Insight July/August 2017

REPORTING FROM

Redhill

July/August 2017

Inside this issue:

NEWS

As seen on TV

Getting to know

Dietitians diet diary

Wellbeing walks

Dressed for Success

A word from Michael Wilson CBE chief executive As we look to the skies in the hope for some sunnier summer weather I am pleased to welcome you to Insight. It is good to see another great mix of stories and updates from across SASH and to have the chance to hear more from you about new initiatives such as Dressed for Success and updates from the dietitian team along with news from the Kaizen Promotion Office (KPO) about a shared learning event that we took part in with our Virginia Mason Institute (VMI) and NHS Improvement partner Trusts. There is also a look at the recent visit by BBC South East to our Pendleton Unit.

A word from: Michael Wilson CBE, chief executive

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Business Insight

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As seen on TV

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Getting to know

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I hope that you enjoy the magazine – wherever you are based. A reminder to let the communications team know of any stories that you have to share in Insight or any items that you would like to see featured.

Dietitians diet diary Maternity duo walk miles to raise money for Sands

Wellbeing walks SASH+

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Dressed for Success Meet the employee relations team

Best wishes

Michael Wilson CBE Chief executive

There are regular TeamTalk events at Crawley and East Surrey Hospital. To find out more view the TeamTalk schedule on SASHnet.

If you have a story for Insight please let the communications team know at communications. sash.nhs.uk or x6838 2

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News in brief:

For further details please contact your ward manager or matron or visit the recruitment and resourcing pages of SASHnet where you will find further information under the staff nurse transfer process tab.

Standards of Business Conduct Policy update

The updated standards of business conduct policy mirrors what is in place for the whole of the NHS, which clarifies the responsibilities of each member of staff.

active

The new version is available in the SASHnet document library – please ensure that you take time to familiarise yourself with it and declare any potential conflicts of interest. It is also an important protection for all of us, so if in doubt, please make the declaration.

Join the SASH NHS community choir Do you like to sing? would you like to meet new people? Why not join the SASH NHS community choir, all are welcome, no singing experience necessary.

Band 5 nurse transfer scheme

The workforce team are delighted to launch the internal nurse transfer scheme for registered nurses working at band 5.

Rehearsals at the lecture theatre, Post Graduate Education Centre, East Surrey Hospital between 5-6.30pm every Thursday.

The transfer scheme is a way of facilitating the movement of existing staff to work in alternative wards, clinical areas or divisions to support their short or long-term personal development. The concept, which is separate to the recruitment process, is designed for a specific grade of staff, for example staff nurses wishing to move from one part of the organisation to another.

For more information contact Sarah Wood, head of workforce relations on x6500 or sarah.wood@sash.nhs.uk

Annual general meeting SASH is holding its annual general meeting (AGM) on 28 September 2017.

Come along to find out more about our achievements over the last year and plans for the future. Speaking at the event will be Alan McCarthy, chair and Michael Wilson CBE, chief executive of the Trust.

The process is designed to be used for staff transferring position whilst maintaining their current pay band and terms; this may be for a fixed period (minimum six months) or on a permanent basis.

A transfer process also aims to help retain staff who may be considering leaving the Trust to broaden their experience of work in a different area and is part of the organisation’s approach to talent management. The arrangements are kept informal and controlled locally at divisional level giving matrons and ward managers the opportunity to accept or decline requests based on current establishment, personal suitability and operational need.

The meeting is in the Postgraduate Education Centre at East Surrey Hospital from 6 – 8pm. Refreshments will be served from 5.30pm, free parking is available in the staff car park behind the PGEC. Everyone is welcome. Hope to see you there.

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As seen on TV ...

I was delighted to see the Pendleton Unit and team feature so strongly in the news report – a really great opportunity to show the difference we are making to patient care.

The Pendleton Unit team recently welcomed Mark Norman, the health correspondent from BBC South East, to show him the work they do to meet the urgent care needs of patients aged over 75 years of age.

Led by Dr Natalie Broomhead (pictured below) the team includes a registrar; nurses; nursing assistants; physiotherapists; occupational therapists and pharmacists.

Michael Wilson CBE, chief executive issues and helps improve the wellbeing of the patient through a care plan tailored to each patient’s specific health and care needs.

The care plan also provides follow up support for when the patient leaves the day unit, which may include physiotherapy to improve muscle strength and walking aids for improved mobility and independence.

Together, the team aim to support patients back to health so that they can manage their condition at home, improving quality of life and reducing stays in hospital. In the nine months since the Unit opened, 800 patients have been seen saving 7,040 bed days. On average, just 20% of the patients who attend the unit have been admitted.

Opened in October last year, the dedicated unit the first of its kind in the south east of England, treats patients for conditions including fractures; mild delirium; anaemia; incontinence; kidney infections and reduced mobility.

Mark interviewed and filmed Natalie, Nicola Shopland, chief nurse for medicine, Emma Merrell, occupational therapist team leader, along with a patient and a patient’s relative.

Each was able to give an insight into their role and the collaborative way that the team provide care.

Patients may be referred by the emergency department team; directly by their GP or sometimes through their SASH consultant.

The final piece was aired on the BBC South East evening news and gave a really positive overview of the Pendleton Unit team and the high quality tailored care they provide for patients.

“It was good to welcome Mark and the BBC to the Unit and to give him the chance to see the care we provide and hear from patients and their relatives about the positive impact this has on them,” Natalie explained.

During their time in the Pendleton Unit patients also get a full health assessment that looks at skin condition, muscle strength, weight and dietary habits. This proactive approach gives the team more information about underlying physical and mental health

Michael Wilson CBE, chief executive, concluded: “I was delighted to see the Pendleton Unit and team feature so strongly in the news report – a really great opportunity to show the difference we are making to patient care.”

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Paul Denyer

would play on loop is Supper’s Ready as it is just over 23 minutes long.

Tell us about Crawley Hospital Radio We play a very wide range of music which including regular performances by local acoustic bands; soloists; rock; country; jazz; blues; pop and dance music.

What department do you work in and what is your job title?

I work at Crawley and East Surrey Hospital and I am a technician in electrical medical engineering services.

I am also a DJ for Crawley Hospital Radio.

I have worked at SASH for three years as part of a team of nine people. We are responsible for the equipment library, servicing and repairs of all the apparatus a patient uses during their stay in the hospital.

What’s the best part about working at SASH? The best part about

What is the most interesting place that you’ve been to?

When I was a scout leader another leader in the troop worked for British Rail, he managed to arrange for the Scouts to have a guided tour of Horsham For more information signal box. As a about Crawley railway nut I was very Hospital Radio, how excited, the signalman to live stream or make explained in detail how requests visit: the signal box worked, www.hospitalradiocrawley what the signals tell the train drivers and I .btck.co.uk/ got to pull some levers.

You can also find them This visit took place in the early 1980’s, I still on Facebook: remember like it was @HRCLIVEMUSIC yesterday and it is such or Twitter a shame the signal box @HRC1287AM is no longer in use.

working at SASH is that it’s such a friendly place to be. The staff that work on Woodland ward who cared for me three years ago still remember me.

What are the small things that make your day better?

Getting a thank you from people I have given directions to when they are lost in the hospital. People call me by name that I have never met before.

The best part about working at SASH is that it’s such a friendly place to be.

If you had to choose one song to listen to for the rest of your life, what would it be?

I am a big Genesis fan, I haven’t yet done a show without playing at least one Genesis song, so the song I 5

Dietitians diet diary

Chantelle Rowland, paediatric dietitian shared research done by the dietetics team into different weight loss diets.

The nasogastric feed diet, where the dieter recieved nourishment through a tube to a stomach through the nose.

During the week that the team trialled these diets, each dieter kept a diary to document their thoughts and feelings.

The team focussed on evidence based practice and compared fad diets to diets based on facts and evidence.

Chantelle said: “After following the diets for one week we all lost weight but felt this was outweighed by changes in mood, most of us felt demotivated and tired. We concluded that fad diets are not sustainable long term. We recommend following a healthy eating and lifestyle approach.”

The team tried several different diets to see if they worked and the effects they had.

See what was involved and read the feedback about all the different diets followed.

There is more information about healthy eating on the NHS choices and The British Dietetic Association websites where you can download food fact sheets, including information and advice about portion sizes, packed lunches and even food and mood.

The varied diets tried by the team included:

5:2 diet, a low calorie diet for two days

of the week.

A low calorie diet of eating 800 calories

a day.

A raw food diet of eating only

unprocessed foods, mostly raw fruits,

vegetables and grains.

A juicing diet in which the dieter only

consumed fruit and vegetable juices.

A baby food diet where all meals and

snacks were replaced with jars of baby food.

Pictured above: The SASH dietetics team

Maternity duo walk miles to raise money for Sands Tracy Skinner, bereavement midwife and her husband Andy, maternity ward clerk will walk 60 miles in one day (from Goring to Brighton marina and back again) to raise funds for the Stillbirth and Neonatal Death charity (Sands) who work in partnership with SASH to provide care and support to families during bereavement.

Pictured above: Tracy and Andy Skinner

Andy said: “We met a family who lost their little girl, Penny, who was stillborn at 41 weeks. Penny’s parents told how they were supported collaboratively by SASH and Sands and this inspired us to raise money for this charity. Even though we are experienced walkers, we have never previously walked more than 50 kilometres (30 miles) in one day. So this is a considerable challenge”.

Tracy and Andy will walk on 22 September 2017, to support them with their fundraising for Sands please visit: http://www.justgiving.com/Tracy-Skinner3

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Wellbeing walks Taking regular walks can reduce the risk of some illness, improve mood and mental health. So why not take 15 minutes of your break to look after your wellbeing?

Did you know: • • • • • • •

Walking strengthens your heart Walking lowers disease risk Walking helps you lose weight Walking prevents dementia Walking tones up legs, bums and tums Walking boosts vitamin D Walking gives you energy

Crawley Hospital is less than ten minutes away from Goffs Park, East Surrey Hospital has a woodland walk that can be easily accessed via the East Entrance. Horsham Hospital is only three minutes away from Horsham Skate Park. Even if you are not a skater, there are benches and green spaces so you can sit back, relax and de stress for a while. Or if you are at Oxted you could take a stroll to Master Park.

Whichever site you work at try taking your break outside occasionally, get some fresh air and have a little bit of quiet time.

SASH walks: above left, Goffs Park, Crawley. Top right, East Surrey Hospital woodland walk. Bottom right, Horsham Skate Park Grounds.

Our achievements and those of the other four Trust in the partnership are included in the latest national newsletter from NHSI – Please take a few moments to have a look. http://releasd.com/5e10

It is now two years since we began our transformation partnership with NHS Improvement (NHSI) and the Virginia Mason Institute. It is fantastic to see the difference that the focused work on our three value streams and the extensive range of positive changes being made to the way that we provide care, as part of our Lean for Leaders development programme, are making.

Watch the videos Developing a leadership culture for improvement: on the Improving together: https://youtu.be/3KHYbXrW0V4 A word from Virginia Mason Institute: https://youtu.be/hFNjX3WQNjg

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Dressed for Success Dressed for Success is an initiative to get patients up and dressed everyday as they would do at home.

This campaign is based on a department of health initiative and has been adopted by other NHS organisations where it is also known as PJ paralysis. Dress for Success matters because studies have shown wearing your own clothes in hospital (when able) significantly reduces the risk associated with prolonged best rest, including sarcopenia; deep vein thrombosis; reduced peristalsis; constipation; lethargy and chest infections. Thus reducing harm and enhancing dignity which all combines to promote a speedier recovery.

and Chaldon Wards. Shona said: “The aim of this initivite is to maintain a normal routine for patients and try and promote a better sleeping pattern, getting patients dressed in the morning and at night leads to a quicker recovery and helps them to return home sooner.�

Did you know?

Patients who are not moving around commonly lose muscle strength, stay longer in hospital and are at higher risk of infection.

The initiative was rolled out in May on Abinger ward and in July on Meadvale by Nicola Shopland, chief nurse for medicine and Shona Reeve, matron, Abinger, Meadvale

Ten days in a hospital bed can age the musculoskeletal system of a frail patient by about 10 years Bedrest can decrease muscle strength by 2-5% day causing muscle shortening, changes in joint structure and marked loss of leg strength which will seriously limit mobility

Pictured above: Shona Reeve and Nicola Shopland

Meet the employee relations team

NHS for a combined total of 20+ years and have wide ranging experiences of managing ER issues.

They will work closely with SASH managers and provide advice and guidance on all ongoing ER cases both over the phone and face to face and provide coaching and training to managers. They are currently developing new SASHnet pages to provide comprehensive ER resources for managers.

The way SASH managers access advice and guidance in dealing with employee relations (ER) matters has moved back into SASH from Capsticks HR Advisory Service. The insourced service went live on 1 August. The ER team is based in Room AD55 in Trust Headquarters.

Managers can access the service, to log a case or make an enquiry, contact: er-team@sash.nhs.uk.

The employee relations team are as pictured above l-r: Humera Ali, employee relations coordinator x 2454; Vee Simmons, employee relations manager x 6877; Mandy Hudd, employee relations advisor x 2453 and Richard Meadows, employee advisor x 2452.

Produced by the communications team

Members of the ER team have worked in the 8