Nottinghamshire Healthcare
NHS
NHS Trust
JUNE 2010
about mental health and learning disability
Involvement Centre of Excellence
Trust involvement highlighted as model example see page 5 LEADERSHIP ACADEMY LAUNCHED CARERS EVENT INTERNATIONAL WOMEN’S DAY INVOLVEMENT UPDATE CHANGE ONE THING
MESSAGE
FROM THE BOARD As I write, we have just been informed that in partnership with Rethink and Nottinghamshire Community Health, the Trust has been successful in its bid to provide services within prisons in Doncaster. I would like to congratulate everyone who worked so hard to secure this contract. It is really great that we can now provide our high quality care to more vulnerable people in prisons. More information about this will follow in the next issue of Positive. Last month also saw a documentary following the lives of three of our Adult Mental Health service users air on BBC4 and BBC2. ‘Sectioned’ was produced by the Open University and Maverick and provided an honest account of enduring mental illness and its impact on people and their families. The powerful and moving documentary received much critical acclaim and raised awareness of an often misunderstood and stigmatised topic. We really hope that ‘Sectioned’ challenged some common assumptions and changed the way people think about mental illness and the many individuals who live with it everyday. Public membership of the Trust continues to grow; we now have more than 7500 members, many of whom are getting involved and really having an influence. All members were last month invited to put themselves forward for election to become Governor Members and represent fellow members’ views at the Members’ Council. We had a fantastic response and now members are encouraged to elect their favoured candidate by returning their vote on the ballot paper by 5pm on Friday 25 June. Thank you for getting involved and good luck to all of the candidates. Finally, we were delighted to welcome a team of assessors from Monitor to the Trust last week. This assessment stage is a crucial part of our progress towards becoming an equivalent of a Foundation Trust.
Dr Peter Miller, Medical Director
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High Secure Building Design Guide In October 2006, Andy White, the then Rampton Hospital Estates Manager and now Capital Projects Manager, and Ian Fidler, Clinical Security Manager at Rampton Hospital were asked by the Department of Health (DH) to join a group looking at design and construction standards for Ashworth, Broadmoor and Rampton high secure hospitals. The group, consisting of representatives from Capital, Estates and Security Departments from the three hospitals, a Commissioner of High Secure services and the Security Advisor to DH, began work in November 2006. The objective was to produce a document to replace the existing Physical Security Requirements which set out standards for design and construction for new builds and major refurbishments.
l-r Andy White, Capital Projects Manager, Jo Leech, Head of Secure Services Policy. Mental Health Division, DH, Ian Fidler, Clinical Security Manager, Estates Liaison
Social Support Unit responds to trauma The Social Support Unit is based within the Centre for Trauma, Resilience and Growth (CTRG) at Westminster House. The unit offers clinical placements to social work students with an interest in mental health. David Murphy is an Honorary Psychologist with Nottinghamshire Healthcare and has a particular interest in the role of interpersonal relationships and social
With support and leadership from Jo Leech, Head of Secure Services Policy Team at DH, the group spent the next two and a half years developing the High Secure Building Design Guide. Based on several existing documents including the design guide for Rampton, the experiences of group members and a solid evidence base, the Guide includes chapters on the following: • High-Level Planning and Design Principles • Site Wide Issues • Building Design • Building Construction • Mechanical, Drainage and Electrical Services • CCTV installation • Construction Works • Product Testing Following wide consultation and various assessments, the Guide was approved as Government policy and signed off by Ministers in April 2010. The recently constructed David Wilson, National High Secure Learning Disability Unit at Rampton reflects the standards within the Guide. The publicly available ‘Overarching Principles’ section of the guide can be accessed on the DH website www.dh.gov.uk/en/healthcare/ Mentalhealth/Policy/Mentalhealth secureservices/index.htm. The ‘Technical Design Guide’ section is restricted and managed by Lee Brammer, Head of Security at Rampton Hospital.
support in shaping responses to psychological trauma. Together with David, the students provide socially oriented relationship based support to people who have experienced significant traumas. The unit is linked to other service providers within the statutory, voluntary and community sectors and will work with clients either at the CTRG or at the base of the referring agency; wherever the client feels most at ease. The type of support offered ranges from practical help through to more social/ interpersonal focused work. The underlying basis of all the work is that it is grounded in a therapeutic relationship. The focus of the work usually begins by understanding the
Greg Dyke
Leadership Academy launched
Each member organisation currently delivers its own leadership development. However, the Academy will enhance this by providing a suite of programmes relevant for all, where the needs of each organisation can be met by the same programme or develop the skills required to work across a number of organisations.
Over 280 people attended the official launch of the East Midlands Leadership Academy on 13 May at the annual NHS East Midlands Leadership Summit.
The keynote speaker at the official launch event was Greg Dyke, Chairman of the British Film Institute and Former Director General of the BBC, discussing Leading Challenging Organisations at Challenging Times. Other speakers included Mike Cooke, Trust Chief Executive and Chair of the Academy, Dame Barbara Hakin, Chief Executive NHS East Midlands and Karen Lynas and Professor Rachel Munton, Director and Deputy Director of the Academy. Attendees were also able to share best practice and to consider how the Leadership Academy can support leadership development across the region.
The new Leadership Academy has a membership of 24 NHS organisations from across the region and is hosted by Nottinghamshire Healthcare, following its success in the recent tender process. Jointly funded by its members, the Academy aims to provide a dynamic, responsive, cost effective and innovative level of leadership development to ensure better care for patients.
nature of the traumatic event and why the client has asked to access the service. The focus then shifts towards the social dimensions of the client’s life either before or after the traumatic event. At this time, the traumatic response is understood from within the client’s frame of reference and help and support is aimed at helping to identify and meet their needs within the social context. The social support unit is the only placement unit of its kind in the region and is prized by all the local universities. It is keen to foster partnerships with other services in the Trust that may work in a similar way and to develop inter-professional learning opportunities for trainees and potential research projects.
Mike Cooke, Trust Chief Executive, said: “We are delighted to be hosting the
Leadership Academy, which provides such a valuable resource for developing the leaders of the future and supporting all the member organisations in achieving their leadership goals.”
Self-help for trauma Steve Regel and Professor Stephen Joseph of the Centre for Trauma, Resilience and Growth and the Institute of Mental Health have just published a new book with Oxford University Press, called Post-traumatic stress: the facts. The book opens with a foreword from Terry Waite and provides a description of post-traumatic stress and other related problems often experienced by survivors. Steve Regel said: “We now know a lot about the psychological roadblocks that people can encounter following trauma. We wanted to get this information out to people in an accessible and practical way. The book is aimed at sufferers of post-traumatic stress, their families and friends, but is also a resource for professionals, particularly those who want to know about the psychological impact and management of trauma in a variety of contexts, such as general practitioners, clinical psychologists, psychiatric nurses and those in the voluntary sector.”
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Rampton Hospital Mental Health Act Team
l-r Amy Porter, MHA Support, Mary Robbins, MHA Assistant, Dawn Ingamells MHA Caseworker, Oliver Cuff, MHA Caseworker, Linda Fields, MHA Manager, Jo Milton, MHA Caseworker, Tracy Anderson, MHA Assistant, Bev Storey, MHA Coordinator, Lindsey Smith, MHA Assistant
The Mental Health Act Team at Rampton Hospital is a specialist team within the Forensic Services of the Trust. The team is responsible for ensuring that the Act is delivered effectively within the hospital and within guidelines of good practice. Their role monitors and manages all requirements of the Act relating to detention and discharge of patients, as well as providing advice and support to staff.
The team is very different to those in Local Services, providing an eclectic service ranging from dealing with admission referrals to identifying funding authorities and submitting cases and assessments to the admission panels.
They act as the coordination point for Tribunal and Care Quality Commission activities, Associate Hospital Managers’ review panels and arrangements for current patients appearing in court during their detention.
They also ensure that patients are detained legally during their stay, looking after their legal rights, and liaising with the Ministry of Justice.
With over 70 years’ combined experience working with the Mental Health Act, the team takes pride in its reputation for knowledge and helpfulness.
Leadership at the Point of Service Leadership at the Point of Service (LATPOS) is a series of leadership training modules aimed at staff in a leadership role or who aspire to lead. It is most useful for staff in a team leading role (Bands 4-7, e.g. Ward Manager, Administration Supervisor). Some modules provide the opportunity for more senior staff to revisit or top up their competencies in specific areas.
Martin Jones
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Modules are practical and skills based and may be taken individually or several at a time. There is no formal assessment but there is a requirement to complete some work before attending most modules.
Kevin Warren
A rolling programme format aims to offer flexibility. All training sessions can accommodate 20 places. Modules include: • Leadership and Management in today’s NHS • Leading projects successfully • Leading teams and developing others • Presenting information and communicating effectively • Running and improving services; delivering results • Self and service development; next steps, new challenges • Understanding and developing yourself as a leader • Understanding finance and using resources effectively • Working in partnership with others
For information on the modules and their content contact Kevin Warren, Training Manager (Local Services), tel: 0115 9691300 ext 10526, email: Kevin.Warren@nottshc.nhs.uk or Martin Jones, Training Manager (Forensic), tel: 01777
248321 ext 7684, email: Martin.Jones@nottshc.nhs.uk To book a place contact Kimberley Spencer, tel: 0115 9691300 ext 11152, email: Kimberley.Spencer@nottshc. nhs.uk
Department of Health Director visits Involvement Centre The Trust’s Involvement Team were proud to host a visit recently from Joan Saddler, National Director for Patient and Public Affairs at the Department of Health. Joan came to the Involvement Centre at Duncan Macmillan House to learn about the Trust’s unique approach to involvement. She met with Janet Sheard, Executive Director for Nursing and Allied Health Professionals, Involvement Team staff and some of the service user and carer
volunteers who work at the Centre. Joan was interested to learn about their experience of being involved with the Trust and the activities they were engaged in. This included involvement in the Executive Leadership Council, the Trust induction programme, interviewing staff for jobs and helping to develop the service user and carer experience survey.
Reflecting on her time spent at the Centre, Joan said: “I was impressed with the commitment demonstrated by the Trust to place patients and service users at the heart of care. At a time when public finances are stretched, it will become more important to ensure the real engagement and involvement of all people.” The Strategic Health Authority, NHS East Midlands had recommended Joan visit Nottinghamshire Healthcare, highlighting it as an organisation with a good approach to involvement and an example of best practice.
Joan Saddler (front left) with members of the involvement team, service user and carer volunteers
Attendees find out what the network has to offer
Carers event Come along and meet with workers from A Place To Call Our Own (APTCOO) and adult services (including the local authority, voluntary sector and independent providers) to find out what may be available for you and the person you care for.
Personality Disorder and Development Network open afternoon The Personality Disorder Network held its first open afternoon for Trust and partner agency visitors on 27 April. The event was opened by Trust Chair, Professor Clair Chilvers. Visitors
experienced a service presentation, a contribution from former service users and the guided showing of a video made by service users. Also available were online resources and displays about local service information, national policy drivers, advocacy services, self harm, and more. The afternoon provided an opportunity for visitors to discuss issues with each other and the network staff, to find out more about the services on offer from the network, and to develop their knowledge and understanding of the needs of people diagnosable with personality disorder.
This event on Wednesday 23 June, is open to carers from Mansfield and Ashfield who care for someone who has a learning disability (both adults and children). The session will be held at APTCOO, Unit 15 Botany Park, Botany Avenue, Mansfield, NG18 5NF and runs from 11.30am to 2.30pm with a buffet lunch provided. If you would like to attend please contact: Sam, tel: 01623 629902 or Ian, tel: 01623 436640.
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International Women’s Day centenary celebrations
CAMHS nurse development day A development day for nurses within Child and Adolescent Mental Health Services (CAMHS) was held on Thursday 29 April. Facilitated by Marie Armstrong, Nurse Consultant, the day ‘kicked off’ with Directorate Manager Paul Farrell and his vision for CAMHS. Sam Sykes and Gwen Morgan then enlisted colleagues in role play demonstrating their collaborative work in the young adults’ ‘Stop and Think Group’. The afternoon saw Michelle Persaud discuss her role as Associate Director for Nursing in Local Services. A special ‘Nurses’ Got Talent’ contest organised by
New Eyecare Service for employees The Trust is now offering a new Corporate Eyecare Service in conjunction with Specsavers. This service is available to all staff members who are regular users of display screen equipment (DSE). As a regular user you will be able to obtain a DSE Eyecare Voucher. This entitles you to a full eye examination for free and up to £65* towards glasses where it has been identified
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l-r Babita, Helen, Joe and Caroline from the winning teams show off their prizes
Liz Tatham and Hayley Fickling, followed. Everyone was put into teams and challenged to demonstrate the essence of CAMHS nursing by showcasing Quality, Innovation, Productivity and Prevention. Winning prizes came in the form of mugs decorated by young people on the adolescent unit. The day ended with thoughts and reflections including: “I really enjoyed it. It was good to meet up as a group of nurses and was really interesting”, “It was great to feel so welcome, included and valued as a nursing student,” and “A great ‘North/South’ venture, a really good day, I came away feeling uplifted.”
they are required solely and specifically for DSE use. This provision is part of the Trust’s obligations under Health and Safety Regulations. Specsavers are also offering free of charge to all staff, a Premium Club voucher. This entitles you to a £20 discount off glasses from the £99 range and above. You may request two further Premium Club vouchers annually for use by family members. Details of eligibility for the scheme and how to obtain your Eyecare Voucher can
be found in the Trust Policy and associated Procedure Safe Working with Display Screen Equipment 16.11.
Every year on 8 March, International Women’s Day (IWD) is celebrated around the world. On the day and for the whole of the month, events mark the achievements of women, particularly those classed as economic, political and social. Each year a different theme is chosen which reflects global and local gender issues. This year’s centenary theme was ‘Equal rights, equal opportunities: Progress for all’. The theme was extremely relevant to the Trust as it strives to ensure it meets the needs of the very different and diverse communities it serves. The Trust held its own celebration on Tuesday 16 March. Professor Clair Chilvers opened the lunchtime event detailing her own personal experiences as a female within the medical arena and outlining the historical significance of the IWD centenary year.
For further information contact the Health and Safety Team (Ian Freegard, Gail Willis, Alison Thornton, Colin Meredith, or Gill Berridge on Trust email or via extension 11117) or visit www.specsavers.co.uk
Delegates watched an episode of ‘The No.1 Women’s Detective Agency’ set in Botswana, which allowed an open forum discussion on key issues impacting on many women, such as caring responsibilities, domestic violence, the concept of the maternal role, cultural norms and expectations, and entrepreneurship. Networking and sharing experiences were central to the session, which was then concluded by Aneela Asim who demonstrated a rendition of an Arabic dance.
*A pair of glasses can be selected from the £45 range as standard. The voucher has Specsavers’ Premium Club offer built in to it which contributes a further £20 towards glasses selected from the £99 range and above giving the combined contribution of £65.
Feedback from attendees, which included service users, carers, staff and community members, reported the event to be an overwhelming success with numerous requests that it should last a whole day next year.
Nottinghamshire Healthcare
NHS
NHS Trust
about involvement
Membership Update We are proud to say the Trust now has more than 7500 public members. Members have been involved in a wide range of activity that has made a positive difference to the Trust, including the following: Working to promote our anti-stigma campaign From being ‘Human Library books’ to helping with the anti-stigma road shows, the work of members and volunteers has made a huge contribution to the success of the campaign.
and carers in our interview processes for new Trust staff. It has built up a bank of service users and carers who participate on interview panels and has also set up another group in the north of the county this year. ERIF began work with Adult Mental Health Services and leadership posts in the organisation and has now launched forums for Learning Disability and Child and Adolescent Mental Health Services.
Speaking at the monthly induction A number of members speak every month at the induction session for new staff Shaping and being involved in our appointed to the Trust. They speak about interview processes the work of the Involvement Team and give their own accounts of involvement The Employment Resourcing and Interview with the Trust. Forum (ERIF) aims to engage service users This stems from commitments made by this government in climate change discussions prior to the Copenhagen summit which resulted in the Carbon Members participated in Invest to Lead 2 Reduction Commitment Energy Efficiency Scheme. Organisations which consume energy above a certain level will be expected to take part in a carbon trading scheme aimed at reducing CO2 emissions Legislation has been enacted in the UK from buildings, commonly referred to to limit CO2 emissions and from 1 as “cap and trade schemes”. April next year, the Trust will be one of at least 5000 organisations from both Each year, starting from 1 April 2011, the private and public sectors which the Trust will have to purchase will be expected to implement effective carbon allowances at an initial cost of carbon reduction plans or face the £12 per Tonne of CO2. As the Trust consequences which include the loss of currently produces around 23,000 revenue or large fines. Tonnes of emissions from its
The speakers are members who have experienced mental health problems, learning disability or substance misuse issues, or have cared for people under these circumstances. By speaking at induction, they not only raise awareness but promote the anti-stigma message and use their own experiences to highlight the importance of involvement. Attendees gain an insight into service users and carers’ perspectives and this has proven to be a valuable addition to the induction programme, reflected in the continued excellent feedback received.
continues on page 8>>>
Climate Change
buildings annually it will incur an initial outlay of around £276,000. The Trust will then be assessed on its performance with regard to
Positive September 2009 Positive May 2010
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Membership Update (continued) Helping to develop our service user and carer experience survey We have launched a simple, regular survey to gain service user and carer views on their experience of services.
Lead 2 – its second programme designed to develop leadership within the Trust. 14 service users and carers from both involvement centres participated in this exciting opportunity and graduated at the end of the five month programme.
The survey contains five simple questions asking how people rate the service, whether they were treated well and if they believe it has made a difference to their lives. There is also an opportunity for people to comment on what they would most like to be improved and the best thing about the service. Results from the survey are provided to each team and directorate quarterly so they can see how their service is viewed, what is rated highly and what needs to improve, which in turn helps ensure they continue to provide a quality service. Survey analysis is carried out by the Institute of Mental Health.
Recruiting new members Existing members of the Trust and volunteers have been helping to recruit new members, both throughout the Trust and by attending events in the community. Many volunteers are keen to use their own experience of being involved with the Trust to highlight the benefits to others. We have been working hard to reach a wider population, giving more people opportunities to influence services and find out more about mental health, learning disabilities and substance misuse services, as well as helping to fight stigma.
Participating in our Leadership Programme Following the success of the 2008/09 Invest to Lead programme, the Trust ran Invest to
Mentoring Course In partnership with Let’s Build we are hosting a six week mentoring course with five members from involvement attending.
Rosewood & Wathwood working together carers meetings at Rosewood Involvement Wathwood. Centre in Ollerton has been working in partnership with Wathwood Hospital to • Rosewood members were delighted to welcome guests promote and improve from Wathwood to share in public involvement in Trust their first birthday services. Some recent celebrations in November examples of this include: 2009 celebrating their achievements over the year. • The Rosewood Cup was proudly presented to Wathwood for their Annual • Roseforce Garden Project aims to improve the garden Sports Day Event. area and exterior of the Rosewood Centre. A team • Service user and carer at Wathwood made and volunteers at Rosewood donated a wishing well to raised £130 for Wathwood’s the garden which has been Gala day which is held in named ‘Rosewell’. the summer. • Members from Rosewood attend the monthly service user meetings and quarterly
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• 22 members from Rosewood visited Wathwood to celebrate St
Rosewell
George’s Day. 10 members of the Rosehips Belly Dancing Troupe performed and managed to get service users and staff from Wathwood up and dancing.
• The Wathwood Forensic Employment Resourcing and Interview Group has been set up and the first set of interviews for new staff took place in May.
Forensic patient feedback now on Patient Opinion On 27 April representatives from Patient Opinion met patients at Arnold Lodge medium secure hospital in Leicester to explain their work and to introduce their website. This informal workshop was the first of its kind held in a secure setting. The patients were supported by the Independent Patient Advocacy Service, staff from the Therapy Service department and the Involvement Team. After the workshop, the patients gave very positive feedback about their experience to an advocacy worker. Feedback included: “The people that facilitated the group really made me feel that I could contribute to Patient Opinion and I didn’t have to use the internet to do it.” “I liked the fact that if I do send my story it could help raise awareness of mental health and also give other people hope that things can get better for them.”
Patient Opinion has kindly offered to hold two further workshops soon. This is pioneering work. Patients at Arnold Lodge have warmed to this method of feedback. It is innovative, current and connects patients who don’t have the same degree of internet access as the rest of us. Patients can write their stories on a paper feedback form with the support of advocacy who agree to submit the posting to the website. The responses to the stories are printed off for the patients to see. This empowers and includes people in a secure setting to get their voice heard. All postings are checked to make sure they are anonymous and comply with the regulations of the website. An example of one of the patients’ postings can be found below. The benefits are far reaching; people connect with others in similar positions. This feedback is helping patients to say how they feel about services at Arnold Lodge, with many praising the good work of staff at the hospital.
patients and to encourage new ways of leaving feedback. This has been supported by involvement leads and general managers who see how open and transparent conversations can benefit and improve services. Plans are afoot to try using Patient Opinion as a feedback method at Wathwood Hospital and Rampton Hospital over the next year. About Patient Opinion Patient Opinion has been set up as a not-for-profit social enterprise. It is open and transparent about how it works and what it does. It is run as a sustainable and financially independent business. Any surplus will be used to support further work with patients throughout the NHS. Patient Opinion was founded by Paul Hodgkin, a GP who wanted to find a way to make the wisdom of patients available to the NHS. For more information and how to get started on Patient Opinion please contact: jane.danforth@nottshc.nhs.uk Tel: 077869 15464
Patient Opinion & Community Forensic Services Following on from the success of Patient Opinion at Arnold Lodge, recent meetings with staff on Thurland, Trent and Darwin wards at Rampton Hospital has shown there is a desire to work with
There is a light at the end of the tunnel To all the people out there, all my life I’ve been a very angry man as I hated the world because of what it dealt me as a child. I could not solve a problem without being angry or sarcastic. I look at the negative side of things. I have been at Arnold Lodge for a year or so now and it has given me a lot of self esteem in my self and they have given me the skills to learn how to deal with a problem in a positive way.
“Since the meeting I have already posted an opinion on the site to encourage others to do it and to show there is light at the end of the tunnel.”
By putting loads of options down and if one don’t work then try the other option. But this don’t come easy you have to be honest with your nursing team and your RC (responsible clinician) and you have to put loads of hard work in, but you have the support from all the nurses and your RC too.
“It was good as it gives patients another option of getting views heard.”
It is worth all the hard work, my life at Arnold Lodge is on the up now and I’m moving on to better things. I still need to work on some things as I’ve got thirty eight years of behaviour to change but it can be done with the right help and support and you must remember that there are people out there who do care about you and they want the best for you and there is a light at the end of the tunnel but just take one day at a time and you will be fine.
“I found it interesting but some of it I didn’t understand because I’m not overly sure about computers or the internet. I think I will use it in the future but will probably use the paper version.”
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Response rate for survey is up 40% Since June 2009 we have received 1988 responses to the service user and carer experience survey. In the January to March 2010 quarter we have received 804 responses, 578 from Local Services and 236 from Forensic Services. This response rate has gone up 40% from the last quarter. Surveys were sent to 190 teams and responses were received from 99. The survey is offered to service users and carers on a regular basis, for example, at each care review, or at the end of a treatment programme, discharge from a ward or on a quarterly basis. This summary looks at the findings and how they compare to the results from last quarter. Last quarter’s figures are in brackets. Our services were rated as excellent, very good or good by 89% (91%) of people in Local Services and by 72 (79%) in Forensic Services. Communication about care and treatment was rated as excellent, very good or good
Members’ Council Elections Last month we opened the election process for members to vote for the Governor Members who will make up the Members’ Council and represent members’ views. All members of the Trust were given the chance to put themselves forward and were sent a nomination form at the beginning of May. Interested members were able to find out more about being a Governor Member at an information event held on
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by 85% (90%) of people in Local Services and by 66 (68%) of people in Forensic Services. The percentage of people who said they were always treated with dignity and respect was 80% (90%) in Local Services and 66% (67%) in Forensic Services. The percentage of people who said they were either always or sometimes involved in decisions about their care was 88% (93%) in Local Services and 78% (77%) in Forensic Services.
treatment/activities; 24/7 care provided in a consistent fashion. In Forensic Services the main things that people would most like to see improved are: more staff on the ward; more leave/trips out/home visits; more time to smoke/able to smoke; more activities; staff attitude/care. The best things about Forensic Services care were reported as: the kind, friendly, helpful staff (most common response); activities; outcome of treatment/personal development; good communication; clean ward/bedroom.
The percentage of people who said that our services had made their lives either a lot or a bit better was 88% (91%) in Local Services and 73% (73%) in Forensic Services.
The survey is organised by the Involvement Team and analysis is carried out by the Institute of Mental Health.
In Local Services the main things that people would most like to see improved are: communication; activities; respect shown by staff; food; information about services.
Results from the survey are provided to each team and directorate on a quarterly basis so that they can see people’s views on their service, what is rated highly and what needs to improve, which will in turn help ensure that they continue to provide a quality service.
The best things about Local Services care were reported as: The friendly, kind and helpful staff (overwhelmingly most common response); relaxed, friendly atmosphere; developing and moving on;
Further results from the survey and actions taken in response to service users and carers’ views will be published on a regular basis.
Thursday 6 May at the Involvement Centre in Nottingham.
Friday 25 June. Results are due to be announced at the end of June.
Ballot papers and candidate statements have since been sent out to all members. Ballot papers should be returned to the Electoral Reform service in the prepaid envelope provided.
Governor Member Induction Sessions Once the Governor Members have been appointed, the Trust will hold two induction events; Monday 12 July 2010 and Tuesday 27 July 2010 from 5pm, at Duncan Macmillan House, Porchester Road, Mapperley, Nottingham, NG3 6AA.
Your vote counts so please remember to vote before the closing date 5pm
Governor Members will be appointed for a term of up to three years with the initial appointments being made for either two or three years. A Governor Member may serve two consecutive terms of office. The first Members’ Council meeting will take place at the end of September 2010.
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What is your job title and what does your role entail? a Head of Volunteering (Nottingham). I recruit volunteers and find opportunities for them to support Trust services within all care groups and a very wide variety of locations in the greater Nottingham conurbation. It’s a great job that means I meet with an amazing variety of people members of the public, service users and staff. Everyone who comes offering their services as a volunteer comes with a different ‘story’ – different experience of mental health and/or learning disability – sometimes no experience; different motivations for wanting to volunteer; different skills and interests, time availability, geography. My skill lies in identifying a placement that will capitalise on all of that to the best advantage of the volunteer, our service users and staff.
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How long have you been with Nottinghamshire Healthcare NHS Trust? a Nearly 11 years – I joined the ‘old’ Nottinghamshire Healthcare NHS Trust on 1 September 1999.
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What do you see as your priorities for Nottinghamshire Healthcare? a To play my part in helping to make patients’ and clients’ experience of Trust services as positive as possible. To help break down the misconceptions and stigma surrounding mental ill-health and learning disability by involving members of the public and involving them in volunteering. To promote recovery amongst service user volunteers – many of whom use volunteering as a ‘stepping stone’ along their recovery pathway.
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What is your employment background? a Extremely varied! I have worked in the Foreign and Commonwealth Office, a large Acute Trust and another mental health Trust, before taking time out to bring up my two daughters. I then studied for a degree as a very mature – 40 year old! – student. Since then I have worked full time in Common Purpose – an education programme for senior decision makers, a specialist recruitment agency serving the voluntary sector and then with the Trust.
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What is the best piece of advice you have ever been given? a My mum’s mantra was: “If a job’s worth
q&a This month we talk to Diane Bown, Head of Volunteering doing, it’s worth doing well” – I have always tried to follow that advice.
q What was the last CD you bought? a I really can’t remember! I’m a words person, not a music person. A Radio 4 fanatic, who usually has two or three radios on, so I can keep up with programmes as I move around the house.
q What is your favourite film? a Le Grand Meulnes – I saw it in Paris as an 18 year old on my first trip abroad – it is such a magical film.
q What is your idea of bliss? a A group of friends; a good meal; a couple of bottles of wine and good conversation.
q What is your greatest achievement? q What three words would you use to a My two daughters, who are beautiful describe yourself? young women both in looks and a I jokingly suggested “bossy, selfcharacters; getting a 1st Class Honours degree in Social & Cultural Studies runs a pretty close second!
opinionated and a control freak” to my colleague and she thought I was serious! The truth will out!
q What makes you angry? a Pomposity; people being taken
q What is your favourite holiday destination? a Almost anywhere. I have been lucky in having the opportunity to visit friends and family in Jamaica, India, Australia, Solomon Islands, Kenya, South Africa, Uganda. Given the opportunity to visit somewhere new, I grab it with both hands.
advantage of.
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What are you most passionate about? a That’s a hard one: I don’t think I have an overriding passion.
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What single thing would improve your working life at Nottinghamshire Healthcare? a I have been very lucky in doing a job I love, but as is true in many areas, more staff and resources would mean that we could bring the benefits of volunteers to those areas of the Trust that do not currently have them. More widely, a commitment to provide longer term funding for ideas and services that prove their worth as pilots, but then can’t continue for want of resources.
q What is your favourite hobby? a That depends on the time of year: gardening in the good weather; cross stitch on cold, wet days.
q What keeps you awake at night? a Nothing – I sleep like a log.
q Who would you take to a desert island? a The survival expert Ray Mears – a girl’s got to have a shelter and something to eat! q Where do you see yourself in 10 years’ time? a Enjoying my retirement, but still very much involved in the wider community. q Do you have a ‘claim to fame’? a ‘Fraid not – unless you count sitting in the same underground train as the broadcaster, Andrew Marr!
q How would you like to be remembered? a At work: as a hard-working professional; in my personal life: as a good friend. A combination of the two would be my ideal.
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MHSOP inpatients get active “An inspirational room”, “fantastic”, “very relaxing and well equipped”, “I want that floor in my kitchen!” – these are just some of the comments made by visitors to ‘Autumn Leaves’ gym open day at the Queen’s Medical Centre in January. Patients, staff, carers and visitors packed into ‘Autumn Leaves’ for the opening by Mike Cooke, Trust Chief Executive. The gym was refurbished as part of the ongoing Enhancing the Healing Environment project. The refurbishment was led by the Mental Health Services for Older People’s Inpatient Mental Health Physiotherapy Team along with staff on ward B50. Emma Cannon, Specialist Physiotherapist, commented: “The gym makes patients smile as they walk in the door; it’s fabulous to see. This project
Emma Cannon and Mike Cooke look on as Charles Jarvis tries the new equipment
has meant more older inpatients can access these wonderful facilities and, in turn, encourage other people they have befriended on the wards.”
never exercised are finding the courage to try out treadmills and exercise bikes for the first time. Some have joined gyms in their local communities, as a result!”
The aim of the project was to transform a drab window-less physiotherapy space into a bright, welcoming gym specially designed for the older person. There is also a separate relaxing therapy area for treatments or a cup of tea and a chat.
Three patients volunteered to pose for the cameras, talk to a reporter from the local paper and cut the ribbon. One patient said: “It’s magnificent and it’s already improved my confidence!”
Jane Hutchins, Physiotherapy Technical Instructor said: “Everyone who has used the gym has responded positively. The friendly atmosphere makes motivating patients much easier. People who have
A big thank you to all involved in preparations for the open day including Richard Danks, Community Services East Manager and special mention to Sharon Howe, Modern Matron and the staff involved for all their support.
Work experience (internship) information sharing event Internships are unpaid work placements for students or trainees to gain experience for future work or qualifications. On Wednesday 12 May, Tim Wood, Val Lupton and Mel Simpson from the Vocational Services ‘Work Experience Project’ held the first of a number of planned information sharing events on internships. Held at Duncan Macmillan
House, the focus of the day was to encourage more Trust departments to sign up to agreeing in principle to hosting internships, building on the successful placements already taking place and celebrating the excellent work of the hosting departments. Staff dropping
in to the event were able to pick up more information and chat with Tim, Mel and Val. Tim, who is currently the lead for the Mental Health side of the ‘Work Experience Project’ explained: “We are keen to recruit as many internship hosts as possible so that when an application is received from a potential intern an appropriate internship is readily available.” This work falls into a wider project led by Steve Williamson, which is designed to look at formalising all Work Experience offered within the Trust. A follow up event will be held on Wednesday 23 June.
l-r - Mel, Val and Tim at the event
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Acupuncture available at Millbrook
Auricular Acupuncture works by stimulating nerves in the outer ear using sterile needles. The result is beneficial changes in the brain that help improve patients’ well-being.
Patients on Millbrook’s Lucy Wade Unit will soon be able to take advantage of stress-reducing acupuncture treatments. Trained therapists Scarlett Williams and Colin Revill will deliver the Auricular Acupuncture, a therapy which is rapidly growing in popularity.
The treatment has been shown to help reduce high levels of stress and anxiety, along with improved sleep and increased energy levels. The acupuncture has also shown to have a positive impact in the treatment of addiction problems and reducing hostile behaviour and the need for extra medication. Scarlett and Colin are aiming to run a group twice a week for patients on the ward, and participants will be asked to provide feedback which will be used to help improve the service and ensure it best meets the needs of the patients on the unit.
Colin Revill and Scarlett Williams
Care Environment Coordinator achievements celebrated
For further information, contact Scarlett or Colin on the Lucy Wade Unit at Millbrook.
l-r Councillor Colton, Gordon Leesley and his wife at the reception
On 26 April the Care Environment Coordinators from across Local Services were presented with certificates by Simon Smith, Executive Director Local Services acknowledging their work in various areas relating to Infection Prevention and Control. The role of the Care Environment Coordinator can be very supportive and informative in this crucial area. It was recognised that although many of the Coordinators carry various qualifications already, a consistent level of knowledge across Local Services is required. Training delivered included Chartered Institute of Environmental Health (CIEH) Level 2 Health & Safety course, Level 2 Food Hygiene courses and a Cleaning Buildings Interiors course. The training was excellently delivered by the Local Services Hotel Services team and all staff who attended passed all their exams. Well done to all the Care Environment Coordinators and their contribution towards the training days which made them especially enjoyable. Thanks also to Mark Davies, Hotel Services Manager and his team including Donna Smith’s admin support for organising and delivering the training.
Hospital woodwork instructor speaks at civic reception Rampton Hospital’s woodwork instructor Gordon Leesley was recently guest speaker at Bassetlaw Council’s civic dinner reception, presenting on his work at the Hospital. Gordon received a letter of thanks from Chairman of the Council, Councillor Helen Colton who reported that feedback from the guests was very positive with many commenting on how interesting his speech was. Councillor Colton also thanked Gordon for his gift of a hand crafted pen and pencil set which she said was a lovely gift that she will treasure.
Simon Smith (back row, left) with the Care Environment Coordinators
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l-r Roger, Elliott, Teresa, Occupational Therapist, Acute Recovery Team and Tom enjoy an afternoon out at the allotment
Green fingers at Millbrook Sue Todd, CSV Volunteering Project Manager, is in the process of starting new volunteer led groups at Millbrook Mental Health Unit. One such group is benefiting from Millbrook Mental Health Unit CSV volunteer Elliott’s kind gesture to give up a patch of his allotment for service users, staff and volunteers to grow vegetables and plants. Service user Tom said: “Getting out and about has really helped me and it’s nice to grow something that I might be able to eat one day!”
Change One Thing A new Trust campaign is kicking off, asking participants to ‘Change One Thing’. Its organisers are looking for your help in building a ‘change bank’ of ideas for ways people can get involved. “Just imagine if every one of us did ‘change one thing’, the wider positive impact of this would be phenomenal,” said Zulfkar Hussain, Trust Staff Side Diversity Lead and Service Quality Improvement Manager, Local Services Division. “We’re asking everyone to make a pledge to at least change one thing in their lives that will help us promote equality and diversity,” he added. “Every example, no matter how small or big, from
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Zulfkar Hussain
your personal or working lives, is an important and valuable step.” The new campaign is the brainchild of both Zulf and Michelle Persaud, Associate Director of Nursing and Diversity Lead, Local Services. As part of the campaign, both Zulf and Michelle have agreed to visit the Gender Identity Michelle clinic to improve their Persaud own understanding of surrounding issues. “We want to make this campaign an ongoing commitment, and one that is shared and owned by us all,” Michelle added. “Therefore, we want you to tell us, by email, phone, letter, or in person, your example of ‘change one thing’.” Zulf and Michelle are also asking for ideas for symbols and logos to help give the campaign an identity. Contact Zulf, zulfkar.hussain@nottshc.nhs.uk or 0777 1957038, or Michelle, michelle.persaud@nottshc.nhs.uk with your ideas, examples and suggestions.
Revitalised reception Staff and visitors to Duncan Macmillan House may have noticed that the main reception area is looking brighter and more welcoming thanks to a recent face-lift. The area has been overdue for a refresh for some time and following a lick of paint and some decorative touches, it is now a light, bright and airy space. Chief Executive Mike Cooke said: “For many people the reception area is where they will gain their first impression of Nottinghamshire Healthcare. It is really important that this impression is a good one and I think this more accessible, friendlier environment should achieve that. “My thanks to the reception staff for their patience while the work was carried out and to their ongoing commitment to providing a great first point of contact for everyone who passes through the door.”
Salon offer Stanley Adams hair design in Hockley, Nottingham has a special offer open to NHS employees. Three salon visits worth over £200 are available for £39.99. Each visit offers a choice of treatments and those taking up the offer can also purchase additional treatments at the reduced price for their family members. This is valid for new clients only. To find out more or purchase the offer contact Marc and his team: 020 7739 1550 (London Head Office 9am6pm) or 020 8208 3132 (Central Office weekdays 7-10pm and weekends 11am7pm) or marc@salonevolution.co.uk
Drug and alcohol training programme out now Courses are now on offer to professionals wishing to develop their knowledge of drug and alcohol issues. One day courses and longer term periods of study for qualifications are available via the new training programme from Let’s Build, a leading provider of drug
Do you know what to do to help a vulnerable adult?
and alcohol training in Nottinghamshire. The programme provides a wide variety of courses, all designed to develop knowledge and practice, by providing training that is both enjoyable and informative. If you have ever felt you don’t know enough about
the ever-changing drug scene, or have seen the negative impact of substance misuse but been unsure where to turn for support, then the Let’s Build programme could be for you. For more information, or to book onto a course, contact 01623 652743 or visit www.letsbuild.org.uk
l-r Amanda and Michelle talk to attendees at the meeting
If you are worried about the welfare of a vulnerable adult, act now to stop abuse. Call the Adult Safeguarding Access Team on 0115 883 8460. Nottingham City Adult Safeguarding Board has launched a public awareness campaign to ensure people in Nottingham know what to do if they are worried about an adult being harmed, abused or neglected. Everyone has the right to live their life free from violence, fear and abuse. This campaign is helping to make sure that all vulnerable adults can be protected from harm or exploitation. Some adults are less able to protect themselves because they have a physical or mental impairment; are frail due to age or illness; or have issues with their mental health. Abuse can be physical, sexual, financial, emotional, neglect or discrimination and could take place at home, in a residential or nursing home, in a hospital, at college or in a public place. If you need help or advice, or you are worried about someone, call 0115 883 8460 today. For more information visit: www.mynottingham.gov.uk/adultsafeguarding
Gedling CMHT involves service users and carers Staff at Manor Road, the base for Gedling Community Mental Health Team were delighted with the turn out at the first Service User and Carer Involvement meeting. The meeting was held to introduce the staff team and to find out what service users and carers wanted from the service. Managers Amanda Peto and Michelle Malone introduced themselves and talked about the team’s remit. Adult Mental Health clients from the community expressed their concerns about support at times of crisis, an area that needs to be addressed. One of the other feedback points was that people wanted more information so a new leaflet is being developed which sets out the rights and responsibilities of both staff and service users. The meeting, which was lively and vocal, finished with a light lunch and the overwhelming feeling was that this type of interaction should continue.
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Using Time not Doing Time Using Time not Doing Time – Practitioner Perspectives on Personality Disorder and Risk, published by Wiley-Blackwell is a new book edited by Nurse Consultant Allison Tennant and Professor Kevin Howells. The book was launched last month by Allison and Kevin at an event attended by more than 50 people. Allison talked about her personal journey of how she was involved in developing treatment pathways for this
client group over decades and evidenced how far they had come. She commented how the book is extra special to her particularly because it was mainly written by clinicians whom she had worked with closely over the years. The book cover design featuring umbrellas is particularly interesting and can be interpreted differently by individuals. Allison gave her interpretation of how the black umbrellas signify people in our society who have personality difficulties whilst the red umbrella represents the few that offend against others.
Kevin Howells and Allison Tennant proudly display the book at the launch event
NHS fraud awareness month Fraud against the NHS is a drain on the valuable assets meant for patient care and costs the health service hundreds of millions of pounds. Types of fraud and offenders vary: for example, patients may avoid paying prescription charges by falsely claiming exemptions; staff may gain
employment with false documentation, claim pay for shifts they did not work or falsely claim NHS sick pay whilst working for another employer; contractors may exaggerate or falsify records of NHS work.
June is NHS Fraud Awareness Month and is an opportunity to inform staff and patients about these issues and – importantly – who to contact if they have a concern about fraud in the health service.
Fraud prevents health services from being run in the best possible way and impacts on staff and resources.
The Local Counter Fraud Specialist (LCFS) for the Trust is Laura Hampson, who can be contacted on 0115 9555392
or by emailing laura.hampson @nottshc.nhs.uk. If you have a concern about NHS fraud, please contact Laura or call the confidential NHS Fraud and Corruption Reporting Line on (freephone) 0800 028 40 60. Further information is available on the Counter Fraud page on the Trust intranet.
HIS update: Re-provisioning of IT equipment IT use has increased immensely; historically you’d see the odd PC in use but now there’s one on almost every desk. The Trust has invested heavily in the use of technology to enable us to meet our clinical goals. With increasing demands on IT systems we have to ensure our equipment works effectively. A recent study by the Gartner group (the world's leading information technology research and advisory company) identified that PCs over four years old cost on average, 2½ times more to maintain annually than a new PC; our average cost to visit an item of IT equipment is around £100. Other studies have identified that older equipment is less environmentally friendly, both in power consumption and in terms of the use of materials.
Condemning a working PC may be viewed as wasteful, but such decisions are based on sound business principles i.e. the PC is not efficient in its operation. We’re currently working to identify older stock and will keep people informed about when replacements are imminent. Historically we reduced the financial burden on services by purchasing PCs from IT end of year monies, but inevitably with increasing demands on budget holders to reduce spending, this cannot continue. In addition, we have engaged in a major piece of work to identify a more efficient printing strategy for the Trust. We currently spend in excess of £750,000 per year on print cartridges and paper. By changing how we print we estimate we
could save up to a third of that amount. To help achieve this we need to consider things like whether it’s essential to print in colour and to look at the benefits of printing on both sides of a piece of paper. These initiatives will bring IT to the forefront of people’s attention and may not be popular. However we will consult and work in partnership with departments to identify the business needs and help save money, delivering a better, more efficient, service. Over the next few months we will meet with various staff groups to gain a clearer understanding of their business needs and consult on our proposed strategy. If you would like further information please email Ian Stevens, Technical Services Manager ian.stevens@nottshc.nhs.uk
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Left: The second cohort of BME mentees and their mentors and insert: Jaswinder Basi, Trust Wide CPA Manager, one of the mentees who was unable to attend the group photo
Second BME mentoring scheme gets underway The second cohort of the Trust’s Black and Minority Ethnic (BME) Mentoring Scheme has commenced on the programme. The scheme is an opportunity for candidates to experience career development by working with mentors who deliver inspiration and advice to
New support for First Steps toward better mental health Extra support for volunteers with mental ill-health is now available at Voluntary Action Broxtowe. Following a surge of almost 50 per cent in the number of volunteers coming forward in Broxtowe, the organisation found itself overloaded and struggling to support its more
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help them move forward within a supportive and inclusive, team led environment. Mentees are supported by their mentors in one-to-one sessions where they can address current and future challenges. Emphasis is upon developing tailored, supportive strategies or interventions to meet candidates’ developmental needs such as advance planning, signposting, confidence building and inspirational speakers to help them achieve their true potential. The BME executive mentoring programme was pioneered by Mike Cooke in 2007, in which he personally mentored the first cohort of candidates. Following its success, the current group,
vulnerable volunteers. Therefore, the new post of First Steps Mental Health Worker was created to support those volunteers left vulnerable by a period of poor mental health. The post is funded by NHS Nottinghamshire County and will help Voluntary Action Broxtowe offer better dedicated support to volunteers with mental ill-health, in order to help them gain the maximum benefit from volunteering. For more information, or if you wish to become a volunteer contact Gemma Dickson on 0115 9178080, or email gemmad@vcb.org.uk.
which was recruited in 2009, is being mentored by executive directors and although newly formed, the candidates have already successfully secured three grants for projects within the regional Pacesetters programme.
New Learning & Development prospectus out now The Learning & Development prospectus for 2010-2011 is available now for all staff. Hard copies can be requested from Kimberley.Spencer@nottshc.nhs.uk or Karen.Watson@nottshc.nhs.uk. A PDF version is also available on the Learning & Development website. The prospectus covers the following areas of training: • Essential Training • Therapeutic Skills, which includes courses such as Dual Diagnosis, Family Carer Awareness Workshops, Improving Mental Wellbeing by Promoting Physical Health • Leadership & Management Development. N.B. we are now taking bookings for the Leadership at the Point of Service programme, please contact Kimberley Spencer for further information or to book a place. • Skills for Work & Life • Learning Beyond Registration • E-Learning
World class result for sports day It was a gold medal performance for a sports activity day in Newark last month, attendees agreed. Held at the Magnus Church of England School’s sports centre, the day was organised as a follow-up to a similar event last summer. Parachute games, curling, boccia, skittles and giant Connect-4 kept participants entertained and active throughout the day. A contest organised by a professional archery club proved to be bang on the bullseye, and was one of the most popular activities on offer. Old friends renewed their acquaintances at the fun-filled event and couldn’t wait to find out when the next one will take place.
The day was organised by a partnership between the Trust and organisations including, Adult Social Care, Notts County Council, Mencap and Newark & Sherwood District Council. The organisers would like to thank Helen Purdy and her team, Sue Johnson, Liz Moan, Bev Rolfe and Liz Moran, as well as all the staff, carers and support workers. Another sports activity day is planned for Tuesday 17 August.
Thank you Asad For the past year, Asad Mughal has been helping out staff and volunteers in the Involvement Centre at Duncan Macmillan House along with providing an extra pair of hands to the Communications Team on several occasions. Asad said: “I felt welcomed in the centre and part of the team. I have learned lots and when I come to the centre I always feel confident in coming to a safe environment. I would like to thank Aneela for bringing me here.” Asad was always cheery and dedicated in his work, so a big thank you from everyone who he helped. We are delighted that he has now begun employment outside of the Trust. Well done Asad.
WHO WE ARE... WE NEED YOU! You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare NHS Trust is. We provide mental health and learning disability services for the whole of Nottinghamshire. We also manage medium-secure units in Leicester and Rotherham, and the high-secure Rampton Hospital near Retford.
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. 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. 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 August issue of Positive, please contact us by 9 July 2010. 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
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