January 2012
about integrated healthcare
2012 is looking rosy! Volunteers and staff join forces to redesign garden see page 5 Mindfulness hmp whatton highbury photography national OT week sri lanka diversity exhibition
MESSAGE
Pioneer of the Month. We were also shortlisted for the Mental Health Organisation of the Year 2011.
FROM THE BOARD
We were given earned autonomy by NHS East Midlands for our continued strong leadership, governance, service quality and financial performance.
A lot happened in 2011. We had a good first calendar year operating at Foundation Trust Standard. We were awarded National recognition as a Recovery Demonstration site. We finished our resettlement programme for people with learning disabilities; we opened many new facilities and services in Forensic and Local Services. Our Psychological Services for County, City and Bassetlaw have become some of the most responsive and best evaluated in the Country. We have a whole new Division too; the Community Services Division comprising County Health Partnerships and Bassetlaw Health Partnership working with our primary care colleagues. We transferred 2,690 more wonderful staff to provide physical healthcare and integrated health services in Nottinghamshire County and Bassetlaw. The Institute of Mental Health in partnership with the University of Nottingham goes from strength to
strength as the inter-disciplinary Centre for Mental Health Research. The Centre for Mental Health, the new Centre for Health and Justice, our CLAHRC and East Midlands Leadership Academy are all part of this successful group to further stimulate research into practice. We were accredited for Investors in People, designated as a good practice site. We are the top NHS organisation in the Stonewall Index – 12th overall, and 13th in the HSJ/Nursing Times staff survey. We were accredited for our Perinatal Mental Health Services and our Liaison Mental Health Services. We won a range of awards for Living Narratives and the HSJ Innovation Award. We won the National Patient Experience Award and were National Patient Opinion
The Kintampo Project – improving mental health in Ghana
Nursing students in Ghana
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We are seeing rising levels of patient satisfaction – the most important fact for me. We have become greener being the highest rated integrated organisation in the NHS for carbon reduction. Our patient environment scores were the best ever too. All of you make these things happen – thank you. 2012 looks challenging and exciting. There will be changes but they will be made with patients and front line staff at the heart of what we do. Happy New Year to you all.
Professor Mike Cooke CBE, Chief Executive
The NHS is going through some challenging times right now. But compared to the situation in Ghana, West Africa, we have things easy. In the UK there are around 6,600 psychiatrists and 60,000 psychiatric nurses. In Ghana there are less than 15 psychiatrists and only around 500 psychiatric nurses – for a population of 24 million.
Southern Health NHS Foundation Trust and The Kintampo Project are working together to improve things in Ghana. Staff from Southern Health have volunteered to work with their Ghanaian colleagues to educate new community mental health workers to reach poor, rural communities where these services are vitally needed.
Mental health workers are hugely stretched, and most (98%) people experiencing mental illness will never have contact with these health professionals.
The Kintampo Project has so far trained over 100 new mental health workers, and aims to have several of these professionals based in each of Ghana’s 170 districts by 2017. The Project relies entirely on charitable donations and grants.
Without proper treatment, people often resort to traditional healers, many of whom believe that spirits are to blame and need to be exorcised by beatings, shacklings or starvation of those with mental illness.
To find out more about the Project, how you can get involved or make a donation, visit: www. thekintampoproject.org
Left to right: Gloria De Piero, Ashfield MP; Nick Daibell, Manager, Adult Mental Health Services (County); Lynne Frame, Matron, Adult Mental Health Services (County); Simon Smith, Executive Director for Local Services; Andrea Cain, Matron, Mental Health Services Older People; David Ward, Ward Manager, Kingsley Ward.
Millbrook welcomes local MP Ashfield MP Gloria De Piero paid a visit to Millbrook Mental Health Unit in October to catch up with the developments within the unit and to discuss pressing issues within mental health. Gloria met with Simon Smith, Executive Director for Local Services, and other senior managers representing Adult Mental Health and Mental Health Services for Older People. She was particularly interested in issues that she could raise
at Parliamentary level on the Trust’s behalf to ensure that investment in mental health care is supported. Gloria is passionate about the importance of communication and carer involvement and shared her
Apprenticeship programme gains recognition The Community Services Division has been shortlisted for the final stage of Nottinghamshire Training Network’s Work Based Learning Awards 2011. The Division is up against two other finalists in the category of Employer of the Year for its work around apprenticeships. The overall winner will be announced at a formal awards evening on 26 January at the East Midlands Conference Centre. In 2011 Nottinghamshire Health and Social Care Community
personal experience of caring for a close relative with a mental illness. Throughout the visit she was conscious that time was limited and was keen to visit again and spend more time with staff and service users when the Unit’s refurbishment is completed.
Workforce Team (NHS) was included in a list of the top 100 employers in the Country compiled as part of a joint initiative between the National Apprenticeship Service and City and Guilds. Sue Stronach, County Health Partnerships’ lead for apprentices, said: “Engaging and employing young people on apprentice programs is a high priority on the Government’s agenda. The apprentice program enables us to develop our workforce for the future. It gives me great satisfaction to gain recognition for the work we do and I would like to share this success with managers who have supported the apprentice program.” Nottinghamshire Healthcare currently recruits apprentices twice a year. If you are interested in finding out more please contact Sue Stronach (Community Services Division) on 01623 673588 or email susan.stronach@nottshc-chp.nhs. uk or Heather Porter (Local and Forensic Divisions) on 0115 9691300 ext 11269 or email heather.porter@nottshc.nhs.uk.
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Catch up with Cooke More than 2000 people including staff, service users and carers have attended a Catch up with Cooke session since they started running in 2007.
The milestone number was reached at the 75th session which was held at the Rosewood Involvement Centre on 25 November; coinciding with the Centre’s third birthday celebrations. Catch up with Cooke was created for staff, service users and carers to meet the Trust’s Chief Executive in an informal environment. It offers staff an opportunity to speak to Mike face to face about what
matters to them, ask questions, give feedback, make requests or just find out more about what is happening across the Trust. The aim is for the meeting to be as informal as possible and for everyone to feel comfortable to speak up in an open and friendly environment. Mike said: “I really enjoy these sessions. They have proven to be very useful for me and the people who attend them. I can give you answers and help make change happen and your valuable suggestions and insight help us to continually improve services. In fact, the sessions were recently highlighted in our recent Investors in People accreditation report. I look forward to getting out to meet with many more of you this year.” Catch up with Cooke dates are being booked for the coming year. To find out more or book a session, please contact the Communications Team on 0115 993 4530. l-r Mike Cooke presents Nigel Groves, Centre Manager with a certificate to acknowledge the occasion.
Health Informatics Update: RiO set for major upgrade Health Informatics is preparing a major upgrade of RiO, a patient information management system used within the Forensic Services and Local Services Divisions of the Trust. The upgrade will affect all four versions (used at Arnold Lodge, Wathwood, Rampton Hospital and Local Services) of the RiO system and is due to be implemented in March 2012.
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The upgrade from RiO 5.4 to RiO version 6.2 will bring about a number of benefits to staff and business processes: • Enhancements to the Mental Health Act functionality • Health care professional (HCP) diary enhancements, providing improved efficiencies around diary management • Progress notes search enhancements • Temporary ward access module – providing the ability to locally manage timely access to temporary staff, supporting business continuity. Testing is scheduled for the New Year and more detailed local communications to staff (as appropriate) will take place in due course. For further information contact Beverly Daws, Project Manager on 0115 9691300 ext 11294 or email beverly. daws@nottshc.nhs.uk.
Garden gang hits Millbrook It might have been the middle of November, but the sun shone on Millbrook when around 25 service users, volunteers and staff joined forces in a planting day for the new Millbrook garden. Funded from a bequest left to the Unit by the late Edith Reynolds, the new garden area was created following ideas generated by service user and staff consultation. Dedicated space has been provided for service users, carers, visitors and staff to sit and enjoy the garden in a non-smoking environment. The design is also Disability Discrimination Act (DDA) friendly, with raised beds and improved accessibility. The Lawrence Unit, Mental Health Services for Older People and the Rose Force Garden Group have been involved in the project at all stages from design through to completion. Service users and forensic colleagues at Wathwood Hospital cultivated plants and designed and built planters and disability-friendly benches for the garden. The side of the garden where smoking is permitted was also tidied and replanted.
and Wathwood service users; Nigel Groves from Rosewood Involvement Centre and Marion Peet, Lawrence Unit for all their dedication and hard work in making this happen. Special networking relationships between Local and Forensic Services have been developed as a result of this project which I know will continue into the future. “A big thank you to everyone who helped on the day including Millbrook staff and service users, the Involvement Centre and the Peer Support Workers.” The day provided an opportunity to plant special ‘Lucy’ rose bushes in memory of Lucy Wade, an occupational therapist who worked for the Trust and tragically died young in July 2006. The bushes were provided with funds raised and donated to Millbrook by Lucy’s family and friends.
Above: the garden before work commenced Middle: the revamped garden Below: the group of volunteers take a break in the garden
Caroline Pinnick, Project Lead, said: “I am absolutely delighted with the new garden. I would like to give my special thanks to Gavin Balaam and Sam Willings of Rose Force Garden Group; Graham Moore, Ian McDermott
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Representatives from the Trust and the Institute of Mental Health joined colleagues at an official launch event in London
Pioneering new centre for health and justice launches The Institute of Mental Health has launched a new Centre for Health and Justice – a major national development in the understanding of and provision for mentally disordered offenders. The Centre will bring together research, policy and practice in the fields of mental and general healthcare and criminal justice through an innovative multi-disciplinary approach. It will carry out clinically-focused and practically-designed research to provide the evidence base to build a new generation of services and intends to set out a rolling ten-year programme of work involving research, education, evaluation and policy analysis. Within the Institute of Mental Health it brings together a number of existing units including the Personality Disorder Institute and the Peaks’ Academic Research Unit, mental health law and forensic programmes, and adds a new focus on criminology research. Professor Nick Manning, Director of the Institute of Mental Health, said: “Nottingham has emerged as the key site in the UK for practice and policy research and innovation in this area,
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and the development of this new centre is a timely consolidation of work in a field which addresses some of the most pressing social issues of our time. It is a great pleasure to see how this work has progressed, and I look forward to supporting this exciting new development in future years.” Trust Chief Executive, Professor Mike Cooke said: “Our collaborative
Master’s degree successes Three Trust employees have successfully completed a Master’s degree in research methods, graduating with merit in December 2011. Siân Rajakaruna, Principal Speech and Language Therapist for County Health Partnerships; Vickie Howard, Service Manager Perinatal Services/Modern
partnership in the Institute of Mental Health with the University of Nottingham is resulting in real improved outcomes for people with mental illness. To be able to work together on extending that help for some of the most vulnerable and marginalised members of our society is a great challenge, but one that we welcome. Working in partnership can only help outcomes for everyone.”
Matron for the adult mental health acute care network in the city, and Julie Bernstein, Senior Occupational Therapist in community adult mental health in the city, all gained National Institute for Health Research (NIHR) fully funded places on the course at the University of Nottingham. The funding was aimed at giving nurses and allied health professionals the opportunity to pursue ‘clinical academic careers’ and to both be involved in research and to incorporate it into clinical work. All three agreed it was a very challenging year, but that the rewards will make a positive difference to service users’ care.
Trust comes top in carbon reduction tables Nottinghamshire Healthcare has been named as top mental health, learning disability and community service provider in the recently published Environment Agency report on carbon reduction schemes. The table ranks participants in terms of their early action to manage their energy. The league table is based on comprehensive reports submitted by the participants in the scheme. Future league tables will be based on participants’ efforts to improve their energy efficiency. Their early action will have a diminished weighting each year, with metrics based on company growth and absolute emissions changes taking more prevalence. By making this information openly available to the public, energy efficiency will become a reputational issue for supermarkets, universities and football clubs to name but a few. This will bring energy efficiency to the attention of any boardroom that cares about the image of its brand. Simon Smith is the Trust’s Executive Director with responsibility for sustainability: “Out of a total of 2,014 participants, Nottinghamshire Healthcare has been ranked at number 196, which puts us firmly in the top 10%. In addition there are 159 healthcare trusts in the scheme and we are number 14 in the table when compared solely with them, again in the top 10% of NHS trusts. So overall a very creditable performance and this is only the start of our carbon reduction programme.”
New service introduced to Trust
Mike Cooke, Trust Chief Executive, at the event
Over 100 Trust staff members, representatives from partner agencies and service users turned out for an event coordinated by Chill Out Sound Support – a free and confidential service for non-injecting drug users aged 18 and over. Part of the Trust since April 2011, the Chill Out Sound Support team is the only service which focuses fully on noninjecting drug use. The event was coordinated so that the team could introduce themselves and the service they offer to the wider Trust and partner organisations, to identify ways in which to work together. In addition, through a series of presentations and workshops, the event raised awareness of the health implications of ketamine, steroid and new chemicals drug use – problems that the team has identified as increasing in Nottinghamshire.
“Recently becoming part of the Trust we are keen to introduce ourselves and the services we offer and this event provided a great platform for us to do that,” said Neil Brooks, Team Leader at Chill Out Sound Support. “We were able to meet and liaise with a great variety of people and have already received a lot of positive feedback. A number of people have also asked if we could give follow up presentations to their wider teams in order to explain in more detail the work that we do, which is fantastic.”
CAMHS professionals provide “excellent” training Clinical Psychologist Mike Marriott and Community Psychiatric Nurse Rebecca Keating were thanked for their “thought provoking presentations” at a pupil participation conference held in October. The conference was hosted at Dawn House School in Rainworth, a charitable educational establishment for children and young people aged 5-19 who have either severe speech, language and communication needs or Asperger’s Syndrome which prevent them from realising their full potential intellectually, academically and socially. Mike and Rebecca ran a session with 15 young people from Dawn House
and Beech Hill School (a local authority special school in Mansfield), helping them to understand stress and identify their own triggers, responses, and methods of coping. Mike also hosted a discussion with teachers and parents about attachment theory and the impact this has on understanding young people with an autistic spectrum disorder (ASD). Jenny McConnell, Head of Therapy and Outward Facing Services at Dawn House, said: “All of the workshops were rated very highly both by the students and the adults and I think that the buzz of the whole event said it all. Overwhelmingly the feedback was excellent.”
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Newark hosts Olympic challenge An Olympic challenge sports activity day will take place at the Magnus Sports Centre, Newark on Tuesday 14 February from 10am to 2pm. The indoor event will include a variety of activities such as races,
archery, badminton, golf, giant tug of war and live music. Vince Cross, Senior Technical Instructor at Holly Lodge, said: “We’ve been running this sports day for a few years now and have always been really pleased
with the attendance and support. I very much hope this year’s event will be just as successful.” As 2012 sees the Olympics coming to Great Britain, the organisers are asking all groups to design and make a banner to
National recognition for liaison psychiatry team The Trust’s Liaison Psychiatry Team, based within the Department of Psychological Medicine (DPM) at the Queen’s Medical Centre, has become the first team in the East Midlands to be formally accredited by the Royal College of Psychiatrists Centre for Quality Improvement. The Team provides psychiatry input to patients presenting to Nottingham University Hospitals NHS Trust who are not already known to Nottinghamshire Healthcare. Since April 2011 more than 2000 new assessments have been undertaken. Almost 75% of these people do not see any other psychiatric service. 8% of the assessments were discussed with the Crisis Teams and only 2% resulted in admission. To be accredited the team subscribed
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to the Psychiatric Liaison Accreditation Network (PLAN) – a national initiative managed by the Royal College of Psychiatrists, which aims to recognise the achievements of liaison teams. A self and peer review process followed, involving data collection and an external visit by experts in liaison psychiatry. The Team demonstrated that they met a number of standards relating to quality, efficiency, patient care and safety. The review report highlighted patients’ feedback that the team was consistently patient and understanding and provided excellent advice and treatment. It also commented that the DPM provides an impressive
showcase in an opening ceremony for the event and a prize will be awarded for the best banner. For more information please contact Vince Cross on 01636 610727 or email vince.cross@nottshc.nhs.uk.
range of Recovery focused interventions for service users, offers high quality assessment procedures and care planning packages. The excellent working relationship between DPM staff and Nottingham University Hospitals’ colleagues was also noted and there was praise for the Team’s clear vision for how to develop the service in the future. “This is a great accomplishment,” said Mike Cooke, Chief Executive, “The team works very hard to provide a first class service to patients and fully deserve this recognition. I look forward to seeing how they develop in the future.” The team’s accreditation status will now be listed on the Royal College of Psychiatrists’ website. PLAN is managed in partnership with the Royal College of Nursing, the Royal College of Physicians, the College of Emergency Medicine and the mental health charity Mind.
Prize-winning authors recognised The annual Institute of Mental Health publication prizes were announced at this year’s Institute Foundation Anniversary Celebration and they saw Samantha Johnson pick up the award for best overall publication. Samantha, who is based at the Queen’s Medical Centre, won the award for her work on the article ‘psychiatric disorders in extremely preterm children’, published in the Journal of the American Academy of Child and Adolescent Psychiatry. The award for best publication by an author with no more than six previous publications went to Louise Sainsbury of Nottinghamshire Healthcare for her work on ‘attachment theory and the therapeutic relationship in the treatment of personality disorder’, published in P. Willmot and N. Gordon (Eds.) ‘Working Positively with Personality Disorder in Secure Settings: A Practitioners’ Guide.’
Spotlight on mindfulness In October 180 staff from across the Trust attended a conference at Colwick Hall Hotel entitled ‘Bringing Mindfulness into Secondary Care’. The event marked the start of a NICE-funded project offering training in mindfulness-based cognitive therapy (MBCT) for depression to clinicians working within the Trust. Presentations were given by Mike Cooke, Dr. Neil Nixon and Tim Sweeney, MBCT Clinical Lead, Nottingham Psychotherapy Unit. They focused on depression, mindfulness and the use of this for
Left-right: Prof Nick Manning, Institute Director; Mike Cooke, Trust Chief Executive; Melanie Jordan; Samantha Johnson; Louise Sainsbury; Sam Thomson; Prof Peter Bartlett, Chair of the IMH Publications Committee.
The category of best publication flowing from work during doctoral studies or as part of a doctoral dissertation was won by Melanie Jordan. Based within the University’s School of Sociology and Social Policy, Melanie’s article was titled ‘embracing the notion that context is crucial in prison mental health care’ and was published in the British Journal of Forensic Practice. Sam Thomson of Nottinghamshire Healthcare’s Head 2 Head team picked up the award for best publication by an employee of the Trust. He was recognised for his work on the paper ‘parallel paths – patient and doctor priorities in psychiatric outpatient consultations’ in the Journal of Mental Health. Congratulations to all the winners.
people accessing Trust services. Dr. Beena Rajkumar spoke about her experiences of running a mindfulness group at Nottingham Psychotherapy Unit for people experiencing long term depression and stress. Alongside discussions about mindfulness much of the day was conducted in silence, providing delegates with an opportunity to directly engage in mindfulness meditation practices. Dr. Neil Nixon, who opened the conference, commented: “It’s great to see that so many people working in our Trust are interested in MBCT both personally and professionally. We hope that staff take this further by applying for the training we’re offering, allowing us to ultimately make this evidence-based approach more available to the people we look after.” For further details about this project contact Tim Sweeney on 0115 844 0547.
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The Integrated Healthcare Team at HMP Whatton
Improving mental health services at HMP Whatton Lucy Wade, Acting Head of Offender Health at HMP Whatton is starting the New Year and a new life in Australia where she will be working as the Director of Programs for the South Australian Prison Service. Before leaving the Trust she wanted to report on the positive developments that have taken place as a result of integrating the mental health service into other areas of the prison. “Back in April the Trust took over responsibility for the provision of physical healthcare, substance misuse and primary care mental health services, in addition to the former Inreach Team. We merged the primary and secondary mental health teams. “We were tackling a history of the service working independently with a very complex client group; many of whom have been in prison for years. There was also a long waiting list for the service which we wanted to address. As well as integrating the mental health teams we worked hard to ensure that we integrated the service into the wider healthcare team. We have also strived to work more collaboratively with other departments in the prison, working with for example, prison colleagues and those in psychology and education. All of whom have been incredibly supportive. The mental
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health teams worked pro-actively in the prison, getting out on to the wings and working with officers to manage patients jointly. “We also developed a mental health training package for prison officers to better enable them to deal with some of the commonly presenting issues. This led to an effective triage system and care pathway to ensure patients were receiving the right care to meet their needs, in a reasonable time frame. “The result of these changes has been dramatic. We now have no initial contact waiting list. We have strengthened a great relationship with prison colleagues and have received some really positive feedback from the teams in the other departments that we have worked with. The main benefit is that we have managed to engage with patients who had previously been
very hard to reach and had some really positive patient outcomes as a result. “I would like to thank all the team, both general and mental health staff, for working incredibly hard to make this a success. We now have a fully integrated team and service and quite a pioneering way of working within the prison which has proven to bring real benefits to patients. “I have thoroughly enjoyed my time at Whatton and will very much miss working there and with such a great team.” Commenting on Lucy’s departure Adrian Perks, Associate Director Offender Health said: “We are all sad to see Lucy go and wish her all the very best for the future. She has done a fantastic job at Whatton and will be a hard act to follow.”
Hospital trials improve patient care Trials of a new way of working between the Integrated Discharge Team (IDT), Social Services and Community teams such as Intermediate Care took place on seven hospital wards at Nottingham’s QMC campus between mid July and the end of September 2011. During the trials a member of IDT or Social Services delivered an in-reach service by attending a daily ward round to verbally take new referrals without the need for a ‘section 2’, ‘section 5’ or ‘rehab’ referral to IDT. The results show quality improvements in communication about patient pathways, fewer telephone calls to the duty number, improved team relationships, and a reduction of inappropriate referrals. The seven project wards will now continue to receive an inreach service and will continue with verbal referrals. Other wards across Nottingham University Hospitals Trust (NUH) require a different approach as they use social care and rehab services in smaller quantities. An approach for the next seven
wards at QMC and a group of wards on the City Hospital campus is being planned and will be trialled next. The trials also highlighted delays in the process, the top five of which are: 1. Care package availability 2. Medically unstable patients (after being stable for a period of time) 3. Lings Bar availability 4. Care home coming into NUH to assess a patient 5. Patient and family choice The results were presented to chief executives and directors of health and social care across Nottinghamshire, who agreed to work together to resolve these issues as phase 2 of the project. Other developments include weekly meetings for Ward F21 with a community matron who focuses on alcohol dependent patients; developing a social worker with an interest in dementia to work with Ward B47; supporting links with the new community mental health intermediate care teams with Ward B47; addressing information governance issues by looking into secure emails and electronic referrals; creating ‘one referral’ for those wards without the in-reach service to avoid separate rehab and social care referrals; linking with a new bed management system. For further information about actions being taken to reduce the top delays or about the trials please email claire.towne@nottshc-chp.nhs.uk.
Staff from Millbrook Mental Health Unit organised a successful Christmas Fayre in December raising £1400 for the Unit’s charitable fund. The event included entertainment from the Rosehips belly dancers and a local school choir, a sale of produce from Wathwood Farm Shop, a Carol Service run by the Chaplain, a silent auction and much more. Pictured below (l-r) are Sarah Peet, Jake Woolley, Becky Eaton, Chantelle Bowler, Chelsie Gosling, Jade Eaton and Emma Mutimer.
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Highbury patients attend photography course When Penny Coulson, the Trust’s Art Co-ordinator, sent out details of a photography course, John French, a member of The Occupational Therapy team at The Maples, Highbury Hospital, immediately saw the potential benefits for patients.
Recovery wards who had expressed an interest in finding out about their experience in photography and what they hoped to get from the training in terms of both skills and emotional outcomes. Nine people then attended the ten two-and-a-half hour sessions, which started in October.
The course was offered by the Nottingham Photographers’ Hub, a social enterprise established to help anyone interested in photography. It particularly helps people who find it hard to develop their skills and talents.
The course was funded by the European Social Fund and Enable, and more than 50 visitors attended the opening of the public exhibition on 7 December. A representative from Enable presented each student with a certificate and the digital camera they had been using during the course. “The course fulfilled all our expectations and generated a great deal of excitement, enthusiasm and fun,” said John French. “The students have said how attending has increased not only their knowledge but also their confidence in using a camera and in a more general sense. They speak of how much they have enjoyed the activity and each other’s company – the general hubbub during the sessions was a good indication of this!”
The two people running the training spoke to all the patients from the four
The course attendees with John (far right) and the cameras they were given Photography pic – One of the pictures taken on the course
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The students first learnt how to get the best from a digital camera and then worked on taking portraits and landscapes, setting up still life photos and framing their pictures.
The venture has proved so successful that The Photographers’ Hub is now hoping to get funding to put on more courses; look out for more.
Trust colleagues awarded national fellowships Two Trust colleagues have fought off stiff competition from around the country to gain places on the National Leadership Council’s Clinical Leadership Fellows’ Scheme. Asad Malik, Specialist Trainee, Millbrook, and Lucy Morley, Consultant Child and Adolescent Psychiatrist and Clinical Stream Lead for CAMHS, were chosen from more than 1,000 clinicians across the country to take part in the programme. The Fellowship has been designed to develop the next generation of leaders in the healthcare profession, so that they are best equipped to take on a central role in improving services for patients.
The Institute of Mental Health celebrated its fifth anniversary at the annual Foundation Anniversary Celebration held at the Sir Colin Campbell Building in November. A packed venue greeted Professor Nick Manning, Institute Director, and Trust Chief Executive, Professor Mike Cooke who welcomed attendees to the event. The theme this year focused on ‘Impact’ with the keynote speech being provided by Professor Martin Knapp of the London School of Economics and Political Science who spoke about the challenges of ‘mental health in an age of austerity’. Amanda Sullivan, Chief Operating Officer of Newark and Sherwood Health Consortium gave a commissioner’s perspective on mental health. Further presentations were provided by Professor Patrick Callaghan on practice outputs, Professor Chris Hollis on the ways in which Institute research is making a difference, and John Milton, Consultant Forensic Psychiatrist, Nottinghamshire Healthcare, on how we can encourage greater collaboration between medical professionals and the Institute. Professor Justine Schneider ended the morning’s session by presenting a video produced as part of the ‘Inside Out’ Managed Innovation Network highlighting issues of dementia care and developed by using an ‘ethnodrama’ approach (combining drama with ethnography).
Asad Malik
The 60 healthcare professionals beginning the Fellowship will receive high quality clinical leadership and management training underpinned by sharing best practice. The group, from a range of clinical backgrounds, will also work towards a post graduate certificate in leadership and service improvement and will be responsible for designing and implementing a service transformation project in their work place. This will be built on the principles of the Quality, Innovation, Productivity and Prevention (QIPP) programme. Application was open to all clinicians in all healthcare settings with the potential to bring fresh ideas and new ways of working to benefit patients’ services, to provide better value for money and help drive out waste. Lucy Morley
Institute heralds the first ‘famous five’ years
In the afternoon a specially invited audience discussed the establishment of the new Centre for Health and Justice within the Institute. Gerry Carton, Institute Associate Director, said: “It was great to see so many colleagues from the Institute, Trust, University and other partner organisations take part to learn of the latest developments, hear of the latest thinking and build on the ways in which we can all work together to further our joint work.” Presentations from the event are being uploaded to the Institute website as well as the new Institute Annual Report, titled ‘The Impact Factor’. To request a hard copy of the annual report email jonathan.cross@ nottshc.nhs.uk. Prof Martin Knapp of the London School of Economics and Political Science speaking at the anniversary celebration
Congratulations to Asad and Lucy. Positive January 2012
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(l-r) Sue Baker, Peaks Therapies and Education Department Manager, Sara Hillier, Senior OT, Mike Harris, Executive Director Forensic Services, Lindsay Self, OT, Beth Sidaway, Senior OT
Celebrating National OT Week
The Occupational Therapy (OT) department celebrated the annual National Occupational Therapy Week (7-12 November 2011) by sharing their good practice from across Rampton Hospital. The department provided staff and visitors with the opportunity to meet the Occupational Therapists and learn more about their role within a high secure hospital. The Occupational Therapists created an interactive stall incorporating the Recovery model which explained the ‘OT process’ from Assessment to Treatment and onto Rehabilitation. The Occupational Therapists and the Technical Instructors also provided displays around the Hospital including pieces of craft and artwork produced by patients. Along with the pieces of art, the patients also provided descriptions of how they felt about being able to participate in the projects and the pride of producing work of such high quality. The patients were also given the opportunity have their say about Occupational Therapy and their comments were displayed around the Hospital. The whole team came together and managed to get the whole Hospital talking about OT. A big thank you to all who contributed to the week and gave their support and encouragement. Kay Carley Occupational Therapy Manager said “The week was a huge success after a lot of planning and hard work from all the different OT Teams at Rampton Hospital. Everyone pulled together to raise awareness of Occupational Therapy in a high secure environment and we aim to develop these ideas and plan for further events in the future.” Left: A selection of artwork created by patients
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Nurse practitioner receives postgraduate prize
winner at the Trust’s OSCARS, studied a Master of Science degree in Health and Social Care Leadership in the Faculty of Health and Wellbeing over a period of three years and completed the course in July 2011.
Sharyn Findlay, Nurse Practitioner for the Personality Disorder Service at Rampton Hospital, has been awarded The Faculty and Wellbeing CPOD (Centre for Professional and Organisational Development) Postgraduate Prize following her studies at Sheffield Hallam University. The annual prize is awarded to a student who has produced an exceptional piece of coursework on the CPOD programmes.
The postgraduate prize was awarded at a ceremony in Sheffield in November on the same day as her graduation. Sharyn said “It was a lovely reception, receiving my certificate from Professor Rhiannon Billingsley, Pro Vice Chancellor, Faculty of Health and Well Being followed by my graduation from the University by Chancellor Professor the Lord Winston. Overall, it was a proud and memorable day.”
Sharyn, who was a previous award
Congratulations to Sharyn for this well deserved recognition.
(l-r) Sharyn with Professor Rhiannon Billingsley
Safeguarding Team marks national White Ribbon Campaign The Trust’s Local Services Safeguarding Team, with support from the Involvement Team, held an event at Highbury Hospital to mark White Ribbon Day, a national campaign which aims to end violence against women. The event on 25 November aimed to raise awareness of domestic violence and abuse by highlighting a range of local and national services provided by charitable and specialist voluntary organisations for victims. “A diverse group of staff, service users and visitors came along to the event,
making the day a great success”, said Margaret Cheetham, Specialist Practitioner: Domestic Abuse. “Domestic and sexual violence and abuse (DSVA) is a very serious issue and it is important that people who are affected by it, as well as colleagues who support victims, are aware of the support available. As a Trust we are working with specialist voluntary organisations and partner agencies to continue to develop and improve support. We’re looking forward to holding similar events and workshops in the future.” Nottingham Rape Crisis, a counselling service which offers support to people affected by rape, also had a stand at the
event. For more information or support please contact the helpline number on 0115 941 0440 or the 24-hour domestic violence free helpline 0808 800 0340 (for female victims) or men’s advice line on 0808 801 0327 (for male victims). For further details of DSVA organisations please visit www.ndvf.org.uk. The Trust has recently published a new policy on domestic violence and abuse which can be found at www. nottinghamshirehealthcare.org.uk. For more information about other DSVA Trust developments contact margaret. cheetham@nottshc.nhs.uk. Service users, colleagues and agency partners at the event
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Highbury ladies benefit from toiletries scheme After reading an article about a hospital in the south of the country which was able to provide sets of toiletries to its female patients on admission to hospital, thanks to charity support, Michael Osborne, Service User Volunteer, set about establishing a similar scheme for Nottinghamshire. He explains how he went about it: “I thought this was a brilliant scheme and would be good for our patients. I made enquiries and searched the Internet to see if I could find someone to provide toiletries. I had the usual hopes of success followed by the usual failure but I don’t give up easily. “I thought very hard about where to find a good organisation that was very caring towards patients who could help me in my quest. Being a person slow to see the light from the bulb, I realised that my main help was close at hand in the form of the Trust. “I appealed to the Chair, Dean Fathers, and received an immediate enthusiastic response and an offer of help. Dean made contact with the Chief Executive of a firm called Ceuta, which is the leading supplier of healthcare and beauty products in Europe – nothing but the best for our Trust patients. “After some discussions, Ceuta decided to provide us with enough free sets of toiletries to give to the estimated year’s intake of female patients on Rowan Ward 2 at Highbury. We are really grateful to Ceuta for this kind offer and to Louise Proehl, Personal Assistant to the Managing Director (UK) and Directors, who made up the sets personally. “Ruth Warren, Ward Manager at Rowan 2, has been in charge of distribution and remarked how well received the sets have been and the value to patient welfare. Ceuta has provided many ill ladies with comfort in a time of distress and need. One of the patients remarked how pleased she was that the toiletries were extra special because they were famous brands. “The scheme has been a great success. Many thanks to Dean Fathers and the other Trust staff who gave up their valuable time to help make the idea a reality.”
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Service users cook up a healthier diet During November the Nutrition and Dietetics Team delivered a Cook4life cookery course at Ley Street Day Centre in Netherfield. The course was delivered by Catherine Palin, a Community Nutrition Assistant with the Nutrition Team. Over a four week period Catherine taught a group of eight adults with learning disabilities about the importance of eating a healthy well balanced diet to positively influence wellbeing. The fun and interactive approach covered subjects including the ‘Eatwell’ plate, fats, salt, sugar and portion sizes. The group prepared and cooked various recipes including pizza, fish pie, lasagne and fruit crumble. They also played educational games around food and drinks and the benefits to be gained from making small changes to their diet, one of the key messages from the Change4life campaign. The Cook4life course was a resounding success with some of the attendees going on to make the recipes at home. The course also encouraged them to change some of their eating and drinking habits, enabling some to start losing weight before the end of the course. One service user said: “I have made the fish pie at home with my mum.” Another said she had changed to diet fizzy drinks to cut down her sugar intake and had been eating a lot more salad. The organisers are hoping to set up another course in the near future to extend to other service users at the centre. Top: the group chopping potatoes Middle: Daniel making fish pie sauce Right: the group with their final week certificates
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Back in October 145 Thorneywood Mount held a Halloween social evening for service users and carers. The event included a buffet, fancy dress, disco, karaoke and magicians performing acts that required service user participation. The team agreed it was an excellent evening for all, with the magic show proving a great success.
Fay, Martin and Louise
A magical experience The team would like to give a special thank you to DJ Richard
Marcus and Sarah
Hancock and the three magicians, Graham, Alan and Karl from the Guild of Magicians, who volunteered their services for the evening. Social evenings at 145 Thorneywood Mount are always open to all carers, service users and other interested parties. For any information about future social evenings please contact Sarah or Fay on 0115 8440521.
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Netball ladies shoot for success The Trust’s ladies netball team, the ‘Trust Tanzanites’, played their first friendly match against ‘Rampton Ladies’ at Southglade Leisure Centre in November. Rampton played a great game with terrific goal scoring from both the goal shooter and goal attack and the final score was 16-8 to Rampton Ladies. The Trust Tanzanites were by no means outclassed though and held their own during the first two quarters but were finally beaten by the more experienced team. Anyone interested in joining or playing against the Trust Tanzanites please email karen.hall2@nottshc. nhs.uk or team captain claire.teft@ nottshc.nhs.uk.
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Service users attend interview training A group of people with learning disabilities has completed interview skills training to enable them to get involved with staff recruitment for the Trust. During the summer the Employment Resourcing Interview Forum (ERIF) ran a course to give people with a learning disability the skills and confidence to interview new Trust staff. The course was hosted at the Rosewood
Involvement Centre in Ollerton with centre volunteers preparing lunch and providing support. Katy Billson, a student from last year’s course, acted as peer support, using her experience to pass on what she has achieved with the skills. The four-day course concentrated on the importance of equality and diversity and making sure the process complies with the law and policy. It involved role play, group work and reflection. The feedback was excellent and it was clear that just being on the course helped the participants’ self esteem and confidence. Attendees were apprehensive to begin with but gelled together well by the end. Sandra Crawford, Deputy Divisional Nurse, Local Services, commented: “It was a fantastic event and so humbling to meet the group and see what they had achieved in such a short space of time. I know they will have a positive impact on employment resourcing within the Trust.”
Jo Lowrey, Rosewood Volunteer, said: “I would like to thank the Trust for the LD ERIF – I have taken a lot away from it.” Bridget Smart, Specialist Services Directorate for Learning Disabilities, said: “Chris Hobster did a cracking job on the panel for community nurse interviews and participated really well. I have been on panels before where service users have been involved but this is the first time it’s been someone with a learning disability, which is great.” Ben, a staff member, said: “I had an interview with an LD ERIF service user panel; it was absolutely amazing. The questions were challenging and the panel obviously had clear ideas about what they wanted to hear.” For more information about getting involved in interviews contact Jonathan Wright at The Involvement Centre on 0115 9934567 or Nigel Groves at the Rosewood Centre on 01623 835210 or email jonathanwright@nottshc.nhs.uk or nigelgroves@nottshc.nhs.uk. The ERIF class of summer 2011
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Offender Health In last month’s issue we promised to explain more about Offender Health and the people who work within the Directorate. The Offender Health Directorate sits within the Trust’s Forensic Services Division and provides a comprehensive range of primary care, mental health and substance misuse services within 12 prisons across the East Midlands and Yorkshire; making the Trust the largest NHS provider of prison healthcare in the country. By working in partnership with prison services, other healthcare providers and criminal justice system partners the service aims to offer care equivalent to that delivered in the community; to improve health, support justice and reduce reoffending behaviour. One of the fastest growing Directorates in the Trust, Offender Health has a massively
The Directorate Management Team; (l-r) Matt Mitchell, Tracey Gilford, Adarsh Kaul, Adrian Perks
diverse workforce of almost 280 staff including consultants, nurses, other clinicians and admin staff. The team works to improve services and the care provided to 10,000 patients through innovative delivery and uses service evaluation to demonstrate the benefits to patients and their communities. Adrian Perks, Associate Director, Offender Health said: “The Directorate Management Team has a varied and impressive CV, amounting to 100 years of experience not only across the range of services we deliver such as Primary Care, Mental Health and Substance Misuse services but also leadership of medical, dental and therapy staff, management
and administration. We believe that our strength lies in our combined skill; the sum of the parts!” Heading up the Directorate along with Adrian are Adarsh Kaul, Clinical Director, Tracey Gilford, Area Manager Offender Health (Yorkshire) and Matt Mitchell, Area Manager Offender Health (East Midlands). Together they work to ensure strong leadership and the management of services. They work collaboratively with clinical teams to transform care pathways, implement integrated governance arrangements at all levels and engage with internal and external stakeholders, including commissioners and prison senior management teams.
Introducing: County Health Partnerships Safeguarding Team
child development centre workers, community paediatric staff and the Children Looked After Team.
The County Health Partnerships Safeguarding Team consists of eight specialist safeguarding practitioners supported by an administration team. Between them the team members have backgrounds in general nursing, paediatric nursing, midwifery, health visiting, school nursing and child care law.
Over the last year improvements in inter-agency communication and working together have been progressed by the introduction of ‘co-location’. This is a liaison role between the safeguarding team, social care, disability teams and staff within CHP and is proving to be beneficial in a number of ways for both agencies.
The team delivers safeguarding training, safeguarding supervision and expert advice to employees within County Health Partnerships and health-led Surestart centres. They support staff with complex cases including chronology compilation, police and legal statements, report writing and court appearances. They also provide individual safeguarding supervision a minimum of twice a year for health visitors, school nurses, emotional health and well-being practitioners, direct access workers and Sure Start centre managers with additional group supervision as required.
During 2011/2012 the Trust’s present safeguarding team along with the County Health Partnerships Safeguarding Team are working together to develop a network of safeguarding expertise which will benefit the clients and practitioners within the Trust.
The team also facilitates group supervision sessions monthly at various venues around the county for allied health professionals, learning disability and tier 2 CAMHS teams,
The team members are part of the Nottinghamshire Safeguarding Board training pool that delivers multi-agency safeguarding training across the county and they also support the named nurse for the Trust.
Ofsted inspection The recent Ofsted inspection of social care identified areas of good practice and outstanding multi-agency working. Three members of CHP staff were commended for their outstanding practice. For more information about the Safeguarding Team call 0115 8831202.
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Sound bites help service users decide A group of staff and students has been working together to create ‘sound bites’ of experiences which will help service users to make decisions about their care. Examples of artwork by service users from the Sound Bites project.
As part of the ‘Sound Bites’ project, social work students Liz Barnes and Rob Allan and nursing students Hannah Parks and Benjamin Homphray, supported by clinical staff, met with a range of current and former service users to gather sound bites about their experience of their pathway through the Nottinghamshire Personality Disorder and Development Network (NPDDN). The group collected quotes and artwork to create a collage of real experience that offers a connection to prospective group members. The sound bites will now be used in information about the opportunities available at the NPDDN to help service users make decisions about their personal pathways through the network. Some of the sound bites include: “I wanted a quick fix.” “I felt like I’m the only one [and] nobody else will understand.” “[When I came to NPDDN] I was not alone any more.”
“The group is a place where we all come together [and] share experiences, good and bad.” “At first I was terrified. I was scared I would be judged”. [I soon realised I could] “identify with others’ pain.” “The group is like a family and we all help each other.” “I am wiser, more informed, stronger and less different.” Sound Bites relates to both pathways on offer at the NPDDN: the Step-Through and Reflect (STaR) group programme and the Therapeutic Community (TC). It will continue to be available to service users as they progress through the NPDDN. For further information about Sound Bites please email rob.allan@nottshc.nhs.uk.
Rampton skills shared with Sri Lanka In November two staff members from Rampton Hospital travelled to Sri Lanka to deliver a three-day workshop on forensic psychiatry. Dr Birgit Völlm, Clinical Associate Professor and Consultant Forensic Psychiatrist, and Dr Malinder Bhullar, Chartered Forensic Psychologist, visited Angoda Hospital, the largest psychiatric hospital in the country, to deliver a workshop on forensic psychiatry, personality disorder awareness, assessment and management of personality disorders and risk assessment to around 70 people.
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Dr Bhullar said: “We were impressed by their eagerness to learn and their clinical knowledge and skills despite a lack of dedicated forensic teaching in Sri Lanka.” The hospital, near the capital, Colombo, has around 1,000 inpatients at any one time and the forensic ward is the only facility for forensic patients in the country. Set up initially to cater for 70 patients, it
now deals with about 150 patients but until very recently there had been no training programme in forensic psychiatry in Sri Lanka. While Drs Völlm and Bhullar were in the country, the first training programme was accepted by the relevant authorities with just two trainees initially. During their stay Drs Völlm and Bhullar had the opportunity to learn more
about forensic psychiatric services in Sri Lanka which they described as “a humbling experience which puts our daily problems into some perspective.” At Angoda one consultant is assisted by one staff grade and two general psychiatry trainees with four or five staff nurses and a similar number of nursing assistants during the day shift and fewer at night.
Promoting a Positive Experience In November 2011 the Trust hosted a special event showcasing its involvement and patient engagement work. Back in January of last year the Trust won a Patient Experience Network National Award for its approach to service user and carer involvement and was subsequently requested by the Patient Experience Network to showcase this work. ‘Promoting a Positive Experience’ celebrated the impact the work has had on people’s lives and aimed to share best practice with other NHS organisations looking to learn from the Trust. More than160 people (including 60 representatives from other Trusts) attended the event which featured
Left: Dr Völlm on the way to the hospital Below: Inside the forensic ward
presentations about the Involvement Centres. It also featured the way in which service users’ feedback on Ward B2 at Bassetlaw Hospital influences the service, the Expert Patient and Health Peer Mentor Programmes, involvement in vocational training, the farm shop at Wathwood Hospital and accounts from members of the Asperger’s and Deaf Communities of Interest. There was also fantastic music and poetry provided by service users involved in the positive Writing Group.
Each Directorate hosted a stall to showcase the best example of involvement in their service. The Wathwood Hospital Farm shop stall was voted top by delegates on the day. Feedback was excellent with 98% of people rating the event as good or excellent. One delegate commented: “Inspirational – brings me back to why I joined the NHS and what great work is happening across the NHS each day!”
Top: Nurse Specialists Caroline Prance and Liz Tatham with Dr Katie Williams (centre) at the Child and Adolescent Mental Health Services stand Below: The display from the Personality Disorder and Women’s Service at Rampton Hospital
Patients are accommodated in one large room with no privacy. “Despite these rather grim circumstances, Angoda Hospital comes across as a caring and even cheerful place,” said Dr Völlm. “Staff are very dedicated and make the most of what they have. Staff and patients just keep on smiling all the time, which lets one forget the bleak conditions of the hospital.”
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The conference presenters
Hotel Services award successes Team leaders, coordinators and managers from Hotel Services took part in an away day in November with some receiving awards from Trust Chief Executive Mike Cooke. The full-day event was hosted by Mark Davies, Hotel Services Manager (Local Services), and Susan Brown, Hotel Services Manager. The theme for the day was `patients and service users’, with six service users joining the staff for the event. The day included assessing the department’s current support to patients and service users, and considering possible ways to improve. Four of the team leaders (Martyn Poxon, Linda Moth, Sam Arrowsmith and Claire Teft) spoke to the audience about the experience for them, their team and the service users working with them. All were extremely positive and the room was full of emotion during their talks. Chief Executive Mike Cooke joined the event in the afternoon and spoke about the importance of Hotel Services colleagues recognising the needs of patients and service users and doing all they can to provide the best possible support during their stay and visits to our hospitals and other premises. He then presented the annual Hotel Services Awards which recognise individuals and teams for their hard work, local achievements and commitment to their role. Award nominations and winners were as follows:
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PCT Team Award Nominations Shortlisted: Ashfield Catering Team and Lings Bar Domestic Team Winner: Stapleford Domestic Team Trust Team Award Nominations Shortlisted: Mansfield Community Domestic Team Winner: Trust Community South Team Leaders and Highbury Domestic Team PCT Individual Award Nominations Shortlisted: Jane Green, Karen Hall and Steve Kershaw Winner: Sam Arrowsmith Trust Individual Award Nominations Shortlisted: Kevin Smith, Linda Moth and Mandy Turton Winner: Caroline Twells Sustained Endeavour Award Winner: Maxine Shipley Congratulations to the winners and well done to all the other shortlisted nominees.
Conference supports non medical prescribers In November the Trust held its second non medical prescribers (NMPs) conference. The event was chaired by Michelle Persaud, Associate Director of Nursing, Local Services and Lead for NMPs, and incorporated a wide range of speakers from the Nursing and Midwifery Council (NMC), the law, external organisations and NMPs working within the Trust. Janet Sheard, Executive Director for Nursing and Allied Health Professionals, explained the conference aims: to showcase talent within the Trust and to network with NMPs new to the Trust. Janet also stressed that the role of
NMPs fits into the Trust’s agenda of creatively, safely and professionally meeting patient needs. Fiona Culley of the NMC discussed its planned review of standards to enable safe and effective medicines management and prescribing. The team is currently scoping policy, literature, and other evidence and is interested in gathering opinions from NMPs in Nottinghamshire. NMP Lisa Flinton spoke about epilepsy specialist services and her prescribing role, which is a joint venture with specialists from Nottingham University Hospitals. She outlined her specialist knowledge of drug
properties and anti-epilepsy drugs and explained that patients and carers feel at ease calling the team and asking questions that they would not feel comfortable asking their doctor. Nottingham University’s Dianne Bowskill and Joanne Lymn gave their perspectives on ‘non medical prescribing in mental health: past, present and future’, highlighting that NMPs must consider the accountability issues regarding controlled drugs and practitioners’ diagnostic skills as well as new roles following reconfiguration of services and the future effects of ethnicity, prescribing and genotyping.
Bob Gardner, Nurse Consultant from Derbyshire Mental Health Services, shared his experiences of being an NMP within his Trust. A number of workshops during the day covered NMPs running memory clinics, working within Crisis Resolution/Home Treatment teams, concordance and NMP within a community matron role. Feedback from the event was positive and included: “It was an excellent way of updating my NMP knowledge”; “I really enjoyed the day”; “It made me think about accountability.”
Some of the winners of the individual and team awards. Left to right: Susan Brown, Kelly Clarke, Sandra Cooke, Caroline Twells, Mike Cooke, Kathy Burrows, Sam Arrowsmith, Maxine Shipley, Mark Davies.
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Medical education conference a hit The Trust’s first medical education conference took place in October at Colwick Hall Hotel. The event was led by Dr Gill Pinner, Director of Medical Education, chaired by Dr Peter Miller, Executive Medical Director, and co-organised by Drs Elcock, Nixon and Shaw. The conference aimed to recognise our medical trainees’ achievements and celebrate the huge variety of training opportunities provided within the Trust. Delegates represented a wide range of experience, from consultants to medical students. It was pleasing to see the level of interest and inspiration. Dr L Martean and Dr N Christodoulu gave insights into the opportunities for training in psychotherapy and academic psychiatry from their perspectives as trainees. The workshops complemented these themes along with introducing the concept of creativity within psychiatry, which proved an extremely popular session. The day also saw Trust Chief Executive Mike Cooke presenting a number of trainees with prizes of £25 book vouchers and a copy of ‘Understanding Medical Education’ by the Association Left-right: Dr Ruth Shaw, Dr Sue Elcock, Dr Peter Miller, Dr Gill Pinner, Mike Cooke, Dr Neil Nixon.
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for the Study of Medical Education. The competition was fierce with a large number of high quality entries but prizes were awarded to: • Dr Rais Ahmed: Higher Trainee Audit prize • Dr Rebecca O’Donovan: Core Trainee Audit Prize • Dr Zena Schofield: Trainee Research prize • Dr Holly Middleditch and Dr Angela Sandhu: Foundation Trainee Audit prizes • Dr Victoria Owens: Medical Student Audit prize • Dr Angela Sandhu: Young Leader prize. Thanks go to Elaine Hayes and Sharon Handley for all their hard work in helping organise the event. Written feedback was extremely positive and it is now planned for this to be an annual event.
q What is your job title and what does your role entail? a My job title is Senior Practice Nurse, End of Life Lead. My role involves providing healthcare to over 800 males at HMP Whatton. I also lead on End of Life care for our patients with life limiting illnesses. q How long have you been with Nottinghamshire Healthcare? a I am very new to the Trust having only been with the Trust since April 2011. q What do you see as your priorities for Nottinghamshire Healthcare? a My priorities are to continue promoting quality End of Life care throughout Offender Health within Nottinghamshire Healthcare and nationally. q What is your employment background? a My background has always been in the care profession, starting as a care assistant in a nursing home then working in home care for Nottingham social services before training as a nurse in 2000. q What is the best piece of advice you have ever been given? a “Treat everyone as you would like to be treated.” My Grandma gave me that advice and it’s my motto. q What was the last CD you bought? a Michael Buble, Crazy Love... amazing!
q&a
a Considerate, Modest and Reliable are three words I would use to describe myself. q What is your favourite holiday destination? a I really love South Wales, I have had many a wonderful family holiday in Tenby, it’s really beautiful. I have also been to Las Vegas and that was truly amazing.
This issue we talk to Senior Practice Nurse Karen Shaw
q Who would you take to a desert island? a I would have to take Ray Mears on a desert island, that way I would be sure of shelter, food and a fire!
q What is your greatest achievement? a My greatest achievement to date is my
Butler Trust Commendation. My prison colleagues and I received our award from Princess Ann at Buckingham Palace earlier this year, for the End of Life care service that I developed at HMP Whatton. It was an amazing day and I am incredibly proud.
with working full time and a family I don’t have much spare time. However I would love to take up dancing.
q What makes you angry? a Rude people. There really is no excuse
q What keeps you awake at night? a I am concerned about the current
for rudeness.
q What are you most passionate about? a I am passionate about water! It really
upsets me to think there are people in the world having to drink dirty water and having to walk miles to collect it. We take the water from our taps so for granted. I am a big supporter of water aid.
q What single thing would improve
your working life at Nottinghamshire Healthcare? a Better work life balance.
q What is your favourite hobby? a I wish I had more time for a hobby, but
financial climate and how that may impact on job security for me and my colleagues in the NHS.
q What is your favourite film? a I don’t really have a favourite film as such
as I like so many. I really loved the Wizard of Oz as a child as it was so magical.
q What is your idea of bliss? a A day at a spa would be my idea of bliss. q What three words would you use to describe yourself?
Releasing Time to Care at Wathwood Wathwood Hospital’s Assessment Ward began implementing the Releasing Time to Care programme in February 2011 and has now achieved the fastest implementation rate in the Trust. All wards working through the progamme start with a 16-week facilitation period where they implement the three foundation modules. They then start one of the process modules. At the start of facilitation, the assessment team was preparing for the opening of the refurbished intensive care environment and was still in the midst of a tremendous amount of building work. Alongside this development, the main ward living and working area for patients and staff was restricted, which meant that some of the implementation could not be carried out immediately. Despite all the upheaval, staff and patients worked together to make the process as bearable as possible. Once the intensive care unit was open, the assessment ward team started work on Releasing Time to Care (RTtC) at an
q Where do you see yourself in 10 years’ time? a I see myself in 10 years’ time as still working hard and making a contribution to lives of people who need NHS care. However if I’m fortunate enough to win the lottery then I would retire to Tenby, with a holiday home somewhere hot. q Do you have a ‘claim to fame’? a I’m afraid I don’t have a claim to fame,
unless you count meeting Princess Ann as one. I did have a bit part in the local drama group production: I had to wear a Power Ranger suit; I was wearing a mask so fortunately no one knew who I was!
q How would you like to be remembered? a I would like to be remembered as someone who made a difference and touched people’s lives.
amazing pace. Led by ward manager Lisa Sutton and RTtC facilitator Jackie Kennedy, the foundation modules were quickly completed and the team immediately started working on its first process module ‘Medicines’. The group produced guidelines detailing the whole process of protected medication administration, from preparation to completion, detailing who within the team is responsible for what action, reducing the potential for error and the number of interruptions and ensuring stock levels are maintained and that patient care is foremost. The team then moved on to the ‘handover’ module and then to the ‘meals’ module, again producing guidelines. Audits are now underway to ensure compliance and sustainability are maintained. Within four months of finishing facilitation the team is already working on its fourth process module. “With all the changes taking place this has been a difficult time for everyone on the ward,” said Jackie Kennedy. “This achievement during such a period of upheaval just goes to show the fantastic level of commitment and enthusiasm from the team.”
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Diversity exhibition opens its doors The latest arts exhibition at the Institute of Mental Health, staged in conjunction with City Arts, opened in November at the Institute’s base in the Sir Colin Campbell Building. The exhibition is called Diversity and features high quality art work that intrigues, stimulates and challenges the notions of mental health and diversity. It is the fifth in a series of exhibitions with previous themes having included identity, visions and interiors. Dr Victoria Tischler, arts co-ordinator for the Institute, and Professor Nick Manning, Institute Director, were on hand at the official opening to present prizes to the winning artists Jenna Michelle Pink, for her artwork titled ‘Please Don’t Leave’, and Phil Robinson for his work ‘Untitled (2)’. Also presented with awards were Kelly Jayne for her artwork ‘Seeping’ and Vince Laws for a piece called ‘My Mental Helmet’. The exhibition runs until May 2012. Further information is available from City Arts on 0115 9782463, email info@city-arts.org.uk or visit www.city-arts.org.uk. Artists Phil Robinson and Jenna Michelle Pink with their artwork
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New support network for local veterans A new partnership has formed to help veterans in Nottinghamshire access the support they may need after leaving the armed forces. The Nottinghamshire Veterans’ Partnership links providers of health services, housing and social support, local authorities and the voluntary sector, and aims to provide a hasslefree way to access the relevant type of support for each individual. Currently one person may have to access a number of support services separately to meet a variety of needs. However, by contacting this new network, veterans will only have to contact one of the partner organisations. They will then be assessed and provided with a tailored support package, bringing together all the necessary services to meet that person’s needs. The main areas in which the partnership expects to provide support are: • Mental health • Substance misuse • Housing
• Debt management • Transition from the criminal justice system Veterans can access the support network either by telephone or by calling in to a number of sites run by the Partnership organisations. They will be asked to complete a standard assessment form with a case worker which will be looked at by a multidisciplinary team featuring experts from the various services involved who will then tailor a support package. Each individual will also be assigned a dedicated case worker from one of the forces’ charities. The service will follow government guidelines on the treatment and care of veterans following their service career. Service access telephone numbers are: • Legionline (Royal British Legion) 08457 725725 • SSAFA 0115 9781623 • Combat Stress Helpline delivered by Rethink Mental Illness 0800 138 1619 • Nottinghamshire Healthcare 0115 9691300 ext 16336.
Communications Team awards scoop The Communications Team is celebrating a recent run of award wins, having picked up three prestigious accolades. The first was secured at the Communicating Health Awards where the team won in the ‘Best Annual Report’ category for the Trust’s 2010 annual report. The second accolade was from the national CorpComms Awards. Fighting off tough competition from the likes of City & Guilds and Scottish Water, the Team won the ‘Best Communications by a Public Sector Organisation’ category for the anti-stigma CD project ‘Music is What Feelings Sound Like’.
WHO WE ARE...
You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare NHS Trust is. We provide integrated healthcare services including mental health, learning disability and community health services. We also manage medium-secure units in Leicester and Rotherham, and the highsecure Rampton Hospital near Retford and provide healthcare in 12 prisons across the East Midlands and Yorkshire.
WE NEED YOU!
If you have any ideas or suggestions for the newsletter, please contact Suzanne Aitken in the Trust Communications Team on 0115 955 5403 or via email at suzanne.aitken@nottshc.nhs.uk. We are always pleased to receive articles for possible publication, but ask that they do not exceed 300 words. Wherever possible when naming individuals, please include details of their job titles/roles and the organisation they are from. If any individuals other than yourself are mentioned in what you write or featured in accompanying photographs, please make sure you check with them that they are happy to be potentially featured. It is your responsibility to ensure this consent is given. Please send photos as separate image files and not in Word documents. Please note that the Communications Team has full editorial control and may have to edit articles appropriately. Therefore, if you want to see the final version please ensure you send your article in with plenty of time before the deadline and state clearly what you require. If you would like copies of any past editions of Positive, or if you are having any ‘distribution issues’ with the newsletter – whether you’re receiving too many copies, too few, or none at all – then please contact us. If you would like your story in the March issue of Positive, please contact us by 3 February 2012. However, due to space constraints we cannot guarantee the publication of all articles received by the deadline. Nottinghamshire Healthcare NHS Trust, The Resource, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA tel 0115 9691300 www.nottinghamshirehealthcare.nhs.uk
Finally, but by no means least, the Team picked up the Silver Award for ‘Best use of Photography or Design’, again for the Trust’s 2010 annual report at the Chartered Institute of Public Relations Midlands Regional Awards. Printed on Cocoon · 100% recycled paper
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Honours for Tracey
Department for the final year of my course. If it wasn’t for the support and encouragement of the Trust I wouldn’t have achieved this qualification; I am hugely grateful. “My general manager in my previous role suggested that this would help with my career progression and working towards a management role. The Trust was a great place to work while studying as it helped with many aspects of the coursework and information gathering.
Congratulations to Tracey Roberts, Business Manager (Local Services), Learning and Development for successfully gaining a BA (Hons) in Business Management. Tracey studied for her degree with West Nottinghamshire College on a part time basis over two nights a week for three years. The first two years of the course which was overseen by Leeds Metropolitan University, was a foundation degree for which Tracey received support through Joint Investment Funding (JIF), available for staff in bands 1-4. For the final conversion
Tracey Roberts
year Tracey had further assistance from the Trust. She said: “I was really lucky to have additional support from Julian Eve and the Learning and Development
“The course was really challenging and I am very pleased and relieved to have completed it. I feel like I have gained a lot more skills and confidence to perform better; it’s already helped me progress from an administrative position to my current role. I would certainly recommend it to other people as it opens up a lot of doors and the Trust is incredibly supportive of learning and development.” To find out more about studying opportunities and JIF contact Denise Harrison on 0115 9691300 ext: 10606.
Thorneywood officially ‘young person friendly’ Thorneywood young people’s outpatient unit has been accredited with the national ‘You’re Welcome’ quality standard for providing a ‘young-personfriendly service’.
all aspects of the service. Bev Datjis, Admin Team Leader, Outpatients – Thorneywood, has also provided support with implementing training and changes within the administration team.
The Department of Health accreditation sets out principles to help commissioners and service providers improve the suitability of NHS and nonNHS health services for young people. The guidelines can reinforce young people’s social responsibility as life-long users of the NHS and encourage them to share in the decisions made about their health.
“Having this acknowledgement is great for the Child and Adolescent Mental Health Services (CAMHS) team and the relationships we strive to create and maintain with young people, families and the wider community,” said Carl. “I also believe it supports future service funding and commissioning as we are committed to providing the highest standards of care.
Carl Jones, Specialist Mental Health Practitioner and Caroline Prance, Clinical Nurse Specialist, have been working with the guidance ‘tool kit’ for nearly a year and provided evidence of
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“Thorneywood has a great team, CAMHS is a great service and I believe things like this support a brighter future. The parent carer group held each month at
Thorneywood is an important aspect of creating a reflexive and progressive service.” The ‘You’re Welcome’ good practice guidance has been welcomed by commissioners, professional bodies and
organisations representing young people. Implementation is expected to contribute to improvements in access, mental health education, inequalities and outcomes throughout the range of issues experienced by young people and their carers.