COMMUNITY SERVICES DEVELOPMENT:
ALSO IN THIS ISSUE: 04 July Board Round-up 06 Community Services Development: 08 Medical cover in Community Hospitals 13 Making Anxious Patients Smile
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A NEWSLETTER FOR STAKEHOLDERS
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Malvern Hills
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The Worcestershire Health and Care NHS Trust is the main provider of Community and Mental Health NHS services for Worcestershire. We deliver a wide range of services in a variety of settings including in people’s own homes, care homes, schools, community centres, prisons and in our in-patient facilities including our five community hospitals. We provide services to people across all age groups, from Health Visitors services for new born babies and their families, through to services which support older people with complex health and social care needs.
Almonry Museum, Evesham
To view the board members and for more information please click here. Load Street, Bewdley
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JULY BOARD ROUND-UP Our Trust Board met on Wednesday, July 9 at Bromsgrove’s BHI building along the Stourbridge Road. These are the key items discussed • Transforming our services • Urgent Care Strategy for Worcestershire • Annual reports on Infection Prevention and Control, Clinical Audit and Medical Revalidation • Performance Update To access the above reports and full agenda please click here Next board meeting: Date: Wednesday 10 September 2014 Time: 9.30am Venue: Conference Room, Training and Development Unit, Evesham Community Hospital
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Annual Report 2013/14 Financial and Quality Accounts
IT WAS ALSO OUR
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The read this year’s Annual Report click here
The AGM is where we summarise our performance across quality and finance and formally present our Annual Report. AGM presentations: • Sarah Dugan, Chief Executive - Our Highlights 2013/14 Worcestershire Health and Care NHS Trust 2013/14
• Robert Mackie, Director of Finance – Finance Accounts 2013/14 • Della Lewis, Head of Quality Governance – Quality Account 2013/14 •C ommunity Children’s Nursing in Worcestershire – by members of our Children, Young People and Families Department
To read our accompanying Look Back booklet, click here 5
BOARD TRUST SEEKS VIEWS ON COMMUNITY SERVICES Worcestershire Health and Care NHS Trust provide a range of nursing and therapy services which are delivered in community settings, many in patient’s own homes. The Trust is developing a project to ensure that care is provided in the most clinically appropriate place for everyone, that staff get to spend more time seeing their patients face to face, and at the same time reduces the overall cost of providing these services. Plans would provide the community teams with the opportunity to come together in hubs to promote better integration. There would be five community hubs or bases across the county which will provide the majority of inpatient and clinic-based activity. Home visits would still be provided
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where clinically appropriate. Staff would also continue to maintain strong communications/ presence with stakeholders such as GP’s to maintain vital working relationships. Based on some feedback the Trust believes there could be real benefits in providing more treatment in a clinic; for example patient access to more complex equipment, reduced waiting times, more time spent with professionals, and a chance to meet others in a similar position. The theory behind this project is already being used in some areas. For example Well Leg Clinics, or leg clubs – see next page for more information. For more information on the overall project visit: www.hacw.nhs.uk/ communityservicesdevelopment
... IN ACTION The project is a continuation of recent work to integrate teams so patients get a more consistent and co-ordinated service, and running appropriate activity from a clinic environment has already begun in some areas, with positive feedback from both staff and service users. For example we run Well Leg Clinics, or ‘leg clubs’, specialising in caring for and preventing leg ulcers. Chronic leg conditions are associated with isolation and patients can now visit clinics rather than have the treatment at home which gives them a chance to meet socially and share experiences. In mental health the Early Intervention in Dementia Service has also shifted some of its work from a home to a clinic based setting.
Focus on‌Worcester Leg Club We thought it would be useful to find out more about the club, and chat to some of the people who attend. Fact file: Worcester Leg Club was started over 8 years ago by community nurses under the strict guidelines and continued monitoring of standards by the Lindsay Leg Club Foundation. It is run by community nurse and volunteers. It is held in the Tolly Centre twice a week, covering patients from all GP practices on the East side of the river. It uses an innovative model of care covering the medical and social needs of patients. It is a partnership between community nurses, volunteers, patients and
the community in which nurses treat problems of the lower limbs. Volunteers run the club and organise some social events and patients are encouraged to participate in their treatments. Health education and advice are part of the Leg Club. The benefits to patients are: Nurses working at Leg Club have become more expert at treating leg ulcers etc. due to specialised training and peer support. Patients have been encouraged to become more mobile, are happier through socialising, and have peer support to encourage them to stick to recommended treatment. This improves healing rates.
Worcester Leg Club, in their words: Click here to play the video
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BOARD MEDICAL COVER IN COMMUNITY HOSPITALS The work to enhance community hospitals and develop sub acute care means we have to ensure community hospitals are well equipped with a consistent level of medical or GP cover to care for the increased activity and the complexity of patients in a more planned way. To do this we have subcontracted a more sustainable, equitable model from Stay Well Healthcare (South Worcestershire GP Federation) which started on the 1st July. The new arrangements across South Worcestershire are as follows: •A ny GP in South Worcestershire can admit to any Community Hospital in the south. GPs continue to have admitting rights for their patients and if you have a patient you want to be admitted then the procedure remains the same: a telephone discussion with the lead nurse on the ward. It is expected that an up to date summary print out
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from EMISweb and admitting information, including an initial management plan (which may be the latest consultation on EMIS) and drug chart accompany the patient on admission. If there are any concerns regarding the admission from the lead nurse they will speak to the lead GP before accepting the patient. • Daily ward rounds • GP participation in Multidisciplinary Team meetings • Improved patient flow to Community Hospitals and out to home and other care settings • GPs will be supported clinically by new Community Physician, Dr Simon Challand In Malvern Medical Cover is being provided by Malvern Health Centre In Tenbury Medical Cover is being provided by Tenbury Medical Practice In Pershore Medical Cover is being provided by Pershore Medical Practice and Abbotswood Medical Practice In Evesham Medical Cover is
being provided through Stay Well Healthcare (Dr Talvinder Ghag) Should you wish to contact any of the GP’s directly to discuss the care of your patient please do so via each community hospital. For Evesham please contact Izod Ward. We continue to work jointly with Stay Well Healthcare, who have responsibility to co-ordinate arrangements for each site and manage delivery, to further develop the model and monthly meetings are planned to review performance against the service specification. We welcome your feedback on these new arrangements, which can then be picked up at these meetings. For more general information contact Mel Roberts, Clinical Services Locality Manager (melanie.roberts@hacw.nhs. uk) or for specific contract/ specification information please contact Stay Well Healthcare – ahavercroft@nhs.net
MIU:
Average waiting time to be seen
Bromsgrove
22 mins
Malvern
20 mins
Evesham
19 mins
Tenbury
13 mins
* This is based on June 2014 data which is our latest full months’ worth of information.
Bromsgrove Minor Injuries Unit Open 8am to 8pm (last appointment 7.30pm) Monday to Friday, 12pm to 8pm Saturday and Sunday. Xray is only available Monday - Friday 9am - 5pm. Evesham Minor Injuries Unit Open 8am to 11pm, X- Ray open 9am
to 12.30pm and 1.30pm to 4.30pm daily excluding weekends and bank holidays. Malvern Minor Injuries Unit Open 9am to 9pm, 7 days-a-week, X-Ray open 9am to 5pm Monday - Friday. Please note - broken bones cannot be treated after 5pm.
MIU WAITING TIMES REMAIN AT A LOW LEVEL The average waiting times at our four Minor Injury Units remain low, meaning patients can be seen, treated and back home within a fraction of the time it could take if they were waiting in A&E. We run MIUs in Bromsgrove, Evesham, Malvern and Tenbury with trained nurses on hand to treat smaller injuries, such as sprains, grazes and minor burns. The average waiting time to be seen in each of these is typically less than 20 minutes, so even if you live somewhere without a MIU, you can travel to your nearest facility to be seen, treated and get home much quicker. Tenbury Minor Injuries Unit Open 24 hours-a-day, 7 days-a-week. Kidderminster Minor Injuries Unit Open 24 hours-a-day, 7 days-a-week.
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BOARD IF IT’S NOT RIGHT, SPEAK UP IF IT’S NOT RIGHT
A new set of Whistleblowing posters are on display in sites across the county. The ‘If it’s not right, speak up’ campaign reminds staff that it’s their responsibility to raise any concerns if they believe standards in any of our areas are not being met. The posters feature potentially vulnerable patients and carers urging the Trust’s staff to stand up for them and tell someone if the care they are receiving isn’t good enough. The campaign has been backed by Peter Pinfield, Chair
of Healthwatch Worcestershire, who said: “It is really important that staff are confident to raise any concerns they might have regarding the care a patient is receiving. Often staff are in the best place to notice if something isn’t good enough or at the standard we would all expect so speaking out and raising the alarm is vital to ensuring poor practice is highlighted wherever it occurs. The Health and Care Trust is right to remind its staff of their responsibilities and we welcome the campaign they’ve launched.”
SPEAK UP As a Trust we encourage any staff member who has a patient safety concern to raise this within the organisation at the earliest opportunity.
“If the care I’m getting isn’t good enough, I need you to stand up for me – tell someone!” There are a number of internal avenues you could take to raise your concerns; Line Manager/Clinical Lead, SDU Leads, Trust Directors, Chief Executive, Non-Executive Directors, HR Manager, Staff Side Representative. Whatever the avenue you choose to take, your concern will be treated in a sensitive and confidential manner in line with our raising concerns at work policy and you will be fully supported through the process.
The Trust has also recently put its name to the Nursing Times’ Speak out Safely initiative which aims to encourage NHS organisations and independent healthcare providers to develop cultures that are honest and transparent, to actively encourage staff to raise the alarm when they see poor practice, and to protect them when they do so.
IF IT’S NOT RIGHT
SPEAK UP
As a Trust we encourage any staff member who has a patient safety concern to raise this within the organisation at the earliest opportunity.
“I rely on staff to look after my dad, if something is not right, stand up for us – tell someone!” There are a number of internal avenues you could take to raise your concerns; Line Manager/Clinical Lead, SDU Leads, Trust Directors, Chief Executive, Non-Executive Directors, HR Manager, Staff Side Representative. Whatever the avenue you choose to take, your concern will be treated in a sensitive and confidential manner in line with our raising concerns at work policy and you will be fully supported through the process.
The Trust has also recently put its name to the Nursing Times’ Speak out Safely initiative which aims to encourage NHS organisations and independent healthcare providers to develop cultures that are honest and transparent, to actively encourage staff to raise the alarm when they see poor practice, and to protect them when they do so.
www.hacw.nhs.uk
“If the care I’m getting isn’t good enough, I need you to stand up for me – tell someone!”
IF IT’S NOT RIGHT
SPEAK UP
As a Trust we encourage any staff member who has a patient safety concern to raise this within the organisation at the earliest opportunity. There are a number of internal avenues you could take to raise your concerns; Line Manager/Clinical Lead, SDU Leads, Trust Directors, Chief Executive, Non-Executive Directors, HR Manager, Staff Side Representative. Whatever the avenue you choose to take, your concern will be treated in a sensitive and confidential manner in line with our raising concerns at work policy and you will be fully supported through the process.
The Trust has also recently put its name to the Nursing Times’ Speak out Safely initiative which aims to encourage NHS organisations and independent healthcare providers to develop cultures that are honest and transparent, to actively encourage staff to raise the alarm when they see poor practice, and to protect them when they do so.
NOMINATE OUR STAFF PATIENT CHOICE AWARD Do you know a member of our staff who you think really goes above and beyond the call of duty? If so we would love it if you could take the time to nominate them for the Patient Choice Award in our annual Staff Awards night later this year. Nomination forms are online (from July 1st) at www.hacw.nhs.uk and hard copy forms will be placed in our community hospitals which you can complete and send back to us.
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worcesternews.co.uk
Monday, June 23, 2014
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Real lives PATIENTS VIEW PAUL CRAWFORD
S136 SUITE – Patient representative Worcestershire Acute Hospitals NHS Trust
What you need in a first-aid kit
Our 136 suite based at the Elgar Unit is where people who are experiencing mental health problems can be taken for assessment as an alternative to police custody. For the last financial year (Apr 13-Mar 14) the proportion of s136 detentions taken to police custody was approximately 12% in Worcestershire. This is a much better than the national picture as shown in “A criminal use of Police Cells?” (June 2013) which found
West Mercia Police mental health delivery plan Inspector Emma Wright and lead approved mental health professional Stephen Goddard in one of the assessment rooms at the processing suite at the Elgar Unit at Worcester Royal Hospital. Pictures by John Anyon. 2414619601
FIND US AT
worcesternews.co.uk
showing behaviour that to other people might be frightening. There might be fears they’re going to harm someone or themselves. If they have committed an offence we would need to assess what is the priority.” Mr Goddard says: “If you
criminalise distress it’s adding to the stigma around mental health. “A lot of people who are brought here are often in distress and may be scared. When this was started there was some anxiety it would end up as a bit of a drunk tank.
“But that hasn’t happened, I’m pleased to say, although it does occasionally.” For more information on the Mental Health Act 1983 contact mental health charity Rethink on 0300 5000 927 or visit www.rethink.
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AT last the summer weather has arrived and children will soon be breaking up for the long summer holidays. Families should be pondering about what to take away on holiday in a first-aid kit to deal with minor injuries or accidents. Components, such as tweezers, are useful for taking out splinters. Some families carry a CPR Microshield for mouth-tomouth rescue breathing. Hand washing with warm water and soap is the best way to prevent the spread of infections but they are not always available so carry disinfectants in the kit. Other items normally present in first-aid kits are scissors, safety pins, and sticky tape, together with cleansing wipes and distilled water for cleaning wounds or to use as an eyebath. The creams or sprays normally found in kits these days are skin rash creams such as hydrocortisone or calendula, to relieve insect bites and stings, along with the tried and tested antiseptic cream.
org. Anyone concerned they or anyone they know is suffering mental health problems should contact their GP or NHS 111. Always call 999 if it is feared someone may be at immediate risk of harming themselves or others.
use of police custody was in places as high as 76% in the areas visited during that review (conducted by HMIC, the CQC and the Healthcare Inspectorate Wales). In June the suite was the subject of a visit from the local media who covered the success of the service in comparison with other areas. To read the article click here. For Further information please click here to read the full Press Release – A Criminal Use of Police Cells
MAKING ANXIOUS PATIENTS SMILE Based in Malvern, the Dental Anxiety Management Service was created in February 2013 to support people who are anxious about dental care. The team is trained in techniques such as inhalation sedation to help patients accept routine dental care and make them feel more comfortable. A patient may be offered Behavioural Management sessions. These are one-to-one discussions meant to help patients understand how their fears have developed and ultimately provide them with the coping skills and the confidence necessary to access dental care in the community. For more information about the DAMS, please contact anwen.greaves@hacw.nhs.uk
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BOARD BOARD SIGNS ICP The Speech & Language Therapy Service has been taking part in the International Communication Project (ICP) 2014, which aims to raise the profile of communication disabilities with international health bodies and policy makers. To date, over 6,300 people from around the world have signed the pledge. The SLT team has been encouraging practitioners and colleagues across Worcestershire to sign the pledge. So far, more than 250 signatures have been collected. On Wednesday (July 9) the Trust’s Board of Directors each signed the pledge to reiterate the organisation’s on-going efforts to support the estimated 10,000 children and young people who have or are experiencing communication difficulties in the county. For more information about our Speech and Language Therapy Team, please contact emma. jordan@hacw.nhs.uk
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YOUTH BOARD, Our Youth Board just celebrated its first anniversary last month. It was set up to help ensure young people have a say and a meaningful voice when it comes to the services the Trust provides. The board meets every couple of months to discuss changes to services, to help the Trust engage with other young people and to find out more about a particular service area. So far the Board has: • S et up a mental health subgroup, focussing on CAMHS •C ontributed to the Transition project aimed at improving transition between CAMHS to Adult Mental Health Services • S at on an interview panel to recruit a CAMHS clinician • L aid the foundations for a new young peoples’ website • Taken part in the Trust’s first ever Takeover Day event •R eviewed and scrutinised new information material to go out to young people •H osted senior staff and
colleagues from the Trust Future plans: • The Board is to receive training from various partners to empower them to talk about health issues • The Board is discussing plans on how to talk about drug and alcohol abuse in schools • The Board is working to promote its work in schools and youth centres • The Board plans to ‘inspect’ young peoples’ services Sarah Rowe, Youth Board member, said: “The youth board has been a great experience and really helps with my confidence. It’s been nice to hear others views on many things. The support the board has given has been great as it’s supported me in different situations”. For more information about the Youth Board contact Ahmed Hussain – ahmed.hussain@hacw.nhs.uk
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HOLT WARD, Our new Holt Ward for those who have a serious mental health problem was opened by Worcester MP Robin Walker at the end of June. Holt Ward is being re-located to a new base at the Elgar Unit. On Friday (June 27) staff were joined by Robin Walker MP as well as other interested stakeholders to open the new-look ward, which has undergone a major refurbishment and which boasts a new outdoor environment which will support patients on their road to recovery. The old Holt Ward was recently accredited by the Royal College of Psychiatrists in recognition for the excellent care and support staff provided. The accreditation considered all aspects of care and made recommendations where things might be even better. In response to this, and some feedback from patients, families and carers, the Trust invested
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around £800k to re-locate the ward to the Elgar Unit where it now opens out to a garden which staff believe will further enhance the overall patient experience. The investment has also been used to completely refurbish the indoor space, providing a modern and contemporary environment. Robin Walker, MP said: “On previous visits to the Holt Ward I was hugely impressed by the care I saw. I am in awe of the dedicated staff who work in the mental health sector providing such vital support to people at times of great need. However, there were challenges with the previous location up on the first floor and with limited outside space. The new ward looks fantastic, with top of the range facilities, a tranquil garden, and different views from every window. Both patients and staff deserve this improved facility and I have no doubt it will improve the patient experience.”
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Keep up to date with the latest news and development by visiting our website www.hacw.nhs.uk
Follow us on Twitter @WorcsHealth&Care or follow Sarah Dugan our Chief Executive @SarahDuganWHCT
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To give us your feedback please email communications@hacw.nhs.uk