WCT Magazine For You – Autumn Edition 2014

Issue eight Autumn 2014

The magazine for staff, members and volunteers

Pauline Ellis, Neil Perris and Viv Harrison celebrate the successful 0 - 19 tender bid - see page 12.

Comment Simon Gilby Chief Executive

Welcome Welcome to this autumn edition of foryou, the magazine for all our staff, members and volunteers.

The long, warm summer (excluding August of course!) has come to an abrupt end and after a brief period of annual leave I’ve had a chance to reflect on the last couple of months which have gone by so quickly - it’s hard to believe how much we’ve done as a trust during that time.

Just reading through this edition of the magazine, I am reminded of the great work our dedicated staff carry out everyday, the diverse nature of our organisation, our achievements and our involvement in our communities.

Our Annual General Meeting is always a great opportunity to engage with people from our communities. This year’s event, held in early September was no exception, with nearly 130 of you there to meet our services and find out more about the trust’s performance in 2013-14 (see page 4, 16-17). This year we extended our question and answer (Q&A) session which generated a wide range of questions highlighting the interest and passion in your local NHS services. Thank you for all your feedback.

Transcripts of the Q&A are available on our website and a video of the meeting.

Our AGM came at the end of what had been an extremely busy few weeks as we prepared to welcome the Care Quality Commission to inspect our services. This was a huge step in our progress to achieve Foundation Trust status, and an opportunity for our staff to show the quality, caring and well-led services they deliver day in day out. Thanks to everyone who was involved. For more information on the next steps see page 5.

In the midst of all this activity, we waited patiently for the outcome of our 0-19 bid and our opportunity to deliver a fully integrated healthy child programme for 0-19 year olds across Wirral. In mid September we were delighted to hear with our partners (Barnados, Brook and Home-Start Wirral) we had been successful and work is now underway as we prepare to start the new service from February 2015. Congratulations to all involved in the bid. (see pages 12-13 for the full story).

I hope you enjoy this edition of foryou. There’s a lot going on with interesting features (Nutrition & Dietetics page 14), and articles contributed by members or trust staff (page 11 & 20). If you’d like to contribute to the magazine or see your service profiled, please contact communications@wirralct.nhs.uk

INSIDE THIS ISSUE

News bites

3

Annual General Meeting

4

FT update/CQC inspection

5

Trust news

6

Members & Volunteers

7

A day in the life

8

Vision 2018

9

Trust news FEATURE 0 - 19 Our new service

10 12 – 13

Spotlight - Nutrition & Dietetics

14

Summary Annual Report

16

Trust news

18

Equality & Diversity

20

Getting to know you

21

Health and wellbeing

22

Brain training

23

PUBLICATION DETAILS Published by: Communications and Marketing, Wirral Community NHS Trust.

SUBMISSION DETAILS If you would like to submit an idea for an article, please contact:

foryou

Follow me on twitter @SimonGilby_WCT

Communications and Marketing Wirral Community NHS Trust Old Market House Hamilton Street Birkenhead Wirral CH41 5AL E: communications@wirralct.nhs.uk

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News bites

Newsbites

Wirral Health Snapshot

Top 100 places to work!

We are delighted to have been named in the top 100 best places to work in healthcare by the Health Service Journal (HSJ) - one of only 11 community healthcare organisations in the country to be included!

The list was compiled using the annual NHS staff survey findings to analyse each organisation across seven core areas, including corporate culture and communications, leadership and planning, and role satisfaction.

Chief Executive, Simon Gilby, said: “Our staff are really proud of what they do and work hard to deliver the best possible care and support to people across Wirral. They are at the heart of the organisation so these results recognise of how fantastic they are.”

(WCCG) Wirral Clinical Commissioning Group

NHS England has published its review into capability and governance at Wirral CCG. It makes a number of recommendations, focusing on developing a new constitution and improving the effectiveness of the CCG. NHS England says there has already been good progress made in many areas, and that the CCG is now developing a detailed action plan to consolidate this work.

Kiosks land

Have you seen the new ‘patient experience kiosks’ in the waiting areas of some of our larger health centres? They are being used to capture lots of different information, experiences and feedback from patients and staff. Please encourage patients to use them, and don’t forget they’re for staff too – you can even use them to complete your own ‘friends and family’ test.

Do we have your email address?

In July 2014 we posted about 2,700 copies of foryou and emailed 1,800. It costs about £1 to print and post each copy, so if you are able to receive it by email let us know – email foryouwithyou@wirralct.nhs.uk Every pound we save helps patient care!

This infographic shows how the health of people in Wirral compares with the England average (Wirral Health Profile 2014). A red circle means this area of health is significantly worse than the England average, orange means not signifcantly different, and green indicates significantly better than the England average (however this may still indicate an important public health problem).

+++++++++++++++++++++++++++++++++++++++++++++++

Children’s and young people’s health

England average

Worse than

Better than

Smoking status* Breastfeeding initiation Obese children (Year 6) Under 18 conceptions * pregnant women

Adult’s health and lifestyle

England average Worse than

Better than

Smoking prevalence % of physically active adults Obese adults Excess weight in adults

Disease and poor health

England average Worse than

Better than

Recorded diabetes Acute sexually transmitted infections

Life expectancy & causes of death

England average Worse than

Better than

Excess winter deaths (3 year) Under 75 mortality rate: cardiovascular

For the complete report of the Health Summary for Wirral please visit http://info.wirral.nhs.uk/intelligencehub/wirralhealthprofiles.html

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Annual General Meeting

A warm day and a warm welcome at our Annual General Meeting 2014 It was wonderful to see such a good turnout at our AGM in September. Over 120 members and staff attended the event at the Floral Pavilion in New Brighton, which started with an exhibition of Trust services (including Podiatry, Physiotherapy, Speech and Language Therapy, Nutrition and Dietetics, Falls Prevention, Health Visiting, Livewell, Sexual Health, Community Nursing, Heart Support, End of Life Care, Phlebotomy, Deep Vein Thrombosis team and Patient Experience).

There was plenty to see, as well as lots of advice on living well, how to access services, innovations and information about the diverse range of community health services we deliver.

Thank you to all the staff who came to exhibit.

At 2.30pm the formal meeting began with a warm welcome from Trust Chairman, Frances Street, who thanked staff and volunteers for their hard work over the last 12 months.

This was followed by the first public showing of a promotional film from our Livewell team (available on the website), celebrating the new service available to everyone across Wirral.

Chief Executive, Simon Gilby presented the Review of the Year for 2013-2014, before Roy Jackson, Interim Finance Director presented the financial review. Then followed an open question and answer session with the Senior Management Team available to take a wide range of questions from members and staff.

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“Feedback from our members about the AGM has been very positive, with many people commenting on how they have enjoyed the opportunity to meet our staff. It was also great to sign up new members and present the opportunity to become one of our Trust Governors over the coming months, as we move ever closer to achieving Foundation Trust status.”

Dave Hammond, Membership Manager

All the information from the day, including the power point presentations and a film of the speeches and Q&A session, is available on the Trust’s website www.wirralct.nhs.uk/getinvolved/membership/events If you’re interested in becoming a member or Governor of Wirral Community NHS Trust, contact our Membership team on foryouwithyou@wirralct.nhs.uk or tel: 0151 514 2452 or 0800 694 9985.

FT update/CQC inspection

Foundation Trust update We are still working towards becoming a Foundation Trust and over the last few months we have taken further important steps towards making it a reality.

During 2014 we have continued to work closely with colleagues from the NHS Trust Development Authority (TDA) to demonstrate our readiness to become an NHS Foundation Trust (FT). This process is on-going because recent, high-profile reports into failings at a number of NHS trusts have led sector regulators, the

(hopefully in early 2015) that we will start the process of appointing our Board of Governors in readiness for achieving Foundation Trust status.

Care Quality Commission (CQC) and Monitor, to adapt their approaches to the authorisation of new FTs. In 2013, it was announced that all aspirant FTs must undergo a new inspection by the CQC’s Chief Inspector of Hospitals before they may be granted FT status

by Monitor. (see below).

Following the publication of the CQC report, we will need to be approved by the TDA Board to enter the next stage with Monitor. It is at this stage

Becoming an FT will allow the trust greater freedom and flexibility in the way we provide and invest in services.

The FT model will also give staff, public and stakeholders more say in how the trust is run.

In the meantime, we continue to focus on the provision of high quality, accessible health services to the communities we serve and actively engage with our membership community.

Regulate and inspect Safe

Caring

Responsive

Well led

• 95% of complaints and concerns acknowledged within three days

• 95% of staff feel confident and able to raise concerns • Leadership walkrounds ensure frontline staff and patients can engage with the Trust Board • Annual appraisals for all staff supporting them in their role • Ideas and innovations from staff and patients are reviewed every month

• No avoidable healthcare acquired infections

• 95% of patients wait less than four hours in our Walk-in Centres

• 97% of patients would recommend us to friends and family

• No ‘never events’ (serious largely preventable patient safety incidents that should never occur)

• Over 90% of community nursing patients with early signs of dementia are screened

• 4,500 public members recruited from our local communities

• Safest community trust in England for ‘harm free’ care to patients

• Health visitors achieve over 90% best practice quality standards for children with complex needs

www.wirralct.nhs.uk

www.wirralct.nhs.uk

The CQC asks 5 key questions about our services • Are they safe? • Are they effective? • Are they caring?

• Are they responsive to people’s needs • Are they well-led?

Throughout the first week in September, 30 CQC inspectors descended on the trust and led an intensive inspection of our services.

For most staff it was business as usual, but the CQC visit provided an opportunity for the inspection team to meet many of our teams and for them to see for themselves what great care we deliver every day. They heard directly from patients and staff about how safe, caring, effective, responsive

• Sharing patient stories to shape and improve services

• Over 1.1 million patient contacts each year • 3,329 patient experience feedback forms received in 2013/14 • Patient and Staff Quality Groups across all services

www.wirralct.nhs.uk

www.wirralct.nhs.uk

and well-led that care is, by observing care and talking to people and their carers who use the services Claire Wedge, Governance Manager and part of the trust’s liaison team during the inspection said, “the inspection has been extremely thorough and staff have been fantastic ensuring the inspectors could get access to everything they needed and observe our care in action. There has been a sense of pride and openness”.

Thank you to everyone who helped with the preparations, attended briefing sessions, put up posters, arranged logistics or volunteered for focus groups.

www.wirralct.nhs.uk

Next steps We will receive draft reports from the CQC week beginning 15 October 2014 to review for factual accuracy.

There will be one overall report for the organisation and separate reports on children, young people and families services, adults services, end of life care, dental, and out of hours care.

The CQC will present the final reports to the Board at the Quality Summit meeting which will be held locally on 11 November 2014. For further details visit our website www.wirralct.nhs.uk

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Trust news

Dr Sim elected at the British Medical Association Congratulations to our Trust Medical Director, Dr Ewen Sim, who has been elected to the Committee of Medical Managers of the British Medical Association. Ewen will represent community care managers during 2014-15 and 2015-16.

Managing Attendance We are delighted to report that our staff sickness levels are finally falling. The rate for August was 4.5% (a reduction of 0.4% from 4.9% in July).

The Care Quality Commission (CQC) has confirmed that we are ‘average’ in comparison with other community trusts, despite a spike in rates earlier in the year. This is our second monthly reduction. HR has been working closely with teams where absence is high, to support staff to return to work (on amended duties where necessary).

Dr Ewen Sim, Medical Director.

Young People Friendly Well done to our Health Visiting team for being recognised as being Young People Friendly! Health Visiting Service Manager, Viv Harrison said: “We are extremely proud to have been awarded Young People Friendly status. The status is awarded to organisations that are able to demonstrate that they consider the needs and opinions of young people when designing and providing services. We are very happy to receive this award that acknowledges our efforts to engage effectively with younger people.”

The trust has worked with a number of its own services and 30 external organisations to deliver the Department of Health’s You’re Welcome programme on a local level. For more information about Young Person Friendly call 0151 630 8383.

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A warm welcome back to anyone who has recently returned to work following sickness. Don’t forget there are several support mechanisms in place to help you maintain and improve your own health and wellbeing. Staff can access the Livewell Programme for help and advice on smoking cessation and weight loss. And there’s the free, confidential, 24 hour help and support

service for staff and their families called PAM Assist. Experienced counsellors are available for help with anything from stress management to personal crisis, debt advice and coping with illness.

For more information visit the wellbeing section on staff zone.

We are still 0.2% off our sickness target for this year. HR business partners will continue to support teams to develop and implement sickness action plans where appropriate. Please note ‘Managing Attendance’ training now forms part of the Management Development Programme for managers band 4-7. If you have not had this training, and are not already booked on to a session, please contact your line manager.

SystmOne... latest developments The implementation of SystmOne is gathering speed. Additional services are coming on line and the ultra mobile laptops are being rolled out in October and the coming months.

Weighing a little more than a bag of sugar they have a long battery life and will make a fantastic difference to mobile staff using SystmOne. The Health Visiting teams are first to go mobile providing accessibility at the point of care, with Specialist Nursing and Community Nursing teams following over the next couple of months. This will include the Tissue

Viability Service and the Parkinson’s Service which will also move to full mobile working via laptops and full electronic patient record (EPR) on SystmOne. Our Livewell service is now using SystmOne which is helping to improve working processes and allowing staff more time with their clients. There’ll be more updates in the next issue of the magazine.

Members and volunteers

Work placements 2014

Volunteering

by Dave Hammond, Membership & Engagement Manager

Over the summer term (following last year’s successful pilot) we launched our new work placement programme for students and young members. Placements included clinical services such as Dietetics, Health Visiting, Heart Support and Speech & Language Therapy, as well as Health & Safety and Human Resources.

Dave Hammond, Membership & Engagement Manager said, “We had a staggering 70 applications for 25 placements, so unfortunately we weren’t able to offer places to everyone. Since then we’ve received some fantastic feedback from both our staff and the students on placement.”

Students said: “Following this placement I am definitely considering a career in the NHS” (Livewell service) “I don’t think it could have been any better” (Health Visiting, Rock Ferry) “I didn’t want to leave. It has been a brilliant week and has set my HR career in stone” (Human Resources) Staff also found it rewarding. “It just fits” said Noel Murphy, Rock Ferry Health Visiting Team Leader. “Having an enthusiastic work placement student reminds people how

passionate they are about their profession.”

We also supported placements that arose outside of our formal programme. One student, Tom, had a placement with Speech & Language Therapy at its young people’s stammering groups, having previously been to a group himself. He said, “Not only has it been work experience, I have also been giving something back. The people who I am helping also have a stammer. I know how they feel in situations because I have been there myself.”

Emma Carvell, Tom’s placement supervisor said, “Tom has helped me with jobs such as getting the room and resources ready. However, I have also watched how the young people in the group have looked up to him and felt inspired by the stories that he has shared. I am very proud of him.”

Huge thanks to all the staff who supported the placements. We’ll be doing it again next year!

See StaffZone for more information or contact the Membership & Engagement Team.

Come to our October member’s meeting This month’s member’s meeting guarantees to get you thinking about hand-washing in a whole new light!

Come along to hear fascinating and inspiring presentations from our specialists in Infection Prevention & Control (IP&C) and our Livewell service.

Date: 24 October Time: 2.00pm – 4.00pm Venue: Training rooms, St Catherine’s Health Centre, Derby Road, Birkenhead, Wirral, CH42 7HA

Helen Oulton (Head of IP&C) will provide an insight into how we protect people from health care infections. Sue Fennah (Livewell Service Lead) will be talking about how Livewell support thousands of local people to make positive lifestyle changes, and sharing some inspiring stories.

If you would like to come to the meeting please call 0151 514 2451 or email foryouwithyou@wirralct.nhs.uk to let us know.

by Pia Collier I have been supporting the health trainers in the Livewell Programme for three years. Health trainers help people to make healthier lifestyle choices, by giving personal support and advice. They deliver drop-in sessions across Wirral, so I could be out with the team in the Livewell camper van one day, and at a shopping precinct the next.

My role is to engage with people in the community and promote our services, giving brief advice about our Livewell Programme and signposting to our health advisors and health trainers.

I have a passion for health and nutrition, and know first hand how life can get in the way of making the right choices. That’s why I truly believe in the concept of ‘community spirit’ and that supporting each other can make a difference. Being a health champion has also helped me to gain a BSc (Hons) in Public Health. So I believe volunteering helps everybody involved, one way or another.

I’ve also had the opportunity to support several other services within the trust, which has given me a better insight into the services we provide and enabled me to meet lots of different teams. The Community Trust staff are always encouraging, supportive and fun to work with.

As a volunteer, there are always opportunities to expand your knowledge and experience. The fact that there is always something new to learn, or somebody new to meet, whilst knowing that you have a team to support you, is probably what I enjoy most about volunteering.

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A day in the life

A day in the life: Noel Murphy Team Leader, Birkenhead health visiting team.

I began nursing in 1984 and have been a health visitor for 10 years. I became a health visitor to help families make positive health choices. Men represent just 1.5% of the health visiting population. I am married with 3 children, and I support Liverpool Football Club. This job is by far the best I have done and it is the one that has made the most positive difference to people’s lives. I am lucky to be working in a forward thinking health visiting service that is one of the very best in the country.

I usually arrive at St Catherine’s Health Centre at about 8.20am. My day starts with checking emails and my ‘to do’ list, and discussing any operational issues of the day with staff. There are 23 staff in the Birkenhead health visiting team; 16 health visitors, 3 community health nurses and 4 community nursery nurses. It is a mixture of full and part time staff.

At half past nine I attend the weekly Birkenhead locality multidisciplinary meeting in Pilgrim Street. I am the health visiting representative – other attendees include social workers, outreach coordinators and youth support workers. The meeting focuses on identifying and providing targeted support for families and reviewing progress. I’m responsible for ensuring specific interventions happen from our service.

Back at my base at St Cath’s, I then might get asked to see anyone who attends the healthy child drop-in clinic.

These run from Monday to Friday, 10.00am - 12noon. Today I saw a baby who had been brought in with suspected thrush in his mouth. After assessment and examination, I discussed the causes, management and treatment of the condition with the baby’s mum. I prescribed medication

and informed the baby’s GP of the diagnosis and prescription.

Next it’s time to catch up on some telephone calls, and liaise with the children’s centre about room availability so we can provide more child developmental reviews. We also book our next joint meeting between children’s centre staff and the health visiting team. These are invaluable in supporting the families through integrated working.

Planned caseload supervision is also an essential part of my role, and helps ensure safe practice for both the practitioner and the client. Today’s action points include a discussion with a social worker and also a referral to the community paediatrician.

The afternoon might include a home visit to a client. Today’s family are engaging with health colleagues and the child protection plan is progressing well. Nearly half of all child protection plans are due to neglect, and over 40% because of physical abuse.

Safeguarding is a significant challenge in our work, but also one of the most rewarding elements of the job.

We are well supported by the safeguarding team, who provide advice and supervision to the health visitors.

By 3.45pm I am back in base; time to enter the details of the home visit into the electronic records - SystmOne. Then we’ve got a planning meeting to try to ensure the developmental child health reviews are offered at the earliest possible stage. The reviews help assess if the child and their family are healthy, and see if there’s any support we can offer to help them lead healthy lives.

Then there’s a quick catch up with one of the team that’s running tonight’s parenthood session (used to be called antenatal classes!) It’s a rolling 4 week programme run every Tuesday night. The health visitors do the first two weeks, then physiotherapists and midwives do weeks three and four.

All is fine! By 5.15pm I can head home, and hopefully manage to squeeze in a bike ride after the end of a busy day…

Did you know?

• Health Visitors are specialists in child health and development • They promote and improve the health and wellbeing of preschool children and their families • There are 18,514 pre-school children in Wirral

What role would you like to learn more about? Email your suggestion for ‘A day in the life’ to: communications@wirralct.nhs.uk 8

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Vision 2018

For a healthier Wirral If you haven’t heard of Vision 2018 by now, you should have done!

The pace to re-shape health and social care in Wirral is quickening.

A new Vision 2018 section has been launched on Wirral Clinical Commissioning Group’s website: www.wirralccg.nhs.uk/vision2018. It’s packed with background information about the challenges facing the NHS and local government, and how Vision 2018 aims to address them.

There are details of patient’s ideas that have already been implemented to try and improve people’s experience of health and social care services, links to healthy lifestyle resources, and information about how you can get involved. Check it out!

Vision 2018 in action!

Meet Mike: A 61 year old widower, living in Tranmere. He’s unemployed (following redundancy), smokes and has chronic obstructive pulmonary disease (COPD). He frequently goes to A & E and gets admitted to hospital because he forgets to take his medications. He has recently lost weight and suffers from breathlessness, constant coughing and tiredness.

Previously: • Mike would have seen his GP for support, been given medication and referred for tests • His condition may have deteriorated because his management of his health hasn’t changed, leading to hospital admissions, and perhaps even an early death

What happens to Mike under Vision 2018: Mike sees his GP because he is struggling to cope with losing his wife and is smoking more. His GP contacts the Integrated Care Co-ordination Team, which then coordinates: • local stop-smoking support • contact with other people who have suffered bereavement • a pharmacist to review his medication with him • support from a dietician • assistive technology and telehealth so his condition can be monitored remotely • a mental health practitioner to help cope with his loss • benefits advice in managing finances

Terry Whalley has joined Vision 2018 on a placement from the NHS Leadership Academy’s fast-track executive development programme.

He will lead the Vision 2018 Programme Management Office.

Mike becomes a peer mentor, helping other people with similar experiences.

For more information please contact WICCG.InTouch@nhs.net or 0151 651 0011

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Trust news

Sexual Health Week What a busy week! The team at Sexual Health Wirral were out and about during September promoting Sexual Health Week.

The campaign encouraged people to look after their sexual health and access free and confidential support when needed.

During Sexual Health Week the team attended engagement events to encourage young people to access one of their seven clinics across Wirral for free and confidential advice, contraception and STI testing.

Young people were also reminded about Wirral’s chlamydia screening programme which offers free and confidential tests to Wirral residents aged 15 to 24 years. Over 50 young people opted to take the chlamydia test with results later texted to their mobile phones.

As well as chlamydia testing in clinics, the service also provides free and confidential chlamydia postal tests to all 15-24 year olds.

Postal tests can be requested by visiting www.eazeescreen.co.uk

Self care week Did you know adults usually catch two to four colds a year while children can have up to eight?

That’s why, during winter, when seasonal illnesses are more frequent, it is important to take extra measures to stay well.

offer repeat prescription services without the need to see your GP.

This year’s Self Care Week (17th -23rd November) aims to help you take care of yourself, and know what’s available to help you look after your health. Choosing healthy lifestyle options will impact positively on your physical health, mental wellbeing and self esteem. To beat those winter blues and keep healthy make sure you eat well, drink in moderation, stop smoking and stay active.

If you have a winter ailment, ask yourself, ‘do I want to spend 4 hours in A & E waiting for someone to look at my sore throat?’ The answer should always be no!

If you do catch a cough, cold or sore throat, keep warm and drink plenty of fluids. Over the counter medicines can help relieve symptoms – ask your pharmacist for advice. NHS Choices also provides helpful information.

Remember - antibiotics don’t work on colds and flu.

If you have a long term condition, make sure you don’t run out of your regular medication. Many pharmacists

Before you visit A&E, remember what it’s there for - life threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped.

A few facts: • Most cold and flu symptoms can be treated safely at home • Coughs can last three to four weeks; sore throats average eight days • In adults and older children, cold symptoms last for 10 days, and in younger children for up to two weeks.

• Most colds get better on their own without treatment antibiotics don’t work for the common cold

ISDNetwork Team of the Year 2014

The campaign also urged men, whatever their age or sexuality, to visit one of the service’s male only clinics for all of their sexual health needs. To date over 5,000 men of all ages have visited Sexual Health Wirral clinics this year.

Sexual Health Wirral provides sexual health clinics seven days a week at seven locations across Wirral. For more information visit sexualhealthwirral.nhs.uk

Congratulations to the Trust’s SystmOne team, which has beaten 61 other informatics organisations to achieve the prestigious ISDNetwork Team of the Year 2014 Award. (Pictured above are, L to R: Adele Whitgreave, Erica South, Karen

Clearkin, Ian Hogan, Head of Technology, Kim Driver, Joshua Keating and Ben Ryan).

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Trust news

recently established LGBT, Disability and BME networks.

by Phillipa Compson, Chair, Staff Council It’s hard to believe but staff council is nearly three years old! And it’s nearly election time again. Some of us on the council may stand again, but it would also be great to see some new faces.

I was asked to meet the Care Quality Commission (CQC) inspectors last month to talk about the staff council.

It gave me a chance to reflect on this innovative way the trust communicates with staff, how far the council has developed, what it has achieved and how it can grow. It reminded me of the reason I put my name forward as a candidate three years ago!

The inspector was really interested in the council, how it started, how it works, its purpose and influence on organisational decision making.

We also talked about the other ways staff feedback and discuss their experiences, for example through the

I realised through our chat that the staff council has become an established part of Wirral CT; a sounding board for staff views on ideas and organisational change; a tried and tested way for staff to raise their issues on such matters as the admin review, estates move or the CIP savings scheme. The staff council helped shape (and continues to be part of) the annual Staff Awards and new appraisal paperwork; it introduced the Social Committee and supported the NHS games. There have been challenges though, and reflecting gave me food for thought on how to make sure the staff council membership is representative of all staff groups, and that it reaches every employee throughout the organisation.

I emerged from the meeting feeling proud and enthusiastic about the future of the staff council, whilst knowing there is a lot of work still to do!

If you would like to get involved, why not stand as a staff council member, or come along and observe a meeting to see what it’s all about.

As always, please keep in touch and contact a member of staff council to raise any issues you may have.

Register now…

Do you work in healthcare or education or are you studying health and wellbeing? If yes, register to become a member of our Health Promotion Resource Centre today!

The Health Promotion Resource Centre has a wide range of FREE visual resources to support people in their work and studies. Resources include: • Activities • DVDs • Leaflets and posters

• Reference materials • Teaching packs • Visual prompts

To register call 0151 630 8398 or email wcnt.livewell@nhs.net

The Stoptober challenge is back!

Stoptober - the 28-day national stop smoking challenge is back!

Last year 1,492 smoker’s in Wirral signed up to quit smoking to improve their health, their family’s health and their finances. Will you be taking part in the challenge this year?

Throughout September the Livewell team have been encouraging people to sign up to the 28 day challenge, offering them the support they need to become smokefree, as research shows you are four times more likely to quit with extra support from your local stop smoking service than quitting on your own.

Stop smoking support from our Livewell team includes: • motivational advice • one to one or group support in a number of local venues • daytime, evening and weekend support sessions • nicotine replacement therapy (NRT) via voucher scheme* • workplace engagement *prescription charges may apply Remember if you are using an e-cigarette to help you stop smoking, you should still access support from our service, as you are still four times more likely to quit with help from our advisors.

To make an appointment or to find out where your nearest stop smoking drop-in clinic is call 0151 630 8383 or email wcnt.livewell@nhs.net

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0 - 19 Service

Succ

Congratulations to everybody who contrib the model for a fully integrated Healthy Ch for 0 -19 year olds across Wirral. The servi presented to the commissioners as part o tender process and Wirral Community NH delighted to be selected as the preferred b For many years we have been acknowledged nationally for our delivery of a dynamic Health Visiting Service to families with pre-school children.

The opportunity to tender to extend the service from 0 - 19 was taken and Wirral CT, with our partners Barnardo’s, Brook and Home-Start Wirral, have been successful in obtaining the contract to deliver an integrated 0 – 19 service.

This tendering process has given us the opportunity to work collaboratively to design and develop an integrated service model that aims to improve outcomes for all our children and young people. It is based on 12

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information provided by the service users themselves, their families and carers, the community, and other organisations that support and promote their health and wellbeing.

The integrated 0 -19 model will offer a wide range of services, at convenient times and locations, provided by confident and competent staff who are well trained and supported by the trust.

Our new model aims to: • improve the current and future health and wellbeing of children and young people • reduce health inequalities • respond to identified local need • provide both universal and targeted support as required • listen, and respond to the voice of the child and young person and those who care for them • work in partnership within communities to make best use of resources and reduce duplication

cess!

buted to designing hild Programme ice design was of a competitive HS Trust were bidder.

The model will arrange services in four multi-disciplinary teams based in the Local Authority constituencies of Birkenhead, Wallasey, South Wirral and West Wirral. The teams will comprise of health visitors, school nurses, public health practitioners, skill mixed staff and staff from our partner organisations. A central team of specialist advisors will support staff to deliver the developing service effectively and in a safe and caring manner, to improve outcomes for Wirral’s children and young people.

0 - 19 Service

The new service is due to start next year. Since finding out that our tender has been successful, our primary focus has been on staff – how teams will be structured to deliver the service, and how we will welcome and integrate staff from our partner organisations. As soon as we have our plans established, we will set up meetings with each team to ensure that we are all able to work together to deliver this exciting new service as effectively as possible whilst maintaining our existing services.

“Delivering a fully integrated Healthy Child Programme for 0-19 year olds is a great achievement for the trust and our partners and is a reflection of the great job that our services deliver each and every day. Retaining our excellent services in this area is a primary goal in our business plan.

The bid itself has been a fantastic example of integrated working across the trust and partner organisations, working together to come up with the best possible approach.

So whether you were involved directly in the development of the ideas, or contributing to the ‘Invitation to tender’ process or holding the fort and keeping our services running throughout the process – congratulations and thank you.”

Neil Perris, Divisional Manager – Lifestyle Services Autumn 2014 foryou

13

Mission N Spotlight

Get to know the specialist service Our health is affected every day by the choices we make about our lifestyle. Whether it’s our choice of diet, whether we exercise, smoke or drink alcohol, making the right choices can help you stay well and enjoy a longer life.

The food we eat plays a vital part.

A healthy, nutritious diet can help us look and feel our best, and reduce the risk of getting many major diseases, including cancer, heart disease and diabetes.

Our Nutrition and Dietetics Service provides practical, expert advice about nutrition and diet and the relationship between nutrition, health and disease. Staff treat and support individuals and families with a range of conditions including: • diabetes and pre-diabetes • conditions resulting in under nutrition or weight loss • swallowing problems resulting from eg stroke, cancer or dementia • respiratory conditions • food allergies • gastroenterology • tube feeding at home Dietetic support includes individual dietary counselling, providing individual and group education,

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motivation techniques, working with support services to help with food provision, and the use of prescribed nutritional products to treat under nutrition and tube feeding.

Working with children Our service has a team of children’s dietitians that work closely with other health care professionals working with children, young people and their families. Advice and support is given on: • babies and children with feeding problems • support to breast feeding mums including advice given at specialist lactation clinic with the infant feeding team/peer support workers • children that are tube fed at home • allergies/food intolerances • severely restricted diets The dietitians also act as a specialist resource for other health and social care professionals to promote best nutritional care.

Diabetes – We can help The Nutrition and Dietetics Service offers two courses for people who have been diagnosed with either pre-diabetes or type 2 diabetes.

1. Pre diabetes This is a half day course and takes place once a month at St Catherine’s Health Centre and Victoria Central Health Centre alternately.

2. Wirral X-PERT Diabetes Programme (for individuals with type 2 diabetes) The course is a six week diabetes education programme where individuals attend for 2.5 hours per week. It is held at a range of venues across Wirral with daytime and evening sessions available.

Both courses cover: • introduction to diabetes • how to improve blood glucose control • weight management • healthy eating • food labelling and carbohydrate awareness • physical activity • preventing health problems You can sign up to the pre-diabetes or X-PERT Diabetes/Introduction to Diabetes Programme by completing the referral form on our website www.wirralct.nhs.uk or call us on 0151 604 7271.

The service also offers a one off introductory session to the X-PERT Diabetes programme, if you’re not sure whether diabetes group education is for you.

Nutrition Spotlight

es of our Nutrition & Dietetics team Feedback from patients

“ A fantastic course that will really allow me to self manage my condition.”

Did you know • There are three million people in the UK with diabetes • Estimated 850,000 are undiagnosed • Approx 7.7 % of the Wirral population has diabetes (25,000) • You are more at risk of Type 2 diabetes if you’re overweight or have a high Body Mass Index (BMI)

Other support Livewell Programme – offers a range of activities to help you make changes to your lifestyle - www.wirralct.nhs.uk

Helen Hackett, Advanced Dietitian in action.

Autumn 2014 foryou

15

Summary Annual Report Operational performance

Following the publication of our Annual Report & Accounts for 2013/14 earlier this year, a summary version has been produced which presents highlights from the main report. Here you’ll find our operational and financial performance summary, which gives an ‘at a glance’ picture of how the trust has done over the last 12 months and how we have established ourself as a strong and credible community trust to Wirral and the communities we serve.

Operational performance Our services continued to deliver high quality responsive care to Wirral residents from numerous clinical sites and in many cases in the patient’s own home.

In 2013/14 we had around 1.1 million patient contacts across our core business divisions.

We have achieved a high level of performance against the community indicators that we are measured against and in 2013/14 we had around 1.1 million patient contacts across our core service divisions.

For a third year we have: • performed above, or within defined tolerance thresholds of 92% of our contractual targets • treated all patients within the 18 week target • achieved all national indicators for urgent care services such as Walk-in Centres and GP Out of Hours, demonstrating the Trust’s commitment to delivering excellent urgent care across Wirral

Here are just a few of our highlights for 2013/14: • over 315,000 Community Nursing appointments / visits • 244,000 patient blood samples taken by our Phlebotomy Service • over 115,000 Health Visitors Healthy Child Team appointments • nearly 84,000 patients treated at Walk-in Centres at Eastham, Wallasey and Arrowe Park • over 68,500 consultations through the Musculoskeletal Community Therapy Service • over 46,500 pieces of equipment delivered by our Community Equipment Service • 12,800 appointments and gym attendances with our Heart and Cardiac Services • almost 30,000 people attended walk in and pre-booked appointments with Sexual Health Wirral • approximately 22,500 Livewell contacts supporting individuals to make positive lifestyle changes through their stop smoking, weight management and healthy eating programmes

Summary Annual Report 2013/2014

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Summary Annual Report Financial performance

Financial performance The trust has met all of its statutory financial duties for 2013/2014, our third successful year of operations as a standalone NHS trust.

In 2013/14 we: • Received just under £70m income for delivering healthcare services to commissioners and others.

This is an increase of 5% on the total income received in 2012/13 • Delivered an operating surplus of £923k compared to £917k in 2012/13 • Performed well against the financial risk ratings applied to NHS providers by the independent regulator Monitor. Each measure scores out of 4 and Wirral

Community NHS Trust has scored the maximum 4 in each category • Achieved the 4% efficiency requirement set by our commissioners of £3.3m • Invested £1,059k in capital infrastructure compared with £500k in 2012/13. This includes the implementation of our new IT system for Community Nursing and the roll out of mobile working across services • Paid over 87% of all undisputed supplier invoices within 30 days.

Performance was below the level expected of an NHS Trust which is 95%. Whilst the Trust’s overall performance has improved in 2013/14 work is still required in 2014/15 to address this underperformance

Income

Our financial future The trust’s plans show that whilst it will remain financially stable with good levels of performance against Monitor’s financial risk ratings throughout the planning period, the required level of cost improvements will remain between 4% and 5% annually, equating to the release of some 23% of total costs by 2018/2019.

Cost Improvement Plans In 2013/14 our commissioners imposed a 4% efficiency requirement as part of the contract settlement for the year.

This has required the trust to deliver £3.3m of cost releasing savings.

These savings targets have been delivered in full.

Expenditure* £49.0m Clinical Commissioning Groups (CCGs)

£9.5m NHS England £7.7m Local authorities £2.0m NHS Foundation Trusts

£45.3m Employee costs £9.7m Supplies and services £7.8m Premises and transport £3.1m Establishment

£0.3m Non NHS patient care

£0.9m Depreciation

£0.3m Education, training and

£0.6m Purchase of healthcare

research

£1.0m Other revenue

from non NHS bodies

£1.5m Other expenditure

The full report and summary document are available on our website: www.wirralct.nhs.uk * Excluding a technical accounting non cash impairment charge of £9.3m to reflect the assessed market value reduction in the value of our buildings.

Summary Annual Report 2013/2014

Autumn 2014 foryou

17

Trust news

Fellow of Institute of Health Visitors Congratulations to Joanne Chwalko, Wallasey health visiting team leader, (and recently awarded Queen’s Nurse) for being made a Fellow of the Institute of Health Visiting.

The fellowship scheme not only recognises her professional achievement, but also identifies and delivers a country wide group of expert and confident health visitor leaders who can work with the Institute to help strengthen local professional capacity.

The benefits to us as an organisation are many; it will raise the profile of our organisation and its commitment to developing health visiting practice at national level, and there will be kudos from having a Fellow of the Institute of Health Visiting with national attention from leading organisations (including the Department of Health).

Movember Have a laugh and grow your ‘tache this Movember and help change the face of men’s health.

This year the communications team would love to hear about your beardy adventures, so if you’re planning on taking part, please let us know (email communications@ wirralct.nhs.uk) and don’t forget your pictures!

Movember guarantees that you will have some fun whilst raising funds and awareness for men’s health, specifically prostate cancer, testicular cancer and mental health.

Register at: www.movember.com/uk/register/

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Pensioner’s fair

Hundreds of people attended Hoylake Community Centre for the Pensioners’ Fair in August.

The event brought dozens of organisations together in one room, providing a ‘one stop shop’ for older people, their carers and family to get advice and support for the over 60s, and assistance with their individual circumstances.

The trust’s Independent Living Centre and Falls Prevention Service were on hand with advice about the support they can provide, while the Livewell

team set up camp in the car park, offering free health MOTs.

Esther McVey, MP said, “The day was splendid and I have since been inundated with expressions of appreciation to all those involved in making the event happen. Local residents found the fair both an informative and social experience and many commented positively on the open and friendly attitude from the day’s exhibitors.”

Look out in the next edition for coverage of the Older People’s Parliament event held earlier this month.

Calling all Wirral CT staff...

Get your FREE flu jab!

Flu facts: Here are some of the key reasons we encourage our staff to get vaccinated: • The flu jab can’t give you flu - it does not contain live viruses • It takes about two weeks for antibodies to develop - get the jab early • Health professionals need to protect patients - you can pass the virus to others without having any symptoms • You need the vaccine every year - to combat new and circulating strains of the virus • Healthy diets won’t prevent flu • Anyone can get the flu - there is no natural immunity • Flu kills - for some it leads to severe complications and death • The flu vaccine - is one of the safest in the world For dates, venues and times visit StaffZone www.staff.wirralct.nhs.uk

Don’t forget your Wirral CT ID badge!

Trust news

‘Tour de Heart’ From

bike-a-thon physio Wirral Heart Support stepped it up a gear by raising £400 for charity during its Bike-a-thon event held in July.

On July 18 members of staff took part in the ‘Tour de Heart’ at St. Catherine’s Health Centre. They managed to keep the pedals spinning for six continuous hours covering an impressive 150km (the equivalent of a stage in the Tour de France) to raise money for the charity Wirral Heartbeat.

Wirral Heart Support Service Lead, Frieda Rimmer said: “It was a great effort by all involved. The money is going to Wirral HeartBeat, which continues to support us so magnificently by funding staff within the department. Heartbeat has been the cornerstone of everything we have achieved in the service.

Thanks to their tireless fundraising efforts, people benefit daily from a community cardiology service that is simply second to none in the country”.

Wirral HeartBeat is an independent charity that provides much appreciated assistance to Wirral Heart Support Services based in St. Catherine’s Health Centre.

It has set up and is running seven outreach gyms for heart patients across Wirral and Ellesmere Port.

Wirral HeartBeat currently has a number of vacancies. For more information visit www.wirralct.nhs.uk

L to R: Melanie Meadowcroft, Fran McManus, Lynsey Price, Frieda Rimmer, Rebecca Rust and Caroline Golder.

to T V!

Did you see part-time Physiotherapy Assistant Jodie Barchha Lang on the new BBC show ‘So you think you can drive?’

Jodie joined presenters Dominic Littlewood and Cherry Healey to put her driving skills to the test!

Jodie said: “We imagined it would be terrible watching ourselves back on TV but it was actually quite funny, and my husband Phil got lots of sympathy!

It was a brilliant experience and Cherry Healey and Dominic Littlewood were lovely to work with. Being on BBC breakfast was the most nerve wrecking part of the experience but really enjoyable.

“My driving has definitely improved since the programme. Phil no longer holds onto the seat or tries to reach for an imaginary brake pedal.

The fact that he now sits happily as a passenger is a really good sign.”

Jodie pictured (right) with BBC Presenter Cherry Healey.

Autumn 2014 foryou

19

Equality & Divserity

Equality and Diversity ...what’s it got to do with me?

by Tony Griffin, E&D Manager Getting it right for everyone means more than just complying with the Equality Act; we need to fully understand the needs of both patients and staff. Understanding how different we all are helps us to move away from the traditional view that equality is just about ‘treating everyone the same’;

instead it’s about understanding that we all have different needs and unless we recognise those needs, then some people become excluded.

by people from marginalised groups, and making sure we provide the right support (eg hearing loops, braille or other specific needs).

Over the coming months we will be introducing equality and diversity training around three key areas:

Equality and Diversity is often seen as being about what we can and can’t say, and whilst that’s important, it’s about so much more. The trust is committed to equality and diversity, to raise the quality of patient experience and to understand the needs of staff.

Equality Analysis - how to complete the new screening and assessment tools, to establish the likely impact of a service, policy or practice on groups or communities which are likely to face disadvantage Equalities & Procurement - making sure the companies we deal adhere to the Equality Act Equalities Monitoring - capturing data to see if our services are being used

Finally I am delighted to announce Jane Kennedy, Merseyside’s Police and Crime Commissioner, and Andrew Bollard, CEO of Stop Hate UK, are joining us to promote Hate Crime Awareness week in October, to talk about how NHS frontline staff can support the Hate Crime agenda. Please come along – details on staff zone.

Awareness of… OCD

By Ros Lowther, Clinic Coordinator Team Leader

I have Obsessive Compulsive Disorder (sometimes it has me!) and I am one of your colleagues. Statistically, there will be around 20 Community Trust staff with this condition as it probably affects around 1.2% of the population. The World Health Organisation has listed it as one of the top ten most debilitating illnesses in terms of lost income and decreased quality of life.

You may have a family member or friend with it and have seen at first hand the awful impact it can have on family life or the day-to-day tricks it plays in the workplace. You may have no personal experience of it at all, perhaps you’ve seen something on TV, or heard the comment: “oh, she’s a bit OCD”. Hmmm, what can I say? Well, there are three things: Firstly, I want to raise your awareness of this disorder,so please look up the organisations that help sufferers, their families, friends, and professionals working with those who are affected. www.ocduk.org has lots of information and resources. It really helped me. Secondly, I’d like you to think twice before saying it’s OCD when someone likes a tidy desk or a neat noticeboard – I like mine tidy, too, but it has nothing to do with my OCD. It is just more efficient if I can find what I’m looking for. In my experience OCD doesn’t leave the sufferer feeling satisfied: s/he wouldn’t be happy if the desk was tidy, there is no pleasure to be found in carrying out the compulsions, no comfort in obsessions, only an endless anxiety, constant self-doubt, and a grinding exhaustion that can lead to depression, self-harm, even suicide.

Thirdly, the good news… it can be treated. Cognitive Behavioural Therapy (CBT) is the most effective treatment. Medication can sometimes be useful too. Some say that OCD can be overcome completely; I still wrestle with it from time to time but treatment has certainly helped me.

So, if you want to know what “being a little bit OCD” could really mean, or if you think you, a loved one, or a client may be affected, please check out the information. You just might change a life. OCD Awareness Week 13 – 19th October 2014.

If you would like to raise awareness of a specific E & D issue, or share your story, please contact Anthony.Griffin@wirralct.nhs.uk

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Diary dates: 16 October Hate Crime Awareness Event 27 October LGBT staff network 29 October Disability staff network 30 October Black History Event 10 November Equality Champions Meeting 24 November LGBT staff network 26 November Disability staff network 22 December Equality Champions Meeting 29 December LGBT staff network 31 December Disability staff network See StaffZone for full details.

Who would you like us to put questions to next time?

Email your suggestions to communications@wirralct.nhs.uk Autumn 2014 foryou

21

Health and wellbeing

Meatballs

Recipe provided courtesy of the Livewell Programme, Healthy Cookery Course.

Our Livewell Programme supports local people and their families to lead healthier lifestyles. Whether people are looking to eat healthier, get more active, quit smoking, lose weight or de-stress the team offers a range of support including healthy cookery courses, Tai Chi, drop in stop smoking clinics, weight management courses, chair based exercise classes and circuit training.

Try this tasty recipe and send us your photographs to communications@wirralct.nhs.uk or tweet us @wirralct

Ingredients

Method (Serves 2 – 3)

For the meatballs: 1 pack of minced turkey (approx. 450g) 3 stems of spring onions, finely chopped 2 garlic cloves, finely chopped Pepper Mixed herbs

Meatballs:

For the sauce: 1 red pepper, chopped 8 cherry tomatoes, quartered 2 garlic cloves, finely chopped 1 onion, sliced 1 tin of chopped tomatoes 1 heaped tbsp of tomato puree Pepper Mixed herbs Olive oil

Add the minced turkey, spring onions and garlic into a large mixing bowl. Add pepper and mixed herbs to taste. Mix all the ingredients together.

Shape mixture into small balls. The mix should make approx. 12 - 14 meatballs. Don’t make them too big as you don’t want them to be cooked on the outside and raw in the middle.

Add approx. 1 tbsp of olive oil into a shallow frying pan and gently cook the meatballs, making sure to turn over throughout cooking so that all sides are browned off. The meatballs do not need to be cooked to the centre as they will be finished off in the sauce later. Put to one side once cooked.

Sauce: Add approx. 1 tbsp of olive oil into a shallow frying pan and gently cook the onions and garlic. Add the red pepper and cherry tomatoes and soften them for approx. 10 minutes.

Add the tin of chopped tomatoes and tomato puree. Stir and add enough pepper and mixed herbs to taste. Bring to the boil and then simmer.

Place the meatballs back into the pan, spacing out evenly in the sauce. Cover the pan so that the steam cooks the meatballs through without the sauce going dry. If your pan doesn’t have a lid, use kitchen foil. Cook for approx. 25 minutes.

Serve with pasta and home-made garlic bread. Enjoy.

Health and wellbeing tips...

Eat well for less this autumn* • Plan your weekly meals, write a shopping list, stick to it and be strict about buying only what you need.

• Try not to shop for your groceries when you are hungry - studies show that people who shop when hungry are more likely to spend more, especially on less healthy foods, such as high-fat and sugary snacks.

• Cook extra portions for your evening meals and have any left overs for lunch the next day. Extra portions can also be frozen for another day.

• Add vegetables to meat dishes such as casseroles to make your meals go further.

• Buy frozen fruit and vegetables - they are pre-chopped, ready to use and often cheaper than fresh varieties.

• Try Change4Life’s Meal Mixer for some recipes - most recipes feed four adults and can be made on a budget. *NHS Choices

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BrainTraining Fun stuff for while you have your tea break.

Wordsearch E J L L Z J H C I A E R T Z O L K B D X I G G M C R O A S U Y Q B F E F O U G K A P O P I Q P W X S A L K J E C C R B S M H R H S I R M M S F X H R K R K C M K P N A K P L F T S D L O C Z B P H U C O E A E T F H H N I W A A A S H S Z R H G U O C E B A V R R I E V O T M B T J U K U H R A M T U S Z A Q P K U Q U P F R C A I F E I L E R N I A P R S N E C S N U Y D B F O P T U O B D T I Q S D I U L F L O V U F M Y A S Y Z K F A O B T U M R E S T M T R R Y N T R B M Z O V N A V O M G H W J N C A Z O A C Q R J L

Sudoku

Colds Rest Pharmacist Sore throat Fluids Self care

Cough Pain relief Sinusitis Paracetamol Earache Ibuprofen

Health & Wellbeing

4 2 9

Look after yourself this winter...

3 3 9 4 2 3 7 1

1 5 6 4

Recommended websites Change4Life Games and ideas for kids to keep active this autumn - there’s something for all of the family! www.nhs.uk/change4life

1 1

7 6 8 9

The Stoptober 28 day challenge is back! You can sign up to the challenge on any day during October. What are you waiting for? Join the Stoptober challenge and become smokefree! www.nhs.uk/smokefree

NHS Choices

3 8 5 7 4 2

Stoptober

Thinking about cutting down your alcohol intake?

Take the alcohol myth buster quiz and test your knowledge of alcohol-related risks, find out the facts about drinking and how you can cut down. www.nhs.uk/alcohol

Autumn 2014 foryou

23

Diabetes - we can help!

The Nutrition and Dietetics Service offers two courses for people who have been diagnosed with either pre-diabetes or diabetes.

Both courses cover: • introduction to diabetes • how to improve blood glucose control • weight management

1. Pre-diabetes A half day course, taking place once a month at St Catherine’s Health Centre and Victoria Central Health Centre alternately.

• healthy eating • food labelling

2. Wirral X-PERT Diabetes Programme

• physical activity

Aimed mainly at people with type 2 diabetes, however, people with other types of diabetes can also attend.

• preventing health problems

The service also offers a one off introductory session to the X-PERT Diabetes programme if you’re not sure whether diabetes group education is for you.

You can sign up to the pre-diabetes or X-PERT Diabetes/Introduction to Diabetes Programme by completing the referral form on our website: www.wirralct.nhs.uk or contact the Nutrition and Dietetics Service on 0151 604 7271.

“I have found out all I needed to know to improve my lifestyle and to live with diabetes. It covered all my concerns regarding diabetes.”

www.wirralct.nhs.uk