November 2011
about integrated healthcare
Panthers in The Woodlands l-r David Manley, Clinical Director Specialist Services, Rod Hudspith, Unit Manager, Mike Cooke, members of the Panthers
Players from Nottingham’s Ice Hockey Team help to officially open new unit see page 2
Check it out oscars 2012 art exhibition students learn about stigma olympics activities go gedling
MESSAGE
The Woodlands team and the Panthers
FROM THE BOARD A great deal of work has taken place to integrate County Health Partnerships’ services and staff into the wider Trust and seven months on from the initial transition, the feedback is that the majority of colleagues feel that they are truly part of Nottinghamshire Healthcare and happy to be so. In reflection therefore, it no longer seems appropriate for articles from CHP to be contained in a separate section within the newsletter. Instead, from this issue of Positive, these stories will be found throughout the newsletter as with all other articles from the different Divisions across the Trust. By the time you read this, new staff members will have joined us as part of Bassetlaw Health Partnership. I hope that our newest colleagues have all been made to feel welcome and that they too will also soon feel very much a part of Nottinghamshire Healthcare. General Managers for each locality have been officially in post for a month and settled into their new roles and we also now have a Clinical Director for Specialist Services to support the development of services and work with new commissioning arrangements. On page 16 there is an update on the situation at Lings Bar Hospital regarding the closure of the Frank Jacob Ward. I would like to thank each member of staff who has been affected by the changes for their continued professionalism and ongoing commitment to their work. We really appreciate everything you have done and we are committed to supporting you all through this period of uncertainty.
Paul Smeeton, Chief Operating Executive, County Health Partnerships
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Panthers open new drug and alcohol facility Players from The Nottingham Panthers Ice Hockey Team joined Chief Executive Mike Cooke on 7 October to officially open The Woodlands.
Located at Highbury Hospital in Bulwell, The Woodlands is a regional inpatient unit for people with drug and alcohol problems, providing 15 beds in a modern and therapeutic environment. It consists of two buildings – ‘Great Oaks’, which provides personalised single ensuite accommodation, and ‘Tall Trees’, where the recovery day programme is delivered. The £2.9m scheme was funded from the Trust’s own resources and the treatment programme is designed to offer a reduced length of stay and wider range of therapies, with particular emphasis on links back into the community. Nationally there is a shortage of inpatient beds for people with drug and alcohol problems. The new unit, which opened to patients earlier this year, has already gone some way to addressing this shortage. At the opening event David Manley, Clinical Director, Specialist Services,
Trust welcomes Bassetlaw colleagues Last month we announced that the Trust had been successful in its bid to provide community services in Bassetlaw. Now we are welcoming the staff who transferred over to Nottinghamshire Healthcare on 1 November. The Trust has been working closely with GPs in Bassetlaw to provide a partnership focused on the needs of Bassetlaw, retaining the strong local identity and connections whilst using
the corporate services of the Trust to provide back office efficiencies. The new partnership is called Bassetlaw Health Partnership. Dr Chris Stanley, a GP from Bassetlaw and a partner in the Bassetlaw Health Partnership, said: “Bassetlaw GP practices are looking forward to working in partnership with Nottinghamshire Healthcare to deliver and enhance high quality integrated community services to the population of Bassetlaw. We are
Check it Out The Nottingham Panthers have also been working with the Trust on a new campaign launching later this month. ‘Check it Out – Healthy Body, Healthy Mind’, will promote both mental and physical health care. The campaign follows the success of the 2010-11 Trust anti-stigma campaign ‘It’s OK to talk about it’ with GMB Nottingham Panthers. welcomed the assembled crowd and introduced Mike Cooke, who spoke of his pride that the Trust was achieving better outcomes for its service users. Mike also thanked everyone involved including the service users who had an input into the unit’s design and the commissioners. The group was then taken on a tour of the facilities to see for themselves what the new unit will offer. “We are committed to providing the highest quality facilities and care for people using our services,” said Mike. “This fantastic new unit provides a modern and welcoming environment for people needing access to inpatient care for substance misuse. We are delighted that The Nottingham Panthers were able to join us to celebrate this impressive facility and the essential care and support it provides.” For further information about The Woodlands or substance misuse issues contact 0115 956 0850.
excited at the opportunity to work in a unique partnership model that ensures all stakeholders can contribute to service development and improvement for our local population, and that will allow us to maintain a focus on Bassetlaw for the benefit of the whole community.” The following services have transferred to Bassetlaw Health Partnership: Children’s Services · Specialist Children’s Services (Paediatric Learning Disability, Occupational Therapy, Community Friends Together, Specialist and Community Children’s Nursing) · Preventative Health (Sexual Health services, Immunisation, Infant Feeding, Safeguarding, Emotional Health
The campaign team will be on hand at ten Panthers games, showcasing a number of services provided by the Trust under a different theme for each game. Issues covered will include diabetes, healthy heart, exercise, blood pressure, alcohol, smoking cessation, diet and nutrition, depression, oral hygiene, dementia and involvement.
The Panthers
app
At each game Trust colleagues will be present on the plaza promoting the theme of the night, offering advice and promoting services. A quiz will run throughout the campaign with questions about all of the themes and a winner will be announced at the final game. This season the Trust has also gone one step further to reach even more of the Panthers’ fans by advertising within the official Nottingham Panthers app developed by Unique App. Users can view the Trust website, watch a video highlighting the Trust’s commitment to its service users and download an image of a Panther player which will include the Trust’s logo and web address, acting as a valuable awareness tool as the image sits in the user’s photo library. A number of tickets are available free of charge to service users, carers and volunteers for games between 26 November 2011 and 18 March 2012. For more information contact Sharon Eaton on 01623 784770 or email sharon. eaton@nottshc.nhs.uk.
and Wellbeing, Child Health, Health Promotion, CAMHS) · Universal Services (Health Visiting, School Nursing) Adult Services · Dental · Palliative Care (Hospice, Community Matrons, Specialist Care, Charity Service, Specialist Neuro, Diabetes in Care Homes · Adult Nursing (Community Nursing, District Nursing) · Podiatry · Infection, Prevention and Control · Rehabilitation services · Long Term Conditions (Neuro Rehab, Pulmonary Rehab, Occupational Therapy, Stroke, Falls) · Integrated Schemes (Rapid Response,
Out of Hours, Intermediate Care, Discharge Team, Continuing Care) · Clinical Support (Single Point of Access and PALs, Tissue Viability, Continence, Diabetes Support, Orthopaedic Assessment and treatment centre) Bassetlaw Health Partnership will now work alongside County Health Partnerships in the Community Services Division of the Trust and will be overseen by Paul Smeeton, Chief Operating Executive. Mike Cooke, Chief Executive, said: “We are delighted to welcome the Bassetlaw staff to Nottinghamshire Healthcare and look forward to working in partnership with them and primary care colleagues to continue to build on their strengths.”
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Trust awarded Investors in People standard
An external assessment team from Investors in People (IiP) visited the Trust in October to carry out a re-assessment for the important Investors in People (IiP) standard. The Trust successfully achieved the nationally recognised standard in June 2008. This important standard helps organisations to improve performance and achieve objectives through effectively supporting and developing our biggest and most valued asset – our staff. To retain the standard, the Trust must be able to demonstrate that it meets or exceeds ten performance indicators under the three areas of how we ‘Plan, Do and Review’ people investment. As part of the assessment, the IiP team visited a number of sites across the Trust, including Duncan Macmillan House, Rampton Hospital, Wathwood Hospital, Highbury Hospital, Lindsay Close, Arnold Lodge and Hawthorn House. The team also interviewed over 170 staff to see how they are supported and developed in their roles. Each individual was entirely free to feed back their experience of working for Nottinghamshire Healthcare when they met the assessors and many CHP colleagues told them that they already felt part of the Trust.
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We need your OSCARS nominations The Trust’s Outstanding Service Contribution and Recognition Scheme (OSCARS) 2011/12 has recently been launched. Some of you will be new to the Scheme so to help you understand the process in more detail a leaflet and Frequently Asked Questions are available to download from the Trust and CHP intranets and website: www. nottinghamshirehealthcare.nhs.uk There is still time to nominate an individual or team who you think deserves to be recognised for their outstanding commitment and achievements. One of the many misconceptions is that you have to be a manager to nominate someone. This is not true and anyone can nominate an individual or team for an award.
· Team of the Year Award – Clinical and Non Clinical · Leadership Award · Lifetime Achievement Award This year the Team of the Year Award has been split into Clinical and Non Clinical teams making it easier for you to nominate in this category. There are individual nomination forms for each category to help you provide more specific information about your nominee/s. All the nomination forms and a detailed list of award categories can be found on the intranet sites and Trust website along with information on how to apply for tickets for the ceremony on Thursday 15 March 2012 at the East Midlands Conference Centre in Nottingham.
There are nine award categories:
Closing date for nominations is 25 November 2011.
· Unsung Hero Award – Clinical and Non Clinical · Equality and Diversity Award · Liam O’Neill Fighting Stigma Award · Innovator of the Year Award
If you have any queries about the OSCARS nomination process, please contact the Communications Team at Trust HQ on 0115 955 5404 or email sue.wood@ nottshc.nhs.uk.
Thorneywood turns golden Written by Chloe Britton, aged 16 This time last year I wrote about Thorneywood Education Base receiving the silver gilt award for the best school grounds in the Nottingham in Bloom competition. I said changes were already being made to the garden to make it even bigger and better in the hope of winning top prize this year. The garden now consists of a woodland trail that the students designed with the help of Richard and Rachel from St Ann’s Community Orchard. This was a major improvement as originally it was just an overgrown patch that looked untidy and overcrowded with trees and weeds, but with a lot of hard work and determination it has now become a beautiful trail, using trees that were cut down to create a set of wooden steps through the trail. It has also created a peaceful environment to go and collect our thoughts and improved the wildlife massively by creating a protected environment for many different wild animals such as birds, foxes, squirrels and insects. So with high hopes this year we entered the competition again, and were delighted to receive an invitation to the awards ceremony on 8 September at Woodthorpe Nursery. David Staveley (Head of the Education Base) and Ann Saward (Adolescent Class Teacher) went along to the awards with two of the young students and came back with fantastic news… we
Research study recruits first participant A study supported by the Mental Health Research Network (MHRN) East Midlands plus South Yorkshire Hub is celebrating its first recruited participants – with the prospect of many more to follow. The MHRN has been working with Consultant Psychiatrist and Principle Investigator
received the gold award for the best school grounds in Nottingham! We are so proud of our garden and it’s an amazing feeling to know that all the hard work has paid off. As well as receiving a certificate to mark our golden position, we also received a silver lantern for the garden and £150 worth of vouchers for B&Q. We would like to say a massive thank you to everybody who made this achievement possible, but an extra special thanks to the school caretaker Nicky Barratt – without her our grounds would struggle! Let’s hope that we can keep it up and get the gold again next year.
Sudheer Lankappa and the staff at Redwood 1, Highbury Hospital, on the DNA polymorphisms in mental illness (DPIM) study. The potentially ground-breaking research is looking at DNA polymorphism, or mutation, which is a variation in the inherited DNA chemical sequence. This may influence the way the DNA affects the body such as increasing the risk for certain diseases. DPIM is looking for participants who have been diagnosed with schizophrenia or alcohol problems.
Rochelle, one of the students who went along to receive the award, explained how it felt to win: “It was exciting to win an award and prize. I went to the award ceremony with Mr Staveley and Ann and we were called up to collect our prize which was a lantern, £150 for B&Q and a certificate. The food was nice, we had fruit kebabs and I shared a piece of coffee cake with Ann. We had a look around the glass house and I took some pictures of the flowers and pond. We also took part in a quiz and came second, winning two boxes of Heroes chocolates!”
Nottinghamshire Healthcare, with participants being asked to provide a blood sample so that their DNA can be analysed. Information is also gathered on their family background and presence of mental health problems. To find out more, please contact Clinical Studies Officer Jo Higman on 0115 823 1333 or email jo.higman@ nottshc.nhs.uk.
The study is running across adult mental health services in
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New clinical director for CHP County Health Partnerships has welcomed a new Clinical Director for Specialist Services. Catherine Pope has been seconded into the role two days per week, continuing her current role of Associate Director, Allied Health Professionals for the Trust for the remaining three days. Catherine’s appointment will allow the Trust to support the many clinical leaders in Specialist Services to help them develop their services and strategic direction over the next 12 months. This will include helping them understand how they best align themselves with their varied stakeholders in primary care, acute care, social services and education. Catherine is a physiotherapist by background. Key successes in her current role include creating the Trust’s first occupational therapy consultant post and developing an ITbased outcome measures framework. Catherine is also the East Midlands Council representative of the Chartered Society of Physiotherapy and the Director of Therapies on the Mental Health Network Board of the NHS Confederation. “I am really looking forward to this secondment opportunity,” said Catherine. “I think I will be the first AHP to be a Clinical Director in the Trust. “These are really challenging times for the NHS and some of the services in this Directorate are likely to be at the forefront of new commissioning arrangements. This also means there are lots of opportunities, but the key to making the most of these is to quickly engage with staff, patients and commissioners and work together on some solutions which will provide better outcomes for all of us.” We wish Catherine every success in this new role. 6
Students learn about stigma
The day proved a huge success. One student wrote on Patient Opinion: “I found it a very fun, informative morning. I discovered that issues such as discrimination against the mentally ill and unstable are still apparent in modern society. However success can still be achieved, as shown by the CEO Mike Cooke and his battle with bipolar disorder.”
The Trust kicked off its involvement in the annual Nottingham Mental Health Awareness Weeks with a special event for young people held on World Andrew Martin, Psychology Teacher from Nottingham High School, Mental Health Day (10 October). commented: “It was a very worthwhile morning getting the insight into stigma Sixth formers from Nottingham High issues. It was very good insight for School, Thomas Beckett School, the clinical psychology work that the Arnold Hill and High Pavement were invited to Duncan Macmillan House to students will be doing. They particularly appreciated the insight into bipolar take part in a morning looking at the disorder.” stigma around mental health. The students benefited from interactive sessions covering the history of mental health, nutrition, challenging stigma and understanding psychosis.
Thanks to everyone who helped organise the event and to Julian Eve for agreeing for the Learning and Development Department to fund it.
Mike Cooke opened proceedings with information about the Trust and the role of a Chief Executive and followed with a more personal view on mental health services.
A similar event is planned in February 2012 at Rampton Hospital for local students. If you are interested please contact Becky Cassidy on 01623 835210 or email becky.cassidy@nottshc.nhs.uk.
Jonathan Wright, Involvement Centre Manager, said: “Duncan Macmillan House is still known locally as the old Mapperley Hospital and so even the building carries a lot of stigma. With this event we hoped to demystify what goes on here and offer a chance to discuss mental health issues and opportunities to work with the Trust.”
Mental Health Awareness Weeks roundup As we go to print Nottingham Mental Health Awareness Weeks is ongoing. Look out for a roundup of other events including Understanding Dementia at Nottingham Sikh Temple, special art exhibitions, music and poetry performances in the December issue of the newsletter.
Mike Cooke and one of the students take part in an exercise run by Andy Peet
Link network focuses on infection prevention and control Lord Mayor opens art and craft exhibition The Open Door project, a Nottingham City Council mental health day service, held an exhibition of arts and crafts in September at its premises on Victoria Embankment, The Meadows. The Lord Mayor of Nottingham, Councillor Mick Wildgust, together with the Sherriff’s Lady, Adela Hampson, formally opened the exhibition. They were welcomed by Alli McLean on behalf of the mental health day service. In his opening address, the Lord Mayor expressed his strong support for the work of the project and also his admiration for the talents of the members and the quality of the work on display. A wide range of paintings, tapestries, pottery, crossstitching and quilting were displayed throughout the building. There was also a short video showing members at work in the art group. One visitor commented: “I really enjoyed all the art and craft exhibits. It was a great
show and superb hospitality.” Another added: “What talent! Places like this should definitely be kept open.” Anthony Gariff, an Open Door project volunteer and one of the organising team, said: “We were delighted by the number of visitors and their enthusiastic response to the exhibition. It has given our service users a real boost and they richly deserve it for all their hard work.” Further information, please call the Open Door project on 0115 915 3895. Top: (l-r) Jayne D Boulay; Lord Mayor Councillor Mick Wildgust; Sherriff’s Lady Adela Hampson; Sue Ward. Inset: Sue Ward holding her hand-made jug.
The Infection Prevention and Control (IPC) Link Professional Network was set up to support the function of the IPC team by disseminating information and good practice guidance. It also facilitates good IPC practice by acting as a link between the IPC Service and its colleagues. All teams across the county are encouraged to have a Link representative and there is an ongoing drive to increase membership and see all services represented. There are currently 42 members representing a wide variety of professional backgrounds. Members attend quarterly meetings which consist of a full day of learning, sharing good practice and networking. The meetings are extended to include colleagues from the CitiHealth IPC Link network once a year and external speakers are also invited. Attendance at the meetings is monitored and reported to Heads of Service. Link members are involved in a variety of activities including audit, hand hygiene promotion and education within their own teams. The two members from Mansfield Highpoint, for example, have produced a newsletter to share information and learning from a study day in March. The IPC Team is keen to further develop the IPC Link scheme, to raise its profile and gain further support from all managers and Heads of Service. The team will continue to support all members to fulfil the requirements of their role. For further information please contact the IPC Team on 01623 673833/4.
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Trust signs up to online expense system Over the next few months the Trust will be rolling out an electronic expenses system which will replace the paper claims currently in use and will allow employees to access their individual accounts online. The system is already live in Corporate Services and will be launched in Forensic Services on 1 December, in Local Services on 1 January 2012 and in County Health Partnerships on 1 February 2012. All staff will receive an email with more information when the system goes live in their Division. The implementation of the new online system has the full support of the Executive Leadership Team and will be rolled out in partnership with union representatives. The system is already in use in many organisations including over 40 NHS trusts processing tens of thousands of claims a month. For more information contact Ria Cordon, E Expenses Administrator, on 01623 784814 or email ria.cordon@ nottshc.nhs.uk.
HPV programme a success The School Nursing Service Countywide has received praise from the commissioners for the excellent uptake for the 2010/11 HPV programme in schools. For Year 8 girls, the uptake rate achieved across Nottinghamshire was 94.8% for dose 1; 93.4% for dose 2 and 90.3% for dose 3, against a target of 90% for all three doses. Attaining this target is a fantastic achievement. Since the programme started in Nottinghamshire the team has administered over 54,000 doses of HPV vaccine. The HPV vaccination programme is a significant public health intervention and its beneficial effects will be felt for years to come. Thanks go to everyone involved for making it a success.
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Dean Fathers is vaccinated by Ward A42 Staff Nurse Kyriakos Gregoriou
Flu vaccination The Seasonal Flu Vaccination Programme was launched last month with newly trained Trust vaccinators visiting offices and offering the jab to people at their desk. Dean Fathers, Trust Chair, was one of the individuals
who took the opportunity to ensure they are protected against what can be a very serious illness. The seasonal flu vaccine is available to all Trust staff and vaccination clinics are currently taking place across sites.
Please be aware that due to the high uptake of the vaccine already, it is essential that you check the Seasonal Flu sections on the Trust and CHP intranets for details of your nearest flu vaccination clinic to ensure that you do not miss out.
Newark and Sherwood in collaborative working Newark and Sherwood locality is just one of the areas working collaboratively on projects with other organisations. Some of their recent highlights are: Project works to improve Chronic Obstructive Pulmonary Disease (COPD) care Newark and Sherwood Health is working with a number of other organisations, GPs and patient representatives in a project called PANNASH (Pulmonary Advancement Network for Newark and Sherwood Health) to enhance COPD care. This work involves scoping existing pathways from diagnosis through to end of life care to evaluate current practices and staff education and to highlight gaps in service provision. As the provider of many of the services, the team is excited to be involved in such a piece of work. The project should lead to a patient pathway being developed, enabling any patient within the locality to receive high quality COPD care. The work will also involve evaluating the Telehealth
pilot in which a number of CHP patients are participating. Intermediate care looks at best use of beds Intermediate Care Services is working collaboratively with Adult Social Care and Health in the provision of assessment beds within the residential unit of Intermediate Care. Close collaboration will enable the best use of these beds to make sure that patients receive appropriate assessment and care. Within Intermediate Care two small pilots are running on spot purchase beds and an enhanced at home scheme to enable facilitated discharge and prevention of admissions to secondary care. COPD team put forward for award The COPD team for Newark and Sherwood, Mansfield and Ashfield was nominated for an award in Sherwood Forest Hospitals’ ‘Best Care Best People Best Place’ awards for the Team of the Year Award. The nomination was for integration of oxygen and pulmonary rehabilitation services. Well done to all the team who attended the presentation event in September.
Joint challenge team celebrates innovation award A joint team from Nottinghamshire Healthcare, NHS Nottingham City Clinical Commissioning Group and Newark and Sherwood Clinical Commissioning Group is celebrating after winning an award for innovation at the HSJ Mental Health Challenge. The challenge was designed for everyone involved in mental health care. It provides an opportunity to develop leadership skills and gain valuable insights into working collaboratively in a safe and realistic environment. Teams of six role-played the management team of a fictional mental health board in order to address a range of issues that a real Board might encounter, exploring how commissioners and providers
can take a strategic view of the design, development and delivery of mental health services in an evolving healthcare environment. The event provided teams with a challenging environment in which they had to make quick decisions in response to changing circumstances. During the day the teams also received “interventions” – information based on actual events. The Notts team was rewarded for its hard work with the award for innovation for its performance at the event. Julie Hall, Associate Director of Operations, Local Services, said: “We all really enjoyed the leadership challenge. It was a dynamic exercise which tested the team on a range of skills and outcomes, and to be awarded a prize as a team for our efforts was fantastic!”
New directory to help bust jargon The Standing Nursing and Allied Health Professionals Advisory Council (SNACC) has responded to a request from clinicians across the Trust to create a jargon buster directory. If you are new to the Trust or sit in meetings where abbreviations are the norm then the jargon buster is for you. The jargon buster has been created and edited by Emma Thorpe from Dovecote Lane (AMH city) and is available now on the intranet and in hard copy from the Learning and Development Department.
Sure Start helps put the Fun Factor into the community Sure Start in Ashfield has supported a group of local parents to organise a successful family fun day. After identifying a gap in services (play sessions for 0-11 year olds), local parents came together to form the ‘Fun Factor’ group last November. When funding cuts meant the local Play Forum was unable to organise the fun day, Fun Factor took over and worked with Sure Start, Ashfield District Council and Notts County Council Play Service to plan the event. The group secured a small amount of funding but also relied on their thrifty instincts, striking competitive deals with providers. A range of agencies and services were invited to the event to provide activities and information to local families and the Fun Factor group learnt many valuable skills during the process to do with planning, communicating, networking, funding applications, policies and procedures.
Left to right: Marcus Bicknell, Norcom Cluster Chair, NHS Nottingham City Clinical Commissioning Group; Amanda Sullivan, Chief Operating Officer, Newark and Sherwood CCG; Lucy Davidson, Assistant Director of Commissioning - Mental Health, NHS Nottingham City CCG; Julie Hall, Associate Director of Operations, Nottinghamshire Healthcare; Karen Berry, Head of Finance, Nottinghamshire Healthcare; Karon Glynn, Assistant Director of Mental Health Commissioning, Newark and Sherwood CCG; Bruce Calderwood, Director of Mental Health, Department of Health
On the day, 405 people signed in at the event but many others also attended. Fun Factor was ecstatic about the success of the day and has already started thinking about the next one. The event’s success shows real community spirit and what a group of motivated parents can achieve.
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Newark and Sherwood Olympic sports activity day In August Holly Lodge held an Olympic sports activity day at the Magnus School Sports Centre in Newark. Around 150 people attended the event, which was organised following the huge success of the summer 2010 event. This year’s event was held as part of the Trust’s ‘Be Part of the Challenge’ celebrations for the forthcoming London 2012 Olympic and Paralympics Games and was once again a major step forward for partnership working, with representatives from the NHS, Adult Social Care & Health, Notts County Council, Mencap, clients’ families, and Newark & Sherwood District Council all contributing to the organisation.
The day got off to a lively start with everyone joining in with live music performed by Brian Fitzpatrick (Full Bloomers) and many of the clients singing along to their favourite songs. One activity which proved very popular was the archery organised by a professional archery club with awards presented for the top scorers. People also took part in Boccia competitions, giant Connect 4, football, egg and spoon races, wheelchair races, three legged races and a popular tug-of-war event. Again it was wonderful to see old friends meeting up with each other and everyone having a fun-filled day. Many thanks to everyone who helped make the day a success.
Olympic sports day at the Involvement Centre In September, as part of the Trust’s Olympic Challenge, the Involvement Centre at Duncan Macmillan House held their very own Olympic Games. Staff, service users, carers and volunteers set up their own Olympic teams of three people and entered games varying from a three legged race, a time trial egg ‘n’ spoon over an obstacle course and an Olympic-themed quiz.
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Service users and staff warm up before taking part in the three legged race (17) Left: John Heath from the Hotel Services Team
James Routen, Health and Wellbeing Co-ordinator at Arnold Lodge, helped coordinate the games with the Involvement Team. “I really enjoyed this opportunity of getting involved with the Involvement team!” said James. “The Olympic sports day was a big success and testimony to the great team work which goes on at the Centre. Thanks to everyone who took up the challenge.” Speaking from a volunteer’s perspective, service user Darren Ward said of the event: “Everyone who took part in the sports day received a medal for their support in attending the events and taking part; well done to everyone and thanks for a very enjoyable day.” The day was a huge success and the Involvement Centre is now looking into hosting winter Olympic games.
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Schulke Hand Hygiene Champion Award Schulke, the international specialists in infection prevention and control products, launched a new award for hand hygiene champions in July. Nominees were invited to write 250 words about the hand hygiene initiatives being undertaken to prevent the spread of infection and why they deserved to win.
John Brewin with his PA, Nikki Dobson
Natalie Murphy, Head of Infection Prevention and Control/Physical Healthcare Local Services nominated Fiona Hind, Infection Prevention and Control Practitioner Local Services, and Laura Hodgson, Physical Healthcare Facilitator Local Services, for this award. “Fiona and Laura are relentless in their determination to promote the importance of hand hygiene,” said Natalie. “They continuously adapt training to ensure sessions include current evidence-based best practice and remain relevant to the attendees. Within mental health and learning disability the non-concordance and complexity of service users provide an additional challenge to the principles of hand hygiene. Fiona and Laura have developed a range of approaches to meet these challenges.” The competition results were announced in September and Fiona and Laura’s entry impressed the judging panel enough for them to be awarded a ‘highly commended’ certificate. A Schulke representative presented Fiona, Laura and Natalie with certificates, flowers and chocolates. They will also be mentioned in the next edition of the Inside Hospital Magazine. Congratulations!
Left to right: Fiona Hind, Natalie Murphy, and Laura Hodgson with their certificates, flowers and chocolates.
Dr John Brewin Dr John Brewin, Associate Medical Director, left the Trust on 30 September to take up his new post as Medical Director for Lincolnshire Partnership NHS Trust. A farewell party was hosted by colleagues in Adult Mental Health to wish John well in his new role. John has worked for the Trust since 1992. At his leaving party he spoke of his time working as a Psychiatrist, commenting how he felt in a privileged position to work with the clients within the service. John was well liked by his colleagues and patients past and present. Colleagues stated they found it a privilege to work with him. We wish John the very best for the future.
‘Go Gedling’ to launch next year The Healthy Schools Team is set to launch an exciting new initiative in January 2012. ‘Go Gedling’ will be a community project based on getting more Gedling residents more active, more often. The project will aim to reach all age groups with schools being asked to act as hubs in the communication between children, young people and their families. The project is going ahead thanks in part to a successful application by the Healthy Schools Team to the Gedling Health and Social Well-Being Partnership for funding to set up a healthy lifestyles project. The January launch will coincide with the building excitement of the London 2012 Olympics. For more information e-mail judy.wood@nottshc-chp.nhs.uk or call 07824 434236. 12
Workshop furthers Tourette’s care pathway In September the Trust held an all-day event to start the process to develop a care pathway for people diagnosed with Tourette’s Syndrome, particularly adults. Dr Hugh Rickards, Consultant and Honorary Reader in Neuropsychiatry in Birmingham, and acknowledged as one of the few Tourette’s Syndrome specialists in the country, gave an overview of the condition which usually manifests itself at about seven years of age, peaking in adolescence and tailing off in the early 20s. He raised issues such as institutionalised dualism, poor evidence base and co-morbidity which contribute to the difficulties in providing a good service for those who present with Tourette’s Syndrome. An ideal service, he said, would include a known role model, follow service users across all ages, have
Health Informatics: payroll changes for County Health Partnerships The Pay Services, Human Resources, Learning and Development and Health Informatics Service teams have worked together on a project to move County Health Partnerships (CHP) staff onto the Trust’s Electronic Staff Record (ESR) system. The teams were pressed into urgent action to meet timescales provided by the Department of Health and worked hard to meet the tight timescales. The Trust has now added approximately 2,500 CHP staff onto its Payroll and CHP is using the ESR training package (called OLM) for training reporting. For more information about the changes contact Edi Herridge, Projects and Communications Manager on 0115 969 1300 ext 11294 or email edi.herridge@nottshc.nhs.uk.
access to clinical trials and be involved in research, alongside good clinical procedures and diagnosis. Dr Chris Hollis, Professor of Child and Adolescent Psychiatry at Nottingham University, and the Consultant Lead in the Trust for Developmental Neuropsychiatry, chaired the session, and talked about the service in Nottinghamshire. Dr Kobus van Rensburg, Consultant Clinical Psychologist from Kettering, shared information about the service commissioned there for adults with Tourette’s Syndrome. The 20 participants who attended came from clinical, commissioning, service user, voluntary sector and academic backgrounds.
The aims for the workshop were: to start the development of an integrated care pathway which will support service users in achieving their potential from childhood to adulthood; to establish greater awareness and understanding of the work undertaken in Nottingham; to determine the main gaps in the service; to promote and develop inter-agency working across the care pathway. Through group discussions a great deal of information was gathered about the expertise already in the system and the actions necessary to achieve an effective and client-centred service in Nottinghamshire have been agreed to take the work forward in the coming months.
Tender process leads to new service contract The children’s short breaks nursing team (based at the Children’s Development Centre, City Hospital campus) has been awarded a 12-month contract to pilot a nursing service into Crocus Fields, a city social care residential short breaks unit in the Meadows for children and young people with challenging behaviour and associated health needs.
Hea Inf Ser
Not only has the tender resulted in a new contract, but the process has also proved valuable experience as Isobel Millward, Senior Nurse Manager, explained: “It was our first attempt at applying for a formal competitive tender and we were grateful for the support of the CHP Business Team, in particular Paulette Johnson (Project Manager, CHP), who supported us throughout the whole process including compiling a professional portfolio to present to the commissioners.
“Although this was a comparatively small tender of £60,000, the experience has been invaluable in developing our skills as a team in this growing competitive market. We were aware that this process would have been identical had the tender been for a significantly higher sum. “It was quite daunting presenting and answering questions to the tender panel but a good knowledge of the service we were tendering for enabled us to be realistic in the business case we made, which was commended by the commissioners.
“I would recommend any service given an opportunity to explore the viability of tendering.”
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Supported exercise brings Positive results Service users with learning disabilities in Mansfield are benefiting from a new programme of GP referral to exercise being supported by Trust colleagues. A health clinic set up within day services routinely offers users regular health checks. This gives a baseline assessment for qualified staff working with the health coordinator to address physical and mental health needs. Personalised timetables are developed to maintain and develop individual physical and mental health well-being. One clinic assessment identified that a male service user required support to maintain and develop his health. He enjoys an active life but needs one-toone support to enable him to access community facilities due to a visual impairment and learning disability. Working through the GP referral scheme, clinic colleagues were able to support the individual to attend a local gym and start working with a personal trainer. The trainer works with the individual
whilst the health staff support him to access the gym, including working through communication barriers and behaviour issues. The individual was initially only able to use three pieces of the equipment for just three minutes each, but his progress has been outstanding and he is now able to use most of the equipment in the gym and work through a session that lasts 4555 minutes. He has also built up a relationship with the gym staff, especially his personal trainer, and the activity has developed his confidence, self-esteem and physical and mental well-being. This is one example of good practice which has been developed from the health clinic. This work is continuing in day services and other individuals now have their own personalised timetables, which include health education groups and working in partnership with other professionals, in order to meet their health needs.
A service user works out in the gym.
Talking Wellbeing across Nottingham Adults across Nottingham City who are feeling low, anxious or stressed can now access help from the Let’s Talk – Wellbeing service, (Increasing Access to Psychological Therapies, IAPT). Let’s Talk – Wellbeing was launched in Nottingham City on 1 October to provide a range of treatments for people with depression and anxiety disorders. The service has been running successfully in Nottinghamshire County for two years and in Bassetlaw for one year and has now been extended to cover Nottingham City. Trained psychological therapists work with patients using a range of ‘talking therapies’ to help them towards recovery. Provided by Nottinghamshire Healthcare and Rethink Mental Illness on behalf of NHS Nottingham City, the service replaces the previous Health in Mind service, which was put out to tender earlier this year. The new service will be delivered from a number of community locations and will provide access to a wide range of therapies. The County and Bassetlaw Let’s Talk – Wellbeing services are consistently meeting or exceeding their national targets. The County service was one of the early implementer areas in the UK to introduce the new service (as part of the ‘second wave’) and its performance to date exceeds that of other IAPT sites in the country. The high recovery rate is due in part both to well-trained clinicians who are skilled in assessing the suitability of the referrals, and to the development of good patient pathways with our colleagues in secondary care mental health services. Patients are also reporting favourably on the services. In the two years since the County service launched, 999 patients have filled in feedback questionnaires and their responses confirm the service’s success: · 85% felt satisfied or very satisfied with the type of treatment they received. · 87% were fully involved with making important decisions about their treatment. · 87% reported an overall positive experience with the Let’s Talk - Wellbeing Service. For more information visit www.letstalkwellbeing.co.uk.
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Marathon success Friends and colleagues of Sue Parkin would like to congratulate her on taking part in the Robin Hood Half Marathon on 11 September 2011. Sue, a Laundry Assistant at Highbury Hospital, raised a fantastic £500 for the British Lung Foundation. Sue takes part in the Marathon each year and was delighted to improve on her time from last year’s race. Well done Sue. Sue (left) with fellow runners
Nominations invited for mentor and student awards Nominations are invited for awards aimed at excellent mentors and students. The awards are run by the Learning and Development Department and will be presented at a practice learning event for mentors which will take place at the Mike Harris Learning and Development Centre on Monday 28 November. The Learning and Development Department leads on the pre-registration practice learning agenda for non medical professions across Nottinghamshire Healthcare and County Health Partnerships. Over 100 places are available at the event for mentors across the Trust. Staff from areas who wish to look into becoming a placement for student nurses are also welcome. Book your place now to secure a seat.
Left to right: Shelly Worsley, Julian Eve, Deb Boyer
The event will be the first practice learning event of its kind and the second half will feature an awards ceremony with Julian Eve, Head of Learning and Development, presenting the awards. Successful nominees will receive £100 towards their continuing professional development. Send your entries in by 20 November for the following categories: · Significant contribution to the practice learning environment (students and mentors) · Service improvement initiative that is or will be implemented (students) · Excellent role model (students and mentors) · Excellent patient care (students)
· Excellent mental health related academic work (students) · Innovative learning aids tailored to facilitate your individual needs (mentors) · Provides an effective learning environment (mentors) Nomination forms can be downloaded from the Trust intranet. Click on ‘L’ to go to Learning & Development and then select ‘Practice Learning’. Any entries received after 20 November will be held over for next year’s awards. For further information or to book a place at the event contact shelly.worsley@nottshc.nhs.uk or deb.boyer@nottshc.nhs.uk.
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Lings Bar to run ‘reablement’ pilot Following NHS Nottinghamshire County’s decision to close Frank Jacob Ward at Lings Bar Hospital, Human Resources has been working to ensure the appropriate staffing levels for the three remaining wards. This has been a very challenging and unsettling time for the staff there, but it has been noted how professional they have remained throughout and thanks go to these individuals.
A reablement bid is a bid for funding specifically allocated to support the development of an enhanced range of services to support discharge from hospital and avoid hospital readmission. Bids have been invited for services and interventions that support this agenda. The programme aims to reduce: the number of people readmitted to hospital within 30 days, the number of delayed transfers of care and the support needs of those discharged from hospital following a period of reablement. In order to ensure that the throughput of patients on the remaining wards meets the ongoing demand for beds, CHP and local commissioners, supported by reablement funds, have developed a pilot project in Principia to proactively identify patients who could be safely discharged into the community. The existing Principia community ward model, local community rehabilitation team, social care and support workers from East Midlands Cross Roads will work together to ensure that these patients are discharged as early as possible and continue to receive care and rehabilitation in the community. Up to five patients at any one time will be managed in the pilot, which will be evaluated in March 2012. Mike Cooke met with staff at a Catch up with Cooke session in October, thanking them for their hard work and expressing his strong support for the work that Lings Bar does. County Health Partnerships believes that there is a strong future for
Lings Bar and will continue to invest in the pilot work being undertaken there and in new ideas from staff. Andrea Ward, General Manager for Mental Health Services for Older People (MHSOP), has been seconded to look at how best Lings Bar can support the wider health and social care system and will be working with staff in doing this. The Trust is committed to supporting all staff who are at risk and recognises the impact this is having on staff who aren’t. It is also recognised that this uncertain time is made worse by the fact that commissioners have asked for some bed closures to be postponed by two weeks because of the pressures being experienced by Nottingham University Hospitals, even before winter comes, but we can’t raise false hopes. We are looking at new service offerings but this may or may not involve the reopening of Frank Jacob ward and there is no change to the current commissioner decision.
Some of County Health Partnerships’ other successful reablement bids are highlighted below. • Provision of home safety equipment across CHP to reduce children’s accidents and therefore admissions and re-admissions. • Highpoint Intermediate Care and Sherwood Forest Hospitals working together to provide additional capacity for patients who no longer have medical need but are unable to return home due to non-weight bearing nursing or high level support needs. • Enhanced physiotherapy capacity within Community Intermediate Care and Rehabilitation teams to explore the value and benefits for patient reablement in optimising physical rehabilitation. • Introducing community nurse specialists to provide an alternative rapid response primary care service within Nottingham West to help reduce avoidable use of the ‘999’ service, emergency department attendance and subsequent emergency admissions. • Increased capacity within the rehabilitation team to provide falls awareness sessions in care homes in Nottingham West to reduce the risk of falls and reduce falls-related hospital admissions.
The four new community nurse specialists who have joined the Rapid Response Service in Nottingham West
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Conference highlights Releasing Time to Care Trust colleagues welcomed delegates from trusts around the country to a conference on Releasing Time to Care (RTtC) in September.
Nursing and Allied Health Professionals, who spoke about how RTtC links to agendas including QIPP and Essence of Care, and Michelle Bateman, Associate Director, County Health Partnerships.
The event was held at the Mike Harris Learning and Development Centre, Rampton Hospital, with Dean Howells, Associate Director, Forensic Services Division, chairing the morning session and Michelle Persaud, Associate Director, Local Services Division, chairing the afternoon.
Mike Cooke, Chief Executive, presented his vision of what RTtC can offer and the RTtC team shared challenges, solutions, opportunities and achievements from wards and teams around the Trust.
Speakers included Jason Gravestock, Productives Facilitator from the NHS Institute for Innovation and Improvement, who gave the national perspective on the programme, Janet Sheard, Executive Director,
Top: the Releasing Time to Care team Top right: Michelle Persaud, Associate Director, Local Services Bottom left: Michelle Bateman, Associate Director, CHP Bottom right: Mike Cooke, Chief Executive
Delegates attended two workshops presented by Trust staff, choosing from service user involvement, medicines, ward round, handover and foundation modules. Over lunch the IT tools and graph generators were demonstrated, with many delegates asking for the templates for their own trusts. Lastly, delegates discussed the sustainability challenges and attempts to address these. The day was very well received with excellent feedback including: “The enthusiasm of the facilitators helps to deliver the message, and hopefully in the future will help me to do more of why I joined the NHS – to work with patients” and “I think this conference was fantastic; a beautiful facility. Lots of useful tips and information to take back. It has made me feel extremely motivated and fresh.”
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Rowan Rovers celebrate success A special celebration was held at Highbury Hospital for players involved in winning the 2010/11 Positive Goals League and Tournament. It was a time to celebrate what the team had achieved, to thank the players for all the hard work and dedication that they had put in and to relax and socialise with each other away from the intensity of the football field. Staff nurses Matthew Vickers and Walter Carter, who have helped lead the way for Rowan Rovers since the team was
formed in 2009, commented: “It’s been great to be given the time to show our appreciation to the players. They have all been through their own recovery; for some still ongoing, but we hope that the football team gives them something positive to focus on.”
A buffet was laid on by the kitchen staff from Highbury Hospital while small team activities were lead throughout the day as well as games of pool and, most importantly, team tactics were top of the main discussions. Acting Ward Manager Elaine Abbott added: “It’s been great to come and join a ward where they are so recovery focused. Football is just one of the many activities that we encourage our patients to participate in.” At the end of the celebration, each player received an engraved plaque along with a photograph of the trophies that they had won. The new ‘Positive’ football season began on 1 September. Matches are played each month until April. If you are interested in coming to show your support please contact Matthew or Walter at Rowan One, Highbury Hospital. Top: Matthew Vickers presenting the plaque and photos to the Rowan Rovers captain. Bottom: Members of Rowan Rovers with Acting Ward Manager Elaine Abbott.
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Staff scale great heights Physiotherapists from across County Health Partnerships (CHP) and Nottinghamshire Healthcare celebrated World Physical Therapy Day on 8 September by promoting ‘Work Out at Work Day’ with information and fitness activities. Staff at a number of sites took part in what proved to be a very successful and enjoyable day with visitors and staff asking questions about the services and accessing information about how to increase physical activity in their daily working lives. Combining all the events, 135 people took part in the one minute step activity and climbed a total of 828m – the same distance as climbing up the world’s tallest building, the Burj Khalifa in Dubai, and back down again. People were keen to take the leaflets on offer and to discuss their activity levels at work and any concerns they had. A significant proportion were experiencing some level of pain or discomfort linked
Left to right: Sharron Kane (Physiotherapy Technical Instructor), Josh Kay (Specialist Physiotherapist) and Karen McDonnell (Specialist Physiotherapist), who organised the events at the Highbury site.
to work activities and there was discussion around the importance of taking breaks from work and planning tasks to avoid sustained postures or repeated movements.
the measures for fitness. Many staff commented that it would be very easy to incorporate additional walking into their daily working routine or use the stairs rather than the lift.
Participants learned how to take their own pulse and many were interested to hear how this can be used as one of
Well done and thank you to all who took part and to all who helped make it happen.
Goodbye and good luck... Norman Wood Norman Wood, Maintenance Craftsman Electrical, retired on 27 Sept 2011 after 41 years’ service. Norman spent 32 years working in Estates, including his first nine years as a porter at Saxondale Hospital. Norman was always a popular member of the Facilities Directorate, which was evident by the attendance at his retirement presentation in Café Art. Malcolm Pepper, Estates Manager Local Services, said: “Norman has been a committed, loyal and helpful member of the Estates Local Services Team. His cheerful presence in the department will without doubt be missed. Nothing has ever been too much to ask of Norman over the 41 years he has dedicated to the NHS. He has always been willing to step up to the mark when required and always with a smile and is a credit to the service. We all wish Norman a happy and healthy retirement.” Norman Wood (left) with Shaun Froggett, Assistant Estates Manager
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q&a
WHO WE ARE...
You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare NHS Trust is. We provide integrated healthcare services including mental health, learning disability and community health services. We also manage medium-secure units in Leicester and Rotherham, and the highsecure Rampton Hospital near Retford and provide healthcare in 12 prisons across the East Midlands and Yorkshire.
This issue we chat with Peer Support Worker Alix Hind q What is your job title and what does your role entail? a I’m a Peer Support Worker based at The Woodlands. As a PSW I support service users whilst they are in detox from substance misuse. As I have been through drug services myself I can help support them on their recovery journey. I am currently the only PSW in Substance Misuse Services (SMS) and am developing a structure for Peer Support in SMS. q How long have you been with Nottinghamshire Healthcare NHS Trust? a Since February 2009. q What do you see as your priorities for Nottinghamshire Healthcare? a To ensure we keep providing a top quality service and have opportunities available for service users to get into employment. q What is your employment
background? a I had various jobs when I left school such as waitressing, shop assistant, barmaid etc, then nothing due to having a drug addiction. Coming to the Trust was my first job in over 10 years.
q What is the best piece of advice
you have ever been given? a Measure twice, cut once!
q What was the last CD you
bought? a History of House.
q What is your greatest achievement? a Getting off heroin and methadone. q What makes you angry? a People who know it all, even when
they know nothing about the subject.
q What are you most passionate about? a Helping people to stop using substances and have a fulfilling life q What single thing would improve your working life at Nottinghamshire Healthcare? a What more could I need, working in a fab new unit! q What is your favourite hobby? a Taking photos. q What keeps you awake at night? a Not a lot. I’m too shattered after
work!
q What is your favourite film? a The Green Mile. q What is your idea of bliss? a Having a lazy cold winters day in
front of the fire with my duvet & PJs.
q What three words would you use to describe yourself? a Hyperactive, kind and caring. q What is your favourite
holiday destination? a Port Isaac, Cornwall.
q Who would you take to a desert island? a Johnny Depp (but as Jack Sparrow!) q Where do you see yourself in 10 years’ time? a Happy, successful and still with the Trust. q Do you have a ‘claim to fame’? a Meeting the Panthers at our opening!
WE NEED YOU!
If you have any ideas or suggestions for the newsletter, please contact Suzanne Aitken in the Trust Communications Team on 0115 955 5403 or via email at suzanne.aitken@nottshc.nhs.uk. We are always pleased to receive articles for possible publication, but ask that they do not exceed 300 words. Wherever possible when naming individuals, please include details of their job titles/roles and the organisation they are from. If any individuals other than yourself are mentioned in what you write or featured in accompanying photographs, please make sure you check with them that they are happy to be potentially featured. It is your responsibility to ensure this consent is given. Please send photos as separate image files and not in Word documents. Please note that the Communications Team has full editorial control and may have to edit articles appropriately. Therefore, if you want to see the final version please ensure you send your article in with plenty of time before the deadline and state clearly what you require. If you would like copies of any past editions of Positive, or if you are having any ‘distribution issues’ with the newsletter – whether you’re receiving too many copies, too few, or none at all – then please contact us. If you would like your story in the January issue of Positive, please contact us by 9 December 2011. 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
q How would you like to be remembered? a As somebody who made a difference and had a laugh along the way. Printed on Cocoon · 100% recycled paper
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