CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 1
Inside: - Farewell to Trust Matters - Woodlands official opening - Latest merger news Issue 58
. November 2011
- SharePoint is coming
FAREWELL ISSUE
- CQC praises Airey Close
. Contact us at: membership@smhp.nhs.uk . online: www.smhp.nhs.uk/trustmatters
- Suffolk Health and Wellbeing Month: - Mental health information stand
On behalf of the Executive teams, I am can confirm that the Norfolk and Waveney Board has formally approved the merger with the Trust. I am sure you will agree that is excellent news! The Board has agreed to Monitor’s proposed remedies and accepted its financial and governance risk ratings. The past 12 to 18 months have been very busy for the Trusts as we have worked to bring the merger to fruition.
- Singing flash mob - Sudbury VASP events - Radical Pathway Redesign - Improved clinical supervision - Personality disorder strategy - Patient safety review
Read more on page 3!
- Letters and compliments
Onwards and upwards! Welcome to the last ever edition of Trust some of the back copies, and Matters, the magazine for am delighted to see how far Suffolk Mental Health staff! we have come on projects The merger, which has such as productive mental received final approval, will health wards and signal the start of a new era, community teams, the and an exciting new combined anti-stigma campaign ds w’s war magazine for both Suffolk and work, the launch of new o rr o for tom starts g work Norfolk. services and the Buildin Altogether, there have been an reprovision of residential incredible 58 editions of Trust learning disability Matters, documenting the services - to name but achievements and challenges that a few! the Trust has faced over the last I was particularly eight years. interested to read about the In May this year, the newsletter was launch of the business case for building expanded into the weekly e-bulletin Trust Foxhall House and Woodlands all those Update, which complements Trust years ago. It is fitting that this final edition Matters. Trust Update is a brilliant rightly heralds the official opening of communications vehicle and I am excited Woodlands by the Countess of Wessex. to say that it will It’s thanks to our be taken forward clinical and project into Norfolk and teams that we have Suffolk NHS mental health wards Foundation Trust. which are among the Trust Update, best in the country. '5 61 !12 #9#4& )1 and of course And, of course, +#B '06 &'/ (14 A '52'%6 Staff recogn ition the longseeing the who will yo awards 2009: u nominate? standing Trust numerous letters of Matters, have thanks which both laid great service users have foundations for sent in to our teams timely and remind us all of accessible communications. why we are here – the Suffolk strapline of Ahead of this farewell issue of Trust ‘helping people make the most of their Matters, I have been taking a look at lives’ being particularly appropriate. This INSIDE: ! Trus
Issue
p.nh hip@smh members us at: Contact
s.uk
43
May 2009
p.nh www.smh online:
airman to the ch nt yearscare of rd frotm forwardoveintherecequalityserv ice A woissu to impr e of Trus rs, and provides
tmatters s.uk/trus
last that it ly care In the kindly tal and fami I was e out by lk Men users Matters been born d to Suffo fore like this has recent HCC there welcome ices. t to I would our serv life the mos rtunity Health. ent of the oppo myself to I am a assessm to take may know se of introduce Hou As you formally of the held the been member have also you all. I have only r and for a in othe Lords Although of the Trust rman chai dy feel t recently role of chairman weeks I alrea ts, mos of t it. From NHS Trus Brompton and matter abou al tive and with the the Roy NHS Trust, very posi ersations can tell h East Harefield my conv I have met I that, Nort lth Trust. a prior to Hea staff who le here have Mental have the the best Essex to that peop providing sed l for to loca I am plea ty to use that passion they can has clearly opportuni t services The Trus s people. nt step significa taken
t
T
es objectiv
n dren lear ool chil health ! Sch mental about ing n train ! Brai carers ality for ! Equ updates paign ! Cam iness olk Bus ! Suff
+2 106#%6 75 #6 /'/$'45*
5/*2 0*5 7-
18'/$'4
0*5 10.+0' 999 5/*2
5 7- 64756/#66'4
'52'%6 (14 &'/'06+#B > 9#4& (14 A ! %'.'$4#6'5 9'..$'+0) > 5 > *#4/#%; 6'%*0+%+#0 9+00'45 > 6#(( 9#4&5 12'0+0) > 1:*#.. 175' $7+.& 6*' "+..195 0'9 #6 .11> +456 64#+0+0) > *'#.6* 9#4&5 > 41&7%6+8' /'06#. #%%4'&+6#6+10 > > '4)'4 72&#6' 4172 /2.1;'' '6914> '((+%+'0%; > 224#+5#.5 +/2418' &47)5 5'48+%' > *#0)'5 61 (''. )11& (#%614 > !'#/5 )'6 6*'
want to help so far. We .” on this project forward process enjoyed working this is a straight “I have really can to ensure that Evelyn said: way we whatever people in
it’s all Number – “The NHS
56+)/# %#/2#+)0 24+<' !*' !4756B5 #06+ *#5 910 (+456 '52'%6 (14 &'/'06+# #6 6*' 24'56+)+175 (14 !#%-.+0) 0'37#.+6+'50018#6+105 #56 1( 0).#0& 1/2'6+6+10 '#.6* 14)#0+5'& $; !*' #9#4&5 9'4' 9*1 #.51 #9#4&'& 61 06'424+5' #56 = # 24+<' (70& 1( 6*' !4756 9+6* 6*'+4 914*'.2 6*'/ %106+07' &+4'%614 1( %1//70+6; 61 1$'46 '5$+66 #4' &'.+)*6'& ?"' 5#+& '0)#)'/'06 "' 9+.. $' (#06#56+% #9#4& 6*' *#8' 910 6*+5 (70& $#%- +061 24+<' 6*' +08'56+0) 174 A '52'%6 (14 %#/2#+)0 $; 64#05.#6+0) +061 16*'4 .#0)7#)'5 &'/'06+#B /#6'4+#.5 (14 6*' 24#+5' 9' ?"' #4' 51 )4#6'(7. 9+.. 019 (1%75 10 #0& $; *#8' 4'%'+8'& 6*' 9+&'4 %1//70+6; '0)#)+0) 9+6* &'/'06+# #9#4'0'55 1( (746*'4 241/16' @ 10 2'12.'B5 .+8'5 #0& +65 #(('%65 61 6*' '064+'5 9'4' /#&' 9+00'4 +0 8'4#.. 10' (+456 24+<' %1/2'6+6+10 9+6* %#6')14+'5 1$'46 .'#& '#%* 1( 6*' (+8' 6*' #9#4&5 9+6* '5$+66 #66'0&'& #8+& #441.& %1057.6#06 52'%+#.+56 0745' %#/2#+)0 1$'46 76.'4 #0& 25;%*+#64+56 4;5 #2.'; 2+%674'& $1#4& /'/$'4 79 0'95 4'#&'4 #$18' 9+6* 6*' #9#4&5 &9#4&5 9*1 24'5'06'&
9#;5 10' 1( 6*' $'56 '66+0) #%6+8' +5 *'#.6* #0& # )4172 1( +/2418+0) /'06#. 6'& 6*+5 ! 56#(( &'/10564# 1( #56 5'55+10 '#.6* 9+6* # )4172 ':'4%+5' "14.& '06#. 4)#0+5'& 61 /#41( 6*' %61$'4 /'/$'45 1( #; 10 10' *174 5'55+10 ! 6'#/ *'.& # 57+6#$.' (14 #.. ':'4%+5' (70 $#5'& 4'5* #+4 #0& 6*' /'06#. (+60'55 .'8'.5 -0190 61 $1156 '08+410/'06 #4' *'.& ':'4%+5' 9#5 6 9'..$'+0) 51 6*' (116$#.. 2+6%* #6 176&1145 10 6*' .'/'06B5 152+6#. &'.+8'4'& $; ':'4%+5' !*' 5'55+10 9#5 )#8' 116 #/2 #0& 9+&' %1/2#0; # %*#0%' 61 75' 2#46+%+2#065 6*' 6 57%* #5 4#0)' 1( '37+2/'0 #0& 6;4'5 219'4$#)5 -'66.'$'..5 /#0#)'4 5#+& %'064' +< ..+5 6*'4#2; 6'#/ ; (14 6*' 9*1.' ? 6B5 #0 12214670+6 61)'6*'4 +0 010 6*'+4 61 52'0& 6+/' #0& +0%4'#5' %1/2'6+6+8' #%6+8+6+'5 (+60'55 !*+5 9#5 176&114 -019.'&)' 1( 61 56#(( #0& # 6*#0- ;17 # $+6 1( # 64'#6 6*'; &1 6 #.51 6*#6 914(14 #.. 6*' 9*#6 9' 24'#%* *'.& 10 5*195 9' 24#%6+%' 61)'6*'4 9#5 6*' *'.25 4'&7%' 6*#0- ;17 )'6 9*1 914-'& 10 6*+5 ? ')7.#4 ':'4%+5' .+-' 2'12.' (14 5'55+10 241,'%6 %61$'4 170&#6+10 !4756 5+%-0'55 #$5'0%' #$176 #0& %#/2#+)0 #6 6*' '/2.1;'4 %#4'5 #4'45B )41725 2418'& 6*#6 174 @ 6*' 1((+%' 6 .'/'06B5 9'..$'+0) #0& 56#(( *'#.6* "14.& +081.8'& +0 /#-+0) *+'( 14)#0+5#6+105 '8'065 61 /#49'4' +08+6'& '6#+.5 1( 16*'4 10 6*15' #; %#0 $' (170& %#/2#+)0 # 57%%'55 '06#. '#.6* #..#&#; 6*#0-'& ':'%76+8' #46*' #9#4& 6412*; 2#)' +081.8'& #0& 24'5'06'& #$4+'. !#/#;# 61 %#/2#+)0 .'#&
story
surgeries
It is the time of year when we ask our staff to have a think about ! quality those people who have made ! making a a difference difference in the Trust. This year’s awards follow ! partnership on from the working success of the fantastic ! team leader/m award ceremonies anager of the in 2007 and There is a full year. 2008. criteria list on Perhaps you page 2. want to acknowl The quality and making edge the innovations a difference or achievem awards are for all employe ents of a colleague. es and volunteers – not just clinical Maybe you have a dedicate or practitioner staff. d and motivating team This includes manager that social care to see rewarde you want staff working our services d. in . Whatever the reason, make The partners hip working sure you get your nominat award is for ions in by July employees, all but also any 24th! There are 12 individual or awards this organisation year in four outside the different categori Trust who has helped us in es: our mission of ‘helping people make the most of their lives’.
! Falls awarene ss article
! Thumbs
up!
The team leader/m anager award anyone who is for has shown good leadersh in the Trust. ip Nominations for the making a difference award are for individuals only but all the other categori es can be for a team or an individua l. It is easy to nominate this year. You can simply complet e an to www.smhp.nhs.u online form by going k and clicking Staff Recogni on tion Awards 2009 which can be found under the news sections. Alternatively you can downloa d a form from the same page and post it if you prefer. There is also a list of the complete rules and process . Don’t delay, nominate today!
Garden project Saving lives!
Orwell Walk team - Rocket er’s Society - Alzheim
. . . . . .
reference
rs Childcare vouche g service Stop smokin NHS247.com
t about patien
safety”
.
tal Health Suffolk Men Partnership NHS Trust
! Complaints procedure ! Fraud awarene ss Q&A ! Chief executiv e
All the winners at the Staff Recognition Awards 2008. photos from Turn last year’s fantastic event to page 2 for more
updates Campaign Business Minded - Suffolk ia for Dement - Respect
. .
! Tales from the Trust – A success
Palace Buckingham Garden Party
tion r and Informa will look into: The NHS Numbe Project itself usage of heet, Governance on a spreads the current Trust, that is not information Base lining r within the or any system Mental database, If you do, the NHS Numbe , on paper Support Servicestaking on a or PC-MIS? systems Health The Suffolk ePEX, ILLY, flows. by Staff, IT tics Team is the Mental information 329270 Health Informa help improve please contact plan for records and which will Team on: 01473over the conformance new project n Informatics Creating a set by NPSA – implementatio to all Agency patient safety. 3. Prepare requirements change into the lead l Patient SafetyPractice months will enting The Nationa coming “Safer Implem , to comply and issued a of working ations in (NPSA) has patient records carrying the NHS trust’s ways set. all NHS organis recommends Notice” to requirements communication sure you are ready! which with Wales England and NHS Number as the Number! Make like to get the that you wouldcontribution the use of over the identifier. If you feel will follow d) the a positive unique patient More advice Walters (picture involved, have to raise any . nced a would like Led by Evelyn was issued coming months ations you to make, or, team has comme ng complic Practice Notice” for Health informatics r and The “Safer ting concerns regardicontact, Project NHS Numbe the Connec Project. Trust-wide me. This is to support foresee, please Walters on: Governance Number Programte adoption Information Evelyn (CfH) NHS Manager, s a comple smhp.nhs.uk. to take these working toward improve patient evelyn.walters@ kindly asked number to All staff are of the NHS steps: are the NHS. me – Do you three initial across ess care awaren for this program 1. Raise your the NHS Number is? The key drivers patient choice, the safety, know what financial http://www. patient ork, on: now tems ng Framew Find out t by results), NHS Operati ealth.nhs.uk/sys (e.g. paymen connectingforh number implications confidentiality. Do andservices/nhs systems – security and your local 2. Review identifiable you hold patient
updates
! What's in a brand?
diversity Equality and g Through - Breakin - LGBT Survey
Time Protected
! Centrep iece
! /75+% 56#4 (14 (#/+.; %#4'45 > '.2+0) *#0& 72&#6' > '+0) 2'0 65 > '66'45 #0& %1/2.+/'0
r NHS Numbe
. .
User and carer group
- Respect for dementia - Suffolk Busines s Minded
online: www.sm hp.nhs.uk/trustm atters
>
! 6'#/ )'65 2*;5+%#. (14 "14.& #; '06#. '#.6*
! Campaign
. .
Library service
INSIDE:
July 2009
k/trustmatters
. online: www.smhp.nhs.u mhp.nhs.uk
CENTREPIECE
! Staff recogni tion awards ! Medicin e record card
Issue 44
INSIDE:
. . . .
tball fun ! Foo rement ! Reti Day Nose ! Red
Contact us at: member ship@smhp.nhs.u k
. September 2009
rship@s
start of als the th sign Mental This mon for Suffolk began era a new ing work in as build facilities Health in-patient 5th. ents on new h will on May truct the St Clem ed whic to Ipswich aims to cons in the ding at are agre nal wards t s Plans new buil ble the origi The Trus tal health ward and the can refurbish more flexi g their site, left, East of best men that the staff in an tients Road ther – e durin mental so give inpa care try Heath rt Best toge pledges for coun onal spac s... The ’s ern, area. their expe and pers h. e The plan England ices in this provide ent that is mod t. me of thes in Marc serv e. treatmen ission date Board ronm fore beco ortiv health envi d very from the be Authority will there and supp ination of better The subm be confirme can see will Services ssible and inspiring are a culm As you St Clements s will er s work by acce plan bed deliv t 11 hard will more res, The plan of d new pictu ice , and patient more abou decade soon. s, serv to a bran This will be integrated ity of life and over a find out project via home , manager rs, who qual You can le story re unit. better clinicians family care ernisation the sing low secu es. also site and the mod cent to ther to se. experienc ing work will users rnal web to l built adja pson Hou ed toge the exte p.nhs.uk. Go build areas. Sam ronmenta will have The of have work tient envi site d part to in-pa with help www.smh current e th Roa dards secure l comply improve cts will also and with a The Hea r the ‘we’r bility stan e of its functiona ‘recent r facility sive Care Unit sustaina vative yet The proje achieve som ions’ unde then large a ultat and inno to cons ic Inten 21-bed create SMHP objectives: to ’ section ation’. me Psychiatr three new include Bury St , beco listening and Unit in will spaces. five year e its services ‘modernis (PICU) which gwood for choose and to (one of The Wed is also due modernis loyer, dementia future. wards e of el emp ose built . the near Edmunds a mod tive imag a purp work in a posi ent unit) applying building promote assessm ct focuses on the health. n and mental East Towards The proje £23 millio of the cost iples from It will the princ lth approval tegic Hea received land Stra of Eng
557'
Issue 45
. Contact us at: membe
a Minded dementi pect for ! Res trepiece ! Cen suite tion 136 ng ! Sec tleblowi on whis ! Q&A e ranc insu onal ! Nati rs vouche dcare ! Chil unit HS/LD ! CAM ster tor regi ! Men
of service e in the rds experienc we work towa s later as t statu SMHP n Trus Foundatio . ting this year ard to mee forw coming I look in the of you y man months. Braintree ton of Lord New
T
positivity and rs R tteS MaU continual thanks to the wonderful staff across Suffolk and Norfolk will continue in the new magazine and in Trust Update. We have now been given the go-ahead for the merger to happen – it will definitely take place! The Trust executive teams and senior management teams in both counties are starting to work together and we are starting to align our various projects, such as the clinicianled Radical Pathway Redesign project, in order to achieve the benefits we set out in our business plan. I think that Suffolk staff should be very proud of how far they have come and all the great successes they have been responsible for. The achievements are yours and I’ve been pleased to have been a part of that over the last eight months. My next newsletter message will be as chief executive of the new Norfolk and Suffolk NHS Foundation Trust, where I look forward to working with colleagues both sides of the border as we continue to develop excellent services for the people of both counties. Aidan Thomas, Chief Executive
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 2
HRH Countess of Wessex GCVO officially opens Woodlands HRH Countess of Wessex GCVO officially opened the new, state-of-the-art mental health inpatient facility in Ipswich on Thursday 20 October 2011. The facility, called Woodlands, replaces the out-dated wards at St Clement’s Hospital. The Countess was taken on a tour of Woodlands by locality manager Margaret Little. She was welcomed by staff inside the facility who chatted about things such as the gym, the ECT suite and user and carer involvement. After the tour, the Countess officially opened the building by unveiling a special plaque, and gave a speech. “I’d just like to say on behalf of all of all the very vulnerable people that you care for an enormous thank you,” she said.
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 2
The Countess meets a service user who was receiving a therapy treament from Karen Hemmingway, complementary therapist. “The facility that you have provided for them is fabulous. The care, it goes without saying, is fabulous but you now have an even better place to do it in. I wish you all the best in your new facility. “We can’t put too high a price on caring for people when they need help. “It is a great pleasure for me to be able to come here and formally declare the During the day, Mark Graves, senior project manager for building contractors Kier Eastern, presented a beautiful wooden carving to modern matrons Tim Smith and Jane Coates (pictured right). The carving was handmade by one of the people that worked on the building as an expression of their gratitude for being part of Woodlands.
building open.” The general atmosphere at the event was one of excitement and it was obvious how pleased all the staff and guests were with what has been achieved. Lord Newton of Braintree, Trust chair, summed these feelings up through his welcoming words to the Countess. HRH Countess of Wessex GCVO officially opens Woodlands “This is a terrific day for us,” he said. “It this new unit open and functioning with an was back in the 19th century that new excellent environment fit for purpose for mental health facilities on this scale both patients and staff. I would like to were provided in Ipswich. We are extend my personal thanks to the clinical effectively replacing St Clement’s with managers involved, particularly Margaret modern, state-of-the-art provision. Little, who juggled many responsibilities “It comes at the end of a year when we to lead this, along with our very able have all but jumped the last hurdle of a new administrative arrangement - boring modern matrons, Jane Coates and Tim though that sounds! – to create a new Trust. We’re getting together with our friends in Norfolk to create one that covers the core of East Anglia, which will be good for patients, staff and everyone interested in mental health.” After the official opening, staff enjoyed an informal party to celebrate the Trust’s success. Attendees had a chance to enjoy music provided by Gill Burgoyne’s (community eating disorders service manager) jazz band, and a delicious cake – with a miniature Woodlands made out of icing - made by mental health Aidan Thomas introduces the Countess to Lord nurse Sue Mannion. Newton of Braintree, Sandra Cowie, David Leckie The building, which is based on the and Margaret Little before her tour of Woodlands. Ipswich Hospital site cost £19.6 million and represents over 10 years hard work. Sandra Cowie, director of mental health Smith. and social “I would also like to say a thank you to care, said: David Leckie and his project team. It is a “After many significant event for Suffolk to have 21st years of century inpatient wards in which to further project groups develop standards of care and modernise and countless practice.” debates about The facility comprises four modern building plans inpatient wards including a later life ward it was and dementia assessment unit, and a absolutely psychiatric intensive care unit. fantastic to The crisis resolution home treatment see the teams, psychiatric liaison service for older opening of adults and a base for approved mental Woodlands. health practitioners (social workers) are “I am very also housed in the building. proud to see
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 3
The Norfolk and Waveney Mental Health Trust is now waiting on the Department of Health to set a date for the Trust to merge with neighbouring Suffolk. The merger has been approved by all relevant organisations and now needs sign-off by the Department of Health and Secretary of State. The merger will be finalised once it is officially signed by the Department of Health and Secretary of State. The date that the merger occurs is dependent on when the sign-off takes place. One of the key organisations involved in the process, Monitor, said integrating the two Trusts would be in patients’ interests. Chief Executive Aidan Thomas thanked all involved for their work in the lengthy process. Norfolk and Suffolk Trusts began discussions around a merger in early 2010. The project began with a scoping meeting between the heads of services at both Trusts and the Norfolk Board of Directors. The Trusts developed a business case in autumn 2010 which was
assessed by the Strategic Health Authority (SHA), the Co-operation and Competition Panel (CCP) and Monitor. The approvals process has taken longer than expected (currently 14 months), with changes to external timeframes causing a number of revisions to anticipated merger dates. During the approval process, Suffolk instigated an independent review of patient safety which found some weaknesses in the Trust. This had a significant impact on the merger, leading to the revision of the planning documents and the bringing forward of some planned activities. One of these changes was the appointment of Aidan Thomas as Acting Chief Executive in Suffolk at the request of the SHA and commissioners. The SHA provided its official support for the merger in early 2011. However, the CCP concluded it could not recommend the merger due to its potential negative impact on competition. The CCP decision
raised concerns that the geographical location of both Trusts (i.e. bordered by sea) prohibited competition, particularly in Great Yarmouth and Waveney. As a result, Monitor, the final organisation to provide a recommendation, took additional time to further consider the competition issues. The organisation was asked to take into account the outcomes of the patient safety review in its assessment: information which had not been available to the CCP at the time of its assessment. In October, the Monitor Board announced its support for the merger, acknowledging it was in patient’s interests. To offset any concerns about competition, Monitor proposed a package of remedies that involved retendering of services, provision of facilities to external service providers, and information-sharing. The final stage of the merger will be signoff by the Department of Health and Secretary of State, which will determine the date that the merger takes place.
SharePoint is coming - get ready for a fantastic new staff intranet! SharePoint and are busy developing their pages, ready for launch when the Trusts merge. In addition, SharePoint has a section called MySite, which acts as an internal professional networking website. Staff will be able to add their colleagues, tag themselves in relevant policies and offer their advice and expertise. SharePoint has the ability to hold a vast amount of information and a large number of documents. Eventually, each team will have their own document libraries where policies, project plans and supporting
documents will be stored. In the long term, the plan is for SharePoint, which hosts automatic version control systems, to replace shared drives. Staff will be able to access support for SharePoint from several places. Power users will be able to help in the first instance, but there are also help guides and FAQs, which guide users through ‘how to’ examples step-bystep. As always, Service Desk will be able to help with more complicated enquiries. For more information please email helen.abbott@smhp.nhs.uk.
The Trust’s Airey Close in Oulton, which houses rehabilitation services for people with learning disabilities, held an open day this month following an extensive refurbishment. The team provides rehabilitation and recovery services for adult men with a learning disability who may also have another condition such as a mental health problem. The team works with each person to help them prepare for everyday
living, such as looking at living accommodation, community facilities and budgeting. The open day followed an unannounced visit from the independent regulator, the Care Quality Commission, concluded that the services at the unit were good. The assessment team spent two days at the Airey Close bunglaows, talking to staff, service users and families. Unit manager Sue Medley, said: “They
were impressed with our staff and the relaxed atmosphere among them and our service users. We are really pleased with the feedback.” The assessors praised the Trust’s incident reporting processes, the extensive training in safeguarding issues, the person-centred care approach and the way the staff involved service users and family carers in the running of the unit.
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 3
With the merger approaching, Norfolk and Suffolk have been working together to design a new intranet that allows more efficient information sharing and effective communication. When first launched, the intranet, which uses a program called Microsoft SharePoint, will exist alongside the Intranet and LINX (Norfolk’s intranet system). Staff will still be able to search and locate information and documents in their current location, using SharePoint’s advanced search function. ‘Power users’ from each team have been trained to use
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:23 Page 4
Mental health information in Woodbridge! Contibuted by Alun Hughes, Suffolk User Forum. First we would like to thank the Woodbridge Library staff for all their help in setting up the foyer for our exhibition of leaflets and write-ups on mental health topics. Most people who came to the library acknowledged our presence and quite a number showed enough interest to become involved in a chat about the services that the Trust has to offer and were pleasantly surprised to learn how wide-ranging the services are. A recurring topic of interest was about bipolar depression and its implications. Although there were few other specific topics asked about, the general feeling in the day was one of success and the number of Trust staff present felt that their contribution had been significant in a day of ‘help and enlightenment’. It was interesting too, for the number of people who found that they could help
From left: Alun Hughes, Deo Lapena and Jackie Carman get ready to chat with library visitors someone by sharing their own experiences in solving such problems as bereavement and isolation. A significant number told us of the help they had received from social services, and many asked about the learning difficulty services available. The team on the day was led by Deogracias Lapena, community mental health nurse, Later Life Community East Team. His assistants were mostly in their third year of training in various disciplines: Beth Manning, student mental health nurse; Antoinetta D’Alessandro and Jack
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 4
Left: A day of singing in Beccles Right: Kids at Gt Cornard Upper School talk to a ‘human library’
Left: Walkers enjoy the fresh air at a walk in Halesworth Right: Endeavour House plays host to health information event
Nkala, social work students; Dianne Szulc, social worker, and Kate Woollard, occupational therapist. Also in attendance, contributing their many years experience, were team leader Jackie Carman, CMHT manager Glen Pooley and Leslie Bradshaw. It is always difficult to quantify the undoubted success of the day and although we were in a warm and comfortable location it was noted that a larger number of people had been engaged in the day last year when the exhibition had been held in the open air on Woodbridge Thoroughfare.
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:23 Page 5
Singing flash-mob descends on Ipswich A singing flash-mob surprised book lovers at Ipswich Library on World Mental Health Day, 10 October to promote health and wellbeing in Suffolk. The flash mob was organised by Music in Mind, a community singing group with support from the Trust, Suffolk County Council and The Mind Sanctuary. People keen to take part met in the lecture room at the library at 2pm to learn the chosen song, Down by the Riverside. Tracy Sharp, who helps run the group, said: “It is the perfect song to get our message across, as it is about overcoming struggles and triumphing over adversity.” The singers then went down to the library to perform the song amongst the book lovers and library staff.
Music in Mind began in January after the InsideOut Community Arts in mental health project recognised the impact of singing on wellbeing. The group, which is now Lottery funded, meets fortnightly in the library on Monday afternoons and is open to all. Tracy added: “The aim of Music in Mind is to promote recovery and wellbeing through singing. Opening out the group to everyone who wants to get involved is our way of bringing people together - acknowledging that we all have times when we experience isolation, anxiety, grief and depression and that together we can lift one another’s spirits in song.” You can watch a video of the flash mob at http://www.youtube.com/bewellsuffolk.
Working together at Sudbury VASP! few needing to off-load who went away saying they felt uplifted. We received some very positive feedback, many confirming VASP should carry on with the good work we are undertaking and are very much appreciated. Staff from CSV (Community Service Volunteers) attended with a Smoothie bike to inspire the public to cycle for a few minutes in order to make their own Smoothie. This encouraged us all to realise the importance that exercise and your five-aday fruit and veggies make towards you feeling healthier, and how physical
Left: mental health display in Eye. Right: mental health information stand at Stowmarket Library.
wellbeing is linked to mental wellbeing. We even persuaded one of the local community police officers to have a go! A member of staff from the local Kingfisher Sports Centre once again offered his support. It was a good example of an effective multi-agency event. Much work had taken place in the planning and preparation, thanks to the many members contributing. Everyone available on the day was keen to take part and we had a clear, simple objective which we all understood and worked jointly to achieve.
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 5
Contributed by Garrie Parker, Chairperson Sudbury VASP and Anne Hopkins, Sudbury CMHT admin coordinator. Sudbury VASP members held an event on market day in Sudbury outside the Town Hall on 6 October by manning an information stand. Although a very blustery day it proved rewarding and attracted many members of the public who benefited from supportive information supplied by local VASP organisations and, in some cases, proved to be a good listening ear to a
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:23 Page 6
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 6
Radical pathway redesign The Trust has started to look at a radical redesign of services, led by clinical opinion, that builds on service redesign work that has already taken place. The process, called Radical Pathway Redesign, aims to ensure improved quality of clinical care within the finances available to them, and to create more effective and robust services over the next four years. Radical Pathway Redesign will allow clinicians to work out how best to meet clients’ needs, to deliver services that produce good clinical outcomes, and that are cost effective and cost efficient. The project builds on the recent service redesign consultation and is aligned with the Payment by Results requirements. Each clinical lead will redesign their care pathway and propose a business case using input from colleagues. The Trust’s four clinical leads are Anna Vizor (consultant clinical psychologist), Siri Robling (consultant adult psychiatrist), Heather Balleny (consultant clinical psychologist) and Vivien Peeler (psychiatrist). Dr Siri-Ann Robling said: “This is wonderful opportunity for clinicians to influence the development of clinical services for the future such that they are sustainable and put the patient’s needs centre stage. Never in my experience as a consultant psychiatrist has there been such explicit backing for genuine clinical leadership of service redesign. This is potentially a ‘once in a career’ opportunity.” Along with other senior clinicians and managers, the clinical leads have attended a number of workshops in Norfolk, where the process is a little further along. They have since conducted two redesign workshops in Suffolk that were well attended and well received by the Trust’s clinical workforce. The next stage is to establish working groups who will first decide what clinical pathways should be established (i.e. what services we should have and who they deliver to), and then what care packages (treatment packages) should be developed for staff to deliver to patients. In Norfolk, they have already designed their pathways, and some of their packages. In Suffolk, the clinical leads have asked for volunteers to work on pathways and packages and have so far received at least 50 expressions of interest. If you are interested please email janet.crewe@smhp.nhs.uk.
Improved clinical supervision on way A survey asking for opinions on clinical supervision has already had a fantastic response rate of about 55%. The survey, which is still open, is helping shape the Trust’s new model for clinical supervision, which is regarded as leading-edge by professionals external to the Trust. Clinical supervision is an opportunity for all clinical staff to discuss their work in order to learn from what goes well and what gets in the way of clinical practice. It should feel supportive, giving staff space to think, and should lead to improvements in the conditions under which we work and improvements in what we offer to users of services. All clinical staff should receive supervision. Whilst there are many services within the Trust that have had useful supervision for a long while, the Trust did not have a standard set of supervisory practices, nor a system to support the supervisors. In addition, there was governance so the Trust did not know whether its staff were receiving supervision, what was needed for it to be useful and enjoyable, or what to do to help supervisors develop their practices. The new model is a standardised way of thinking about what happens during supervision so that staff gain the maximum benefit whilst also achieving the objective to provide good care. It was developed by groups of supervisors and supervisees, and has been evaluated within clinical therapy services. It consists of four levels: what is brought to supervision, how to manage what is brought, what to do in each moment of supervision, and how to use material to learn. The model is not specific to any therapy or any theoretical orientation. It is considered useful for helping all staff think about their work, regardless of their professional backgrounds. The model is available on the Intranet, and is included in the statutory and mandatory introduction to clinical supervision session. Mark Freeston, Director of R&D, Newcastle Cognitive Therapy Centre, Northumberland, Tyne and Wear NHS Foundation Trust said: “Having supervision that is owned by the organisation provides an opportunity for real communication about clinical issues that affect front line staff within a properly joined up supervision system. This is good for people who receive care, the staff who provide care, the people who lead services, and the organisation as a
whole. “It has been impressive to see the momentum grow, notwithstanding the challenges the Trust faces with a project of this scale. It is rare to find clinical supervision so much at the heart of organisational change.” The new system is designed to: 1. Provide a standard way of thinking about supervision so that everybody knows what it should provide. 2. Increase the numbers of staff receiving good quality supervision. 3. Evaluate supervision. 4. Support supervisors. 5. Feedback information about clinical services that are being discussed in supervision and that need to go to the executive (for example, where staff discuss problems with delivering services due to insufficient resources.) The survey that is being conducted, asks whether the majority of staff receive clinical supervision, what their experience of it is and, if they don’t have it, would they like it. The responses have so far been very positive, 72% of clinical staff saying they already receive clinical supervision and of those who aren’t, 88% say they would like to receive it. Below are a selection of the hundreds of responses to the question ‘What are your thoughts of clinical supervision from what you have heard or from your own experience?’: - “It is very important to both give and receive clinical supervision with a peer. It helps your continued development and its safe environment; it gives you a forum to discuss ideas that concern you that you might not feel like discussing in other settings.” - “If it is too prescriptive or is led by management agenda it will not be effective.” - “Challenging but in a supportive way.” - “It tends to be very ad-hoc, and often when it is needed due to high ward pressures it cannot be facilitated.” - “It promotes staff wellbeing, effective and reflective practice, not only when difficulties arise, but when successes occur.” - “It is helpful to have that individual time in the context of a trusting relationship where concerns regarding clients can be voiced. Group supervision, I believe, will increase the potential of practitioners being more guarded in their disclosures.” If you would like to give your own opinions, please visit www.surveymonkey.com/s/LSZGT8Y or contact anna.vizor@smhp.nhs.uk.
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:23 Page 7
Support for those with personality disorders A reference group is being set up to look at the care given to people with personality disorders. Sue Howlett, Modern Matron at Wedgwood House, is leading on the development of a personality disorder strategy for the Trust, linking in with colleagues in Suffolk and Norfolk. People with personality disorders have a particular set of needs which, if not met, can lead to them becoming detached and feeling isolated – in turn, this can lead to mental ill-health, social problems and offending, impacting on both the person and the services which they come into contact with. The new reference group seeks to work alongside colleagues in A&E, the police, primary care and Norfolk and Waveney Mental Health NHS Foundation Trust. The new model of care will be one of a hub and spoke, with senior experienced clinicians providing supervision to colleagues. Will the hub include management so they can make the decisions? The hub will include senior and experienced clinicians who can provide consultation to staff about appropriate clinical strategies. It is likely that in order to carry out effective clinical strategies some policies and practices will need to be reviewed and the operational impact will be discussed with managers. Will we be supported to make positive decisions about risk? Where staff understand that it is likely in the long term to reduce risk if they make decisions not to respond to the short term risk now (positive risk taking) they will be supported to do so, by helping them to
write care plans and receive supervision to maintain and develop confidence in their assessment and decision making processes. How will it make a difference to the way I work? Awareness training is designed to help staff to understand the origins of difficulties, and the ways in which to communicate with these client groups. The hub of experts will help staff to find the types of advice they need. Will this stop the current level of admissions? There are not necessarily going to be any quick wins. However using crisis admissions and supporting out of hours services (including the police, etc.) with training as a priority will make a difference. As the longer term plan to develop appropriate support systems in the community unfolds, a more permanent change is likely to be seen. What is Norfolk doing? Our understanding is that the approach Norfolk is taking complements our own. Our focus has been upon how to develop all staff’s competence, whereas Norfolk have focused upon the development of their psychological therapy staff. How will be the personality disorder experts be chosen? The hub of experts that already exist will be identified through recommendation. The development of expertise within teams will be across all staff, with some “champions” working within teams being
identified through training, consultation and more effective communication. Does this fit in with the cost improvement programme? The strategy will rely on those ‘expert’ clinicians already within the Trust. The main expense will be the training which has longer term saving with reduction in current admissions and specialist bed usage. How will this fit in the care pathways? Care packages will be developed to reflect what staff and national guidelines consider to be the most appropriate services for particular conditions. The strategy is in line with national guidelines. We already have a personality disorder expert and she provides team work will this change? These decisions will be decided within individual teams, but it is possible that in order to disseminate expertise more widely we will use the current experts we have as consultants to teams who do not have any expertise. What about CAMHS/ED/learning disability/older adults/forensic services? There will representation from all of these services in the reference group. Any specific needs can be reflected within the strategy. If anyone would like to discuss the new personality disorder strategy, they are welcome to contact Sue Howlett by emailing sue.howlett@smhp.nhs.uk.
I am pleased to tell staff that a five-month update on the progress of the critical Rae Report has shown positive results. The report shows that every single one of the recommendations has either been completed or that remedial actions are in progress. As you are aware, our first concerns are those of patient safety and quality of service. The Rae Report was rightly critical of the governance of the Trust at the time, but since then, we have made considerable progress on each and every action and are pleased that we are now on the right path. All this has been thanks to the hard work and professionalism of everyone at the
Trust who have been determined to work together to make this happen. Thanks to you, we have new reporting structures, new models for clinical supervision, better alert systems and a clinical workforce that is truly engaged in the management of the Trust. And that’s just to cite a few examples! I want to be quite clear to our staff and to the public that our clinical services themselves are as good as you would find anywhere in the country. We are, and remain, proud of what you all do for our service users. Contributed by Barbara McLean, Director of Nursing and Quality, pictured right.
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 7
Patient safety review progress report: five months on
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:23 Page 8
Letters and compliments To Karen Frost, Nursing Assistant, Northgate Ward Thank you so very much for the loan of your books. They are keeping me entertained. Today has been more difficult than I was comfortable to express, and I just wanted to thank you for snapping me out of it and giving me a ray of hope. I’m finding it tough at the minute and you are proving to be the sunshine on my cloudy days. You are a very special person with qualities rarely afforded. Thank you for helping me see light at the end of the tunnel! To all staff on Northgate Ward Thank you so much for everything you have done for S, I am truly grateful for all the support, ears and care you have provided for her. You are all HEROES! You are inspirational people and so very good at your jobs. You touch so many lives, not only your patients but those of family and friends of your patients. I am writing to say thank you for all the help and hard work behind the scenes helping me to get the spring back in my step. You will always be a part of my life which I hold close to me. Keep well, keep safe. Thank you - I can not say the word enough. Give the whole ward a cuddle from me. Thank you thank you I will miss you loads.
TRUST MATTERS FAREWELL ISSUE . NOVEMBER 2011 . PAGE 8
To everyone who took part in my care: it’s been a long old journey and many ups and downs along the way. But finally I have found the real me again and I couldn’t have done it without all your kind support. I am very grateful to you all and would like to wish you all of you the very best for the future, whereever that may take you. Simply saying the words ‘thank you’ does not do justice for the incredible amount of time, care, support, enthusiasm and dedication that you have all so powerfully displayed to me over the past 5 weeks. Your kindness and ability to comfort at times of distress and unbearable moments of existence have humbled me. You are unsung heroes that do an incredible job and one which I will never forget. I do not know what the future holds for me, but one thing is certain, none of you will be forgotten. I simply cannot thank you all enough.
To all the staff and patients at Wedgwood House Thank you so much for all your help and support for me and my family. I really appreciate the kindness you have given me and how welcome you have made me feel. I was not too sure at first but I have loved every moment of it. I would happily come again. I’ve met some lovely people and staff who I hope I can keep in touch with. You must be very proud of this place as it’s not boring at all there’s always something fun to do, or someone nice to talk to. Thanks for all your help I will never forget anyone here. Viktoria Cestaro, Primary Mental Health Worker, CAMHS Every time I go to start this note I well up with tears, even now sitting in the waiting room. However much I try and think on the positive and see how far C has grown I still can’t stop thinking what if she had never got referred to you? I can’t thank you enough for looking after my special baby and bringing her back to me – I’m welling up again – I don’t know how you do your job but you are absolutely brilliant at it, you are a very unique and special lady who I am eternally grateful to. Without you I wouldn’t be where I am today and I hope you realise how grateful I am! You’re amazing. To Dr Tucker, Dr Sherry, Beth Clayton, Kathryn Barrow and all the ECT suite staff Thank you so much for the excellent care given to my much loved dad. You are all wonderful and very special people. Thank you again. Emily Baker, Clinical Psychologist, CAMHS Thank you for all your help in the past two years. All of you that helped at CAMHS to get me back on the right track really did save me! I have realised what’s important in life and that anorexia doesn’t need to control me! It’s been a tough and long rocky road but with your help, I’m now living a much happier life! Just to say thank you so much for all your help and support over the last two years, we would never have done this without you!
I found that when I missed an appointment that you would ring me and be very helpful. I learnt to trust you that also helped. Thank you for all your help and support. This comes to say thank you for everything you’ve done, your kindness will always be appreciated. Thank you Mark Jolly, Primary Mental Health Worker, CAMHS I now sleep in my own bed every night. I am very happy. All is well now! Thank you so much for your advice. Just a quick note to say thank you for the many hours of CBT you gave J. I never thought I would see the day when she didn’t run away from a dog, let alone hold one! J and a friend got the bus on their own, to watch a film, which is fantastic. She still won’t answer the phone when it rings, but we will work on it. I can’t thank you enough - she couldn’t have done it without you. Imren Sterno, Trainee Clinical Psychologist, CAMHS I’d like to thank you very much for giving me support through this difficult time. You have been like a friend to me for the last few months, someone I can open up to and share all my thoughts with. Good luck and best wishes for the future. Thank you for everything. I know that you would say it’s your job and what you are here for, but I have never been able to talk to someone like I can with you. I am really sad to see you go, but I am happy that other people who need help will meet you. I hope you realise how much of a difference you have made for me and I hope that one day I will be set free from my vampire. Don’t worry, you know I will never give up and you have encouraged me to look to the future. I am so glad I met you and found someone I could be completely honest with. You understand how I might be thinking and that is a real gift. I wish you loads of luck in the future, although I’m sure you won’t need it. I am very lucky to have had my sessions with you. I will never forget you.
If you have a letter you would like to share, please email nicola.brown@smhp.nhs.uk. Letters may be edited and will be anonymised to protect service users’ identities. EDITORIAL: If you would like to contribute an article (and accompanying photo) for inclusion in the brand new staff magazine please email it to helen.abbott@smhp.nhs.uk. If you want to discuss ideas about potential features or make a suggestion about improving the newsletter you can also email the above address or call Helen Abbott on 01473 329700. .