The Word Edition 202 31st October 2014 Many of you will be aware that earlier this year East Staffordshire Clinical Commissioning Group (CCG) launched a programme called ‘Improving Lives’ looking at improvements to services provided for people with long term health conditions and those who are older and frail in East Staffordshire. Earlier this week the CCG made an announcement regarding the two organisations shortlisted for the next stage of selection as prime providers to transform and develop the network of existing NHS services to be delivered from March 2016. As a key provider of these local health services we will of course be speaking to the prospective prime provider contractors at the earliest opportunity to discuss how we will work positively together. I hope that staff in the area feel that we have been able to keep you as up to date as possible with development but should you have concerns please do contact me. This week saw our monthly Trust Board meeting take place in Rugeley and as usual we began by hearing directly from a local resident about their experience of the care and services we provide. Our guest was a service user of the Waistlines service and he was full of praise for the support the team have given to him which has transformed the way he has taken responsibility for his lifestyle. Within the constraints he faces as a wheelchair user, the gentleman explained how he has been helped to make practical and positive changes which he encouraged us all to do to ensure we do the best for ourselves to ensure good health. It was encouraging to hear from him about how our staff have had such an impact on his life. I was also very pleased that he stayed for the rest of our meeting as we actively encourage public participation. Each month the meeting is attended by several We Put Quality First We Focus on People students in practice as part of their induction to the organisation or their profession. I was very pleased to see another cohort of health visitors at Edric House and look forward to welcoming more staff at our next meeting on 26 November in Newcastle-underLyme. Details for all Trust Board meetings are on our website. Recently I have highlighted the need to concentrate on the delivery of a range of short term priorities. We are now adopting a programme management approach to manage a series of specific work-streams which are made up of urgent care, waiting lists, our cost improvement programme, performance data, the workforce toolkit and healthcheck initiatives, financial information, relationship management, strategic partnerships, financial recovery and the negotiation of the social care contract. As a result you may become aware of the pausing or ceasing of some existing corporate activities for a short while as the executive management team focus on these key areas of delivery. This may mean that staff are requested to do different things at this time and I am especially grateful for your support and flexibility in helping us to achieve these aims. At the Trust Board meeting I took our Executive and Non Executive Directors through this new approach which they are all very supportive of and recognised the need to focus our efforts in this way. This week I spoke with a gentleman who is currently pursuing a formal complaint against the Trust. I find meetings with people who have concerns about the service we have provided are a very helpful and enlightening process. Continued We Take Responsibility 1 From the Top - Continued In this instance, the gentleman explained how important and what a difference he feels it would have made, if he had been offered an opportunity to speak to a senior manager in the early stages of his case. This is very useful feedback which I believe we need to take on board and as such he has generously offered to speak to our leaders and senior managers about his situation to help us improve the way we handle complaints. care demand, particularly in North Staffordshire. I am acutely aware of the efforts that so many of you are going to, to support the system and I am very grateful for your commitment and hard work. We are working hard trying to put in place new systems that will give us more sustainable solutions. In the meantime I am personally very grateful to staff who are doing their utmost to support the provision of care outside of hospital. Thank you. Stuart I have mentioned on several occasions in recent weeks the difficult we and other NHS organisations face in trying to resolve the pressures and demands faced by the whole health economy from non-elective urgent Stuart Poynor Chief Executive What’s In 2 | Launch Of The Carers Staff Support Network 9 | Working Remotely 3 | National Recognition for Rheumatology Specialists 10 | IM & T We still need your feedback! 4 | Stress Awareness Day 5 Nov 2104 11 | Don’t Let IG Give You the Creeps! 5 | What to do if the CQC visit 12 | Thank You 6 | Digital Professionalism 12 | Farewell to Siobhan Heafield 8 | Flu Fighter LAUNCH OF THE CARERS STAFF SUPPORT NETWORK Are you one of the 2 million? • Did you know it is estimated that 2.4 million carers juggle caring responsibilities with work? • Do you have caring responsibilities? • Are you a carer working in our Trust? Then come and join our Carers Staff Support Network. We will provide information on what support is available for you both at work and at home. The network will be your support and care network to support your health and wellbeing. We can meet at times to suit and / or send information to you as you require. Give me a call on 07515 191603 (anytime) or email [email protected] to get details of future meetings. We Put Quality First We Focus on People We Take Responsibility 2 National Recognition for Rheumatology Specialists The Partnership NHS Trust’s rheumatology centre is being held up as a national example in providing specialist care outside of hospital A report by national think tank The King’s Fund says specialist knowledge is too concentrated in hospitals and the increasingly complex needs of patients should be treated closer to home and names the rheumatology centre at Haywood Hospital as an example where consultants are acting beyond traditional boundaries. Watch this short film where consultant rheumatologist Dr Caitlyn Dawson talks about how the rheumatology team provides musculoskeletal care for patients closer to home. The report found a pressing need to develop new roles for hospital consultants who should spend more time working outside hospitals in multidisciplinary teams with primary, community and social care colleagues. One of the strongest messages in the report is that this should include supporting and training other health and care professionals to enable them to provide more specialist services closer to people’s homes. The report found that this approach can lead to better patient experience, improve management of chronic conditions and reduce waiting times, although it is unlikely to deliver significant cost savings. Ruth Robertson, Fellow at The King’s Fund said: “Our research uncovered great examples where hospital consultants working with their colleagues outside hospital has improved patient care. Implementing this new way of working is a challenge. However, doing so offers enormous benefits to patients and brings the vision of a more integrated NHS that bit closer.” The rheumatology centre at the Haywood Hospital - one of the Partnership Trust’s five community hospitals - has a dedicated inpatient ward with 10 beds, a day-case unit providing treatment and rehabilitation for rheumatology patients, physiotherapy and occupational therapy departments, and x-ray, ultrasound and DEXA scanning facilities to diagnose osteoporosis. The centre also uses GPs with Special Interests (GPwSIs) to provide in house musculo-skeletal expertise to patients in their own practices but who also work as advanced musculoskeletal practitioners in the hospital clinic. Dr Caitlyn Dowson, Consultant Rheumatologist, said: “The key feature and real strength of our services is our multi-disciplinary team. They have a pivotal role in our integrated service and the ability to provide care closer to home.” She added: “The GPwSIs work alongside nurses and physiotherapists developing advanced skills in triage and treatment that can then be brought back and used within general practice, making it easier for patients to access services outside of hospital.” More information about The Kings Fund research and the Haywood rheumatology centre can be found at http://www.kingsfund.org.uk/publications/specialists-out-hospital-settings We Put Quality First We Focus on People We Take Responsibility 3 Stress Awareness Day 5 Nov 2104 “Trust Stress Awareness Champion, Director of Children’s Services and Acting Director of Adult Services Kieron Murphy talks about the importance of looking after ourselves and each other. “I am delighted to continue in my role as stress champion and strongly believe that as a Trust we need to remain focussed on supporting your wellbeing and the impact stress has on you. I am excited by our current stress campaign; we have some excellent initiatives in place to support you while at work. “Personally, I have always been amazed at the dedication, commitment and resilience that staff have demonstrated in the delivery of health and social care across all areas within the Partnership Trust given the challenges we face. “However, the challenges of change, demands and financial pressures, to name but a few, can lead to pressure which in turn can develop into stress and possibly ill health. Stress and pressure are normal reactions and as humans we are designed to stretch to meet demands, it is important for us to recognise the need to recognise our own stress levels and to ensure that we are able to develop coping mechanisms to help. “Line managers play a fundamental role in supporting the wellbeing of staff. Taking the time to stop, listen and talk and the importance of a seemingly simple question ‘how are you feeling’ can have a positive impact. I urge managers to do this and signpost staff to the services, resources and self-help guides available. “All staff will be receiving with your payslip this month the ‘Supporting Your Wellbeing At Work’ leaflet which contains the many ways we can support you and some of the fantastic new wellbeing initiatives that we are launching in November.” Our other helpful initiatives launching soon are: New Online Stress Tool The new online stress tool will be available on the Trust intranet at the beginning of November. The self-assessment tools on mood, workplace stress and wellbeing will signpost you to support services and guides. Mental Wellbeing Podcasts There will be a series of eight mental wellbeing podcasts and audio guides on the Trust intranet. You can listen to these in your own time, they may help you when your mood is low or you’re facing an anxious time in your life. “I would like remind all staff that if you feel that you are suffering from stress, the Staff Support and Counselling Service provides a range of fantastic support options for you to choose from. You can get in touch and access the support pathway by contacting...” Managing Stress in the Workplace New mandatory ‘Managing Stress in the Workplace’ training for all managers will be launched in January 2015 and run every month...book your place through OLM. National Stress Awareness Day Marking National Stress Awareness Day on 5 November, the Staff Support and Counselling Service are delighted to announce a series of events on 5 and 6 November which all staff are invited to. Places are limited so to avoid disappointment please book your place quickly by emailing the staffsupportandcou nsellingservice@ northstaffs.nhs.uk Staff Support and Counselling Service & Workshops T: 0300 123 0995 Ext 4429 More support is available on the dedicated health and wellbeing page on the staff intranet here Staff Health and Wellbeing Support We Put Quality First We Focus on People We Take Responsibility 4 What to do if (CQC) visit? As an organisation that provides care and services to thousands of people it is right and proper that we are inspected regularly by the Care Quality Commission, the regulator of health and adult social care in England, to ensure that they meet essential standards of quality and safety. The Quality Directorate are here to support service to ensure staff have confidence to: • improve your work environment for your patients and people who use services • make a positive impact in improving services • talk to the CQC if they visit your service • know who to contact with any concerns The Essential Standards of Quality and Safety focus on outcomes, experiences and the human rights of those people who use our services. The CQC are rolling out a new inspection regime that will always refer to five key questions which are supported by a number of Key Lines of Enquiry (KLOE). These are: • Is the service safe? • Is the service effective? • Is the service caring? • Is the service responsive to peoples’ needs? • Is the service well led? The CQC have identified a set of services that it will always inspect for a community health provider: • Adults with long-term conditions (including district nursing, specialist and rehabilitation services) • Adults requiring community inpatient services (the CQC will visit all community hospitals) • People receiving end-of-life care CQC Inspectors will seek the direct views of staff and managers. The Trust is supportive of the CQC’s approach and staff are asked to be open and helpful but it is not compulsory to speak to them. Lots more information and advice is available here on the intranet http://ssotp.ns.xnsht.nhs.uk/ resources/comp/Pages/visit.aspx We Put Quality First We Focus on People We Take Responsibility 5 Social media and Digital Professionalism Click here to download our Social Media Toolkit reactive regulation. As professionals, we must primarily educate ourselves in how to realise the benefits of social media as well as how to manage its risks. Professional lead for Podiatry Roger Whittaker shares helpful guidance on using social media effectively. The Society of Chiropodists and Podiatrists have not published any guidance on social media yet, however the Health and Care Professions Council have some guidance available (http://www.hcpc-uk.org.uk/ mediaandevents/socialmedia/) and the Trust’s social media toolkit also gives useful guidance. The phenomenon of innovative technology being considered ‘risky’ is not new. For example, the 1865 ‘Red Flag Act’ required all road cars in the UK to travel at a maximum of 2 mph in towns and carry a minimum crew of three people – one to walk 60 yards ahead of the vehicle with a red fag to warn pedestrians and horse riders! This exceedingly cautious approach was felt necessary because motor cars were an unfamiliar technology for the majority of road users – when they were introduced, there was no shared understanding of the rules of the road, or Highway Code, to help people understand how they should interact and avoidable accidents happened frequently. But as experience of car use grew, and the principles of safe driving became codifed, shared and widely understood, safety was greatly improved and the enormous benefits of the motor car could then be realised. In many ways, the new experience of social media use has much in common with these early days of the motor car. Risks and Benefits RISKS • Loss of personal privacy • Potential breaches of professional confidentiality • Online behaviour that might be perceived as unprofessional, offensive or inappropriate by others • Risks of posts being reported by the media or sent to employers BENEFITS • Establishing wider and more diverse social and professional networks • Engaging with the public and colleagues in debates, locally and globally • Facilitating public access to accurate health information • Improving patient access to services • Establishing wider and more diverse social and professional networks • Engaging with the public and colleagues in debates, locally and globally All Partnership Trust employees will need to learn how to adapt our behaviour to ensure we use new technology safely, appropriately and responsibly, if we are to enable it to flourish and not be stifled by We Put Quality First We Focus on People We Take Responsibility 6 Social media and conditions or any of their personal information in public, except with explicit and informed consent of those concerned – otherwise you are at risk of breaching their privacy Digital Professionalism Key things to remember • Be aware that even if you change one or two details in a case, such as the age or sex of the patient, the patient or their family may still be identifiable from other details – this is particularly likely for cases involving rarer conditions or unusual presentations 1. Be aware of the image you present online and manage this proactively 5. Show your human side, but maintain professional boundaries 2. Recognise that the personal and professional can’t always be separated • Where this is possible, try to maintain a separation between your personal and professional online profiles – direct your friends and family to the former and your patients and colleagues to the latter • Consider how the total body of information and images you post online contribute to the impression that others might form of you, both professionally and personally, and how this in turn can influence how your future online and off-line behaviour will be interpreted • Learn how to use the privacy and profile settings of the social media tools you use, while also understanding their limitations – remember that, as a professional person, you might need to set the privacy settings at a higher level than the default settings • Be aware that most social media sites do not guarantee confidentiality regardless of the level of privacy settings in place • Maintaining an appropriate balance between your life as a private individual and your responsibilities as a professional will require the application of judgement and experience 3. Engage with the public but be cautious of giving personal advice • Be aware that other people’s views of what constitutes appropriate health- seeking behaviour may differ from your own. However, avoid giving personalised advice to members of the public through social media tools – general comments and signposting to authoritative and appropriate sources of information are generally fine, but do not be tempted into giving online consultations • If a member of the public contacts you for advice in a public forum, politely direct them to an appropriate channel for such advice – such as NHS Direct or their local GP practice. 4. Respect the privacy of all patients, especially the vulnerable • Do not discuss real patients, their illnesses, We Put Quality First We Focus on People 6. Contribute your expertise, insights and experience • Discuss the use of social media in your wider healthcare teams and organisations as a means for communicating more effectively with specific sections of your local community, such as younger people, who may be hard to reach through more traditional means 7. Treat others with consideration, politeness and respect • You have a right to express your views openly – but not to do so in a way that causes offence to others or infringes on their own rights • Resist the temptation to post comments online when you are feeling angry or frustrated. Find alternative (and appropriate!) ways to vent your feelings • HEALTH WARNING: making derogatory, threatening or defamatory comments about others could have a harmful effect on your career! 8. Remember that other people may be watching you • Remember that any comments you post in social media sites may be regarded as public property and may be quoted in other media, including the national press – and that professional bodies can sanction you if they deem your behaviour to be a risk to their reputation or to the reputation of the profession as a whole; even if your original posting was made in a private network or in a non-professional context • Be aware that journalists may routinely monitor activity in social media sites for potential stories. We Take Responsibility 7 It’s only just Hallowe’en but this season’s winter flu campaign is in full swing. The Infection Control team have been busy across the county immunising health and care staff against the virus, along with school nurses who are piloting the Fluenze project vaccinating Staffordshire school children. So far over a thousand Trust staff have had the jab: Qualified Nurses 328 All other 244 professionally qualified clinical staff Doctors 13 Support to Clinical Staff and Admin 426 Total 1011 Percentage of Trust staff 24.98% For details of free vaccination clinics throughout October and November please click here Being vaccinated against flu not only protects you and your family but can prevent the virus being passed to more vulnerable people who may experience much more severe symptoms. Look after my nan flu might kill her Be a great carer Get the flu jab We Put Quality First We Focus on People We Take Responsibility 8 Information Management & Technology Update Working remotely and securely got a whole lot easier thanks to Birdstep Safemove! New software is being made available to give staff, particularly people working remotely or from home, easy and secure access to the Partnership Trust’s network regardless of where they are. Called Birdstep SafeMove, this new product seamlessly roams between fixed and wireless networks without the need to manually connect to the Partnership Trust’s network. In a partnership between the Trust’s IM&T department and Staffordshire & Shropshire Health Informatics Service (SSHIS), over the next few weeks Birdstep SafeMove will be available for installation on mobile laptops and devices which have been issued as part of Phase 1 of the Service User Device Project. Birdstep Safemove: • removes the need for staff to manually connect to the network using the ‘NS COIN VPN’ option • logging on to Birdstep SafeMove is as simple as logging onto your laptop • once you’ve entered your username and password and are connected to the internet, Birdstep SafeMove intelligently recognises the best network connection and automatically connects to your work network without you doing anything • Simon Mellor, Podiatry Team Leader said “I would just like to let you know how great my new laptop is now I’ve been migrated to the North server and had Birdstep installed. I can connect to any WiFi and have full functionality of all services that I’ve tried. This accessibility has really improved my productivity. I feel truly agile now!” If you have any queries please do not hesitate to contact the project team by emailing: [email protected] or call 0845 602 6772 – Ext. 2377. We Put Quality First We Focus on People We Take Responsibility 9 Information Management & Technology Update We still need your feedback! Update on the User Device Services Project Over recent months the IM&T department have been gathering feedback from staff via a short survey detailing what IT equipment they currently use in readiness for refreshing existing the Trust’s IT equipment. So far 2,800 staff have completed the online survey but around 2,000 members of staff still need to complete it. Programme Manager Steph Morgan, said “The response we have received from staff to date is fantastic and I would like to thank everyone of you for taking the time out to respond. However, as we have to demonstrate that vital resources are being spent appropriately whilst ensuring value for money, we need to understand your requirements so that we can purchase the right equipment. “Therefore it’s vital that staff who haven’t already completed the survey do so by the end of November.” The online survey takes approximately 15 minutes and must be completed by the 30th November 2014. Please click here to complete our online survey: https://www.surveymonkey.com/s/SI- Phase2Survey If you cannot access the online survey or require support to complete it, please contact the Infrastructure Projects team: Email [email protected] Call 0845 602 6772 ext. 2377 For more information on the User Device Services Project visit our intranet SharePoint site http://ssotp. ns.xnsht.nhs.uk/cp/si/Pages/Device-Implementation.aspx We Put Quality First We Focus on People We Take Responsibility 10 Don’t Let IG Give You the Creeps! It might be a bit spooky this weekend as it’s Halloween but Information Governance is nothing to be scared of. Staff do have a responsibility to keep confidential information secure; however, staff should never be afraid to act in the best interest of a patient through fear of repercussions from Information Governance. If in doubt, please just ask! Case study from Caldicott 2 Report "A daughter was very concerned about her father’s symptoms and the impact on her mother who was caring for him unsupported. She suspected that her father had dementia, but this was undiagnosed because her father had not seen the GP in a long time. The daughter wrote to the GP and received a curt reply that she must never approach him again, by letter or phone, because of patient confidentiality. “This could have gone on for years, but an unrelated event finally revealed the family’s situation to Social Services and he was diagnosed with Alzheimer’s. Because of too rigid an application of ‘patient confidentiality’ the family lost all that time when they could have helped the patient to live well with his dementia and been planning for the future." The IG Team are committed to supporting staff in delivering the best patient care, this includes providing advice on how and when to share information. Email: [email protected] Tel: 0300 124 0093 Follow this link to the IG Policy If you have a confidentiality concern…. in your neighbourhood… who ya gonna call... the IG Team! We Put Quality First We Focus on People We Take Responsibility 11 Thank You Cannock’s Pain Management Team have received a kind thank you card saying “Thank you so much for the support and understanding shown throughout the course, for not judging and making the pain management course.......well painless! “I’ve found it really helpful and feel I am more ‘me’ than I have for a very long time!” The Pain Management Team based in Stafford have also received a warm thank you card for the team saying “Thank you. The ability to teach others is a special gift and I want to thank you for sharing that gift with me. You have made a big difference in my life.” The Moorlands Community Intervention Service have recently received a thank you letter from a recent patient who has been supported at home, “I am very grateful for the kindness and care I received from you in my home. This wonderful service has helped me to get back to a normal routine and re-establish my independence. I will never forget all the kindness shown to me and I wish you all the very best for the future, in your most valuable work within the community.” Kerry White from the Haywood Walk in Centre team has been thanked in a lovely card sent in by a very appreciative lady who was recently treated there. “I just wanted to express my thanks for your care and kindness shown to me. I was offered a hot drink and a sandwich and I was allowed to rest on a bed in order to put my tired feet up - all of which shows a great degree of personal care. I want to thank you and would recommend you for a staff award! “ Nursing staff Diane Tooze and Fiona Micheli who work in the Minor Injuries Unit at Cannock Chase Hospital have both received a bouquet of lillies and thanks from a gentleman for the excellent care he received from them. He said “Well done to you both for the excellent care given. My fingers are healing well!” A lovely thank you has been sent to the Scotia Ward team at the Haywood Hospital. “Thank you for your warmth and kindness, I am sorry for bleating and moaning on like a schoolboy! I dare not tell anyone how much I enjoyed being in the Scotia Ward. Thank you for making me better, one of your ever grateful patients.” Angela Disbury, Community Paediatric Physiotherapist based in Stafford, has received an email from the mother of a young patient. “Thank you for this morning, you are always so positive with lovely ideas and you get things organised quickly it is appreciated. You work very hard. “It is so refreshing to be working with someone who is just as eager to support our daughter as we are so thank you.” Please send all compliments to [email protected] who are now recording all compliments for the Trust. A range of selected compliments will be forwarded for inclusion in The Word. We Put Quality First We Focus on People We Take Responsibility Staff gathered at Morston House last week to bid farewell to Director of Nursing and Quality Siobhan Heafield who has moved to a new post at the Trust Development Authority. Chief Exec Stuart Poynor led the thanks for Siobhan’s hard work and commitment over the past three years and presented her with a bouquet. 12
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