The newsletter for employees and members of Birmingham Community Healthcare April 2014
“This, together with the improvements we saw in the 2013 staff survey reflect that, over the last year, we have been able to put things in place which are helping to make our staff feel better engaged and supported at work, which is very positive. “We will be looking at the results in more detail to see what areas we can improve upon further and aiming to ‘go for gold’ in the next two years!”
BCHC has been awarded ‘silver’ Investors in People (IiP) status following a recent reassessment. The award means that BCHC is ranked in the top 2,000 organisations nationally who currently hold the standard, which recognises an employer’s commitment to realising the full potential of its workforce. The reaccreditation followed the Trust’s success in gaining an IiP bronze award initially in 2009, when BCHC became one of the first health sector organisations to achieve that level of accreditation. IiP Bronze standard was awarded again in 2013, when BCHC narrowly missed out on silver by just seven evidence requirements. Director of compliance and assurance Joanne Thurston said the Trust was confident of earning silver status, hence the decision to go for early reassessment. “To go from bronze to silver in just 12 months is no mean feat so I am delighted we have achieved it,” she said.
Only 864 (six per cent) of the 15,000 organisations nationally with IiP accreditation hold the silver award. The gold award is held by 1,047 (seven per cent) of the total accredited while the bronze award is held by 1,123 (seven per cent). The remainder hold ‘standard’ accreditation In other plaudits, during National Apprentice Week the Trust scooped the ‘apprentice large employer’ award at the South and City College Apprentice Awards. Trust staff have also been celebrating at the Values in Practice (VIP) awards.
Pictured clockwise from top: VIP finalist Beverley Marriott, community case manager (centre left), pictured with her mum Virginia Stocker (far right), dad Robert Stocker and nominator Jean Downey; VIP winner healthcare assistant Ann Spencer with her daughter Samantha and grandson Maciah; chief executive Tracy Taylor (centre right) and widening participation lead Sharon Chinnock (centre left) collect the apprentice award from South and City College employer services sales manager Paul Leahy (far left) and assistant principle Naz Khan (far right).
In this issue: Breaking Barriers Page 3 New contract for Sandwell School Nursing Page 4 Come dine with me Page 7 End of life care Page 12 and 13 Early discharge pilot programme Page 14
Birmingham Community Healthcare NHS Trust
P2 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
Membership Matters Face-to-face events are proving a great way for BCHC and members to engage with each other. Recent successful events looked in detail at topics such as patient feedback and hygiene in care. Members who attended the event, which focused on how we receive feedback from patients and carers, helped the Trust to think of new and improved ways of gaining essential feedback from patients who receive care in their own home. Members also provided plenty of suggestions to help the Trust to improve the quality of our services, which has directly fed into our consultation around clinical priorities for the coming year, as part of our Quality Account. The ‘spring clean’ members’ event explored the importance of hand washing, especially in a community setting. Members attending recommended that this awareness is shared with carers and so the theme is incorporated into the next carers event. Attendees also discussed the Patient-Led Assessments of the Care Environment (PLACE), in which members are involved as lay representatives.
Membership manager Fiona Waide said: “Through interactive sessions we had a bit of fun and tested our hand washing skills. The members who attend provided us with feedback and learning from the PLACE process which will be included in our end of assessment report.” A copy of the full action plan, as result of the feedback, is available on request from the membership office and will be displayed at our subsequent event. Fiona added: “We are encouraged that we continue to receive extremely positive feedback on the events we are running. Although our events receive 100% positive evaluation in terms of the interest in the topic we discuss, the format for events and the opportunity given to have your say, we would still like to attract more members to attend. To help us understand what appeals – and doesn’t appeal – to you in our events, and to ensure we target our resources for effective engagement, we would be grateful if public members could take the time to complete our members’ survey inserted into this issue of ARCHway.
Dates for members’ diaries... • Carers event Thursday, 12 June 2014, 10.30am – 12.30pm Performance Studio, mac birmingham, Cannon Hill Park, Birmingham, B12 9QH Caring is a topic close to the hearts of many of our members, so we have chosen to run our next Members’ Event during the national Carer’s Week, in conjunction with our Carer Support Team. Join us to find out about support for carers, and influence what carers of people who use our services, can expect from Birmingham Community Healthcare. Doors will open at 10am with the opportunity to have a chat with the governors who represent you. More information on the events being held during Carers Week is available on page 4. If you are interested in attending please call our membership phone line on 0121 466 7023 or email us on email@example.com • BCHC – voluntary sector liaison Wednesday, 14 May 2014, 9.30am – 12.30pm Birmingham Voluntary Sector Council (BVSC), Centre for Voluntary Action, 138 Digbeth, Birmingham B5 6DR Do you work in the Third Sector? Join us to start a conversation about how we work alongside each other. This event is jointly hosted by BCHC and Birmingham Voluntary Sector Council (BVSC).
Join Brian Carr, chief executive of BVSC and Tracy Taylor, chief executive of BCHC from 8.30am for breakfast and networking with a formal start at 9.30am until 12.30pm. Let’s start conversations about how we are developing community services to support children, people in their communities and Armed Forces personnel, veterans and their families. • Annual General Meeting Thursday, 31 July 2014 Aston Villa Football Club Further details to be confirmed • Patient experience forum In the last edition of ARCHway we featured our new patient experience forum. Since then the group has held it first two meetings. The forum has been discussing patient experience feedback and examining key themes. The forum has also defined empathy from a patient perspective for staff training, reviewed a draft quality account and discussed the importance of confidentially. The dates of the next forum meetings are: • Thursday, 22 May 2014, 5.30pm – 7.30pm in the Trophy Room, Tally Ho, Pershore Road, Edgbaston, Birmingham B5 7RN • Thursday, 24 July 2014, 1pm – 3pm, venue to be confirmed For more information on the patient experience forum please contact the public engagement team on 0121 465 3533 or to confirm attendance please call the membership team on 0121 466 7023 or email firstname.lastname@example.org
Governors out and about BCHC Governors are keen to get out and about to meet service users, families and carers. John Leghorn, Public Governor for South Birmingham residents, recently met local families at the Disability Awareness Day hosted by Allens Croft Children Development Centre. John said: “I was so pleased to be able to attend this event which was both very interesting and it also gave me the opportunity to talk to a number of prospective members.” Are you holding a community event or meeting that our governors could attend? Governors have a role to represent the interests of our members and the communities we serve. Let our membership team know. Contact your governors and membership office on 0121 466 7023 or email email@example.com
John Leghorn with Lisa Sargant and her daughter Millie
Issue 25 / April 2014 / P3
Breaking barriers for patients Recent months have seen BCHC working closely with our partners to explore innovative approaches to deploying staff and resources where they are best able to help patients receive the most appropriate care. Where it helps serve patients’ interests that means colleagues from different NHS organisations working across boundaries, both in terms of care pathways and physical location. This greater flexibility saw the ‘embedding’ of BCHC colleagues at Heartlands and Good Hope hospitals during winter. Nurses worked closely with partners from Heart of England NHS Foundation Trust, West Midlands Ambulance Service and Birmingham City Council social services to reduce unnecessary admissions, increase discharges and speed up the ‘flow’ of patients through the system.
that benchmark. What, then, might ‘very good’ require?; how close to ‘perfect’ can we get? Senior nurse practitioners were based at Heartlands and Good Hope hospitals full-time throughout the winter months, proactively ‘re-routing’ patients who could be more appropriately cared for in their own home. During Breaking Barriers week, their close working relationships was key as colleagues were urged to flag up frustrations and obstructions so all partners could examine what was needed to reduce or remove them and log the lessons learned for the future.
This work concluded with a seven-day exercise to test adult community care pathways and explore how successful all agencies can be, collaboratively, in removing barriers for patients – both real and perceived.
Backed up by additional capacity to provide urgent and non-urgent care in people’s homes as part of the winter pressures plan, an average of around 60 patients a week were discharged more quickly during winter months thanks to community and acute clinicians working side-by-side in the hospital setting. Many people who might have been unnecessarily admitted to an acute hospital were cared for at home by BCHC’s rapid response or integrated multidisciplinary teams.
The initiative was based on the NHS Urgent Care Intensive Support Team’s ‘Perfect Week’ concept. Of course, no week is ever ‘perfect’; but it was a golden opportunity to ask “what does ‘good’ look like?’ and see how consistently we were close to
Chief operating officer Andy Harrison said there had been increased bed availability at both Heartlands and Good Hope hospitals during Breaking Barriers week thanks to a much increased level of discharges across all seven days.
He added: “I would like to personally thank everyone in BCHC and from our partner organisations who brought such energy and enthusiasm to the planning and delivery of Breaking Barriers week to focus on improving care pathways within and across organisations. “As I visited wards and units across the week, I was impressed by the many enthusiastic face-toface ‘barrier-busting’ discussions and the growing trust across organisational boundaries that enables safe and appropriate transfers of care to ensure patients are in the best care setting at the right point in time. “The focus was to ensure safe and appropriate transfers of care for patients to the best setting at the earliest opportunity. The response from everyone was fantastic, with a real emphasis on identifying things we can do differently together. “We now want to take a bit of time to reflect on the learning with hospital, city council and CCG colleagues and to work through the barriers identified, ensure we can remove them, and maintain the improvements to patient care for the long-term.” For updates on lessons learned from our winter pressures work and Breaking Barriers week, visit www.bhamcommunity.nhs.uk/ breaking-barriers
NHS Change Day Last month the Trust took part in NHS Change Day, one of the biggest movements the NHS has ever seen. NHS Change Day started in 2013 with a single tweet and went on to become a national event, with nearly 280,000 people across the NHS taking part this year. ARCHway caught up with one of the BCHC staff that pledged their support.
Right to communicate Speech and language therapist Gill Rudd pledged to ‘remember that everyone has the potential and the right to communicate their thoughts, needs and wishes, though not everyone finds this easy.’ Gill made the pledge to help raise awareness of the importance of communication in our daily lives, particularly when 20 per cent of the population experience difficulties at some point in their lifetime. Gill describes how she is now actively following up on her pledge: “I have been involved in Giving Voice (raising awareness of speech and language therapy) since the campaign began and our work has been recognised both
locally and nationally. We were also lucky that the pledge was selected to be included in a BBC News Online article, drawing further attention to the cause in a different arena. “I hope to continue this work throughout 2014 working in close partnership with the speech and language therapy department at Birmingham City University and partners nationally. It’s early days but future campaigning plans include speaking at a Royal College of Speech and Language Therapy webinar; helping with a Giving Voice/ICP2014 masquerade ball at Birmingham Botanical Gardens in June 2014; awareness raising in local supermarkets (information stalls) and ongoing promotion through social media channels, including Twitter.”
Beyond prejudice - parenting with learning disabilities BCHC colleagues were instrumental in staging a major conference on parenting with learning disabilities at the Midlands Art Centre (mac) in Cannon Hill Park, Edgbaston. The conference, entitled Beyond Prejudice, was an opportunity for professionals to enhance their understanding about parents with learning disabilities, network and increase their awareness of national policy. The programme was opened by chief executive Tracy Taylor and included a presentation from BCHC’s lead clinical psychologist Laura Ogi, who is also steering group lead for Birmingham parents with learning disabilities.
“BCHC holds the leadership on the strategy on parents with learning disabilities in Birmingham. We were very pleased to secure funding to put on such a large and well-attended conference. All the feedback was extremely positive.” The event was organised in partnership between BCHC and Birmingham Women's Hospital NHS Foundation Trust and sponsored by the Birmingham Safeguarding Children’s Board.
Delegates also enjoyed a performance by award-winning theatre company Side by Side Theatre, a unique and inclusive group of adults with and without learning disabilities. Other high profile figures in the field of learning disability giving presentations on the day include senior family judge Estella Hindley QC and Beth Tarleton, a senior research fellow at the Norah Fry Research Centre at the University of Bristol. Laura Ogi said: “Supporting parents who have learning disabilities is acknowledged as a key part of Government strategy and vitally important for the health needs of both parents and children.
Pictured are members of the conference steering group including (fourth from left) lead clinical psychologist Laura Ogi and (centre) head of child safeguarding Clare Edwards.
P4 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
Carers Week 2014 9 – 15 June Carers Week is a UK-wide annual awareness campaign taking place from 9 June to 15 June. The aim is to improve the lives of carers and the people they care for, by reaching out to thousands of people who are currently missing out on services that could help them in their caring role. This year, the week will see the launch of the Carers Week Quest – a new initiative to encourage organisations and individuals in local communities to work together to reach out to carers. In support of the Quest, the Trust’s carer support team is organising two events for carers this year. Monday 9 June: the team will launch Carers Week by holding their annual walk for carers at Cannon Hill Park. All carers who would like to put their best foot forward are invited to meet in the courtyard (park-side entrance) of the mac birmingham at 10.30am for an 11am start. The walk will be followed by a gentle exercise
activity provided by the Health Exchange inside the mac Birmingham between 12pm and 1pm. A member of staff from the podiatry service will also be available to talk to carers about foot care.
membership team on 0121 466 7023 or by email firstname.lastname@example.org. Please note that you do not need to book onto the event on Monday, 9 June.
Thursday 12 June: the carer support team has joined forces with the Trust’s membership team to reach out to our known and unknown carers who support our service users. Carers are invited to attend the event to be held at the mac in the performance studio from 10.30am12.30pm (doors will be open at 10am). Brunch will be served at 10.30am and there will be an opportunity to visit information stalls, receive support and advice, and offer comments and opinions on the Trust’s new carer’s charter.
For further information on the events or the carers support team please contact: Email: email@example.com For more information on carers week visit www.carersweek.org
The mac is located at Cannon Hill Park, Birmingham, B12 9QH. If you would like to attend the event on Thursday, 12 June, or know a carer who you think might like to attend, places are limited so please book early by contacting the
BCHC scoops double award for growing its own talent The Trust has been recognised for the opportunities it provides for young people in the area. At the recent regional apprenticeship awards, hosted by South and City College as part of National Apprenticeship Week, BCHC scooped the ‘apprentice large employer award’.
Tel: 0121 466 4314/9
Trust wins contract for Sandwell school nursing service The Trust has successfully bid to provide the mainstream school nurse services in Sandwell from April.
Sandra Benaitiene receives her business and IT apprentice of the year award from Peter Coates, Managing Director National Express
Sharon Chinnock: “We are delighted to have been given this award. As an organisation that is all about providing services in and for the community, we are delighted to play a part in providing high quality learning and career opportunities for young people living locally. “For us, apprentices are incredibly valuable to the business, and we go on to hire many as full-time members of staff once they complete their apprenticeships.” In addition one of the Trust’s apprentices, Sandra Benaitiene, was named ‘business and IT apprentice of the year’ for her attendance, time keeping, motivation, quality of work, attitude and work ethic. Sandra said: “Being nominated was a huge deal for me, and then to go on to win the business administration apprentice of the year award was the ultimate reward for all the work I put in. “I found this apprenticeship such an enjoyable experience; everyone has been very supportive throughout. I am immensely grateful to everyone who was involved with me, taught me and mentored me. And receiving this award is the perfect motivation to continue giving my best.”
BCHC has been awarded “preferred provider” status for the contract which will operate for three years with the potential to extend for a further two years. The Commissioner is Sandwell Metropolitan Borough Council (SMBC). The Trust currently provides a school nurse service in Birmingham. Chief executive Tracy Taylor said: “This is excellent news for BCHC, and for the children and families division as it strengthens our position amongst commissioners and in the local health economy as the ‘provider of choice’ – something we always strive to be. On behalf of the Board I would like to extend a warm welcome to the team of Sandwell school nurses. We are delighted to have you join our Trust.” Dr Doug Simkiss, clinical director for the children and families division, said: “We are really pleased and excited about the opportunity to work in Sandwell. “The profile of children in Sandwell is similar to that of Birmingham, including challenges of diversity and safeguarding. The service model developed will ensure that school nurses, supported by a school health team, can deliver services across each secondary school and primary school in Sandwell.” Karen Hansford, head of service 5-19 years, said: “I am really looking forward to working with the school health nursing team from Sandwell and the opportunity we will have to share good practice across the two areas. This is a really exciting time for school nursing and by working together we will be able to make a difference for our local children, young people and their families across Birmingham and Sandwell.
Issue 25 / April 2014 / P5
Praise for children’s centre team for family–friendly double bill
Martin Roberts with the team at Allens Croft Allens Croft Children's Centre and Nursery School in Kings Heath hosted the national launch of the Royal Society for the Prevention of Accidents' first ever Family Safety Week – just one working day after a high profile annual event to raise awareness of disability issues. Martin Roberts, star of BBC1's Homes Under the Hammer, officially launched Family Safety Week in the company of mums, dads, carers, children and a range of health and education professionals. Free Radio presenters Foxy and Giuliano were the star guests at the disability awareness day.
The centre was chosen for the high profile national event as an outstanding example of multi-agency partnership, with early years education services provided by Birmingham City Council alongside specialist paediatric healthcare services delivered by BCHC and other NHS colleagues in a dedicated child development centre (CDC). Each day of Family Safety Week focussed on a different theme including keeping under-5s safe, teaching children to swim, safer driving and falls prevention.
their number one priority. They value good advice about accident prevention that’s not over-the-top and enables their family to live life to the full.
Health and education staff worked together to create a family-friendly fun atmosphere at both events, which were also attended by the Lord Mayor of Birmingham, Councillor Mike Leddy.
As part of the week, RoSPA launched an online national accident survey in an attempt to gain a snapshot of how accidents affect families and the help they need to prevent them.
“Finding out about some of the common causes of accidents and the simple steps you can take to prevent them could be one of the most important things you do for your loved ones. Family Safety Week will help you to do this.”
Martin said: "As soon as I heard about Family Safety Week, I wanted to be a part of it.
Allens Croft nursery nurse Clare Hulbert-Moore said: “It was a really enjoyable day, combining family-friendly fun with some serious messages about safety around the home.
Allens Croft’s fourth disability awareness day was an annual opportunity for professionals and families to pick up practical and clinical advice and information on a range of subjects.
“It was great to form this positive partnership with RoSPA as, together with our education service partners, we share a common goal keeping children healthy and safe from harm.”
Paying tribute to the Allens Croft team, children and families division director Sue Marsh said: “I have had fantastic feedback about both the disability awareness day and the launch of Family Safety Week at Allens Croft on successive working days. The team’s unswerving commitment and continued good practice in representing the organisation and division so positively is very much appreciated.”
"Being the father of two young children and knowing friends and colleagues who've lost loved ones in accidents, I know how crucial it is to get the balance right. "That's why I'd urge others to get involved. This isn't about over-zealous rules and regulations - it is about looking after the ones you love. It's a great idea that I'm sure families will embrace."
RoSPA chief executive Tom Mullarkey added: “Many people tell us that their family’s safety is
Staff and families at the disability awareness day were joined by special guests Free Radio Presenters Foxy and Giuliano (second from left and centre) and Birmingham Lord Mayor Councillor Mike Leddy and Lady Mayoress Pauline Leddy (far right).
P6 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
Conference puts focus on ‘communication friendly’ city
Trust prepares for Care Quality Commission inspection As part of the national response to the Francis inquiry and on our journey to Foundation Trust status, we have now reached the stage where our Trust will undergo an inspection by the Care Quality Commission (CQC). The Care Quality Commission makes sure that healthcare providers deliver safe, effective, compassionate high quality care. We have been notified that our inspection will take place sometime between Easter and the end of June, 2014. In the coming weeks, look out for more information on your screen savers and the weekly e-newsletter. The CQC will look at whether the organisation and each of the core services are:
4 The children’s speech and language therapy team at the event BCHC speech and language therapists played a leading role in co-ordinating and presenting at a high profile event to celebrate good practice and promote the importance of everyone’s role in supporting children with speech, language and communication needs. The event - entitled Communication Friendly Birmingham – Our City, Our People, Our Business - was attended by around 250 people from across the city, representing the ‘wider children’s workforce’ from across agencies. Delegates came from across education, health and the independent sector and included special educational needs co-ordinators, nursery nurses, primary and secondary teachers, Access to Education staff, educational psychologists, health visitors, speech and language therapists, school nurses, youth offending service workers and representatives of Child and Adolescent Mental Health Services (CAMHS) as well as health and local authority commissioners. Professional clinical lead for children’s speech and language Therapy Ali Beard said: “There is a very high incidence of children with speech, language and communication needs in Birmingham. This represents a real issue for the city - in areas of social deprivation, up to 50 per cent of the children may have impoverished language on school entry. “All children’s settings, from early years onwards, need to become more skilled in providing communication-friendly environments and supporting children’s language and social development. There is a wealth of research linking impoverished language to low educational attainment, social exclusion and poor emotional wellbeing. Adequate language and communication skills are fundamental to life.” Joint funded by BCHC and Birmingham City Council, the conference at Edgbaston cricket ground was opened by the local authority’s strategic director for people Peter Hay, with a keynote address by Prof Geoff Lindsay of the University of Warwick. Both speakers highlighted a need for agencies to work collaboratively to support parents of children with communication needs.
4 4 4
This will relate to our systems, processes and practice, safety thermometer scores, staff survey results and staff numbers.
Effective This will include evidence-based care, appropriately skilled staff and multidisciplinary team working.
Caring For example, our friends and family test results and compassion and dignity.
Responsive to people’s needs This will include our learning from complaints, support in the community, and meeting the needs of people we have contact with.
This will relate to the clarity of the Trust’s vision and governance framework, our leadership development and how we engage with staff.
Director of compliance and assurance Joanne Thurston said: “This is an exciting opportunity to showcase quality services that we deliver day in, day out and I am confident we can demonstrate our commitment to delivering accessible responsive healthcare”. If you have any questions, queries or concerns or would like a presentation to your team about the CQC inspection, please contact Angie Villers, head of compliance and assurance on 0121 466 7063 or firstname.lastname@example.org
Destination RiO: we’re on our way! The first leg of the journey to RiO has started, with adults and community staff now on their way to this bright, new destination. Phased roll-out of the new electronic patient record system started earlier this month with staff in diabetes, CKD, heart failure, cardiac rehab, speech and language therapy, sickle cell and thalassaemia and podiatry. RiO has been introduced to allow staff to access and share comprehensive, real-time patient information. Alongside mobile working, it forms part of a wider Trust strategy to enable staff to work in a more agile way, with the overall goal of supporting staff to spend more time with patients and less time travelling or on paperwork. User acceptance testing, training and roll-out of the new system will continue within the adult and community division into the summer, with rollout to the children and families division scheduled for the autumn.
Delegates at the conference created a ‘communication friendly’ mural
To find out more about RiO visit: http://nww.bhamcommunity.nhs.uk/about-us/ future-working/cwis/
Issue 25 / April 2014 / P7
Tea and cake served traditional-style at West Heath Hospital.
Patients invited to ‘come dine with me’ on nutrition and hydration week Colleagues from across the Trust joined a national challenge to help raise awareness of the importance of good nutrition and hydration as part of providing safe, high quality patient care.
Alongside this and armed with goodies, the community dietitians visited the wards to highlight the importance of snacks to patients who may need additional nutrition.
Staff and patients were involved in food and drink-themed events and activities to raise awareness and improve understanding of the vital importance of good nutrition and hydration.
Later in the week, an information ‘trolley dash’ toured the wards at Moseley Hall Hospital to provide staff with goodies and information packs to spread the word about good nutrition and hydration and Harm Free Care.
National Nutrition and Hydration week aimed to illustrate how, by making changes to eating and drinking habits, people can significantly improve their quality of life and wellbeing. The week kicked off with a 'Come Dine with Me' event at West Heath Hospital, where visitors and staff got the chance to taste samples of the food that is provided by the catering services. One Ward 11 patient, Patricia Carroll, commented: “You can’t fault the food here and there is always plenty of choice”. On average, patients rated the food 8 out of 10. The idea was to highlight to visitors and staff the range of food and snacks available and the importance of protected mealtimes as part of good nutrition and hydration practice within the Trust. The patient safety express team then led a ‘speed-dating’ style information event for staff, which focussed on how good nutrition and hydration can prevent patients from the four harms that are a key focus for patient safety: falls, blood clots, catheters and urinary tract infections and pressure ulcers. Midweek, patients at West Heath were treated to an afternoon tea party, and ward patients at both our community hospitals were offered special cakes and snacks as part of 'Worldwide Afternoon Tea’.
Prevention of harm nurse Louise Morris said: "Patients were keen to share their experiences around the topics covered and were very complimentary about the meals provided at Moseley Hall Hospital as well as the care they received." At the end of the week, aptly named ‘Foodie Friday’, delegates from the ‘speed dating’ event were asked to discuss their pledges with their peers and meetings and handovers. One delegate stated she will ‘ensure to pay more attention to the hydration status of her patients.’ Nutrition support community dietitian Sophie Rawlings led the Trust’s involvement in the week-long campaign, with support from the community nutrition and dietetics service, catering services and the patient safety express team. She said: “The campaign was a successful way of highlighting to staff the preventative role they can play in reducing malnutrition-related illnesses that often require complex treatments, prolong recovery periods and may delay transfer of care from hospital.” Nutrition and Hydration Week is a collaboration between Hospital Caterers Association, the National Association of Care Catering and Patient Safety First. Link: www.nutritionandhydrationweek.co.uk
A 'trolley dash' was an effective way to quickly give out essential nutrition and hydration information to patients, relatives and staff at Moseley Hall Hospital.
Patients, volunteers, relatives and staff sampled tasty menu options in a ‘Come Dine With Me’ taster session at West Heath Hospital for Nutrition and Hydration Week.
P8 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
Celebrating our Congratulations to all our staff that were named winners and finalists at our recent Values in Practice (VIP) awards. Over 100 people, including staff, patients and members of the public, attended the celebratory event at Birmingham City Football Club, to share the success of individuals and teams who were acknowledged in the Trust’s year-round awards programme. The event was hosted by chairman Tom Storrow, who also chairs the judging panel for the awards, alongside chief executive Tracy Taylor and chief operating officer Andy Harrison. The shortlist was narrowed down from a total of 95 nominations. If you would like to view the nominations in more detail a programme from the event is available on the Values in Practice intranet page (click on the ‘VIP’ logo on the homepage) where you will also find details of how to nominate.
Commitment Award Nominated by clinical team leader Emma Glass:
Winner: Gail Sleigh, senior care coordinator
Nominated by facilities manager Daniel Keenan:
“For the last 12 months in a row Bernadette and Julia have received 100 per cent on their cleanliness audit sheets, Peter achieved 100% for 11 months and 96% for one month. Winners: Anne Smith, Governance us Manager with Julia Farr, Peter Butler and This shows tremendo Bernadette Marnell, domestic assistants commitment and an at Birmingham Dental Hospital exceptional team effort.”
“Gail is the back bone of this team. Without Gail’s assessments, communication and dedication we would not have timely and effective discharges.”
Finalists: Brays Special School nursing team (collected by Sue Marsh, divisional director children and families) and health visitor Anne Horder.
Finalists: Chris Ridley, technical instructor/physiotherapy assistant, pictured with his nominator physiotherapist Yogita Stokes
Finalists: Karen Howarth, physiotherapist
Fay and Emmanuel were nominated by the daughter of a patient, Jaki Kinghorn:
“After spending three months in hospital my dad was transferred to community unit 27 in Good Hope Hospital. Dad met Emmanuel on admission and he immediately showed what a caring and understanding individual he is. Fay’s caring, understanding and positive attitude meant a lot to dad who looked forward to her being on duty. They are both assets to Ward 27.”
Joint winners: Left to right: Natalie Knight, deputy manager, BCATS, Fay Ingram, healthcare assistant community unit 27, Good Hope Hospital and Emmanuel Ogungbesan, staff nurse
Finalists: Gillian Drennan, management support officer
Natalie Knight was nominated by healthcare assistant Christine Nolan: “When I transferred to a new position, there was a technical error relating to my salary and my personal finances were extremely stretched. Natalie was incredibly understanding, going above and beyond to support me during this time – she even bought me groceries.”
Finalists: Left to right: Beverly Marriott, community case manager and the early supported discharge team, adults and community services (see page 14 for more on this team)
Issue 25 / April 2014 / P9
Values in Practice Quality Award
Winner: Jenny Perry, senior dental officer (collected by Alison Aberdeen, principal dental nurse/general manager).
Accessible Award ant in special care Nominated by consult ord: dentistry Nick Ransf Brownhills dental clinic “Jenny and the team at rvice improvement in have made a massive se g to provide treatment the last year by startin s made a big difference under sedation. This ha vere disability who to many people with se spital for a general used to have to go to ho g list for this has now anaesthetic - the waitin been drastically cut.”
Nominated by head of ce information governan Pat Keaveney:
Winner: Paul Withers, information security manager
el “Paul has shown a lev of commitment to the Information Governance team, which goes way . above my expectation As a result of service user feedback, Paul has implemented paper IG based versions of the mandatory training for members of staff who are unable to use the online version.”
Finalists: Kings Heath district nurses
Finalists: Harvey Road district nurses Left to right: Andrea Grice, medicines management technician and Melanie Hart, non-medical prescribing and governance lead; pictured with finalist Rebecca Martin, service lead, tissue viability
Finalists: Karen Bamford, senior speech therapist and rehab assistants Debbi Coombe and Carole Owen, south IMT therapy hub
Ethical Award Nominated by community practice teacher Zarida Riaz:
Responsive Award Finalists: Kings Heath district nurses
Nominated by clerical officer Mary Bassett: “While visiting an elderly patient Ann noticed a young family member had become unresponsive. She acted very quickly but calmly to alert family and the emergency services and start CPR. Thankfully the young person survived, but had it not been for Ann’s quick response, this might not have been the case.”
Winners: Palvinder Kaur Mudan and Kalvant Kaur Bhamra, support workers, greet health visiting team Winner: Ann Spencer celebrates her win with daughter Samantha and grandson Maciah
Finalists: Left to right: Monica Smith and Lynn Malcolm (not pictured), and health visitor Hope Barton-Hazel.
“Palwinder and Kalwant deliver the monthly weaning programme to parents, and have seen positive changes in the health and behaviour of families through the generations. They bring experience and wisdom to the team and it’s a great privilege to work alongside them both.”
Finalists: Counselling team, West Midlands Rehabilitation Centre (collected by their nominator advanced nurse practitioner Sharon Osborne) and Dr Mark Martin, lead clinician, learning disability services
P10 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
All abou The art of conversation: having healthier discussions at work ‘Every conflict we face in life is rich with positive and negative potential. It can be a source of inspiration, enlightenment, learning, transformation, and growth–or rage, fear, shame, entrapment, and resistance. The choice is not up to our opponents, but to us, and our willingness to face and work through them’. – Kenneth Cloke and Joan Goldsmith Healthy teams and relationships sometimes involve disagreement and even conflict. Having a healthy relationship and environment enables differing perspectives and opinions to be aired, as our unique views are often backed by our beliefs, values and experiences it can sometimes be an interesting challenge to be able to listen to and to explore the views of others. At BCHC, we are passionate about facilitating healthier conversations, whether one-to-one discussions or whole team conversations. Healthy conversations help you to feel supported by your line manager – something which has improved over the last year according to the staff
survey, where 62 per cent of respondents said they felt supported by their line manager in 2013 compared with 60 per cent in 2012. We hope to improve this year on year, and a range of support is available to all to facilitate this – see the diagram below. Coaches and mentors are available to anybody working in the Trust. Our team of trained Coaches and mentors are working at all levels in the Trust. Their backgrounds are clinical through to non-clinical and from a wide variety of divisions. A coach in particular can help to give you clarity, and to plan positive action. To access a coach please contact: Jackie.email@example.com
Support available for different stages of conversations A very early conversation is needed to discuss a concern with an individual in order to gain mutual understanding and agreement
Differing perspectives are creating a tension which both parties are willing to explore with a view to gaining agreement and resolution
Any party would like perspective on the impact of a person or situation on them and would like some neutral support and input
Skills development available to support line manager on how to have a courageous conversation
Mediation is available with neutral, experienced mediators to explore parties feelings and needs.
Mediation is available with neutral, experienced mediators to explore parties feelings and needs
Two-day coaching skills
This is an informal, process, is confidential and is not recorded.
Contact: Denise Bolger Tel: 0121 466 7287
Team development through coaching is available to teams wishing to work on an issue specific to them or make a difference to their working lives or services they offer to patients
Enhancing your communication skills with NLP Making feedback count Contact: Jackie Lawlor Tel: 0121 466 7291
Enhancing your communication skills with NLP Contact: Denise Bolger Tel: 0121 466 7287
A trained bullying and harassment adviser can help any colleague to explore their perception of a situation and offer advice, support and signposting. Contact: Anna King Tel: 0121 466 7290
A team would like to move their communication and development forward to enhance relationships and revitalise team direction
Contact: Eleanor Brend Tel: 0121 466 7289 Team mediation is available to any team who needs support to reach a positive, appropriate and sustainable resolution. It can provide all team members with an opportunity to agree their own solutions together Contact: Denise Bolger Tel: 0121 466 7287
Staff survey focus for 2014 The 2013 staff survey results highlighted the need for the Trust to focus its attention on the following areas in 2014/15 and to this end, the Trust Board has agreed an action plan: • Ensuring all staff are aware of and have access to adequate hand washing facilities throughout their working day. • Improving the coverage and delivery of effective, high quality training and PDR’s. • Enabling all staff to make suggestions to improve our areas of work, our teams and departments. • Continuing to raise awareness of how to report errors, near misses and concerns.
• Continuing to explore different ways to support staff experiencing work related stress. • Creating a culture of greater engagement in management and leadership, with all staff, at every level. • Further improving our annual staff survey response rate, providing richer feedback and enabling the development of meaningful support. If you would like to be involved in planning, sharing ideas and stories at the Staff Engagement Think Tank Meeting then please get in touch: equalityOD.firstname.lastname@example.org If you would like to view the staff survey results in full, you can do so via the organisational development section of the intranet (go to ‘occupational health’ and then ’staff’).
Issue 25 / April 2014 / P11
ut you... Positive feedback for health and wellbeing programme Feedback from staff attending the recently launched ‘lighten up’ health and wellbeing programme reflects that the pilot is already helping staff to feel more positive and take proactive steps to ‘lighten their load’. The programme, which consists of five half-day modules, aims to help staff to consider the current state of their health and wellbeing, both at work and at home, and what they can do to improve and sustain, with practical solutions to help staff balance work and personal life. The healthy lifestyles module has been supported by Tracey Sheridan, associate director community services, who shared her personal weight loss journey.
Date for the diary: The programme will be followed by an evaluation session, which is intended for participants and those who have expressed an interest in attending the programme in future. Please come along and share your views on 13 May, 1.30pm – 4pm at Waterlinks House. This event will be opened by chief executive Tracy Taylor, and director of compliance and assurance Joanne Thurston. Feedback from this event will help the Trust to further develop the programme for staff, with further cohorts of training planned for later in the year.
Jennifer Pearson, health and wellbeing advisor and lead for the programme, said: “Everyone was moved by Tracey’s story about her weight loss battle and she has inspired many of the participants to make a little change as a result.” On the same module, Jennifer, who facilitates the programme, shared her passion for salsa dancing, by providing a short lesson at the end. She said: “everyone had a go and by the feedback we received, it went down really well. People are already saying they can’t wait for the next session!” Jennifer added: “Key to this programme is about setting manageable goals and sticking to them. In the ‘healthy lifestyles’ module we discussed the importance of finding something you enjoy doing – if you enjoy doing it, you’ll stick with it and that’s good for not only health but mental wellbeing too. “In the positive feedback I have received so far, peope on the programme have a sense that the organisation is taking positive steps to support their health and wellbeing – something this programme aims to do. We looked at the staff survey results and although we have seen an improvement from the previous year, less than half of respondents said that they felt the organisation takes positive action on health and wellbeing (46 per cent in 2013 compared with 41 per cent in 2012).”
Associate director of community services Tracey Sheridan spoke about how diet and exercise transformed her health and wellbeing.
Harassment Advisors The 2013 staff survey reported that 80% of respondents had never experienced harassment from their manager/team leader or colleagues which was a 6 per cent improvement on the previous year’s results. With that said, support for staff being bullied or harassed continues to be a high priority for the organisation, as one in five staff still experience it.
What is bullying? Bullying can involve arguments and rudeness, but it can also be more subtle. Bullying and harassment does not necessarily happen face to face, it may occur in written communications, e-mail, via social media or by telephone.
What effect does it have? Bullying can make working life miserable. You lose all faith in yourself, you can feel ill, depressed and find it hard to motivate yourself to work. It is important to remember that bullying and harassment is not determined only by the intention of the person who has caused the offence, but by the effect it has on the recipient.
Get advice - raise your concerns All staff have responsibility for raising any concerns (personal or witnessed) regarding harassment or bullying, which require intervention.
You can do this by speaking to your line manager (or another appropriate manager), harassment advisor, colleague in HR or staff side. If bullying is affecting your health, you can contact occupational health, staff support (BCHC’s confidential counselling service) or visit your GP.
What we can all do… Treat all colleagues with dignity and respect and be aware of how your behaviour can affect other people. The Trust recently published a staff charter and leader’s code which sets out the expected behaviours and actions that will help develop a positive culture. To get your copy contact Rachael Garvey on 0121 466 7292.
Harassment advisors The Trust has a network of harassment advisors, located at various bases across the organisation, who primarily provide a confidential ‘listening ear’ for staff that may be experiencing bullying or harassment at work or have been accused of bullying or harassment. Advisors are trained to provide options, rather than answers. If you feel that you would benefit from the support of a harassment advisor, please contact Anna King, health and wellbeing advisor, on 0121 466 7290 or see the full list of harassment advisors on the health and wellbeing Intranet pages.
P12 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
End of life – Providing high quality support for people in the final days of their life is one of the most important roles of a compassionate healthcare provider and is a clinical priority for the Trust. To mark ‘Dying Matters Awareness Week’ (12-16 May), ARCHway spoke to some BCHC colleagues with key roles in end of life care.
Children’s end of life care as passing a nasogastric tube, setting up a syringe driver or advocacy support. Assertive caseload managers ensure a multidisciplinary/multi-agency assessment of the child/young person and family. The team supports families with the emotional and practical aspects of dealing with such a sick child. They are often seen as part of a family’s unit due to the intense relationships that are formed. It is not just children and families that benefit from the service - other professionals are supported to have difficult conversations with parents to enable them to make an informed choice on their child’s EOL care and facilitate advanced care planning.
Clinical lead for palliative care Rachael Williams shares why she feels privileged to work in children’s end-of-life (EOL) care. Rachael is based at Barbara Hart House in Kings Norton and is responsible for children’s palliative care across Birmingham, supporting families, and helping staff and other professionals in the delivery of EOL care in the community. The children’s community nursing team supports around 700 children, a high proportion of whom have a life limiting/ life threatening condition. The team are able to facilitate a rapid discharge from the acute sector in just a few hours if a child is considered to be near the end of their life. They also manage any deterioration to a child already known to the service, especially if it is the wish of the child and family for them to remain at home in their last days. Rachael works with three children’s community and palliative care teams across Birmingham, delivering a range of community care to the 0-19 age group. The service offers 24/7 telephone advice to all families, with two nurses on call every night. The most unwell children are also supported by a visiting on-call service. This reactive aspect of the service supports families when a child has deteriorated and is considered to be near the end of their life. Families are able to remain in their place of choice (whether that is at home or in a care facility) with support from the team, which often prevents unnecessary hospital admissions and gives much needed reassurance. The amount of support that families receive is driven by their individual needs. The team has a broad set of skills which they use to support children and their families. This may include clinical or practical support such
Rachael said “It’s important to the team that we offer real choice putting the child and family at the centre of any planning. We also focus on the quality of a child or young person’s life and facilitate any special wishes a child and family may have. “As an example, a teenage girl near the end of her life required a syringe driver to effectively manage her pain, which needed to be changed daily. Her wish was to go to a health spa for the weekend with her family. The team supported her to do this by travelling to the spa to renew her syringe driver medication.” Rachael explains how important it is for the team to plan in parallel both for survival and deterioration of a child. Medicine boxes are put in the family home called ‘just in case’ boxes to ensure any symptoms present near the end of a child’s life are treated without delay. If a child is in pain, they can be given morphine to alleviate their symptoms quickly. Rachael and many of the nurses are non-medical prescribers, which often enables them to lead in the symptommanagement of the children/young people they care for, working very closely with medical colleagues. Families are supported before and after a child’s death, with each assessed holistically. The children’s community nurses and palliative care team are resilient, prepared for every eventuality and have the utmost compassion, respect and professionalism for all those they work with. Highly trained specialists, they respond rapidly to calls from hospitals, families, GPs, hospices that all need their services. Rachael says: “I wouldn’t do any other job. We work very hard to build trust with families to ensure we give the child the best quality of care. It’s a real privilege to be able to be part of the family’s journey at such a difficult time in their life. “The service is extremely lucky to have such a dedicated team of clinical staff and managers committed to delivering a high standard of end-of-life care to these exceptional children and families”.
Issue 25 / April 2014 / P13
a time to care BCHC medical director Andy Wakeman chairs BCHC’s end-of-life care working group, held each month. The group was established in response to outcomes of the national review of the Liverpool Care Pathway and the Trust’s desire to ensure we took full account of these at a strategic level plus a local desire to better integrate our approach to EOL across clinical divisions.
“Our commitment to caring for people who are faced with life-limiting illnesses means that we are continually looking at ways to improve the quality of care we provide,” Beverly said. “Well-planned, compassionate end-of-life care that treats, comforts and supports a person who is faced with a progressive life-limiting condition is one of the most important aspects of the care we provide.”
Director of nursing and therapies Beverly Ingram said: “Few aspects of care provision are more important or rewarding than caring for a patient at the end of their life.
Andy Wakeman added: “Through good symptom control, end-of-life care can not only improve quality of remaining life but also life expectancy.”
“Our patients deserve to be treated with dignity, respect and compassion and we must never underestimate the positive difference and impact we make on patients and their families and friends.”
• open conversations with patients, carers and families
BCHC’s adults and community division integrated multidisciplinary teams are currently working on a pilot project in partnership with Macmillan, Birmingham St Mary’s Hospice and voluntary organisations to develop increased clinical interventions at home. The project aims to work with GPs to identify EOL patients at an earlier point and co-ordinate care to allow the patient to die at home. District nurses are key to the success of the project.
Andy identified some of the key factors in achieving this as: • working in partnership with other colleagues such as the patient’s GP, Macmillan nurse and carers • care that is personalised to the needs of individual patients • clinical staff who are confident and competent within their role and, because of the emotional labour of care, seek and have a professional support network. Patients are at the centre of EOL provision and BCHC is about to launch an advanced care plan, empowering patients to plan for their final days. The launch date will be publicised soon.
The Sheldon Unit
Clinical team leader Clare Gadd heads up the team at the Sheldon Unit in Northfield. The unit provides adult endof-life care.
The unit offers care for patients who are eligible for continuing healthcare funding and who are in the final days, weeks or months of life. I must stress, however, that patients do not ‘come here to die,’ they come to live as well
My day starts and ends with that philosophy in mind, and informs everything I do as clinical team leader. Whether that is supporting staff, encouraging creative, patient-centred care or spending time talking to families, my job is to enable that care to be provided to the highest standard, with honesty, dignity and respect at the fore. This can involve ensuring symptoms are controlled or gently explaining changes that take place during the dying phase. It can also involve meeting personal requests such as setting up an easel for a patient to paint a final picture for their family or helping to get loved ones back from abroad when they thought it wasn’t possible.
No two days are the same, that’s for sure, and I like the unpredictability and the need for creative solutions that brings. Working in end-of-life care can be very demanding, emotionally and physically, and there are challenges and frustrations along the way. But I find it a privilege to be able to support such a unique place and in any given day I could go from answering emails, administration and attending meetings to teaching and supporting colleagues to giving care and counselling distressed relatives, offering advice to colleagues in other areas of the Trust, or dealing with the odd emergency/ unforeseen event. So I can’t describe a typical day, as there really isn’t such a thing. When I see the passion and commitment to high standards of patient care that my team bring every day, see the results and hear positive feedback from relatives every day is a good day.
and as comfortably as possible; they come here for us to enable their families and carers to feel supported and spend quality time together; they come here for the opportunity for those final times to be together as a family, not worrying about undertaking physical care, or how they are going to manage.
Thank you letters from families whose loved ones have been cared for at the Sheldon Unit We were so happy that mum was able to be with you for her last few days. She was so peaceful in room 25, and everyone treated us and her with respect and dignity. Nothing we asked for was too much trouble. You really are a special group of people, thank you so much. The family of Joan Reading
We would like to say how much your care, passion and commitment to mo m and all the other patients is a credit to you all. Her comfort and dignity was always a priority with you all. Not only was mum’s care import ant to you but we as her family were made to fee l welcome and there was always kind words and answers to our questions.
Thank you again for all your car e and support during mums stay.
The family of Winnie Greenhous e
We would like to th ank you all for all the loving care you gave to Jean in the last few wee ks of her life. It helps us to know she was being ca red for in such a loving and carin g way when we w eren’t there ourselves and how peaceful she look ed while she was in your care. Thank you
John Overton an
P14 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
New pilot programme supports stroke patients to recover at home In the last six months, more stroke patients in South Birmingham have been able to return home and start their recovery sooner thanks to an intensive, home-based therapy programme. As part of the Trust’s winter pressures work, the early supportive discharge pilot programme was set up in October for stroke patients admitted to either Ward 8 at Moseley Hall Hospital or the Queen Elizabeth (QE) Hospital to enable them to return home sooner. Working with the Birmingham community stroke service, a multidisciplinary team made up of occupational therapists (OT), physios, a speech and language therapist, a rehabilitation assistant and administration support was brought together to provide specialist therapy to stroke patients, in the comfort of their own home. Lisa Bennett, clinical specialist OT and lead for the pilot programme explains why this approach is so beneficial for stroke patients: “From a therapy point of view, after the initial care in hospital, people who have had a stroke
Kathleen’s story Kathleen Wallace, from Rubery, had a stroke last October. After spending a week in the QE Hospital, she was discharged home, and the Early Supported Discharge Team took over. Her husband, Fred Wallace recently nominated the Early Supported Discharge Team for a Values in Practice award, as he felt the team’s dedication towards his wife’s care had been outstanding. He said: “The help my wife was given was excellent. We had different professionals come
need specialist support to achieve their full potential. However because of the nature of the care and the mix of disciplines needed to provide it, in the past this hasn’t happened quickly enough on discharge from hospital. We identified that patients were waiting around six to eight weeks between leaving hospital and receiving therapy. “Although it can take up to two years to recover from a stroke, the brain starts to repair straight away and so the first six months are vital in terms of the patient regaining some of their basic cognitive, language and physical functions. Therefore, the sooner we can see the patient and start the therapy, the better the outcome is likely to be.” The team, currently based within the assessment and treatment service in Moseley Hall Hospital, work closely with staff in Ward 8 and the QE Hospital to ensure that patients who meet the criteria are seen within 24-hours of discharge from hospital. Every patient receives a ‘holistic assessment’ which takes into account their individual needs and goals to fit around their habits and lifestyle, such as being able to make each day to do physio, speech and language therapy and occupational therapy, all which helped her overall recovery – from retraining her brain which helped with her concentration and memory to getting her to do everyday tasks. They also got her walking outside which gave her a lot of confidence. But it’s not just that - the team came across as very caring and in a way became part of the family. My wife is doing very well now but I cannot thank this team enough and will never forget what they have achieved.”
hot drinks, mobilise to the toilet unaided or being able to communicate their wishes. The team runs an eight-week therapy programme, which is graded to offer patients more intensive support for the first three weeks of their recovery (a patient can receive up to nine visits a week from the team of specialists during this stage), with fewer visits in the last weeks of the programme, to help the patients readjust to more independent living. At the end of the programme, the team discuss the progress with the patient. If more support is required, the team will refer them to other rehabilitation teams or for their six month review in the stroke clinic. Lisa said: “Less than a third of the patients on the eight-week programme have required further therapy, which means that this intensive approach is working well. Patients are getting the support they need, when they need it most, in the comfort of their own home. Due to the success of this six month pilot, the programme has been extended for a further three months. For more information on the programme please contact Lisa Bennett on 0121 466 6189.
Fred and Kathleen Wallace (front centre) pictured with the Early Supported Discharge Team, who were named finalists in the caring category at the recent VIP awards.
Clinical Effectiveness and Leadership The Trust recently held its third annual clinical effectiveness day, attracting staff from clinical and corporate roles, non-executive directors, Governors and members and patient, carer and public representatives. Retiring NICE lead and organiser Professor David Pratt chaired the morning session and research director Dr Clive Thursfield the afternoon. The event, held at the Birmingham Medical Institute, included a keynote address by BCHC medical director Dr Andy Wakeman who gave examples of how to demonstrate the impact of effectiveness, and the process of implementation for the health service. Andy concluded with a review of the information streams of recommendations he receives, for example NICE guidance, and how he attempts to prioritise and implement this for the benefit of the Trust. The agenda also included a talk by Dr Andy Roberts, from the Headley Court British Army Rehabilitation Centre in Surrey. Andy, together with consultant clinical psychologist Dr Theresa Powell, of rehabilitation services, gave an overview on the challenges of finding suitable clinical outcome measures. He explained why this is particularly difficult for military rehabilitating service personnel following treatment in the military care unit at Queen Elizabeth Hospital. One real-life example of a set of outcome measures showed that patients and clinicians placed very different levels of priority on each. Andy’s talk shone light on the pitfalls of clinicians’ assumptions and the potential of evidence-based practice to produce meaningful measures. The finalists of the Trust’s clinical audit competition, as voted by delegates, were Dr Arati Hindocha, who works in the hypodontia clinic at Birmingham Dental Hospital and Dr Mona Gillespie, from the forensic service for people with learning disabilities. Each won a voucher for £125 for their department.
The event attracted attendance from staff, public and governors. Pictured (left to right) is John O’Donnell, public member of the Trust and one of the member leads for research, with public governor Roger Leek. In the service evaluation competition final were Dr Neelima Yannamani, from the learning disabilities service and Jennifer Perry and Lucy Williams of the community dental service in Walsall. Head of clinical governance Colin Graham said: “The day was a very valuable and thought-provoking opportunity for clinicians and support staff to focus together on understanding the need to measure what is important and what makes a difference to patients and to make sure that is given full consideration alongside the performance data already collected by the Trust.” Details of a roadshow exhibiting the competition posters and other content of the day will be advertised in the weekly newsletter. The presentations and posters will also be shared with staff via the clinical governance intranet pages.
Issue 25 / April 2014 / P15
To all the staff on
Ward 6, Moseley Hal
l Hospital Our family would like to thank the st aff for the except given to my dear ional standard of mother, Mrs Viole care t O’Donnell, while until passing away sh e w as in Moseley Hall peacefully on 12 Fe bruary. She was treated with compassion and dignity and th such care was give e morning she pa n to us as a family ssed away I can’t begin to sa at a time when w y ho w much that mea e were feeling our nt most vulnerable. My mother was a much loved membe r of the family an helps to know she d will be sadly mis was given the best sed but it po ss ib le ca most and was un re at a tim e when she needed able to ask for w it hat she wanted. As an organisatio n you have much to be proud of with to deliver high qual staff going that ex ity care. tra mile From K athleen K ennedy
Well done to the organisational development team who have been shortlisted in the Healthcare People Management Association (HPMA) Excellence Awards. The team are up for an award for the staff engagement initiatives they have introduced over the last 12 months. The winners of the HPMA awards will be annou nced in June.
Denise (wearing sash) with (left to right) nursing and therapies director Beverly Ingram, Moseley Hall Hospital matron Julie Payne and BCHC chief executive Tracy Taylor.
After nearly 40 years in nursing, Den ise Parker recently celebrated her retirement with colleagues and friends at Moseley Hall Hospital.
Clinical team leader on Ward 5 until her departure, Denise is now looking forward to see ing more of the wor ld with plans to travel across America, Canada and Europe.
To the physiother apy team at Sutto n Cottage Hospita l When I went to S utton Cottage Hos pital to see a phys met, from the rece iotherapist everyo ptionist to the ph ne I ysiotherapist, wer and professional. e very friendly, he lpful Perhaps it’s all to o easy to complai n nowadays abou NHS establishmen t the service at so ts, but my experie me nce was exemplar staff should be re y, an d I feel that the cognised for their excellent care, an when it is due. d we should give praise John Hodgett, Sut ton Coldfield.
Denise said: “Helping patients was why I wanted to be a nurse in the first place. It’s the small things like sitting with someone while they eat their food or helping a gen tlemen to have a shave that matter to patients. I think nursing is returning to that way of thinking now – putting patients at the hea rt.” “I would personally like thank all the team on Ward 5 for their hard work and commitment, not to men tion the support of our matron, Julie Payne.”
Chief executive Tracy Taylor said: “Denise was my boss when I started my career as a nurse at Dudley Road Hospital, so I am personally very grateful for the help she gave me in my career. I am very sad to see her leaving BCHC but, at the same time, wish her the very best for a long and happy retirement.”
At the end of March, Professor David Pratt retired. As the clinical lead in the movement analysis service at West Midlands Rehabilitation Centre (WMRC), David has been a driving force behind the development of gait services (the study of people’s movement) throughout his long career.
Before joining WMRC in 2001, David spent his early career developing early gait analysis systems, researching the field both in the UK and in the USA and working in partnership with industry to develop commercial equipment for post-orthopaedic surgery patients.
His career highlights include setting up the Clinical Movement Analysis Society which sets standards for the profession, bringing two orthopaedic products to market, both of which are still used in surgery today, becoming a published author, and helping to establish gait
Well done to the respiratory commu nity service who were finalists at the Genera l Practice Awards. The project was a collaborative initiative between the former Heart of Birmingham teaching PCT (HoBtPCT) and Birmingham Comm unity Healthcare Trust (BCHCT) to implem ent a locally enhanced service (LES) for improved management of COPD and Asthma within primary care.
analysis as a recognised profession.
He said: “The equipment and imaging we use now provides our multidisciplinary team with a great deal of insight into patients with complex walking problems. Some of the patients we see are awaiting multiple surgeries and this insight can make a huge
To all staff at Birm
difference to the surgery. As a result, people are living longer, healthier lives. I am proud to have played a part in that.”
David, who plans to spend his retirement project managing an extension to his house, and enjoying the Derbyshire countryside, where he lives, with his wife and dog, added: “I would like to thank all the colleagues I have worked with over the years, both at the rehabilitation centre and across the Trust.”
vid Professor Da
ingham Dental Hos
pital I arrived very wor ried about having my wisdom teeth under local anaest removed hetic but once in th e tr ea tment area was quickly put at ease by the friendly an d professional dent dental nurse. They ist and thoroughly explaine d ev er yt hi going to do and w ng they were hen things turned ou t m or e difficult than expected, a senior dental surgeon w as im m ediately brought over to assist. I w as left wondering why I’d been so w orried! The only negative of the whole expe rience was the wai you sit in before yo ting room ur appointment. It w as hot with inadequa ventilation, there te was no TV and no magazines. However I don’t w ant to detract from the great job the are doing with old staff and dated facilitie s. Thanks Birmingham Dental Hospital!
P16 / ARCHway: the newsletter for employees of Birmingham Community Healthcare
Council of Governors Staff Governors
Healthcare Assistant and Support Staff
Healthcare Assistant and Support Staff
Scientific, Therapeutic and Technical Staff/ Allied Health Professional (AHP) and Healthcare Scientists
Medical, Dental and Nursing
Medical, Dental and Nursing
Public Governors East and North Birmingham
Gerry Moynihan Roger Leek
To contact Governors, and the Trustâ€™s membership team, call 0121 466 7023 or email email@example.com.
Central and West Birmingham
Norman Howell Sue Durrant
West Midlands Region
Dr Peter Mayer Lead Governor
Professor Reverend Frances Young
Councillor Josh Jones Birmingham City Council
Tracey Oâ€™Brien Birmingham Voluntary Sector Council (BVSC)
Professor David Fitzmaurice
University of Birmingham
Detective Superintendent Clare Cowley West Midlands Police
If you have a news story for the next edition of ARCHway, contact the communications team: Telephone: 0121 466 7282 Email: firstname.lastname@example.org
If you are a member of the public and have an enquiry please contact: Customer Services Telephone: 0800 917 2855 Email: email@example.com
Produced by Clinical Photography and Graphic Design, Birmingham Dental Hospital Tel: 0121 466 5107 Ref: 43441 16.04.2014