Word. The. James. Edition th July 2015

Transcription

1 The Word Edition th July 2015 The Trust values are to put quality first, focus on people and take responsibility. As Interim Medical Director, I have been working to develop a clinical strategy alongside the Director of Nursing and Quality. We want to ensure clinical quality is at the centre of all our work and are looking forward to hearing ideas for improvement from front line clinicians. We need your input in order to shape clinical services that deliver high quality outcomes to our patients and want your help to make a positive impact to the population we serve. Mortality measures are a marker of quality, so reviewing our deaths as a quality improvement process is fundamental to assuring our patients, commissioners and the Trust board that we are living up to our Trust values. The Mortality Review Group has committed that you, as our staff, will review and learn from deaths in our community hospitals and every unexpected death in our care and therefore improvements to our mortality review processes are being developed. I am keen to have high levels of clinical engagement in quality improvement activities as these lead to improved outcomes, sharing good practice and learning, better patient satisfaction, healthier finances and a reduction in incidents causing serious harm. Learning from our incidents; from clinical audit and through appraisal of our doctors and nurse revalidation we can all contribute to making quality improvements. Following our recent annual organisational audit of appraisal and revalidation, we plan to set up a decision making group which will look at any concerns about a doctor s performance. This will be set up by the autumn and will ensure we have an effective early warning system so things are picked up at the earliest opportunity. You may be aware of our work to improve patient flow through our community hospitals. Board and ward rounds are in the process of being altered and standardised, adopting the Exemplar Ward model which is being used with great success at University Hospital of North Midlands. Such changes are not without difficulties so it is imperative that frontline clinicians help shape the model at ward level. I am delighted that our research strategy will go to Trust board at its next meeting. There are a number of research activities being undertaken within the Trust such as trials of drugs and devices which have a direct impact on patient care and require medical leadership. I hope members together with staff will receive it well and acknowledge some of the fantastic research work that is going on across our Trust. James Dr James Shipman Interim Medical Director 1

2 The Word Summer Fayre 2 Scams Awareness Month 2 Mindful Moment 3 Moment Of Brilliance 4 Service Showcase 5 End Of Life Care For Prisoners 5 School Nurses Attend Coffee Morning 6 NMC Revalidation 7 A New Service For Carers 8 Thank You SUMMER FAYRE A summer fayre is to be held at the Haywood Hospital, High Lane, Burslem, on Saturday 15 August from 2pm and 4pm. Attractions will include a variety of stalls, The Jazz Stompers Band, a football competition, a bouncy castle, a jewellery and craft stall, a plant stall, and many other stalls. All proceeds will go to The Haywood Foundation Charity which supports local research into arthritis and associated conditions. Mindful Moment This week s Mindful Moment was submitted by Specialist Counsellor Julie Neale. Timing Toast There s an art of knowing when, Never try to guess. Toast until it smokes and then, Twenty seconds less. Piet Hein Do you have a Mindful Moment which you think colleagues would appreciate? Please submit them to Director of Operations Kieron.Murphy@ssotp.nhs.uk or his EA Jayne. Garrett@ssotp.nhs.uk for inclusion in The Word. Kieron Murphy 2

3 MOMENT OF BRILLIANCE- WIN A HAMPER FROM CEO! Moment of Brilliance or MOB boards and files have been popping up across the Trust since the launch of the MOB campaign at 1 Vision in June. Chief Executive Stuart Poynor has been incredibly impressed with the creativity and efforts which teams have put into their MOB boards, files and even trees! This week Stuart has announced that he will be presenting a hamper of goodies to the team with the best MOB display. Your MOB display can be in any format, all we ask is that you re as creative as possible and pack it full with thank you cards, compliments or anything which acknowledges your great work helping service users in the community! To be in with a chance of winning take a snap of your MOB display and post it on Twitter with the hashtag #ssotpmob or mymob@ssotp.nhs.uk 3

4 STOP SMOKING SERVICES IN PRISONS Partnership Trust stop smoking adviser Julie Pritchard has worked in prisons for the last two years. Here she explains her role and the positive impact it has on her clients. I began working for the NHS in 1995 as a Health Care Assistant working on a female surgical unit, I then moved to general practice and later the Minor Injuries Unit in Cannock. I made the jump to stop smoking service Time to Quit in 2011, initially advising in community clinics, then I was offered the opportunity to do this within the prison service. Prisons can be a challenging environment; each has its own regime and you can t predict what s going to happen. Occasionally there are lock downs, so you may turn up to see 30 clients to find you re unable to see any of them! It s important to understand what everyday life is like in prison, to realise the challenges faced. Around 80% of prisoners smoke compared to 20% in the general population. Smoking in prison is a coping strategy to manage stressful situations such as imprisonment, being transferred, court appearances, visits or to alleviate boredom. So when prisoners stop smoking, we work with them to develop new alternate coping strategies. Offenders are not generally known for using healthcare services in the community and key to my role is engaging with them. I saw one man who had very low confidence. He had some mild learning difficulties and had been told he had to quit smoking because of a heart condition. He was totally fazed and really wasn t sure what he had to do or why. I made sure that he became my last appointment of the day so I could give him extra time to reiterate advice and answer questions. I encouraged him to go back to his GP to have his heart medication re-explained to him, which he did. Giving him this extra time helped him and as a result he did quit smoking, and had the confidence to correctly take his heart medication as he understood its importance and the need to change his diet. Another man I saw was a 30 a day smoker. He believed he had made a mess of his life and by quitting smoking he felt a great sense of achievement. On his release it motivated him to take part in the 3 peaks challenge on behalf of a cancer charity. More than 1,000 offenders access the Trust s stop smoking service each year in Staffordshire and around half will successfully quit. Prisoners who have quit smoking can go on to become health trainers, supporting smokers as peer mentors back on the wings. Becoming a prisoner health trainer encourages prisoners to be proud of their achievement, and the responsibility of supporting others helps them stay quit. Seeing someone grow in confidence and taking steps to improve their health is very rewarding. It makes my role worthwhile. 4

5 Better End of Life care for prisoners Prison health staff from the Partnership Trust have joined forces with Macmillan Cancer to provide a range of palliative and end of life care services. Stafford Prison has a large number of offenders who are older than the general prison population and who are unlikely to be released early. Therefore it is anticipated that over coming years the number of prisoners at Stafford Prison will have a range of end of life conditions and needs. Sheilah Blackwell, Nurse Consultant Palliative Care, explains: We are delighted to have the opportunity to provide this new service at Stafford Hospital with Macmillan Cancer Support. Together, we will work with practice nurses and GPs linked to the hospital to ensure those patients with conditions such as cancer, heart failure or dementia are given a care plan and have access to appropriate services. She added that the service is part of an 18 month project which will be audited and reviewed, and will include an education and awareness programme for healthcare staff based in the prison as well as custody staff. It will also help them cope with the effects on staff and other prisoners caring for a person who is expected to die in custody. Sandra Daniels, Chief Operating Officer, said: The team, particularly Sheilah, have worked hard to develop this project and win the bid and should be congratulated. School Nurses Attend Coffee Morning School nurses in North Staffordshire attended a coffee morning at Silverdale Primary Academy with other agencies to offer support and advice to parents and carers. The school nurses focus is on early intervention and prevention for example, making healthy choices. School Nurse Annette Farnell and HCSW Susan Breeze were present to offer support, suggest information and impart knowledge on public health outcomes such as dental health, healthy eating and exercise within the primary school setting. Additionally, they were able to offer guidance for parents whose children have a disability, a complex health need or diabetes for instance, so that children can attend school regularly and reach their full potential. It was a great networking event for school nurses to enhance integration with partnership agencies and to improve the wellbeing of the families in Silverdale. 5

6 In our latest article highlighting the revalidation process to be introduced by the Nursing and Midwifery Council (NMC) next year, Liz Elliot, Professional Lead for health visiting gives some advice about practice related feedback and discussion. The revalidation model aligns to the four themes of the Code: one of which is; Prioritise people by actively seeking and reflecting on any direct feedback received from patients, service users and others to ensure that you are able to fulfil their needs. Specifically there is a requirement to obtain at least five pieces of practice related feedback over the three years prior to the renewal of your registration. For each registrant this will be different. Feedback can be obtained from a variety of sources and could include direct feedback from patients or service users, or feedback from carers, students or colleagues. You can also obtain feedback through reviewing complaints, team performance reports and serious event reviews. You may also have received feedback through your annual appraisal. As well as feedback obtained specifically on your individual performance you could also have feedback on your team, unit, ward or organisation s performance. However, you will need to be clear about the specific impact that the feedback had on your own practice. Feedback can be received in a formal or informal way and be written or verbal. It is likely that you will already receive a range of feedback. Examples of this are seen each week in The Word when staff and teams are thanked by service users for the services they provide. We also have feedback from service users through partners and patient questionnaires. It is really important to remember that if you are seeking feedback from service users that you need to be sensitive to the timing and circumstances when you request feedback. It might be helpful to assure patients and service users that your professional relationship with them will not be adversely affected by any feedback that they provide, and that they do not have to provide feedback if they don t want to. In some cases, you might want to consider using a third party to seek feedback on your behalf. If directly asking colleagues or patients for feedback, you need to inform them how you intend to use their feedback and whether it will remain confidential. When you are utilising feedback from colleagues remember these are not be limited to other nurses or midwives. There will be other healthcare professionals you work with as well people in management, on reception or fellow teachers, academics, researchers or policy colleagues. Depending on your role, you may need to think broadly about who your service users are. These may include students, research partners, and organisations commissioning you to undertake policy or provide advice. It is expected that you will discuss your feedback with another NMC registrant focusing on your Code of Practice. This can be undertaken in different ways such as a one to one, at a supervision session or in a group discussion. The discussion and learning will form part of your reflections. Revalidation is expected to encourage Continued... 6

7 engagement in professional networks and discussions, and reduce professional isolation. Once you have feedback you need to consider how you could record this in your portfolio. You do not need to include the actual instances of feedback but keep a note of the content and how you used it to improve your practice. This will be helpful for you to use when you are preparing your reflective accounts. You need to be careful not to include any information that might identify a specific patient or service user in your portfolio. It is really important to remember that we have already a requirement to show how we maintain our skills and knowledge in order to register, and revalidation is just a change in the way we do this. Revalidation reinforces the duty on you to maintain your fitness to practice within the scope of your practice and incorporate the Code in your day to day practice and personal development. The Partnership Trust is developing documents that will support you in the revalidation process. There is no requirement from the Partnership Trust for you to use them but they will be available soon for you to use if you wish. A New Service For Carers Across Staffordshire and Stoke-On-Trent Every day, thousands of people look after an ill, frail or disabled family member, friend or partner. Caring can be extremely rewarding but also a very real challenge at times. Staffordshire County Council and Stoke-on-Trent City Council are working together with our six Clinical Commissioning Groups, to jointly commission support services for the growing number of carers. The aim was to achieve a more consistent approach, whilst also delivering personalised support to carers, whatever their needs. As a direct response to the views, needs and aspirations of carers across Staffordshire and Stoke on Trent, and to meet the needs of the recent Care Act (2014) and the Children and Families Act (2014), the two Councils and the six CCGs have developed a new service, the Carers Hub. Carers and the community have been at the heart of the development and design of the new service, through extensive consultation and engagement. PeoplePlus has been successful in their bid to deliver the service and will work in partnership with local organisations, such as Crossroads Staffordshire, the Stroke Association, the Alzheimer s Society and Stoke City Football Club. The Carers Hub will have two physical bases, one in the south of the county and the other in Stoke-on-Trent, together with up to 20 outreach points and an online presence. The precise location of the bases and outreach points will be communicated once decisions have been made. The Carers Hub will ensure that there is a single point of contact to co-ordinate and improve access to local information and support for carers and professionals, and will act as a host for a number of services. The Carers Hub will go live on 1 October Existing services for carers will continue until then. 7

8 Thank You A service user s wife has thanked Tracey Sketchley and the Living Independently Staffordshire Team at Bilbrook House, Codsall for the way which they ve cared for her husband. She said: Thank you to the team for the help and support that you have given since my husband had his fall at the end of May. As he regained his mobility, as well as his confidence, I felt much more relaxed about the situation. I would like to add a thank you for the very efficient dealings that we had with you and the friendly manner which has always been a feature of your visits. At no time did we feel we were letting strangers into our home, very much the opposite. Without exception all the carers who came to our house looked after his needs in a very dignified way. They were always very friendly and happy, so much so that he looked forward to having a laugh and a joke with them Audrey Bailey and Carol Haynes, together with their colleagues in the Integrated Support team in Yoxall, Burton have been thanked for their support to a family of a lady at the end of her life. Audrey Bailey and Carol Haynes of the Integrated Support team were absolutely amazing as was District Nurse, Alison White of Yoxall Health Centre. Without exception the staff in the Integrated Support team who came in twice a day and then three times a day towards the end, were wonderful and made my mother-in-law s time at home as comfortable as possible. For those of us caring for her, I simply don t know how we would have managed without them. Staff on Scotia Ward have been thanks for their special care and professionalism. To all staff including Nurses, Cleaners and Physio s. I received special care, in a professional way, which was second to none. Also Dr. Menon and his staff. Lisa Hankey, Community Occupational Therapist team at Longton Cottage Hospital has received a short note of thanks from someone who she recently looked after. Dear Lisa, Thank you for all your help and everything you have done for me. Walk-in centre at Haywood Hospital have received a five star rating on NHS Choices in a review which reads: The service was slick and efficient. The triage nurse was really knowledgeable and informative. All staff were friendly and helpful despite the thankless task that they perform hour after hour. I had an X-ray and then a consultation with another member of staff post triage. Waiting time was surprisingly short and I was really impressed with the experience. Should I ever need medical attention in the future, this will be my go to. Thanks to all. Lisa Urwin, Occupational Therapy Duty in Newcastle and Stoke has been thanked for helping gentleman source equipment which he needed via Telephone Fast Track Assessment. He stated that he has now received the equipment and it is just the job. He stated that Lisa Urwin was very, very good and had proper customer care skills and attitude. Beth Weston from the Continence service in Cheadle has been praised by a service user who was diagnosed with prostate cancer in 2014 and has since had a Radical Prostatectomy. I was visited by a young lady, Beth Weston (Continence Nurse Specialist ) not long after my surgery who gave me excellent advice and encouragement regarding my concerns with incontinence. I have had two further appointments with Beth Weston at Cheadle Hospital with the same attention and reassuring advice. I would like to express my many thanks for the excellent support and information I received from your department. - Keep up the good work. To all the lovely carers at East Staffs LIS who looked after me. Thank you, lots of love. Health Visitor Judith Johnson who is based in Cheadle has received a thank you from a local parent. Dear Judith, Thank you for all your support it really is appreciated. A patient who received a small injection in her finger from the Musculoskeletal Integrated Clinical Assessment and Treatment Service has contacted the Trust to report that the procedure has worked very well and she s really pleased with the results. Well done! Please send all compliments to customerservice@ssotp.nhs.uk who are now recording all compliments for the Trust. A range of selected compliments will be forwarded for inclusion in The Word. Don t forget to add any thanks you receive into your MOB file. 8