WCT For You - Autumn edition

Issue Four Autumn 2013

The Magazine for staff, members and volunteers

It’s official!

HRH The Earl of Wessex opens St Cath’s - p18/19

Wider NHS Focus

What Monitor means to us as a Trust.

- page 4

AGM 2013

We report on this years AGM held at The De Vere Village Hotel.

- page 8

Summary Annual Report How we performed over the last year.

- page 9

Getting To Know You

John Lancaster, Director of Operations & Performance.

- page 21

Comment Simon Gilby Chief Executive

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

This special edition is full of big news and events as September has proven to be a busy month with our the launch of ‘Stoptober’ (see page 20) our Annual General Meeting (see page 8), and of course our cover story – the official Royal opening of St Catherine’s Health Centre.

It was a proud moment to welcome HRH The Earl of Wessex to open the centre on Monday 23 September. A chance to celebrate with the local community the transformation of St Catherine’s, now a flagship centre of community health serving the people of Wirral. The centre represents an important investment in local healthcare – a central hub, local and accessible for those services that need a clinical setting. It will provide local people and our staff with the resources to continue to deliver high quality patient care well into the future. See our feature piece (page 18) all about the opening and see pictures of what was a memorable day for the Trust.

INSIDE THIS ISSUE

News Bites

3

Wider NHS Focus

4

Trust Feedback

5

Life with an ICD

6

One Patient One Record Update

7

Member Events

8

FEATURE Summary Annual Report

9

A Day In The Life

17

Spotlight - St Cath’s Opening

18

Trust News

20

Getting To Know You

21

Health and Wellbeing

22

Brain Training

23

Thank you to all the Trust members and guests who attended our Annual General Meeting (AGM) on Wednesday 18 September. It was great to see so many of you there taking the opportunity to meet and talk to members of staff about the range of community health services the Trust provides. The AGM is a chance to showcase our achievements and I am really proud of all the great examples we have of how our services are responding to the individual needs of the individuals who need our care.

If you missed out on the event, you’ll find our Annual Report Summary in the centre pages of the magazine (pages 9 - 16).

This edition also talks about our foundation trust progress and the role of the regulatory body Monitor (page 4) and not forgetting our visit back in July from Shadow Health Minister Andy Burnham MP who met staff and patients at the All Day Health Centre (page 6).

Finally, thank you for being a part of this Trust and I hope you enjoy this bumper edition of foryou. As ever, I am always keen to hear from you about our services. The AGM is just one of many opportunities you have to feedback, so keep in touch.

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

foryou Autumn 2013

News Bites

NewsBites On the airwaves!

Health Visiting Service Manager, Viv Harrison, took part in radio interviews with Juice FM and Heart Radio last month to repeat warnings to parents about the dangers of co-sleeping with their babies following the deaths of 20 babies in similar circumstances over the past five years across the region. Viv shared her expert advice that the safest place for baby to sleep is in the cot.

Patient feedback - the journey Patient feedback is really important to us. Here we show how we use the feedback we receive.

The patient receives a service from WCT.

HSJ Awards

Congratulations to our Continence and Speech & Language Therapy Services who between them have been shortlisted for three national awards with the Nursing Times and the Health Service Journal (HSJ)! We’ll let you know in the next edition of foryou how they both got on.

The patient feeds back via card, questionnaire, web, phone, email, mail and in person.

Monkey Bizness

Children who successfully completed a 10 week weight management course were rewarded with a celebration event at Monkey Bizness in Bromborough which included a game of Laser Quest with their parents, Chief Executive Simon Gilby and staff from the Lifestyle Service!

The course was a great success and all the children who completed the programme improved their BMI, waist measurement, aerobic recovery, flexibility and power. They also learnt that exercise can be fun!

Infection Prevention

Congratulations to the Infection Prevention & Control team who had a successful 4th annual study day – 70 representatives from across the whole of the health economy looked at patient safety, leadership and collaboration to improve infection prevention and control practice.

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.

Feedback arrives with the Patient Experience Team.

Patient Experience Team shares feedback with Services and Board.

Services share findings with Teams and Board makes informed decisions.

Better patient experience.

Compliments, concerns, complaints.

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

Autumn 2013 foryou

3

Wider NHS Focus

Once authorised, the trust is issued with terms of authorisation and its NHS provider license.

If Monitor feels that there are matters still needing some attention and can be resolved within a reasonable timeframe, the application will be deferred.

If a trust is rejected they will work with the TDA to decide if they should re-apply to Monitor or look for alternative options.

As we go through the process to become a foundation trust, we thought we’d tell you more about Monitor - the organisation which authorises and regulates foundation trusts.

All NHS trusts are expected to become foundation trusts (or part of one) and hold a licence with Monitor to enable them to deliver services. Monitor’s role is to: • Assess NHS trusts for foundation trust status • Ensure that existing foundation trusts are well run in terms of quality and finances • Regulate all providers of NHS services through the ‘NHS provider licence.’

Assessment for foundation trust status Before starting the Monitor assessment process, trusts first work with the NHS Trust Development Authority (TDA) to reach a point at which the TDA believes the trust is foundation trust ready. The TDA then confirms its support to Monitor and the trust makes a formal application to start Monitor’s assessment process.

Once Monitor has issued its start date for assessment, the process involves visits, interviews, analysis and careful scrutiny of the trust to determine if it is well governed, financially viable and legally constituted. The process is expected to take approximately four months, but trusts currently going through the process have found it is taking much longer.

What do Monitor look for?

An effective Trust Board – their approach to quality, the dynamics between executive and non-executive directors, transparency of board reporting (financial and nonfinancial) and their ability to identify and mitigate risks.

Strategic business planning – evidence of long-term planning demonstrating

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awareness, understanding and consideration of commissioning intentions, cost improvement programmes (CIP) and estates planning.

Service performance – achievement against targets and indicators, regard for quality and the access wishes of the local population and patient groups.

Financial governance - accounting policies, historical due diligence and private patient income.

Quality governance – understanding the quality of care provided and a culture of quality (clinical effectiveness, safety and patient experience).

CQC compliance – meeting the essential standards of care with CQC and have no current issues, concerns or enforcement actions placed with the trust.

Monitor Approval Following the in-depth assessment, Monitor’s assessment team will finalise papers to present at a decision meeting.

The application will be formally considered

by Monitor and a decision will be made to authorise, defer or reject the application.

Licensing providers of NHS care Monitor currently licence foundation trusts and from April 2014, all other eligible providers of NHS funded services will be required to hold a licence.

The licence sets out a range of conditions that providers of NHS-funded services must meet and will enable Monitor to: • Set prices for NHS-funded care in partnership with NHS England • Enable integrated care • Safeguard choice and prevent anticompetitive behaviour which is against the interests of patients • Support commissioners to protect essential healthcare services for patients if a provider gets into financial difficulty • Oversee the way that NHS foundation trusts are governed.

As well as the license with Monitor, providers have to be registered with the Care Quality Commission (CQC) who regulate health and adult social care to make sure that services and the locations that services are delivered from meet essential standards of quality and safe care.

Our Current Position Following work over the last year we have now reached a position where we are ready to go to the TDA Board for approval to proceed to Monitor, the next stage of the process to achieving foundation trust status.

We have received some very positive feedback to the work we have done so far, however, the TDA is yet to schedule a confirmed date for our Board application, we hope it will be before the end of the year.

Trust Feedback

IT Replacement Programme Technology and computers were raised consistently at the Listening Events as a key concern for staff.

Many of the issues had already been identified and plans for a rolling IT replacement programme were underway.

We listened, we heard and here’s what we’re doing…

By replacing our oldest computers, we will benefit from quicker computers that better support new applications and programmes, reducing the amount of time that staff have to spend on the phone to the IT Helpdesk”

There are around 1,050 computers within our trust and our IT replacement programme will mean that 1/5th of our computers will be replaced each year!

Normally, staff computers are funded by the individual department budgets, but this project relieves some of that cost pressure by funding them centrally. If your computer hasn’t been replaced but you think that its running slowly it may be because of one of the following reasons:

Over the next few weeks the first phase will be completed and 200 of the trusts oldest computers will have been replaced.

• Continued improvements and updates to operating systems and applications such as Microsoft Office

Ian Hogan, Head of Technology explained “Computers are a key part of many jobs within the trust and it is crucial that they work as efficiently as possible so that we can all access the programmes we need, when we need them.

• The amount of memory installed in the computer.

Solutions are being looked at to deal with the issues above… watch this space for more information.

Cost Improvement Programme As we reach the six month point for the Cost Improvement Programme, we have already done a lot of work to save costs and are close to our target for this stage of the year.

However, with £790k of savings already identified the challenge over the next six months is to continue and increase the pace of identifying and implementing further efficiencies across the trust.

Working with Wirral Council and other local NHS organisations we have developed a new way of integrated working to deliver health and social care in Wirral, with the patient at the heart of what we do.

Over the last year we have listened to patients and staff to identify ways of working more closely together, reducing duplication across organisations and to better co-ordinate care. Following staff briefing events in September, we will start to introduce our new approach throughout the autumn.

£790k

m illi

o

n

3.3

£

Sandra Christie, Director of Quality and Nursing said, “The £3.3m efficiency target this year is a challenge. Good progress has been made so far, for example, by reviewing our use of temporary staff and how we buy goods and services. We are working with all services to identify how we maintain the quality of the service or care we deliver as we find financial benefits without compromising the targets we have to meet for commissioners and regulators.”

Caring Together

£905k Target YTD

Achieved

August 2013

John Lancaster Director of Operations said:

“The introduction of integrated care coordination meetings will initially focus on ensuring that our teams better understand the needs of individual high risk patients and how the different organisations can best support them. In particular co-ordinating the health and social needs of people with long term care needs and ensuring that, where appropriate, people can be cared for at home rather than staying longer than necessary in hospital.”

Autumn 2013 foryou

5

Trust News

Market Assessment and Business Development Days July and August saw a flurry of activity within the Divisions relating to business planning.

Kathryn Jobes, Stephanie Barrows and Natasha Porter collecting their award earlier this year.

Life with an ICD Following their win for ‘Most effective initiative’ at our Staff Awards this year, the team behind the Life with an ICD programme, have been invited to present at two national conferences during October 2013.

An innovative three week education programme for patients with implanted cardiac defibrillators (ICD), ‘Life with an ICD’ has successfully reduced anxieties and misconceptions as well as supporting confidence in completing everyday activities. Steff Barrows will travel to Birmingham to share what they’ve learnt.

• British Association for Cardiovascular Prevention and Rehabilitation (BACPR) Annual Conference on 3 & 4 October 2013 • Heart Rhythm Congress on 22 October 2013 *An ICD constantly monitors heart rhythm and gives the heart electric pulses or shocks to get heart rhythm back to normal.

Andy Burnham visits the All Day Health Centre

Each Division held a Market Assessment and Business Development Day with members of the Division’s leadership team, and staff from the support services including Finance, HR, Business Intelligence, Communications & Marketing and Quality & Governance.

The sessions facilitated by Sarah Carter, Interim Consultant - Business Planning, focused on developing an understanding of the business environment in which we now operate and identifying the challenges and opportunities. The teams then developed draft business plans looking at how to defend our existing services, and/or grow our services over the next three years.

More than 130 staff were involved with members of the Board attending each of the events. There was positive feedback on the level of staff involvement achieved in moving services forward: “The energy together to drive forward with new quality initiatives... time to plan is essential away from the office” “Investing time in services and staff to hear their ideas in a constructive way is a breath of fresh air and builds staff morale” “Understanding more about business models and meeting the board” “Well facilitated event with board members present – fantastic... We had time to think about the services and time to plan” “The whole day was eye opening, thanks”

Pictured left to right: Phillipa Compson, Tracy Orr, Bev Futia, Andy Burnham, Simon Gilby, John Lancaster, Kathy Ryan and Margaret Greenwood.

Patients and staff at our All Day Health Centre were delighted when Andy Burnham, Labour Shadow Health Minister and local Labour candidate, Margaret Greenwood popped in for a visit in July.

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Staff proudly showed off the All Day Health Centre GP Practice which also hosts the Walk in Centre and GP Out of Hours services and patients shared their positive experiences of the services there.

The visit was a great opportunity to recognise and reflect on the fantastic services offered.

The sessions are now in the process of being written up, and the outputs of the sessions will now contribute to the Divisional three year plans and will be signed off by Board in October. These Divisional events will be added to the Trusts planning cycle, occurring every October, and will feed into our overall business plan, signalling a new approach to planning and business development within the Trust.

Trust News

One Patient One Record update

A passion for physio

In the last edition we reported that the Trust had engaged with ‘SystmOne’ in the implementation of an electronic clinical nursing system initially across Community Nursing, Specialist Nursing and Health Visiting Teams. ‘SystmOne’ has now been aquired and the project team have been developing and tailoring the system to ensure it supports our joined up processes and team working.

Part of this development phase is to ensure all staff who will be using ‘SystmOne’ have the necessary IT skills. Many staff have already started using NHS Skills ELITE Pathway (an online IT training tool) in preparation for new skills needed to operate ‘SystmOne’.

To support staff as they develop these new skills, Super Users will be identified from within teams. These will be members of staff who are already helping colleagues to use current systems and who are good with IT. Their role will include: • Providing immediate guidance and on the job support • Encouraging colleagues to complete all relevant training • Being a contact for staff to feedback on issues direct to the project board.

Super Users will be confident in how to use the system and are an essential link in supporting the successful implementation. ‘SystmOne’ will be introduced in phases with the first phase going live in early 2014. For staff interested in knowing more, visit the ‘SystmOne’ pages on StaffZone or email individual questions to Systmone@wirralct.nhs.uk

Have you had your flu vaccination yet?

ALL Wirral CT staff can drop in to the flu vaccination clinic most convenient to you to get your FREE seasonal flu vaccination.

Visit StaffZone for the timetable and FAQs about the vaccine.

Did you know…

• Frontline healthcare workers are more likely to be exposed to flu viruses, particularly in winter months.

• The flu vaccine does not contain live viruses so cannot give you flu • It takes two weeks for the vaccine to provide protection – so get it early • You can carry the virus and pass it on without experiencing any symptoms.

Protect yourself, your patients and your family

Sean Hancox has been a volunteer with the Physiotherapy Department at Victoria Central Health Centre whilst at sixth form and hopes to use his experience to help secure him a place at the University of Liverpool to study Physiotherapy.

‘I’ve always wanted to be a physiotherapist because a lot of my family have had physio and I’ve been to their appointments. I’ve always been interested in the human body, but volunteering has made me want to do it even more.

It’s made me push myself harder at school to make sure I get the grades I need.’

His passion has been evident through his enthusiasm to get involved in as much as he can at the Physio Department. ‘Mostly I’m in the gym doing rehabilitation classes, with people with lower limb problems. But I also did a week’s work experience where I sat in on classes for shoulder conditions. I also observed patients having individual treatments, like soft tissue release.’

‘I like that you get to meet all sorts of people. Also, it’s the best feeling ever when you see someone and they say ‘I’m feeling better, can you discharge me please’. It shows you that the exercises have worked and that they’ve put the effort in to get better.’

Sean evaluates his volunteering experience. ‘It’s been really good for me. It’s encouraged me to do more outside of here, and it’s improved my people skills and confidence.’

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Member Events

Annual General Meeting The Mayor of Wirral, Cllr Dave Mitchell joined over 160 local people at the second Annual General Meeting of Wirral Community NHS Trust at the De Vere Village Hotel, Bromborough.

Members enjoyed the opportunity to visit service exhibitions and speak to Trust staff. It was a chance to share the diversity of the work of the Trust, learn more about what we do, how we measure our performance and how we engage with patients and public.

Following presentations from Frances Street, Chairman, Simon Gilby, Chief Executive and Steve Wilson, Director of Finance on the Annual Report 2012/13, there was an open question and answer session where the Trust Board answered questions put forward by Trust members and the public.

The event was well received by those attending. Dave Hammond, Membership Manager said “feedback from our members has been very positive with many commenting on how they have enjoyed the opportunity to meet our staff.

It was also great to sign up new members at the AGM taking us to over 4,300”.

The AGM in full flow.

Mayor, Cllr Dave Mitchell & Patient Experience Team.

Nicola Williams talking to members.

Understanding Quality In July, Sandra Christie, the Trust’s Director of Quality and Nursing spoke to over 20 of our members about Quality at the Trust and what it means.

A qualified nurse herself, Sandra talked about recent reports into failings at other NHS trusts and shared the measures our Trust takes to ensure we provide the best and safest care we can. It was an interesting and informative presentation resulting in plenty of lively discussion.

Thanks to everyone who came along.

Sandra Christie, Director of Quality and Nursing.

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There will be updates on service quality at future member events.

Visit our website for a video of the AGM, more photographs of the day as well as the full annual report and presentations. www.wirralct.nhs.uk

Governor information sessions Our first Governor elections are getting closer as our Foundation Trust application progresses and members aged 16 or over living in one of our four public constituencies can stand for election.

If you’d like to know more there are two further Governor Information Sessions being held where you can find out about the role of an NHS Foundation Trust governor and the election process.

Both sessions will be on 26 November 2013, held at Old Market House, Birkenhead with sessions at 2pm or 5.45pm. The timing of the elections are dependant on when our application is approved to go to Monitor.

To book a place or find out more, please call the Membership and Engagement Team on: 0151 514 2451 / 0800 694 9985 or email foryouwithyou@wirralct.nhs.uk

Summary Annual Report 2012/13

b Welcome A message from the Chairman and Chief Executive

As we celebrate two years since becoming a community trust in 2011 we can reflect on the significant progress we have made in providing improved outcomes for our local communities delivering services that are better able to meet a wide range of health needs across our diverse communities.

Our strategic vision is clear; to be the outstanding provider of high quality, integrated community care services in Wirral and beyond.

At the heart of this vision is the creation of an integrated care system for Wirral, with us, as a strong and credible Trust right at the centre, doing what we do best supporting people as partners in care in their own homes, facilitating speedy access to hospital when people need it and rapid discharge back home as soon as they are ready. And with quality and care at the heart of everything we do.

Although we are confident in our services, we are not complacent. The opportunity to review the recommendations of reports such as the Francis Report help ensure we implement any changes that will further improve our services and care of patients.

• Approval in October 2012 as a Qualified Provider (AQP) for the delivery of Core Podiatry services beyond Wirral into the wider NHS Merseyside area.

This year we have also seen significant progress in our plan to become a Foundation Trust. Our membership continues to grow and demonstrates the increasing connection we have with local people, staff and partners who are informed and involved in the life of the Trust.

We also thank our volunteers for their passion and ongoing commitment to supporting our services.

Finally we must recognise all our staff who are dedicated to providing excellent services. It was a pleasure and privilege to celebrate and recognise their achievements in 2012/13 with our first For You Thank You staff awards highlighting the innovation and commitment of individuals and teams within our Trust.

We have continued to ask patients and staff for feedback on our services and are delighted that 96% of patients over the last year said they would recommend our services to family and friends.

Amongst our many achievements over the last year, we include:

Frances Street, Chairman.

• Our lead role in the integration and improvement of services focusing on people with long term conditions • The opening of the new St Catherine’s Health Centre - significantly improving patient facilities and experience • Our successful bid to deliver integrated sexual health services across Wirral from 1 April 2013 with Wirral University Teaching Hospital NHS Foundation Trust (WUTH) and Wirral Brook

Simon Gilby, Chief Executive.

b Our Trust

We provide the care and support needed to reduce health inequalities, promote health and wellbeing within our communities and play a vital role in supporting those people of all ages who live with on-going health problems enabling them in many cases to continue to live at home.

Our services are delivered by dedicated health professionals and supported by equally committed staff behind the scenes who strive to continue to develop and improve our services by working with and listening to our patients, partners and commissioners.

Our services Nursing – providing nursing care in people’s homes. We also provide specialist nursing services for people with specialist requirements including continence, heart services, end of life care and Parkinson’s disease.

Therapies – offering a diverse and integrated range of therapy services

including, physiotherapy and rehabilitation, podiatry, nutrition and dietetics, speech and language, wheelchair service and independent living centre.

Primary Care – including two GP practices, GP Out of Hours, Dental Out of Hours and Community Dental.

Unplanned Care – consisting of three walk-in centres, a minor injuries department, the newly launched centralised booking service, which incorporates Single Point of Access (SPA), a specialist Deep Vein Thrombosis service and a community based Phlebotomy service.

Lifestyle Services – supporting people to make positive lifestyle changes, maximise community resources and signpost residents to activities close to where they live.

“The staff were friendly and helpful at all times.

They are a credit to the nursing profession.

Community Nursing patient

”

b Financial performance

The Trust has had a second successful year of operation meeting all our financial duties for 2012/13.

In 2012/13 we: • Received £66m income for delivering healthcare services to commissioners in 2012/13 • Delivered an operating surplus of £917k compared with £717k in 2011/12 which was in line with plans and represents around 1.4% of overall turnover • Performed well against the financial risk ratings applied to NHS Foundation Trusts by the independent regulator Monitor. (Had the Trust been subject to this regime in 2012/13, we would have received an overall risk rating of 3, a good level of financial performance) • Paid over 87% of all undisputed supplier invoices within 30 days. With a target of 95%, plans are in place to ensure that figure is much improved in 2013/14 • Achieved the 4% efficiency requirement set by our commissioners as in 2011/12

Our Financial Future The Trusts business plan shows that whilst it will remain financially stable with good levels of performance against Monitor’s financial risk rating, the required level of cost improvements will remain between 4% and 5% annually to release some 23% of total costs by 2016/17 whilst maintaining quality service delivery.

• Invested £500k on capital and infrastructure compared with £323k in 2011/12.

Cost Improvement Plans

Our main income sources:

In 2012/13 our commissioners imposed a 4% efficiency target requiring the trust to deliver £2.8m of cost savings. These savings targets have been delivered in full by individual services and departments through their cost improvement plans.

£62.2m NHS Wirral £900k Wirral Metropolitan Borough Council £900k NHS Western Cheshire ...and limited income from other sources.

“Very impressed all round, long live the NHS. All Day Health Centre patient

”

Financial risks In addition to meeting the need for cost improvements, our financial risks include: • Commissioning changes • Competition through the introduction of Any Qualified Provider (AQP) contracts.

b Operational performance

The Trust has achieved a high level of performance based on the indicators we are measured against.

This year we have: • Met or exceeded 98% of our contractual targets • Exceeded the quality target with over 99% of patients spending less than 4 hours in our Walk In Centres • Improved 23% of key findings in the staff survey with 18 of the 28 key findings showing better than average performance • Increased patient feedback by 30% sharing patient stories and feedback at our monthly Trust Board meetings • Shown consistency in the number of patient contacts with an increase of over 30,000 within our Therapies Division.

1.1 million patient contacts Here are just a few of our highlights for 2012/13: • Over 281,500 Community Nursing appointments / visits • 230,000 patient blood samples taken by our Phlebotomy Service • Over 115,000 Health Visitors Healthy Child team appointments • Nearly 85,000 patients treated at Walk in Centres at Eastham, Wallasey and Arrowe Park • Over 72,000 consultations through the Musculoskeletal/Community Therapy Service • Over 41,000 pieces of equipment delivered by our Community Equipment Service • 16,600 appointments and gym attendances with our Heart and Cardiac Services • Over 14,600 people attended walk in and pre-booked appointments with our Sexual Health team • Over 34,000 walk in patients treated and nearly 10,500 pre-booked patients treated by our GP Out of Hours and All Day Health Centre, helping to reduce pressure on A&E services.

“I received excellent care from all staff, from Reception to Nursing.

Many thanks Walk-in Centre patient

”

b Case studies Patient, Community & Commissioners b Liverpool Podiatry Services AQP

b Public Health Re-design

The Trust was approved in October 2012 as a Qualified Provider (AQP) for the delivery of Core Podiatry services across the NHS Merseyside area reaching patients registered with a GP practice within: Liverpool, Knowsley, Sefton, St Helens, Halton, Southport and Formby.

Following the transfer of Public Health commissioning to the local authority, the Trust’s Public Health Team was redesigned in 2012 to offer an integrated and holistic service.

b Integration Programme During 2012, the Trust has played a leading role in developing the structures and processes that underpin the delivery of more effective integrated care to patients with long term conditions across Wirral.

Bringing together health, social care and third sector organisations, the way that people receive care in a community setting services will need to change and to avoid unnecessary hospital admissions delivering better outcomes to patients.

From the 1 April 2013 six geographically based teams now deliver all elements of the service - Stop Smoking, Weight Management, Health Trainers, Community Programme, Health Promotion and Healthy Settings.

They offer a single point of access and streamlined pathways making it easy for individuals to access the services and for health professionals to refer in.

Clinical Delivery b Wirral Integrated Sexual Health b Services In January 2013, the Trust in partnership with Wirral University Teaching Hospital NHS Foundation Trust and Brook were awarded the contract for Sexual Health Services and from 1 April 2013 now deliver the new integrated service for three years.

Sexual Health Wirral provides sexual health clinics available seven days a week at seven locations across Wirral. We now offer most of our services at all clinics including a range of contraception choices, health screening, treatment and sexual health advice for people regardless of age or gender.

b Centralised Booking Our centralised booking service operates 8am - 8pm, seven days a week providing patients with one phone number to be able to book appointments with the following services: • Podiatry • Phlebotomy • Emergency Dental • All Day Health Centre GP Practice • Community Nursing Service.

b Safety and Quality In April 2012, the Care Quality Commission (CQC) registered all our services without conditions and in November 2012 our Walk-in Centre at Arrowe Park Hospital was inspected and assessed as demonstrating compliance in all areas. We have achieved our CQUIN schemes and quality objectives in areas such as dementia care, long term conditions, end of life care and infection prevention and control.

b Engaging with Patients A programme of leadership walk-rounds has enabled members of the Trust Board to visit services and discuss with patients and carers their experiences of our services.

Our Patient Experience Champions appointed in 2011/12 have led to improvements in how patients access our services and the information we provide.

People and Resources Engagement with staff has developed significantly with the introduction of Listening Events providing opportunities for staff to talk to directors and board members giving first hand feedback on the services we provide. Other developments include:

Issue Two Sprin

g 2013

• Quarterly Staff and Member Magazine - ‘For You’

The Magazine

for staff, members

and volunteers

• Staff Zone - staff intranet (with 80% of staff registered as of 31/3/2013).

b ‘For You Thank You’ staff awards In March 2013, we celebrated achievements across the Trust at our For You Thank You staff awards. Judged by a panel including patient representatives, the awards highlighted the passion and commitment to patient care not just on the front line, but also from those people behind the scenes that support the work of the Trust.

b Staff Survey 2012 • Staff reporting greater job satisfaction compared to 2011 • An increase in the number of staff recommending the Trust as a place to work or receive treatment.

Oh what a nig ht The Francis Inq

uiry

We talk to Lisa Cooper, Director, Quality & Governance.

- page 4

A Day in the Life

We spend a day with Liz Barrington of the Physio team.

- page 8

!

See page 9 Listening Eve

nts

Staff are invited to put forward their views at one of our even ts.

- page 13

Sexual Health

Wirral

It started with a bid.

Sexual Health made simple in Wirral.

- page 14

Supporting Functions b St Catherine’s Health Centre

b Caring for the environment

In August 2012, services left the historic former hospital building and moved into the new St Catherine’s Health Centre providing a modern clinical community base to support the delivery of high quality services.

• Reduced our carbon emissions to 2,897 tonnes CO2 equivalent; • Recovered or recycled 65% of our waste – equivalent to 232 tonnes.

b Our future

Our five year business plan sets out how we will achieve our vision against our four strategic themes.

In 2013/14 our objectives are: 1: Patient, Community and Commissioner

3: People and Resources

• Working with commissioners to support self care

• Facilitating increased seven day working

• Working with partners in the context of welfare reform, the current economic climate and provision of information, advice and guidance.

• Making best use of technology

2: Clinical Delivery • Progressing the integration agenda - from Children and Young People to Older People’s services with partners

• Continuing to improve public and staff engagement.

4: Enabling Functions • Enhancing our use of information and informatics • Effective use of workforce planning

• Developing our urgent care services with partners

• Improving approaches to organisational development

• Further development of the Trust’s provision of primary care services.

• Making sure we use our estates portfolio as efficiently as possible.

The Trust has made significant progress in its application to become an NHS Foundation Trust which will enable the Trust to offer a unique and accessible range of healthcare to all our patients.

Developing a membership that is large enough to fully represent the people of Wirral has been a focus during 2012/13. By the end of the year we have recruited over 3600 local people and our aim is to add a further 900 members by April 2014.

During the coming year we look forward to holding governor elections and inducting and providing training for those elected, in preparation for our authorisation as a Foundation Trust.

A full copy of our Annual Report & Accounts, as well as our Quality Account is available online at www.wirralct.nhs.uk/key-publications A limited number of printed copies will be sent to official statutory and non-statutory bodies.

Compliments, concerns, complaints.

If you would like this information in another format or language, or would like to provide feedback about any of our services, please contact our Patient Experience Service: T: 0151 514 6311 Freephone: 0800 694 5530 or patient.experience@wirralct.nhs.uk

www.wirralct.nhs.uk

A Day in the Life

A day in the life:

Edd Berry

Based at Old Market House, the Business Intelligence Team is busy collecting, collating and interpreting various pieces of information so that we can accurately monitor and report how we are performing against local and national targets.

Used in many areas to support decision making, business planning and allocation of financial budgets, business intelligence also helps us to identify issues and emerging trends.

Head of Business Intelligence, Edd Berry, shares his unique perspective of life at the Trust…

I joined the Trust in February this year. I applied for the job because I really wanted to be involved with community services. Even for a ‘back-room’ function like the Business Intelligence Team, there’s still a sense of being more connected with the local community than you can sometimes feel when working in a large hospital.

A normal day starts anywhere between 8am and 9.30am just depending on where I am and what’s happening that particular day. There’s been a lot of variation to our work over the last few months and we’ve had a small hand in many different projects, from involvement in selecting a community nursing system through to support for the new Sexual Health Wirral service.

The day to day work includes ensuring we submit information on national targets to the Department of Health and reporting on the activity of each service.

As staff in Community Nursing and Health Visiting know only too well, this is still very much a manual paper exercise at the moment - we will all be very excited and relieved to get the new Community Nursing System in place!

KPIs, KPIs, KPIs... Far and away the task we spend the most time on in the

team is producing the monthly KPIs for our commissioners, be that Wirral Clinical Commissioning Group, NHS England or Wirral Council. Whilst we know that showing the commissioners how well we are doing is very important all of the team would like to be doing much more for our services. It’s been very frustrating for us but fortunately that’s all about to change.

The last few weeks have been incredibly busy. A couple of months ago, and with support from the commissioners, we purchased a data warehouse and also some new software for presenting information in clear and simple dashboards. Putting a data warehouse in, is a really big job and something you only hope to do a handful of times during a career in Information. In short, its simply a massive database that will host all the information from our different IT systems. It will make our lives so much easier and allow us to do more useful work for the services as well as making life more interesting for the team!

We’re busy getting data from the Trust’s systems such as Adastra and EMIS Web into the new data warehouse as well as building the new dashboards.

These new dashboards will be available very soon for all staff via StaffZone.

They will enable everyone to access key information about their service, be that activity, waiting times, quality indicators, patient satisfaction, HR indicators and financial performance, all of it will be available in a couple of clicks from the StaffZone home page.

When I’m not messing around with tables and charts at work my life is almost entirely taken up by my toddler twins who turned two at the start of August. There’s nothing like fishing poo out of a paddling pool to bring you down to earth.

Did you know?

• We have just under 150 key performance indicators (KPIs) • In 2012/13 82% of our KPIs were at over target (i.e. green) • We have 11 different IT systems for recording our clinical activity • Our therapy services and walk-in centres alone generate 65,000 pieces of data everyday.

What role would you like to learn more about? Email your suggestion for ‘A Day in the Life’ to: communications@wirralct.nhs.uk Autumn 2013 foryou

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Spotlight

St Catherine’s Health Centre Officially opened by HRH The Earl of Wessex On arrival Prince Edward was greeted by over 100 local school children before the official introductions and a tour of the centre.

Frances Street, Chairman, said: “It was an absolute pleasure to show His Royal Highness around the building and introduce him to our staff and patients in both Heart Support and Physiotherapy. He spent time chatting to people throughout the visit and even though he was running late, he took time to talk to everyone he met.”

During the official opening ceremony, he joked with guests and the hundreds who were watching from the surrounding balconies and after instigating a rousing countdown, unveiled the plaque with a flourish.

Guests at the event also had the opportunity to see the new permanent exhibitions on the ground floor which chart the development of the site from workhouse to state of the art health centre and individual art pieces around the building supplied by Wirral Metropolitan and Birkenhead Sixth Form College art students.

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Spotlight

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Trust News

challenge for Wirral’s smokers!

Staff survey 2013!

Make sure your views are represented by taking the opportunity to complete your staff survey!

The staff survey is an opportunity for you to influence the improvements you want to see.

All 1,321 members of staff within the trust who are eligible will be asked to complete the survey. Please ensure that you use this opportunity – your views REALLY do count – make a difference!

What have we done/are doing because of past results?

Local actress Suzanne Collins with the Stoptober wheel at the Pyramid Shopping Centre, Birkenhead.

The nation’s biggest ever mass participation stop smoking 28 day challenge has launched for its second year! Research suggests that if you stop smoking for 28 days, you are five times more likely to kick the habit for good.

The giant Stoptober wheel rolled into Wirral on 10 September, official launching the campaign locally. To encourage people to sign up, order their Stoptober packs and ultimately quit smoking, ultra-marathon runner and ex 40-a-day smoker Rory Coleman and local actress Suzanne Collins attended the event.

Throughout September our Lifestyle Service have been encouraging people to sign up to the Stoptober challenge, offering them the support they need to become smokefree, as research shows you are four times more likely to quit with this extra support than stopping on your own.

During the event over 250 Stoptober packs were distributed to Wirral residents with 56 people signing up for an appointment with our Lifestyle Team.

Last year over 160,000 people across the UK successfully quit.

Contact the Lifestyle team on 0151 630 8383 if you want to quit.

Reducing your environmental impact As a Trust we are committed to reducing the environmental impact of our activities and we measure our progress using an Environmental Management System (EMS).

We know that we need to play our part in protecting the environment, but there are lots of other benefits for us as an organisation in managing our impacts properly.

• Ensuring that we comply with relevant legislation • Reducing our costs (utility bills, business travel and waste collection) • Helping us to remain competitive and grow (environmental management is increasingly required as a part of tender submissions for new business).

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• Improved the structure of appraisals • Launched an Equality and Diversity e-learning module • Introduced new Health and Safety training • Introduced a dedicated email address for staff to raise concerns (concerns@wirralct.nhs.uk) • Are working hard to ensure there is a ZERO tolerance to bullying and harassment.

Submissions!

Send us your articles and ideas!

We’re always looking for more stories to celebrate the fantastic work that goes on in all parts of our organisation everyday.

Our Environment Plan outlines what we hope to achieve over the next 12 months – including significantly reducing our gas and electricity bills. In a joint commitment to our environment programme and our cost improvement programme, we aim to reduce our gas and electricity bills by over £10,000 and our water bills by £2,000.

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:

Dawn Williams, Head of Estates said “As it gets darker and colder we can all help reduce our environmental impact and our costs. Simple things like turning lights and equipment off when they are not needed or when you leave an empty room or office, turning the heating down a degree or two - where we can and increasing what we recycle.“

Magazine Submissions, 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 Autumn 2013 foryou

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Health and Wellbeing

Tuscan Bean Stew Recipe provided courtesy of the Lifestyle Services, Healthy Cookery Course.

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 1tbsp Olive oil 1 large Red onion finely chopped 2 Cloves garlic 1 tbsp Tomato paste (preferably sun-dried) ½ tsp Chilli powder 1 Carrot peeled and sliced 2 Sticks celery (finely sliced) 4 Tomatoes roughly chopped Large pinch dried thyme 2 Bay Leaves Little ground black pepper 450 ml ¾ pt Vegetable stock 2 x 400g tins Beans (butter, flageolet, kidney or chickpeas, drained and rinsed) 50g 2oz Green beans (cut into short lengths)

Method 1. Heat a large pan and spray with a little oil.

2. Add the onion and cook gently to soften.

3. Turn the vegetables well and roast for another 10 minutes.

4. Add the garlic, tomato paste and chilli powder, if using and cook about 1 - 2 mins.

5. Add the next 5 ingredients and season with a little pepper.

6. Pour in the stock, bring to the boil and simmer for 20-30 minutes or until vegetables are tender. Stir occasionally.

7. Add the next 5 ingredients and season with a little pepper.

8. Add the canned and fresh beans and continue to simmer for another 5-10 minutes.

Serve with extra green vegetables, for example cabbage or salad.

Send your ratings and photographs of the stew to communications@wirralct.nhs.uk

Did YOU have breakfast this morning?

Are you someone who has breakfast every day or do you get caught up rushing around in the morning and don’t find time to eat?

Breakfast is an important meal in our day and skipping it will make you feel sluggish and less able to concentrate. Research has also shown that it also has a negative impact on the health of your heart.

So… is it time for you to make sure you sit down and start your day properly?

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Why have breakfast?

Evidence suggests that a good breakfast can give you: • Greater energy • Improved concentration and performance • Improved mood • Better health.

2. Muesli, fresh fruit and low-fat yoghurt 3. Wholegrain breakfast cereal with semi-skimmed milk 4. Boiled egg with wholemeal toast and low-fat spread 5. Grilled mushrooms and tomatoes on a whole grain bagel.

And can also help control your weight

Five healthy breakfast choices to start your day 1. Porridge made with semi-skimmed milk topped with a selection of dried fruits

Sources: NHS Choices, British Heart Foundation, Wirral CT Wellbeing Champions.

BrainTraining Fun stuff for while you have your tea break.

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

Management COMPLIANCE EFFICIENCY ENERGY ENVIRONMENT GLOBALWARMING GREENTRANSPORT INSULATION LEDLIGHTING LOWCARBON POLICY POLLUTION SOLARPANELS SUSTAINABILITY WASTE WATER

Sudoku

1 7 5 6 4 7 8 6 6 4 2 3 1 7 4 1 5 2 3 7 8 4 5 7 2 6 9

Health & Wellbeing Recommended websites British Heart Foundation For help and advice on heart disease www.bhf.org.uk

Stoptober Join the Stoptober challenge and become smoke free www.smokefree.nhs.uk

Change4Life For tips and help to make changes for a healthier future www.nhs.uk/change4life

Autumn 2013 foryou

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Look out for our campervan, say the phrase above to one of our team and get a...

FREE health MOT.

You’ll also be entered into our prize draw for the chance of winning £100 shopping vouchers!

Monday – Saturday 10.00am – 3.00pm.

View the full campervan schedule and T&Cs at www.wirralct.nhs.uk

www.wirralct.nhs.uk