1. health and fitness

The
Word
6 March 2015
I joined
the Partnership
just over four
ago
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as Medical Director. I am very pleased to have this
opportunity
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give my early
andnum
viewsidel
to all
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of what
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see
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for
the
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Directorate
in the
coming
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anyone that we have challenged health economies,
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particularly concerning acute pathways.
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It is clear
me that
since the comnit
formation
of the
Partnership
Trust
three
years
ago,
much positive
work
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etur?
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has been
across the
Medicalre,
Directorate
to
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establish
a clear medical
and mo
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principles
of operation.
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It is now
time todolupti
build on
this foundation
and I have
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identified
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focus rehende
that I willllessimil
be
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into
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prioritising together with colleagues, commissioners,
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providers
partners.
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Priority 1: review of Medical Staffing Model and patient
flow aeribus
in hospitals
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Priority
2:
continued
focus
onnem
improving
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lam est,patient
te concare
re, by
reviewing
incidents,
complaints,
mortality
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Priority
3: reviewreperum
of the Trust’s
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agenda
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Priority 4: improved engagement with internal and
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external stakeholders
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Priority 5: develop and enhance organisational
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Focusuton
urgent
– Home
First
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A recent
review
of
the
North
Staffordshire
Health
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omniscim
Economy
Urgent
Care
System
was
conducted
by Dr Ian
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Sturgess,
who hasquatiores
achievedvolor
significant
success turning
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adi sequibusto
et qui
around challenged health systems in the UK and New
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Zealand. Dr Sturgess has made a series of
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recommendations under a guiding principle that;
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et officto
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patients
should expect
to beconserit,
discharged
to the place
they
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call home and after a hospital attendance or admission
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to expect
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there as soon
as possible.
ipictur?
Research evidence demonstrates that staying in hospital
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contributes
to an increased
the risk
dependence
and de-conditioning
of
patients.
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of
a
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recovery should usually take place at home (with
appropriate support).
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We want to build a presumption that patients are
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as doluptas
quatibea
admitted
to the
hospital
for assessment
and that
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sum comni
del ipsa
mint litclinician.
the decision
to admit
rests with
the vit
receiving
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There is strong
evidence
which illustrates
that for frail
and elderly people in particular, their life expectancy
Infollowing
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a stay in hospitals averages approximately
quat
iduciet
ipsam
autall
escimol
orerior
eptate of our
1,000 days. We must
have at
the forefront
cone
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sedsomeone
et voloreto
volum
care,nithe
importance
of helping
return
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enia
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nos
ut the
safely home at the earliest opportunity to maximise
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estium
et eum
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sed magnimo et odis
quality of
the rest
of their
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Across thePartnership Trust we are adopting a stronger
messageinverspe
to sharedolupta
with patients,
carers and our
Uptasim
teture,families,
ut re conem
own staff tonat.
embed the principle of “Home First” in our
venduntotas
care philosophy. I want the people we care for to be
Ebitatiatem.
Nam,
supported by
our sunt.
wards, so that they are very clear
about the answers to the following fundamental
Et
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magnima
questions
about their
care: gnatior poreped
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• What is wrong with me or what are you trying to
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• What is going
to happen
today
and tomorrow?
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dem eius
• dellabo
What do
I need to do
help
to return
home?
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consende
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• When will I go home?
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istoempower
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I am keen we
staff bea
to develop
greater
quate
a
is
et,
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si
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plitatum
et vidand that
intolerance of any delays in discharge process
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enquiry andvolor
escalation
concerns
regarding
such
idis
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to totatempor
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el es
deri
delays
is encouraged.
By making
but
significant
changes
to our systems,
I want useum
to work
towards
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qui identibust,
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reducingimusci
delaysnumquia
to zero, having
real focus
on optimal
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recovery, utilising a patient’s Estimated Discharge Date
to identify what blockages may be preventing timely
discharge and challenging these where necessary.
Clinicians on effective ward/board rounds could ask two
critical questions
1.
2.
What are you doing now to get the patient home?
What could we (as a wider system) have done to
prevent the admission or on days 1-3 to facilitate a
discharge home?
Name
I look forward to working with you over the coming
months. Please contact me via my Executive Assistant
[email protected] or 0300 123 1161 Ext 1708.
Dr James Shipman – Medical Director (interim)
www.staffordshireandstokeontrent.nhs.uk
1
Sign Up to Safety Director Welcomed
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Last week the Partnership Trust welcomed Dr Suzette Woodward, National Campaign Director for
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NHS
England’sasperorpor
Sign up toreperat
Safetyenihit
initiative
that
to reduce avoidable harm in the NHS and
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save
lives.
The
Trust
used
this
opportunity
to
discuss
ongoing
work
our own Sign
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isto in
odisquodigni
beaup
quitodiSafety
il ipist,
Improvement
Plan and
introduced
Woodward to key
safety
leads
within
the organisation.
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The
aim of idus
the Sign
up to
Safetycomnimil
Improvement
plan is to reduce avoidable harm by 50% over the
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next
three
to
five
years.
The
Trust’s
Safety
Improvement
Plan
providesqui
an identibust,
outline as to
how
this will
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be done and how we will measure this. The plan builds
on existing
improvement
work
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tiatur?
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already ongoing in the Trust and will support the quality priorities for 2015-2016.
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essitplan
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The
focuses
onlame
the two
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of where theatempora
Trust wants
to reduce
harm,
pressure et
ulcers
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and falls, and supports the ongoing work developedeatur
by safety
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our ‘Fighting
Falls
Campaign’
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and the ‘Zero Tolerance Pressure Ulcer Action Plan’.
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voluptatur ande nonsequid quis ab int.
Sign up to Safety
Our Aim
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Areas of bea
Harm
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• Zero
tolerance of Grade 3 and 4 Pressure ulcers acquired in
Reduce the Harm from
Evelendit
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Community
Hospitals
Avoidable
Pressure
Ulcers
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• Reduce the incidence of avoidable
grade 3pelecum
and 4 pressure
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consequi
ulcers
acquired
in the maio
community
year on
year by a
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minimum of 10%
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facea quam, consequis dellorehent ium
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• et
Reduce
the incidence
of serious
falls
year onnone
year
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Reduce the Harm from Serious
by a minimumvelignam
of 10% harcipiciis nonsernatur, odiae. Nequam,
ipictur?
Incident Falls
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To support the reduction of harm in these key areas and across the Trust the improvement plan
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creates
opportunity
to as
focus
on making
improvements to and further developing a more
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quatibea
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embedded
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culture.
upmint
to Safety
Improvement Plan is due to go to the Trust Board
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comniThe
del Sign
ipsa vit
lit
utectatur, cusdae nes ea ipsam faceprae verro ea
this
month
(March)
for
approval
and
the
current
plan
can be
found sum
here:et abor rem quis quia pre iunte
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For
further
information
on Sign nulparc
up to Safety
visit http://www.england.nhs.uk/signuptosafety or for
dolorepudam ex et duntio. Destorepudit laut molo
quat iduciet ipsam
escimol
orerior eptate
information
on theaut
Trust’s
Improvement
Plan contact Duncan Kett, Head of Safety and Risk
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cone ni blab idebis excesequis sed et volore volum
[email protected]
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quibusa estium et eum ut ea sed magnimo et odis
derum qui numquam fuga. Itaes sincil estibusdam
www.staffordshireandstokeontrent.nhs.uk
2
Celebrating Excellence Profile
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diciae maionsequae voloruptas ea quibus.
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et idebit, inturit quas ab iur? Quibus, sinctem
posaperia qui consequam culpario te core magnate
num accumquam eles est, suscima ximoluptasim
eum name omniminimi, comnit ipicaep erchill
estiorum etur? Eptia dicidi doluptae re, conest
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nusanimint, etur aut maximus mo et ad
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et precaes dolupti aspernam laborerferum cuptatur,
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venduntotas nat.
Ebitatiatem. Nam, sunt.
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ipsustios asit omnime nieni rento te endes quat es
sam utatumq uissin rerum alitatus simet, occustis
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eos et odi nonsero consende omni sedi corempe
rupitaeptiis isto odisquodigni bea qui di il ipist,
Who’s been nominated?
Our regular feature profiling staff nominated for this year’s awards which take place Friday 13 March. This
week we look at the staff put forward for the Outstanding Leadership Award.
Sheron Wilkinson – Ward Manager, Oak
Ward, Bradwell Hospital
Louise Baldwin – District Nursing Sister,
Lichfield
Sheron is currently based on Oak Ward at
Bradwell Hospital, however, in late 2014 Sheron
was asked to provide leadership on Smithchild
Ward at Longton Cottage Hospital. One ward at
Longton had already been closed due to staffing
issues and as an experienced, competent and
effective ward manager Sheron was drafted in to
address concerns raised.
Louise is a very positive role model to all of the
team she works with. Her very outgoing
personality and constant smile keeps people
motivated and focussed in a job which is
extremely demanding and very often emotionally
draining. She has the full respect of team
members she manages and as a result of her
positivity and enthusiasm for her job; the team
has an excellent reputation for being one of the
most forward thinking and dynamic in the
locality.
Sheron’s leadership during this period was
exceptional. She was able to ensure the patient
experience improved whilst also supporting the
staff team by giving clear instruction and guidance
in a manner which helped to build their
confidence. The improvement in care delivery was
achieved very rapidly providing the assurance
needed by all stakeholders.
Sheron motivates the staff and supports everyone
to achieve the best possible outcomes for all
patients. She is always willing and able to share
her knowledge and skills, using imaginative ways
of imparting this knowledge. Sheron’s approach
embodies the values of the Trust, providing high
quality and safe services which give an excellent
experience and best possible outcomes for our
patients, achieving this with good humour and
enabling staff to be confident in their roles.
Louise is a brilliant leader, always looking at ways
to develop people and she positively encourages
people to do something outside of their comfort
zone to help them develop. She makes sure
everyone is clear and confident of their
responsibilities and what is expected from. She
often has one to one sessions with team members
and identifies areas of support and guidance to
help staff in particular to areas of practice.
Louise has taken a lead on a number of projects
aimed at improving the quality of services;
regularly links with stakeholders, including GPs,
and ensures her knowledge, skills and ideas are
shared with others.
www.staffordshireandstokeontrent.nhs.uk
3
Andrew Errington – Professional Head of
Social Work
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Andrew is passionate about social work and has
been key in supporting practitioners from front
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line staff to Trust Board in his Professional
ItaHead
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policy, politically aware, a member of the
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College of Social Work and has been key in
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ensuring
adult social care
staff
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organisation have opportunities for continuous
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professional development through access to
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professional supervision.
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As an integrated
health
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care
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provider,
Andrew
has
provided
effective
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leadership,
especially
in the interface
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and local authority in partnership
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Through his own integrity, excellent links to
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other regional professionals and personal
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career experience,
Andrew
demonstrates
going
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the
extra
mile
and
is
keen
to
ensure
that
service
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users are supported
by staff
in ILCTs
have
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excellent
professional
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competencies.
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This week’s contribution comes from Katie Milne in the
Quality Division.
“Live for today, dream of tomorrow,
learn from yesterday.”
Please submit your Mindful
Moments to my PA, Jilly Dooney
on [email protected]
Or email me directly
[email protected]
www.staffordshireandstokeontrent.nhs.uk
4
Discharge to Assess (D2A): Meet the Planning Team
Now Available – Updated Toolkit to Support People With Learning Disabilities
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et lit optur, commoluptus.
Following last week’s
coverage of the Discharge to
Assess pathways pilot aiming
to improve patient flow across
the health economy’s urgent
care system, this week we
meet the planning team who
work across disciplines to
determine which patients can
benefit from this new
approach.
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Partnership
Trust Locality
Manager
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Duncan from the Community Intervention Service introduces
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the team and their work.
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“The planning team for the pilot is been made up of social care staff, both from the Partnership Trust
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and Stoke-on-Trent
City Council,
a nurse
practitioner for The Royal Stoke Hospital site and supported
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by ICT staff
onnes
site
and in
the control
room forming an integral part of ensuring the planning work
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anddeliquo
discharges
which
takeadi
place
on a daily
basis.
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arumbeneficial with one of the most positive aspects being
“This partnership
is proving
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increased integration of the staff who work together regardless of speciality and patient
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demographics; remaining person focused at all times.
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“It is also important to note the discharge facilitators on the hospital wards as without this daily
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“The staff teams working in the Planning Team are happy to discuss any queries you may have and
will be attending forums across the Trust over the next few weeks to discuss their impact. So please
come along meet us and embrace the changes at the Trust for the benefit of our patients.”
Contact Lisa on tel: 01782 675561 or 01782 679141 or email [email protected]
www.staffordshireandstokeontrent.nhs.uk
5
Now Available – Toolkit to Support People With Learning Disabilities
Now Available – Updated Toolkit to Support People With Learning Disabilities
Professional Lead for Community Nursing Sue
Jackson (pictured right) is part of an important
Keele University Working Group with West
Midlands Local Education Training Council (LETC)
introducing a new revised toolkit for health
professionals supporting people with learning
disabilities.
Sue has now been able to distribute 10 copies of
the new toolkit, which are used worldwide, to our
community hospitals. The updated versions now
have a broader focus and aim to support access to
healthcare wherever it is delivered in the
community, at home, the GP surgery, or in a
generic hospital.
This current toolkit was researched in a local acute
Trust and designed and developed by Keele
University. The toolkit consists of communication
aids, key messages, a DVD and several films which
can be used as training aids and to raise
awareness. A smartphone App has also been
developed for Android and iPhone/iPad.
“Every ward, as well as walk in centres at Leek and
the Haywood, has access to the new toolkit, just
ask your matron,” explains Sue. “They are a
valuable resource to consider when
communication is difficult or challenging with a
patient who has a learning disability. The toolkit
will also be useful when caring for patients who
may not speak English or has some cognitive
impairment.”
The Apps are available through piccTTalk on iTunes and Google Play and available in five
languages including English, Polish, Urdu, Punjabi and Gujarati.
For any enquiries about this useful resource please contact [email protected]
www.staffordshireandstokeontrent.nhs.uk
6
Staff Survey 2014 – Feedback & Next Steps
Now
– Updated
Toolkit
to Support
People
With
Learning
Disabilities
Thank
youAvailable
to all staff who
took the time
to complete
the staff
survey this
year,
we value your
feedback. The annual Staff Survey is just one way to identify what’s working well and what needs to
be improved. We would like to share with you some of the headline results of this year’s survey with
you, so you can see how we are doing; where we have improved since last year and where we need
to focus some attention.
Our key strengths and improvements since the last survey are:
% of staff feeling pressure in last 3 mths to attend work when feeling unwell =
2013 = 24%
2014 = 18% National Avg. = 22% (lower score is better) has reduced and is better
than the national average
% of staff stating their Appraisal helped them agree clear objectives for their work
2013 = 76% 2014 = 84%
% of staff left feeling valued by the organisation
2013 = 56% 2014 = 63%
% of staff receiving recognition for good work
2013 = 47% 2014 = 53%
% of staff witnessing potentially harmful errors, near misses or incidents in the last month.
2013 = 23% 2014 = 19% National Avg. = 23% (lower score is better)
% of staff who know who senior managers are
2013 = 73% 2014 = 81%
% of staff who agreed their manager takes a positive interest in their health and wellbeing
2013 = 56% 2014 = 62%
Since the last survey a lot of work has taken place to improve staff experiences at work and this is
reflected in some of the positive results. New Health and Wellbeing and Employee Engagement and
Involvement strategies are in place across the Trust. There has been a focus on leadership and
management development with the introduction of the Leadership Development Gateway sessions,
soon to be followed up with a range of Master Classes. And we have delivered Appraisal training for
managers which introduced a range of feedback tools and techniques designed to enhance the
appraisal process.
We do know that there are some areas that will require further attention. The percentage of staff
appraised in the last 12 months has reduced (2013 = 93% 2014 = 78%), this is partly due to the
introduction of Pay Progression which links appraisal dates to increment dates.
Other areas for improvement included access to training; all statutory and mandatory training is now
available via e-learning to improve access and flexibility and attitudes around equal opportunities
and career progression. We will be undertaking some work on using patient feedback to inform
service delivery.
Next steps:
The Organisational Development Team will be sharing results at a more local level across each of the
operational divisions throughout March and April. Local actions plans will be developed to focus on
key areas for improvement.
www.staffordshireandstokeontrent.nhs.uk
7
NICE Accolade for Trust Consultant Physio Gail
Now Available
– Updated
Toolkit to Gail
Support
Congratualtions
to Consultant
Physiotherapist
Sowden, from the Haywood Hospital, who has been
appointed as a Fellow of the National Institue for
Clinical Excellence (NICE).
People With Learning Disabilities
As a Fellow, Gail will utilise the expertise, networks, tools
and resources that have been developed through her
work for the Academic Health Science Network (AHSN)
to support implementation of the ‘Management of Non
Specific Low Back Pain and Sciatica Guidelines’ (2016).
She will also maximise the potential of her existing and
new ‘communities of practice’ (people with common
objectives who interact) to increase awareness of the
NICE guideline development process, the tools and other
implementation support that NICE provide, NICE’s nonguideline related work and to assist NICE in their
engagement strategy.
Gail has been passionate about improving the quality of care of people with musculoskeletal pain
through the delivery of cost effective evidence based practice since being appointed a consultant
physiotherapist in 2005. As Allied Health Professions lead for pain and vocational rehabilitation
across the Trust, Gail helps influence national policy and practice through involvement in projects
(e.g. standards, competencies) and her membership of societies and committees (e.g. a British Pain
Society Committee).
Gail has successfully led service design and redesign projects and also provides leadership and
clinical input into an award winning interdisciplinary chronic pain service. She also works in a
clinical trials unit (Keele University) where she is involved in world leading musculoskeletal
research (e.g., STarTBack, IMPacT Back, BEEP, SWAP trials), is a co-applicant on three international
research collaborations and publishes in peer reviewed journals (e.g. Lancet).
International Events Celebrates Breastfeeding Support
National policy in England recognises that decisions around infant
feeding affect the health of mothers and babies. As part of the
Partnership Trust’s commitment to excellence in infant feeding, a number
of staff who hold the International Board Certified Lactation Consultant
(IBCLC) qualification are employed by the Infant Feeding Team and also
work within the health visiting service and Family Nurse Partnership.
An IBCLC is a health professional specialising in the clinical management
of breastfeeding. To apply, candidates must evidence considerably
clinical experience and are required to recertify every five years to
demonstrate continuing professional development and reflection on
practice.
Their work was recognised this on Wednesday this week (4 March) on IBCLC Day which celebrated
the important role of consultants and the specialised knowledge each has to make a difference in
the lives of breastfeeding mothers and babies. For further information please see www.ilca.org
www.staffordshireandstokeontrent.nhs.uk
8
The Infant Feeding Team based at Cobridge
Community Health Centre have been thanked in an
appreciative letter from a local mother.
Thank You
Christine Haubus, Speech and Language Team
Leader, Speech and Language Therapy Team
(Paediatrics) in Stafford have received some lovely
feedback from a family they are supporting.
“Thanks for all your help, care and support. You have
made a huge difference to Izaak’s early years and ‘us’
as a family.”
Michelle and Leanne (surnames not supplied) from
Cobridge Sexual Health Clinic have been prasied by a
service user for their care and service.
“I would like to say a massive thank you to both
Michelle (health worker) and Leanne (health nurse)
for their amazing support and professionalism they
showed me today!
“During my visit they showed both true concern and
compassion in their roles and put my mind to rest in
more ways than one. Their knowledge and advice I
cannot fault and to me they are two of the best
health care professionals I have met. Thank you so
much for going out of your way to comfort me today,
you might think ‘we're just doing our job’ but I think
you both went the extra mile and for that I am very
greatful.”
Julie Elam from the Community Intervention Service
in South Staffs based at Bilbrook House has been
warmly thanked for her care.
“Following my recent visit for a sensory assessment
and subsequent issue of equipment to aid the
problems with TV etc, I would wish to thank Julie for
all her endeavours and time. I am really pleased with
the outcome. The equipment means I can now once
again enjoy programmes without having to resort to
subtitles, once again, thank you.
“When my son was born I was lucky enough to be
able to breastfeed straight away, however I was only
able to sustain this with the support of your team.
Joe has just turned two and I am still breastfeeding
him and I am writing to thank you for all of the
support that you gave me, particularly Emma who
visited me.
“The phone calls of support kept me going. After the
first few weeks, breastfeeding just became a way of
life for us. It was so rewarding to see the benefits to
my son and we have such a special bond. It is the
most rewarding thing that I have ever done. I felt so
proud feeding him and had the confidence to do this
in public. Thank you for helping to give our son the
best start in life.”
Sarah Castledine-Pearce, Physiotherapy Technical
Instructor, in the Paediatric Physiotherapy West
Team at Codsall Clinic has received some lovely
feedback from a local family.
“Kieran got his funding from Newlife and the bike is
being delivered next week! Thank you very much,
you were fantastic. From us all - a very grateful
family.”
Cheadle Hospital, Ward 1 Nursing staff
“I would like to thank all staff on Ward 1 Cheadle
hospital for their kindness and support over a
difficult six week period whilst caring for my mum.
“Their professionalism, dedication, and general
manner towards not only her, but to the family as
well, was unreserved. All members of the team from
the most senior member down to the most junior
member of staff were fantastic. We, as a family,
cannot praise this team enough. Each member of
staff gave 100 per cent to her individual needs.
Thank you all so much.”
Please send all Compliments to:
the PALS teams for Health
[email protected] (South Division)
[email protected] (North Division)
or the Customer Service Feedback Team for Social Care
complaints&[email protected]
www.staffordshireandstokeontrent.nhs.uk
6