teamwork and making sure that we provide a place where young people feel they can come to discuss their concerns in a safe and supportive environment. It is also thanks to young people taking responsibility for their lives and delaying pregnancy.
“There is still work to do, but with these new figures we’re committed to reducing the number of teenage pregnancies in Tameside and Glossop even further. It is important that young people continue to seek advice on how to deal with issues surrounding sexual health and pregnancy.” - Linda Leach, Senior Clinical Nurse Manager
Summer 2014 www.stockport.nhs.uk
Children at Stepping Hill and their parents now have a selection of books on how to keep healthy, thanks to a donation from local libraries.
Fancy a
Cuppa?
News
Healthy reading habits
The books cover a number of health issues, from general information on childhood illnesses to self-help publications on how to cope with bereavement or anxiety. The 37 titles have been donated by The North West Healthcare Library Unit, with the assistance of Stockport Public Library, and are available to read on the children’s ward. Play therapists and nursing staff on the ward helped to choose the books they thought most suitable.
Our Chief Executive Ann Barnes made extra cups of tea for staff as part of the Great Brew Bosses Break in May. The national day is organised by the Royal Voluntary Service to raise money and remind people of the importance of taking a proper break during their working day.
Soothing hands Older patients on ward E2 are now getting free hand massages and manicures thanks to a partnership scheme with Stockport College. Work experience trainees from the college’s School of Health and Beauty visit the ward, which cares for older patients, twice a month to give soothing hand massages and nail care.
The scheme helps the trainees as well as patients, through offering them important work experience.
On the cards We have teamed up with Greater Manchester Police to promote a scheme where emergency professionals can get the essential information they need through a credit-sized card. The E-Card or Emergency Information Card is a simple way of carrying information to help save valuable time during an emergency; helping professionals such as firefighters, the police or A&E staff. It is issued by Greater Manchester Police and fits easily in a purse or wallet. The card can hold contact details of next of kin and key medical information, such
Did you know
as whether the person has diabetes, or a learning disability. It can also contain other useful information, for example if the person has communication needs. Charlotte Elliott, a sister on one of the wards giving out the cards said, “The E-Card is a great way of saving time when it comes to looking after people in an emergency. In these situations time is of the essence, so having key information like this can be really useful. ” E-cards are available from both police stations and the wards around Stepping Hill Hospital, or you can get one from the Police Stockport Partnership Team by calling 0161 856 9662.
We fix over 6500 broken bones every year?
Charlotte Elliot and Police Community Support Officer Adrian Hazlehurst
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BBC Radio-active BBC Radio Manchester recently helped stir the porridge in our kitchen and serve up breakfasts to patients for a special feature about hospital food.
We are one of the few hospitals in the country which offers the procedure to new born babies soon after birth – and take referrals from across Greater Manchester and beyond.
They were amazed by the volumes of food being produced which stayed ‘piping hot’ on its way to hundreds of patients on wards.
We have built on our reputation for training excellence by taking in new students from across the Atlantic Ocean. Four new medical students based at St Matthews University in the Cayman Islands and the American University of the Caribbean are all now studying and training at Stepping Hill. This new link with two Universities is in recognition of our outstanding quality of medical training in Stockport – and it is hoped that this will be a long term venture. The students, originally from the USA, are studying surgery, medicine, paediatrics and gynaecology and are on placements between six and twelve months. As an associate teaching hospital we also help train more than 100 medical students from The University of Manchester every year.
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A support group for adults with learning disabilities in Tameside and Glossop is helping its members with anger management issues. The Behaviour Awareness Group was set up in early 2013 for people with learning disabilities who have had problems managing anxiety and anger. Run by the Tameside and Glossop Learning Disability Service, the group has improved the participants understanding of what affects their behaviour and where to seek help. It has helped them recognise their emotions and the emotions of others, as well as the skills to manage their feelings in difficult situations.
We were also interviewed on the radio station about our specialised service to help babies who are born with the ‘tongue tie’ condition. The condition can affect speech in later life.
An American welcome
Learning Support
One year on, over 70% participants report that they no longer have behavioural problems. Comments include that they feel more confident and able to relax, and are more able to make friends.
Baby Friendly Our maternity department passed the UNICEF Baby Friendly Level 3 Assessment with flying colours. The department achieved 44 out of the 45 quality measures to support mothers with breastfeeding. We remain one of only a small number of units to gain and retain the prestigious level 3 status. Members of the national charity Bliss are also providing extra support to parents with sick and premature babies.
The group will be used as a positive example on the ‘6 Cs - Compassion in Progress’ national website. A second course is being developed to run over the next 12 months.
The One Step Beyond initiative is a partnership with Bliss, who have provided a dedicated Bliss Buddy to support the unit. The volunteer is on hand to provide a sympathetic ear during a difficult time. A community Bliss Family Group in Buxton has also been set up, to support Buxton families once discharged home from the unit. They are also able to signpost parents to local services and the charity’s own national services such as its Family Support Helpline on 0500 618140.
Summer 2014 www.stockport.nhs.uk
News
Dig for victory Pupils from Castle Hill School in Brinnington have helped brighten up part of Stepping Hill with a bright new flower bed. Working with the hospital estates department, Year 11 pupils taking Rural and Horticulture studies at Castle Hill planted the bed on hospital grounds next to Holly House, a building which includes accommodation for staff who live on site. Castle Hill High School is a coeducational special school for children with complex learning difficulties and related special needs. The project is an example of how their children take part in fulfilling work while helping the wider community.
News in brief Open and Hones
t
Patient Alerts tronic alert We are piloting a new elec track of unwell p kee s tor doc p system to hel ts. and deteriorating patien track and Patientrack is an electronic an urgent tes era gen t tha tem trigger sys s such as sign alert by picking up vital which is a dat re ssu pulse and blood pre ld device. dhe han a on s rse entered by nu act more to s tor The aim is to enable doc they need. p hel the ts quickly to give patien
Our website now has monthly upda tes about important patient care areas such as pressure sores, fall and in fection rates. The ‘Open and H onest’ reports are part of a national NH S project to impr ove transparency. Th ey can be found in the ‘Performance’ se ction of our webs ite.
‘You said w e did’ - Big names Some patien ts found th e wording on our staff na me badges too small to rea d. As a result we have chan ged the badges to m ak much bigge e the writing r.
Fighting fraud
Monito
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New p las the hos ma screens in pital sit key wa e it patient s and v are now in pla ing areas of isitors u ce, keep infor m pdated ation. ing with us eful Patient sa to the in nd visitors n ow ter net w areas. ith free also have acc Wi-fi in ess public
cal police cal fraud and lo Our security, lo ntly ce re es joined forc support teams s at es en ar aw e cr im to promote antida de he event inclu Stepping Hill. T e to gl an ’ NHS fraud ‘Who pays for could ud fra to st lo oney highlight how m nt care. be spent on patie
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Clear vision The Stockport Eye Centre and Outpatient Clinic
When patients with eye conditions need to visit our hospital, they will usually receive treatment at the Stockport Eye Centre and Outpatient Clinic. The Stockport Eye Centre was set up in 2002 and provides extensive eye care for patients across Stockport and Buxton, extending to East Cheshire, Tameside and Glossop. With improved services, lower waiting times and closer partnership working in the community, the successful future of the Stockport Eye Centre is long-sighted.
Top team The team is staffed by 30 qualified ophthalmic staff, supported by 13 healthcare assistants and five clerical staff. The team’s staff has recently expanded, with five consultants now rising to eight consultants, supported by advanced nurse practitioners. This expansion, combined with efforts to improve the patient tracking and appointments system means that waiting times for patients have come down.
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Specialist care All lasers, pre-operative assessments and eye surgery are carried out in the Eye Centre. The centre also provides an on-call service every day for out-of-hours care. Nurse led pre-operative assessment clinics are run on a daily basis at the centre, enabling planning for surgery. Laser clinics are held four to five times weekly and operating lists are in place daily. Two operating theatres at the centre run simultaneously, with a very high volume of patients attending. These patients are cared for, from admission to discharge, by dedicated teams.
High-tech equipment The centre has received significant investment in recent years, with new state-of-the-art equipment allowing staff
to offer an ever-improving service. New lasers, cataract machines and an OCT (Optimal Coherence Tomography) scanner have all played their part in improving the treatment and experience for patients.
Leading treatment The department also recently became one of the first in the country to use the new ocriplasmin injection technique. This technique allows conditions such as broken tissue or fluid in the eye’s retina to be treated much more quickly and without the need for complex surgery (see page 5).
Partnership working The team works closely with local optometrists and opticians in the Local Optometric Committee, and has set up a number of schemes to help patients.
Summer 2014 www.stockport.nhs.uk
Features Features Over ‘view’
The direct cataract referral scheme means that patients do not need a GP appointment to get a referral. And the minor eye conditions service and glaucoma referral refinement allows patients to have minor treatments in the community without the need to visit the hospital. Stockport’s Local Optometric Committee recently won the Optometry Today national ‘Local Optometric Committee of the Year’ award for its successful work for patients.
Patient support groups The team also run regular glaucoma patient support groups in Buxton where patients can ask questions and get the latest updates on their conditions. This has been running for many years and has received recognition from the International Glaucoma Society.
Patient feedback One satisfied patient who has recently been treated by the team is Albert Maskrey of Heaton Moor. He said “I’ve
worn glasses for distance since the age of 12. I’m 81 now and following my operation for cataracts at the Stockport Eye Centre I don’t need them anymore! The treatment that I got was both quick and of the highest quality - all the staff are so helpful, kind and caring.”
The busy service sees over 32,000 appointments a year. It provides treatment for patients with a wide array of eye conditions, including cornea problems, cataracts, glaucoma and squints. Oculoplastic surgery is performed - plastic surgery around the eyes, including treatment for watery eyes. An orthoptic service is also
• 50 staff • 8 consultants • Over 32,000 appointments a year (over 9,800 new patient appointments and 22,600 follow-up attendances.) • Over 2000 cataract operations a year
offered which includes screening children, including screening premature babies for retinopathy (which can sometimes occur in early births.) The team works with our community health services to provide a low visual aid service as well, to help those living with poor vision.
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A Day in the Life of Stepping Hill
s d e b l a t i Hosp In this edition we’re not taking a look at staff, but another valuable asset to the Stepping Hill team…..
Bed No. 2 09:00
Bed No. 1
I’m a bed in a medical ward and I’m helping Mrs Shaw today. Mrs Shaw has been admitted to hospital with a number of conditions, including trouble with her breathing. The majority of patient here are older patients, but by no means all. Because of Mrs Shaw’s conditions, and because she may be in hospital for a while, I have been fitted with a different sort of mattress known as a ‘dynamic mattress’, which help to prevent her getting pressure sores.
08:00
10:00
I’m a bed on a general surgery ward, where my patient Mr Ford is recovering from a bowel cancer operation.
Healthcare assistants help Mrs Shaw move onto one of my colleagues – the trolleys which take patients to other parts of the hospital. The trolley carries Mrs Shaw off to X Ray A so that she can have a scan to check her out. She will then return to me around mid-day for another rest. Mrs Shaw is a very light patient, but I’m strong. I can carry a person weighing up to 23 stones, before a specialist bed would need to do the job for me.
Mr Ford is one of 200 patients we operate on for bowel cancer every year, and he’s in good hands – we have the best safety rate for this type of operation in Greater Manchester. He’s should be ready to go home in a couple of days. I’m very proud of my job which helps give patients the rest and support they need. And I’m pretty special too. Unlike a bed you might have at home, I have larger wheels so I can get around easier, bedjacks so I can go up and down and tilt, and bed rails to stop patients falling out. There’s a big crowd of us as well. A loyal team. There are 800 beds in total, and with 500,000 patients a year coming to the hospital we’re kept very busy 24/7. We never sleep on the job.
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Bed No. 3 11:00 I’m a bed in the Tree House children’s unit, where over 7000 youngsters receive
care and treatment every year. I’m with young Steven, who is just about to have a throat operation. A trolley will take him into theatres at mid-day. Steven is nine years old, but some of the people who rest on a bed like me are as young as three. I am almost three years old myself, but that is middleaged in hospital bed terms! We are generally replaced after about five years. Like my colleagues, I cost about £450 and am made in the UK.
Bed No. 4 13:00 I’m a bed in a ward for people with hip problems. Today though, I’m not on the ward, I’m over in the estates department.
Summer 2014 www.stockport.nhs.uk
I don’t get a pension. I’m afraid it’s the scrapyard for me when I retire! No wear or tear thankfully, but my wheels are cleaned and lubricated and my brakes readjusted. The domestic staff give me a thorough clean. My mattress costs around £70 and has a wipe-clean cover so I stay free of any infections. I also get my foam rubber inside checked regularly in case the mattress cover gets punctured. The healthcare assistant gives me fresh sheets and I’m ready to go again.
Bed. No 6 18:00 I’m a bed on our stroke unit, and my patient is Mr Adams. He’s been with me for a couple of weeks now as he rests and recuperates on our ward following his stroke. The average time for a patient in this unit is 24 days.
Features
It’s that time of the year again as I await my bi-annual check-up and inspection. All beds have a full inspection every six months to ensure we are still fully up to the job.
Mr Adams doesn’t spend all day lying on me, as he spends a lot of time on a rehabilitation programme, which includes trips to our physiotherapy gym. He’s in the best place to recover, as our stroke unit is one of only three specialist centres in Greater Manchester. Our patients here have ranged from 21 to 104 years old.
Bed. No. 7 20:00 I’m a bed in our spinal injury ward, and Miss Ashton is with me following her back operation two days ago. In her early 20s,
she was transferred to me from A&E after a car accident. Thankfully, she recovering well.
Bed No. 5 16:00 I’m a bed in a trauma and orthopaedic ward, and I’ve been empty for a few hours since my last patient Mrs Siddiqi who had a broken leg was discharged home. Now I’ve got a new patient, Mrs Johnson who broke her arm following a bad fall. At 83 years old, Mrs Johnson is another older patient. 40% of inpatients at Stepping Hill are over 80 years old, and 50% are over 75.
Did you know
i s
It’s amazing to think of the number of patients of all different ages, sexes and walks of life which all of us beds carry about week after week, with all manner of different conditions too. Every day is different, and like the dedicated staff around us, we’re ready to meet each new challenge as it comes.
We change over 600,000 beds every year?
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Features
Fine art Stepping Hill Hospital has received a huge number of art works over the years. Page 16
Many of these have been created by local artists, and some have been painted or crafted by patients themselves as a thank-you for their care. Others have been created as projects by local students and schoolchildren. They are now on public display for other patients, visitors and staff to enjoy. Here we include a small selection from some of our public areas. If there is a particular artwork in the hospital which you enjoy, which we have not included, then let us know at communications@stockport.nhs.uk, and we can share it in a later edition.
Summer 2014 www.stockport.nhs.uk
Following the publication of Robert Francis’s Report into Mid Staffs Hospital in February 2013, we launched a staff listening programme. This was to hear and understand staff views about what we could learn from the Francis Report and needed to address. National staff listening initiative The Francis Report found that a key part of the reasons for these failings was a breakdown in communication between management and staff, and a lack of consideration being given to staff feedback in key areas. As a result of this, NHS leaders around the country were asked to hold listening events with their staff. This was in order to discuss and learn from the report and focus efforts around achieving a safer, more open, and compassionate NHS. In response we launched our programme of Listening to You
Five key themes from staff listening events 1. Importance of leadership – for example, clinical leaders at band 7 being seen as vital in maintaining and improving standards of patient care 2. Importance of performance feedback – for example, developing an expectation and culture of ‘high support and high challenge’
Taking the key themes forward The key themes form part of our Building a Sustainable Future Engagement and Culture Programme and will be incorporated into the workforce and organisational development strategy.
events which was our opportunity to hear and understand staff views about what we could learn from Francis within our Trust and the areas we should address.
Chief executive led Our chief executive Ann Barnes visited front-line teams throughout the year; both in the hospital and the community. She spent time talking in-depth to small groups about their thoughts. After hearing the views of 640 staff through 28 different listening events – five key themes emerged. 3. Importance of team – for example, the concept of ‘team’ seen as the most vital component to delivering high quality services and patient care. 4. Importance of correct structure and staffing levels – for example, general concerns about staffing level issues when people are off sick and/or on holiday 5. Importance of recruiting for values – for example, ensuring individuals also have a good fit with our Trust values alongside the right skills and experience
3: Performance feedback Well-designed performance feedback measures will help people identify their specific weaknesses. Staff knowing exactly where they have trouble with a particular task can help pinpoint areas that need improvement. 4: Teamwork
1: Leadership A clear leadership strategy will be established. This will include the development pathway and development support for leaders at each level. It will also ensure all leaders can access development opportunities, especially community health staff. 2: Staff engagement We recognise that our organisational strategy will only succeed if it is supported by staff who are fully engaged. This is vital across the Trust because, as well as being happier, healthier and more fulfilled, engaged staff deliver exlemplary patient care. We are currently introducing a staff engagement toolkit to help our staff across the Trust to feel happier, healthier and more fulfilled in their work.
Next steps
Staff Focus
After the Francis Report ‘Listening to you’
We plan to develop a focus on communication ‘across’ teams, and a more ‘corporate’ mind-set. This will help staff think outside of the immediate service area/department and consider the wider business group and Trust. We also plan to develop the concept of a ‘high performing teams’ team - organisations or virtual groups that are highly focused on their goals to achieve superior business results. 5: Staffing levels and recruitment We will recruit for values, as well as ensuring that individuals have the right skills, knowledge and experience to do the role. It is vital to ensure that individuals also have a good fit with our Trust values.
A report setting out our detailed plans will be presented to our Board in July 2014 and we will keep staff updated on the actions and progress.
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Annual Staff The NHS Staff Survey is an important way of ensuring that the views of staff help make continuous improvements.
In the top 20% of acute trusts in 12 areas We take part in this survey every year, along with other NHS Trusts across the country.
Results from the 2013 staff survey Over 800 staff were randomly selected to take part in the annual staff survey. 54% responded, which is 4% more than 2012 and above the national average of 49%. Out of 28 areas, we were: •
In the top 20% of acute trusts in 12 areas
•
Above average (i.e. ranked in the top 34 acute trusts) in a further 6 areas
•
Average in 7 areas
•
Worse than average in 3 areas.
This is a very positive result which shows that both staff and the organisation are working very well in many areas.
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3 areas where we scored worse than average:
1 2 3
Staff agreeing that their role makes a difference to patient care that they are able to deliver
Feeling pressure in the last 3 months to return to work when feeling unwell
Receiving health and safety training in the last 12 months.
These are areas which need improvement. We are currently putting together an action plan in these issues, and will keep staff updated on our progress. The overall results of the annual staff survey will be shared with staff, with actions for areas we need to improve in.
Summer 2014 www.stockport.nhs.uk
Staff Focus
Additional questions have been included in the NHS staff survey for the last two years. These are based around the Friends and Family Test and ask staff whether they would recommend our organisation. We are above the national average in all these areas. Staff Survey question
Our score - 2013
National average 2013
Our score - 2012
“Care of patients/service users is my organisation’s top priority”
73
68
67
“My organisation acts on concerns raised by patients/ service users”
75
71
71
“I would recommend my organisation as a place to work”
66
59
58
“If a friend or relative needed treatment, I would be happy with the standard of care provided by this organisation”
73
64
66
“Staff recommendation of the trust as a place to work or receive treatment”
3.83
3.68
3.71
•
Staff job satisfaction
•
Staff recommendations of the trust as a place to work or receive treatment
•
Staff motivation at work
•
Believing the trust provides equal opportunities for career progression or promotion
•
Having well-structured appraisals in last 12 months • Support from immediate managers • Fairness and effectiveness
of incident reporting procedures •
Reporting errors, near misses or incidents witnessed in last month
•
Reporting good communication between senior management and staff
•
Experiencing harassment, bullying or abuse from patients, relatives or the public in the last 12 months (low)
•
Experiencing harassment, bullying or abuse from staff in last 12 months (low)
•
Experiencing discrimination at work in the last 12 months (low)
Staff Family and Friends Test In June we are introducing the new NHS Staff Family and Friends test which is a quarterly assessment and everyone has the opportunity to complete in confidence at least once each year. This is another tool which will provide a further opportunity to: • Assess staff morale • Assess staff confidence in quality of services • For staff to share views (via a free-text box) • Put meaningful actions in place for service improvement. We recognise that our staff are our most important resource in providing exemplary patient care. The Staff Survey and the Friends and Family test are excellent ways of establishing both where we are performing well, and also where we should be able to improve. We will continue to build on current staff initiatives and activities to ensure that staff are as best equipped as they can be to meet the challenges of the modern health service.
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Youth Full Two different youth groups found out more about the range of work at our hospital during an interactive evening session called Raising Aspirations. Children from Walthew House (age 5 -13) who are hard of hearing, deaf, visually impaired or blind, and children from My Community UK (age 7-13) who are mostly
from a Muslim background attended. They took part in demonstrations and spoke to staff from a number of areas, including
Ninety Years Strong A volunteer who works at Stepping Hill’s Age UK office celebrated her ninetieth birthday at the hospital, and has no plans to stop anytime soon.
Esme enjoyed cake and treats for the special birthday celebration with work colleagues. She describes her volunteering role as a “home from home.”
Esme Parkinson from Bredbury has been a volunteer at the hospital ever since her husband passed away here in 1992. The care and compassion both her husband and herself received during this sad time encouraged Esme to give something back to the hospital.
laboratory, pharmacy, radiology, play specialists and the community Learning Disability team.
Onesie Wednesday Our community health staff based at Rowan House in Hyde joined in the fun for national Onesie Wednesday in aid of international Autism Awareness Day. Members of the Integrated Service for Children with Additional Needs (ISCAN) team wore their onesies to work all day to help spread the message that it’s okay to be different.
For the last thirteen years, Esme has worked as administrative support volunteer in the hospital’s Age UK Stockport office.
Stroke survivors have their say Past and present stroke survivors from Stepping Hill joined in a specialist conference where they had the chance to give feedback about their standard of care.
National networking Part of the role of our Chairman Gillian Easson is to build important and influential relationships and networks for the benefit of our organisation. She recently had the opportunity to talk to Danny Alexander, Chief Secretary to the Treasury at a networking event.
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33 guests including patients and their families joined in workshop sessions with staff, letting them know what they thought was best and about their treatment and care, and also where improvements could be made. The aim was to give students the chance to have their say, and to ensure
high standards of dignity and respect are maintained for patients.
Champion visit Lifelong Manchester City fan Tudor Thomas got a brilliant surprise when the team arranged for him and other patients to see the Barclays Championship Trophy when they visited Ward B3.
Summer 2014 www.stockport.nhs.uk
Events Events
Charity
Roundup
Giving...
wife Michelle ry of fellow Stepping Hill mid il. She was running in memo Apr mile course in on 26.2 rath ous Ma fam don the Lon hed pleted the for the marathon and finis ing train e Midwife Lizzie Nocton com ston four r ove le with cancer. Lizzie lost Whyte who sadly lost her batt cer Campaign charity. over £2000 for the Breast Can ing rais rs hou ½ in just under 4 tion in honour of her father0 for the British Heart Founda £60 r ove ing rais wy, Con in an ran a half marathon Domestic Debbie Boardm in-law.
And receiving...
a major renovation of its dren and their families, received chil bled disa for ite resp s tre in Edgeley, which provide Swanbourne Gardens Cen s. grounds and garden can withstand all weathers. a large astroturf lawn which g udin incl ing, cap Key 103’s nds re-la air accessible outdoor table. the gardens a complete ive wall panels and a wheelch Work began in 2013 to give ract inte ent, ipm equ play donated new apeutic aid for children. Charity MedEquip4Kids has sensory garden trees as a ther ated don also eal app s Kid for Cash area will ldren’s unit. The outdoor play area for our Tree House chi s. The ide bed outs or hed airs rbis elch refu a whe in n fund money to ilies and access for childre fam and n dre chil MedEquip4Kids is also raising ey for mon as ed are t House rais r children to ride cars, quie st when staff from the Tree include a new track for younge appeal received another boo . run the Bupa Manchester 10k themselves by taking part in
al unit to thank staff fundraising day for our neonat Mum Kellie Buckley held a had complications who , children Cole and Amelia for the care they gave her eight and six year lthy hea into up wn have now gro when they were born. They tle, and helped cas ncy ured cake stalls and a bou olds. The fundraising day feat . unit the on oea monitors raise £500 towards sleep apn patients’ veins, thanks a new instrument to check on Our urology team now has Support Group. cer Can te sta Pro North West to a £3000 donation from the a patient’s veins over cial infrared light to display The ‘Accuvein’ uses a spe ch a patient may be potential blood conditions whi their skin. It highlights any ’ veins. ents pati need for invasive tubes in experiencing, removing the cancer charities with ch which raises money for The local charity Mellor Mar Care team based pite Res £3000 for the Palliative hikes around the town raised Clinic to coincide ple Mar in r ove n atio ded their don in Stockport. The charity han with National Nurses Day.
r receiving chocolate n had a Happy Easter afte And finally, our poorly childre H&T Pawnbrokers. s ort’ nsbury’s and Stockp eggs from Cheadle Heath Sai
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Everyone is invited as we open our doors this year for a grand open day. The theme for the day is ‘Back to the Future’ with great entertainment, behind-the-scene tours, interactive stands, and a brilliant range of activities.
Attractions include... Information Zone ✓ 50 stands, many with interactive elements ✓ Health checks including blood pressure tests ✓ Laboratory services under the microscope ✓ Healthy lifestyles ✓ Fake wounds ✓ Pedal your way to smoothie
Activities and Entertainment Zone ✓ Giant walk-through colon ✓ Behind the scene tour of our operating theatres ✓ Live music and dancing and much more Free parking is available
There is no need to book – just turn up on the day. Open Day, Stepping Hill Hospital Page 22
Saturday July 19th, 10:00am to 2:00pm
Summer 2014 www.stockport.nhs.uk
Suren has been working in nursing for 30 years and has been providing care to patients close to home across Tameside and Glossop for the last seven years.
“My commitment to nursing is a huge part of my life. Even my name is an anagram of nurse! I was so surprised when I heard about this award. For me caring and making a difference to patients’ lives is just part of my daily job, however I am immensely grateful to those who nominated me.” - Suren Beebakhy
One of our Tameside and Glossop community health nurses was a finalist for a top national nurse award. Suren Beebakhy was one of only four nurses in the country in the running for the Patients Choice Award 2014. The award is run by the UK’s bestselling nursing journal, Nursing Standard. Members of the public were asked to nominate nurses who have gone the extra mile in providing outstanding care. Suren, who works in the community-based Integrated Health and Social Care Response & Intervention Service Team (IRIS) in Tameside, was nominated for his exceptional care, attitude and professionalism.
A smart dummy A team who use a hi-tech patient dummy to train students were shortlisted for a national award for their innovative work. The undergraduate simulation training team were shortlisted in the ‘Teaching Innovation of the Year’ category at this year’s Student Nursing Times Awards.
One of our healthcare assistants has been recognised by Stockport Council for her dedicated work with the Girl Guides.
Health Protection Awards
Did you know
Guiding Light
This allows students to work together, improve their communication skills and learn from errors. The team is supported by the North West Simulation Education Network.
The team uses a sophisticated dummy known as a manikin to train medical, nursing and pharmacy students. The model can breathe, cry, bleed, convulse and go into cardiac arrest. It can simulate high blood pressure chest pains and heart attacks.
Our midwifery team, antenatal team and communications team each won a Health Protection Award from Stockport Metropolitan Borough Council.
“The treatment I received from nurse Beebakhy was of the highest possible standard. His technical expertise and constant reassurance was exemplary to the point of being humbling’’. - David Heywood, who lives in Hyde, was one of the patients who nominated Suren. He received intravenous antibiotics from Suren at home for an acute foot infection, preventing a hospital admission.
The awards were in recognition of their outstanding contribution to vaccinate people against the spread of flu in the winter.
We have over 90,000 A&E attendances every year?
Catherine Smith was finalist in the ‘Volunteer of the Year’ category at the Council’s Take Part awards, which celebrate local people whose unpaid service has made a real difference to their community. Catherine has been a leader with the Hazel Grove Girl Guides for over 20 years; nearly as long as she has been caring for patients on ward B2 at Stepping Hill Hospital.
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Awards & Achievements
A perfect Patient’s Choice
Smiles Better A Stepping Hill surgeon and dentist have won one of dentistry’s top national awards, after helping a young woman from Stockport eat properly again. Oral and Maxillofacial surgeon Manu Patel and consultant dentist Maria McNally were winners in the Interdisciplinary category at this year’s Aesthetic Dentistry Awards for their work on the orthodontic and jaw surgery case.
Their work helped to change the life of a woman with a severely misshapen jaw and teeth, which made eating uncomfortable and difficult. Maria helped to reposition the woman’s teeth with braces, before Manu was then able to complete the correction process with an operation on her jaws.
delighted with the result and has been recommending the treatment for other patients with her condition.
The result was a resounding success which has transformed the woman’s mouth and life for the better. She is
Cheshire Woman of the Year finalists Our Chairman Gillian Easson, and Stella Ross, a district nurse in Marple, were both finalists for this year’s Cheshire Woman of the Year Award. Gillian was shortlisted for her outstanding professional achievement. She was nominated for her professional, open and hands-on approach to her role, which has included working in wards and spending time with patients, carers and volunteers to further improve services. Stella was shortlisted for being an inspirational mentor for student nurses. She has previously won the award of ‘Mentor of the Year’ at last year’s national Student Nursing Times Awards. Stella qualified as a district nurse in 1992 and is described by colleagues as the most passionate and committed mentor they have ever worked with.
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Summer 2014 www.stockport.nhs.uk
Governors & membership
Ten staff who started work here ten years ago joined Chairman Gillian Easson and Chief Executive Ann Barnes to mark the occasion.
Ten years as a Foundation Trust April saw a major milestone in our history, as we marked our ten year anniversary of becoming a Foundation Trust. We made NHS history on April 1st 2004 when we became one of the first 10 Foundation Trusts in the country. We were chosen due to our high performance and strong reputation. The new status meant our Trust had public members and a Council of Governors to represent them, alongside staff and partner representative governors, for the very first time. This ensured we were
more directly accountable to the public. Foundation Trust status also gave financial freedoms to build surpluses and borrow money in order to develop services. This allowed us to move ahead with building Stepping Hill’s £25 million cardiology and surgical unit, which opened in 2006. We have grown significantly since our formation, and now provide community services to Stockport, Tameside and Glossop as well as running Stepping Hill Hospital.
“Our organisation has developed over the last decade in so many ways, offering many more services to our public. We are very proud of what we have achieved in this time, and look forward to continuing to serve our public in the years ahead.” - Gillian Easson, Chairman
10 amazing things to happen in the last 10 years…. 1. We made history in 2004 when we became one of the first 10 Foundation Trusts in the country – having a council of governors and members for the very first time. 2. We opened our £25 million cardiology and surgical unit, with operating facilities and short-stay beds for improved treatment and care. 3. We were ranked as the best maternity unit in England by the Healthcare Commission (2008). 4. We took responsibility for
providing community health services across Stockport, Tameside and Glossop. 5. We became one of only three specialist stroke units for Greater Manchester. 6. We performed the first prostate cancer operation using a hand held robot. 7. We were confirmed as one of the best centres for bowel cancer surgery in the country, and with the best mortality rates surgery in Greater Manchester .
8. We were the first in the country to achieve national accreditation for our point of care testing at the patient’s bedside for faster, safer patient care. 9. We were confirmed as one of just eight centres of excellence for children’s and maternity services in Greater Manchester. 10. We were ranked as one of the best hospitals in the country for providing high-quality and safe care under the new Care Quality Commission (CQC) intelligent monitoring system.
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Ambassadors’ reception For the first time in our history, we have appointed three youth ambassadors. Teenagers Daniel Taylor from Furness Vale, Eleanor Bamber from New Mills and Charli Ward from Poynton were voted to take up the unique role after 55 people put forward their names. All our public members, aged between 11 and 18 years, were eligible to vote for the ambassadors who will act as a voice for young people. The ambassadors’ first task was helping to plant new trees on the Stepping Hill Hospital site. The five new trees are replacing trees which had been cut down to make way for new hospital building work. Communications Manager Helen O’Brien who will work closely with ambassadors said, “This is an exciting initiative which has attracted interest from other NHS organisations across the country. It’s important for us to communicate well with our younger audience, and we are delighted to welcome Daniel, Eleanor and Charli on board as our new youth ambassadors to help us achieve this.”
The youth ambassador post is a voluntary role which lasts for one year. They will help us improve how we keep people informed about its work. This will include advising on parts of the website and open day activities. Eleanor Bamber said “I’m looking forward to getting over the view of young members and making sure their voices are heard.” Daniel Taylor said “I wanted to become a youth ambassador not just because I’m interested in working in the medical field later in life, but also because I’ve been a patient at Stepping Hill and wanted to give something back.” Charli Ward said “I’m so happy to have the opportunity of becoming an ambassador, and grateful to be part of the NHS and get a taste of what it would be like working there.”
Connecting with you… Did you know that 73% of the adult population access the internet every day? That’s a massive number, and yet we have email addresses for only 40% of our members. Giving us your email address doesn’t mean that you have to say goodbye to your paper copy of Stepping Up newsletter – if you give us your details you can still have your newsletter delivered to your front door. It just means that we can let you know about upcoming events before they
happen, and that you can take part in surveys online. If you haven’t yet given us your email address please email your name and address to membership@ stockport.nhs.uk so that we can update our database. You can also follow us on Facebook and Twitter to hear our latest news before anyone else, with regular updates about our celebrations, events and good news stories all delivered to you in bite sized chunks.
This summer we will be giving you the chance to choose the next front cover of Stepping Up newsletter. To take part we need to have your email address or you need to follow us on Twitter or Facebook
www.facebook.com/StockportNHS
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@StockportNHS
Summer 2014 www.stockport.nhs.uk
24 hours in A&E Tuesday 17th June 2014 7.00pm – 8.00pm Pinewood House education centre
May
22
Find out more about our busiest department with our virtual tour. We don’t go in to the A&E Department, but will show you a typical 24 hours in the department. To book - visit www.stockport.nhs.uk/events or call 0161 419 5847.
You are welcome to attend our public Board meetings, and our Council of Governors meetings. All meetings are held in Pinewood House education centre.
Back to the Future Saturday 19th July 2014
July
10.00am – 2.00pm Stepping Hill Hospital Come along to our ‘Back to the future’ open day for tours, activities, and entertainment. Just turn up on the day.
19
Road to Recovery Tuesday 16th September 2014
September
16
7.00pm – 8.00pm Pinewood House education centre Tour our therapy services, from our hydrotherapy pool to our physiotherapy spaces and find out more about all the therapies we offer here To book - visit www.stockport.nhs.uk/events or call 0161 419 5847.
The Bug Stops Here Tuesday 18th November 2014 7.00pm – 8.00pm Pinewood House education centre
November
Find out more about infection prevention at our trust, and why it is everybody’s responsibility To book - visit www.stockport.nhs.uk/events or call 0161 419 5847.
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Annual Members Meeting Thursday 2nd October 2014 6.00pm – 8.00pm Pinewood House education centre Join us for our annual meeting including free mini health checks and flu jabs. To book - visit www.stockport.nhs.uk/events or call 0161 419 5847.
Did you know
Board meetings and council of governors meetings
We carry out around 440 hip replacements every year?
The agenda and papers for the meetings are available on our website approximately one week before the meeting. Thursday 26th June 1.15pm
Public board meeting
Tuesday 8th July 6.00pm
Council of Governors meeting
Thursday 24th July 1.15pm
Public board meeting
Thursday 25th September Public board meeting 1.15pm Monday 29th September 2.00pm
Council of Governors meeting
Thursday 27th November 1.15pm
Public board meeting
Thursday 11th December 2.00pm
Council of Governors meeting
Public participation in Council of Governors’ meetings There is now an opportunity at the end of Council meetings for members of the public to raise questions with Governors. These have to be related to an item on the agenda (which is posted on our website) and submitted to the Trust Board Secretary 48 hours prior to the meeting via email john. pierse@stockport.nhs.uk. The individual raising the question also has to be present throughout the meeting. Please see in the full Public Participation Protocol on the Council Of Governors meeting page on our website.
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Governors & membership
What’s on 2014
your guide to upcoming events
Meet your Governor
y e l g i r Chris W Governor for Marple & Stepping Hill
How did you first come across Stockport NHS Foundation Trust?
Having lived in Stockport for the past fifty years, Stepping Hill has been our family hospital for all that time. As a family we have all at various times experienced at first hand, both as inpatients and outpatients, the hard work and dedication of staff in their efforts to provide the very best standards of care. How long have you been a governor and why did you choose to get involved? It was purely by chance I became a governor. In late 2003 my wife suffered a heart attack and as a result became an inpatient at the hospital. During her stay we experienced a situation involving her care which I considered was too important to let pass, and which led me to ask for a meeting with the then Chief Executive. A meeting was duly arranged in order for me to explain my concerns around her care. During the meeting it was mentioned the hospital was about to become a Foundation Trust, which would require a Council of Governors to be elected. As I appeared to be so passionate about standards of patient care, it was suggested I should stand for election myself as a candidate. I was first elected in 2004 and am extremely proud to say, as the Foundation Trust celebrated its tenth year, that I too am now in my tenth year having successfully contested three public elections in that period. I would like to take this opportunity to thank everyone who voted for me at those elections, and I promise to continue to do all I can to ensure the Trust provides the best possible standards of treatment and care for patients. What area do you live in and why is representing your constituency important to the running of the Trust? I have lived in High Lane for 30 years, and have been elected by the members of the Marple and Stepping Hill constituency to represent them on the Council of Governors. However I feel I must echo the words of a fellow Governor when he
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says “but my mission, like all my fellow governors, is to promote and protect the interests of all the people served by the Trust.” What is the single most important thing to you about being a governor? The Mid Staffordshire Hospital experience which led to the Francis Report came as a powerful wakeup call to us all, and served to emphasise the responsibilities we have as governors to contine to do all in our power to ensure that the Trust performs in a way which will prevent any similar event happening in our area. What aspects of your role do you enjoy the most? The Trust has changed in so many ways over the last ten years. On looking back to 2004 when I was first elected, the introduction of the Council of Governors created an entirely new situation for the Board of Directors to ‘take on board’, and as a result a feeling among some governors that we were being kept at arm’s length and merely being tolerated as part of the constitution. In the formative years, it would be true to say that the governors, in the main, being new to their position, were understandably lacking in experience and as a consequence, the confidence to challenge. However, I am really pleased to say that we have moved a long way forward from that position to the one we hold today.
Now, as a far more experienced council, we have been able to develop a much closer, more open and transparent working relationship with the Trust Board, based on a much greater degree of mutual respect. I am pleased to have been able to play my part in helping develop that change. I am currently an active member of the Governance Committee, and am also a member of the Patient-Led Assessment of Care Environment (PLACE) Committee. I regularly attend meetings of the Patient Safety and Quality Standards Committee of which I have been a member for nine years, and the chair for four years. I have enjoyed representing the trust on the Nominations Committee and have
also enjoyed being able to represent the Trust at many events organised by both the North West Governors Forum and the Foundation Trust Governors Association, which gave me the opportunity to visit other Trusts, and to meet and exchange views and experiences with governors serving other Foundation Trusts. What is the most extraordinary thing that has happened to you while you have been a governor? What I find extraordinary is that now when I am a patient or visitor at the hospital I seem to find myself taking on the role of a ‘mystery shopper’, constantly on the lookout for any possible opportunities to improve the patient experience. It certainly gives you a different perspective on being a patient! What advice would you give to someone who is considering standing for election as governor? To anybody considering it, I would suggest a visit to the Trust website; a valuable insight into the workings of both the Council of Governors and Board of Directors which includes past Board and Council papers including reports from sub committees. The site also has a wealth of general information about the Trust and its services. Both Council and Board meetings are now open to the public and attending them would provide you with first hand insight. I would add a word of caution however; as a governor myself I have found that in order to do justice to the position and to be truly committed to ensuring the very best possible care is provided by the Trust, it has taken up considerably more of my time than I had initially anticipated. Taking all this into consideration, and if you are still of a mind to stand when an opportunity arises, then I would encourage you to go ahead and take the plunge. It’s a choice I took and I can assure you is one which I have never regretted, one which has given me a great deal of satisfaction, and one which I am extremely proud to have taken.
Summer 2014 www.stockport.nhs.uk
Are you interested in getting involved in how we develop our services? Would you like to work alongside our board of directors and NHS staff? Maybe you would like to give something back to your community – if so, a governor role may be just what you are looking for. This summer we will be running elections for new governors in two areas: Tame Valley & Werneth, and Heatons & Victoria (see map on page 30 for details) and we need people to step forward now. You don’t need any special skills or qualifications to
become a governor. The most important thing you need is enthusiasm, and the willingness to represent not just your own views, but also the views of the people in your community. If you have some understanding of the NHS that’s great, but not essential. If you are interested in becoming a governor you can contact our Trust Board Secretary on 0161 419 5164 for an informal chat. You can also find out more about the role of the governor by visiting our website www.stockport.nhs.uk.
Highest ever turnout for ‘Forget me not’ event We had the highest every attendance for a health talk in March – with over 100 people at our ‘Forget me not’ dementia event. Care for older people with dementia in hospital is different to that for people without the condition. The ‘Forget me not’ talk covered the special, tailored care and rehabilitation we provide to this group of patients.
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Anyone can join by either signing up online at http://www.stockport.nhs.uk/41/membership-governors or by filling in the APPLY NOW form below and sending it to: Membership Office, Stepping Hill Hospital, Poplar Grove, Stockport, SK2 7JE
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Governors & membership
New governors wanted
YOURGOVERNORS
Reddish S
(Brinnington and Central, Reddish North, Reddish South, Bredbury and Woodley, Bredbury Green, Romiley (Elected until Annual Members Meeting 2015)
Public – Tame Valley & Werneth (4 seats)
Heatons N.
Public – Heatons & Victoria (4 seats)
Evelyn Brown
gov-evelyn.brown@ stockport.nhs.uk Three vacancies
Lesley Auger
Gerald Preston Wright
gov-lesley.auger@ stockport.nhs.uk
Heatons S.
gov-gerald.wright@ stockport.nhs.uk
Reddish N.
in r B
Two vacancies
Reddish S.
(Heatons North, Heatons South, Davenport and Cale Green, Edgeley, Cheadle Heath, Manor) (Elected until Annual Members Meeting 2014)
Heatons N.
l
Heatons S.
Bredbury & Romiley
Edgeley & Cheadle Heath Br
Edgeley & Cheadle Heath
&
ra nt Ce
n to ng
ni
in
Manor
Bredbury Green & Romiley Marple N.
Offerton Cheadle & Gatley
Cheadle & Gatley
Davenport & Cheadle Heath Cheadle Hulme N.
Heald Green
Cheadle Hulme S.
Bramhall N.
Public – Bramhall & Cheadle (4 seats)
gov-robert.cryer@ stockport.nhs.uk
Prof Charles Galasko
gov-charles.galasko@ stockport.nhs.uk
Maureen Harrison Margaret Nabb
gov-maureen.harrison@ gov-margaret.nabb@ stockport.nhs.uk stockport.nhs.uk
Page 30
(Bramhall North, Bramhall South, Cheadle Hulme South, Cheadle and Gatley, Cheadle Hulme North and Heald Green) (Elected until Annual Members Meeting 2016)
Heald Green
(Marple North, Marple South, Hazel Grove, Offerton, Stepping Hill) (Elected until Annual Members Meeting 2016)
Cheadle Hulme N. Bramhall S.
Dr Robert Cryer
Marple S. Bramhall N.
Hazel Grove
Davenport & Cheadle Heath
Marple & Stepping Hill (4 seats)
Dr Ronald Catlow Les Jenkins gov-ronald.catlow@ stockport.nhs.uk
Cheadle Hulme S. Chris Wrigley
gov-chris.wrigley@ stockport.nhs.uk
gov-les.jenkins@ stockport.nhs.uk
Bramhall N. Carole Normington gov-carole.normington@ stockport.nhs.uk
Summer 2014 Bramhall S. www.stockport.nhs.uk
B
S.
Public - Outer Region (1 Seat)
High Peak
Bredbury & Romiley
Stockport
n&
l a r t n Ce
Bredbury Green & Romiley
High Peak & Dales and Tameside & Glossop (3 seats)
As well as being the voice of the community, your governors have a range of statutory duties. They ensure that local people have a say in the development of our organisation.
“
Manor
“
SOP
gov-terence.moore@ stockport.nhs.uk
(which covers Cheshire East, Manchester, Trafford, Salford, Oldham, Rochdale, Bury, Bolton, Wigan and those wards in High Peak not covered under the High Peak seats.) (Elected until Annual Members Meeting 2015)
to g n
i n n
Terence Moore
Tim Norton
Lynne Woodward
gov-tim.norton@ stockport.nhs.uk
(which covers the following wards in High Peak: Barms, Blackbrook, Burbage, Buxton Central, Chapel East, Chapel West, Corbar, Cote Heath, Hayfield, Limestone Peak, New Mills East, New Mills West, Sett, Stone Bench, Temple and Whaley Bridge.) (Elected until Annual Members Meeting 2015)
gov-lynne.woodward@ stockport.nhs.uk One vacancy
Marple N.
Offerton
Council Of Governors – Appointed STOCKPORT Community and Voluntary Services (CVS)
STOCKPORT Metropolitan Borough Council
STOCKPORT COLLEGE
Marple S.
Dr Anand S Dutta
Fiona Fox
Cllr John Pantall
soile.curtis@stockport.nhs.uk
soile.curtis@stockport.nhs.uk
soile.curtis@stockport.nhs.uk
Bramhall N.
Hazel Grove
Staff Governors - Community Staff (1 seat), Other Staff (3 seats)
Simon Plevin
simon.plevin@stockport.nhs.uk
Jean Rogers
jean.rogers@stockport.nhs.uk
Kay Wiss
kay.wiss@stockport.nhs.uk
Stuart Clensy
stuartclensy@nhs.net
You can get in touch with your governor by ringing our membership office on 0161 419 4653, emailing membership@stockport.nhs.uk, or in writing. Please address your envelope to your local governor and post to: Membership Office, Oak House, Stepping Hill Hospital, Poplar Grove, Stockport, SK2 7JE.
Did you know
We see over 7000 children in our Tree House children’s wards each year?
Governors & membership
Tameside
Page 31
Get in touch Stockport NHS Foundation Trust Stepping Hill Hospital Poplar Grove Stockport SK2 7JE Tel: 0161 419 4653 Email: membership@stockport.nhs.uk Web: www.stockport.nhs.uk
You can also keep up-to-date with our latest news through our website, Facebook and Twitter
W
www.stockport.nhs.uk www.facebook.com/StockportNHS @StockportNHS
Keeping Costs Low It is important that we keep you updated on our news through this newsletter, but we work hard to ensure that costs are kept as low as possible. This is through many different ways such as using small local agencies offering discounted rates, cheap paper, sending just one copy for members who live together and emailing electronic copies to many others.
Summer 2014 www.stockport.nhs.uk