AQP
Any qualified provider and how it can affect our services. - page 5
Day in the Life
We spend a day with Olive Beckett at one of our Walk in Centres. - page 8
One Patient One Record
New and innovative ways of working. - page 10
Lifestyle Services
Public Health has been combined to create a brand new service. - page 16
Comment Simon Gilby Chief Executive
Welcome Summer is here and so is the 3rd edition of foryou the magazine for all our staff and members.
INSIDE THIS ISSUE
News Bites
3
Cost Improvement Programme
4
Any Qualified Provider
5
Non Executive Directors
6
Members and Volunteers
7
A Day In The Life
8
Long Term Conditions
9
One Patient One Record
10
It’s been a busy few months into this new financial year with a huge amount of work, activity, events and visits taking place as you’ll see for yourself in this edition. 2013/14 promises to be a year where the plans we’ve been working on since 2011 start to become a reality as momentum builds towards our goal of Foundation Trust.
FEATURE The New NHS
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Listening Events
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As part of the Foundation Trust approval process we had a Quality Visit on 25 June from the NHS Trust Development Authority (TDA) (see page 9). Comments have been exceptionally positive and reflect the hard work you have all done with regard to the quality agenda over the past two years. The visiting team were very complimentary about the knowledge and commitment of staff and their willingness to engage with them.
Spotlight - Lifestyle Services
16
Dates For Your Diary
18
Trust News
19
The Trust Board then met with the Board of the TDA on 3 July for the next stage of the process. This meeting went very well. We are now expecting our application to be considered at the TDA’s first Board meeting after the summer - most likely in September - when it will be passed through to the final stage of the assessment process with the independent regulators, Monitor. Thank you to everyone involved in the most recent stages that have gone so well.
Getting To Know You
21
Health and Wellbeing
22
Brain Training
23
The momentum continues as I’m delighted to announce our membership has grown to 4000. Over the next couple of months we’ll be planning our second Annual Members Meeting and I look forward to seeing many of you there in September. Look out for your invitation nearer the time. It’s incredible to think the NHS was 65 years old on 5 July. In that time, our health system has undergone profound change, with the recent Health and Social Care Act introducing the most wide-ranging reforms since the NHS was founded in 1948. In this edition our cover feature looks at the ‘new NHS’ and gives you a guide to the new structure, the different organisations and responsibilities each holds (see page 11). I hope you enjoy this edition and with summer now really upon us (yes, real sun!) look out for events and activities for members, staff and all the family.
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 Communications and Marketing Wirral Community NHS Trust Old Market House Hamilton Street Birkenhead Wirral CH41 5AL E: communications@wirralct.nhs.uk 2
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News Bites
NewsBites
Quality Account 2012 / 13
4000 Members! Membership continues to grow as our 4000th Trust member was recruited in June at a member event at the Land Registry, Birkenhead. If you’d like the Membership & Engagement team to visit your place of work contact David Hammond on 0151 514 2452.
GP Out of Hours calls to the rescue When the launch of 111 in the North West was delayed, we were asked to reinstate our previous GP Out of Hours telephone arrangements. It was initially envisaged that this arrangement would be for three months, but we are now in discussions with commissioners about extending this arrangement for a longer period. Thank you to everyone in the team that have helped us to make this happen at short notice.
We recently published our Quality Account which looks at our achievements in 2012/13 and sets out our quality objectives for 2013/14. Last year we set four quality themes: • Delivering care • Patient experience • Getting staffing right • Staff experience. Here are some of our achievements in numbers:
100% of new Community Nursing patients aged 75 and over received an assessment for dementia.
Payroll queries Our payroll and pensions service is provided by HR & Wellbeing Business Services (HRWBS) based at the Countess of Chester Hospital. They have launched a new website for payroll and pensions queries, useful documents and payroll contact information: www.support.hrwbs.comw
e-learning accolade Over the last six months, the North West has seen an increase in the completion of eLearning systems and we are pleased to announce that Wirral Community NHS Trust have come first in the Oracle Learning Management (OLM) League Table as the number one trust in the North West for our eLearning!
Tell us what YOU think… We’d love to hear what you think about the magazine and what you’d like to see. If you’ve got any comments, ideas or suggestions please get in touch using the postal address or email opposite.
100% of our patients with leg ulcers healed in 15 weeks.
0 healthcare acquired infections.
12 patient/carer stories presented to the Board.
980 compliments received.
48 written complaints. 100% of eligible staff received an annual appraisal and personal development plan. 141 staff supported on academic modules at local universities to build knowledge and skills. Want to read more? You can access copies of the Quality Account from our website and in waiting areas. To request a copy of the Quality Account contact the Communications Team at communications@wirralct.nhs.uk
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Cost Improvement Programme
The NHS nationally needs to become more efficient and we ALL have to play our part. As a Trust we have to find efficiencies of over £3 million this year. But cost improvement isn’t just about saving money. It’s about being flexible, being responsive and working smarter. It’s about making ends meet - just as we all do at home.
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In order to meet our financial targets, we have been working with managers and other Trust staff to identify where savings could be made. All departments have been given efficiency targets for the financial year 2013-14. From our frontline clinical services to our corporate support services, plans are in place right across the Trust to help us work smarter, more efficiently and more productively. We will monitor progress monthly, to make sure that we are on track to hit our targets throughout the year. Across all our divisions, senior managers are looking at: Productivity - are we all working as effectively as possible? Do some staff and teams work more efficiently than others doing a similar role? How do we bring others up to their standard without compromising quality? Rapid Improvement Events - can we improve our processes and the way we do things? If we do things in a different way, or use a different method, can we do our job more effectively?
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Skill Mix - have we got the right staff in the right place at the right time doing the right job? Temporary staffing - are we using bank / agency staff efficiently? Estates - are we using our office and clinic space efficiently? Sickness / absence - are we managing sickness / absence appropriately? Centralised booking / Admin - will a more centralised approach to admin and booking bring benefits? Travel - are travel costs being minimised and journeys planned efficiently? Procurement - are we getting the best value from purchasing goods and services? Follow our progress on these areas and others on Staff Zone and our savings to date on the CIP-ometer.
We all need to play our part and we need to start NOW.
Any Qualified Provider
Since April 2012, patients have more choice about which health services they can use within the NHS. The Any Qualified Provider (AQP) scheme means that, for some conditions, patients will be able to choose from a range of approved providers - these could be NHS or private providers who meet NHS standards and price.
Any Qualified Provider Patients and GPs can choose a service based on what’s important to them - perhaps one that is closer to home, has a shorter waiting list or better outcomes.
So why choose your local NHS Trust?
Who commissions these services?
The Trust offers a complete package of community care and continues to develop and improve services by working with and listening to patients, partners and commissioners.
Physiotherapy and Podiatry patients receiving care from Wirral Community NHS Trust benefit from services delivered by dedicated and highly qualified NHS health professionals.
Commissioners develop and own the service specification - in Wirral’s case it is the Wirral Clinical Commissioning Group. It is their responsibility to confirm if providers can deliver the service and they hold the contract with the qualified providers. Wirral Community NHS Trust is one of those providers and currently, services that are offered in Wirral under the AQP scheme are: • Podiatry (footcare) • Physiotherapy Physiotherapy services have been available under AQP for over 12 month and our Podiatry services from 1 August 2013. Patients needing either Physiotherapy or Podiatry can ask their GP for a referral to these NHS services provided by the Trust.
How are the services funded? These services remain free for patients to use and access to them is based on clinical need. Prices paid to providers is determined in advance by the NHS. This could be a national tariff where it applies, or a locally agreed price. Patients can choose based on quality and individual preferences. Money will follow patients’ choices and competition will be on quality not price.
Amfit
The range and depth of services is extensive as the Trust aims to provide high quality services relevant to the whole community. Innovation plays a big part in how services are improved for example, the introduction of new digital scanning equipment (Amfit - see pic left) enabling many patients referred to our biomechanics service to be issued with their customised insoles the very same day.
Wirral and beyond… AQP allows providers to operate outside their local area and in October 2012 Wirral Community NHS Trust was approved as an Any Qualified Provider for the delivery of Core Podiatry services beyond Wirral into the wider NHS Merseyside area. The service now operates out of a number of clinics in Liverpool, Sefton and Knowsley where patients numbers are on the up! For more information about our Physiotherapy and Podiatry services visit www.wirralct.nhs.uk You can find out more about the AQP scheme, including quality standards requirements for providers, at www.supply2health.nhs.uk
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Non Executive Directors
Frances Street.
Brian Simmons.
Chris Allen.
Murray Freeman.
Alan Wilson.
How much do you really know about non-executive directors? Did you know that non-executive directors bring a wealth of experience, knowledge and expertise from success within their own field which helps shape our Trust? Having executive and nonexecutive directors as part of the Board of Directors is a model of best practice set out in legislation and codes of governance to mitigate corporate risk and failures. The mix of skills, knowledge and perspectives between executive and non-executive directors balances and strengthens board discussions and decision making.
Why do we have five? Best practice in corporate governance states that at least half the board, excluding the chairman, should comprise non-executive directors determined by the board to be independent. So, as we have four executive directors on the board, we need to have five non-executive directors. What is their role? Collectively the Board set out what it wants the organisation to achieve. Whilst the executive directors get involved in the day-to-day details of running the business, the nonexecutives role is to make sure the Trust achieves its goals - they are the custodians of the organisation vision. They monitor all aspects of the
Trusts performance, ensure we are meeting our obligations and acting in the best interests of our patients. They will challenge, advise, support and guide the executive directors to enable the organisation to fulfil its potential. Who appoints the NEDs? The NHS Trust Development Authority (TDA). They officially work in their roles as NEDs for 2-3 days a month although often it works out to be more than this. What do they do in their role? They attend monthly board meetings, each chair a regular committee meeting, take part in leadership walkrounds, shadow staff on patient visits, attend the
staff listening events and other events on behalf of the organisation. A lot of their work involves reading board and committee papers, often 300-400 pages of information and data, to identify and challenge our performance and whether we are meeting targets. Their role of non-executive director involves a great deal of skill and balance. They need to understand the organisation sufficiently but not get involved in the operational detail. They need to be able to offer advice and support as well as maintaining a challenging environment. The skills and knowledge that they bring to the organisation is an invaluable resource that is often underestimated.
Garry Gray It is with great sadness that we inform you of the death of Garry Gray, Wirral CT non-executive director. Garry died on 11 May following a short battle with cancer. Garry joined the NHS as a non-executive director in June 2009 working for NHS Wirral and then Wirral Community NHS Trust from April 2011. He brought with him a wealth of experience and skill and made an exceptional contribution in these roles and will be greatly missed by all who had the privilege of working with him.
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Members and Volunteers
St Catherine’s Health Centre now even more welcoming Visitors to St Catherine’s Health Centre should be noticing some friendly new faces. A Welcome Team of 10 volunteer members is now working there. They are helping patients feel confident finding their way around the building and offering any other help or information they may need. Julia Higgins, who supports the Welcome Team, said ‘The volunteers are really improving the experience of visitors to St Catherine’s. They are always smiling and ready to help. If patients are unsure where to go they even escort them to their appointments.’
A cup of tea and a smile
Later this year the Welcome Team will be wearing a brand new volunteer uniform, which will then be rolled out to all patientfacing volunteers across the Trust. At the moment the 10 volunteers are covering the busiest times of the week. But this is only the start. We would like to recruit more volunteers to offer the same service whenever the centre is open. If you can offer a few hours a week and would like to be part of the Welcome Team please contact Linda Gorham on 0151 514 6342.
Member visit to the All Day Health Centre at Arrowe Park Members had a fascinating visit to the All Day Health Centre on 18 June. Phillipa Compson, All Day Health Centre Manager, told the group all about the background and day to day work of the Centre. Several members of the ADHC team were there to share their personal perspectives and stories about working in a service where no two days are ever the same. Members had the opportunity to ask questions and give feedback on the service before taking a tour around the Centre.
Volunteers at work.
Community Health Champions Are you interested in becoming a volunteer Health Champion with our Trust? We offer one day courses for people who have an interest in health and wellbeing and want to support local residents to make positive lifestyle changes. Our courses provide people with the knowledge and information they need to deliver brief interventions to local people. We provide all of our Health Champions with the relevant resources they need to successfully engage with the local community.
Phillipa Compson and Elaine McNamara.
For more information our Health Champion courses please contact Rhodri Morgan on 0151 630 8383 or email rhodri.morgan@wirralct.nhs.uk
Anne Kaye volunteers at the Walk In Centre Tea Bar at Victoria Central Hospital, Wallasey. She has been working at the hospital site for nearly 25 years, giving a great deal of time to the service of others. Having spent most of her working life behind shop counters, she then decided to spend her retirement using her experience to help those in need. Her excellent contribution to the Trust was recently highlighted with a nomination for ‘Volunteer of the Year’ at this year’s ‘For You With You’ awards. ‘I was made up to be put forward, but I don’t like all the fuss,’ says Anne. ‘Just a thank you is good enough. I just like coming in and serving people’. ‘You always think you’ve helped somebody when you give a cup of tea to someone who’s gasping for one, or a piece of toast when they’ve been fasting. I like working with the public - you always see different people, and they tell you happy and sad stories’. Anne insists her approach to volunteering is simple. ‘I just take every day as it comes. Some days are better than others, but you’ve got to make the most of it. As long as you can see and walk and work, that keeps you happy’.
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A Day in the Life
A day in the life: Olive Beckett This time a day in the life visits Olive Beckett, a nurse based at one of our Walk in Centres (WIC), our nurse-led facility that provides assessment, treatment and advice to patients with minor injuries and minor illnesses. The WIC service is part of the Unplanned Care Division and is open 365 days a year from 8am – 10pm daily, delivering an invaluable service to all Wirral residents. Olive shares with us a snap shot of her day to day experiences while on duty… It’s been 12 years since I started work as a triage nurse at the Walk in Centre. I started in 2002 when my boys had grown up. As I was coming to the end of my Return to Practice Nursing Course I spotted an advert in the local paper looking for anyone interested in working at the Walk in Centre, I had no idea what one was, but I applied anyway and the rest is history! A normal day at work starts at 8am when patients start to get checked in by the receptionists. The triage nurse (me) is the first clinician to assess the patient, I then filter the patient on to the appropriate clinician they need to see. I see around 40 patients per shift…on a quiet day. When a patient comes in to us they are like a blank jigsaw puzzle, our job is to start by filling in the blanks and then piece together a picture. As well as treating the routine coughs, colds and sore throats, we are also a conduit for many other services, treating some very complex conditions. The skill mix of our nurses is incredible with backgrounds in dermatology, trauma, renal, medical, surgical, orthopaedics and community.
We meet, greet, treat, diagnose and discharge, and in many cases without patients needing to see a doctor. There is such a diverse group of nurses under one roof, with the experience to treat an equally diverse range of conditions.
This is not just a day in the life of me, an individual, each one of our team is equally important. We all leave our own impression on the patient at every encounter so really it is a day in the life of all of us!
The demand on the service can be very high especially on weekends and bank holidays. Let’s not forget patients are people. They may be stressed, worried, in pain and confused and the important thing is that we are here for them when lots of other services are closed. Because of this our patients trust us and that’s a great compliment.
When I’m not at work you’ll probably find me at home decorating my new Georgian cottage or playing a sneaky game of bridge with my friends.
On one particularly busy day a patient asked us if he could nip along and buy us all cups of coffee after his appointment - we must have looked like we needed it! Jokes aside that is the type of patient we see day to day, it’s lovely. For me the most positive part of my role is simply seeing the look of relief in a patients face when they know someone is there to look after them. It is so important for a patient to feel safe in capable hands and it is so rewarding to be part of a team that makes this happen every day.
Did you know? • We have three walk-in centres: one in Wallasey, Eastham and Upton • Our walk-in centres see approx. 85,000 patients every year • We achieved the national target to see and treat you within four hours • 79% of patients are seen and treated within 2 hours • The average waiting time is 1hour 20 minutes.
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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Long Term Conditions
Long Term Conditions Wirral Integrated Care programme This programme brings together health and social care providers across Wirral to improve the experience and outcomes for people with a long term conditions. Jointly sponsored by Wirral Clinical Commissioning Group and Wirral Council, Wirral Community NHS Trust are involved in designing the new approach. The project is split into three strands: Risk stratification - the early warning system! It is the development of an IT model which aims to identify those people who are regular users of hospital services (and are at risk of readmission), or potential users in the future. It will classify people according to complexity of need, helping to identify and commission appropriate cost effective interventions to meet the identified needs. Integrated Teams - a team approach. Brings health and social care professionals together to work more effectively for the benefit of the individual.
Foundation Trust Application Over the next couple of years, all NHS organisations will become a Foundation Trust or become part of an existing one. We want to become a Community Foundation Trust so we can remain focused on providing high quality health and care in the community.
As a Community Foundation Trust we will be more locally accountable with greater flexibility to invest in developing services and new practices to benefit local people. Mike Games, Acting Trust Board Secretary tells us where we are up to with our application… “During the last 12 months the Board has been focused on integrated and partnership working across health and social care in Wirral. On 25 June, the Trust received a Quality visit from the NHS Trust Development Authority (TDA) the result of which formed part of the discussions for the Trust’s Board to Board session with TDA on 3 July. Following this session, the TDA executives will assess various factors relating to our
Self Care - allowing people to maintain an independent and fruitful life. Providing access to information to empower people to effectively improve their quality of life. Recently launched, Puffell is a FREE online portal that encourages people to improve their health. Take a look at www.puffell.com John Lancaster, Operations Director said: “The LTC programme aims to change the way that health and social care organisations work together, to ensure that people receive high quality community care, that can be accessed rapidly when needed and is centred around them as an individual not organisational structures. This project is a key part of our future business plan and people from across the trust will be involved as it develops, evolves and is eventually rolled out.”
For more information see the Caring Together newsletter at: www.wirralccg.nhs.uk
overall performance and decide whether to recommend our application to the full TDA Board. All being well, the TDA Board will then make a formal recommendation for the Trust to go through the process with Monitor - we anticipate this being in the autumn of this year. After this we will formally apply to begin Monitor’s assessment. The assessment might not start straight away but it’s expected that it will take approximately four months from the start date to become a fully authorised Community Foundation Trust!”
Monitor’s three key assessment criteria 1. Is the Trust well governed? 2. Is the Trust financially viable? 3. Is the Trust legally constituted?
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One Patient One Record
One Patient One Record With changes in the health economy driving the NHS to keep costs down, prevent patients becoming ill and avoid unnecessary admissions to hospital, the challenge for community services is to find new and innovative ways of working. The use of technology can facilitate this and the Government have made it clear that by 2018 all aspects of a patient’s record will be electronic, creating a fully digital NHS in hospitals, GP practices and the community. Patient care will be improved through the creation of a shared electronic patient record making it easier for doctors, nurses and healthcare staff to make decisions about patient care.
Recent figures released by the Royal College of Nursing suggest that on average British nurses spend 17.3% of their time on paperwork and clerical tasks instead of caring for patients.
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Other goals on the way towards the 2018 target include: • everyone who wishes to will be able to get online access to their own health records held by their GP by March 2015 • paperless referrals and wider use of email when referring patients • clear plans in place to enable secure linking of these electronic health and care records wherever they are held, so there is as complete a record as possible of the care someone receives • by April 2018 - digital information to be fully available across NHS and social care services, barring any individual opt outs. What are WE doing? After months of planning, Wirral Community NHS Trust have engaged with ‘SystmOne’ in the implementation of an electronic clinical nursing system initially across Community Nursing, Specialist Nursing and Health Visiting teams.
SystmOne is used by 150,000 NHS staff across England and hosts electronic records for more than 30 million patients. It is a tried and tested system for community services with over 70 providers using the system. The deployment of SytmOne within the Trust will allow authorised clinical and support staff to be able to access an electronic patient record and support the delivery of high quality, highly effective and efficient care services. So – what are the benefits? Recent figures released by the Royal College of Nursing suggest that on average British nurses spend 17.3% of their time on paperwork and clerical tasks instead of caring for patients. This rounds-up to 2.5 million hours a week. Other Trusts using technology across nursing teams are already seeing the benefits. The ability to view live patient data, whatever shift staff are working and wherever they are is invaluable for community working. Patients have also responded positively to staff using mobile working as they feel more involved in their care. Use of mobile devices is enabling swifter, more comprehensive understanding of a patient’s care and conditions in real time. For clinical staff it reduces the time spent on form filling and bureaucracy, freeing up time for face-toface patient care.
Feature
The new NHS The aims of the NHS Reforms are to modernise the health and social care system. This meant an overhaul of the health service which introduced new structures and realigned roles and responsibilities. In this four page special feature we explain how the new NHS looks and works‌
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Feature
Setting the direction for the NHS
Secretary of State for Health and the Department of Health
The Secretary of State for Health, (currently Jeremy Hunt MP) has ultimate responsibility for the provision of a comprehensive health service in England. The Department of Health is a Government department who lead, shape and fund health and social care in England. It sets objectives, budgets and holds the system
to account on behalf of the Secretary of State. It is no longer the headquarters of the NHS nor directly manages any NHS organisations. Visit: www.gov.uk
Commissioning Care - Nationally NHS England
Public Health England
NHS England is an independent body managing the NHS budget and commissioning services. It allocates budget to and oversees the operation of clinical commissioning groups (CCG). It has responsibility for directly commissioning primary care (GPs, dentists, pharmacies etc) and specialist services (e.g. offender healthcare services).
NHS England includes four regional teams and 27 area teams which act as the local arms of NHS England.
Public Health England is a Government department providing national leadership and expert services to:
They oversee the local CCGs providing support, monitoring finance and performance, measuring outcomes and sign-off CCG plans.
• Support delivery of the Public Health Outcomes Framework • Deliver NHS immunisations and screening programmes • Provide health protection services
Visit: www.england.nhs.uk
• Support commissioning of public health services by the NHS and local authorities • Deliver intelligence for public health.
NHS England North
South
London
Midlands & East
Nine teams
Seven teams
Three teams
Eight teams Visit: www.gov.uk
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Feature
Commissioning Care - Locally Clinical Commissioning Groups
NHS England. They provide a range of specialist support which can help CCGs with:
Clinical Commissioning Groups (CCGs) are responsible for planning and commissioning services, including:
• Clinical commissioning
• Planned hospital care
• Service transformation.
• Rehabilitative care
CCGs are able to use the services of the CSUs or may choose to appoint internal staff or support from another organisation.
• Urgent and emergency care (including out-of-hours) • Most community healthcare services • Mental health and learning disability services. They don’t commission GP services, public health or specialist services. CCG boards are made up of GPs from the local area and at least one registered nurse and one secondary care specialist doctor. They can commission any service provider that meets NHS standards and costs - these can be NHS trusts, social enterprises, charities or private sector providers. Locally: NHS Wirral Clinical Commissioning Group is the CCG responsible for commissioning the majority of our local healthcare services.
• Contract negotiation and monitoring • Information analysis
Locally: Cheshire and Merseyside Commissioning Support Unit provides support to CCGs across Cheshire and Merseyside. Visit: www.cheshiremerseysidecsu.nhs.uk
Local Authorities Local Authorities have taken on statutory responsibility for public health services. They have responsibility for commissioning or providing a range of public health services including:
Locally: Wirral Council is the Local Authority responsible for commissioning or providing public health services. Visit: www.wirral.gov.uk
Health and Wellbeing Boards Health and wellbeing boards in every area ensure that services work together to respond to communities’ needs and priorities. They will involve people and community organisations, including elected representatives, in deciding what services the community needs – this will inform CCGs and local authorities when they commission services. Locally: Wirral’s Health and Wellbeing Board is part of Wirral Council. Visit: www.wirral.gov.uk
• Smoking cessation • Sexual health • Alcohol and drug misuse
Visit: www.wirralccg.nhs.uk
• Interventions to tackle obesity.
NHS Commissioning Support Units There are 19 NHS Commissioning Support Units (CSUs) who are hosted by
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Feature
Regulating, monitoring and safeguarding care Care Quality Commission (CQC) The Care Quality Commission (CQC) regulates all health and adult social care services in England, including those provided by the NHS, local authorities, private companies or voluntary organisations to ensure that essential standards of quality and safety are being met. All health and adult social care providers must be registered and licensed with the CQC - without registration, they are not allowed to operate. CQC carry out periodic reviews and have a range of powers and legal duties to take action should a provider fail to meet minimum health and safety standards. This could be financial fines, public warnings, imposing specific conditions or if absolutely necessary they will take a service off the register. Visit: www.cqc.org.uk
Monitor Monitor has an ongoing role in assessing NHS trusts for Foundation Trust status, and ensuring that, once
licensed, Foundation Trusts are well-led, in terms of both quality and finances. All NHS trusts are required to become Foundation Trusts (or become part of a Foundation Trust). In future, organisations providing NHS-funded services that fall within Monitor’s and CQC’s scope will have to be licensed with both organisations through a single, integrated application for a joint licence. Visit: www.monitor-nhsft.gov.uk
Healthwatch England Healthwatch England work as part of the CQC. They gather and represent the views of the public and ensure they are represented at both national and local level. There is a network of 152 local Healthwatch who sit on the Health and Wellbeing Boards. They report views and concerns to Healthwatch England so that issues can also be raised at national level. They act as advisers to NHS bodies, local authorities, Monitor and the Secretary of State for Health and will
recommend that action is taken by the CQC when there are concerns about health and social care services. ‘Healthwatch Wirral’ is our local Healthwatch. Visit: www.healthwatchwirral.co.uk
NHS Trust Development Authority The NHS Trust Development Authority work closely with NHS trusts to prepare and support them to become Foundation Trusts. It is responsible for overseeing the performance, management and governance of NHS trusts, including clinical quality. Its core objective is to ensure that services to patients are of the highest possible quality It will work with trusts to solve problems, set ambitions and goals and will hold the Trust to account on delivery. Visit: www.ntda.nhs.uk
Providing care in the UK 51 mental health trusts, providing services for people with mental health problems. 24 community health and care trusts, providing community based healthcare such as community nursing, health visiting and end of life care. 10 ambulance trusts, operating the ambulance service across England and making over 50,000 emergency journeys each week.
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552 Hospitals
8,150 GP Practices
38,000 UK registered dentists
26,000 UK registered opticians
14,000 Pharmacies
Sources: NHS Choices, Dept. of Health, Dr Foster, GDC, GOC and GPC.
Listening Events
Between the end of April and mid June, a series of 18 ‘Listening Events’ were held across the Trust at various bases. The purpose of the Listening Events was to provide our staff with the opportunity to join the conversation and share their ideas, thoughts and feedback on what we do, the way we do it and to tell us what they think.
Farewell... Lisa Cooper
‘Join the Conversation’
Feedback from the Listening Events Claire Patrick from the Board support team, who helped to organise the events told us, “Around 250 staff from across the Trust attended the events and provided valuable feedback and information on a whole range of topics, as well as coming up with great ideas and suggestions. There were lots discussions taking place around the tables, with groups of staff discussing the following questions:
All the suggestions and comments made by staff will now be gathered together into key themes. The next step will then be to collate all the valuable contributions and develop an action plan and provide responses to specific ideas, suggestions and concerns. Further details will be shared through the Staff Bulletin and Staff Zone.
• What else should we be doing - for our staff, our patients and to promote quality and safety?”
Thank you to every member of staff who took time out of their day to attend the Listening Events. These events would not have been such a success without your input.
“As you can imagine, a number of themes came out of the sessions including IT hardware/software, resourcing (staff) and communication”
Don’t forget you can still feedback your thoughts or comments on the Listening Events to Simon Gilby or any member of the Executive Team.
• Are we getting it right? • What could we do better?
Please send any comments to Simon.Gilby@wirralct.nhs.uk or Michael.Games@wirralct.nhs.uk
Last month we said a fond farewell to Lisa Cooper, Director of Quality & Governance who has now joined NHS England (Cheshire, Warrington & Wirral Area Team) as Assistant Director of Nursing, Quality & Safety. In her new role, Lisa will work with commissioners, GPs and other stakeholders to improve quality and patient safety across Cheshire, Warrington & Wirral and is looking forward to working in areas to improve quality of services and patient experience that haven’t previously had any support. Lisa will be greatly missed but we have every confidence that she will continue to make a positive difference and wish her every success. Sandra Christie is now Acting Director of Quality & Governance.
Other changes Steve Wilson, Director of Finance, has been appointed as Deputy Chief Executive which will be covered as part of his current Director role. In the absence of Jo Harvey, Karen WalkdenSmith is acting as Acting Director of Human Resources. Bev Futia has been appointed as Interim Divisional Manager of Nursing to cover Lowri Lloyd Preston’s maternity leave. She will be covering this alongside her current role as Divisional Manager of Unplanned Care.
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Spotlight - Lifestyle Services
Our combined lifestyle and wellbeing service has landed! It’s amazing how quickly time flies by! We’ve come a long way since the redesign of our public health services started in 2011. A lot has happened so far in 2013, and with a lot more to come we have a busy time ahead. So, we would like to share some of our recent updates with you all. Weight management support for adults and children 10 week weight management and physical activity programme.
Our new structure Previous to the redesign we had separate lifestyle services. Now, our six geographical teams support local people and organisations, providing a free combined lifestyle and wellbeing service offering complete lifestyle assessments, with tailored interventions to address people’s whole health and wellbeing needs. Our combined service offer is also structured around a single point off access, making it a lot easier for everyone to refer into.
Health trainer sessions - lifestyle assessments, support and personalised action plans.
Stop smoking support - motivational advice and practical support in group or 1-1 sessions. Specialist health promotion - providing advice, knowledge and training around health and wellbeing.
Health promotion resource centre supporting local people delivering or studying health promotion.
Young people and children - supporting schools, nurseries and children’s settings to achieve better outcomes around health and wellbeing.
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Mental health and wellbeing support - helping people with low confidence, anxiety or mild depression through arts and music based therapies.
Physical activity support - chair aerobics, circuit training, cycling, health walks, men only football fitness, salsa dancing, Tai Chi and yoga.
Spotlight - Lifestyle Services
Our clients can now very easily access a variety of complimentary lifestyle and wellbeing support to help them improve their own health, as well as receiving motivational support from our health trainers and specialists. Team health trainer
Our year so far… April - May: New service offer, new teams, new name… What a busy couple of months for us. Six new teams were established and moved into their new homes in Old Market House, St Catherine’s Health Centre, Port Causeway and Water Street Clinic. Staff attended various training and planning sessions around our new service offer and began delivering new sessions across Wirral. Work also started around the development of a new name and look for our exciting service offer and how we should go about promoting our service. We engaged with over 230 people, including clients, staff, Trust members and stakeholders for this piece of work. July: Testing time - Using the information from our engagement exercise, we are developing a number of initial design ideas around our new service. We will be testing these in focus groups with members of our target audience and our delivery team to ensure that we create a brand that appeals to communities and organisations Wirral-wide, and encourages local people and families to make positive lifestyle changes. August: Design and development - Our Communications and Marketing team will use the insight gathered from the focus groups to design and develop a suite of communication and marketing materials. These will be used to promote our service to local communities, organisations and health professionals. Autumn: Time to shine - This will be a busy and exciting month with public and professional launch events taking place across Wirral. Our clients will be invited along to our events to share their own personal experiences about how they have made meaningful and sustainable changes to their lifestyle. Invitations will be dropping in a mail box near you!
We’ve told you a lot about us and our redesign, but what do our clients say. Chris from Birkenhead turned her life around after attending one our weight management and physical activity programmes. After looking in the mirror she decided it was time she got support to lose weight and get more active. Chris’ GP advised her to contact our service, and with reluctance she attended her first session. “I have never looked back. My confidence has grown, I have met new friends and I regularly run 5k races! I have to admit I was nervous about turning up, but looking back I don’t know why. People are in the same boat as you, they experience the same hurdles and share the same stories, but we help, support and encourage each other along the way. Attending these sessions has changed my life.”
Did you know? b Between March 2012 - March 2013 we supported 3,377 local people to stop smoking b We helped over 2,100 people lose weight b 55 frontline staff deliver our lifestyle services across Wirral b Our teams support over 1,000 local people every month.
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Dates for your Diary
Dates for your Diary Family Fun Day Games, bike checks, face painting, mini health checks.
Tuesday 23 July, 12 - 4pm The Oval, Old Chester Road, Bromborough.
Member talk – ‘Getting it right: Tracking quality, improving services and the patient experience’ 24 July (2.30 - 4.30pm) Old Market House, Birkenhead. Providing excellent health services depends on having a clear picture of how services are being delivered and how they can be improved. Sandra Christie, Head of Nursing, Quality and Governance, will talk about how we do this by making good use of information, setting goals and involving patients. It will be a really interesting presentation for anyone who would like to know more about how NHS services are managed and improved.
Leasowe Library welcomed our Lifestyle Services Team and their branded campervan for a morning packed full of free health and wellbeing activities designed to help local people lead healthier lives. As part of the event local residents got involved in a number of taster activities including chair aerobics, healthy cookery and Tai Chi, as well as having their blood pressure checked. Sue Jackson, a local resident, said, “Events such as these are great for our community. They give people like me the opportunity to get involved in lots of different lifestyle activities, some of which I would never have considered trying.” The event was an opportunity to inform local residents of the positive changes Wirral Community NHS Trust and the team
Taking the Pressure Off! Facilitated by our Tissue Viability Service, more than 128 people attended the ‘Taking the pressure off - fundamentals of pressure ulcer care’ conference on Friday 14 June at Hulme Hall, Port Sunlight.
Contact the Membership Team to book a place at the talk by calling 0151 514 2452 / 0800 694 9985 or email foryouwithyou@wirralct.nhs.uk
There was a large wound care exhibition and topics on the day included pressure, ulcer assessment, management, seating, nutrition and accountability and were led by national speakers.
Egremont Festival Family Fun Day
Attendees came from various care settings from our community nursing, podiatry and wheelchair service through to representatives from neighbouring NHS Trusts, care homes and the Autistic Society.
Including a sponsored walk to raise fund for Macmillain Cancer Support.
Sunday 18 August, 10am - 4pm Egremont Promenade, Wallasey.
Infection Prevention & Control Study Day Staff only study day ring 0151 604 7750 for registration form and more details.
20 September, 8.30am - 4pm Old Market House, Birkenhead.
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Campervan pit stop at Leasowe Library
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Feedback from the event was fantastic: “Thank you for the restart of a much valued study day” “An excellent day, very enjoyable and will impact on my clinical practice” “Great to have the conference back, Maria does an excellent job here’s to next year”
have made to the way lifestyle services are delivered and to introduce community members to their new local team. Rhodri Morgan, Operational Team Leader said, “This is an exciting time for the team. Our aim is to support local people tackle a number of lifestyle changes, whether it is smoking and physical activity or losing weight and wellbeing. Our team is dedicated to boosting the health and wellbeing of the local community.”
Celebrating Breastfeeding Month
June was National Breastfeeding month and to celebrate a series of events were held, raising awareness of the importance of breastfeeding and encouraging more mums to breastfeed. Events included Big Feeds, Teddy Bears Picnic in Birkenhead Park and Walk the Milky Way - a 3k walk for parents, carers, grandparents and little ones from Seacombe Ferry to Vale Park, New Brighton. Celebrations culminated in a Breastfeeding Roadshow at Marine Point, New Brighton, with games, music, food, and support for expectant and new mums, as well as arts and craft activities. Claire Whitehead, Infant Feeding team lead said: ‘These events are a fantastic opportunity to encourage and support more local mums to breastfeed their little ones. Our team is proud to offer breastfeeding support to mums and partners across Wirral.’
Trust News
Clinics get a makeover
Artists impression of the new clinic in Heswall.
This year we are refurbishing a number of our clinics to improve facilities for patients and staff. Here are details of some that we are currently working on. Refurbishment works have already been completed at Greasby Clinic. Health Visitors are now on the first floor, with Child and Family on the ground floor. The refurbishment work at Heswall Clinic is due to finish at the end of July 2013 and work at Water Street Clinic is expected to
Health Visitor awarded scholarship
Jo Chwalko.
Congratulations to Heath Visiting Team leader Jo Chwalko who has been awarded a Clinical Nursing Scholarship by the Royal College of Nursing Research Institute and the Worshipful Barbers Company, London. This supports Jo with her doctorate study exploring the attitudes of first time mothers and Health Visitors toward sleep disturbance in the postpartum period. As well as a personal achievement for Jo it is a great promotion for the Trust in terms of supporting nurses developing practice. We wish Jo the best of luck in her studies.
restart in August enabling additional services to be based there with additional clinical and group sessions. Finally, planning permission has been approved for refurbishment works to Leasowe Primary Care Centre. Much needed space will be created by extending the front of the building. Three additional consulting rooms will be created as well as additional storage. Plans for the building work are currently being developed.
Showcase of improved venous leg ulcer healing rates In April, Cindy Freeman and Annie Baker attended the International Quality and Patient Safety Forum, organised by the Institute of Healthcare Innovation and the British Medical Assoication (BMA). The Community Trust was delighted to be successful in getting a poster presentation abstract accepted by the Quality Forum Panel to share the great work being done in community nursing to improve leg ulcer healing rates. The poster was one of a number accepted out of the 2,000 posters submitted. Many thanks for the work being done by the community nursing teams and the Tissue Viability Team to show we can provide the best venous leg ulcer care on the Wirral with the commitment to continue to work in partnership with patients to deliver exceptional care, every time.
New registration, new car?
More than 20 people have so far benefitted from the Trust salary sacrifice car lease scheme, with more applications in the pipeline. Available to all permanent employees, the scheme allows you to lease a new car, at a very competitive price, normally for three years. Due to the buying power of both the Trust and the NHS, we have been able to offer this fantastic scheme to staff. With no deposit and costs (including insurance and maintenance ) included in a single fixed monthly price, many employees benefit by receiving tax benefits. Look at Staff Zone for more information.
Cindy Freeman and Annie Baker.
Illuminating the Business Plan Over 50% of respondents in the recent Staff Zone survey said that they thought that the business plan picture used in our first edition of the magazine was great and helped them to understand the future plan. A presentation was developed for team meetings. Copies can be downloaded from Staff Zone.
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Trust News
Summer benefits With the summer holidays fast approaching don’t forget that our staff benefits include discounts at local attractions including Chester Zoo and Gulliver’s World.
NHS employees (and up to maximum of five guests) get the group discount rate on production of your ID badge.
Discounted tickets when booked in advance. For discount code and procedure, contact the HR department on 0151 514 2888 ext 6028
Vitamin D Campaign We recently launched a Wirral wide campaign to raise awareness around vitamin D deficiency. We engaged with local Children’s Centres with our grow your own sunflower initiative, and distributed materials to professionals and parents. Vitamin D is essential for healthy bone development, the campaign highlights simple steps for families to make sure they are getting enough vitamin D from their time in the sun as well as their food.
Don’t forget all staff and members can get discounts at: www.healthservicediscounts.com and www.redguave.co.uk
Have you seen it? Every other week we have our Health Matters page in the Wirral Globe newspaper and now we have an online version too! Through it we talk about various health topics, tell people about the services we provide and the various health courses and activity sessions that are running in Wirral. You can find the latest versions under the News section on the Wirral Globe website.
HealthMatters
NoticeBoard Make the change live healthy
Continence Awareness week (24 - 30 June)
Do you live in North Birkenhead? Why not get involved in one of our many FREE lifestyle activities – just drop in!
Did you know that an estimated one in four people will experience bladder problems and one in ten will experience bowel problems? In fact, it’s estimated that more people suffer with incontinence than with Asthma, Diabetes and Epilepsy put together. Men and women, young and old can be affected by bladder and/or bowel problems. Symptoms can include: • Stress incontinence: Passing urine when you laugh, sneeze or cough • Urge incontinence: Not being able to ignore a sudden urge to go to the toilet • Nocturia: Waking up more than a couple of times in the night • Functional incontinence: Having a condition or disability which stops you being able to remove your clothes quickly or get to the toilet in time • Bowel incontinence: Difficulty controlling bowel movements. People dealing with continence problems may be embarrassed and find it difficult to ask for help or support but by doing so, they can make a huge difference to their quality of life and general wellbeing. In many cases symptoms can be cured. In other cases with the right products and treatments, symptoms can be effectively managed.
Wirral Community NHS Trust’s Continence Service specialise in supporting children and adults with bladder and bowel problems. They provide assessment, diagnosis and ongoing support to help treat and/or manage symptoms to lessen the impact it has on your quality of life. If you’ve been experiencing any bladder or bowel problems speak to your GP or healthcare professional, or if you prefer you may self-refer direct to the Wirral Community NHS Trust Continence Service by calling 0151 643 5330 or visit www.wirralct.nhs.uk for more information about the service. Hints and tips for keeping your bladder and bowel healthy: • Eat a balanced diet • Drink enough liquid (not alcohol) • Limit the amount of alcohol you consume • Chew your food well • Don’t miss meals!
Health trainer sessions Monday - Friday 10.00am - 4.00pm, Birkenhead Market, Tate Aisle Tuesdays 9.30am - 11.00am, Beechwood Library, Beechwood Drive
Q & A... Where can I find out more about continence issues? The Bladder and Bowel Foundation is a UK wide charity with information and advice on a range of symptoms and conditions related to the bladder and bowel. www.bladderandbowel foundation.org Where can I find out more about your Continence Service? For information about our service visit www.wirralct.nhs.uk
Independent Living Centre
Tuesdays 11.30am - 12.30pm, St James Centre, Laird Street Stop smoking support Monday- Saturday 10.00am - 4.00pm, Birkenhead Market, Tate Aisle Thursdays 10.00am - 12.30pm 1.30pm - 4.00pm Birkenhead Medical Building, 31 Laird Street Weigh in and support session Mondays 5.00pm - 5.30pm, St James Centre, Laird Street Wednesdays 10.00am - 10.30am, Birkenhead Boys Club, Watson Street Fridays 10.45am - 11.15am, Birkenhead Boys Club, Watson Street Circuit training Mondays 5.30pm - 6.30pm St James Centre, Laird Street Fridays 10.00am - 10.45am Birkenhead Boys Club, Watson Street Weigh in with chair aerobics Wednesdays 10.00am - 10.30am (weigh in), Birkenhead Boys Club, Watson Street
Helping you maintain and increase your independence
Wednesdays 10.30am - 11.15am (aerobics), Birkenhead Boys Club, Watson Street
Do you find it difficult: • getting in or out of the bath or a chair • opening cans • turning keys • putting your socks on? Then we may be able to help!
To find out more about the FREE lifestyle and wellbeing activities in your area call 0151 630 8383 or visit www.wirralct.nhs.uk
We offer FREE impartial advice and the opportunity to try and test new products that help with everyday challenges. Call 0151 604 7325 to book an appointment or for free advice.
Breastfeeding Roadshow Fun day for all of the family Saturday 29th June 10.00am - 3.30pm, Marine Point, New Brighton
Open Monday - Thursday, 9.00am - 4.30pm.
Compliments, concerns, complaints.
Tell us what you think!
If you would like to provide feedback about any of our services Tel: 0151 514 6311 or Freephone: 0800 694 5530 Email: patient.experience@wirralct.nhs.uk
www.wirralct.nhs.uk
Sam Card (17 months) enjoying the sun and his vitamin D colouring book.
We want your submissions! Send us your articles and ideas! We’re always looking for more stories to celebrate the fantastic work that goes on in all part of our organisation everyday. If you’ve got a story to share or there’s something you want us to include then send us an email at: communications@wirralct.nhs.uk or write to us at: Magazine Submission, Communications Team, Wirral Community NHS Trust, Old Market House, Hamilton St, Birkenhead, CH41 5AL.
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Who would you like us to put questions to next time? Email your suggestions to communications@wirralct.nhs.uk Summer 2013 foryou
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Health and Wellbeing
Slimming Summer Recipe Roast Vegetable, Chickpea & Avocado Salad Our Lifestyle Services team provides a combined approach to help local people improve their physical, emotional and mental health. They offer a variety of courses and sessions to encourage people to make lasting lifestyle changes and lead healthier, happier lives. We thought we’d share one of our recipes to prepare for you or your family!
Ingredients
Method
1 medium sized aubergine cut into slices 2 red onions, peeled and cut into segments 2 peppers, any colour, de-seeded and cut into slices 1 courgette, sliced Fine spray of olive oil 2 - 4 tomatoes, cut into quarters 1 bag of any mixed salad leaves 1 avocado, peeled and sliced 1 x 400gm can of chick peas, drained 2 tablespoons of flavoured vinegar (balsamic is best)
1. Prepare the aubergine, red onions, peppers and courgette and put them all in roasting tin.
Top 10 sleep tips Sleep plays a vital role in good health and wellbeing. Getting enough quality sleep at the right times can help protect your mental health, physical health, quality of life, and safety.
3. Turn the vegetables well and roast for another 10 minutes. 4. Add the tomatoes and cook for a final 10 minutes (40 minutes in total or until vegetables are browned and just cooked). 5. Put the salad leaves in a bowl and when you are ready to serve add firstly the vegetables, then the drained chickpeas, avocados and vinegar. You can serve this with the vegetables hot or cold.
It’s difficult to get deep, restful sleep on one that’s too soft, too hard, too small or too old.
Here are top 10 sleeping tips from our Health and Wellbeing Champions:
4. Take more exercise. Regular, moderate exercise such as swimming or walking can help relieve the day’s stresses and strains. But not too close to bedtime or it may keep you awake!
1. Keep regular hours. Going to bed and getting up at roughly the same time, all the time, will programme your body to sleep better.
5. Cut down on stimulants such as caffeine in tea or coffee – especially in the evening. They interfere with falling asleep and prevent deep sleep. Have a hot milky drink or herbal tea instead.
2. Create a restful sleeping environment. Your bedroom should be kept for rest and sleep and it should be neither too hot nor too cold, and as quiet and dark as possible. 3. Make sure your bed is comfortable.
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2. Spray lightly with oil and roast on high 200oC, 180oC fan oven, 400oF, Gas 6 for 20 minutes.
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6. Don’t over-indulge. Too much food or alcohol, especially late at night, just before bedtime can play havoc with sleep patterns. Alcohol may help you fall asleep initially, but will interrupt your sleep later on in the night.
7. Don’t smoke. Yes, it’s bad for sleep too: smokers take longer to fall asleep, wake more often and often experience more sleep disruption. 8. Try to relax before going to bed. Have a warm bath, listen to some quiet music, do some yoga - all help to relax both the mind and body. Your doctor may be able to recommend a helpful relaxation tape too. 9. Deal with worries or a heavy workload by making lists of things to be tackled the next day. 10. If you can’t sleep, don’t lie there worrying about it. Get up and do something you find relaxing until you feel sleepy again – then go back to bed. Source: www.sleepcouncil.org.uk
BrainTraining Fun stuff for while you have your tea break.
Wordsearch G N I S R U N C B K J N O A G N D R B E V I T I S O P Q Z P I P Y I X H W V B I F N C V B E C X G Q P W S S W U O N C V B A A H C T U S A W M I G B G L P V R M K A P E P P T N T V L O Z B E P Q N E E H A A N Q E E O W M C O T B G G C K E O
The NHS Chief Nursing Officer’s vision and strategy for building a culture of compassionate care throughout the NHS and social care, is based around six values. Can you find them and our other nurse related words?
CARE
NURSING
J S C Q Y N D U J R N N I T H
COMMITMENT
PATIENT
G A T S C D A I X U N U S A E
COMMUNICATION
HEALTH
W N C E Y L M K D O R M R P A
COMPASSION
WELLBEING
COMPETENCE
POSITIVE
COURAGE
QUALITY
W C H O R V E O Q A E I J I H
B P N Y I A D L G C V M F R L F M Q T N E M T I M M O C T T I D Y B C O G M P K A C M P H
Sudoku
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5 1 2 4
3
1
7 3 7 5 5 9 6
8 3
7 6
Recommended websites The Debt Advice Network The Debt Advice Network is a charitable organisation which offers a completely free and confidential advice service on finance and debt management. www.thedebtadvicenetwork.org
British Heart Foundation Keeping your heart healthy, whatever you age, is the most important thing you can do to help prevent and manage heart disease.
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Health & Wellbeing
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For information about heart conditions, diet, activity and general health tips and resources visit the British Heart Foundation website. www.bhf.org.uk
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Make a Quality Choice Podiatry
Specialist Footcare Ask your GP for Wirral Community NHS Trust and benefit from treatment with a highly specialist NHS podiatrist. With clinics across Wirral, you can be seen when and where’s best for you. Treatments we offer: • nail surgery • diabetic screening • specialist biomechanical services (gait analysis and provision of prescriptive insoles) • nail care • callus reduction • wound care.
Visit www.wirralct.nhs.uk for your nearest clinic and ask your GP for a referral.