An Introductory Welcome to Central Manchester University Hospitals NHS Foundation Trust for Allied Health Professionals and Healthcare Science Students, Incorporating Manchester Royal Infirmary Saint Mary s Hospital Royal Manchester Children s Hospital Manchester Royal Eye Hospital University Dental Hospital of Manchester Trafford Hospitals Community Services
Contents Subject Page Number CMFT- An overview of the organisation Page 3 Recognising Staff menmbers Page 4 NHS constitution Page 6 CMFT Behavioural Framework Page 8 The Role of the Practice Education Facilitator Pages 9 Raising and Escalating Concerns CMFT Clinical Placement Charter Expectations of the Learner Supernumerary Status Mandatory Training Identification Badges Accompanying/Escorting a Patient Emergency Responsibilities How to place an emergency call How to use the bleep system Car Parking Moving and Handling Cultural Needs Uniform Policy Infection Control Sickness and Absence Reporting Pages 12 Page 13 Pages 14 Pages 18 Page 19 Page 20 Documentation & Assessment Page 20 Useful Contacts Pages 21 2
Central Manchester University Hospitals NHS Foundation Trust - Overview Welcome to Central Manchester Foundation Trust (CMFT). As an organisation, our Hospitals and services are;- Manchester Royal Infirmary St Mary s Hospital for Women and Neonates Royal Eye Hospital Royal Manchester Children's Hospital University Dental Hospital Trafford Hospitals Community Services This booklet has been developed to assist you whilst on placement at CMFT. We hope that you enjoy your experience whilst in the Trust. To understand the managerial and professional reporting structure in your clinical environment, you may find it useful to obtain a copy of your relevant service structure from your educator. 3
Recognising Staff Members Allied Health care Professions (AHP) The AHPs are a diverse group of clinicians who deliver care to patients and clients across a wide variety of settings. They are often the first-contact practitioners, who perform essential diagnostic and therapeutic roles, from assessment, diagnosis, and treatment to discharge from primary prevention through to specialist disease management & rehabilitation. Allied Health Professions - White uniform with coloured piping Dieticians White uniform - Pale Sky blue piping Occupational Therapist White uniform Green piping Operating Department Practitioners Physiotherapist Podiatry Radiography Speech & Language Therapist White uniform - Blue piping or Navy top Blue trousers Navy Polo Shirts White uniform Maroon piping or maroon scrub top White Uniform with purple piping Or may wear own clothing e.g. Clinical Psychologists, Dieticians, Orthoptists, Pharmacists Allied Health Professional Students - White tunic uniform with University Logo Healthcare Scientists (HCS) Healthcare Scientists are staff that have clinical and specialist expertise in a specific clinical discipline. They undertake complex scientific and clinical roles, making key judgements about complex facts and clinical situations. Many work directly with patients and are involved, in innovation and improvement. Cardiac Physiologist Critical Care Technologist Electro physiologist Respiratory Physiologists White uniform Red piping Navy uniform White uniform sky blue piping Black uniform Healthcare Science Students White uniform with University Logo 4
Nursing & Midwifery Professionals who are Involved in the education of patients around health and disease processes, health promotion activities, clinical procedures and management of nursing processes. Chief Nurse Directors/Deputy Directors of Nursing Head of Nursing Lead Nurse Modern Matron Education Development Practitioner and Specialist Nurses Ward Manager Sister/Charge Nurse Staff Nurse Assistant Practitioner/ Trainee Assistant Practitioner Nursing and Midwifery assistants / Ward Clerk Pharmacists Phlebotomist Navy blue with double gold braiding Navy blue with single gold braiding Navy blue with yellow piping Navy blue with red piping Navy blue with white piping Navy Blue with light blue piping Navy blue Royal blue with white piping Sky blue with white piping Bottle green Pale green No Uniform White uniform with red piping Nursing and Midwifery Students - White uniform with University Logo 5
NHS Constitution- Living the Values The NHS Constitution (DH, 2010) ascertained the principles and values required of the NHS in England. All NHS services by law must take account of this Constitution in all their decisions and actions. In 2012, CMFT Nursing & Midwifery leaders developed and communicated a set of core values and commitments in accordance with the principles laid out within the constitution. The six values defined are Compassion, Dignity, Respect, Consideration, Empathy and Pride which when displayed within an organisation, evidence suggests, produces a positive culture and ultimately improves patient safety, patient care and patient experience. The Francis Report (2013) has highlighted the need for a return to a more caring; values based culture within all areas of the NHS, including being a pre-requisite for entry to train as a healthcare profession. Subsequently, training delivered leading to a registered healthcare professional qualification, require those who succeed to be competent in delivering a consistent standard in the fundamental aspects of compassionate care. Clinical placements are required to ensure that placement learning supports the principles and values of the NHS in England, as set out in the NHS Constitution (DH, 2012). The learning environments, in which learners are placed in, are required to be conducive to learning, in order to develop safe, competent, caring practitioners of the future. The Learning and Development Agreement (LDA) with Health Education North West (HENW) requires CMFT to provide and evidence 100% quality assurance within all clinical placements and thus concurrently upholding the values and beliefs culture within a safe learning environment, commitment to which is demonstrated by the display of the Clinical Placement Charter in all areas. The values have been embedded across all healthcare professions in the Trust. 6
The values and commitments set out in this strategy are firmly aligned to the Trust s strategic direction and core objectives. The heart has been chosen to represent those values reflecting the attributes of courage, care and compassion which resonate individually with all healthcare professionals, as well as what patients, families and the public want and expect from us. 7
Our Behavioural Framework Living our values- Putting our heart into what we do. The values and the behavioural framework have been developed by staff from across all of our care settings and shared with patients, families and local communities to enable us to live our values and deliver the best patient care. CMFT aims to be a fulfilling and enjoyable place to work. We know that the right attitude and behaviours impact on a positive patient, staff and learner experience. We also recognise the crucial role that each and every one of us plays in helping to achieve our vision of making patients central to everything we do. What is the behavioural framework? The behavioural framework is a set of core behaviours and attitudes that define how we are expected to approach our work and our relationships we have with others. It sits alongside what we do, as outlined in each of our role descriptions and defines the expectations of our leaders in ensuring that the values are core to everything we do. Behaviours demonstrate the attitudes and approach that each of us takes to work: How we do things How we treat others What we say and how we say it The behavioural framework will help us to talk about how we behave, how we may need to modify or change our behaviour and how we hold each other to account. It will encourage us to celebrate our achievements and develop and grow as individuals, as a team and as an organisation. 8
The Role of the Practice Education Facilitators (PEF s) in Providing a Quality Placement. We commit to the delivery of a clear and consistent message in relation to all aspects of multi-professional student training and development. We commit to lead by example as role models and support all mentors and students as they develop their own leadership skills. We commit to celebrating IPL educational activity integral to meeting Trust / PEF educational outcomes. This will be reported through Professional Forum & Educational Governance. We commit to provide pastoral support and guidance for all multiprofessional students and those supervising them in clinical practice. We will be responsible for ensuring each multi-professional student and staff member is aware of their own roles and responsibilities in order to meet Trust and Regulatory Body requirements. We will commit to support staff who provide clinical education and training for multi-professional students and ensure they all have the skills, knowledge enabling them to deliver quality patient care. The above wheel demonstrates the Professional Development and Education Team s Behavioural Framework objectives. 9
PEF s are part of the Professional Development and Education Team and are based in the Old School of Physiotherapy Annex next door to the Undergraduate Centre on Nelson Street. Whilst on placement in CMFT you will have support from your educator(s) and staff in the placement area, as well as the support from PEF s. The role of the PEF is to ensure the provision of high quality learning environments for all pre-registration learners within CMFT. They assist in ensuring that every learner receives an outstanding clinical placement experience, which meets both quality assurance standards and regulatory body requirements. They offer support on educational issues to any learner or member of staff at CMFT. This may include:- Providing on-site support to learners /staff with educational concerns/queries Information on the completion of student paperwork Support with learners who are failing to progress with some learning outcomes Support with learners requiring reasonable adjustments Information on Multiprofessional Support of Learning and Assessing in Practice courses (MSLAiP) Information on university curriculums/requirements Details of who the PEF is for your placement area should be available on the education board in your placement area. Alternatively, you can find our details in the useful contacts pages of this booklet or via the Student Support in Practice Website which can be accessed via the following link- http://www.cmft.nhs.uk/education-and-training/ssp. The Student Support in Practice Website is developed and maintained by the Professional Development and Education Team. The website is designed to provide information and support for staff and learners on pre-registration education programs and contains the following:- Learner Induction/Orientation Resources 10
Placement commitment to the Core Values and Behaviours Inter-professional Learning Opportunities & Resources Clinical Placement Charter Educator Courses PEF Team Contact Details Staff & Learner Notices Placement Evaluations Profession Specific Information The CMFT PEF Team also has a Facebook page. The page provides learners and staff with up to date information about education news, healthcare news, spoke opportunities and other information which supports the development of high quality practice education within CMFT. CMFT PEF Team Facebook Page can be found at www.facebook.com/cmftpeftm CMFT PEF Team Twitter- @cmftpef E-mail pef.team@cmft.nhs.uk Please ensure appropriate, professional behaviour when using social networking sites, students should refer to both Trust and University Policies. 11
Raising and Escalating Concerns- Guidelines for Dealing with Issues Relating to Clinical Placements Issue/problem identified within a clinical placement Joint discussion to take place between Student, Educator and Practice Education Facilitator (PEF) Further action required No Issue resolved Yes Lessons learnt and changes made as required, preventing future re-occurence Personal Support Issue - Student/Educator to contact Personal Tutor Personal Tutor to liaise with Educator and PEF to support Student/resolve issue Placement issue - Student or Educator to liaise with the University Tutor and inform the PEF. The student must document the issue and forward to University Tutor or Personal Tutor University Tutor to liaise with Educator and PEF and support placement area to resolve issue Academic/Student Progression issue - Educator to liaise with Personal Tutor from relevant University and inform PEF Personal Tutor/PEF to liaise with Educator and PEF to support placement and Student Disciplinary/Conduct issue - Educator to liaise with PEF/University Tutor and Personal Tutor University Tutor/Personal Tutor to inform PEF and refer the issue to the appropriate Programme Leader and Trust Senior Manager 12 Programme Leader to liaise with Head of School and Trust Senior Manager for further action
CMFT Clinical Placement Charter It is the aim of CMFT that all multi-professional clinical placement areas clearly display a Placement Charter. The Charter demonstrates the placement s commitment to providing a safe high quality learning environment for all health and social care learners to prepare them for their future roles working collaboratively in multi-professional teams. Placement Pledges Ensure all learners within CMFT are welcomed and provided with an inclusive, safe and supportive learning experience. Promote a healthy and just CMFT culture built on openness and accountability, encouraging all learners to raise any concerns they may have about poor practice or risk, including unacceptable behaviours and attitudes they observe at the earliest reasonable opportunity. Respond appropriately when concerns are raised. Provide all learners within CMFT with a named and appropriately qualified/suitably prepared mentor/ placement educator to supervise support and assess all learners during their placement experience. Provide role modelling and leadership in learning and working, including the demonstration of core NHS values and behaviours of care, compassion, equality, respect and dignity. Promote a fostering of those values in others. Facilitate a learner s development including respect for diversity of culture and values around collaborative planning, prioritisation and delivery of healthcare with the learner as an integral part of the multi-disciplinary team. Facilitate breadth of experience and interprofessional learning activities within a variety of practice settings and structured around the patients/ service users at the centre of care delivery, eg. Placements aligned with care pathways. Adopt a flexible approach, utilising generic models of learner support and assessment, in order to maximise achievement of placement learning outcomes for all learners. Offer a learning infrastructure and resources to meet the needs of all learners, ensuring that all health and social care workers who support and supervise learners undertake their responsibilities with due care and diligence expected by their respective professional and regulatory body. Respond to feedback from all learners on the quality of the placement experience to make improvements to the experience for all learners. Expectations of all learners Prepare adequately for the placement, including contact with the placement in advance; and disclose any health or wellbeing concerns that may impact on the placement, or the achievement of placement learning outcomes. Raise any serious concerns about poor practice or risk, including unacceptable behaviours and attitudes observed at the earliest opportunity. Be clear who to report any concerns to in order to ensure that high quality, safe care to patients / service users and carers is delivered by all staff. Active engagement as an independent learner with all learning opportunities available, and discuss learning outcomes with an identified named mentor/ placement educator. Observe the effective role modelling and leadership behaviours of all healthcare workers. Learn and demonstrate core NHS values and behaviours of care, compassion, respect and dignity, and promote a fostering of those values in others. Be proactive and willing to learn with, from and about other health and social care professions in the placement, and with other health and social care students, and demonstrate respect for diversity of culture and values. Grasp the opportunity to experience the delivery of care in a variety of practice settings, and maximise opportunities to learn with and from patients. Reflect on all learning experiences, including feedback given, and display an openness to change on a personal and professional level. Comply with placement policies and procedures, and uphold the standards of conduct, performance and ethics expected by your respective professional and regulatory body. Evaluate the placement so that improvements can be made, ensuring that informal and formal feedback is provided in an open and constructive manner. 13
Expectations of the Learner Accountability and Responsibilities Supernumerary Status Learners have Supernumerary status. This means that they are not calculated as part of the workforce. Learners are able to undertake clinical duties in order to develop into safe and competent practitioners. This is done by being supervised by their educator /placement educator/trained staff, within their level of understanding and stage of training. Mandatory Training It is the learner s responsibility to attend their mandatory study days provided to them by their University. It is a legal requirement that Basic Life Support and Moving and Handling training are completed. Please ensure that you bring your training certificates with you to placement, to clarify with that this training has been completed. ID Badges To obtain an Identification Badge, you must bring proof of University Identification to your student link in clinical practice or the Professional Development and Education Team (based in the Old School of Physiotherapy Annexe) where one of the Practice Education Facilitators (PEFs) will provide you with a signed form to enable you to be issued with an ID badge. N.B: without University identification, we will be unable to provide you with an Identification badge. Please note, learners are not granted swipe access to their placement areas. If you are incorrectly granted access to ward areas by security, please inform the Professional Development and Education Team on extension 10385. If you lose your CMFT ID badge, you will be required to pay for a new one. 14
Accompanying/Escorting a patient Patient Transfer Policy for Adults Incorporating both Internal and External Transfers is available via the CMFT intranet page. http://staffnet.xcmmc.nhs.uk/ As per Trust Policy, learners are not to transfer paediatric patients without the direct supervision from a registered practitioner. The Transfer Policy for Children, Internal and External Transfers is available via the CMFT intranet page. http://staffnet.xcmmc.nhs.uk/ Emergency Responsibilities Should an emergency occur on the ward, as a learner, you may be requested to get involved. You may be asked to place an emergency call or obtain equipment for staff. Familiarise yourself with the location of the crash trolley in your placement area and the equipment it houses and where other necessary pieces of equipment are kept. How to place an emergency call within the hospital setting Emergency Number 2222 If you are asked to place an emergency call, you must: Dial 2222 State if Adult, Paediatric, Neonatal or Obstetric arrest State where the emergency is State what floor of the hospital the emergency is Use no abbreviations e.g. AM1 is Acute Medical 1 Repeat this information For example - You are on Ward 78, which is located on the 1 st floor of the Children s Hospital, you have been asked by your educator to place an emergency call as a patient is having a cardiac arrest. 15
You would dial 2222; you would state Paediatric cardiac arrest, Ward 78, 1 st floor, Children s Hospital. You would then repeat this information. You will then hear this information repeated back to you to ensure it is correct. How to place an emergency call within the community setting Placing an emergency call in the community setting differs from that of the hospital setting. To place an emergency call in the community setting, you; Dial 999 Please familiarise yourself with the location of the defibrillator, it is usually stored in the reception area of each health centre. How to use the bleep system If you are asked to bleep someone, you dial 81, then the bleep number, and then the number you are calling from. For example, the Clinical Co-Ordinator is on bleep number 1545, press 81, and await an answer, input 1545 and the extension number for the area you are calling from. For long range pagers please dial 9 then the pager number (usually an eleven digit number) followed by the extension number you are calling from. 16
Car Parking Application forms for student parking permits are available on line at: https://www.parksolve.co.uk/cmft Moving and Handling The CMFT Moving and Handling policy is available via the CMFT intranet page. Prior to partaking in any moving and handling procedure, you must ensure that you have had appropriate training from your University and obtained a certificate. This certificate must be shown to your educator at your initial interview, so they are aware that you have had the appropriate training to perform moving and handling procedures. On each placement area, there are moving aids available to provide assistance, i.e. slings, transfer boards (pat slide) and slide sheets. You must ensure that the environment is safe, you have been fully assessed in what you are about to do and that the aids are there to assist you prior to you performing any moving and handling procedures. If you are in any doubt as to whether to carry out the procedure safely, ensure that you seek help. Cultural Needs CMFT caters for a variety of patients with differing cultural needs. Should the family wish to spend some quiet time to pray there is a multi-faith room where they can do this. Please ask your educator where the nearest room is located. CMFT also offer interpretation services for patients, their family/carers. Information regarding how to make an interpretation request is available on the trust intranet. 17
Uniform Policy/ Dress Code It is very important that you adhere to the Trust and Higher Education Institute uniform policy if applicable, for all other students follow the Trust Dress code. If applicable the uniform provided by the University should be worn fully. Plain black socks should be worn. Nude or black tights can be worn. Flat soles black shoes that fully cover and protect feet should be worn. Shoes should be leather or made of a material that can be easily wiped cleaned i.e. not suede or canvas. Long hair should be tied back and off your collar. If wearing a headscarf, this must be plain black or navy and secured with a plain, non-jewelled pin. Jewellery is not permitted with the exception of a single pair of plain stud earrings and a plain wedding band (if applicable). A plain navy blue cardigan or fleece, can we worn when travelling about the hospitals or on transfer. Uniforms should be clean, smart and ironed and you should wear a clean uniform for each shift. Nails should be clean and cut short, no acrylic nails or varnish should be worn. Uniform policy must be adhered to and if you are not meeting these standards clinical staff will approach you. If your appearance does not improve then they may feel it necessary to approach your university tutor. Failure to wear correct uniform could result in disciplinary action. Compliance with the uniform policy is required at all times of wearing it (i.e. to and from work), not just on hospital ground. For all up to date information regarding Trust policies and guidelines always speak to your educator and check the Trust Intranet. 18
Infection Control The prevention and control of infection is a top priority for Central Manchester Foundation Trust. All NHS organisations must ensure that they have effective systems in place to control healthcare associated infection and we are fully committed to ensuring resources are allocated to effectively protect patients, their relatives, staff and visiting members of public. Nothing has had higher priority for the Trust than improving our performance in tackling hospital-acquired infections such as CPE- Carbapenamase Producing Enterobacteriaceae, MRSA=Methicillin Resistant Staphylococcus Aureas and Clostridium Difficile. We have a dedicated Infection Control Team headed by Julie Cawthorne, Consultant Nurse in Infection Prevention. You will notice signs in every clinical area that you work, providing guidance on hand hygiene and protective equipment required. Please take time to familiarise yourself with these when you start working in a clinical area and discuss with the team your understanding of these and the expectations of you as a learner in the area. 19
Sickness and Absence Reporting If you are unable to come to placement due to sickness or other absence you must contact the placement area at your earliest convenience and speak to your educator or a senior member of the team. When you are well enough to return to placement, ensure that you contact the area, even if you are not meant to be on shift, as days off will be documented as sickness if you have not contacted the placement to inform them that you are well enough to return. You must also contact your University to inform them of your sickness and absence. The placement area will also inform the University of any Sickness and absence you may have had whilst on placement. Contact details are available in the useful contact pages at the back of this booklet Documentation and Assessment You will be allocated at least one educator to assess you in practice and complete your practice assessment documentation. It is important for you to ensure all the relevant sections are completed by the educator whilst in practice. 20
Useful Contacts Name Designation Email Contact Number Rebecca Gilbert PEF - Allied Health Professional (AHP) rebecca.gilbert@cmft.nhs.uk 0161 701 2507 Sharon Green PEF - Healthcare Science (HCS) sharon.green@cmft.nhs.uk 0161 276 4372 Mary Griffin ODP Education Facilitator mary.griffin@cmft.nhs.uk 0161 701 2507 Katie Roberts Administration katie.roberts@cmft.nhs.uk 0161 276 4870 Infection Prevention and Control 0161 276 4042 Or e-mail us at: Pef.Team@cmft.nhs.uk www.cmft.nhs.uk CMFT PEF Team 21