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all the news, and the views, from around your Trust
Produced by Southern Health NHS Foundation Trust Communications and Engagement Team | Elms, Tatchbury Mount, Calmore, SO40 2RZ | 023 8087 4368 | [email protected] Southern Health Journal is a monthly publication produced by staff, for staff and is not intended for commercial, marketing or public use. The views herein represent those of the authors and do not necessarily represent the views of Southern Health NHS Foundation Trust.
Every year, 10 October sees the marking of World Mental Health Day. Twitterers, bloggers, websites, and charities invited us to consider those with mental health conditions for a day, with a particular emphasis on emotional health and wellbeing, which was this year’s theme.
Awareness raising over recent years, including the anti-stigma Time to Change project has meant that the vital statistics of mental health are now well known – one in four adults and one in ten young people (under 18) experience a mental health problem in a given year. Anxiety and depression affect around one in ten people at any one time. 450m people globally are affected. Compare this figure to the population of the US, 300m, and that adds up to an America-and-a-half of mentally ill people worldwide. Arguably a shocking
statistic, so it comes with little surprise that one pound in every £10 from the NHS purse is spent on mental health services.
Close to home, around one quarter of all Southern Health
staff work in our mental health
services. This year we have seen two major programmes of redesign, in both adult mental health and older people’s mental health, which have included public consultations about how these services will look in the future. These proved to be controversial, yet our changes are part of a process which started over thirty years ago when the Mental Health Act 1983 was passed.
The treatment of the mentally ill has come a long way since Victorian asylums left people institutionalised, sometimes living out their lives as inpatients. The 1983 Act gave the mentally ill back their rights, and started the move to close the vast asylums and care for people in their communities, through up to date mental health care facilities and modern drug therapies.
In 2012, it’s clear that reducing
the numbers of beds in our mental health units and providing that care to people via community mental health teams
is still sometimes seen as a radical and possibly dangerous way forward. Did this seem a random decision, aimed at cost savings, rather than good patient care?
Stop the silence! Let’s all talk about mental health
Issue 5: November 2012
The treatment of the mentally ill has come a long way since Victorian asylums left people institutionalised
Published with kind permission of the Time to Change campaign www.timetochange.org
Did this seem a random decision, aimed at cost savings, rather than good patient care?
AMH redesign evaluation p10
a major evaluation project
for all AMH staff and service usersThe redesign of our adult mental health services
How was it
for you?
The Southern Health Research and Development team is carrying out an ambitious project to evaluate the recent changes to our mental health services.
In the first week of December, the project will be capturing the views of staff, service users, carers and GPs across Hampshire.
The redesign has been a challenging time for many of us, and there are lessons to be learned.
This is your chance to tell us what you think.
The results of this project will be used to find out how successful the redesign has been, and to improve the way we implement change in the future.
Watch out for surveys and invitations to take part in 1:1 interviews in the coming weeks. For more information, please contact the R&D team on:
The research is being conducted independently from AMH management, and is being verified by the Mental Health Foundation. Additional facilitation to be carried out in partnership with the Carers Trust (formerly the Princess Royal Trust for Carers)
Promo poster DRAFT V1.indd 3 08/11/2012 16:16
Delivering care to the Deaf community p7
Staying up to date with medicines advice p9
Do something amazing this Christmas p5
Meet Lawson.He’s a medical assistant working in a psychiatric hospital in Accra, the capital city of Ghana, in West Africa.
He’s often one of only two staff on a cramped ward of over 100 patients.
The hospital sometimes runs out of medicines, so he has to source them himself.
Lawson will work 52 weeks per year. Health workers rarely take holidays.
Often, Lawson’s salary will be delayed by several months due to ‘irregularities’ in the payroll system.
When Lawson needs to visit patients in the community, he has to hail a taxi, or go on foot. If he takes public transport he has to pay for it himself.
To talk to colleagues in one of Ghana’s two other psychiatric hospitals, Lawson has to use his own phone (and pay the bill himself) as there are no phone lines in his hospital.
There are no computers for Lawson in his hospital. If he needs to access the internet or type notes he needs to provide his own equipment.
To learn more about a patient’s condition, Lawson will have to refer to his handwritten notes from his student days as textbooks are almost impossible to obtain.
Like any health professional, Lawson wants to develop as a clinician and learn new skills, but there’s no opportunities for organised professional development in Ghana.
Despite the challenges, Lawson is passionate about providing the best care and support for his patients and service users - just like you.
Would you like to help him?
This Christmas, please help the Kintampo Project make life easier for our colleagues like Lawson. If we all give a little we can make a big difference.
Money raised will go towards improving resources, training and development for Ghana’s mental health workers.Look out for collection boxes in your reception area, or donate securely online at:
www.thekintampoproject.orgThank you, and Merry Christmas.
The Kintampo Project is supported by the Kintampo Trust (registered charity 1141887) and Southern Health NHS Foundation Trust. © The Kintampo Project 2012
Continues on page 9
journalthe southern health
Inside: all the news, and the views, from around your Trust ISSUE 5 JULY 2015
Our multi-specialty community provider
A four page special wrap around!
Better LocaL care wrap around continued…Better LocaL care
Back in March a band of Hampshire GPs, together with Southern Health, were selected to be amongst 29 schemes across the country to test new ways of organising and delivering health and care to local people. The scheme aims to improve the accessibility and quality of out-of-hospital care by bringing together primary and community care, specialists, social care and even the voluntary sector into extended teams supporting the same local people. The technical term for this is ‘Multi-specialty Community Provider’ (MCP), but we’re simply calling it Better Local Care because that’s really what it’s all about. It’s part of a national drive to make the NHS better for patients and more sustainable for the future, as it’s currently creaking at the seams supporting an ageing population and growing demand but with finite resources. It’s different because it’s putting a lot of control in the hands of local clinicians, instead of trying to force change from the ‘top down’. It’s also about breaking down the barriers between organisations to work as one team who support the same people. Better Local Care builds on and complements our work to integrate our services internally and with our partners. In time, as more and more parts of different organisations join Better Local Care sites, a completely new type of care organisation may be needed – so this is a really important and exciting time for us as care professionals, and ultimately for the people we support. Better Local Care is initially happening in three localities: South West New Forest, Gosport, and East Hampshire. Better Local Care will look different in each locality, because each has different population demographics, challenges, opportunities and existing partnerships. More localities are expected to join in the coming months. A Better Local Care page has been set up on the Southern Health website where you can find more information.
Why Southern Health has joined forces with GPs to transform the way care is delivered in Hampshire (and what this means for you and the people you support).
By Chris AshDirector of Integrated Services
New Forest
Gosport
BasingstokeFleet
Alton Bordon
Romsey
Andover
Winchester
Fordingbridge
LymingtonLyndhurst
SouthamptonPetersfield
Portsmouth
Fareham
East Hampshire
Better local care is happening right now in three localities:
• Gosport• South West New
Forest• East Hampshire
More localities will be joining in the coming months.
Now...
GPs
Mental health & LD
Therapy services
Social care
Voluntary
Community nursingAc
ute
and
spec
ialis
t ser
vice
s Self care, voluntary sector
GPs, nursing, therapy, mental health, learning disabilities, children’s, social care
Extended Primary Care Team
Acute and specialist servicesWhat are the benefits?For the people you support: • More straightforward access to a wider range of health services
via their local GP practice – giving timely access to the most appropriate health professional and getting more problems addressed in a single visit.
• Less need to go to an acute hospital for care.
• Extended opening hours making it easier to get an appointment at a time that suits them.
• Longer appointment slots giving people more time with their doctor to discuss overall health and wellbeing.
For you:• An opportunity to be part of a completely new approach to
delivering health and care to local populations
• Closer working relationships with your GP colleagues, social care, and the voluntary sector
• New career development structures
For GP colleagues:• A varied working week which includes longer appointment
slots, urgent care and specialist support
• Work more directly with a wider range of healthcare professionals
• More time to spend with the patients who really need GP input
• Better work-life balance
For the health and care system:• Improved patient experience
• Better clinical and social outcomes
• Reduced attendance at emergency departments
• Reduced acute hospital admissions
• More efficient use of resources
• Care provision more tailored to local communities.
With any new scheme comes a barrage of new jargon, which you may come across when hearing about Better Local Care. Here’s a glossary to help you navigate:
Five Year Forward View (FYFV or 5YFV): the plan written in 2014 by Simon Stevens, ceo of the nHS, which sets out how the nHS needs to change to be effective and sustainable for the future.
Vanguards? MCPs? A guide to the latest NHS jargon…
New Care Models (NCM): the new ways of organising and delivering health and care, set out in the Five Year Forward View and now being developed and tested in 29 sites across the country (including us!). there are a range of care models because different locations need different solutions, rather than a ‘one size fits all’ approach.
Vanguards: this is the name given to the 29 sites where the new care models are being piloted, so Better Local care is a ‘Vanguard’ site.
Multi-specialty community provider (MCP): one of the new care models, and what Better Local care technically is: different health and care professionals, communities and voluntary groups working as one team to support the same local people, led by Gps.
Primary Acute Care System (PACS): another type of care model, which is about integrating Gp surgeries directly with acute hospitals (also called ‘vertical integration’). there is a pacS Vanguard in north east Hampshire and Farnham, which Southern Health is also involved in.
3 The number of localities where Better Local Care is already starting to happen.
The number of GP practices
working with us right now
27The number of patients who are set to benefit from the first wave of localities (with more to follow)
Better Local Care aims to make things more straightforward by bringing professionals together into one team supporting the same local people, and to promote self-management and involvement with the voluntary sector.
Better LocaL care
What the GPs say...
What is so special about Better Local Care?
Getting the whole healthcare economy to at last work as a functioning team, without barriers, which will improve quality of patient care and improve the work experience of healthcare professionals.
Can you give one example of how patients could benefit?
patients will benefit from getting the right care, early in the patient journey which will reduce the duplication of referral from one speciality to another.
Can you give one example of how GPs/professionals could benefit?
Gps and professionals will benefit by doing the work that is appropriate to their training, freeing up time to be able to give the maximum benefit to the patient sitting in front of you. the working day will become a safe place once more.
Dr Donal Collins, Gp Lead for Gosport
Dr Kathryn Bannell, Gp Lead for east Hampshire
What is so special about Better Local Care?it is a fantastic opportunity to shape the future of healthcare locally as we know our patients and our communities.
Can you give one example of how patients could benefit?Seamless care, confident that all professionals involved in their care are talking to each other.
What do you think is the biggest challenge – and how can it be tackled?
the biggest challenge is accepting that change is necessary, and that change will be a good thing for the system as a whole, ending in better patient outcomes, and a safer happier place to work.
What are you most excited about for your locality?
this is a once in a lifetime/career opportunity to build a system which is about caring for the population as a whole, a system which responds to the appropriate health needs of the patient and a proactive preventative model of healthcare will be achieved, which is needed for our population with increasing complex needs.
Can you give one example of how GPs/professionals could benefit?a better work environment and shaping a workforce for the future that will be flexible and deliver care in an ever-changing world.
What do you think is the biggest challenge – and how can it be tackled?changing the mindset of local health professionals who are used to jumping hoops set nationally to one of deciding and actioning their own plans. to achieve this we need to keep everyone engaged and moving forward and start to see these plans working for the benefit of their patients.
What are you most excited about for your locality?this once-in-a-career opportunity to be involved in something like this.
Dr Nigel Watson, Gp Lead for South west new Forest
What is so special about Better Local Care?it is clinically led, supported by managers and has the potential to deliver real change
Can you give one example of how patients could benefit?Better local services that are integrated and meet the patients’ needs
Can you give one example of how GPs/professionals could benefit?address the challenges of workload, new services to meet the needs of our patients and ensure the sustainability of general practice.
What do you think is the biggest challenge – and how can it be tackled?convincing people that we can achieve great things if we are prepared to change and take risks.
What are you most excited about for your locality?the new hope that is present in local clinicians.
For more information about MCP please visit www.southernhealth.nhs.uk/knowledge/multi-specialty-community-provider/
Your health. In your hands. With our help.
all the news, and the views, from around your Trust
Produced by Southern Health NHS Foundation Trust Communications and Engagement Team | Elms, Tatchbury Mount, Calmore, SO40 2RZ | 023 8087 4368 | [email protected] Southern Health Journal is a monthly publication produced by staff, for staff and is not intended for commercial, marketing or public use. The views herein represent those of the authors and do not necessarily represent the views of Southern Health NHS Foundation Trust.
Every year, 10 October sees the marking of World Mental Health Day. Twitterers, bloggers, websites, and charities invited us to consider those with mental health conditions for a day, with a particular emphasis on emotional health and wellbeing, which was this year’s theme.
Awareness raising over recent years, including the anti-stigma Time to Change project has meant that the vital statistics of mental health are now well known – one in four adults and one in ten young people (under 18) experience a mental health problem in a given year. Anxiety and depression affect around one in ten people at any one time. 450m people globally are affected. Compare this figure to the population of the US, 300m, and that adds up to an America-and-a-half of mentally ill people worldwide. Arguably a shocking
statistic, so it comes with little surprise that one pound in every £10 from the NHS purse is spent on mental health services.
Close to home, around one quarter of all Southern Health
staff work in our mental health
services. This year we have seen two major programmes of redesign, in both adult mental health and older people’s mental health, which have included public consultations about how these services will look in the future. These proved to be controversial, yet our changes are part of a process which started over thirty years ago when the Mental Health Act 1983 was passed.
The treatment of the mentally ill has come a long way since Victorian asylums left people institutionalised, sometimes living out their lives as inpatients. The 1983 Act gave the mentally ill back their rights, and started the move to close the vast asylums and care for people in their communities, through up to date mental health care facilities and modern drug therapies.
In 2012, it’s clear that reducing
the numbers of beds in our mental health units and providing that care to people via community mental health teams
is still sometimes seen as a radical and possibly dangerous way forward. Did this seem a random decision, aimed at cost savings, rather than good patient care?
Stop the silence! Let’s all talk about mental health
Issue 5: November 2012
The treatment of the mentally ill has come a long way since Victorian asylums left people institutionalised
Published with kind permission of the Time to Change campaign www.timetochange.org
Did this seem a random decision, aimed at cost savings, rather than good patient care?
AMH redesign evaluation p10
a major evaluation project
for all AMH staff and service usersThe redesign of our adult mental health services
How was it
for you?
The Southern Health Research and Development team is carrying out an ambitious project to evaluate the recent changes to our mental health services.
In the first week of December, the project will be capturing the views of staff, service users, carers and GPs across Hampshire.
The redesign has been a challenging time for many of us, and there are lessons to be learned.
This is your chance to tell us what you think.
The results of this project will be used to find out how successful the redesign has been, and to improve the way we implement change in the future.
Watch out for surveys and invitations to take part in 1:1 interviews in the coming weeks. For more information, please contact the R&D team on:
The research is being conducted independently from AMH management, and is being verified by the Mental Health Foundation. Additional facilitation to be carried out in partnership with the Carers Trust (formerly the Princess Royal Trust for Carers)
Promo poster DRAFT V1.indd 3 08/11/2012 16:16
Delivering care to the Deaf community p7
Staying up to date with medicines advice p9
Do something amazing this Christmas p5
Meet Lawson.He’s a medical assistant working in a psychiatric hospital in Accra, the capital city of Ghana, in West Africa.
He’s often one of only two staff on a cramped ward of over 100 patients.
The hospital sometimes runs out of medicines, so he has to source them himself.
Lawson will work 52 weeks per year. Health workers rarely take holidays.
Often, Lawson’s salary will be delayed by several months due to ‘irregularities’ in the payroll system.
When Lawson needs to visit patients in the community, he has to hail a taxi, or go on foot. If he takes public transport he has to pay for it himself.
To talk to colleagues in one of Ghana’s two other psychiatric hospitals, Lawson has to use his own phone (and pay the bill himself) as there are no phone lines in his hospital.
There are no computers for Lawson in his hospital. If he needs to access the internet or type notes he needs to provide his own equipment.
To learn more about a patient’s condition, Lawson will have to refer to his handwritten notes from his student days as textbooks are almost impossible to obtain.
Like any health professional, Lawson wants to develop as a clinician and learn new skills, but there’s no opportunities for organised professional development in Ghana.
Despite the challenges, Lawson is passionate about providing the best care and support for his patients and service users - just like you.
Would you like to help him?
This Christmas, please help the Kintampo Project make life easier for our colleagues like Lawson. If we all give a little we can make a big difference.
Money raised will go towards improving resources, training and development for Ghana’s mental health workers.Look out for collection boxes in your reception area, or donate securely online at:
www.thekintampoproject.orgThank you, and Merry Christmas.
The Kintampo Project is supported by the Kintampo Trust (registered charity 1141887) and Southern Health NHS Foundation Trust. © The Kintampo Project 2012
Continues on page 9
journalthe southern health
Inside: all the news, and the views, from around your Trust ISSUE 5 JULY 2015
3 6
“I owe them my life”
Haydn Davies, Medisec Managing Director, said: “Our crews form a bond with patients when they pick them up from police and transport them to a place of safety. It makes sense for them to stay with patients on arrival to continue to offer that support.”
This is just one example of how Southern Health and Hampshire Constabulary are delivering the aims of the Crisis Care Concordat, which sets out how organisations will improve joint working to ensure people in mental health crisis get the help they need. Lesley Stevens, Southern Health’s Director of Mental Health and Learning Disabilities, said: “A police cell is no place for anyone experiencing a mental health crisis. Our aim is to minimise distress and make sure people receive the care they need safely and quickly. Early results suggest that the partnership between the Trust, Medisec and Hampshire Constabulary is working well, however we are not complacent and have further plans to support people in crisis across the county.” Inspector Huw Griffiths, Hampshire Constabulary’s mental health lead, said: “We are now seeing cases whereby it is less than 15 minutes from the time of the call to the police, to the patient being transferred to a Medisec ambulance and being en route to an appropriate place. It makes it so much better for the patient as they are able to receive that continuity of care. “Hampshire Constabulary will continue to work closely with Southern Health, other NHS partners and local authorities to continue to further improve outcomes for mentally ill people.”
Miss Harris added: “They said that Medisec would come and take me to be assessed by a psychiatrist. I felt a bit relieved really. I knew in myself that I needed help but I didn’t know how to get it. You feel like people are going to look down on you. I just felt
there was no way out for me, and that was the only way out.” The two-man Medisec crew took Miss Harris to the Section 136 Suite and stayed with her until she could be assessed. Miss Harris said: “At the lowest point in my life, they were there.” Mrs Harris was assessed by a psychiatrist and was not detained. However the Medisec crew supported her until she was back home, and she took immediate action to get help. She added: “I owe them my
life. I went to the doctors the next day and made an appointment. I don’t think I would have otherwise.”
Brendan O’Reilly, Area Lead Nurse for Southampton, outside Antelope House where Miss Harris was assessed
Is the Recovery College for you?
The challenges and rewards of integrated working
5My Job: Canon Nick Fennemore
She is among 56 people in crisis in Hampshire taken to one of the Trust’s three suites in April
instead of potentially being taken to police custody. No-one detained under the Act in Hampshire in April 2015 was held in a police cell. Hampshire Constabulary is continuing its partnership with Medisec, which already transports people in crisis on the force’s behalf to a designated place of safety. Now the crews stay with the person until they have had their assessment thanks to the partnership with Southern Health. Miss Harris was taken to a Section 136 suite after police were called out because of a concern for her welfare: “That day it all got a bit much really,” she said: “I just thought I would end everything.” She later decided to return home, but then saw the police nearby.
“At the lowest point in my
life, they were there.”
A MUM-OF-ONE detained amid concerns she was experiencing a mental health crisis said of the team who cared for her: “I owe them my life.” Becky Harris, 26, felt alone and feared she had nowhere to turn. But she has now sought help thanks to a new partnership between Southern Health, Hampshire Constabulary and ambulance service Medisec. Miss Harris was assessed at a specialist suite after being detained under Section 136 of the Mental Health Act.
Mum hails help she received during mental health crisis
0302
International Nurses’ Day
What three words would your friends use to sum you up? I think they would say I’m an optimist, caring and family-oriented.
What did you want to be when you were growing up? A nurse from as young as I can remember, then a doctor from about 11 years old – I either had a strong early commitment to the health service, or a severe lack of imagination!
Dr Lesley Stevens Director of Mental Health and Learning Disabilities
30SECONDSWITH...
What do you do to relax? I spend time with my husband and three children. At the moment I play table tennis with my nine year old most evenings – he always wins despite me trying really hard.
Why and when did you join Southern Health? I started as a junior doctor in mental health services in Southampton in the early 1990s and then spent a few years as a lecturer in Southampton University, before getting my first post as a consultant psychiatrist in Winchester in 1999.
What are you most proud of in Southern Health? We have incredible staff, who sometimes work in extraordinarily challenging circumstances yet remain passionately committed to what they do, and do it really well.
What do you hope to achieve in Southern Health over the next five years? There has been a lot of talk about ‘parity of esteem’ for mental and physical health services in recent years, that is valuing both physical health and mental health equally. One of the barriers to us achieving that is the continued stigma faced by people with mental health problems and mental health services. We have a real opportunity to tackle that head on as part of what we do as a vanguard site over the next five years.
What do you think we can all do to improve Southern Health? I think everyone needs to constantly ask themselves ‘is this good enough for my mother/husband/child….?’ and if it isn’t, do something about it.
Who is the person you most admire? I’m a fickle hero-worshipper, but today JK Rowling comes to mind, as I have read all seven of her books out loud at bed time to two of my children and enjoyed every minute.
“What makes me proud to be a Nurse is when I work with staff who show true compassion and caring in everything they do” Paula Hull
“Starting my career 31 years ago in London. Proud to be a Nurse at Southern Health” Jane Levers
“@WeNurses be there...not behind us doctors, not ahead of us…but side by side with us. Together we can be pretty awesome” Dr Partha Kar
“Feeling inspired by the strength
and courage of my patients every day”
Francesca Tarmey
“So proud of all nurses and Allied Health Professionals working hard to provide excellent care” Dr Chris Gordon
“Happy International Nurses Day from staff at Longbeech ward, Lymington Hospital! The team at Long Beech Ward
Mental illness can affect all of us. Around one in four people will experience a mental illness at some point in their lives and will need varying levels of support to recover. The Recovery College runs courses designed to increase your knowledge and skills about recovery and self-management. These skills are relevant to all of us whether we are health professionals or service users. One of our students and Southern Health employee, who wishes to remain anonymous, speaks to us about their experience.
Is the Recovery College for you? It worked for me!
“My journey started with some reservations. First thoughts were would it be like school or college? I questioned if I should attend. I knew the Trust had invested in these courses but I had reservations about how they could really help - I am so glad I signed up and gave it a go! My best achievement has been the increase in my confidence. From attending courses and using WRAP (Wellness Recovery Action Plan) I have gained loads of useful knowledge which has enhanced my confidence at work and in my personal life. WRAP and the recovery star now feature in my everyday life. I use my WRAP daily and it helps me to maintain my wellness. My work practice has benefited and I now feel more mindful in my decision making. I enjoyed learning and the subjects have enhanced my recovery based practice. By allowing me to attend the courses during work time, my manager gave me the opportunity and time to invest in myself. It did not pose an issue with my workload and has had a positive effect on my general health and wellbeing. I would like to thank all staff for their support and guidance which I 100% feel will be there if I need it.”
If you feel you would benefit from one of our courses please look out for 2015/16 Recovery College prospectus in July which will feature 12 new courses including, Making recovery a reality and ‘Bitesize self-belief’.
For more information about our service, please visit www.southernhealth.nhs.uk/recovery.
How to get the feel good factorIn May, we held our very first Health and Wellbeing half day event. Over 30 members of staff came along to learn more about the Trust’s health and wellbeing programme and share ideas on how each of us can make changes to improve the health and wellbeing of our workforce.
A number of Health and Wellbeing champions attended to present how they have created local initiatives to help their colleagues feel happier and healthier, stimulating enthusiasm amongst delegates to try their ideas.
Read some of their stories below…
Health and wellbeing away days By Lisa Privett“I have recently taken over the management of the Child Health Information Service (CHIS). My team has faced significant challenges including several different divisional alignments, estates rationalisation, changes to management, high workload, staff retention and high sickness levels. To help tackle this, my team and I decided to create an away day with a difference – one which focussed on the people we manage, their health, well-being and their morale. The away day was supported by a number of colleagues from around the Trust and senior children’s management. Between us we delivered motivating, inspirational and, at times, uproariously funny sessions on team health, coping with change, emotional intelligence, mindfulness and chair based yoga that can be done at the desk.
But it does not end there. Feedback from the day was so positive that the learning helped create the team objectives and also formed the basis of the behaviour part of the appraisal process. Sickness has reduced, workload is flowing and morale, which is being formally measured bi-monthly, has improved. Staff feel inspired and confident to work together innovatively in ways that help them feel happier and healthier at work.”
To find out more, contact Lisa Privett by emailing [email protected]
Lunchtime walksby Mark Sherwood“My colleagues and I carry out sedentary roles at Parklands Hospital. This means that previously many members of my team were not getting the exercise they needed. A couple of years ago, my colleagues and I grouped together to start going on lunchtime walks around the grounds of the Hospital.
This short break from our computers, coupled with exercise, saw productivity shoot through the roof in the afternoons. Our team’s passion for getting active didn’t stop there and in 2013, we signed up to the Hampshire and IOW active workplace challenge and have since been crowned winners two years running!”
Want to find out more? Contact Mark by emailing [email protected]
Posture adviceBy Claire Bennett“I am the moving and handling lead for the Trust, however I also have another passion. Since becoming a health and wellbeing champion, I have been offering posture correction advice, helping teams who have high levels of MSK problems, one of the leading causes of long term sickness.
So far, I have been going out to see teams, but as there is only one of me and a vast patch to cover, I am now looking to create a video showing staff a range of chair exercises which can improve posture and help reduce sickness levels across the Trust.” What to find out more? Contact Claire Bennett by emailing [email protected]
This year we celebrated by asking all of our nurses and Allied Health Professionals to share why they are proud to
work in the profession. We received a flurry of inspirational tweets from staff across Southern Health.
International Nurses’ Day is held every year to mark
the anniversary of Florence
Nightingale’s birth.
We have selected a few
of them to share with you…
If you have a question about Estates, including faults in your building, please contact our helpline.
04 05
TA L K PL A N L I V EHow to live well until you die: End of life care at Southern HealthEveryone will die, but we often shy away from talking about the subject and for many people it is still taboo. During May the Trust took part in Dying Matters week, a national awareness campaign that aims to raise the awareness of end of life care, help people talk more openly about dying, death and bereavement, and encourage people who are at the end of their lives to make plans. We talk to a patient receiving end of life care and to some of our specialist nurses who work endlessly every day supporting their patients who are at the end of their lives to live well until they die...
Dianne CollinsTrish Phillips, Specialist Heart Failure Nurse, provides end of life treatment to Dianne:
“The quality of care we provide for Dianne is reflected in her passion to try new things and enjoy her time. Our staff supported her to have the difficult conversations she needed to have, informing her family of what she wanted and freeing her up to do what she now wants to do with her time. Looking after people at the end of their life is a privilege and helping them facilitate their wishes, knowing that these are the last things they want, can be deeply satisfying.”
Gina Winter-Bates, Head of Specialist Patient Pathways, re-enforced the national campaigns message of ‘Talk, Plan, Live’ by adding:
“We want people to have those early conversations. We know they are hard which is why we can support the people who are receiving end of life care. The earlier the people we support have these conversations, the earlier they can begin to enjoy the time they have left, and when the time comes we can help them die where they want to, wherever they feel most comfortable.”
Mel Poulter, Integrated Care Team Clinical Lead for South East Hampshire:
“For me, End of Life care is important as you only get one chance to get it right and that’s why we do our best to pull out all the stops and make our care the best it can be.”
Kathy Peake, a Specialist Nurse Practitioner, based at Rowans Hospice, is passionate about providing end of life care:
“End of life care is so important because you only really get one chance to get it right. “It will also be an important memory for the family and something they remember. If you can help that person die peacefully, with dignity, in the way they want then that is really comforting to a family and can really help them in the grieving process”
Dianne is a patient who is currently under the care of the Heart Failure team in Waterlooville. Rather than dwell on her situation, Dianne decided to have the difficult conversations, plan ahead and live her life.
“If it wasn’t for the team I would be sitting at home just waiting. They have given me the encouragement to keep going and to get involved.
“I don’t feel like a person who is dying. I feel like a person who is living. I have taken up painting and I go to crocheting classes too.” Find out more information on our brand new end of
life web pages by visiting www.southernhealth.nhs.uk/health-and-wellbeing/how-to-live-well-until-you-die/
Our patient and services users should always be at the centre of everything we do and this is critical when providing end of life care. We want patients, service users, carers and staff to help us shape the way we provide end of life care in the future. We are working with these groups to find out what is important to them and make these the foundations of our trust-wide end of life strategy, due to be published later this year. Each patient, service user and carer should expect to have an individualised care plan for the last weeks of their life. This should reflect their wishes, needs and preferences and written with involvement from everyone in their care team. We need to develop longer term advanced care plans for patients with long term conditions which will provide a very clear picture of the person and how they would like to be supported to live well for as long as possible. We should be able to support patients in receiving the care they want and help them identify what that care looks like and where/how it will be delivered. You should also discuss whether a person wishes to receive treatments such as resuscitation or organ donation. There is also a vast amount of help from voluntary organisations to help people with medications costs, accessing personal care or where to find help and advice about their condition. To provide this level of care you, our staff, need to feel competent and supported whilst delivering EOL care by having the right skills and training in place. There are already lots of good opportunities for this training via LEaD, but we need to ensure this is meeting your needs. We are carrying out a research exercise which will identify your training needs and the uptake of EOL related training. We have also established EOL leads in each divisions. These are your experts and you should use them for advice and best practice. For further information please go to http://www.southernhealth.nhs.uk/health-and-wellbeing/how-to-live-well-until-you-die/
The future of end of life care
MY JOB
Canon Nick Fennemore
Head of Chaplaincy, Spiritual &
Pastoral Care
What did you do before you became Head of Chaplaincy?I have worked in the NHS as a chaplain for many years and have been Head of Chaplaincy at St Helier Hospital, Carshalton, the Oxford Radcliffe Hospitals, Portsmouth Hospitals and St Wilfrid’s Hospice in Chichester. I have been a Pastoral Studies tutor and have a particular interest in Pastoral Theology and Clinical Ethics. My interest in end of life care has enabled me to serve on numerous national committees.
How did you decide on having a career in the NHS?Becoming a chaplain is something that I had always felt called to do. After gaining experience for six years as a parish priest I then began my NHS career. For a few years I was the youngest hospital chaplain in the UK!
How long have you worked for Southern Health?I began working for Southern Health in July 2014 and work with a small but dedicated team of very part-time chaplains across the Trust.
What is a typical day for you?It is difficult to describe a typical day because every day is different and that brings its own challenges and rewards. It always begins and ends with my daily prayers for the Trust, the people it serves and all the staff. I utilise every opportunity to meet and understand the services we provide across the Trust. This enables me to listen to staff so that I can better develop a chaplaincy, spiritual and pastoral care service in line with what is required by the Trust. I also spend time making connections with faith communities, social care and community initiatives and 1-1 work with patients and staff in our different units.
What do you feel is the most important part of your job?As a chaplain you have to be visible and available to all patients, carers and staff. It is important to have the spiritual needs of all patients fully met and catered for. When we talk about holistic care we need to remember that a person’s spiritual needs are spoken about. It is a chaplains’ role to make sure that spirituality is on everyone’s agenda.
What do you love most about your job?I can honestly say that I enjoy everything about my job. I particularly enjoy the visionary/strategic planning and the development of new ways of working with staff to improve services for patients. I love the opportunities for teaching and developing staff in their understanding of the broader aspects of caring for patients. I have always enjoyed the 1 -1 pastoral work where families are supported and reconciled prior to death.
Can you describe a change that you have implemented or been involved in that has had a positive impact on staff or patients?When I first started work at the John Radcliffe Hospital in Oxford, I worked closely with a Senior Registrar, against some vociferous opposition, to implement a process for the respectful disposal of foetal tissue, miscarriage and pre-24 week pregnancies, and worked with families to create individual funeral services for all who were affected, which properly acknowledged their loss. This practice is now the norm across the UK. I still hear from people today whom I helped many years ago.
What is the best advice you have ever been given?As a very ‘green’ chaplain I remember asking a very experienced, retired chaplain about a question I was struggling to answer. He smiled at me and told me to “remember that at the end of the day God can cope!” Good advice!
What keeps you motivated at work?The different aspects of my role and the knowledge of my calling keep me motivated but particularly the dedication, work and compassion I see, day in and day out, of many staff in sometimes very difficult conditions.
Have you ever had a discussion with your family about dying?
Have you ever discussed whether you would like a big, extravagant funeral or a
quiet understated affair?
What about those really important things you want to see, say or do in
this lifetime?
Have you ever thought about organ donation?
06 07
The challenges and rewards of integrated working
Karen West, Community Physiotherapy Team Leader in Havant, reports on a patient on her current caseload
“In January the team received a referral from Elmleigh Adult Mental Health (AMH) Unit in Havant for one of their inpatients, John*. Physiotherapists don’t often work on AMH wards so this was unusual for us. John had a combination of severe physical and mental health problems which presented a number of challenges to the ward staff. “As the ward Occupational Therapists (OTs)were inexperienced in the assessment of severe physical
TQ at home is a Southern Health service which provides people with support in their own home when recovering after an illness, hospital stay or when
additional support is needed. The service works with the people it cares for to put in place tailored packages of care, allowing them to return or remain in their own home. In May this year, a 94-year-old gentleman was admitted to Southampton General Hospital. After 11 days in hospital he was desperate to return home to his wife to celebrate her 95th birthday.
“They said I could go home, but my son insisted that there should be a care package in place. Unfortunately the hospital was not able to provide any help.“Whilst I was still in hospital, my wife received a visit from a community nurse who suggested that my son contact TQ at home. “When my son called, the service explained the support they could provide me, and when he called back to agree to go ahead, they were able to start supporting me on the same day.
disability, they called in the specialist manual handling team who recommended a hoist, hospital bed and a special chair which were hired in. “I visited John and advised the ward staff about positioning in bed and exercises. Support was given to the staff in managing some of John’s other physical health needs. Physiotherapy took place alongside mental health interventions by the OT and ward staff. An OT from the community team visited John’s home to see what would be needed there. “Since then we have met with John and his family to discuss the next stages. John needs rehabilitation to become sufficiently independent to return to his own home. I am working with the nurses, OTs, social workers and doctors to secure funding and identify a suitable setting. As there is no such facility in Southern Health we are looking at the private sector.
“Shortly after, I received a visit from the staff at TQ at home to speak to me and my family about the support I needed and together we created a care package. My family were delighted and I was able to return home to celebrate my wife’s birthday with her.”
After a couple of days, TQ at home received a further call from the gentleman’s son explaining that he had a few additional needs and the service was able to revise his care package to include additional support. He is now progressing very well due to being back in his own environment where he feels safe and secure.
Top notch service helps elderly man continue recovery at home
Staff Sur ey: Listening to our staff to help make a difference
How was your day today? Only you can tell us how good your working life is. Your feedback is vital to help us understand and change things for the better. There is lots of evidence that tells us more engaged staff are, the better your working life becomes and the service you provide to your patients and services users. There are a number of ways we listen and respond to your views so we understand what working for Southern Health is really like.
“You said we did”Every year we take part in the national NHS Staff Survey. In 2014 there were noticeable positive scores related to the number of you having appraisals and how objectives were set. The caring and responsive approach of staff, as identified in the CQC inspection report is again echoed in the findings, with positive staff responses in respect of standards of care. Alongside the good feedback there was room for improvement.
Have your say
Do you know how to complete yours?For more information and example templates to help you complete your NMC Revalidation visit www.southernhealth.nhs.uk/career/nmcrevalidation
Have you taken the Staff Friends and Family Test (FFT)?As well as the annual staff survey we undertake a quarterly ‘temperature check’ through the Staff FFT. All staff are asked two questions:
1. How likely are you to recommend Southern Health to friends and family if they needed care or treatment?
2. How likely are you to recommend Southern Health to friends and family as a place to work?
There is also an opportunity for you to provide further feedback. Survey links are publicised in the weekly bulletin with postcards being sent to TQ21 and Estate Services staff.
Further information can be found at:www.southernhealth.nhs.uk/inside/feedback/staff-survey/staff-fft/
If you would like to see the staff survey results in full, they can be found at www.southernhealth.nhs.uk/inside/feedback/staff-survey/
You said You are feeling pressure at work.
We did We are developing our health and wellbeing programme for staff to help you feel supported to feel fit and healthy at work, both physically and mentally. The new programme looks to improve how we communicate and share information about the resources and support available to staff, that aims to help improve individual and team health and wellbeing, have a positive affect on performance and productivity, and help maintain a happier workforce. We now have over 40 champions across the Trust who are putting initiatives in place helping us to do this. For more information please visit www.southernhealth.nhs.uk/workday/support/
We have been working hard to find ways to fill our vacancies permanently through innovative campaigns and building more robust relationships with colleges and Universities. We have also been working to improve our flexible worker scheme so that you can access high quality staff at the right time at the right price to help support you. More about this can be found at www.southernhealth.nhs.uk/knowledge/nhsp/We did
Most changes will go through a consultation period, which give you an opportunity to comment on any proposals and have your voice heard. We encourage you to provide your feedback and let us know how you think we can improve. You also have the opportunity to speak to your union representatives if you have any concerns.
The divisional team briefs also offer you an opportunity to feedback on a monthly basis.
Each divisional board will be looking at their staff survey results and putting a plan together, which will be monitored and added to on a rolling annual basis to reflect your feedback.
You saidYou know who your senior managers are but your communications with them was not effective.
We did We have increased the number of executive roadshows. Dates will be issued on a quarterly basis, and events held throughout the year. If you are unable to attend a member of our Executive team can attend a team meeting. Please call the communications team on 023 8087 4666 or visit www.southernhealth.nhs.uk/inside/executive-roadshows/
Each of the clinical divisions has developed a monthly team brief. Each divisional board issues a short presentation of key messages. This will be cascaded throughout your management teams and discussed at your team meetings. If you haven’t seen team brief please speak to your line manager.
We are developing a communications module for managers that will form part of the Viral Essentials Programme.
“I am proud to be part of the team working with John. We have learnt a lot from each other and have bridged the gaps between physical and mental health services.”
“My family were delighted and I was able to return home to celebrate my wife’s birthday with her.”
“I am proud to be part of the team working with John. We have learnt a lot from each other and have bridged the gaps between physical and mental health services. One of the OTs is using her experiences as part of her preceptorship work. “My case study on John was presented to the Trust Quality Improvement Group. Flagging up these issues should lead to more integrated pathways for future patients.”
*Patient’s name has been changed
You said You are not asked for your opinion before decisions are made.
TQ at home are recruiting! If you are interested in joining the award winning TQ at home team as a support worker, please contact 01962 712110 and ask to speak to a member of the team!
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Produced by Southern Health NHS Foundation Trust Communications and Engagement Team | Elms, Tatchbury Mount, Calmore, SO40 2RZ | 023 8087 4368 | [email protected]. The Southern Health Journal is a monthly publication produced by staff, for staff and is not intended for commercial, marketing or public use. The views herein represent those of the authors and do not necessarily represent the views of Southern Health NHS Foundation Trust.
22 MarchThe hospital is quiet at the moment. There is another three day curfew planned for all people living in Sierra Leone in the next few days in a bid to try and stop further transmission.
31 MarchNo patients at the moment. They are looking at starting survivor clinics. There are still no flushing loos or working taps or showers.
7 AprilThe water finally came back last Friday after eight days which was absolutely fantastic. The small things we take for granted at home are a real treasure to value here. Not sure about the water quality though.
13 AprilTranche four arrive next Monday and we’re all really excited about that- I’m heavily involved in their training plan which is keeping me busy. Morale amongst us all varies but we do our best to stay cheerful - lack of fresh fruit/veg, humidity and heat are all very wearing.
21 AprilThe next tranche arrived late last night. It’s a small camp. I saw my fellow IPCNO this morning I will be handing over to, a Navy Nurse I know, which is great.
28 AprilOfficially hand over IPC on 1 May. My last day is tomorrow, hurrah! Overall it’s been amazing but I’m very tired and just want to go home now.
Theresa Lewis: My story from Sierra LeoneIn this edition, we report the last chapter of Infection Prevention & Control Nurse Theresa Lewis’ journey, as she continues to support the response to the Ebola outbreak in Sierra Leone.
Sarah WoodmanService Manager and Lead Dietician
Outside of work it’s fair to say I’m an adrenaline junkie. I think it started as a child when my parents ‘encouraged’ me to play in the annual Cromer music festival. That feeling of overwhelming sickness in the lead up, trusting yourself to perform to your highest standard then the elation and immense satisfaction on completion, heightened by receiving a certificate, badge or winning medal.
I’ve always been very involved with Girl guiding and never cease to find inspiration and energy from the girls or other volunteer leaders. Many years back a retired guide amazed me commenting ‘she tries something new every year’. I loved this idea and decided to do the same.
Taking part in any ‘extreme’ activity is about pushing my boundaries, trying something new, realising what I can physically and mentally achieve, calculating risk and putting my faith in other people, often strangers. The overriding feelings of the enjoyment and personal satisfaction far outweigh the fear of the unknown and general terror beforehand.
As I write I am reminiscing about the thrills of recent exploits including the flying trapeze, the wing walking display, climbing waterfalls, hurtling down mountains and throwing myself out of perfectly serviceable aircraft. Not forgetting the less physical yet just as intense buzz when the community responder pager goes off or when singing ridiculous campfire songs in front of huge international audiences.
I am also however realising the relationship between these personal physical challenges and how I physically and mentally cope with situations in the workplace; for example our competitive tendering experience late last year. The fear, nausea, responsibility, preparation, risk, performing, blind faith, adrenaline. It was all there! - Fortunately, the elation and satisfaction was there too!
Do I do these extreme sports to raise money? Sometimes, when I can I do. Would I encourage others? Absolutely, go for it, take opportunities. Surprise yourself, it will have immense and far reaching benefits beyond expectation.
Do you have an unusual and interesting hobby? Get in touch by emailing [email protected]. Don’t forget, you can also nominate a colleague!
O F F DUTY
2015Nominations are now closed – so what happens next?
Nominations for the Star Awards have now officially closed! Thank you to everyone who has nominated - we have received over 200 nomination forms across the nine categories listed.
Nominees will be invited to celebrate at divisional tea parties. Certificates for any volunteers nominated for our ‘recognition for contribution of voluntary services to Southern Health’ will be presented at theses tea parties, and short listed nominees will be announced.
www.southernhealth.nhs.uk/inside/star-awards/
MH,LD & TQ21 Monday 7 September 2015 2.00pm – 5.00pm
ISD West Thursday 17 September 2015 2.00pm – 5.00pm
ISD East Friday 4 September 2015 2.00pm – 4.00pm
Corporate Thursday 10 September 2015 2.30pm – 4.30pm
Division Date Time
All short listed nominees will be invited to the main awards ceremony being held at Winchester Guildhall on Friday 13 November 2015.
Dates of divisional tea parties (locations will be announced soon):
