Issue One Winter 2013
The Magazine for staff, members and volunteers
Our future is bright! Our future is The Integrated Business Plan - Page 7 A Day in the Life We follow Roz Parry, receptionist at the All Day Health Centre. - page 6
Become an NHS Governor
Could you become one of our new Governors? - page 12
150 years of Health Visiting
Looking back over the last 150 years. - page 14
2012 at a glance
A review of some of the events that happened around the Trust in 2012. - page 16
Comment
INSIDE
Simon Gilby
Our Trust in Numbers
3
Getting to Know You
4
NHS Commissioning
5
A Day in the Life
6
Chief Executive
THIS ISSUE
Welcome... to our new staff magazine
FEATURE
I wish you a warm welcome to our first foryou magazine for all our staff and members.
The Integrated Business Plan
It is an exciting time for the trust as we enter a new year that will be full of challenge but which should also be full of promise and achievement. I believe we are in a good place. We do what we do exceedingly well; patient satisfaction is high and we are well established in the community; we meet our targets; we have a committed and skilled workforce; and we are where we need to be in terms of our progress to becoming an foundation trust. Our vision remains simple - to be the outstanding provider of high quality integrated community care to Wirral and beyond. We will achieve this ambition in an ever more challenging environment where demand continues to grow, particularly from an elderly population with increasingly complex needs and where money will be tight. As a health and social care system, the answer to these challenges is an integrated care system with us, as a strong and credible community foundation trust, right at the centre, doing what we do best - supporting people as partners in care in their own homes, supporting speedy access to hospital when people need it and rapid discharge back home as soon as they are ready. And with quality at the heart of everything we do.
7
Patient Experience
11
Governor Elections
12
Member Events
13
Under the Spotlight
14
2012 at a glance
16
Doing our Bit
18
Food Corner
19
We will do this by continuing to invest in our skilled, professional and caring staff with quality at the heart of everything we do. Being a foundation trust with a strong relationship through our members with our community will give us the freedom and flexibility to respond to what patients need and to do what is expected of us. We will need to manage our finances well, and we will need to be prepared to be tested by the competition. We will do this by being flexible and responsive, by reducing duplication and inefficiency and by finding new ways of working. This will mean asking a lot of our staff but we will be clear with you where your role fits in us achieving our ambitious plans and I am confident that together we can rise to the challenge.
PUBLICATION DETAILS
Some of the changes and the opportunities we will face are explained in more detail throughout the magazine (see page 5 and page 7) but lets also recognize and celebrate what we have achieved over the last year (see page 16).
If you would like to submit an idea for an article, please contact:
Thank you for wanting to be part of this bright future.
Published by: Communications and Marketing, Wirral Community NHS Trust. SUBMISSION DETAILS
foryou 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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Our Trust in Numbers
NewsBites New Non-Exec Director We are delighted to welcome Dr Murray Freeman to the Trust. Murray has been a GP in Rock Ferry for nearly 30 years and brings a wealth of experience. Wirral CT is UNICEF Baby Friendly - Expectant mothers can expect an ‘excellent standard of care’ from Wirral Community Trust as we successfully completed Stage 3 of the UNICEF Baby Friendly Initiative. NHS North West Games Thanks to all those who represented the Trust at the NHS North West Games at Kirkby Sports College. The Rounders team reached the semi-finals before rain stopped the tournament. Podiatry in Wirral and beyond - The start of the year saw our podiatry services being delivered to NHS patients across Merseyside. Following our successful AQP awarded in 2012, referrals are already coming in. New Year’s honour - Chris Allen (Non-Exec Director) was awarded the BEM (British Empire Medal) in the New Year’s Honours list. Raising a concern - With NHS standards in the media spotlight, staff are reminded that all concerns are taken seriously, our Raising a Concern Policy (HRP12) replaces the Whistleblowing policy.
We want your winter snaps! Calling all staff and members - if you love taking photos and have any that depict a Wirral winter scene then we would like to see them. The best photo we receive could be used to illustrate the Trust Christmas card for 2013. Email your entries to: communications@wirralct.nhs.uk
Our Trust - in NUMBERS Over the year we had...
1,000,000
Over 1,000,000 patient contacts.
254,000
Over 254,000 Community Nursing appointments / visits.
250,000
250,000 patient blood samples taken by our Phlebotomy Service.
127,000
Over 127,000 Health Visitors Healthy Child team appointments.
88,000
Over 88,000 patients treated at our Walk-in Centres in Eastham and Wallasey.
39,000
Over 39,000 pieces of equipment delivered by our Community Equipment Service.
21,800
Over 11,300 walk-in patients treated and nearly 10,500 pre-booked patients treated by our GP Out of Hours and All Day Health Centre.
16,600
16,600 appointments and gym attendances with our Heart Support Services.
14,600
Over 14,600 people attended appointments or dropped in to see our Sexual Health Services.
1,400
1,400 staff members of which 85% are patient facing.
1,200
More than 1,200 people used our new Ophthalmology Service in its first year. (2011/12 Figures)
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Who would you like us to put questions to next time? Email your suggestions to communications@wirralct.nhs.uk 4
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Changes to NHS commissioning The past couple of years have seen a number of changes as part of the Government’s vision to modernise the NHS. The main change is how health and social care services are identified and who commissions them from providers. The overall aim of the NHS reforms has been to move decision making as close as possible to patients through the creation of GP led clinical commissioning groups (CCGs). From April 2013, NHS Wirral, the existing commissioning organisation, will be replaced by the Wirral Clinical Commissioning Group. Wirral CCG will be responsible for commissioning the majority of local healthcare services including mental health care, hospital care and community services. They will not commission GP, dentist, optician and pharmacist services, specialised services or public health services such as sexual health, health visiting, stop smoking and lifestyle and weight management etc.
Here is a quick update about what those changes are… About Wirral Clinical Commissioning Group
prevent duplication and keep costs as low as possible.
Wirral Clinical Commissioning Group is made up of every GP practice in Wirral and is one of 212 CCGs in England.
We will continue to develop our relationships with the CCG, to ensure that we work together as efficiently as possible for the benefit of the local Wirral population and our staff.
For the past year the CCG’s have existed in ‘shadow format’, working alongside the Primary Care Trust (NHS Wirral) and the NHS Commissioning Board to ensure they have the systems and processes in place to formally take over commissioning responsibility from April this year. Each practice is also a member of one of the local consortia: • Wirral Health Commissioning Consortium (made up of 27 practices, serving 165,000 patients) • Wirral GP Commissioning Consortium (made up of 27 practices, serving 126,000 patients) • Wirral Alliance Commissioning Consortium (made up of seven practices, serving 40,000 patients). Using a range of information and data, along with their experience and expertise, they will be responsible for identifying and commissioning services that meet the health needs of Wirral residents and making sure service providers are meeting their contractual agreements. Each consortium will have an allocated budget to commission services to meet the needs of the local population, and where it makes sense to do so, will commission together to
• Transforming the management of longterm conditions • Providing more services outside hospital settings • Providing a more integrated system of urgent and emergency care to reduce the rate of growth in hospital admissions.
You can find out about the Wirral CCG and what their priorities are on their website www.wirralccg.nhs.uk
The NHS Commissioning Board will also oversee national public health screening and immunisation programmes.
NHS Commissioning Board
You can find out about the NHS Commissioning Board by visiting www.commissioningboard.nhs.uk
The NHS Commissioning Board oversees the CCGs and supports them to achieve statutory obligations and holds them to account. The Commissioning Board works through a national, four regional and 27 local area teams and directly commissions around £20bn of services including specialist services and primary care services. Their work will focus around:
• Supporting local clinical improvement
Commissioning public health services From April 2013, commissioning responsibility for Public Health Services will transfer from PCTs to the local Council. Councils will be given a ring-fenced budget to invest in making measurable improvements to the health and wellbeing of their local population.
Commissioning changes at a glance From April 2013: • Development of GP led clinical commissioning groups (CCG) • Development of the national NHS Commissioning Board • Transfer of commissioning responsibility for public health services from the NHS to the Local Authority.
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A Day In The Life
A day in the life: Roz Parry Based next door to Arrowe Park Hospital’s A&E department, the All Day Health Centre (ADHC) includes a GP Practice and Walk-in Centre and hosts the GP Out of Hours service. From 8am – 10pm patients can book appointments to see a GP or drop in to see a Nurse at the Walk-in Centre. From 6.30pm – 8am the centre provides a base for GPs who are part of the GP Out of Hours. They are there 365 days a year. Being a receptionist at the ADHC makes for a very busy but interesting day, Roz shares with us a snippet of what her working day can involve… Our doors open at 8am every morning and it is not unusual to have patients waiting on the doorstep, particularly on a weekend, as people attempt to beat the queues.
With one reception / waiting area, a wide range of clinics and services and different waiting times for each, I am sure you will agree…things can get confusing!
We have approximately 500 patients registered with our GP Practice and are also able to offer appointments to other patients as long as they are registered with a Wirral GP. Feedback is great as patients can make appointments for after work or at weekends offering great flexibility.
If it is very busy patients can get a bit frustrated when they see other people getting called before them, but once we explain the number of services running they usually understand.
Everyday approx 100 patients with minor injuries and ailments such as insect bites, coughs and colds, sore throats, cuts, wounds and dressings use our Nurse-led Walk-in Centre. It can get very busy at reception! From 6.30pm in the week and all weekend (including bank holidays) we host an Urgent Care Out of Hours Service. This service runs right throughout the night until 8am, but we receptionists finish at 11.30pm when the Night Shift Manager takes over.
Our doors open at 8am every morning No two days are the same, it can be quiet, but using the ‘q’ word is considered bad luck as every time we do it quickly becomes absolutely heaving.
When I’m not booking in patients at the reception desk there are a number of other tasks to do - ensure the consultation rooms are ready for the next clinic, send samples off to the testing lab, file prescriptions, deal with all sorts queries and problems, keep the waiting area tidy and chaperoning doctors if a patient requests it.
No two days are the same We are the eyes and ears of the waiting room, scanning the room to spot when patients are deteriorating and alerting the nurses and GPs to potential cardiac/stroke problems, breathing difficulties etc. You have to be prepared for anything to happen. I have had patients collapse at the desk, vomit in the waiting room and have found all manner of left items, including a full bag of clothes and even on one occasion a pair of knickers! And, as if my job wasn’t interesting enough, I have even had blocked toilets and floods to deal with.
The job is challenging as no-one can predict how each day will turn out, you have to be prepared for the unexpected. It could be chocolates and cards from grateful patients one day to dealing with an extremely agitated patient or relative the next.
We are the eyes and ears of the waiting room It takes a versatile and special person to work on reception at the ADHC and I am glad this is me, I can never say my job isn’t interesting or doesn’t keep me on my toes.
ADHC... did you know? • There are a number of other services and clinics running including phlebotomy, smoking cessation and much, much more. • Is part of Wirral Community NHS Trust’s Primary Care division and is also part of the Wirral Health Commissioning Consortia. • Has its own list of registered patients but anyone who is registered with a Wirral GP can book an appointment to see a doctor at ADHC. • Operates permanently extended opening hours, 8am – 10pm, 365 days a year!
What role would you like to learn more about? Email your suggestion for ‘A Day in the Life’ to: communications@wirralct.nhs.uk 6
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Feature
The Integrated Business Plan Our plan for the next five years. There have been lots of changes across the NHS over the last few years and sometimes it’s been difficult to keep up with where it is going and what it is aiming to achieve. We have all seen that the healthcare landscape is different, and still changing. There have been large changes to who commissions the services needed by patients across local areas and no longer can NHS Trusts expect to be the only provider of NHS services - competition from private companies is not only on the horizon, for some of our services it is here. Therefore as an organisation, we need to be very clear about what we are aiming to achieve, how we want to get there and what we need to do it and how we measure success. Over the last year, we have been working very hard to ensure that as a Trust we are sure about how to secure a sustainable future for our patients and employees with a clear purpose, a clear direction and clear goals.
2012
2013
2014
2015
2016
Put simply it’s a plan. It’s our 5 year Business Plan. Autumn Winter 2012 2013 foryou
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Feature
Partnership
Wirral University Teaching Hospital NHS Foundation Trust
Community H
Wirral Community NHS Trust
Integrated C
O Wirral PCT
We know what we want We have a vision to be: the outstanding provider of high quality, integrated community care in Wirral and beyond.
We know the challenges There is increasing demand for NHS services. We have an ageing population with increasingly complex needs. This places a strain on existing health services and will require new ways of integrated working between care and health organisations to avoid duplication and improve patient care. Services are increasingly being opened up to competition. Although this may be perceived as a risk, we are confident in our ability to deliver high quality patient services and so this is an opportunity. We have to compete to stay in business, we need to be flexible and responsive. We are up for the challenge. We need to be more efficient. We need to find ways to continue to deliver high quality patient care, for less money and through innovative partnerships. We will become a Foundation Trust. The Government wants to introduce greater local ownership and financial freedom to 8
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NHS Trusts. We are well on the way and our Business Plan will form part of our application to the Secretary of State and the regulator Monitor.
We know how to get there We need to continue to deliver first class health care to our existing patients and clients and identify opportunities to
deliver additional services in Wirral and surrounding areas.
We want patients, service users and commissioners to CHOOSE US when they have a choice.
We have looked at the...
BIG PICTURE! • Identified what we currently do • Identified the potential opportunities • Identified the potential risks • Developed a business plan to help us get to where we want to be • Developed a financial model to ensure our plan is sustainable and affordable • Developed a resources plan to help us ensure that as we change and develop we have the right resources in the right place • Developed a timetable – we won’t be able to do it all at once we will need to prioritise, be flexible and constantly reassess.
Feature
New Healthcare Providers
p Working
Wirral and beyond!
Healthcare
Care
Wirral Community NHS Foundation Trust
A.N.Other Provider Commissioners
Other NHS Trusts
We will focus on four strategic themes. These themes are key to the delivery of our plan, and how we measure the success of each element of the plan. All four of the themes are supported by strategic objectives or actions, each of which has an executive lead. This will ensure that we are delivering as we should and that someone is accountable for progress. Patient, Community & Commissioner • Improve quality outcomes and patient satisfaction • Increase service provision in Wirral, Merseyside and Cheshire • Promote integration and joint working.
Clinical Delivery • Meet commissioned contracts • Improve patient safety and risk management • Improve efficiency and effectiveness of care services.
People and Resources
Supporting functions
• Improve human resource development and engagement • Maintain financial stability • Provide value for money services.
• Improve utilisation of informatics and graphics • Ensure we are well run with high quality support services • Improve utilisation and efficiency of estates and facilities.
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Feature How does this affect you?
What happens next?
It is important that all employees, members and our stakeholders: • understand what we are trying to achieve, so that we can work together, all pull in the same direction to achieve our vision • understand our priorities so they are sure what they are doing is contributing to achieving them • help us develop innovative solutions to achieve our goals • understand how we can all help to contribute to achieving the vision through actions, ideas and influence.
We need to translate the plan into ACTION: • We will be working with our service teams and in particular Service Heads and Divisional Leaders to develop meaningful Annual Plans for the Trust, for each team and ultimately individual objectives. These Annual Plans will inform our priorities for next year and future years and ensure that our individual priorities all contribute to our ultimate goal.
The Business Plan isn’t something that we will start working towards next year. It’s already happening in some areas. For example - delivering integrated services - has a number of individually managed projects which will deliver the integrated model. Many of these have already started. • Long term conditions management across Wirral • Centralised booking programme • Development and enhancement of the Primary Care Assessment Unit • Development and pilot of care home support model • Redesign and enhancement of patient discharge into community services • Provision of care to people with mental health problems • Development of the community nursing team model.
For example - Competition - we are already in a competitive environment for some of our services and as a result we have been able to increase our service provision across Wirral, Merseyside and Cheshire. • Our physiotherapy team already compete under the Any Qualified Provider (AQP) arrangements. This is where commissioners open up the service delivery to any provider who meets their requirements and both patients and GPs have a choice where to go – and their choice may be based on things such as experience, location or waiting times. We have seen an increase in the number of patients coming to us. • Our podiatry team has been awarded AQP status to deliver services in Liverpool as well as Wirral. However, the service in Wirral will shortly be opened up to competition in the same way. We need to plan carefully to retain our current and gain new business. • The sexual health service is currently being tendered by the commissioners and we expect other services such as the wheelchair service to have to compete for contracts soon.
In summary There is lots more detail to tell you about our plan and over the coming weeks and months we will do just that. For now the message is simple The NHS is changing, we are responding and we have a clear plan to make sure the change is as positive as possible. We plan to develop and grow as part of an integrated care system, with us as a strong and credible community foundation trust right at the centre. We will continue to do what we do best – delivering excellent community based services whilst constantly finding opportunities to improve our already excellent patient services in line with our vision. By working together we WILL be able to achieve our ambitious plans. We will need the help and support or all our staff and stakeholders. FOR YOU WITH YOU 10
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Patient Experience
ONE LEARNING from patients’ experiences NUMBER All patient feedback is essential. Good or bad, it lets us know what using our services is like for our patients. Where we are doing well we want to do more of it. Where we aren’t doing so well, we want to improve. Patient feedback also plays a key role in informing decision making at our monthly Trust Board meetings so it really is important that we get as many of our patients telling us about their experience as possible. Here’s how we’ve dealt with some of the concerns we’ve received recently…
You said...
We did...
The waiting area for Wirral Heart Support Services at St Catherine’s Health Centre is very draughty and cold.
We’ve added heaters and a screen to make the waiting area more comfortable.
It’s difficult to book follow up appointments for Podiatry.
Appointments for the Podiatry Service is now faster and easier through the new centralised booking service (see ‘One Number’ opposite).
It’s hard to find a car parking space at St Catherine’s Health Centre and this is causing delays in getting to appointments.
We know there are car parking problems at the moment. More car parking spaces will be available in mid - 2013 when building work on the site is complete. In the meantime we are trying to keep people informed and manage the demand.
Patient feedback can be shared with the Patient Experience Service by: Tel: 0800 694 5530 or 0151 514 6311 Email: patient.experience@wirralct.nhs.uk Post: FREEPOST – Community NHS Trust: Patient Experience* Online: www.wirralct.nhs.uk Each service has feedback cards to offer each patient. *This is the full address so please don’t worry about putting a stamp on.
E FACT FIL
… 3 months In the last
back s their feed u e v a g ts en • 647 pati concerns • 112 were ts complimen • 506 were ff treated comments ow our sta h t u o b • 29 were a ts were complimen • 74% of t. the patien
...more choice It’s now even easier to get in touch… On the 17th December 2012 Wirral Community NHS Trust introduced the first phase of the centralised booking programme, making it easier for patients to book appointments for Podiatry*, Phlebotomy, Emergency Dental and the All Day Health Centre.
To book appointments for these services, patients can now call 0151 514 2222 8.00am – 8.00pm 7 days a week. Benefits to our patients include: • Single telephone number to access our services • Extended call centre hours • Greater choice of appointments and clinic location • High quality responses to queries and booking through standardised pathways Further services will move across onto the new system over the coming months. *For clinical queries and advice from the Podiatry team, GPs and other Healthcare Professionals should continue to call 0151 514 2314.
Referral forms can be sent by email to: wcnt.bookings@nhs.net or Fax: 0151 488 3701
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Governor Elections
Could you be... an NHS Governor? Governors are a vital part of every NHS Foundation Trust in setting the direction of the organisation. The Council of Governors represent the views of the public, staff or partner organisations and make sure the trust acts as it should. In fulfilling our ambition to become a Foundation Trust, in 2013, our members will elect 10 public and three staff governors. Joining them on the Council will be six appointed governors, representing organisations with a strong interest in health care on Wirral. Any member aged 16 or older can stand for election as a public governor, and any employee who is a staff member can stand as a staff governor. 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. The timing of our elections will depend on when Monitor (the independent regulator of Foundation Trusts) can assess our application. During January we’ll be holding public meetings for anyone wanting to know more about becoming a Governor in January and in February we’ll hold sessions for people who want to stand for election. See box opposite for more details.
Constituency Breakdown
10 Public Governors Birkenhead
Wirral South/Neston
Wallasey
Wirral West
3 Staff Governors
6 Appointed Governors
Come along to one of our sessions below...
What’s happening?
When and where?
Governor information sessions Find out what NHS governors do and why they are so important. Get the information you need to decide whether to stand for election and represent your area in the Trust.
Friday 25 January 2.30pm or 5.30pm Victoria Central Health Centre, Wallasey Wednesday 30 January 2.30pm or 5.30pm West Kirby Community Centre Friday 1 February 2.30pm or 5.30pm Bromborough Civic Centre
Standing for Governor election meeting If you are standing for Governor Election then this meeting is your chance to find out all about the process and what you need to do. You can get advice and support about how to write your personal statement.
Friday 22 February 2pm or 6pm Old Market House, Birkenhead
If you have any questions about becoming a Governor or to book a place on one of the Governor sessions please call Dave or Linda on 0151 514 2452 / 0800 694 9985, or email foryouwithyou@wirralct.nhs.uk.
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Membership
Welcome to all our public members! As a member you choose how involved you get. It can be anything from simply receiving this magazine through to standing for Governor. As a thank you for supporting us you can access exclusive discount offers, voucher codes and make great savings via Health Service Discounts. Plus, it looks great on your CV.
We were delighted to be able to welcome 3,239 public members on board during 2012. Member events Becoming a member is a great way to support our Trust but we want to make sure it’s interesting too! Last year we were delighted that so many of your joined us for our Annual General Meeting and our behind the scenes tour of the new St Catherine’s Health Centre. The feedback was fantastic so we’re looking to plan more events. As well as the Governor events (details of which can be found on page 12) we have:
Ideas!
Public member or member of staff - what would you like to know? What would you like to see? What would you like to share? Send your ideas to Dave or Linda: T: 0151 514 2452 or E: foryouwithyou@wirralct.nhs.uk
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Under the Spotlight
For the last 150 years Health Visitors have been tackling the causes of ill health, lead on various health campaigns and through oneto-one support and advice to families ensured that our children are happy and healthy. Since they started, the health of children has significantly improved. Here is a brief look at the history of the health visitor:
Celebrating 150 years of Health Visiting! Timeline 1862 - 2012 1862 - 1912 ‘Home visitors’, the early name for health visitors, visit local communities to improve environmental and public health. Home visitors are a ‘mother’s friend’, taking a non-judgmental, practical approach to tackling the causes of ill health including sanitation and diet. Infant mortality reduces to 150 deaths/1000 live births in the 1860s. In the 1890s, Florence Nightingale establishes the first training course in health visiting. Improved home environments. Early campaigns include for sweated labour (those employed for long hours at low pay and in poor working conditions) and protective legislation for women.
1912 - 1922 Birth Acts of 1909 and 1915 mark the beginning of a state sponsored profession. Health visitors help families focus on personal, preventative measures such as family planning and early immunisation. Infant mortality reduced to 100 deaths/1000 live births. Close collaboration with midwifery. Campaign ‘to improve the undesirable condition of lavatories for women on railway stations.’ Improved child health.
1922 - 1932 A home visit in the first month of an infant’s life becomes a statutory requirement for all mothers under the Local Government Act 1929. Network of Infant Welfare Clinics develops. Reduction of infectious disease. 14
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A key figure... Florence Nightingale 1820 - 1910 Born - Florence, Italy Famous for - her work in the military hospitals of the Crimea - Florence established nursing as a respectable profession for women. Important in Health Visiting because - in 1890 she established the first training course for Health Visiting in Buckinghamshire. Of the sixteen ladies who attend the first course of lectures, twelve took the examination, six passed and the County Council appointed three to be full-time ‘Health Visitors’. Following the success of the training, more and more authorities started training Health Visitors. Their principle role involved environmental health and the control of infectious diseases and developed as they took an active interest in child protection. She is cited as the key influence in firmly establishing Health Visiting as a profession.
Under the Spotlight
1932 - 1942
1972 - 1982
1940, British Ministry of Health proposed the introduction of mass childhood diphtheria immunisation.
Last recorded outbreak of indigenous polio.
Advice offered to mothers to help improve their diet.
The ‘Back to Sleep’ cot death awareness campaign is led by health visitors, who reduce the risk of cot death through interventions such as regular weighing.
Health visitors and Infant Welfare Clinics set up offering mothers sewing circles and cookery sessions to reduce family isolation. By end of 1942, a third of English children were immunised against diphtheria. Growth of community networks for mothers and children.
1942 - 1952 1948, the NHS is launched. The health visiting service is contained in the first NHS Act. Clear focus on infection control and promoting a healthy diet. Free Milk Act in 1946, requiring all children in school or nursery to receive a third of a pint of milk daily.
1952 - 1962 1955, the polio vaccination is introduced in the UK. 1956, health visitor work extends to providing social and emotional health as well as physical health for the whole family, cradle to grave. Support also extends to families with chronic disease and children with special needs. Infant mortality reduced to 30 deaths/1000 live births.
1962 - 1972 Health visitor role firmly grounded in public health encompassing environmental, preventative and therapeutic interventions. Promotion of pertussis vaccination for whooping cough.
1982 - 1992
Promotion of breast feeding. Introduction of the Good Neighbour scheme for the elderly and toddler groups heralding a community based approach. Reduced prevalence of whooping cough, slow increase in breast feeding and better early identification of disabilities and development needs. Increased parental involvement due to introduction of the Child Health Record.
1992 - 2002 Health visitors at the forefront of drive to detect Post Natal Depression (PND)
and promote breast feeding. Sure Start Children’s Centres open across England and many health visitors begin joint working arrangements. Reduction of cot death nationally and slow increase in number of mothers breast feeding. Improved uptake of MMR and reduced cases of measles, mumps and rubella. Improved services for PND with multi-professional care pathways.
2002 - 2012 Health visitors lead delivery of the Healthy Child Programme with an emphasis to reduce smoking and improve child safety. Promotion of MMR vaccination. 2010, Government makes first national commitment on health visiting, to increase workforce by 4,200 and to improve the universal service offer by 2015. Infant mortality reduced to 5 deaths/1000 live births. Rise in health visitor numbers for the first time in almost a decade. (Source: Department of Health)
Today... our fantastic Health Visiting Teams support approximately 18,500 children in Wirral aged under five. There are so many things that they help with, here are just a few examples: • Regular health and development checks • Immunisation advice • Advice and support around emotions and mental health • Support and advice on breastfeeding • Sleep and behaviour problems • Baby crying • Toilet training • Teething • Skin conditions • Childcare or nursery choices • And much, much more…
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2012 at a glance
2012... at a glance January We launched our integrated 24hr Community Nursing Service. Our new brand identity ‘for you with you’ was agreed.
April Our new public website was launched - www.wirralct.nhs.uk. We were joined by our new Chief Executive, Simon Gilby. Our first bi-weekly ‘Health Matters’ column was published in the Wirral Globe.
February A 12 week public consultation about our plans to become a Community Foundation Trust began. The Health Visiting Service held an event to tell people why we were chosen as an ‘early implementer site’ for the adoption of the Department of Health’s new Health Visiting service model and what it means.
March John South retired as our Chief Executive. The Continence Service were awarded third prize for the Continence Nursing Award at the British Journal of Nursing awards ceremony.
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Gloria Hunniford shot her documentary programme ‘When I Get Older’ at Hoylake Cottage Hospital which featured staff from the Physiotherapy and Rehabilitation Service. The Olympic Torch passed through Birkenhead and our Public Health teams were on hand to offer advice and tell people about the services they can access in the local community to support their health and wellbeing. We celebrated the history of St Catherine’s Hospital and looked to the future at St Catherine’s Health Centre with a tea party.
May After 12 weeks, we finished our Foundation Trust consultation with a total of 775 responses (375 more than our target) and had recruited our first 250 members. Sandra Christie (Head of Quality, Governance and Nursing) was invited to Number 10 to meet the Prime Minister as part of her Florence Nightingale scholarship.
June The Infant Feeding Team launched their Breast Start App to support mothers with all their breastfeeding needs.
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July
We introduced a new Occupational Health Provider – PAM OH Solutions.
August The public health team’s Health Trainers saw more than 185 people in two weeks in their Rock Ferry pop-up shop for advice about managing stress, quitting smoking, healthy living and much, much more.
2012 at a glance
A round up of Trust events during 2012.
September We held our first Annual General Meeting (AGM).
October Our Health Visitors celebrated 150 years of Health Visiting (find out more on page 14).
December The new staff intranet, Staff Zone, was launched.
Our Continence Service was shortlisted for the Nursing Times Award.
We launched our Quality Strategy. We started our annual Staff Seasonal Flu campaign. More than 850 staff got themselves protected.
The Infection Prevention and Control Team held their 3rd annual study day. Paul O’Grady came back to visit St Catherine’s Health Centre (his birthplace) as part of a BBC social history programme due out in Spring.
Artwork created during Calm and Create sessions, part of the Public Health team’s Community Programme began a three month exhibit at the Lady Lever Art Gallery in Port Sunlight.
We introduced e-learning courses to give staff greater flexibility and enable them to set their own pace for learning. Royal College of Nursing President Andrea Spyropoulos visited staff based at St Catherine’s Health Centre.
November Members were invited on a behind the scenes tour of St Catherine’s Health Centre. The Walk-in Centre at Arrowe Park Hospital passed an unannounced inspection from the healthcare regulators Care Quality Commission (CQC) to make sure we are meeting the standards of care patients have the right to expect.
The Healthy Settings Team joined local celebrities including Paul Hollywood and Masterchef winner Claire Lara at the Hillside Primary School’s Bake Off event where the messages about healthy eating and the value of parents/carers baking with their children were made fun through various games such as a ‘Ready, Steady Cook!’ challenge.
A fantastic new training lab was opened so that staff can receive training in an environment set up to simulate the conditions that staff face during home visits.
Winter 2013 foryou
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Doing our Bit
Doing our bit! In 2009, the NHS had a national collective annual energy bill of over £600m and total carbon emissions represented 3% of the UK’s total the NHS had a bigger impact than some small countries! To change this, the NHS Carbon Reduction Strategy was introduced with an ambitious plan to reduce carbon emissions by 80% across the NHS by 2050 and reducing 75% of NHS waste by 2020. Our Trust has a part to play in this. What we have achieved done so far… We have been working to make our buildings more environmentally friendly, investing in improved thermal insulation, building controls and installation of Solar PV panels. As a result, in each of the past three years we have seen a reduction in our carbon emissions. We have introduced waste recycling initiatives across each of our bases where staff are recycling paper, cardboard, bottles, cans and other mixed recyclable waste. Through this we have been able to recover a massive 64 tonnes of the 118.5 tonnes we create, 54% of the total waste we produce.
10 things you can do in the workplace and at home! 1. Switch off lights when not needed 2. Switch off computers, photocopiers, fans, printers and office equipment at the end of the working day 3. Switch off computer screens during the day if not needed 4. Print or photocopy double sided where possible and think twice about if you need a copy at all 5. Report dripping taps or overflows from toilets
6. Close doors and windows if heating or air conditioning is on 7. Don’t leave your TV and other appliances on standby 8. Don’t overfill kettles – only heat the amount you need 9. Recycle, reduce or reuse 10. Walk, cycle or use public transport instead of using your car where possible and car share if you can.
Did you know loft and cavity wall insulation could save you up to £310 a year. Wirral homeowners and private tenants can apply for FREE home insulation under the Warmer Wirral Insulation Programme which is funded by Wirral Council and British Gas. Visit www.warmerwirral.org.uk to find out more.
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Food Corner
Warming Winter Recipe Our Community Programme is made up of many different courses and activities that are all aimed at making people feel better and healthier. One of these fantastic courses is Healthy Cookery lessons which shares delicious healthy recipes and teaches people about how to prepare and cook them. We thought we would share one of these recipes with you to try!
Spiced Winter Soup
Makes 4 servings Prep Time: 15 mins Cooking Time: 40 mins
Ingredients
Method
1-2 tbsps 1 1 1 1-2 ½ 1tsp 900ml 1 1 1tsp To taste
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 mins.
Olive or sunflower oil Large onion, chopped Large potato, chopped Large carrot, chopped Cloves garlic, finely chopped Orange, zest and juice (large strips of orange peel) Mild or medium curry powder Turkey or vegetable stock (cube) 400gm can chopped tomatoes Eating apple peeled & chopped Dried Basil Salt & black pepper
Serve with h crust ot bready !
2. Add the curry powder and cook stirring for 1-2 mins. 3. Add the stock, orange juice, tomatoes, apple, basil and salt & pepper to taste. 4. Bring to the boil, cover and simmer gently for 30 mins or until the vegetables are tender – discard the orange zest. 5. Blend the soup (if possible) until smooth then reheat gently before serving.
Find out more about what the Community Programme has to offer at: www.wirralct.nhs.uk (look under the services we provide) or call 0151 630 8383.
Calling all Wirral Community Staff... Nominate yourself, your team or your colleagues for a For You - Thank You Staff Award before 31 January 2013.
ENTER NOW! Check out StaffZone for further information.
Don’t keep your good work a secret! Winter 2013 foryou
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The Back Page! Fun stuff for while you have your tea break.
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INFANTFEEDING
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HEALTHSETTINGS
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foryou Winter 2013