The Magazine for staff, members and volunteers
Congratulations... to all our excellent staff for their contribution to an outstanding result following our recent CQC inspection - see pages 12/13 for what happens next.
Comment Simon Gilby Chief Executive
Welcome Welcome to this winter edition of foryou, the magazine for all our staff, members and volunteers. I don’t know about you but it’s a relief to start to see the days getting longer and the dark nights getting shorter. I don’t tend to make new year resolutions but I have kick-started this year with some good habits around eating well and exercising more. So far so good I’m pleased to report. Whatever my personal goals for this year are, my goals for the trust remain clear and following our Good rating from the CQC back in November, I am excited about the year ahead. Our cover story on pages 12-13 tells you more about how the inspection went, the great feedback we received and our plans for the 2015. The start of the year sees a few changes in our leadership team as we bid a fond farewell to John Lancaster, Director of Operations and welcome on board, Mark Greatrex our new Director of Finance and Resources and Val McGee who joins us as Interim Director of Development (see page 5 for details). A big welcome from me and I look forward to working with them over the coming months. The new year also sees new members in our vibrant staff council following our recent elections (page 4) and on the subject of elections please take a look at our article on our forthcoming governor elections and how to get involved.
INSIDE THIS ISSUE
News bites
3
Staff Council elections
4
Trust news
5
Trust news
6
Trust news
7
Member and volunteers
8
Governor elections
9
A day in the life
10
0 - 19 Launch
11
FEATURE 2015 - what lies ahead
12 – 13
Trust news
14
Spotlight
16
Trust news
18
Equality & Diversity
20
Getting to know you
21
Health and wellbeing
22
Brain training
23
Following on from our cover story in the last edition, you’ll find the latest information about the new and soon to be launched 0-19 Service for children and young people (see page 11) and as ever a host of other latest news and updates from across the trust. This year perhaps has the potential to be the most significant so far in the trust’s short history. With foundation trust status just around the corner, new services coming on line, work around Vision 2018 becoming a reality, I hope you will follow our activities with interest through our magazine, website, twitter and other communications we send out to you. And as always, if you want to get in touch, I am always keen to hear from you.
PUBLICATION DETAILS Published by: Communications and Marketing, Wirral Community NHS Trust. SUBMISSION DETAILS If you would like to submit an idea for an article, please contact:
foryou
Follow me on twitter @SimonGilby_WCT
Communications and Marketing Wirral Community NHS Trust Old Market House Hamilton Street Birkenhead Wirral CH41 5AL E: communications@wirralct.nhs.uk
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News bites
Newsbites
The CQC Inspection!
Staff survey success The trust achieved just under the highest response score for community trusts nationally in this year’s staff survey. 52% of Wirral Community Trust staff completed the questionnaires. The results are expected to be published in March. We will bring you more in the next edition of the magazine.
Another successful IPC study day The Infection Prevention & Control Team held their fifth successful study day attracting more than 80 health and social care professionals from across the North West (including those who travelled from Cumbria, Lancashire and North Wales). Feedback was extremely positive with 100% of respondents rating the day as excellent or good.
Flu Fighters We’re delighted that for the past three months, Wirral Community NHS Trust has been named by NHS Employers as the top performing Community Trust for staff flu vaccination uptake in the country. Thank you to everyone who has taken the important step to protect themselves, their families and their patients from seasonal flu this year. Don’t forget - if you had your flu jab elsewhere (eg at your GP, pharmacy or other employer) make sure you have let us know - email your name and the date you had it to ipc.wirralct@nhs.net This year’s seasonal flu campaign drew to a close in this month with 990 members of staff vaccinated at the time of going to print.
We received our first inspection Care Quality Commission inspection report, in November. We were rated as ‘Good’ - a fantastic achievement. Below are some of the facts and figures behind the inspection.
+++++++++++++++++++++++++++++++++++++++++++++++
7 CQC inspection teams +++++++++++++++++++++++++++++++++++++++++++++++
9 CQC inspectors +++++++++++++++++++++++++++++++++++++++++++++++
38 staff involved in focus groups +++++++++++++++++++++++++++++++++++++++++++++++
62 individual interviews & service visits +++++++++++++++++++++++++++++++++++++++++++++++
Do we have your email address? In October 2014 we posted about 2,700 copies of foryou and emailed 1,800. It costs about £1 to print and post each copy, so if you are able to receive it by email let us know – email foryouwithyou@wirralct.nhs.uk Every pound we save helps patient care!
207 information requests You can read the complete report from the Care Quality Commision, please visit www.wirralct.nhs.uk
Winter 2015 foryou
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Staff Council - election results
Staff Council elections...
the results! Having a Staff Council is unique in NHS trusts, and gives everyday staff an opportunity to meet with Directors to discuss and help steer communication, plans and decisions that will affect departments, services and staff. As a member of staff, you can find out more about what the Staff Council does via StaffZone (Keeping Informed & Involved> Staff Forums>Staff Council)
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Our Staff Council is made up of staff from all areas, all backgrounds and all levels and most importantly... they’ve been elected by staff to represent their views and opinions at Staff Council meetings. It’s been just over three years since we first introduced the Staff Council, which is the same length of time as a term of service, so towards the end of 2014 we held our second election campaign. We were delighted to see new candidates as well as some of our existing members re-standing for election and nearly 400 staff voted for your Staff Council.
Meet your Staff Council
Angela Price Health Visiting
Deb Ollerhead Continence
Helen Lundy Community Nurse Bank*
Jan Morris Community Therapy Service
Judy Fairbairn June Sherlock Leann Davitt Sexual Health Wirral Community Nursing Physiotherapy Admin
Lindsey Gaffney Quality and Governance
Mel Johnston Nutrition and Dietetics
Paula Downie Health Visiting
Stephanie Ball Community Night Nursing Service
Tom Meade Cardiac Rehab
Phillipa Compson All Day Health Centre
Dominique Gill Corporate Affairs*
Richard Lacey Livewell
* these three candidates are one year into their three year term so did not stand for the 2014 re-election.
IMPORTANT - The Staff Council does NOT deal with trade union, or employment matters or issues relating to policies and terms & conditions which are discussed at Joint Forum. For trade union or employment support please contact your StaffSide representative.
Trust news
A fond farewell... Later this month we bid a fond farewell to one of the trust’s most familiar faces... Director of Operations John Lancaster. After more than 30 years in the NHS, John has decided to take early retirement and is heading off to pastures new. John began his career as a clinician in orthopaedics and trauma services, before embarking on a diverse management career that has included IT project management and senior management roles in both acute trusts and primary care organisations. John went on to become Programme Manager in the Emergency Services Action Team, which led urgent care redesign across Cheshire and Merseyside. In 2007 he joined NHS Wirral where he held the roles of Head of Unplanned Care and Head of Provider Services, before joining Wirral Community Trust as Director of Operations and Performance. John said: “I have worked for the NHS for 36 years, and in that time I have been part of some great teams which have made real improvements in delivering quality
care for patients. I have thoroughly enjoyed my 8 years on Wirral, in all the roles I have undertaken, and I am really proud of the achievements I have seen in that time and of the people who made them possible. I have made some great friends in my time here, and I wish everyone the best of luck for the future as Wirral CT continues to move forward. I am lucky enough to be able to take a really big decision at a relatively young age, and I am really excited to discover what the future holds.”
“John has played such a key role in establishing the trust over the last four years and in us achieving what we have. We will miss him and wish him every success.” Simon Gilby Chief Executive
A warm welcome to... Val McGee who joins the trust this month, on a six month secondment as Interim Director of Development / Interim Deputy Director of Performance. Val brings a wealth of experience from Cheshire and Wirral Partnership, where she is Service Director. Val’s initial focus will be on operational responsibility for divisions (including overseeing the divisional restructure) while we move to appoint the permanent Deputy Director of Performance. She will also lead the development and integration agenda while we appoint a permanent Director of Strategy / Development.
A warm welcome!
We are delighted to welcome our new Director of Finance and Resources, Mark Greatrex, who joined the trust earlier this month. Mark was Deputy Director of Finance at Liverpool Chest and Heart NHS Foundation Trust, and has held a number of senior finance roles in the region as well as being active in the Healthcare Financial Management Association. Mark said: “I am delighted to be joining Wirral Community NHS Trust at such a pivotal and exciting time. As well as the eagerly anticipated Foundation Trust application assessment, the Trust is also a key player in the Vision 2018 programme and will play a significant role in the re-development of patient care across Wirral in line with the Five Year Forward View. I am very much looking forward to working with staff in the organisation to continue the provision of excellent care for our community.”
Congratulations... to Sandra Christie who is now Director of Nursing and Performance. Sandra will be supported by a Deputy Director of Nursing and a Deputy Director of Performance. This is part of a review of the executive structure, which will also see recruitment of a director with responsibility for strategy and business development.
Autumn Winter 2015 2014 foryou
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Trust news
Workday Workplace
Live from St Catherine’s Health Centre Staff at St Catherine’s were treated to a visit from Wirral Radio last month, who were there to broadcast their afternoon ‘Workday Workplace’ show with DJ Mike Shepherd. Staff were invited to go live on air to talk about their job and promote the great services they provide. First up were Vicky & Lauraine from our Livewell service followed by Maureen from the Independent Living Centre (which had recently moved into the health centre). Next to take to the airwaves was Alison from our musculosketal physio team, then Judy from Sexual Health Wirral. Delaine from Heart Support Services enjoyed her slot, followed by Sandra from Health Visiting. Finally Fiona from our new Prostate Cancer Nurse service rounded off the afternoon show. A big thanks to everyone who took part and made their radio debut. You can listen to Wirral Radio on 92.1fm, dab and online.
Vicky and Lauraine from our Livewell service.
Fiona from our new Prostate Cancer Nurse Service.
Delaine, Heart Support service.
Judy Fairbairn, Sexual Health Wirral, with DJ Mike.
Outstanding contribution! Congratulations to Joanne Kerr who has become a Fellow of the Institute of Health Visiting in recognition of her outstanding contribution to the profession. Joanne is one of 150 exceptional senior health visitors from across England, who have made a real difference to health outcomes for children and families.
Joanne Kerr, Senior Health Visitor.
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Dr. Cheryll Adams, Director of the Institute of Health Visiting said: “It was clear to our assessors that Joanne is
demonstrating excellence in practice, is a real leader and champion of the health visiting profession and passionate about improving health outcomes for the children and families in your area. We expect you are very proud of her!” Joanne’s fellowship will help raise the profile of the trust and our commitment to developing health visiting practice. A ceremony will be held on 11 March to present successful applicants with the FiHV award, badge and certificate.
Trust news
Friends and Family Test You may have heard about the Friends and Family Test. It has been introduced across a number of NHS services and asks the simple question: ‘How likely would you be to recommend this service to friends and family if they needed similar care or treatment?’ Response options range from extremely likely to extremely unlikely. All the results are published on the NHS England and NHS Choices websites, so that when people are choosing which NHS service to have their care or treatment in, they see where other people would recommend.
patients (and if necessary make changes, which will help improve the overall patient experience). The Friends and Family Test scoring system has recently been simplified, so it now just states the percentage of respondents who would/would not recommend the services. You can see how Wirral Community NHS Trust is doing in the Friends & Family Test by visiting our website (www.wirralct.nhs. uk/about-us/how-are-we-doing/friendsfamily-test) or the NHS Choices website (www.nhs.uk).
It also means that health services can understand how they are perceived by
Friends and Family Test (FFT) Timeline April 2013
July 2014
Introduced for patients using NHS funded hospital inpatient services and A&E departments (using the Net Promoter Score methodology).
NHS England review of the patient FFT published, recommending a new simpler scoring system be introduced.
October 2013
Have you heard of a Caldicott Guardian? It’s a senior person responsible for protecting the confidentiality of patient and serviceuser information and enabling appropriate information sharing. Organisations that access patient records are required to have a Caldicott Guardian and the Guardian plays a key role in ensuring that the trust (along with its partner organisations) satisfies the highest practical standards for handling patient identifiable information. Acting as the ‘conscience’ of an organisation, the Guardian actively supports work to enable information sharing where it is appropriate to share, and advises on options for lawful and ethical processing of information. The Caldicott Guardian also has a strategic role, which involves representing and championing Information Governance issues at Board level and within the organisation’s overall governance framework. The Caldicott Guardian for our trust is currently Sandra Christie.
December 2014 FFT introduced for GP practices.
Extended to include women of any age who use NHS funded maternity services.
January 2014
April 2014
Scores for GP practices will start being published on NHS Choices and practice websites.
Staff Friends & Family Test launched, asking staff how likely they are to recommend the NHS services they work in to friends and family (for treatment or care and as a place to work).
Caldicott what?!
April 2015 FFT will expand to include all NHS dental practices, ambulance services, patient transport services, hospital outpatient departments and day cases.
Sandra Christie.
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Members and volunteers
Autumn members’ meeting The topics for the autumn members’ meeting in October were our Livewell programme and infection prevention and control. As usual, the meeting was a mix of presentations and discussion. Sue Fennah, Service Lead, Livewell, gave an overview of all of the Livewell services and how people can make the most of them to get and stay healthy. Helen Oulton and Helen Wilcox from our Infection Prevention & Control Team then provided an insightful look at how the trust stays on top of infections to support really effective health care. Thanks to our presenters and everyone who attended and took part.
Calling all members! We are running our annual members survey to find out the views of our public members. By completing the survey you can help us improve what we offer in the future, including the development of our magazine and events. You can either answer online by visiting our website: www.wirralct.nhs.uk Or you can complete the questionnaire below and post to: Freepost RSZG-HYBU-CYRG Wirral Community NHS Trust, Old Market House, 13 Hamilton Street, Birkenhead, CH41 5AL. Please complete the survey and return to us by Friday 27 February 2015. All questionnaires will be treated anonymously. 1. In the last 12 months how have you been involved as a Trust member? (Please tick all that apply) A) I have read the For You magazine online
C) I have attended a members event, including the AGM
B) If you were to come to one of our member events, what time of day would be more convenient for you?
D) I have applied for a volunteer or work experience placement E) I have encouraged a friend, family member or work colleague to join as a member
B) Understanding more about the services that are available to you and your community C) Finding out more about the wider NHS
Every year, we set Quality Goals to focus on further improvements we want to make to patient care across the organisation. We are planning a meeting over the next few months for public members who would like to contribute to this process. If you are interested in being involved please phone 0151 514 2451 or email foryouwithyou@wirralct.nhs.uk
D) Finding out about volunteering opportunities E) Finding out about work placement opportunities F) NHS discounts 3. How we communicate with you As well as our For You magazine, we use a variety of methods to communicate with our members and members of the public. How well do we use the following to keep you updated? (Excellent = 1 Good = 2 Poor = 3 Don’t know = 4 Haven’t seen = 5)
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• Not sure
• 10.00am – 12.00noon • 12.00noon – 2.00pm • 2.00pm – 4.00pm • 4.00pm – 6.00pm • 6.00pm – 8.00pm C) What days would be most convenient for you? • Monday • Tuesday • Wednesday • Thursday • Friday D) What topics would you be most interested in for future members events? (Please tick all that apply) • Staying healthy • Presentations about our individual services • Improving our services • Our annual plan • Overview of the trust • About the wider NHS system and how we work within it • Something else (please say below)
• Website • Newspaper adverts / advertorials • Twitter • Radio shows • Leaflets and posters
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• Yes • No
A) Keeping up to date with trust news
Help steer our Quality Goals…
A) Have you been, or might you come to, one of our members events?
B) I have read the For You magazine as a paper copy
2. What do you find most beneficial about being a member? (Please tick all that apply)
UV lightbox shows how well hands have been washed.
4. Events
Thank you for completing the survey. The results will be published on our website soon.
Governor elections
Could you be a Governor?
Governor Information Sessions, January and February 2015
Governors are a vital part of every NHS Foundation Trust. They help set the direction of the organisation on behalf of local people and trust members and oversee the work of the board of directors. Most governors are elected by trust members.
Wednesday 21 January 12.00noon - 1.00pm Room 514, Old Market House, Hamilton Street, Birkenhead Staff members Thursday 22 January 1.30pm - 3.00pm Training rooms 3 and 4, St Catherine’s Health Centre, Derby Road, Tranmere Public Members Thursday 22 January 6.00pm - 7.30pm Training rooms 3 and 4 St Catherine’s Health Centre, Derby Road, Tranmere
Staff and members who have been following our foundation trust story since 2012 will already have heard about our plans for governors elections. We were expecting them to happen last year but national issues led to changes in the process and this caused some delays. Since the launch of new-style CQC inspections last year there has been a lot of activity. We are now expecting that the NHS Trust Development Authority will consider our readiness to become a foundation trust later this month (see p12-13). If they think we are ready we will be passed to Monitor, the independent regulator of foundation trusts, for full assessment and final approval. This means that we are planning for elections in spring 2015. Nominations for governors may be invited as early as March! Our Council of Governors will be made up of 10 elected public and three elected staff governors. Joining them on the Council will be up to six appointed governors, representing organisations with a strong interest in health care on Wirral. Any public member aged 16 or older can nominate themselves and stand for
election as a public governor. Any employee who is a staff member can stand as a staff governor (all employees with a permanent or 12 month plus fixed term contract are staff members automatically, unless they have opted out). Governors don’t need to have any specific qualifications or experience. We will ensure people get the support and training they need to feel confident in the role. We need people who want to make a difference, and who have the time to come to Council of Governor meetings and to talk with members in their constituency area. Governors play an important role and have clearly defined responsibilities. During January and February we are holding meetings for public and staff members wanting to know more about becoming a governor and the election process. Everyone is welcome at these meetings, whether you already know you want to stand for election or are just curious to find out more. If you are planning on attending or would like more information, phone 0151 514 2451 or email foryouwithyou@wirralct.nhs.uk.
Public Members Friday 20 February 12.00noon - 1.00pm Duncan Room, Old Market House Hamilton Street, Birkenhead Staff members Tuesday 24 February 12.00noon - 1.00pm Education Suite, 2nd Floor, Wing C Victoria Central Health Centre, Mill Lane, Wallasey Staff members Tuesday 24 February 2.00pm - 3.30pm Education Suite, 2nd Floor, Wing C Victoria Central Health Centre, Mill Lane, Wallasey Public Members Please note, although half of sessions are designed for staff and the other half for public members, the only difference between them is that the public sessions will include extra background information about the trust and the wider NHS. Public members who want to come to a meeting aimed at staff members are very welcome, and vice versa.
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A day in the life
A day in the life: Cathy Quinn Senior Health Advisor (Bidston, Beechwood and North Birkenhead Team). I joined the trust five years ago as a Community Health Advisor because I wanted to support people to make positive changes to their lives. What I love most about my job is that it’s so versatile. A client may turn up wanting to give up smoking, but by talking to them and getting to know them, you soon realise they are also suffering from anxiety and not eating properly. We can help with all of that; offering stop smoking support, relaxation classes, exercise programmes, weight management and mental wellbeing support. I get up at 7am and drive to work, which is a relatively new experience for me - I only passed my test six weeks ago (and my colleagues have had great fun mocking me as within two days of being a bona fide driver, I got two parking tickets!) My base is Old Market House, and the first thing I do when I arrive at 9am is check my calendar to review what I’ve got on that day and what I need to prepare. If I’m going to be doing a presentation as part of a class, then I need to check I am familiar with the latest version of it, and know what I’m going to be talking about. On some courses (such as the weight management classes) we have lots of handouts for clients to take home with them. We have a fantastic admin team who pull all the packs together for us. Then I’ll check my emails, before logging on to SystemOne to review any appointments I have. We started using SystmOne in September, and now it’s properly up and running it’s great, as it’s so much better having all the information held on one database. Once I’ve reviewed all that, I’ll head off to my first class. Mondays are my busiest days; I run a chair-based exercise class at St James’s Centre in Bidston, followed by a circuit class, then a drop-in weigh-in, then another circuit class, then a relaxation
class at Phoenix House drug and alcohol recovery centre.
I go to the gym a couple of times a week! I really enjoy it and I miss it if I don’t.
If I’m not running back-to-back classes, I usually try to pop back to Old Market House to do my admin; update the records with details of who came to which course, and register any new-comers etc. if I’m back at base I usually have some lunch upstairs in the canteen. I try to eat healthily so it’s usually a soup or salad.
Then I’ll go home have some food, relax and watch a box set, though nothing has yet filled the void of ‘Breaking Bad’.
There about 60 staff in total in the Livewell team, providing support, courses and classes right across Wirral to support people to make positive healthy changes to their lifestyles. I am a people person, so I love the fact that I get to meet so many different people in my job, from such diverse backgrounds and communities. Last week I had a 16 year old girl in one of my classes, and an 82 year old woman in the next! I find it really rewarding, being able to help people make changes. Sometimes the change might seem quite small, but even the smallest change can have an enormous impact on a person’s quality of life. It’s really rewarding to know you’ve been part of it. Twice a week I work until 8pm but the rest of the time I finish at 5pm. As a Senior Health Advisor it’s important that I practice what I preach – so
Did you know? • Livewell has 8 qualified personal trainers • 25% of our weight management referrals are for men • We have a community allotment, were we grow veg and flowers • We run rolling weightmanagement programmes so people can join any time – there’s even a Saturday course • We work with workplaces such as Biffa and Clatterbridge to help staff lose weight or stop smoking
What role would you like to learn more about? Email your suggestion for ‘A day in the life’ to: communications@wirralct.nhs.uk 10
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0 - 19 Launch
Wirral’s new Children and Young People’s Health Service:
the Big Launch! We are excited, along with our partners Barnardo’s, Brook and Home-Start Wirral, to launch our new integrated 0-19 Service for local families, children and young people. The service has been developed in partnership with young people, local families and carers to make sure it offers the quality, flexibility and convenience people across Wirral need. The integrated service includes: • health visiting and Family Nurse Partnership • infant feeding support • school nursing and immunisations • work with primary and secondary schools on nutrition, oral health and contraception • weight management support for children, young people and their families
• targeted work around drugs, alcohol and smoking • support for young carers Delivered by multidisciplinary teams based in the Local Authority constituency areas of Birkenhead, Wallasey, South Wirral and West Wirral the dedicated service provides: • personal, informative, tailored advice and support for children, young people and families • emotional health and wellbeing support • a range of community clinics across Wirral • drop-in support • flexible opening times • dedicated young people’s clinics Providing an integrated service is a fantastic opportunity to improve the wellbeing of young people from birth and provides them and their families with the support and care they need to grow and achieve their potential as young adults. Over the coming months our teams will be out and about at events to promote our new service and information will be appearing on the sides of buses, on posters and in leaflets and in the local press and magazines.
Watch this space! For more information about our 0-19 Service visit www.wirralct.nhs.uk
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2015 - what lies ahead?
A Good Start
“
Exemplary instances of caring, respectful and compassionate treatment‌ Patients consistently treated with compassion, dignity and respect‌ patients themselves spoke positively of their experiences‌
just some of the fabulous comments the CQC made about our wonderful trust.
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The inspection in September was a very busy process. After giving us a provisional heads up about what services they might want to look at, the inspection teams arrived and asked to visit many parts of the organisation that weren’t on the original agenda. But that’s what inspections are all about! Needless to say it was all in a day’s work for our fantastic staff, who responded amazingly to all the requests for interviews and information and fulfilled all the requests without it affecting patient care. So not surprising that we were awarded the fantastic accolade of a ‘good’ rating when the report was eventually published in November 2014. We had great press coverage , and Simon Gilby told the media: “I am very proud to
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be Chief Executive of such a caring and compassionate organisation. Every one of our members of staff deserves congratulating on the outstanding care they provide.�
Foundation Trust application. We hope Monitor (the sector regulator for health services in England) will start its final assessment of our ability to become a Foundation Trust in February.
Dean Spencer, Portfolio Director for the North at the NHS Trust Development Authority (TDA), said: “This is an excellent result for the Trust, achieved through the dedication and commitment of staff. We are pleased that the Trust has been recognised for delivering the high quality care that its patients deserve.�
Meanwhile our other key focuses for 2015 are unplanned care, integrated care and planned care. These are the three strands of Vision 2018 – the programme that is aiming to transform health and social care in Wirral.
As a result of the report, the TDA decided to pick up the pace of our Foundation Trust journey. So 2015 sees us off to a great start with an impressive CQC report and an exciting few months ahead as we embark on the final stages of our
Like the rest of the country, Wirral has been grappling with the 4 hour Accident and Emergency target for a considerable time. Our long term strategy to try and resolve this is to provide as much care as possible for people in their own home or close by, thereby preventing some hospital admissions, and facilitating speedy
2015 - what lies ahead?
to 2015! hospital discharge. In order to provide this care, we need to develop the appropriate community responses. Big financial challenges lie ahead for Wirral’s health and social care economy. It’s estimated that by 2018 there will be a gap of around £150m.
One of our community nurses pictured with a patient.
To address the shortfall we must: • manage the demand on services • ensure people receive the right care, in the right setting, at the right time • deliver care as efficiently as possible Clear goals have now been set for Vision 2018, including reducing emergency hospital admissions, providing care closer to people’s homes and improving health and social care outcomes for young children. Projects are being identified which will help achieve these goals. Faster Projects (that can be done quickly because staff and patients have already been involved in their development, or because they won’t have a significant impact on services or staff) include:
Better Care Fund
• Providing more one-stop surgery (following the success of the one-stop hernia service)
The Better Care Fund is a pooled budget between the NHS (Wirral Clinical Commissioning Group) and Wirral Council. It is being created from existing budgets to improve integration between health and social care services, and make better use of the resource available by working together. The success of the Better Care Fund will be monitored by unplanned admission rates to hospital. The aim is to see rates fall by 15% over 3 years.
• creating single care plans for people with long term conditions and complex needs
Wirral’s Better Care Fund (BCF) plan has recently been approved by NHS England. The proposal includes 25 projects which will be funded from the pooled budget. The plans have been developed with all Vision 2018 partner organisations and include:
Bigger projects are transformational projects that will need further planning and co-design with staff and the public. These include:
- Developing an integrated and coordinated intravenous (IV) antibiotics service across the hospital and the community, so that some patients can have IV antibiotics at home rather than in hospital
• a review of care pathways in orthopaedics • a review of diabetes services • re-designing the unplanned care system
- Developing an early supported hospital discharge service, so that some patients who have recovered from their illness but still need on-going support (eg physiotherapy / occupational therapy) can receive therapy at home rather than in hospital For more information about Vision 2018 and the Better Care Fund visit www.wirralccg.nhs.uk/vision2018
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Trust news
Let’s Get Going!
Easy Read by Ken Walker, Communications & Graphic Design Officer
Over 20 families have joined Let’s Get Going, Wirral’s FREE family fun initiative at Tranmere Rovers Recreation Centre. The free after school club is helping local families with children aged 5-11 years to lose weight, get more active and live a healthier lifestyle whilst having lots of fun! Families are supported in a relaxed environment to: • get more active with fun games and activities
Having a learning disability affects the way people communicate, learn and understand and can limit a person’s ability to make choices, including how to stay healthy and how to access local health services. So it’s vital that as an NHS organisation, we give people with a learning disability the right information in a format they can understand. EasyRead is a way of producing leaflets, posters and letters etc by focussing on the essential information and using photosymbols to illustrate the words.
It makes information far more accessible. This is vital in helping people understand issues regarding their health, attending appointments and follow up treatment. The Communications & Marketing team have completed Easy Read training with Mencap Wirral. The team now have the necessary skills to produce Easy Read letters, brochures and patient information leaflets and have access to a wide range of images from the Photosymbols website.
If you think your service has patients who would benefit from receiving Easy Read materials please email: communications@wirralct.nhs.uk
• eat well • shop and cook healthier meals • live a healthier lifestyle Places are FREE and available to children aged 5-11 years and their families. All children will need to be accompanied by an adult for each session and every family will receive a free goody pack when they attend their first session. They’ll also be entered into a prize draw for the chance to win Tranmere Rovers Football Club prizes. Sessions take place every Monday and families can join at any time. 5-7 year olds - 4.00pm - 5.30pm 8-11 year olds - 6.00pm - 7.30pm Venue: Tranmere Rovers Recreation Centre, Prenton Park, Prenton Road West, Birkenhead, CH42 9PY. If you would like to book a place on Let’s Get Going or would like further information call the team on 0151 630 8383 or email wcnt.livewell@nhs.net
Did you know: • 1.5 million people in the UK have a learning disability • That’s 33,500 people across Merseyside and Cheshire • Learning disability is not a mental illness • It’s something people have from birth or early childhood • It lasts a lifetime
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Trust news
For You Thank You... Staff Awards 2015 On the 26 February staff from across the trust will come together at the Floral Pavilion in New Brighton to celebrate the For You Thank You Staff Awards 2015. The awards, now in their third year, celebrate and recognise the amazing work of our staff and teams across the trust. From those who see patients every day to those behind the scenes in our support services, the awards are a fantastic opportunity to say thank you to colleagues for their hard work.
opportunity to nominate someone who had given them exceptional care. Thanks to all the members who’ve helped judge the nominations. Winners will be announced at the awards ceremony hosted by Radio Merseyside’s Billy Butler with live tweets on the night. Full details will be published on our website www.wirralct.nhs.uk and will feature in the next edition of the magazine.
We had a fantastic response to our newly launched ‘Patient Choice’ award, giving patients, their families and carers the
GP Update Are you a health professional or GP? Would you like to receive the latest updates from the trust? You can subscribe to GP update, our regular newsletter that will keep you informed about:
the trust has to offer and the excellent staff we have working across a whole range of community services.
• how we’re developing our services to meet the needs of patients
You can subscribe by visiting our website www.wirralct.nhs.uk/for-gps and submit your details using the online form.
• how to refer to our services • training opportunities available • research and events We hope the GP update also helps health professionals understand more about what
If you have any suggestions about how we can develop GP Update or the GP section of the website just email: communications@wirralct.nhs.uk
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Spotlight
One number more choice! Our Centralised Booking Service was set up in 2011 to provide a central point of contact for trust services using a single and memorable telephone number 0151 514 2222. It operates 7 days a week from 8.00am - 8.00pm, 365 days a year! The centre now employs 68 staff, handling between 500-800 calls per day across a range of our services including the All Day Health Centre, Phlebotomy, Podiatry, Sexual Health and Emergency Dental. Patients have one telephone number to call to arrange or re-arrange their appointments. GP practices also use the service, reducing the time and effort required in accessing different services. There are on-going plans to expand the centralised booking service as it takes on new services from across the trust. Call handlers have flexibility and adaptability to respond to changing patients’ needs and aim to provide a seamless experience for both patients and health professionals. It is a growing business that will eventually see the integration of all trust services and patients will be able to make appointments easily without having to contact lots of individual services.
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When to call
By ringing 0151 514 2222, it’s now easier to get an appointment with:
Whilst the centralised booking service for appointments is open from 8.00am - 8.00pm, lines do get very busy at peak times such as first thing in the morning and late afternoon.
Option 1: Emergency Dental Service* (open 9.00am – 5.00pm Monday to Friday)
Lines are less busy between
Option 2: All Day Health Centre (open 8.00am – 8.00pm seven days a week)
10.00am - 2.00pm and 5.00pm - 8.00pm Monday to Friday and weekends are quieter too. Knowing you can call anytime during the day gives patients more choice and flexibility and the chance to call when it’s convenient for them rather than thinking they have to ring first thing in the morning.
For patients who are either not registered with a dentist or cannot get an appointment with their own dental surgery.
For patients who are registered with the All Day Health Centre themselves or patients who are registered with a Wirral GP who cannot get an appointment with their own GP Practice. Option 3: Phlebotomy (blood tests) (open 8.00am – 8.00pm seven days a week) For patients registered with a Wirral GP who have been asked to make a phlebotomy appointment with the service.
Spotlight
Award winning!
At the 2014 Staff Awards the Centralised Booking Service won Non-clinical team of the year following their hard work, flexibility and commitment in taking on the calls for 111 after the contract was abandoned.
Option 4: Podiatry (foot problems) (open 8.00am – 8.00pm seven days a week) For patients who are registered with a Wirral or Liverpool GP. Patients must have a referral from their GP the first time that they want to use the service. Option 5: Community Nurse Line* (open 5.00pm – 8.30am seven days a week) For patients who are already a patient of the Community Nurses and in need of a visit within these times. * Please note the centralised booking service is only available for these services at the indicated times.
GP Out of hours The centre also handles the calls to our GP out of Hours service. The call handlers are non-clinicians who are highly trained in immediate life threatening conditions so that they can respond to the needs of the patient or caller on the line and ensure they are treated or seen by the most appropriate healthcare professional.
People can call GP Out of Hours on 0151 678 8496 Monday – Friday, 6.30pm – 8.00am. Saturdays, Sundays and Bank Holidays: 24 hour service (8.00am to 8.00am).
Winter 2015 foryou
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Trust news
Estates update
With a couple of the buildings we were leasing up for renewal last year, we took the opportunity to review how we were using the 37 buildings that we own or lease. We looked at lease and running costs for each site, how the spaces were being used, and what our future requirements might be, to try and ensure we were using buildings as effectively and efficiently as possible. The review enabled us to save a significant amount of money by implementing the following changes: • moving staff and services out of and terminating leases at: Port Causeway and the Whitehouse (administration building for a number of nursing and therapy services) Hind Street (Wheelchair and Independent Living Centre) • moving some services and staff within existing buildings such as St Catherine’s Health Centre Terminating lease contracts at Port Causeway, the White House and Hind Street will save around £650,000 per annum.
Have you been diagnosed with prostate cancer?
Our new Prostate Cancer Nurse Service can support you with a range of problems and concerns that you might have as a result of your prostate cancer treatment. These can include: • Support to help you manage your condition through healthy lifestyle choices • Problems with passing urine, bowel problems and treatment side effects • Caring responsibilities, work and managing daily life • Family and relationship concerns • Emotional Concerns • Act as a point of contact between other healthcare professionals
Our aim is to support you to improve your quality of life. If you’d like our help and support call us on 0151 643 5330 or ask your GP to refer you (details can be found on our website).
MP visits Walk-in Centre
Moves from the buildings started in July and the last took place in November, when the Wheelchair Service and Independent Living Centre moved out of Hind St and into the Lower Ground Floor at St Catherine’s Health Centre. A further in-depth review of the trust’s building estates is being undertaken to include elements such as car parking and wifi access.
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Prostate Cancer UK is a registered charity in England and Wales (1005541) and in Scotland (SC039332). Registered company 2653887.
Angela Eagle MP (2nd left) with members of staff at the Victoria Central Walk-In-Centre.
Angela Eagle MP visited Victoria Central Walk-in Centre earlier this month. She came to find out how we have been coping with the winter pressures that have been affecting so many parts of the NHS. Angela was interested to hear about how we work closely with Wirral University Teaching Hospital and North West Ambulance Service to try and relieve the pressures on accident and emergency, and was delighted to hear that none of our walk-in-centres breached patient waiting times over the busy holiday period.
Trust news
Stopping the pressure! In support of World Stop Pressure Ulcer Day, a number of our services got together at St Catherine’s Health Centre, Victoria Central Health Centre and Eastham Clinic to raise staff and public awareness about the dangers of pressure ulcers. Organised by Richard Crockford, Patient Safety Advanced Practitioner from the Quality & Governance Service, the day was supported by colleagues from Wheelchair, Tissue Viability and Community Nursing services who saw around 250 members of the public and staff. As well as sharing tips for spotting and stopping pressure ulcers, the Wheelchair Service took the opportunity to showcase
its new pressure mapping system*, which was purchased after a successful submission to the Trust’s Clinical Innovation Fund. You can find out more about pressure ulcers, why they happen and how to stop them, by visiting our website www.wirralct.nhs.uk/you-and-your-health/ conditions-and-treatments/pressure-ulcers
Congratulations...
Left to right: Anne Powell, Jane Sansbury and Berni Chapman.
… to our Looked After Children Team on achieving Young People Friendly status. Well done to all involved! The Looked After Children Nurses are a part of the Safeguarding service and ensure that statutory requirements for children in care are met. They work with health providers/partner agencies involved with Looked After Children to ensure appropriate information is shared between agencies. For further information about the Looked After Children Nurses visit the Safeguarding section on StaffZone. If your service is interested in working towards this accreditation or would like further information call Viv Harrison, 0 - 19 Service manager, on Tel. 0151 643 5391or you can email viv.harrison@wirralct.nhs. uk or visit the news & campaigns section on our website: www.wirralct.nhs.uk
SystmOne…
Richard Crockford with Maria Hughes and Margaret Huxley.
Jane Sledge, Wheelchair Service, demonstrating their new pressure mapping system.
*About the pressure mapping system The pressure mapping system is a computerised tool which is used to assess pressure distribution. By sitting or lying on a thin mat, a map of the pressure distribution using colours is displayed on a computer screen – the hotter the colour (oranges and reds) indicate a high level of pressure being placed in that area.
is the trust’s new Electronic Patient Record system that will enable clinical staff to have everything they need at their fingertips when seeing and visiting patients. The autumn saw SystmOne rolled out to the Livewell, Parkinsons, Palliative Care and Tissue Viability services, as well as Specialist Nursing and Community Nursing, enabling mobile working for most staff. Over the coming months more facilities will be available, including a monthly planner with a whole team view, detailed care plans and related templates. All staff using SystmOne will receive extensive training and support around the new functions.
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Equality & Diversity
Equality and Diversity ...what’s it got to do with me? sector is the largest employer in the UK employing approximately 2.6 million people. Government actuaries estimate that 6% of the population is lesbian, gay or bisexual (LGB). Therefore, 156,000 employees are likely to be LGB.
by Tony Griffin, E&D Manager Confidence is a word that means different things to different people and also means different things to each of us at different times in our lives. Equality Champions, Staff Support Networks, Equality events; why do we need them? What can they do? Why should we promote them? Can you imagine coming into work and worrying about being asked if you had a good weekend? No-one should have to worry about giving an answer to that. Yet sometimes, some people do. Some may not even give an honest answer; perhaps for example they might have a partner of the same sex, and fear being ‘outed’ in the workplace. What about if you had a new system to learn and although you have received training it hasn’t been enough? Some people worry about being labelled a nuisance because if they have to ask for extra support. Can you imagine worrying about these kinds of things until you actually feel yourself becoming more depressed. Many lesbian, gay and bisexual NHS employees continue to be bullied and harassed by their colleagues or managers, simply for being gay. From ‘jokes’ and ‘banter’ to being excluded from team activities or outed to colleagues, anti-gay bullying and harassment severely affects employees’ well-being, as well as their ability to do their job effectively. For healthcare staff this can have a knock-on effect on how well they treat their patients. The health and social care
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Confidence can only be developed if the right environment is created. This means providing support, increasing awareness, and understanding the challenges and barriers that people face. Did you know for example that in a room of 100 people 30 will have some form of dyslexia? Or that Dyslexia has many different forms - the most common feature being poor short-term memory?
‘It’s very important for gay people to network together and it also just relieves a sense of isolation because you may think you’re the only person in the building – I know I’m not – but it still feels like I’m alone in the building. And actually, having some of that isolation relieved is like having some type of solidarity in a way.’ David (Specialist registrar in clinical oncology) Being the Gay One - Stonewall Report to the NHS In the last year we have had a series of equality events, and more are planned for this coming year. One of those events was the talk by Jane Kennedy, Merseyside Police Crime Commissioner and Andrew Bolland from Stop Hate UK. Staff feedback from this event was fantastic. Being aware that our fellow work colleagues might also be experiencing hate abuse was another key message. January is a time of year that can often lead to an increased sense of isolation. Let’s think about how we promote the existence of the staff networks, equality champions and the equality events. Do we give the right messages to colleagues; do we support their decision to go to meetings? Are we confident we each have the knowledge to support getting it right for everyone?
Message from the LGBT Staff Support Network February means two things for the members of the Trust’s LGBT Staff support network! It is now one year since our launch and although the membership is relatively small in numbers it continues not only to grow but has been responsible for supporting some of the equality events during 2014. February is also LGBT History Month, which aims to promote tolerance and raise awareness of the prejudices faced by lesbian, gay, bisexual and transgender people. The theme for 2015 is History- Coded Lives; it is easy to forget that LGBT people have in recent times been subject to arrest, commitment to psychiatric hospitals and medical treatments to ‘cure’ them of their ‘disease’ that included electric shock therapy, castration and lobotomy. Gay and trans people were perceived to have ‘weak moral fibre’ and as such were seen as a threat to society. During LGBT History Month 15, the Trust’s LGBT Staff Support network will be organising a series of events to highlight some of the hidden challenges that still face LGBT people (especially in the workplace) and also celebrate the contribution that LGBT people make. See StaffZone.
Diary dates: Monday 26 January LGBT Staff Network Wednesday 28 January Disability Staff Group Monday 2 February Equality Champions Meeting See StaffZone for full details.
Who would you like us to put questions to next time? Email your suggestions to communications@wirralct.nhs.uk Winter 2015 foryou
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Health and wellbeing
Spiced winter soup Recipe provided courtesy of the Livewell Programme, Healthy Cookery Course. Our Livewell Programme supports local people and their families to lead healthier lifestyles. Whether people are looking to eat healthier, get more active, quit smoking, lose weight or de-stress the team offers a range of support including healthy cookery courses, Tai Chi, drop in stop smoking clinics, weight management courses, chair based exercise classes and circuit training. Try this tasty recipe and send us your photographs to communications@wirralct.nhs.uk or tweet us @wirralct
Ingredients
Method (Serves 3 - 4)
Fine spray
Olive oil
1
Large onion (chopped)
1. Heat the oil in a large pan and add the onion, potato, carrot, garlic and orange zest and cook gently, stirring occasionally for about 5 minutes.
1
Large potato (peeled and chopped)
2. Add the curry powder and cook stirring for 1 - 2 minutes.
1
Large carrot (chopped)
3. Add the stock, orange juice, tomatoes, apple, basil and black pepper to taste.
1-2
Garlic cloves (finely chopped)
1/2
Orange zest (strips of peel) and juice
1 tsp
Mild/medium curry powder
900ml (1.5L) Chicken or vegetable stock (cube) 400g
Chopped tomatoes
1
Eating apple (peeled and diced)
1 tsp
Dried basil
Pinch
Black pepper
4. Bring to the boil, cover and simmer gently for 30 minutes or until the vegetables are tender - discard the orange zest. 5. Blend the soup (if possible) until smooth then reheat gently before serving. Try with some nice hot crusty bread - enjoy!
Health and wellbeing tips... Keep well this winter* • Draw your curtains at dusk and keep your doors closed to block out draughts. • Have regular hot drinks and eat at least one hot meal a day if possible. Eating regularly helps keep energy levels up during winter. • Wear several light layers of warm clothes (rather than one chunky layer). • Keep as active in your home as possible. • Wrap up warm and wear shoes with a good grip if you need to go outside on cold days. • If you have reduced mobility, are 65 or over, or have a health condition such as heart or lung disease, you should heat your home to at least 18C and make sure you wear enough clothes to stay warm. It’s a good idea to keep your bedroom at this temperature all night. • Be prepared for winter illnesses - visit your local pharmacy and stock up on remedies and advice. *NHS Choices
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BrainTraining Fun stuff for while you have your tea break.
Wordsearch P E J W L V Y L J U X C W R I J
N D Y T R A D A W V M S E U N C
L L Y H J E N N F P V S W X N R
T N P P T S V O F W P T T F O S
H B P S A Z S I I O G B V O V R
F G T T T R Z V U L U G Y F A F B Q A E T P D V A I I X S S E F N C B N T T P R R P A K A C E H E Q O C H J I N A T I V E V I L
U S M N E H R O E T X X S X E E
K O W T X A L R T S S C Q I E D
G N I T R O P P U S E P F I Z Q
A N U X P A S S I O N J C B U I
M I E F Y S K V N P S A S Y H K
O H G M T V J X T Q B E I Q W M
Sudoku
6 3 5
P Y F A O H Y G O H H Q R B T S
Can you find the values that define our Trust... Health Passion Patients Heart Exceptional Supporting
Care Responsive Professional Innovative Trusted Deliver
Health & Wellbeing 3
Recommended websites
9 2
Time to Change
1 6
7 2 1 4 2 5 6 8 7 7 3 1 8 6 9 2
Lots of simple, everyday ways you can support someone who has a mental health problem. www.time-to-change.org.uk
PAM Assist (Wirral CT staff only) www.pamassist.co.uk PAM Assist is a free confidential advice and support service for staff. It is available 24 hours a day, 365 days a year. Get advice around stress management, managing money, retirement, coping with illness, debt advice and much more. Visit StaffZone for more information.
NHS Choices Useful information to keep yourself, your family, friends and neighbours safe and well this winter. www.nhs.uk/Livewell/winterhealth
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Is your back feeling the strain... are your aches and pains getting you down? Feel better for longer in 2015 and benefit from expert physiotherapy or osteopathy from your Wirral Community NHS Trust. When you see your GP ask for Wirral CT and know you’ve made a quality choice!
We treat: • acute and chronic back and neck pain • knee conditions • arthritic joints • sports injuries • whiplash • sprains and strains • women’s health problems eg stress incontinence • vestibular problems eg dizziness, imbalance • neurological conditions such as stroke • work related injuries.
Visit www.wirralct.nhs.uk for details or ask your GP.