Positive July 2013 by Hargrave Design

juLY 2013

about integrated healthcare

Working together to support survivors of domestic and sexual violence Stella Project findings shared see centre pages simple steps top marks for quality census day radford care group triangle of care

MESSAGE

This month sees our Annual General Meeting and Annual Members’ Meeting, ‘Integration working for patients’. The day will focus on integrated care, showcasing stories of excellence and good practice across the Trust and the benefits to patients and service users. There will also be a review of the past year and our plans for the future will be presented. The event at the East Midlands Conference Centre on Friday 26 July, runs from 11am to 3.30pm. There is still time to register if you wish to attend. Visit www.nottshealthcareagm2013.co.uk or phone the Involvement Team on 0115 993 4567. This newsletter features just some of the great work taking place across the Trust and how such best practice is being shared and recognised. The

FROM THE BOARD Recovery College recently shared its highly successful model with other Trusts wishing to learn how to create similar initiatives. The College has proven to be groundbreaking in many ways and once again, the Trust is paving the way for others to follow. Quality is a priority at Nottinghamshire Healthcare and I am delighted to see that once again our medium secure units have come out top in a national league. Well done and thank you to everyone involved in ensuring patients are provided with quality care, environments and security. Congratulations also to the Catering Team at Wathwood Hospital and to Team Leader Dawn Stanley for their recent award successes. It is great to see dedicated teams and leaders

Do you know someone who deserves a Leadership Academy Award? The NHS Leadership Academy has launched its inaugural Leadership Recognition Awards, with nominations now being accepted. The awards will celebrate all leaders, at all levels, and across all professions who have ultimately improved health, the public’s experience of the NHS and those leaders who we are truly proud to work alongside. Shortlisted candidates in each of the nine categories will be invited to attend the regional awards ceremony in November, with the winners being considered for the national awards which will be presented in February 2014. The categories are: • NHS Quality Champion/Innovator of the Year • NHS Inspirational Leader of the Year • NHS Leader of Patient Inclusivity of the Year • NHS Board/Governing Body of the Year • NHS Partnership/System Leader of the Year • NHS Emerging Leader of the Year • NHS Community Leader of the Year • NHS Mentor/Coach of the Year • NHS Leadership Champion Supporting both local and national work Nominations must be submitted through the Awards website at http://awards.leadershipacademy.nhs.uk/em/ For more information contact Liz McIntyre at the East Midlands Leadership Academy via liz.mcintyre@nottshc.nhs.uk

recognised. The NHS Leadership Academy has recently launched its Leadership Recognition Awards. If there is a colleague you feel deserves recognition for their leadership, why not nominate them for an award? See the article below for more details.

Dr Peter Miller Executive Medical Director

Engaging with the NHS Complaints Handling Review The Trust was visited in May as part of the national NHS Complaints Handling Review in response to the Francis Report into failings at Mid Staffordshire NHS Foundation Trust. The review, jointly led by Ann Clywd MP, is engaging with patients and their carers and representatives, staff and managers, to hear and understand their experience of the way trusts manage and act on concerns and complaints. Samantha Eagling, Service Liaison Manager, said the team was met by representatives from across the organisation, and feedback was that they found the visit both extremely interesting and very useful.

Services join together to reduce hospital admissions County Health Partnerships and Nottingham North and East (NNE) CCG are working to reduce the amount of hospital and residential care admissions by improving care through a new people-centred service. The new Adult Community Care Service integrates teams to provide admission avoidance, case management and rehabilitation. The service has three multi-disciplinary teams – Hucknall and Eastwood, Arnold and the Villages and Carlton – aligned to groups of GP practices. Each includes nursing, occupational therapy and physiotherapy staff, working closely with mental health and social care services. A new Single Point of Access (SPA), which went live on 10 June, manages all enquiries and referrals. The team includes an experienced clinician who can respond

She said: “They planned to meet as a review team in June, providing us with some feedback on the visit and the opportunity to comment on their reflections at this point. The team acknowledged that we had a number of examples of good practice and asked if we would be willing for this to be shared.

to any clinical queries over the phone, avoiding admissions by ensuring a rapid response within two hours to patients who could be supported at home. County Health Partnerships’ Clinical Director for NNE, Tracy Madge said: “The new Single Point of Access provides all referrers to the new NNE Adult Community Care Services with Safe and Proactive Access to the right care at the right time and place. I know the SPA will revolutionise the way we respond and become the centre of improved management of more complex people in the local community.” The service takes referrals for patients who can be supported at home who would otherwise be taken to hospital that day. It also takes referrals for occupational therapy and physiotherapy needs, long

term conditions with high nursing needs and general nursing needs for housebound patients. As part of better integration with voluntary services, the SPA also takes referrals for the Red Cross Crisis Intervention Community Support Service (CICSS). The service also aims to increase case management of frail older people by utilising risk stratification tools and local intelligence to identify those most vulnerable to hospital admission. Referrals and enquires can be made by clinical and social care professionals and existing patients through the SPA on 0300 083 0100, from 8am-6.30pm, Monday-Friday. For more information contact Lynda Penford, Head of Adult Community Services NNE, on 0115 993 5577.

Simple steps to make a difference Cotgrave Health Visitor Marion Petch explains some changes the team made in response to client feedback...

“Rowan 2 and Cherry Ward were involved in the visit, and received glowing comments. Ruth Warren, Ward Manager Rowan 2, impressed the team with her commitment and energy and special thanks went to Cherry Ward Staff Nurse Jill Reedman who stepped in at the last minute and was able to talk positively about feedback on the ward; which in itself proved valuable as it showed the culture within the team.”

“Isn’t it easy to assume that clients know what we offer and are happy with our service?

The visiting team concluded: “We know that preparing for the visit took up a lot of time for a lot of people, not to mention the time given up by so many of you on the day. Please pass on our thanks to your colleagues for their time and effort, and for the open and honest way in which you responded to the team’s questions; it was very much appreciated.”

“All it took was some attractive posters, placed in the Well Baby Clinic, to inform everyone that they are welcome to speak privately to a member of their Health Visiting Team.

“In our recent clinic evaluation, prompted by the ‘Productive Community Services – Knowing How We Are Doing’ module, we found this isn’t always the case. “We have always had the option of a private room for parents to meet with their Health Visitor during Well Baby Clinic on a one-to-one basis. It became apparent from the evaluation, however, that not all parents were aware that this was an option. When asked what would improve the client experience, many people requested more privacy in clinics.

“This simple step immediately prompted positive responses, and has shown us that simple, attractive communication in the right place and at the right time is a key factor in good client relationships and positive service provision. “One parent told us, ‘It’s great to see such a simple solution that tells us not only can we speak in private, but that our views matter and are listened to.’”

Positive June 2013

The Involvement Centre is a big part of Alan’s Story By Shaid Snowdon, Involvement Volunteer at Duncan Macmillan House. Alan is a service user, nurse and a volunteer at the Involvement Centre. His journey is fascinating, showing his sheer determination to get through three devastating hospital admissions due to depression and psychosis. Aged 55, Alan told of his remarkable story, which began 15 years ago, when he worked at Highbury Hospital as a state enrolled nurse. His manager and deputy manager spotted Alan becoming noticeably depressed and his mood had dramatically decreased. Together they went to QMC, where Alan was admitted for six months. Alan battled with depression for years, and in that time was admitted a second time. Although his confidence was shattered, Alan was able to find work again with his positive attitude, willpower and strength of mind, working his way up to staff nurse level in a mental health ward at City Hospital.

Unfortunately Alan became unwell again, and he was admitted to Millbrook Mental Health Unit. Undeterred, he found work as a service user helping out on the ward. Alan now has a new lease of life thanks to Involvement. As well as volunteering at the Involvement Centre, he is also on work experience (see article below). Jonathan Wright, Centre Manager at the Involvement Centre said: “I noticed a huge difference in Alan’s confidence levels since he started volunteering at the Centre.” Alan also attends Central College and will soon complete his mathematics functional skills level 1 and English functional skills level 2. Despite his distressing personal experiences, Alan says “the future is bright” for other service users and outpatients in the community and that “there is always hope.”

Alan’s Hotel Services work experience By Hotel Services Managers John Heath and Mandy Turton The first time we met Alan his willingness to learn shone through and we were confident he would benefit greatly from our work experience programme. He has gained a lot of valuable experience working firstly as a Porter, then as a Catering Assistant. Alan has gained the CIEH level 2 in food safety award, a nationally recognised qualification within the food industry. He has also attended the Trust’s ‘on the move’ back care course and through

in-house training, gained knowledge on many work related procedures. The next stage of his development is a move to the main reception. By attending this programme, showing the commitment he has and with the support of Hotel Services staff and the Involvement Centre, Alan will gain a huge amount of confidence and work life experience. This should all help him when he decides the time is right to look for permanent employment.

Trust sco re The Trust is celebrating top ratings in a report detailing the quality of all medium secure units in the country. Wathwood Hospital received the highest overall score for quality, with Arnold Lodge ranked ninth out of 65 medium secure units across England, Wales and Ireland. The ratings are published in the Quality Network for Forensic Mental Health Services – Cycle 7 Annual Report. The scores were compiled through a supportive peer review process, combining self reviews and external peer reviews against a number of indicators based on Department of Health Standards for Better Health

Liftshare and Easyrider –

‘wheelie’ good travel ideas Finding real, sustainable alternatives to lone car usage has been a key focus for the new Transport and Travel Group, formed last year. They’ve now put in place two initiatives which could also save drivers money. Car sharing The Trust now has a dedicated lift sharing scheme, giving car drivers the opportunity to contact other staff members who would like to car-share on their commute to and from work. “It’s extremely easy to register your journey and search for potential car-share partners who have already registered,” said Energy and Environmental Manager and Sustainability Adviser Neil Alcock. “If there aren’t any matches within the Trust there’s the option to expand a search to the wider users of Liftshare.” Easy Riders The Trust has signed up to the

Nottingham City Transport (NCT) Easy Rider card scheme. This provides significant savings for travel on the NCT network, up to £213 per year compared to monthly renewal at the NCT Travel Centre. If this proves successful the Trust may be able to make use of similar schemes for other locations. Register for the schemes To register for either scheme, go to the Intranet homepage and click the ‘Environmental Issues’ section on the top right hand side directly under the ‘Classifieds’ section. For car sharing – select ‘Liftshare Information’ and follow the ‘Joining Liftshare Instructions’ document. For further information email neil.alcock@nottshc.nhs.uk For Easy Rider – select ‘Easy Rider Scheme.’ For further information email stephanie.humber@nottshc.nhs.uk

o res top marks for quality and the Care Quality Commission’s Essential Standards of Quality and Safety. They include: • Security • Serious and Untoward Incidents • Safeguarding Children and Child Visiting • Clinical and Cost Effectiveness • Governance • Patient Focus • Accessible and Responsive Care • Environment and Amenities • Public Health Trust Chief Executive, Mike Cooke said: “This is fantastic news, it’s a great achievement. It reflects the hard work of our staff at both Wathwood and Arnold Lodge and the dedication they show to our patients, to ensure they receive the highest quality care and treatment in safe and secure surroundings.”

The report highlights areas of good practice observed in the review process. Wathwood Hospital was praised for its safety assurance measures for staff who are working alone. The unit was also highlighted for putting a procedure in place to enable patients access to the Hospital’s mobile phones and MP3 players which are internet safe. The meaningful activities and in-house work placements provided to patients particularly impressed, with special reference made to the opportunities on offer within the Hospital’s farm shop. Arnold Lodge was highlighted for best practice in the area of Accessible and Responsive Care. The unit was praised for clearly displaying feedback forms and postcards in reception to enable visitors to feedback their comments and suggestions. Also, the unit was

noted for the summary of service users used on the wards to aid the ‘patient status at a glance’ system. The review process used by the Quality Network is cyclic, beginning with a set of standards being developed in consultation with member units. Members then engage in a detailed team/service evaluation during the self review phase. This is followed by a period of peer review visits to validate the data provided during the self review. When all member units have completed the peer review phase an annual report of the aggregated findings is written to enable benchmarking with other services. For further information visit www.rpsych.ac.uk

Positive July 2013

‘Illuminating’ personal experiences of mental illness

Simone Pinkett

A recent exhibition at the New Art Exchange, entitled ‘Illuminated’, offered a striking and powerful exploration of personal experiences of mental illness, stigma and the human condition. Four artists worked with each other and individually to create a series of photographs, installations, technical drawings and photomontages.

workshops there. I find that having something to focus on, something stimulating is very helpful. The focus was on learning and not my mental health.”

Simone Pinkett, one of the artists, was interviewed about her art and the support she received from the Trust’s Social Inclusion and Wellbeing Team.

How did you get involved in photography? “My support worker told me about a course with the Nottingham Photographers’ Hub. They helped me to settle in, and I found the tutors very good. They treated me like a ‘normal’ person. Everyone was treated equally and we felt free to talk about any problems or issues we were having.”

How did you get involved with the Social Inclusion and Wellbeing team? “Six years ago I couldn’t leave my flat; I was terrified of people. I have always had an interest in art and had done some art classes before, which were open to people with disabilities, but I found them patronising. I was not seen as an individual; I did not fit in and felt that the teachers saw me as a ‘thick’ person and I am not ‘thick’. “It was different with the Social Inclusion and Wellbeing Team as they did see me as an individual. They asked me what I enjoyed, and organised for me to do textile workshop classes. One and a half years later and I am still enjoying doing

NICE Champions Paul Radin and Michael Osborne were among the delegates at the NICE (National Institute of Clinical Excellence) Annual Conference held in Birmingham earlier this year. Paul and Michael represent service users’, carers’ and volunteers’ voices in discussions about how NICE should be implemented in the Local Services Division of the Trust, so had a particular interest in attending the conference. The conference reflected on the new NHS landscape and explored how NICE can play a key role in driving up the

volunteering co-ordinator and support worker. They are approachable and flexible and I don’t know where I would be without them. I used to hide and not answer the phone. With their help I was able to set goals, starting small, but they helped me to get through days and then weeks.”

Tell us about your involvement in the exhibition at the New Art Exchange “It is good that I have my work on the wall in an art gallery, and I have become more confident in art work. I feel a sense of acceptance and that people are enjoying my art and not judging me.”

What impact has art had on you? “I have always been arty but I didn’t believe a hobby could help me so much. My art work says ‘hello I have mental health problems’ and that was not an easy thing to do, but I did it. If there is someone locked away in their flat like I was and I can help them to explore something they enjoy, or if there is someone who has no understanding of mental health and I can help them to see I am just a human being like everyone else; I hope my art can reach a lot of people.”

Did you receive any other support from the Social Inclusion and Wellbeing Service? “I receive a lot of support from my

For more information on getting involved with the Nottingham Photography Hub, who organised the exhibition, contact 0115 9470364 or visit www.nphub.org.

quality of health and social care services. Paul and Michael were present to hear the keynote address given by Lord Howe, Parliamentary Under Secretary of State for Quality, on the future role of NICE and attended the question and answer session with Robert Francis, QC on how lessons can be learned from the failings

at Mid Staffordshire. Michael said it was a great conference and that “it was nice to feel part of the large family of workers striving for the better health of the nation”. Paul (centre ) and Michael (right) pictured at the conference with Dean Fathers, Trust Chair

Nottingham Recovery College shares learning and expertise with Trusts nationally Following a huge amount of interest from other Trusts in the work of the Nottingham Recovery College, it was decided to look at sharing this model with other Trusts nationally. The Nottingham Recovery College offers a wide range of recovery focused educational courses and resources. They aim to support people in recognising and making the most of their talents and resources, through self management, to deal with the mental health challenges they experience and to achieve the things they want in life. A special event was held in June to share learning and experience of setting up and running a Recovery College. It was designed to give other Trusts an idea of what is involved and what can be achieved. The day began with Trust Chief Executive Mike Cooke talking about the Recovery Strategy, challenges, new social technology and his experiences as a tutor. This was followed by a number of other key speakers from the College talking about the ideas behind it and how it all works.

Over lunch delegates got the chance to hear from students, peer trainers and volunteers about their experiences. A number of partners who run courses hosted stands and were on hand to talk about their particular courses, services and working in partnership with the Trust and the College. On the second day a variety of workshops were held which gave the delegates a chance to look into the work of the College in further depth. Delegates attended from organisations across the Country and even came from as far afield as Ireland, demonstrating just how successful the work of the College is and how its reputation has grown.

Helen Brown, Nottingham Recovery College Manager said: â&#x20AC;&#x153;It is great to see the positive work of the College being recognised by so many Trusts nationally who have shown huge interest in taking this forward in their own organisations. The event went really well and we now plan to look at selling packages so Trusts can replicate the College, meaning many more people will be able to benefit from what it has to offer.â&#x20AC;?

Positive July 2013

l-r Melissa and Kerry

Melissa Collingburn and Kerry Reynolds, who both work at Rampton Hospital, have been awarded not one but two Chartered Management Institute awards, after studying over the last year and a half.

Admin staff receive Chartered Management Institute awards

Rebekah is Student of the Year Human Resources Support Officer Rebekah Cotterill has won a regional award for her dedication to professional studies at West Nottinghamshire College. Rebekah scooped the Chartered Institute of Personnel and Development’s (CIPD) Student of the Year Award at the Derbyshire and Nottinghamshire region’s annual meeting. She is currently studying the CIPD Certificate in Human Resource Management and has just secured a place at the University of Lincoln to study on the MSc Human Resource Management degree. Rebekah was nominated by her tutor for her ‘commitment to the philosophy and ideals of the programme.’ “I felt very humbled to be nominated for this award – it was a lovely surprise,” she said. “I’ve really enjoying my studies at West Notts College and it’s given me a good grounding before I start my MSc in September.”

Melissa currently works as PA to the Lead Psychologist in the Men’s Personality Disorder Service. Kerry worked with Melissa as Team Secretary for both Men’s Personality Disorder and the National High Secure Service for Women. They studied together at North Notts College and after an intense nine month course (completing an assignment each month!) they have both achieved their CMI Level 5 Diploma in Management and Leadership. Kerry’s success in her studies has led to a promotion within the Trust and she is now currently working as Admin Lead for the Mental Health Services for Older People at Bassetlaw Hospital. As if this wasn’t enough, they have recently continued their studies and have just completed the CMI Level 7 Certificate in Strategic Management. Well done to both of them.

Rebekah Cotterill with Halinka Hepworth, Vice Chair CIPD Derbyshire and Nottinghamshire Branch

Practicing what we preach? A highly successful conference entitled ‘Practicing What We Preach? The Journey So Far’ was held at Highbury Hospital in May. Through presentations

and workshops, the event raised awareness of mental health issues in the workplace, shared good practice in supporting staff with mental health issues

Stories told and experiences shared in Deaf Awareness Week The Trust celebrated sharing experiences and emphasised the importance of being Deaf Aware during the ‘Get Involved/ Get Aware’ themed Deaf Awareness Week in May. With one in seven people experiencing some degree of hearing difficulty or deafness, Deaf Awareness Week (DAW) annually promotes the experiences of deaf people and carers to raise awareness and decrease barriers surrounding deaf communities.

and helped focus future actions. Pictured here are some of the key speakers and facilitators l to r: Catherine Conchar,

Emmanuel Chan, Specialist Lead, Deaf Services, said: “Celebrating Deaf Awareness Week allows us to understand the difficulties experienced by deaf communities and to showcase our work with them.

Dave Henry OBE, Dwinder Virk, Dr Julie Repper, Professor Mike Cooke CBE, Stephanie Humber, Dave Wight, Dr Rachel Perkins OBE and Catherine Pope.

difficult experiences and their success in overcoming some of the challenges.”

“I am pleased to see that the barriers have been further reduced by sharing stories and good practices between deaf and hearing people.”

One deaf service user said: “I was really proud that I could talk about my upbringing and how I have struggled with my physical health and my work. It was helpful to learn that hearing people have shared similar difficulties and disadvantages like deaf people.”

Emmanuel took part in a live interview on BBC Radio Nottingham with Nottinghamshire Fire and Rescue Service to discuss the benefits of special safety equipment for people who are deaf and hearing impaired and the positive impacts on their health and wellbeing.

Odeon Mansfield had daily subtitled screenings and other organisations such as Nottingham University Hospital, Adult Sensory team (City), Deaf and Visual Impairment team (County) and Ear Foundation also organised events to celebrate the week.

Social events held throughout the week included talks by deaf people and carers at the Rosewood and Nottingham Involvement Centres, where an attendee said they “learned about deaf people’s

As a follow on from DAW, an action plan has been drawn together with the Involvement Centres and Recovery College to continue to promote deaf awareness throughout the year.

Positive July 2013

Promoting good oral health in young people The Dental Nurse Team Leader role in the Salaried Dental Service has been developed over the past three years. During this time, the Service found that some of the most vulnerable people in society were not accessing essential health services, and in some areas being wrongly signposted. The Service has been looking at ways to address this, and Dental Nurse Team Leader Alex Hobson highlights two projects below.

Sure Start

Special School Transition Groups

“When a young person is about to leave school it can be a daunting time, but if you have a learning disability, not having the routine of school and the security it brings can be very difficult. The special school nurses and Learning Disability Facilitators developed a series of information groups to aid in the transition.

“We found that many new parents were confused about how and when to access dental services for their child, and by the messages around foods and dental care. Colleagues at the local Sure Start Children’s Centre agreed that they found it difficult to answer some of the parents’ questions, so I spoke to parents at one of their groups, and was then asked to attend other groups at the centre.

“I joined them to discuss various health issues and their importance as the students go into adult life. These fun and interactive sessions encourage students to look at their health, and how to improve and maintain it. We check to ensure everyone has access to all the health services they should, and if not, that they are signposted accordingly.”

“Other centres heard about the positive feedback and also contacted me to ask for help. Now all the centres are accessed by our staff, who take along interactive models, advice sheets, referral forms, free samples and so on. These sessions are invaluable in getting the right messages across, and providing information to centre staff as well as parents.”

The Information Revolution… One Year On One year on since the official launch of the ‘Information Revolution’, leaders from across the Trust gathered at May’s Executive Leadership Council (ELC) to discuss the revolution and learn more about the great progress that has been made over the past 12 months. The ‘Information Revolution’ is the name given to the ambitious programme of work the Trust’s Health Informatics Service (HIS) is to deliver over the next three years. It is based around five priority areas which are all centred on enhancing patient care and efficiency. These priorities are to: • implement an expanded Electronic Patient Record (EPR) across the Trust • develop its Electronic Staff Record (ESR) • integrate various electronic systems both inside the Trust and to outside stakeholders and the health and social care community • roll out mobile technology to community teams • build a new business intelligence and information management system. At the ELC, through a series of presentations and demonstrations, delivered by HIS representatives and Divisional leads, delegates learnt more about the notable achievements that have been secured as part of the ‘Information Revolution’. These include:

• Extensive use of RiO and SystmOne functionality across the Trust now means that work to implement an extended EPR is gathering pace. The benefits of this work include enhanced patient safety, experience and care, ensuring that clinicians have access to the right information at the right time and a reduction in administrative procedures. • ESR has been rolled out to staff in Corporate Services. Working electronically, removing the need for multiple manual forms and processes will improve efficiency. • The Trust has become the first integrated healthcare trust in the country to implement a mental health electronic discharge summary. This means that when a patient is discharged from inpatient mental health services, their information is sent directly to their GP electronically rather than in the post, resulting in more timely and enhanced patient care. • BORIS (Business Oriented Reporting Information System), the Trust’s new business intelligence system, is being rolled out. BORIS will enable the Trust to store all of its

information centrally, making access to key information, statistics and performance indicators easier. • The Trust is on target to roll out more than 500 laptops to community nurses in Health Partnerships. Enabling greater mobile working and efficiency, community nurses are able to spend more time delivering face-to-face patient care. Colin Hoggins, Interim Head of Health Informatics said: “Although we still have a lot of work to do to fully reach our goals, great steps forward have taken place over the past 12 months and it was great to see these acknowledged in such a positive way at the ELC. I look forward to building on these successes over the coming weeks and months.” Applied Information Manager, Gareth Staton explains the benefits that BORIS will bring at ELC

Positive July 2013

The Stella Project is a Success An event, to review and discuss the findings of the ‘Stella Project’, has been heralded a success.

Representatives from the Trust, voluntary organisations and the ‘Stella Project’

The Stella Project is a three year national initiative which has developed and evaluated models of responding to survivors of domestic and sexual violence, who are also experiencing substance misuse and/or mental health problems. The event, attended by over 90 delegates from a range of healthcare and voluntary organisations, was coordinated by the Trust, Action Against Violence and Abuse (AVA), Rape Crisis and Women’s Aid.

A number of presentations were delivered which gave an overview of the ‘Stella Project’ and looked at its outcomes; explored the links between mental health, substance misuse and domestic and sexual abuse. It also looked at what voluntary agencies can offer in terms of support to victims of domestic and sexual abuse. In addition, a DVD chronicling

‘Health Inspectors’ share good practice on the national stage The Gedling Community Learning Disabilities Team’s ‘Health Inspectors’ were recently speakers at a prestigious event hosted by specialist national online publication www.learningdisabilitytoday.co.uk The Health Inspectors attended the conference at Hillsborough Stadium in Sheffield, supported by Ruth Wint and Cathyanne Gardner, Community Nurses at Gedling. Health Inspector Amanda Pickering delivered a talk as part of the session ‘Listening and working together: Delivering good quality local health care provision’. It looked at how Clinical Commissioning Groups plan to improve patient experience and access to care, and reduce health inequalities. It also discussed the importance of the relationship between GPs and people with learning disabilities, and how strengthening this relationship can lead to better commissioning.

the experiences of a domestic abuse survivor was shown, followed by a moving first hand account from Sarah, the Survivor featured in the DVD. Helen Scott, Specialist Practitioner for Domestic Abuse at the Trust said: “The ‘Stella Project’ is such an important initiative. It has provided us with invaluable information in terms of understanding how survivors of domestic and sexual abuse want professionals to respond, in turn, helping us to begin implementing more effective care pathways. Being involved in the initiative has also enhanced the working relationships we have with partner and voluntary organisations – allowing us to deliver a much more integrated and enhanced level of care. The statement that I will take away from this project is a comment made by a survivor, ‘treat me like a human being’. I think that is something that can so easily get lost in our attempts to unravel complex problems, but can make such a massive difference to a person’s life.” For more information about the Stella Project visit: www.avaproject.org.uk

The Health Inspectors

The service user group was delighted to be asked to share their good practice with a wider audience, and Amanda’s presentation covered the work that the group has been doing to develop a bigger voice for people with learning disabilities in the Gedling area, and the ideas they have for the future. Ruth Wint said: “The presentation in Sheffield went down really well, and based on that, the Health Inspectors have now been asked by Learning Disabilities Today to speak at a conference in London. “At the Sheffield conference there were representatives from the Care Quality Commission, Social Care, GPs, and CCGs – some powerful influences. “People were very impressed with our Health Inspectors and I think they will possibly mirror some of the ideas from the group in Sheffield.” The Health Inspectors won two awards at this year’s OSCARS, which has led to these opportunities. Well done again!

Positive July 2013

Wathwood Catering win Team of the Year Congratulations to the Wathwood Catering Team (Forensic Facilities), who won Team of the Year Award at the National Health Estates and Facilities Management Association (HEFMA) award ceremony in May. The team was nominated for its work with patients and Occupational Therapy colleagues to open a fine dining restaurant within Wathwood Hospital. Loosely based on ‘The Clink’ in HMP High Down, where prisoners train in catering in a bid to prevent reoffending, ‘Section 17’ is a training restaurant where patients produce and serve meals with support from staff teams. Working in Section 17 helps patients with their recovery and provides another arena for them to gain qualifications in food preparation and food service. Sue and Ellen

Supporting Research The Trust’s Phlebotomy Team has played a significant role in helping Nottinghamshire Healthcare to become the national top-recruiting Trust for the DPIM study (DNA Polymorphisms in Mental Illness).

The catering team has worked with patients who have little or no catering experience, teaching some basic skills and supporting them to cook a threecourse menu. The meals are made from scratch, using fresh fruit and vegetables grown in the Hospital gardens or from the on-site farm shop. Patients involved in the project have also been part of the PLACE pilot and have spoken favourably about their experience in the Hospital kitchens as part of the audit. The main success of the project is the participation and the rehabilitation of the patients involved. Patients are routinely called back to the restaurant once the service has finished to a round of applause by diners. Kay Mulcahy, Head of Estates and Facilities (Forensic) said: “We are delighted that the hard work of the catering team has been recognised nationally. The team has truly adapted to the service and whole heartedly understand the real benefits for the patients. Their involvement, commitment and loyalty to the service ultimately demonstrates their commitment to the patients’ quality of life and self esteem. We are extremely proud.”

The phlebotomists, Sue Whibley and Ellen Mercer and Healthcare Assistant Lynn Donelly, have worked with the Mental Health Research Network on a number of studies where participants are required to give a blood sample. With the DPIM study, Sue, Ellen and Lynn have asked regular attendees at their clinics if they would be interested in talking to MHRN Clinical Studies Officers about the study. At a later date they have then taken samples from service users who have given consent to take part in the research. Research Liaison Nurses Jon Lander and Veronica French would like to say a big thank you to all three staff members who, despite very busy schedules, have supported the work of the MHRN. Their efforts have enabled Jon and Veronica to introduce more service users to the world of mental health research.

Left to right: Dawn Stanley, Catering Team Leader, Catherine Brooks, Hotel Services Manager, Jean Denton, Catering Assistant, at the Craft Guild of Chefs Awards

Dawn’s a masterchef Dawn Stanley, Catering Team Leader at Wathwood, has been named as runnerup in the national Craft Guild of Chefs’ People’s Choice Award. The award celebrates unsung heroes in the chef world and recognises their outstanding contribution and the impact they have on colleagues. Kay Mulcahy said: “I am extremely proud of Dawn and our services, a true credit to our team. This was a really tough category. Apparently a great night was had by all at the awards dinner and a patient who has been heavily involved in the Section 17 restaurant was also able to attend and share in the celebrations.” Congratulations Dawn!

Celebrating success with Patient Opinion

From left, volunteer Bruce Rhinds, Sue Dyke, volunteer Marion King, Liz Gething, volunteer David Grove, and Specialist Podiatrist Lisa Metcalf

Patient Opinion is going from strength to strength in Health Partnerships. With over 100 postings on the website so far, and 12 changes to services recorded across the localities, this is a fantastic testament to all those who have worked so hard to ensure Patient Opinion is actively promoted within the service.

“Anything that gives patients and their families the opportunity to feed back to us how they feel about our services has to be a positive thing, and Patient Opinion does just that,” explained Liz. “It’s transparent and open, as everyone can see the stories and responses on the website.

Health Partnerships now has 107 members of staff signed up as subscribers to the website. Senior Podiatrist Liz Gethings was the 100th member to come on board and she invited volunteers to Newark Clinic to talk about them becoming Patient Opinion and Feedback Champions.

“I also think that a fast response time from the team demonstrates the importance we place on receiving feedback and hopefully encourages more people to use the site. I look forward to seeing what patients feel about the Podiatry service in Newark.”

Tina Bryan, Volunteer, Newark Podiatry, added: “I think this is an excellent service for patients. I have recently been a patient at Newark and I really wanted to give my feedback on the service I received. When I was told about Patient Opinion I filled a response form in immediately. “I also volunteer in the Podiatry Service and I hear lots of comments from the patients while they sit in the waiting room; it will be great to be able to let the staff know what the patients think about their service. Patients will tell us things that they may not say to the clinician.” For more information on Patient Opinion in Health Partnerships, contact Sue Dyke on sue.dyke@nottshc.nhs.uk or call 0115 883 1754.

“End of life care has an impact on everyone – don’t leave it to chance...” A conference to mark Dying Matters Awareness Week was held in May for 180 health and social care staff. The event, organised by End of Life Care (EOLC) Trainers Elise Adam and Steph Pindor, showcased how working together in Nottinghamshire is improving care. Rick O’Brien from NHS Improving Quality and Dr Greg Finn provided an overview of EOLC, and other speakers included Hon. Lecturer in Health Research, Pam Firth, who focused on family support, and Revd. Dr Paul Quilter, who provided a lively presentation on spiritual care at the end of life. Lynn Bellamy, who contributed to the Channel 4

Dispatches programme ‘The Secret NHS Diaries’, shared her experience of caring for her husband Harry and other family members, which allowed her to see ‘the best and worst of EOLC’. Lynn had never spoken publicly before, but her talk had a profound impact on the delegates. GP Dr Emma Sawyer and Long Term Conditions and Palliative Care Nurse Wendy Berridge shared their ‘new approach’ to caring for individuals with

From left, Steph Pindor, Lynn Bellamy and Elise Adam

a non-malignant long term condition.

They also promoted the role of EOLC Champions.

Maggie Rhodes and Karen Tidy from Landermeads Nursing Home also showcased how they achieved Nottinghamshire’s first Beacon Gold Standards Framework (GSF) Care Home status. Halima Wilson from County Council Workforce Development and GP Dr Julie Barker explained the further national GSF opportunities that are to be delivered locally.

An afternoon workshop promoted the future development of EOLC in Nottinghamshire and Karen Tidy wrote a wonderful poem to sum up the day. A variety of stalls also helped to raise awareness of EOLC services and publications. Evaluations highlighted how this day had impacted on delegates professionally and personally, with many stating that they would now talk to their families about their future wishes and preferences. Information about EOLC training and other resources can be found at www.nottslandd.nhs.uk/endof-life-care, or email elise.adam@nottshc-chp. nhs.uk or stephanie.pindor@ nottshc-chp.nhs.uk

Positive July 2013

4 July is Trust Census Day We all know how important it is to be treated as an individual. As a Trust, Nottinghamshire Healthcare needs to know the diverse make up of the people it serves and has a legal duty to report on and use this information when planning services. As a healthcare professional, knowing more about an individual can make a big difference to individualised care.

“Being gay, I’m amazed that no one has ever asked me about my sexuality. How do you know what my health needs are if you don’t ask?”

On 4 July, the Trust is aiming to ask everyone who comes into contact with any of its services to provide information about themselves in relation to eight of the Equality Strands, where gaps exist. These are Age, Gender, Ethnicity, Disability, Religion/Belief, Sexual Orientation, Pregnancy and Maternity, Marriage and Civil Partnership. All strands of equality and diversity should be recorded and monitored through electronic systems such as SystmOne and RiO. Some areas are better recorded than others. In particular, disability and sexual orientation are often not recorded. By working together on 4 July, it is hoped that this will change. Stonewall has produced an excellent booklet which explains why such information should be requested by employers and service providers, and what the benefits are. Staff may also find this useful when updating their personal Electronic Staff Record (ESR). The booklet is available on the Stonewall website, www.stonewall.org.uk. Go to the ‘What We Do’ section of the site, click on ‘Publications’ and search for ‘What’s it got to do with you?’ An Easy Read version of the booklet is also available. Staff can also find some useful resources to assist in data collection on the Trust’s Equality and Diversity Intranet site under the tab ‘Census Data and Resources’. For further information or to discuss issues of equality and diversity including monitoring, staff members should contact their divisional Equality and Diversity Lead.

Members of the team at the BMJ Awards

Eating disorders in the spotlight for the BMJ Awards The Trust’s Nottinghamshire Eating Disorder Service, in partnership with CCG member practice the University of Nottingham Health Service’s Eating Disorders in Students Service, was shortlisted by the British Medical Journal for two prestigious awards – Primary Care Team of the Year and Mental Health Team of the Year. The BMJ’s Primary Care Team of the Year award recognises teams which have significantly impacted on the health and wellbeing of the wider community. The successful shortlisting in the Mental Health Team of the Year award particularly recognises the multi-team and multidisciplinary work behind the creation of the Eating Disorders in Students Service (EDISS). The award entry outlined the process from initial recognition of the need by the Practice and the University Mental Health Team; the work done to prove the need and to support a funding bid; the development of the business plan with NHS Nottingham City CCG; the securing of funding from the CCG; and eventually working with Nottinghamshire Eating Disorders Service to shape a new and innovative type of service specifically for students at The University of Nottingham and The Nottingham Trent University. Congratulations to everyone involved. To find out more about the Nottinghamshire Eating Disorders Service go to www.not-tr.EDISS@nhs.net

Local teams support international development Bosnia & Herzegovina (BiH) has experienced a very troubled recent past which, in many ways, it is still striving to recover from. Competing nationalistic and socialeconomic priorities have meant the needs of people with a learning disability have not always been high on the national agenda. Established in 2000, SUMERO represents a union of organisations looking to address this inequality, by developing services, forging partnerships and promoting the human rights of people with a learning disability throughout BiH. For a week in May, six representatives from the Trust’s Specialist Services Directorate, Framework Housing Association and We Can Do It Training travelled to the capital, Sarajevo,

as part of the region’s charitable partnership with the organisation. One objective was to facilitate four days of training around person-centred planning, fundraising and the mental health and recovery needs of people with a learning disability. The training was accessed by around 40 service-users, volunteers and a broad range of health, education and social care professionals. Although it was sometimes a challenge trading ideas and information through a translator, everyone seemed to embrace the experience, and the feedback was very promising. “It was a very humbling experience,” said Community Learning Disabilities Nurse and Trainer Adam Clifford. “Despite the Country’s traumatic recent history, the people we met seemed focused solely on working towards a better future for the people of BiH – of which people with a learning disability need to be seen as legitimate citizens.” The group also accepted an invitation to meet with the Minister for Labour and Social Policy. It was good to hear a strong Government commitment to promoting the rights and quality of life of people with a learning disability; the

Minister was keen to hear about local and national developments in the UK. It was agreed that whilst our countries may be at different stages in their journey, both still have much to do to ensure people with a learning disability can lead valued and purposeful lives. Both the training and ministerial events attracted local and national media attention, providing another powerful outlet to promote learning disability issues to a wider audience. Service-User and Trainer Eddie Morecroft added: “I really enjoyed it and l believe we made a difference. l can’t wait to meet up again and see what we can do next.” “SUMERO is doing valuable work developing services and raising the profile of people with a learning disability throughout BiH,” said Clinical Director and Trainer Dr Richard Lansdall-Welfare. “Every organisation involved stands to benefit from this international partnership, as with different political and social circumstances come different ideas and approaches to pursuing our shared goals. I would like to thank SUMERO and all involved for making this another enjoyable and successful visit.” Trainers and delegates from SUMERO, the Trust, Framework Housing Association and We Can Do It Training

Positive July 2013

External Quality Mark for violence reduction training The Trust has successfully gained the AIM Awards Quality mark for its violence reduction training, for the second year running. Alan Maughan, Professional Lead for Violence Reduction, received a plaque on behalf of the Trust. Alan said: â&#x20AC;&#x153;Other recent developments weâ&#x20AC;&#x2122;ve achieved are: being approved as

L-R Nicola Baugh, Amy Radford, Lisa Gadsby

Alan receives the plaque from Amanda Ibrahim, Quality Reviewer and External Verifier at AIMS Awards

a Recognised Centre to provide all AIM Awards courses, and the development of a Level 3 Certificate course approved by Ofqual. “This is the new course all instructors will be required to complete, whether by study as they train to become an instructor, or our existing instructors can use an Accreditation via Prior Experience/Education and Learning (APEL) route. “We have launched this to colleagues in other Trusts and it seems to be raising an amount of interest. “The next stage of development is to create a Diploma Level 4 or 5 course, which will be a developmental course over the first two years following completion of the Certificate course, or again via the APEL route.” For more information contact Alan on 01777 247206.

Promoting Sun Safety In May, three Health Visitor students from Derby University who are training in County Health Partnerships, visited Wheelgate Park in Mansfield to promote Sun Safety Week. The day coincided with the British Association of Dermatologists’ Sun Safety Week which was aimed at encouraging people of all ages to take care in the sun and to be aware of any changes to skin, particularly to moles. The park was bursting with excited children and the manager stated it was one of the busiest days they had seen, no doubt helped by the glorious sunshine and bank holiday! The students had a lot of interest in their display and gave out information and advice to visitors. The children particularly enjoyed colouring in and completing sun related word searches.

Successfully reducing avoidable pressure ulcers The last year has been busy and exciting for the Tissue Viability team within Health Partnerships, working together with CityCare Tissue Viability Nurses to support the regional and local ambition to eliminate avoidable pressure ulcers. Teams in CHP and Bassetlaw have merged to create a consistent service across the organisation, and two new Tissue Viability Nurses are working within clinical teams. They have also developed a range of new materials to improve awareness and practice including SSKIN bundles, information plans for patients and care homes, a new ‘Your Skin Matters’ patient information leaflet, and a quick reference guide for all staff.

The Trust Board set a target of a 50% reduction in avoidable and acquired pressure ulcers within Health Partnerships by the end of March 2013. Associate Director of Nursing, Quality and Patient Experience Michelle Bateman said: “We have seen a marked and sustained improvement in the number of pressure ulcers reported over the last 12 months.

The Edwinstowe adult community nursing team in Newark and Sherwood was chosen as a pilot site for a regional collaborative, and the team achieved an amazing 75% reduction in avoidable pressure ulcers in just four months. The learning is now being shared. In January the roll-out of a Malnutrition Universal Screening Tool (MUST) began across the Division, and now all adult community nursing patients have their nutritional status assessed and interventions are put in place for anyone deemed at risk. Within Bassetlaw an innovative project is providing focused tissue viability support to residential care home staff, resulting in a significant increase in awareness of pressure ulcer prevention and management. This will be evaluated over the coming months.

“The target has been achieved, with a more than 60% reduction in pressure ulcers reported in March 2013 compared to July 2012. We have also achieved a zero tolerance of avoidable Stage 4 pressure ulcers since October 2012. “The aim is to continue to spread this work throughout integrated, collaborative services to achieve a zero tolerance of stage 3 pressure ulcers this year.”

Some of the team involved in the pilot project and tissue viability services

The day was a huge success and the students thoroughly enjoyed taking part in this worthwhile campaign.

Positive July 2013

Triangle of Care The Triangle of Care guide was launched in July 2010 as a joint venture between the Carers’ Trust and the National Mental Health Development Unit. It was developed by carers and staff to improve carer engagement in acute inpatient and home treatment services. Here, three Trust colleagues discuss their experience of using the new approach. Judith Machin Carer Peer Support Worker I was present at the launch of the initiative, and had a strong desire to support the Trust in taking it forward, as I felt it would improve outcomes for everyone working towards recovery. In February 2012 I gained commitment from the Trust to carry the Triangle forward, at a regional event that brought together professionals, carers and service users to look at the Triangle of Care and how it could be implemented. Following this, the five-day Behavioural Family Training course has now had two intakes and two more are planned this year. The training is a very positive approach to improving communication between staff and carers as well as between carers and service users. I attended a regular Family Champion Workshop, where we shared good practice in engaging with families and carers. A number of initiatives are taking place in the County, developing different approaches based on the Triangle of Care, with encouraging feedback. The new Carers’ Strategy 2012 – 2015 has been developed by the Carers’ and Family Community of Interest Group, with members including carers from mental health, learning disabilities, child and adolescent services and older people’s services.

of Care at a conference in April 2012 provided by the Carers’ Council – Allies In Adult Mental Health. After discussions with the Ward Manager, I began using the Triangle of Care audit tool to ascertain which areas we did well in and where we needed improvement. As a result I developed a new Carer Pathway for the ward, aimed at providing more support and better involvement for carers, families and friends. A colleague put me in touch with Carer Champion Clare Barker at Millbrook, who was looking to develop her role and to promote the inclusion of carers, families and friends. We discussed how I had used the audit tool to develop the Carer Pathway, and as a guide on how to improve and develop in this area. I visited Clare at Millbrook after she completed the audit to work through the results together. We have both found this to be a fantastic guide to base our practice on and to help make the improvements needed. I now complete the audit twice yearly to check our progress. Clare Barker Carer, Family, and Friends’ Champion, Orchid Ward, Millbrook Mental Health Unit

would need to be put in to place. For example, Orchid Ward and Lucy Wade Psychiatric Intensive Care Unit now have a Carer, Friends’ and Family information leaflet, and a ‘Who can help me’ form and Carer feedback form developed by Carer, Family and Friends’ Champion Cath Gent. We encourage carers to use the Pharmacy Service for information on medication management, and provide information on medication and diagnosis. Lucy Wade Unit has a lending library for carers, and all wards have local carer group information on display, which is kept up to date by ward champions. We now have better links with outside agencies and community teams through meeting at the family champion workshop. I feel am constantly learning of new services, networking and gathering information. I am looking forward to the Behavioural Family Therapy training, and I have plans to provide training and education to other staff members.

I was very happy to be given the role of Carer, Family and Friends’ Champion. I have been a Healthcare Assistant for nine years at Millbrook and a Carer Link for some of that time.

Sarah Batty Healthcare Support Worker, Ward B2, Bassetlaw Hospital

I was excited to find out about the new developments and the Behavioural Family Therapy training on offer. I met with Sarah Batty and found out how she had adapted practices to fit in with the Triangle of Care, very interesting. I took this back to Millbrook and with the help of other Champions and Link workers, completed the self-assessment tool.

I am Carer Champion for the ward, and was first introduced to the Triangle

We were able to identify what we were already covering and what action plans Julie and Andrew

q&a

This issue we speak to Colin Hoggins, Acting Head of the Health Informatics Service

q What is your job title and what does your role entail? a My new role as Acting Head of the Health Informatics Service (HIS) is to help steer and support the direction of the services that make up HIS.

q What was the last CD you bought? a Michael Buble.

q What is your idea of bliss? a A day out on my motorbike.

q How long have you been with Nottinghamshire Healthcare? a Overall I have been here 11 months and am loving it.

q What is your greatest achievement? a Getting to where I am now in my career.

q What three words would you use to describe yourself? a Blunt, approachable, forthright.

q What do you see as your

q What makes you angry? a Not a lot.

q What is your favourite holiday destination? a Santorini, Greece.

q What are you most passionate about? a Giving a good service.

q Who would you take to a desert island? a Scarlett Johansson.

q What single thing would improve your working life at Nottinghamshire Healthcare? a Uplifting decoration.

q Where do you see yourself in 10 years’ time? a Managing my own construction firm, building affordable houses.

q What is your favourite hobby? a Salsa Dancing; it’s keep fit and it’s fun.

q Do you have a ‘claim to fame’? a No.

q What keeps you awake at night? a Nothing – I sleep like a baby.

q How would you like to be remembered? a As a caring, nice person.

priorities for Nottinghamshire Healthcare? a Other than the goals set out for me for the HIS department, I want to improve the support and customer engagement with the Trust - with the overall aim of delivering a better, cost effective and appropriate service.

q What is your employment background? a I have worked in IT for 22 years, with the last eight or so in managing large technology projects or companies. q What is the best piece of advice you have ever been given? a Don’t give up.

q What is your favourite film? a Schindler’s List, or anything sci-fi.

Learning on the front line Julie Walker, General Manager with Bassetlaw Health Partnerships, changed into a community uniform and went out on the patch with District Nurse Andrew Bartram as part of a patient involvement initiative. As well as offering a view of a patient’s experience of care, the initiative gives staff the opportunity to gain a better

understanding of what each other does. This learning will provide valuable information and a greater knowledge of what care is available, enabling staff to cross-refer to other services where appropriate. Taking her lead from Andrew, Julie spent time with a patient and was impressed

by the good relationship that was evident during the visit, and the caring and professionalism shown by Andrew. “It was a wonderful opportunity to review our District Nursing Service at work and also to get first-hand feedback from a patient,” said Julie. “I was delighted that Andrew gave me the chance to extend my own experience by inviting me along.”

Positive June 2013

Do you know someone who would enjoy joining the Radford Care Group? The Radford Care Group offers a friendship group, supported by volunteers, for people over 50. Members can try new things or enjoy familiar pastimes, exercise, arts and crafts, have refreshments throughout the day and a midday meal, go on regular trips out, or take advantage of the hair salon and bathing facilities on site. There’s also a Day Care Service supported by professional highly qualified care staff. It offers the same services and opportunities as the friendship group with more specialised support for those who

need extra help, as well as for their loved ones who might benefit from some time to themselves. A Carers’ group is also held quarterly which offers support sessions for carers of those with a diagnosis of dementia. See the article below for more information. To find out more about the Radford Care Group or arrange a visit call 0115 9786133, email info@ radfordcaregroup.org.uk or go to www.radfordcaregroup.org.uk. A free taster day is available. Members of the Radford Care Group

Making sense of dementia for carers

The specialist-facilitated groups will run on Saturday mornings and a weekday morning and evening. Radford Care Group provides respite services and, where possible, help with transport. Carers are asked to contribute £2.50 per session towards the costs of refreshments. The group is encouraging professionals to refer carers, and is happy to give talks to any social or healthcare teams about the service and its positive outcomes.

An Information Programme for Carers of People with Dementia is being extended into the County area. This initiative focuses on family and friends, aiming to improve the health and wellbeing of both the carer and person with dementia through increased understanding, confidence and coping skills. The group helps reduce reliance on GPs and the need for crisis interventions. It offers mutual and emotional support, reduces stress and isolation, and helps carers to stay in control, manage risk and ‘self assess’.

There are seven weekly, two hour sessions covering: • Introduction to dementia • Understanding the experience of dementia • Being a carer and looking after yourself • Why and how dementia affects communication and behaviour • Health issues – nutrition, infection control, continence • Welfare benefits, legal and financial information • Care in later stages of the illness

One carer said: “I found the information evenings I attended with my Mum a very, very helpful source of information for us to learn about my Dad’s dementia. Without the info provided I would not be able to cope with some of the experiences we are going through right now, as I would not understand what is going on in my Dad’s head and I wouldn’t be able to help him. These courses are very important for helping people cope with experiences like this in life.” The service is funded by NHS Nottingham City and NHS Nottingham West and Nottingham North and East Clinical Commissioning Groups. For enquiries and referrals, call Julia Jefferson on 0115 978 6133.

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 high secure Rampton Hospital near Retford and provide healthcare in 11 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.

Sarah Naylor celebrates crossing the finish line

Sarah’s cycling challenge to Help the Heroes Senior Dental Officer Sarah Naylor from the Salaried Dental Service recently took part in the magnificent Paris-to-London cycle ride in aid of Help the Heroes. Sarah said after the ride that she was more tired than she could remember in a long time. “I met some amazing people and also had a truly hard time, as did everyone else. “We slept for an average of five hours a night and had 12 or 13 hour days from leaving a hotel to arriving at the next one. “On the route we visited Thiepval where the names of 73,000 First World War soldiers whose bodies were not recovered are carved, and Capel le Fern, the Memorial to the Battle of Britain. We also visited smaller cemeteries and memorials along the way. “The arrival into London was one of the best things I have ever taken part in, with ten miles of streets lined by people waving and cheering. “The wounded who completed this bike ride are difficult for me to sum up. What can you say about a wounded soldier who lost both his legs at the knee and an arm at the elbow and still manages the full distance? One of the wounded I met was in the TA, and his injuries mean he is now paralysed from the waist down.” Sarah has until the end of July to carry on fundraising. If you would like to make a donation, go to http://www.bmycharity.com/SarahHNaylor

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 September issue of Positive, please contact us by 2 August 2013. However, due to space constraints we cannot guarantee the publication of all articles received by the deadline. Nottinghamshire Healthcare, The Resource, Duncan Macmillan House, Porchester Road, Nottingham, NG3 6AA tel 0115 969 1300 www.nottinghamshirehealthcare.nhs.uk www.facebook.com/ nottinghamshirehealthcare www.twitter.com/nottshealthcare Printed on Cocoon · 100% recycled paper

Positive July 2013

Integration working for patients Annual General Meeting and Annual Membersâ&#x20AC;&#x2122; Meeting 2013 Date: Time:

Friday 26 July 2013 11.00am - 3.30pm (lunch provided) 11.00am Exhibition opens 1.00pm - 2.30pm Formal meeting Venue: East Midlands Conference Centre, University Park, Nottingham, NG7 2RJ Join us for an exciting and informative day with over 80 stands at our interactive exhibition looking at integration, showcasing stories of excellence and good practice across the Trust. The formal Annual General Meeting and Annual Membersâ&#x20AC;&#x2122; Meeting will take place from 1.00pm until 2.30pm. For further details or to register to attend this event visit www.nottshealthcareagm2013.co.uk or scan the QR code. If you are unable to register online please call the Involvement Team on 0115 993 4567. Closing date for registration is Wednesday 17 July 2013. @NottsHealthcare