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In this issue
Nigel Broad, Senior Nurse, was rewarded for his years of dedication to nursing when he was awarded an MBE in the New Years Honours.
• NigelBroadMBE• UnionNews• BowelCancer• PetulaGarner• PatientCare• PowysjoinsStonewall• Makingeverycontactcount• WindowsXPupgrade• Transplantrules• Footcare• Briefintervention• 5MinswithSarahSoutherby• ButterflySchemefordementia• Ifyouseesomething,say
something!
Nigel Broad MBE
POWYS tHB
NEWSSpring 2014Staff magazine
Nigeljoineduslastyear,havingworkedforABMUHealthBoardfor20years.NigelisbasedinYstradgynlaisbutworkswithcolleaguesacrossPowys.
Thehonourwasgiventohimforhisworkimprovingpatientsafetyandforhelpingtodevelopanddeliverthe1000LivesPlus‘SkinBundle’–aprojectwhichsawanincrediblereductioninpressuresoresinpatientsandhasgoneontobeusedacrossWalesandhasbeenadoptedbyothercountriesaswell.
Nigeliskeentopointoutthathewasn’tworkingaloneandsaid“Theworkwehavedoneforpressuresoreswasaspartofateamandthishonourreflectsthe
Nigel is keen to help keep patients at home and out of hospital.
hardworkanddedicationbyeveryoneinvolved.Ifitwasn’tforthegreatfront-linenursesandthesupportfrommedicalcolleaguesatalllevelsoftheorganisation,wewouldn’thavehadthesuccesswehad.AllofthepeoplethatIworkedwithdeservethishonouraswell.”
NigeljoinedPowysbecausehewantstohelptoreducethenumberofpatientsbeingadmittedtohospitalunnecessarilyandtohelppatientsreturnhomeasquicklyaspossible.NigelsawtheworkthathasalreadybeendevelopedinPowyswiththe‘VirtualWard’asarealopportunityforhimtohelpandgetinvovled.
EveryoneatPowysteachingHealthBoardisverypleasedthatNigelhasbeenhonouredinthisfashionandishappytohavehimworkingherewithus.
BULLETIN BOARD
“TheOccupationalHealthTeamwish
tocongratulatetheircolleagueClaire
Hughesonthesuccessfulcompletion
ofherOccupationalHealthDiploma
atMeritLevel.ClaireworksatBronllys
HospitalasanOccupationalHealthNurseandhasresponsibilityfortheNorthPowysclinicalarea.Iamsureall
colleaguesoutsideOccupationalHealth
willjoinusincongratulationstosucha
valuedmemberofourTeam.”
CongratulationsToClaireNicholas,HeadofCorporateHRPracticeandDevelopment,onachievingher(CIPD)CharteredInstitutePersonnelandDevelopmentQualification.
AlsotoJanLawrenceforpassinghersupplementaryprescribersexams.JanisthefirstPhysiotherapistinPowyswiththisqualification.
Five star food in Brecon
Well done to the catering team in Brecon
who have just been awarded 5 stars for
food hygiene by Powys County Council.
WelldonetothePatientServciesteaminLlandrindodWellswhoraisedover£100withacakesaleandChristmasjumperday!
Thank you
Tothemidwiferyteamandallthestaff
atBreconHospitalfromtheCAMHS
teamfortheirhelpandwelcomewhen
theteammovedtoBreconfollowing
theiroldhomebeingfloodedlastyear!
JoMussenandGloriaPowellwillbeleavingtheirrolesasNon-executiveDirectorsinMarch.JowasfirstappointedtotheBoardin2000andwasthenreappointedtothenewPowysteachingHealthBoard,becomingVice-Chairin2009.GloriajoinedtheBoardin2004althoughshehashadinvolvementwiththeNHSinPowysasaLayRepresentativesince1984.
Josays“Iamreallysorrytoleave,Ienjoyedmyinvolvementintheearlystagesofthe`BuilthProject’and,morerecently,beingleadforprimarycareandformentalhealth.Iamprobablyproudestofmyroleas`TimetoTalk,TimetoChange’ChampionandIhopethatstaffmentalhealthandwellbeingcontinuestogettheattentionitdeserves.
IwanttothankallthewonderfulstaffI’vemetandworkedwithinPowysovertheyearsandtowishyouallthebestforthefuture.
Gloriaadds“Myrolehasbeenaveryvariedone,challenging,sometimesfrustratingbutultimatelyveryrewarding.IhavebeenfortunatetoworkwithanumberofcommittedandveryprofessionalcolleagueswithintheHealthBoardandwithLocalAuthorityandThirdSectorofficers.
Iamgratefultothemallfortheirsupportandencouragementovertheyearsandwisheveryonewellinthefuture.Mysuccessorwill,Ihope,findamoreopenandconstructiveworkingrelationshipbetweenPtHBandtheThirdSectoronwhichtobuildandwillfindgreatfulfilmentinservingtheBoardinwhateverwaytheycantoensurehighqualityservicedeliverymeetingtheneedsofthepeopleofPowys.”
Weareallverygratefulfortheworktheyhavedoneandwishthemwellinthefuture.
Green Valleys aren’t afraid of the weather
TheGreenValleysteamofvolunteersbravedtheweatherinFebruarytostartpruningworkontheorchardsinBronllys.2
News from the Unions
Join the job matching panel and keep things balanced...
Ifyouwouldliketobeconsideredforpartofthe
panel,youwillneedtobeabletoattendregularjob
matchingpanels(atleastquarterly)andwillneedthe
agreementofyourmanager.
Youdonotneedtohaveanyexperienceandtwo
daysoftrainingwillbegiventonewpanelmembers.
The next training session will be 9&10 April and
held in Bronllys.
Ifyouwouldliketofindoutmore,contactRosie
Mellerick-Wheeleron01874712579oremailher,
[email protected],formore
informationandanapplicationform.
You should also talk to your union
representative about your intention to join the
panel.
To make sure that everyone’s jobs are graded fairly and we are paid what we should be, the NHS introduced ‘Agenda for Change’ pay grades in 2004. The system identifies strict criteria for all jobs to be measured against in order to keep things fair.Everytimeanewjobiscreatedoranexistingjobneedstobere-evaluated,apanelmeetstomatchandevaluatetheroleagainsttheAgendaforChangecriteria.
Itisreallyimportantthatthispanelismadeupoftherightpeople,bothmanagementandstaff.
Wearecurrentlylookingfornewmemberstojointhepanel,bothfrommanagementandfromstaff.
StaffsidemembersneedtobeamemberofarecognisedTradeUnion.
3
Lorraine Burroughs is a Speech and Language Therapist in Brecon. She’s married and has a young son. She also developed Bowel Cancer when she was just 28. This is her story.“Bytellingmystory,I’mhopingtohelpraiseawarenessthatpeoplecandevelopbowelcancerregardlessoftheirage.
Ihadmyson,FinnleyinApril2011,andlookedforwardtoanexcitingfutureasanewmum.WhenFinnleywasabout3monthsIstartedgettingabdominalpain,bloatingandabnormalbowelmovements.
IwenttomyGPwhobelievedIhadirritablebowelsyndromeandIwasgiventheappropriatemedicationtohelpmysymptoms.
However,thesymptomspersistedandgraduallygotworse.WhenthevomitingstartedIsawmyGPagainandwassentstraighttomylocalhospital,theRoyalGwent.Theyexaminedmyabdomen,gavemestrongerpainreliefandreferredmeforanultrasound,astheybelievedIcouldhavegallstones.
I survived bowel cancer: Lorraine Burroughs
Lorraine on her wedding day
BowelcanceristhethirdmostcommoncancerintheUKtoday.Althoughmorethan7in10ofthepeoplediagnosedwithbowelcancerareaged65andover,bowelcancercanaffectanyoneatanyage.
Bowelcanceraffectsaround1in20womenand1in16menintheUKeveryyear,andisthesecondbiggestcauseofcancerdeaths.
Despitetheseshockingstatistics,atleastoneinfourpeopleiscompletelyunawareofthedisease,orthesymptomsassociatedwithit.Thereasonsforthisarenotalwaysclear,butwedoknowthatweoftenshyawayfromtalkingopenlyaboutbowelsandbottoms,eventoourdoctor.
Afewweekslater,Ireturnedtohospitalasthevomitinghadreturned.
ThistimeIwasadmittedfor5daysandgivenanti-sicknessinjections,whichworked,andmorepainrelief.Ireceivedthescheduledultrasound,whichfoundnogallstones.ThenextstepwasthereforetorefermetoradiologyforanMRIandendoscopy,butIwastoldthatIwouldhavetowaitfortheseinvestigationsandwasthereforedischargedfromhospital.
Followingmydischarge,IfoundcaringforFinnleyverydifficult.Sowhilemyhusbandworked,mysisterhelpedmewithhim.
ThenonBoxingDay2011everythinghappenedveryquickly.Ifeltveryunwellandmyheartrateandbreathingwereelevated.IthoughtIhadoverdosedon
4
I survived bowel cancer: Lorraine Burroughs
Lorraine with husband Mark and their young son Finnley
theOromorphpainreliefthatIhadbeengiven.IwasrushedintoAandEviaambulance.Therestisalittlebitofablur.
IamawareIhadnumerousemergencysurgeriesbutlittleelse.Iwokeupeightdayslaterinintensivecare,onaventilator.
IwaslatertoldthatIhadhadatumourinmybowel,whichhadblockeditandcausedittoperforate.Thecontentofmybowelhadthenpoisonedmybodyandsentmeintosepticshock.Thiswasthecauseofmyelevatedheartrateandbreathing.
Myrecoverywasveryslow.DuetothedamagetothebowelIhadtohaveanileostomybagfitted.Ihadtolearntodoeverythingagain,fromsittinguptowalking.Ispentatotalofsevenweeksinhospital.
Mycancerwasastage3tumourwithlymphnodeinvolvementandatthispointaspreadtotheliverwassuspected,soIalsoIunderwentsixmonthsofchemotherapy.Halfwaythroughthechemomyregimehadtobechangedasmybodywasnotcopingwell.Thesideeffectsfromthechemowerevile.
IreceivedtheallclearinOctober2012andhadtheileostomybagreversedinFebruary2013.
MysonisnowtwoandahalfandIhavebeenabletoreturntowork.Iamverythankfultobeheretodaytowatchmysongrow.
Mostpeoplethinkthatbowelcanceronlyaffectsolderpeople.Butitdoesn’t.I’mluckytostillbehereandIhopethatthisstorywillhelpraiseawarenessofthisdiseaseandsavesomeone’slife.”
High-risk symptoms• Bleedingfromthebottom(rectal
bleeding)orbloodinyourpoowithoutanyobviousreason,suchaslocalsoreness,piles(haemorrhoids),tears(analfissures).
• Anychangeinbowelhabitthatlastsforthreeweeksormore,especiallyifyouaregoingtothetoiletmoreoftenorexperiencingunexplainedlooserpoo.Symptomsmayalsoincludeunexpectedconstipation,andafeelingoffullnessorincompleteemptyingfromyourbackpassage(rectum)afteryouhaveusedthetoilet.
• Anyconstant,unexplainedpainanywhereintheabdomen,especiallyifitissevere.Itmayalsobelinkedtogoingtothetoilet,oritmightcomeandgolikecrampsorcolic.
• Anunexpectedlumpinyourabdomen,especiallyifitisonyourrighthandside.
• Unexpectedweightlossperhapsduetolostappetite,orfeelingbloatedorsick.
• Unexplainedtiredness,dizzinessorbreathlessness(symptomsofanaemia).
MostpeoplewiththesesymptomsDONOThavebowelcancer,butyourGPwillcertainlywanttoexamineyouandmayreferyouordofurtherteststoruleitout.Informationreproducedwithpermissionfromwww.beatingbowelcancer.org
5
Petula Garner, Award winning nurse
Petula Garner is the Respiratory Nurse Specialist for South Powys. Last year she won the Royal College of Nursing’s ‘Clinical Nurse Specialist of the Year’ award and was invited to attend a gala presentation in Cardiff.Petulawasverymodestwheninterviewed,saying“Idon’tknowwhyIgotthisaward,I’mnotoneofthosepeoplethatstandout,Ijustgetonwithmyjob.”However,withalittlediggingitturnsoutthatinherfirstyearasarespiratorynurse,shereducedhospitaladmissionsforAsthmaenormously.
PetulajoinedtheHealthBoardin2002todevelopthespecialistrespiratoryservice.SheworksbyhelpingtoeducateGPs,PracticeNursesandDistrictNursesontheissuesassociatedwithrespiratoryillnesses,andlooksafterpeoplewithcomplexneedsherself.
SheestablishednewpoliciesandwaysofworkingandextendedwhatwasinitiallyaservicejustfortheYstradgynlaisareatoonethatcoversthewholeoftheCounty.WhenshestartedshewastheonlyspecialistinPowys,butfollowingonfromhersuccesstherearenowtwoothersaswell,oneforeachlocality.
Asanex-miningcommunity,YstradgynlaishasahighprevalenceofChronicObstructivePulmonaryDisease(COPD)andotherrespiratoryillness.However,thankstoPetula’swork,theyhavethelowestadmissionrates.
ManyofPetula’spatientsarelookedafterusingthe‘virtualward’modelwhichreallyhelpskeepthemoutofhospital.Somehaveoxygentherapyathomewhichtheyareabletomanagethemselves,withsupportandtrainingfromPetulaandcolleagues.
Onesuchpatient,MrMorris,suffersfromCOPDandhasarangeofcomplexrespiratoryneeds.Petulavisitshimweeklyandisonhandviatelephonetoensurethatifhisconditionflaresup,hecanbelookedafterandmanagedquicklytoallowhimtostayinhisownhome.
MrMorrissaid“Petulagivesmepeaceofmind.ShehelpskeepmeontherightfootandremindsmewhatIneedtodotolookaftermyself.IwasreallypleasedwhenIheardthatshewontheawardasshereallydeservesit.Ihaveallmyfaithinher.”
IfyouwouldliketofindoutmoreabouttheworkthatPetuladoes,youcancontactherbyemail,[email protected]
PetulaisbasedinYstradgynlaisHospitalbutcoversthewholeofSouthPowys
PetulaattendedagalaeventatCardiffCityHalltoreceiveheraward
6
Anewwaytolookatpatientcare?The All Wales Patient Experience group has been looking at an article by the American College of Healthcare Executives which suggests we should focus on ‘Always Events’ as much, or more than, ‘Never Events’.
‘NeverEvents’havebeendiscussedforanumberofyearsnow;thosethingsthatshouldNEVERhappeninahealthcaresetting,butunfortunatelydooccuroccasionally.Thearticlesuggestsweshouldidentify‘AlwaysEvents’–providingclarityaboutwhatshouldhappenforeveryperson,everytimetheyusetheNHS.
ThearticlegivesanumberofexamplesofhowthisattitudeisbeingputinplacebyhospitalsintheUSA,buttheprinciplescanbeappliedasreadilyintheNHS.
Itconcludesbytalkingabouthowmanagementcantakealead:
‘Too often, healthcare improvement efforts focus exclusively on what is wrong with healthcare rather than building on what is already done well and focusing on how to do it consistently.
Leaders, however, can set the right tone by helping their organizations reframe their discussions about person-centered care in a positive, collaborative way that builds relationships between and among patients, families, staff and providers.
Leaders can use Always Events to send the message that making care more person and family centred is the key to addressing some of today’s most challenging issues in healthcare, including reducing avoidable readmissions, improving care and communication across the continuum and improving patient safety.”
To read the whole article, contact Wendy Morgan in Quality and Safety.
PetulavisitsMrMorristocheckthathisoxygentherapyequipmentisworkingcorrectly.
Chronicobstructivepulmonarydisease(COPD)isthenameforacollectionoflungdiseasesincludingchronicbronchitis,emphysemaandchronicobstructiveairwaysdisease.
PeoplewithCOPDhavedifficultiesbreathing,primarilyduetothenarrowingoftheirairways;thisiscalledairflowobstruction.
TypicalsymptomsofCOPDinclude:
• increasingbreathlessnesswhenactive
• apersistentcoughwithphlegm
• frequentchestinfections
ThemaincauseofCOPDissmoking;smokingirritatesandinflamesthelungs,whichresultsinscarring.
COPDisoneofthemostcommonrespiratorydiseasesintheUK.
Itisthoughtthereareover3millionpeoplelivingwiththediseaseintheUK,ofwhichonlyabout900,000havebeendiagnosed.ThisisbecausemanypeoplewhodevelopsymptomsofCOPDdonotgetmedicalhelpbecausetheyoftendismisstheirsymptomsasa‘smoker’scough’.
7
Powys joins national programme to support LGB equality for staff.
Powys teaching Health Board has joined Stonewall’s Diversity Champions programme which promotes and develops good practice for employers. The programme – run by the Lesbian, Gay and Bisexual (LBG) equality charity – promotes a good working environment for all existing and potential employees and commits members to ensuring equal treatment for those who are lesbian, gay or bisexual.TheHealthBoardjoinsotherHealthBoards,PowysCountyCouncilandover600majoremployersontheprogrammeincludingtheNationalAssemblyforWales,SportWales,LloydsBankingGroupandAmgueddfaCymru/NationalMuseumofWales.
‘Bysupportinganddevelopingourlesbian,gayandbisexualstaffthroughtheDiversityChampionsprogrammewe’resendingoutapowerfulmessagebothtoourexistingandpotentialstaff,aswellastothewidercommunity,’saysDavidLong,AssistantDirectorofWorkforceandOD.‘We’reproudtojointheprogrammeandlookforwardtodevelopingourworkaroundsexualorientation’
AndrewWhite,DirectorofStonewallCymrusaid:‘ByjoiningtheDiversityChampionsprogrammePowysteachingHealthBoardhaverecognisedthatpeopleperformbetterwhentheycanbethemselves.Ourmembersareforwardthinking21stcenturyemployerswhowanttorecruit,recognise,andsupporttheverybeststaffregardlessofbackground.
DuringFebruarywewillbelaunchingapublicitycampaignaddressinghomophobia.StonewallarealsoofferingtheirexpertisetousonestablishinganLGBstaffnetworkandaforum.Tofindoutmoreortofindouthowyoucanhelp,checkoutourStonewallsectionontheLGBpageoftheEqualityandDiversitysectionoftheintranethttp://howis.wales.nhs.uk/sitesplus/867/page/58807 orcontacttheEqualitiesManager,[email protected]:07887513169.Davidcanbecontactedbyemailing,[email protected]
Powys teaching Health Board believes that the promotion of health and wellbeing should be at the heart of our work as an organisation. Making Every Contact Count (MECC), is an approach which aims to promote this idea and support NHS staff to help people to make positive changes to their health behaviour.
MakeEveryContactCount,isaboutusingeveryopportunitywehaveasstafftodeliverbriefadvicetoimprovehealthandwellbeing.Itisaboutususingeveryoccasiontoaskourpatientsandserviceuserstherightquestionstofindoutabouttheirunderlyinghealthneeds,sothatwecanthengivethembriefadvicetohelpimprovetheirhealthandwellbeing.Itdoesn’tmatterwhetherweareclinicalstaffornot,everyonecanhelptogivebasicadvice.
OverthenextfewmonthsthePublicHealthTeamwillbedevelopingarangeoftoolsandtrainingtohelpallstafftogetinvolved.
DrCatherineWoodward,DirectorofPublicHealthandStrategicPlanningcommented“Staffhaveacriticalroletoplayinhelpingpatientsofallagestoadopthealthierlifestyles.WehopetobuildontheexcellentworkofMECC(availableatwww.makingeverycontactcount.co.uk)toallowallstafftohavearole.”
Ifyouwouldliketofindoutmoreandwouldlikesupporttohelpyoutodelivereffective,briefadvicewithinyourdailywork,contactnicola.gordon@wales.nhs.ukorcall01874712738formoreinformation.
MAKING EVERYCONTACT COUNT
8
For many years NHS computers have run Microsoft Windows XP, which has worked well with all NHS software. But from this year, Microsoft are no longer supporting Windows XP, which has been replaced by newer systems.ThereforewearenowintheprocessofupgradingallourXPcomputerstoWindows7Enterprise.
Manycomputerswillalreadyhavebeenupgraded,butifyouarestillusingWindowsXPyoucanexpectanupgradeshortly.
SomenewercomputerswereinstalledwithWindows7ProfessionalandthesewillalsoneedupgradingtoEnterpriseoncealltheXPupgradesarecomplete.
TofindoutwhicheditionofWindowsyouarecurrentlyrunningonyourcomputergoto:Start\Control Panel\System and Security\System.IfyouareanXPuseryouwillreceivenotificationclosertothetimeofyourupgradedateexplainingtheprocessinmoredetail.Atthistime,wemayalsorequireinformationfromyouaboutyourcomputer/applicationsinordertocarryouttheupgradeassmoothlyaspossible.
ThoseofyouwithWindows7ProfessionalwillrequireanupdatetoWindows7Enterpriseatalaterdate(BetweenApril2014andJune2014)tomakeuseofanewencryptionsystem.
Forthoseofyouwithpersonalcomputersathome(thathaveaWindowsXPoperatingsystem)pleasevisithttp://windows.microsoft.com/en-gb/windows/end-support-help forfurtherinformation.
Windows XP upgradeFAQQ: I have an XP machine, what do I do?
A:Nothing,wewillnotifyyouinthe2weekspriortoyourmigrationwithanyinstructions.
Q: I have Win7Pro, what do I do?
A:Windows7ProfessionalmachinesarescheduledforupgradetoEnterpriseinthenextphase.ProbablybetweenApril–June2014.
Q: What will the upgrade mean (will I lose any data, will the computer look any different when it’s done?)
A:Allworkyoupreviouslyhadstoredonthenetworkwillremain.Someinstalledprogramsandappsmayneedtobereinstalledaftermigrationbutwewilltrytoidentifythiswithyoupriortothemigrationdateandarrangeaconvenienttimeforreinstallation(probablythenextdayifyouareavailable).UsersettingsandcacheddataforMicrosoftproductsshouldremain.
Q: How long will I be without a computer (do you take it away to do remotely or come to me?)
A:Theprocessfordesktopmachinesonhospitalsitesisgenerallyremote.SomeexternalsitessuchasGPsurgerieswillrequiremanualmigrationsowillbevisitedbyamemberoftheITteam.Inasuccessfulmigrationtheprocesswouldstartat4:30pmandfinishovernight.WhenyoureturntoworkthenextmorningmigrationtoWindows7willbecomplete(however,someuserswhohavespecialistsoftwareinstalledmayrequireITtore-installitthenextmorning,butthiswouldbearrangedpriortomigration).
Q: When is this process starting?
A:Wehavestartedalready.
Q: Why are we only upgrading to Windows 7 when Windows 8 is available?
A:BecausetheNHSrunssomanyspecialistsystems,ittakesawhileafterthereleaseofanoperatingsystemforthesesystemstobeupgradedtorunonthem.Thereforewearealwayslikelytobeatleastoneversionbehindthelatest.
MAKING EVERYCONTACT COUNT
9
New transplant rules
Last year, the Welsh Government passed a new law on organ donation. The new rules will come into effect on 1 December 2015. After that date, everyone will be assumed to consent to donating their organs after death unless they have specifically opted out.
Whychangethesystem?In2012/13,35peoplediedinWaleswhilstwaitingforanorgantransplant,asadonorcouldnotbefoundtoenabletransplantationtogoahead.
Veryfewpeopledieincircumstanceswhereorgandonationispossible.Soitisimportanttohaveasystemtoensurethatasmanyofusaspossibleareidentifiedaspotentialorgandonors.
Itisrareforfamiliestobeintheawfulsituationwheretheirlovedonecouldbeapotentialdonor.Currentlyin43%ofcaseswhereorgandonationispossible,familiessaynotodonationbecausetheydon’tknowwhethertheirlovedonewantedtobeadonor.
Mostpeoplesupportorgandonation,buthaven’tregisteredtheirdecisiontobeadonor.
Thenewsystemwillmeanifyousupportorgandonation,youwon’thavetoregisterawishtobeadonor.Thenewsystemwillhelptomakeyourdecisiononorgandonationclearertofriendsandfamily.
Sowhodoesthisaffect?Thenewrulesaffecteveryonethatisover18andhaslivedinWalesformorethan12months.Itwillnotaffectthosewhohavenochoicewheretheylive,suchasthoseinthearmedforcesorinprison.
WhatthenewlawmeansinPowysAlthoughPowysiswithinWales,ithasalongborderwithEnglandandmanyofusreceiveourhospitaltreatmentinEngland.ThenewrulesonlyapplytothosethatliveANDdieinWales.Thereforeifyouwouldliketodonateyourorgansafterdeath,itisrecommendedthatyoualsoregisterasadonorontheEnglishsystemtobecoveredintheeventthatyouaretakentoanEnglishhospital.
Whataboutmyfamily?Peopleclosetothedeceasedwillalwayshaveaveryimportantparttoplayinanydiscussionaboutorgandonation.
Inadeemedconsentsituation,familyinvolvementisessential,togiveamedicalhistory,residencyandpossiblyalsoacheckonmentalcapacity.Theymustalsobepresenttobeallowedtoprovideinformationaboutwhetherthedeceasedobjectedtoorgandonation.Iftheyknowthedeceaseddidnotwanttodonatethendonationwillnotgoahead.
SowhatifyouDON’Twanttodonate?Beforetheendofnextyear,theGovernmentwillopenaregisterforpeopletooptout.Thishasnotyetbeenstarted.
WhatifIDOwanttodonate,evenifIdieinEngland?Youcanregisteryourintenttodonatenowatwww.organdonation.nhs.ukThiswillstillrecordyourwishesafterthenewlawcomesintoforce.
10
Foot CareOne of the most common causes of difficulty for older people is foot care. Simple acts such as cutting toe nails becomes much harder as we get older and simple foot problems can quickly lead to more serious ones which can reduce a person’s ability to get around.Powysishometoalargenumberofolderpeople,andtheproportionofolderpeopleisexpectedtoriseoverthenextfewyears.
Tohelpsolvethis,PowysAssociationofVoluntaryOrganisations(PAVO)havesetuptheSocialFootCarePartnership.
Overthelastyear,theSocialFootCarePartnershiphasgonefromstrengthtostrengthduetothehardworkofthecoordinators,commitmentofvolunteersandtrainingbyourPodiatrystaff.AnincreasingnumberofpeopleinPowysarenowabletoaccessaffordablesocialfootcarelocally.AstrongpartnershiphasbeenestablishedbetweenthePodiatryTeam,theThirdSectorandtheCountyCouncil.InmanytownstheprovisionofsocialfootcareisalsolinkedwithotheractivitiessuchastheLegClub,makingiteasierforpeopletoaccess.
TheprogrammeisdeliveredacrossPowysbyseveralorganisations.
• CAMAD(CommunityActionMachynllethandDistrict)providesaservicetopeopleinMachynlleth2-3timesamonth.
• SimplyNails(AgeCymruPowys)hasestablishednewservicesinKnighton,Presteigne,NewtownandWelshpool,reinvigoratedtheYstradgynlaisgroupandmaintaineditscoregroupsinBuilthandBrecon.
• Theprogrammeisawareofthechallengesofprovidingaserviceinresidentialhomes,theneedfortrainingofhealthcareassistantsonwardsandincommunitysettings,aswellastheneedforservicesinmentalhealthwards.
• Fundingandsustainabilityremainanon-goingconcernparticularlywhenpumpprimingmoniesceaseandcorefundingofexistingserviceprovidersisthreatened.Ittakesseveralmonthsfornewservicestogeneratesufficientincometocovercosts.Jointbulkbuyingmayhelpreducecosts.DespitetheseworriestheSocialFootCareProgrammehopestocontinuetoprovideanexpandingprofessionalservice.
• TheCouncil’sRhayaderHomeSupportwillbelaunchinganewhomebasedserviceinJanuary2014whileEastRadnorDayCentreprovidessocialfootcaretoitsmembers.
Tofindmoresearch“footcare”atwww.info-engine.org.uk
Working in Partnership:JillLloyd-PhilipsprovidestheSimplyNailsservicealongsidetheLegClubinBrecon
SarahRochira,OlderPeople’sCommissionerforWales,visitedtheSimplyNailsserviceandLindsayLegClubinBreconrecently.Sarahsaid:“Theimpactofthesetwoservicescannotbeunderestimated.Manyoftheolderpeoplethatusethemtoldmethatiftheywerenotavailable,theywouldnotleavetheirhouses,wouldbeinpainandwouldnotbeabletodothemostbasicthings,makingitdifficultforthemtomaintaintheirindependence.Manyofthesepeoplewould,therefore,requireformalpackagesofcare.
“Theservicesalsoprovideanopportunityforolderpeopletochat,laughandsocialisewhileaccessingotheressentialhelpandadvice.”
AgeCymruPowys’JillLloyd-Phillipsstartedanailcuttingpilotschemein2011andithasnowgrownmassively,withmonthlySimplyNailsclinicsinBuilthWells,Brecon,Ystradgynlais,Presteigne,Knighton,WelshpoolandNewtown,lookingafter500clients.
Jillsaid:“Itisnotjustaboutthenailcutting,butprovidingsupportandhelpthroughtherelationshipsandfriendshipswebuild.Forexample,onepersonwhowasusingtheservicewassleepingdownstairsashecouldnolongergetupstairsinhishouse.Wegothimsomehelpandhewasrehomedinabungalow.”
SarahRochiratalkstoanailcuttingvolunteer 11
Last year Sally Price went on “Brief Intervention Training” (BIT) at the suggestion of her manager. The course aims to help staff to have the confidence to talk to patients about smoking and to sign-post people to the various smoking support services that are available.SallyhasworkedinthePhysiotherapydepartmentinKnightonforfiveyearsandmeetsawiderangeofpeoplethroughherwork.Sheexplainedthat“It’snotaboutforcingpeopletoquit,butaboutkeepingtheideafreshintheirmindsandmakingsurethattheyknowhowtogetsupport.”
Followingthecourse,Sallyputupadisplayboardinherdepartmentthathighlightsthedangersofsmokingandthebenefitsofquitting.Oneposteridentifiesallthedifferentingredientsofacigarette,whichwasquiteaneye-opener!
TheboardprovedverypopularandwasnominatedforanExcellenceaward.Parentshavebroughttheirchildrenintoseeitinordertodiscouragethemfromsmoking;onelocal
What a difference a
factorymanagertookphotosofittoshowtohisstafftoencouragethemtoquit.
Whentalkingaboutwhyshequitsmokingherself,Sallysaid“Ihadaclosefamilymemberwhowasaffectedbyasmokingillness.Youalwaysthinkitsgoingtohappentosomeoneelse!”
Overthepastfewyearstherehavebeenmanydifferentanti-smokingmessagesandthenumberofsmokershasdeclined.However,someoftheoldmessagesdon’tseemtobehavingthesameimpactanymore.Sallysaysit’snotjustthefinancialbenefitsanymoreasalotofpeoplesmokerollups.Thankfullyit’sbecomeveryunsociabletosmoke.Butshedescribedhowshockedsheisatthenumberofpeoplethatstillsmokeinfrontofchildren.Smokinginthehome,andevenworse,incarswhenchildrenarepresentcanputthosechildren’shealthatasmuchriskasthesmokerastheydon’thavethebenefitofbreathingthroughthefilter.
Sallywentontosay“IwouldrecommendotherstotaketheBITcourse.Ireallyenjoytalkingtootherstohelpthemquit.Idon’timposeonpeopleandIkeepitlightandhavealaughwithpatients.Someareinterestedandsomenot.Butthemorepeoplethattalktoyouaboutquitting,thebettertheimpactoverall.TofindoutaboutwhenyournextBITcourseisrunning,contactthetrainingteam,[email protected].
“Brief intervention”
Sally’sboardhasbeenpopularwithpatientsandsawhernominatedforastaffexcellenceaward
SallytookBriefInterventionTraininglastyearandnowadvicesherclientsonwaystoquit.
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Which tourist attraction would you recommend to someone new to the area or visiting?
IntheNewRadnorforest,avastwaterfallcalled‘waterbreakitsneck’.It’slikeasceneoutofLordoftheRingswithitsancienttreesandlichensandthemooditcreatesisalmostmedieval.Theyusedtodriveanimalstotheirdeathoffthetop,henceitsname.Don’tforgettotakewaterproofs.
What is your next big target or issue to tackle?
Tryingtostrikeabalanceathomewithmychildrentheiruseofelectronictoys,smartphones,laptopsandMPplayerswithconversationaroundthemealtable.
TakingupmyopportunitytoworkinAfricafor8weeksthroughtheAcademiWalesandWelshGovernmentWalesforAfricaprogramme.
What are your hobbies outside of work?
Masteringanacreofneglectedgardenandsteepslopesinmygarden.MyfourchickensandIlovesnowdropsandhaveacarpetofthemwhichIprotectfromthemaraudingfeetofchildren.
What is the one thing you have done that most people would never do?
Ispent6monthsworkingandthentravellingaroundAmerica.TherewasaremovalcompanyinTimesSquarewhoaskedforvolunteerstodriveclient’scarsacrossAmericawhentheymoveinterstate.ThehighlightwasdrivingalargestationwagonfromNewYorkanddeliveringittotheownersinArizona.
Ihavealsowrittenachildren’sshortstory(whichwasneverpublished).
Who would play you in the film of your life?
MerylStreep
Where in the world would you most like to visit and why?
TheHimalayas-thewalkingandsceneryisspectacular.
If you could live anywhere in the world, where would it be and why?
Awarmdestination,I’dreturntoAmericatomorrow.
What’s your lifelong ambition?
Raisemyfamilytohavebucketloadsofemotionalresilience,toleranceandoptimism.
Name: Sarah Southerby
Job Title: Planning Manager
Base: Desk sharing in Brecon and Llandrindod since storms closed the Mansion House!
Tell us about your job
Iworkwithtwohats:corporateplanningwhereIsupportthedevelopmentofstrategicdevelopmentplansforservicessuchasDiabetesandunscheduledcare.Iamalsopartofthemidlocalitymanagementteamandworkwithotherstoimprovepathwaydesign,thepatientexperienceanduseaproblemunderstandingapproachforthesafedeliveryoflocalservices.Anurseatheart,Itrytoretainastrongpatientadvocateinplanningservices.
What do you like most about your job?
ProbablyjustthesheervarietyofworkIgetinvolvedinandthebreadthanddepthofopportunityitbringstobetterourservices.Workingwithpeoplefromallwalksoflifeoutsideourownorganisationisinspiringandrewardingandsometimeschallenging,butthat’spartofthefun.
Who inspires you?
Myformalresponsewouldbeoneofthegreatestcharismaticleadersofthecentury,NelsonMadibaMandela.Myheartfeltresponsehowever,ismygrandmotherwhowasthemostdowntoearth,resilientandoptimisticpersonwhohasbeenandcontinuestobeahugeinfluenceonmylife.Shereallycouldhappilyfeed40,000withcabbagewater,aturkeyneckandboiledpotatoes.
What’s your favourite thing about Powys?
Theironyofthearchitectureofthecountryside.Forsomeit’sahugeoutdoorplayground,forotherslessfortunate,it’sabeautifulgreenprison.
Five minutes with:
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Autistic Spectrum Disorder (ASD)Information Day for Parents, Carers and Professionals in Powys
Wednesday 19th March 2014 at 10am-2.30pmThe Welfare, Brecon Road, Ystradgynlais SA9 1JJThe ASD Strategic Action Plan for Wales was launched in 2008, the first of its kind in the world! Powys has its own ASD Plan that is being actioned by multi agencies working together to meet the needs of those with an ASD.
We would like to invite up to 80 parents, carers and professionals working with children and young people with an ASD to an information day. The event will include presentations on the all Wales and local ASD plans and provide the opportunity to attend workshops. Parents can also visit poster presentations and network with fellow carers and professionals during the event.
Please select two of the five workshops and indicate your choice when booking:
1. Understanding Autistic Spectrum Disorders (ASD)2. Understanding Impairment and Social Imagination and the Effect on Behaviour3. What is an ASD Friendly School?4. How Can I Help my Child to Communicate?5. Living with Asperger Syndrome—A Personal Perspective
Places will
be allocated on
a first come, first
serve basis!!!
Refreshments and lunch will be provided.
For information on workshops or to book a place please contact:Email - [email protected] Tel: 01874 712579Event organiser: Rebecca James, ASD Co-ordinator Tel: 01874 712607
Around 70 people attended a training and information day in Bronllys in February as Powys joined the ‘Butterfly Scheme’. Attendees included clinical staff from across the whole of Powys, enabling them to learn new techniques for managing the needs of patients with dementia.
Powys joins the ‘Butterfly Scheme’
TheButterflySchemeprovidesasystemofhospitalcareforpeoplelivingwithdementiaorwhosimplyfindthattheirmemoryisn’tasreliableasitusedtobe.
Memoryimpairmentcanmakebeinginhospitaldistressing,butitneedn’tbe.Inhospital,dozensofstaffcanpassthroughapatient’slifeeachdayandinordertodeliverappropriatecare,theyneedtoknowthatapatienthasdementiaormemoryimpairmentandhowtosupportthem;thisiswheretheButterflySchemecomesin.
TheButterflySchemehasnowbeenadoptedbyoverahundredhospitalsacrossthelengthandbreadthoftheUK;hospitalstaffreallydowanttocarewellandtheytypicallyenjoyusingtheskillsandsystemsprovidedbytheButterflyScheme,enablingthemtocareappropriatelyforthisgroupofpeople.
www.facebook.com/PowystHB
@PowystHB
Follow us on Social Media!
Don’t forget, the Health Board is on Facebook and Twitter.
It would really help if staff who use these could ‘like’ and follow’ the Health Board and share and re-tweet messages to help other people across Powys stay informed about what’s going on with local healthcare.
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IfyouSeeSomething,SaySomething!There has been a lot of coverage in the news over the last year about the quality of care in the NHS and elsewhere. One of the most notable things that linked every case was that staff were often aware that things weren’t right, but waited before saying anything about it.
Ifyouareworriedthatsomethingwrongordangerousishappeningatwork,pleasedon’tkeepittoyourself.Unlessyoutellusaboutanyconcernsyoumayhaveaboutsafetyrisksincludingclinicalsafety,fraudorotherwrongdoing,thechancesarethatwewon’tfindoutuntilit’stoolate.
AllofuseitherhaveorwillsoonhaveundergonetrainingbasedaroundtheFrancisReport.Thisshowshowimportantitisthatweallthinkabouttheworkthatweandourcolleaguesdo,andraiseanyconcernsthatwehave.
Itcanoftenfeeldauntingtoraiseaconcern–youmaybequestioningtheworkofyourcolleagues,butitisimportantthatwedoeverythingwecantoimprovetheworkwedo.Byhighlightingwherethingsaren’tastheyshouldbe,orbysuggestingwayswecouldchange,wewillbeabletoimprovethecarewedelivertoourpatients–andthat’swhatwe’reallheretodo;theneedsofourpatientsshouldalwayscomefirst.
Ifappropriate,raiseyourconcernswithyourmanager,eitherbytalkingorwritingtothem.Theyshouldthenbeabletotakeaction.
Ifyoudon’tfeelabletoraiseyourconcernwithyourmanager,youcaneither,contacttheHealthBoard’sConcernsChampion,RogerEagle;amemberoftheWorkforceandODdepartment;oryourprofessionalleaddirectly.Thiscanbedoneconfidentiallyifyouwish.
AnyconcernregardingpotentialfraudorcorruptionshouldberaisedwithRobJeffries,[email protected]
Remember:• Raiseitwhenit’saconcern–youdon’thave
toproveit
• Keepitinperspective–theremaybeaninnocentexplanation
• Itwillhelpifyoucansayhowyouthinkthingscanbeputright
• Staycalm–you’redoingtherightthing
• Ifyoumakeareportinthepublicinterest,youwillnotbeatanyriskofretributionforraisingit.Harassmentofanyoneraisingagenuineconcernwillnotbetolerated
A selection of things that should be reported:• Poorqualitycare
• Malpracticeinthetreatmentof,orilltreatmentorneglectof,apatientorclient
• Disregardofagreedcareplansortreatmentregimes
• Inappropriatecareof,orbehaviourtowards,achild/vulnerableadult
• Staffbeingmistreatedbypatients
• Inappropriaterelationshipsbetweenpatientsandstaff
• Illnessthatmayaffectamemberoftheworkforce’sabilitytopractiseinasafemanner
• Substanceandalcoholmisuseaffectingabilitytowork
• Negligence
• Wherefraudortheftissuspected
• Disregardoflegislation,particularlyinrelationtoHealthandSafetyatWork
• Abreachoffinancialprocedures
• Unduefavouroveracontractualmatterortoajobapplicanthasbeenshown
• Informationthatanyoftheabovehasbeen,isbeing,orislikelytobeconcealed
Please note that this library image is not intended to show any lack of care
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You need to be! There is new legislation in Wales which requires public services and their staff to recognise and support carers, as over 12% of the population in Wales are unpaid Carers and fulfil a vital role in Health and Social Care.
The Carer Aware e-Learning course ThiscoursehasbeendesignedtosupporttherecentchangesinlegislationandwillprovideyouwiththeknowledgeandunderstandingtoidentifyCarersandbeconfidentinprovidingadvice,guidanceandinformation.
Some comments from people that have done the course:
” This course helps to provide a greater understanding of Carers roles, the challenges they face as well as services that are needed to support Carers”
“Very informative course, and very enjoyable to complete”
“Carers stories were brilliant. Website links very useful.”
ThecoursehadbeendevelopedbytheMid&WestWalesSocialCarePartnership,whichincludesPowysteachingHealthBoardandPowysCountyCouncil
Booking InformationToenrolyourselforyourteamforthecourse,pleasecontactthetrainingdepartmentviaemail-Roisin.Mellerick-Wheeler@wales.nhs.uk.AlternativeoptionsareavailableforstaffthathavelimitedornoaccesstoPCsduringnormalhours.
TRAININGAre you Carer Aware?
Key features & benef its• Interactivecoursewithcasestudiesandscenariosthathelptoengageand
strengthenyourunderstandingofthekeyissues.
• ProvideslinkstorelevantlocalandregionalorganisationsonCarersservicesandsupportthatreallymakeadifferencetotheCarerswell-being.
• BothWelshandEnglishlanguageversions
• Highlyflexiblecourseallowsyoutostudythefourmodulesatyourownpace,andsavesyourprogress.
• CertificateonsuccessfulcompletionandyourachievementisrecordedinESR
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