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Health factfile

Under the microscope Living with a lung condition? Top tips to help you breathe better.

Think you understand? Page 14

A Deaf patient’s struggle to access the healthcare he deserves Page 10

Let’s celebrate! Seasonal advice to put a spring in your step

Page 8

Our staff award-winners tell us why they get up in the morning Page 12

Winter 2018


Keep warm this winter Cold weather can have a serious impact on health and make people more vulnerable to pneumonia, heart attacks, strokes, falls and infections. Staying warm during cold weather can keep illness away. But sometimes it’s easier said than done, when the temperature goes down and the energy bills go up. Here are some tips to keep you toasty. 1. Have a look at comparison websites such as Citizen’s Advice to see if you could save money by switching to another energy supplier or tariff. 2. Ask your energy company if they can offer you any grants to improve your home or get money off your bill (particularly a Warm Home discount if you are in receipt of benefits. This takes £140 a year off your bill). 3. Check if there are any improvements you can make to your home. Some examples include: plugging gaps in floors or walls with draught-proofing, secondary glazing, and boosting loft insulation. A Cold Homes Energy Efficiency Survey – also known as a ‘CHEESE’ survey – can help identify areas that need

Inside job: beating addiction in prison Offenders at HMP Erlestoke on the expert training which is helping them to support peers struggling with substance misuse.

Features, page 6

addressing (there is usually a cost for this). 4. If you are at state pension age, disabled or have a long-term condition, you may be eligible for the Priority Services Register, so contact your energy supplier to make sure you’re on it. You’ll get priority support if there is an emergency and your electricity or gas is cut off. 5. For advice about saving energy and information about different heaters, central heating controls, and funding home improvements, visit the Centre for Sustainable Energy’s website at or call 0800 082 2234.

Smart meters Another way to reduce energy bills is to be more aware of how much energy you are using. Smart meters will soon be rolled out across the country for free, giving up-to-date information on your gas and electricity usage, as well as exact readings so you’re only charged for what you use. You won’t need to take readings yourself any

more or have people come to your home to take them. The government thinks smart meters will benefit customers, but they won’t be compulsory. Find out more at Advice courtesy of

A meal for two!


News, stories and advice from your local community healthcare provider

We’ve teamed up with Bristol’s iconic Riverstation restaurant to offer a lucky reader a meal for two (terms and conditions apply). News, page 3 | 1

News Welcome to Community Health News!


hanks for picking up the winter edition of our community newspaper. We hope you take away some useful health advice to support you with your own self-care and to help you look after your family. We have lots of tips to get you ready to take on the coming months with a spring in your step (page 8); some ideas for easing your breathing in the cold weather if you have a chronic respiratory condition (page 14); things to try if you’re feeling isolated from your community (page 3); and how to keep warm while keeping the

cost down (front page). We also have personal stories from some of our patients. Mannie and Pete* (page 6) are offenders from HMP Erlestoke, a category C prison where we provide healthcare services through the InspireBetterHealth partnership. We’ve just helped train them so they can now provide qualified support for peers who are battling substance addiction. Their commitment is clear: “I wanted to do something to help,” says Mannie. “The job isn’t done until someone is in recovery. To me, nothing else matters.” Terry and his partner Janine (page 10) have the same drive to make a difference. Both have been profoundly deaf since contracting rubella as babies, and they’ve struggled time and again to get fair access to healthcare because of communication barriers. We talk about how, like many other healthcare providers, we got it wrong too. We are working with them to learn from our mistakes and improve our accessibility for countless other people like them. Listening to stories like these – personal, warts-and-all accounts from the very people we serve – is what drives us to improve. At a time when the health sector is under well-publicised pressure, we’re committed to keeping our gaze on what’s most important: listening to and working with the people outside our organisation – and our staff within it – for healthier, better lives for everyone.

Julia Clarke, Chief Executive Bristol Community Health You can find more information about our services and how to access them at You can also contact us in the following ways: • • 0117 440 9090 • Communications Team Bristol Community Health 6th Floor, South Plaza Marlborough Street Bristol BS1 3NX

News in brief 2 |

Bristol Community Health: who are we? • Bristol Community Health provides NHS health services to adults, children, young people and families in the community, at home and in local prisons • We are a not-for-profit social enterprise owned by our staff • All surpluses that we make are reinvested back into our services for the good of our local community • Our dedicated and compassionate teams have a reputation for high-quality, person-centred care • We were given an overall rating of ‘Good’ for all our community services by the Care Quality Commission in 2017

HMP Leyhill opens first ever community pharmacy-style shop Offenders at Her Majesty’s Prison Leyhill, Gloucestershire, will take more ownership of their health and be better prepared for release with a new community pharmacy-style shop. ‘HealthBar’, the first of its kind in a category D prison, allows offenders to choose and buy their own medicines to treat minor conditions like coughs and colds. Much like a pharmacy in the community, staff are also on hand to advise patients on managing symptoms and promote healthy living. The new drop-in HealthBar also stocks products to help with wellbeing and hygiene. “Patients have been purchasing multi-vitamins, supplements, hair dyes, shampoos and general items to manage their own health and personal care,” says Michelle Stimson, Prisons Superintendent Lead Pharmacist. “It’s a big change. Previously, patients could only buy things through a long, complicated process, giving justification for why they needed things. It wasn’t ideal, particularly if it was for something really personal like incontinence supplies. Now they’re trusted to decide themselves what they need and when. It’s really good preparation for life outside the prison.” HMP Leyhill is a prison for adult males from the south west area

Nurse Nurse retires retires after after over over half half aa century century in in the the NHS NHS Goodbye to Margaret Burden, a much-loved member of the prison nursing team who has recently retired at the age of 75. Margaret started her nursing career nearly 60 years ago and has been caring for patients ever since. Thank you, Margaret, and all the very best for your retirement!

In their own words: patients at HMP Leyhill I stock up for the winter as I always get colds and don't have to take time off work to go to triage just for paracetamol.” Having the HealthBar is great as it lets us manage our own health. We won’t have a healthcare worker just turn up when we are released so we need to get used to looking after our own health.” This is such a great idea – wish they had it in other prisons. It makes us feel like we are being trusted."

deemed ‘low risk’. The prison runs a range of courses and provides work on the grounds, along with work placements in the community – all with the aim of helping offenders settle successfully on release. Bristol Community Health is part of the InspireBetterHealth partnership, which provides a range of mental and physical healthcare services at five prisons across the south west. Visit inspirebetterhealth. to find out more.


Say goodbye to loneliness in 2018 For many, feelings of loneliness can be worse at this time of year, with the bad weather and short days. For older people this can all be made harder by the loss of a loved one, missing the social contact of work after retirement or health problems that make it difficult to get out and about. Over half of older people say that the TV or their pet is their main form of company, according to Age UK. Loneliness is associated with depression, sleep problems, impaired cognitive health, hypertension, psychological stress and may be linked to dementia. If you are feeling lonely at the moment, here are a few things which might help. Join a local group There are lots of activities happening in local communities, such as coffee mornings, community choirs, walking groups or art clubs. Well Aware has a comprehensive list – you can look at the calendar of activities or search by keyword at Rekindle an old hobby If you had a much-loved hobby that fell by the wayside, now could be the time to revisit it. Or you could even try something completely new! Volunteer This is a great way to stay active and meet new people – and share your experience and skills with a local charity. Find volunteering opportunities at Learn something new Keeping the mind active in older life is as important to health as keeping physically active. The University of the Third Age (U3A) runs informal activity sessions, covering hundreds of different subjects: / 0117 963 1032. Get support from Community Navigators Bristol This service offers free support and signposting to help people over 50 feel

less isolated and get more involved in their community. And if you’re feeling nervous about trying something new, your navigator can even come along with you the first time to offer that extra support: / 0117 951 5751 (north Bristol) / 0117 440 9100 (central, east or south). Calling all volunteers! Can you help local people who are feeling isolated? Befriending services involve volunteers visiting people in their homes or phoning regularly for a chat. This contact can give people a sense of belonging and help them feel more confident, less alone and reduce depression (Age UK). For more info about local befriending services you could get involved with, contact: • Independent Age: / 0800 319 6789 • Age UK: / 0117 929 7537 • LinkAge: / 0117 353 3042 • Royal Voluntary Service: / 0117 929 7444 • GoodGym:

WIN a meal for two We’ve teamed up with Riverstation restaurant on Bristol’s historic harbourside to offer one lucky reader a meal for two. How do I enter? All you need to do is answer a couple of quick questions about this newspaper. Visit newspaperreadersurvey to enter or call 0117 440 9090 to find out more. About the prize The winner will receive a £50 voucher to spend at Riverstation. Deadline for entry is midnight on 30 April 2018. Winner will be drawn on 1 May 2018. For terms and conditions see page 16.

With its waterside location and two large alfresco terraces, Riverstation is a friendly and relaxed space for any time of day. From breakfast and brunch to lunch and dinner, our seasonal menus, carefully selected local beers and ciders, wines by the glass or bottle and expertly-mixed cocktails work side by side with a warm welcome, professional service and delicious food whenever you choose to visit.” The Grove, Bristol, BS1 4RB 0117 914 4434 |

Boosting the East Bristol Foodbank

More of our staff get flu vaccine than ever before

Well done to our Health Assessment and Review Team (HART) for organising the collection of food donations from our staff. The supplies were used by East Bristol Foodbank for Christmas food packs for people in crisis. Visit to find out more.

69% of our frontline staff have been vaccinated this year to help reduce the spread of flu to the most vulnerable people in our community. Huge thanks to our vaccination nurses, who have clocked up hundreds of miles travelling to our teams all around the city this winter. | 3




What’s on?

Free activities in Bristol Baby Bounce and Rhyme What: Librarian-led sessions to share nursery rhymes and songs and help with language development. Older siblings welcome too. When and where: Term-time at libraries across Bristol – visit bit. ly/2rk4TLm for a full list of dates and locations How: Contact your local library to find out more

British Sign Language Choir What: Suitable for children, parents grandparents and friends. All levels of BSL welcome, including beginners. When: Every other Wednesday, between 6-7pm Where: Elmfield School, Greystoke Avenue, Bristol, BS10 6AY How: Book via the Family Centre (Deaf Children) website at bit. ly/2Ga1TV8 or email emma@fcdc. for more information

Keeping antibiotics working Taking antibiotics when you don’t need them puts you at risk, according to a new campaign by Public Health England. People are being urged to take their health professional’s advice and not to push for an antibiotic prescription. Taking antibiotics unnecessarily encourages harmful bacteria that live inside you to become resistant to those antibiotics. That means that they may not work when you really need them, putting you and your family at risk of a more severe or longer illness. It is estimated that 5000 deaths are caused every year in England because antibiotics no longer work for some infections and this figure is set to rise. Experts predict that in just over 30 years antibiotic resistance will kill more people than cancer and diabetes combined. For tips about how to look after yourself and your family without antibiotics, or for more information, visit

Julia (right), Bristol Community Health’s CEO

Window Wanderland What: A magical trail of illuminated windows and gardens from the residents of Bristol. Grab a map for your area and follow the trail, or take part yourself. When: 23-26 February Where: Various neighbourhoods in Bristol, South Gloucestershire and North Somerset How: For a full list of neighbourhoods taking part, visit

British Dal Festival What: Celebrate the magic of dal and similar pulse dishes from around the world When: 19-25 March Where: Locations across Bristol How: Visit to find out more

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I never truly understood the impact of antibiotic resistance until my dad became seriously ill with leukaemia. Chemotherapy was amazing at attacking his leukemic cells, but his immune system took a battering and he became vulnerable to all kinds of infection. He ended up with pneumonia, cellulitis and an eye infection and his body was completely unequipped to fight back. “Thank goodness he was given antibiotics which worked and got him better. But if we carry on using antibiotics when we don’t really need them, these medicines will stop working. Stories like his will have a different ending.” Samantha Brown – Head of Communications, Bristol Community Health

Hitting the pavement for young homeless people

Over 55s Cycling Group What: Cycle rides around Bristol for those who would like to get back on their bikes, get fit and meet new people When and where: Weekday mornings at locations throughout Bristol How: Find out more and register at or call 0117 353 4580

The wonder of antibiotics

System spotlight Our new series focuses on key organisations in the local healthcare system so you know who does what and how we work together. In this issue, Healthwatch Bristol Manager Sarah Ambe explains the role of Healthwatch and how it’s here to help you. “Healthwatch Bristol is a health watchdog and the voice of the public. We share information about services and events on behalf of NHS England, clinical commissioning groups (CCGs), local councils and other health services. We actively encourage feedback from the general public and patients so we

Our CEO Julia Clarke raised over £1200 to support young homeless people in November when she took part in the 2017 Brizzz Sleep Out. Donning her sleeping bag and woolly hat she joined dozens of others who slept outside in the city to raise funds for 1625 Independent People, a charity which supports young homeless people and helps to ‘reboot’ their lives. Together all the ‘sleepers’ raised £25,000 which provided 136 young people

with essential services and support for one month. Julia said: “My night was chilly and uncomfortable but it was a tiny price to pay for raising awareness about some of the challenges local young people are facing. We’ve got to reach them earlier – the stage where families are breaking down and sofa surfing begins. 1625 Independent People is doing some amazing work to help tackle this.” Find out more about 1625 Independent People at or visit justgiving. com/fundraising/julia-berkeley to donate

can collate complaints and concerns and refer these back to the relevant organisation. The aim is to help shape services and also to engage the public and make people aware of what is available. There are nearly 200 different countries represented in Bristol, and we’re working hard to reach out to people of all nationalities to give them a voice and make them aware of services available to them. Another big project is on mental health, particularly among children and young people and the black and minority ethnic community. We’re working closely with other organisations and the public to pool resources and bridge gaps in services.” Find out more at or email

The Healthwatch team

News Hot off the press Evolve to thrive: business plan 2017-19 Maps out our Evolve priorities for the next to thrive Business plan 2017-19 few years and some of the innovative ways we are responding to pressures in the health sector. Outlines our renewed focus on our people and our communities.



‘Making Every Contact Count’ “Making Every Contact Count, or MECC as we call it, is a new initiative we’re testing out at the moment in some of our services. The aim is to take the opportunity to support patients to make lifestyle changes to improve their health and wellbeing whenever we interact with them. We give patients the tools to do this in a way that works for them rather than ‘telling’ them what to do. MECC reminds us to discuss core health messages as they arise during everyday conversations, not necessarily

Annual equality report 2016-17 Annual How we performed equality report against our equality objectives for 201617, and what we’re doing in the future to champion fair and equitable support and access to services for patients. Also includes information on the work we’re doing within our organisation to recruit and retain staff who represent the diverse communities we serve. 2016-17

just focusing on the reason for the referral. We take the lead from the patient to support and empower them to make changes that are important or necessary to them. If someone wanted help to stop smoking, for example, we might signpost them to services that could help but would also talk to them more broadly about their motivations and the positive consequences of stopping smoking.” Nicola Mead, Diabetes and Nutrition Service Manager

Our patient profile (adult services) 17.73% say they have a disability

41.64% male

58.36% female

These publications are available at (search ‘business plan 2017’ or ‘equality and diversity 2017’) or call 0117 440 9000 for a copy.

Find out more

How are we doing? If you want to provide feedback on any Bristol Community Health services please contact us directly on 0117 440 9180, email net, or visit patients-and-carers. Some patients and carers may wish to provide feedback to an independent organisation. If this is the case, get in touch with Healthwatch to help shape Bristol health services at or call 0117 269 0400.

2.11% identify as LGBT

An update on our services If you use any of our services you might notice a few things that are different this year. That’s because we’ve made some changes to make sure we are using all of our resources efficiently and giving our patients the best possible care. We’ve had to adapt, because every year we are treating more patients with more complicated conditions against a background of financial pressures across the health sector. We’ve highlighted some of the main changes below so you can see what’s new. You’ll see that a running theme is bringing together our teams to help us become more efficient. Reducing travel miles of community nurses Our community nurses were in small teams covering big areas and wasted a lot of time driving to see patients a long way from their base. Now we’re grouping teams so that our nurses can travel shorter distances, work more efficiently, develop local knowledge and give patients better continuity of care.

Read about some of our other priorities on our website at briscomhealth. or call 0117 440 9000

31% are aged 75 or over

Making the most of our multidisciplinary skills We have many therapists with different disciplines (like physiotherapy and occupational therapy) but they have been working in lots of different bases across the city. We’re bringing them together so patients can benefit from a range of expertise in one place. It will also be easier for healthcare professionals to refer to this integrated service.

Just one route for referrals Previously there were a few ways that people could refer patients to community nursing and integrated therapies, which caused duplication. Soon each of these services will have their own, single route of referral. This should make things run more efficiently. Providing more flexible support for the hospitals Our urgent care teams, which help keep patients out of hospital, have merged together. This is so our clinical workforce can be more responsive to changing pressures in the hospitals. We’re also linking these teams up more closely with our community nurses to help standardise processes. A bigger pool of skilled therapists for children A new integrated therapy service, including speech and language therapists, physiotherapists and other specialists will mix disciplines to share expertise and also speed up referrals for families. Improving access to healthcare for patients in prison Sometimes patients in prison have been waiting for GPs when a suitably skilled and qualified nurse would be able to meet their health needs. We are developing the skills of our nurses and therapists so they can triage and treat more patients in prisons, in the same way that they do in the community. There’s lots of other work going on this year to evolve our services – you can find out more about our plans for the future by reading our new business plan on our website. Visit and search for ‘business plan 2017’. | 5


Inside job: beating addiction in prison Offenders at Wiltshire’s HMP Erlestoke are being given expert training so they can offer qualified support to peers struggling with substance misuse. Nicola Rodgers reports.

Above: Mannie with Penny Stanbury Opposite: Fiona Spence who, together with Penny, led the peer mentor programme

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t’s a clear, bright late-summer time when drug use in prisons is morning and I’m meeting Fiona often in the news, I’m eager to find Spence, Bristol Community Health’s out how the pair will be using their Equality and Diversity Coordinator, new expertise. and Penny Stanbury, Involvement On the drive over, Penny and Fiona Coordinator for Avon and Wiltshire chat amiably, catching up on this and Mental Health Partnership NHS Trust that. It’s clear they’re genuinely excited (AWP), for a slightly unusual road trip. to be returning. "When we arrived for They’ve invited the first session, There were no me to join them everyone was so barriers; we were all on a visit to HMP reserved,” Penny on an equal footing – remembers. But Erlestoke in Wiltshire to meet Mannie and just how peer mentors by the afternoon it Pete* – two prisoners had all changed: should be.” who, with Penny “Everyone was and Fiona’s support, talking and laughing. Penny Stanbury, Involvement have recently trained There were no Coordinator – AWP to become peer barriers; we were mentors in substance misuse. all on an equal footing – just how The qualification is run by the Royal peer mentors should be. It's not very Society for Public Health (RSPH) and is often you can be in a room and just be equivalent to a GCSE. It explores the yourself, especially in prison." reasons people misuse substances, “We all had a commitment to learning the personal and social consequences from each other,” Fiona agrees. “In of addiction and, perhaps most my experience, that doesn't happen importantly, teaches the practical skills very often.” The qualification was and knowledge to support people run through InspireBetterHealth – a affected by substance misuse. At a partnership between Bristol Community

Health, AWP and Hanham Health, a local GP provider – which runs the healthcare service at HMP Erlestoke, along with four other prisons in Bristol and South Gloucestershire. Through the gate Tucked away in the quiet, chocolatebox village of the same name, HMP Erlestoke began life in the 18th century as a stately home and country retreat for the-then MP of Devizes. It was later used by the government’s undercover Special Operations Executive during the Second World War, before being badly damaged by fire in 1950. Today, it’s a category C jail, housing up to 524 prisoners. What strikes you as soon as you arrive at the prison is the level of security: the enormous pairs of double gates; the list of items you can’t bring in (perfumes, USB sticks, aerosols – even chewing gum); the rigour with which visitors are signed in and out. The staff here carry clusters of keys, and are constantly opening and securing gates as they move through the grounds.


1434 29% of prisoners say they have a drug problem on arrival to prison1

31% of prisoners say it is easy to get drugs in prison1

We’ve snatched an hour in a meeting room at the prison’s health centre. It’s a simple space, with a small table pushed against one wall and a handful of chairs for us to sit on. Display cases containing models of diseased lungs and illegal substances lean against another wall. Out in the corridor, prisoners wait good naturedly to be seen. Mannie and Pete are here already, and greet Fiona and Penny warmly. The group is soon busy catching up, Mannie asking Fiona if she’s brought her highlighter (“We always called her the teacher,” Pete grins, “She’d help us with our work and highlight the bits where we were going wrong.”). A difficult line to walk The shadow of addiction is everywhere in prison. Substance misuse and crime are often so intertwined in the lives of prisoners that it’s difficult to see where one issue ends and the other begins. “My life outside was ruled by drugs and alcohol,” Pete, who’s originally from Cumbria, reflects. “I was doing a lot of bad things out there, fighting and committing crime. I spent most of my life in the army, but since I left all I’ve done is keep coming in and out of prison. I was constantly struggling with drugs and alcohol, and it was just a lot of chaos.” Some prisoners will continue this cycle of addiction in prison, and others may even start to ‘use’ for the first time. But there’s a deep mistrust of authority figures which often prevents people seeking help. "I try to work as best as I can with everyone,” Penny reflects. “But, like it or not, I wear a badge and it changes the balance of power.” Pete agrees: "People worry that you can't tell healthcare staff things because you're going to get in trouble, whereas I live here – I’m a prisoner myself. We're on the same level as

Estimated patient contacts by InspireBetterHealth staff in November 2017

them, so they'll tell us more things.” Moving forward But it’s a difficult line to walk. “The There’s a real sense from the pair that flipside is that, while they’re telling the qualification has been a long time me things they might not tell staff, I coming. Unbeknownst to either one, still need to convince them that it’s the both Pete and Mannie had voiced their professionals who’ll actually be able to ambitions to the prison for mentoring help them,” Mannie reflects. Being a training, and highlighted the need good peer mentor is about supporting for skills like these among the prison people to make their own choices population. What’s incredibly clear is about how they get help. “But the job the pair’s desire to give something back isn't done until someone is in recovery. to the community in which they live, To me, nothing else matters." both inside and once they’re released. Their new roles involve going to each Pete is up for parole in February. wing and chatting to the guys – not In the future, he hopes to be a drug trying to force anything, but simply support worker and art therapist, giving them an understanding of specialising in supporting people who substance misuse and its impact. Pete are in active addiction and recovery, uses his own experiences of addiction the homeless, and ex-forces. He’s been – including in prison busy working with People worry that you the Probation Service – to show people that can’t tell healthcare an alternative exists. to find a placement, staff things because “It's just about being enrol on a college kind, considerate, course and find you’re going to get in caring and not trouble, whereas I live somewhere to live. confrontational. Just “It's all set up,” he here – I’m a prisoner a support, really." says. “It's up to me myself. “ While Mannie now to do it." doesn’t have As for Pete*, peer mentor personal experience InspireBetterHealth, of addiction, he has dedicated himself Penny and Fiona plan to extend the to becoming a counsellor since being programme to other prisons in the inside. Prison has really opened his partnership over the coming year, eyes to substance misuse and the including HMP Leyhill and the women’s sadness that comes with it. “I wanted prison at Eastwood Park. “This was the to do something to help,” he says. first time we’ve run the qualification, The pair let prisoners know about the so it’s fair to say it’s been a huge services available – including the 12 learning curve for us,” Fiona says. Step recovery programme, art therapy But, for her and Penny, being able to and mental health support – and provide learners with such practical refer them to the people who are best and tangible skills has made it all worth placed to help. it. “It’s so important that people with "It's just about listening to what they lived experience get the opportunity to say and guiding them in the right support others, particularly within our direction,” Mannie says. “If I don't know prison services. We can’t wait to deliver it then I'm sure someone else will, the course again.” because it's all about communicating." On the way out, I’m struck by the They work closely with the healthcare blossoming flower beds and carefully team to remind people about manicured birch trees which sit proudly appointments and check in with between the endless fences and block them afterwards. work buildings (“They cut them like The mentors will also feed into the that so they don’t block the cameras,” substance misuse team's weekly someone says). But instead of looking meetings to ensure the service is stark, the effect is the opposite – it supporting the right people. Any reminds me of the country house that prison is a challenging environment to once existed on the prison site. work in, and priorities for the services Behind the intimidating face of the which are based here often have to institution, and in spite of the unique change. But everyone involved with the challenges the services working here programme is committed to not only face, there really is something special see it through to the end, but to actively flourishing here. create opportunities for Mannie and * Name has been changed Pete to use what they’ve learnt on a 1 Centre for Social Justice, 2015 daily basis.

In their own words On the media: "They never show the reality of the alcoholic – shaking and wanting a drink when he wakes up first thing in the morning. They always just show the good times.” Pete On addiction: "Addiction doesn't discriminate. Rich or poor, male or female – it makes no difference." Mannie "I know how it is to be in that constant struggle; the vicious circle of coming in and out of prison. Before, I never thought there was any chance of changing. But now I know there is – and I can help others to do the same." Pete On mentoring: “It's going to be a challenge. You're challenging cultures – even out in the community, that's hard. You have to choose your battles and hold on to your victories.” Mannie "I think the most important thing is not thinking you're better than someone else. Noone likes being told what to do, especially in prison." Pete

About InspireBetterHealth InspireBetterHealth is a partnership of local providers – Bristol Community Health, Avon and Wiltshire Mental Health Partnership NHS Trust and Hanham Health – working in five prisons across Bristol, South Gloucestershire and Wiltshire. We provide a complete, integrated service covering physical healthcare, mental healthcare, health promotion and substance misuse support. Find out more at | 7

Your health

Spring health factfile It might not feel like it, but the days are getting longer and if you look carefully you’ll see a few snowdrops and crocuses popping up. If you’re feeling a bit run down at the end of the long winter months, our health experts are here to put a spring in your step.

of p u Fed lem b o r my p skin!

From: SKRINE, Lynne (BRISTOL COMMUNITY HEALTH) Sent: 30 January 2017 11:38 Subject: RE: My problem skin Months of cold weather can make eczema, psoriasis or dry, cracked skin worse but there are things you can do to get on top of it: 1. Wear cotton gloves when you are outside underneath your ordinary gloves 2. If you want to wear a woolly jumper, try wearing cotton or silk clothing underneath so that the jumper does not come into direct contact with your skin. Avoid woolly scarves around your neck as they can make you itch. 3. Wear loose, thin layers of clothing so that items can be added or removed according to temperature 4. Apply your preferred emollient, especially to exposed areas such as your face, neck and hands, before going outside 5. If you find that your skin is drier in winter, you could change your emollient cream to an ointment, which has a higher proportion of oil 6. Avoid extremes of temperatures, such as getting out of a bath and going into a cold room, which can make itching worse 7. Don’t have your central heating on too high, as sweating can aggravate eczema Hope this helps! Lynne Skrine | Dermatology Team Leader

cracked li ps... urgh!

■ My lips are always dry... Don’t pick off flakes of dried skin – it will just make your lips bleed and heal more slowly, and irritating the skin might trigger a cold sore if you are prone to getting them. Don’t keep licking your lips either because this dries them out even more (your saliva will ‘wash’ off the natural grease off your skin). Best thing is to get in the habit of regularly slathering on some lip balm containing petroleum. It traps in moisture, seal cracks against infection and protects against the cold and wind.

■ Cracks at the corners of my mouth just won’t heal… You might have a very common type of inflammation called angular cheilitis. This is often caused by bacteria or fungi. See your GP – they might prescribe an antibiotic or anti-fungal cream to treat the infection which might contain 1% hydrocortisone (steroid medication) to reduce the inflammation.

* Find out more about vitamin D dosage for babies and people with medical conditions at

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Your health

re-up a l f S B My I tive s e f e h over t TILL S n o s a se tled t e s t ' n has down

Note to self – Get a grip on IBS! Portion control

Stop eating large meals – my stomach has to work harder to digest food. Result? Too much gas… Eat smaller meals – no big meal blow outs!

Eat at sensible times

– three regular meals a day, try not to skip meals and don’t eat late at night Limit

alcoholic, caffeinated and fizzy drinks

Drink lots

its It’s easy to let good eating hab new slip in December and over the ssels year. Buffets, bubbly and bru table sprouts can all set off your irri bowel syndrome symptoms. It bit sounds like it’s time to get a ing. eat r you ut abo sed ani more org


nager Bladder and Bowel Ser vice Ma

are s n i a l b l i Ch me getting down! Chilblains are patches of red, swollen and itchy skin which commonly appear on the toes in the winter (as well as other extremities like the n fingers). Chilblains can happen whe re atu sudden changes in temper affect blood flow. People with poor circulation often get chilblains.

of water and noncaffeinated drinks

Cut down on fatty foods Limit fresh fruit

to three portions a day

Stress – it’s a trigger for IBS. Find out what makes me stressed and do something about it.

Irritable bowel syndrome (IBS) is a common, long-term condition of the digestive system. It can cause bouts of stomach cramps, bloating, diarrhoea and/or constipation. It affects 2 in 10 people in the UK, and twice as many women as men. For more information on IBS and how to manage it, visit

r • Wear loose, warm layers on you two for feet to keep warm – go thin pairs of socks rather than thick socks to act as a double insulator. Make sure your shoes aren’t too tight. • Eat a hot lunch to keep your core temperature up • Stay active and keep your house well heated • Stop smoking to improve your circulation

on Anybody with a long-term conditi id ato such as diabetes or rheum To treat them, it may help to use a arthritis should seek medical advice or e min cala as h suc n, lotio if g thin soo from their healthcare professional r You ing. itch ve relie to el, ir haz the h witc they have any problems with pharmacist should be able to advise. feet. If your chilblains are severe or Make sure you don’t scratch the skin keep returning, talk to your GP. They . as it can break and become infected might be able to give you medication to help with your circulation. Prevention is best. • Avoid moving quickly from a cold to hot environment – warm your skin up gradually instead

Laura Flook, Lead Podiatrist for Bristol Community Health

and cook from fresh where possible

Is the public getting enough vitamin D? A healthy, balanced diet and short bursts of sunshine will mean most people get all the vitamin D they need in spring and summer. However, everyone will need to consider taking a supplement in the autumn and winter if they don’t eat enough foods that naturally contain vitamin D or are fortified with it.* Ethnic minority groups with dark skin from African, AfroCaribbean and South Asian backgrounds should consider taking a supplement all year round as their skin may not get enough vitamin D in from the sunlight in the summer.

More advice about these and other seasonal complaints can be found at Learn more about our services and get health advice at, or follow us on Facebook, Twitter and YouTube for more seasonal health tips – just search ‘Briscomhealth’. | 9


Think you understand? While most hearing people take daily communication for granted, there are barriers everywhere for Terry, who is profoundly deaf. As a result, he has found it a real challenge to get fair access to healthcare. A year on from our launch of the Accessible Information Standard, Community Health News finds out how we are working with people like Terry to improve access to our services.


hen Terry is in a waiting each other and the rest of the world, room he can’t hear his using a BSL/English interpreter* when name being called,” says they can. his girlfriend Janine. “Sometimes we’ll BSL is their first language, although wait and wait and wait; I can see all their personalities and emotions these hearing people coming and are clear from their hands, face and going, coming and going and we’re still voice, which are used together in sitting there, waiting.” And what usually rich harmony. Understanding written happens next? Terry says: “I’ll think, English and lip-reading is difficult for I’ve been here an hour already, so I go Terry. Janine can understand a little back to reception better and finds She said: ‘I’m so sorry it easier to read and say: ‘You do – I totally forgot to know I can’t hear my English so often name being called? uses paper and pen book the interpreter I’m profoundly deaf.’ to communicate. for you.’ Terry ended They’ll say: ‘Oh, She helps Terry with up feeling quite sorry.’ They ring this too. demoralised and the clinician, who It’s hard for a disappointed.” eventually comes hearing person to out, taps me on the understand what it Janine shoulder and says: must be like, with so come this way, come this way.” much to take for granted. “When Terry Terry was born hearing but this all and I go out shopping, I try to talk to changed when he was six months old people but they don’t understand me and he contracted rubella (german – it’s just too difficult,” says Janine. “So measles). He recovered from the out comes the piece of paper and I try illness but was left profoundly deaf. and write notes.” He lives with Janine, who has also Sadly, Terry has found it difficult to been profoundly deaf since she was access healthcare because of the a baby. Together they use British Sign communication barriers he faces. It’s Language (BSL) to communicate with a problem he’s experienced across

the system, including our own Bristol Community Health services. Booking a BSL/English interpreter When Terry has a health appointment, it’s rarely straightforward and there are often barriers at every stage. First he receives an appointment letter through the post, which he often can’t read. “Recently Terry asked me to look at a letter for him,” says Janine. “I explained to him what it was about – he needed to go to a Bristol Community Health physiotherapy appointment. It didn’t say anything about whether an interpreter was booked. So he had to travel over to the clinic a week before to check whether there was one booked. Because of the communication issues, I

About British Sign Language

wrote a note for Terry to take that said it was really important that they book an interpreter.” The date came for the appointment, but the interpreter wasn’t there. “I asked the receptionist, using pen and paper: ‘Where’s the interpreter?’ says Janine. “She said: ‘I’m so sorry – I totally forgot to book them for you.’ Terry ended up feeling quite demoralised and disappointed.” The couple says that this happens quite often with a range of healthcare providers. The appointment then has to be postponed until an interpreter is available. “It’s an absolute waste of my time,” says Terry. Janine adds: “I’ve explained many, many times: ‘It’s really, really important. We are Deaf BSL

British Sign Language (BSL) is the preferred language of over 87,000 Deaf people in the UK for whom English may be a second or third language. Sign languages are fully functional and expressive languages but differ profoundly from spoken languages. BSL is a visual-gestural language with a distinctive grammar using handshapes, facial expressions, gestures and body language to convey meaning. Sign language is not international – there are also the regional dialects and ‘accents’ which are present in every language. Janine, Terry’s girlfriend

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British Deaf Association:

Feature What we’re doing to become more accessible Since our launch of the Accessible Information Standard (AIS) in January 2017, Bristol Community Health is committed to: Asking patients if they have any information or communication needs Recording these needs in a clear and consistent way Highlighting a person’s file if they have communication needs to ensure these needs are met Sharing these needs with other NHS and adult social care providers, with the patient’s permission Acting to ensure the patient receives information which they can access and understand For more information about AIS or to give feedback about the accessibility of our services, please contact 0117 440 9180 or email

Terry shows Lynn, a Deaf advocate, different apps which he uses to help communicate with hearing people

users, and we need an interpreter.’” What happens in a health appointment without an interpreter? “The clinician will try and write things down via pen and paper,” says Terry. “But I find it really difficult to read English, so if it’s written down I have no access to my health. I need to be able to access it through an interpreter in my own language, BSL.”

We’ve taken a long, hard look at the accessibility of our services, which has given rise to a dedicated programme of activity and a new approach to staff training, resources and processes. It’s all with a view to finding out patients’ communication needs early on and then putting the right things in place to help. “Along with making sure interpreters are booked and present Fair access: a basic right at appointments as a given, our staff The Accessible Information Standard might use appointment letters in large (AIS) is a framework that’s helping print; leaflets in ‘easy read’; longer us provide better appointments to give support to people extra time to explain The new approach – like Terry – who things clearly; or has given us real have communication adapt the way momentum. We are needs. AIS aims they communicate trying to do more. to make sure that – like using plain We expect better of people who have a language, gestures ourselves.” disability, impairment or speaking more or sensory loss slowly,” says Fiona are provided with Spence, Equality and Victoria, senior administrator information that they Diversity Coordinator, can easily read or understand with who has led the organisation’s work support so they can communicate on AIS. effectively with health and social care “The new approach has given us services (see box above). It’s now a real momentum,” agrees Victoria legal requirement for all organisations Whitehead, a senior administrator which provide NHS care or adult for the Bristol Community Health social care; we launched it at Bristol physiotherapy team. “We are more Community Health a year ago. actively asking our patients, before

their appointment is booked, if they’ve got any barriers with communication and what we can do to help. Identifying needs at an early stage is key to supporting patients with communication needs, and then putting in place a range of things to help. “We now use alerts on our patient record system to highlight things like a need for an interpreter. We record that information to make sure that other appropriate professionals can see it as well,” she says. All this is vital for patients to access the treatment they need, says Polly Roberts, Advanced Musculoskeletal (MSK) Physiotherapist: “It’s a patient’s basic right, really.” And effective communication is key not just for diagnosis and treatment, she says, “but for safety, agreeing consent – and for making shared decisions so the patient has a really active role in their own treatment plan.” There is still much work to be done, with lots of activity planned over the coming year. But listening to stories from people like Terry inspire us to improve so that everyone in our community has access to the healthcare they deserve. “We are trying to do more,” says Victoria. “Now we expect better of ourselves.” Terry and Janine kindly shared their story for a film which we’ll be using for staff training to improve the accessibility of our services. Huge thanks to them, along with their Deaf advocate Lynn Stewart-Taylor from the Royal Deaf Association ( * Where the word ‘interpreter’ is used in this article it refers to a BSL/English interpreter.

Top: Victoria Whitehead, Senior Administrator; Bottom: Polly Roberts, Advanced MSK Physiotherapist | 11

Behind the scenes

Celebrating our amazing staff

For every baby that's born in Bristol and every child that moves here, a health visitor will visit their home and be the eyes and voice for that child. It's rewarding to know that over the first five crucial years you have helped to empower parents to achieve optimum health, wellbeing and long-term outcomes for their children. That's job satisfaction!

Every year we recognise the inspiring care and commitment our teams provide at the Bristol Outstanding Service and Contribution Awards (BOSCAs), our staff awards evening. Here we pay tribute to this year’s winners and ask them: “Why do you love your work?”.

After 15 years as a cleaner (which I thoroughly enjoyed), I took up an admin post as a community receptionist at Charlotte Keel Health Centre. After 13 years of doing the job I have never looked back. I love my job as no two days are the same. I love looking after the patients that come in, and also the fabulous staff that I work with every day (my extended family as I like to call them!).

“I love that if you listen to staff issues and concerns then patientcentred progress can be driven from all levels. I have found that change can happen and barriers can be overcome.“ Kerry Joyce, Rehabilitation Services Manager Outstanding Achievement Award

“I love the variety of my role – every day is different and I get to interact with such a range of people. It means I am always learning. I love that my job challenges me every day in different ways.“ Stephanie Williams, Rehabilitation Support Worker Inspiring Others Award

“Tuberculosis is a very interesting and challenging disease, on so many levels. It has so many different manifestations and impacts in so many different ways – physical, social, economic. The patients and the associated challenges are endlessly interesting.” Ruth King, TB Specialist Nurse Outstanding Contribution Award

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I really like watching people change. Calling someone after our service has finished and hearing them still be really positive about attending a group is just amazing. Helping people to access community support and activities can have such a massive impact to combat loneliness and isolation.

“We love knowing we help prevent blindness, contribute to each patient’s wellbeing, make a difference and work together. Everyone in the team is supportive, and we have mutual respect and communication.” Diabetic Eye Screening Programme Innovator Award

Behind the scenes

“I have worked with and learned from young parents and their children, and built close relationships with the excellent individuals and agencies that support young parents. In a world where there are frequent cuts and changes in priorities within budgets there are lots of people making a difference to children’s lives.”

“I really enjoy teaching and supporting staff to develop and learn – I like to see the improvement to patient care as a result. I meet lots of people, the day is always different and I get to ride my bike in-between patient visits!“

We know that we can make a difference to patients by ensuring a safe, timely and effective medicines supply service to four local prisons. We couldn’t have won this award without the whole team working hard together.

Abi Bartlett, Advanced Practitioner Outstanding Clinician Award

Rosie Dimond, Health Visitor for Teenage Parents Working Together Award

Every day is a new challenge and offers the opportunity to make a difference. All the staff work together to make sure each patient has the best care. There is always a sense of achievement, whether that's helping a patient, completing a document or reaching a target.

We help raise awareness of risks to prevent incidents occurring, and learn so much about all the good and interesting work that goes on within Bristol Community Health. We have really close links with other teams as they are all an integral part in making our service work.

Why work for us?

We value the hard work of all the other clinicians at Bristol Community Health and their willingness to reflect with – and be challenged by – the safeguarding team. It’s rewarding watching them develop into competent and thoughtful practitioners, which translates into working effectively with families to support and protect children.

• A strong staff voice • A range of flexible benefits to maximise your earnings, including cycle to work scheme and holiday trading • Flexible working patterns to suit your needs • Terms and conditions aligned with the NHS, including pay and pensions • Minimum of 27 days annual leave when you join, plus recognition of NHS service for annual leave and sick pay Find out more   0117 440 9269  | 13

Behind the scenes Day in the life

Claire Broussine, Primary Care Practitioner based at Hartcliffe Health Centre

In a nutshell

“I work closely with GP surgeries and visit their patients in the home early in the day. I look for and treat acute illness and chronic conditions which are getting worse, and I put practical things in place to stop the patient being admitted to hospital that day. This also frees up the time of GPs so they can focus on patients with the most complex needs.”

Early bird First thing in the morning I review my home visits for the day and prepare by looking at the patient's medical background. I also find out how my previous patients are doing, particularly if there was a hospital admission or I have referred them to other clinicians, like our falls assessment team. I always find the input of other clinicians really valuable and a great learning experience for me. I complete any admin along with any less urgent referrals from the previous day. Then I’ll have a pre-visit discussion with one of the GPs, where they’ll give some valuable insight into what they think the problem is, what they want me to assess for, any particular things to be aware of, and also what they already know about the patient. I used to be a paramedic, normally only

seeing patients on a one-off basis, so it’s fascinating to work with GPs who have built a professional relationship and have real insight into a patient they may have known for years.

long-term conditions like lung disease and dementia – and I often review people who have recently fallen. But I can see a huge range of conditions, including complex social care cases, pelvic fractures, depression, anxiety, On the rounds psychosis, and many others. Then I’ll go on my visits, and usually By identifying these conditions early see about in the day and four patients putting the a day. Nearly patient on the all of these right medication patients are and getting the housebound, right clinical and often quite support, I think frail. I frequently this definitely see issues like reduces the chest infections likelihood and urine of hospital infections, along admission. Pre-visit discussions with Dr Gareth with worsening While I’ve Ronson from the Lennard Surgery symptoms of been in this role

Top tips for living with COPD • Take your prescribed medication, including inhalers, as this can help control your breathing and prevent flare-ups. Read the information that comes with your medication to help you understand about possible interactions with other medicines or supplements.

Under the microscope

Community Respiratory Team Who? Team of dedicated healthcare professionals supporting people with chronic respiratory conditions, including chronic obstructive pulmonary disease (COPD). Treats patients at home to prevent unnecessary admission to hospital and helps people get home from hospital earlier. Provides a treatment programme with personalised exercises and education to help patients understand and manage their own condition (known as pulmonary rehabilitation). Also assesses patients who might need to use oxygen at home. What’s COPD? A group of lung conditions that cause breathing difficulties, which includes emphysema (damage to the air sacs in the lungs) and chronic bronchitis (long-term inflammation of the airways). It’s a common condition caused by longterm damage to lungs from breathing a harmful substance, usually cigarette smoke. It mainly affects middle-aged

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or older adults. Breathing problems tend to get gradually worse over time and can limit normal activities, although treatment can help keep the condition under control. Symptoms can get worse in colder months. Why? Many people don’t realise they have COPD. 17,000 local people have been diagnosed but it’s estimated that this is half the number of people who actually have the disease. Bristol is a COPD hotspot, possibly because of a strong history of maritime and industrial trade and the tobacco industry. To get COPD support from the team at home you’ll need to be referred by a healthcare professional, but you can refer yourself to the pulmonary rehab programme by calling 0117 961 7159 if you have a chronic respiratory condition. Visit

• Stop smoking to help slow down or prevent further damage to your lungs. Speak to your GP for advice or visit • Exercise regularly. How much you do will depend on your individual circumstances. Speak to your GP for advice before starting a new exercise programme. • Maintain a healthy weight. Carrying extra weight can make breathlessness worse. Lose weight through a combination of regular exercise and a healthy diet. If you’re losing too much weight because eating makes you feel breathless, try to eat little and often. Speak to your GP or nurse about being referred to local dietician services. • Get vaccinated. COPD can make you more vulnerable to infections. Everyone with COPD is encouraged to have the annual flu jab and the one-off pneumococcal vaccination. You can get these at your GP surgery and some local pharmacies.

• Check the weather. Cold and hot weather and humidity can cause breathing problems if you have COPD. Keep an eye on the weather forecast and make sure you have enough of your medication in case your symptoms get temporarily worse. • Practise breathing techniques. These include breathing control, which involves breathing gently using the least effort, with the shoulders supported. Learn more at • Talk to others. Your GP or nurse may be able to reassure you, or you may find it helpful to talk to a trained counsellor or psychologist, or someone at a specialist helpline. Your GP surgery will have information about these. Some people find it helpful to talk to others who have COPD, either at a local support group or on the internet. Get more info at For more information and support, visit nhs. uk or support-for-you/ copd.

Behind the scenes social What is ing? b prescri

ere ing is wh refer their b ri c s re p Social . sionals l services re profes healthca local, non-clinica c way, sti patients to s needs in a holi mic and e s s o c re e no It add at social, n all have an th g in is n rs ca recog ental facto scribing environm health. Social pre to take n impact o to support people lth. a also aims ol of their own he tr n o c more

I’ve developed a strong appreciation for how social isolation impacts on my patients’ health. Quite often people feel better after I spend 20 minutes just listening to them – and I frequently refer to a social prescriber (see above).

Examples include vo activities, group le lunteering, arts arning, gardening, befriending, cook ery, healthy eating advice and sports . Sc are usually provid hemes like these ed by voluntary an d community sector organisations. uk

Often I might give advice on selfcare, like advising on over-the-counter medication, or reminders to rest and maintain nutrition and hydration. I also advise patients about how to spot things that are getting worse and what to do. So for a ‘red flag’ like chest pain I’d recommend that they get further advice through the GP surgery or call 111 (and occasionally 999 in an emergency).

Follow up Back at the surgery I write my notes and follow up with the GP. This post-visit discussion can range from me talking through my findings and recommending a plan, like treating a simple infection, for example. Or I may need advice on how to proceed if the case is particularly complex. The last part of my day involves completing referrals to other clinicians or social care, informing patients about what the plans are, any urgent admin – and maybe a coffee! I enjoy my role as it allows me to develop clinically but I still have lots of time caring for patients. It’s really innovative as it recognises how highlyskilled and experienced healthcare professionals can support GPs. The collaborative approach across professions makes our care more efficient and supportive.

Supporting GPs and hospitals: our pioneering new approach Our Primary Care Practitioner roles are part of a new healthcare model we’re delivering in partnership called Primary Care Home, which has launched in the south west of Bristol. The approach is built around the principle of patients receiving upfront care from a team of mixed healthcare professionals rather than having to go to their GP first for assessment. Find out more at news

The gift of time

All about commitment Mike got ready for his role by shadowing a Bristol Community Health physiotherapist on her home visits, then going along with experienced Community Navigators before meeting people alone. He also attended our From inspiring patients to stick to their health goals to improving the group training sessions to prepare for wellbeing of socially isolated people, Mike Townsend has been a the role and find out more about things dedicated volunteer for over three years. like health and safety and equality and diversity. What kind of person makes a good Becoming a Community Navigator Care plan buddying volunteer? According to Mike, “it would Developing these communication As part of the first group of volunteers be difficult to be in a caring role without skills prepared Mike well for another for the Care Plan Buddy scheme, Mike being a caring person. It’s essential volunteering role. He recently was committed to helping patients that I’m sensitive started working create their own health goals. This for Community involved gathering information about I have to be skilled at and tactful all the Navigators Bristol, a person’s home life, relatives and reading between the time. I also have to be skilled at reading our new service contacts, their health and medication lines, without making between the lines, which improves the as well as any health targets they had. assumptions or letting without making wellbeing of isolated “It was rewarding because just by my own preferences assumptions – and older people by going through the form with them I connecting them with colour my judgement.” challenging myself could understand someone’s situation to stop my own and give encouragement, sympathy or their community. Mike Townsend, volunteer for preferences “I’ve already been information – whatever was needed,” Bristol Community Health colouring my able to link someone says Mike. He could also support judgement.” patients in other ways: “For many of the with an interest in With many volunteering carpentry to a friendly wood-working people I visited, their main wish was to opportunities at Bristol group. Another person who had have someone to talk to and to spend Community Health, the main been a chef was delighted when we time with,” he remembers. thing is that you want to do told him that there was a ‘kitchen on something practical for people, prescription’ which helps people cook Mike believes. “Volunteering is for their particular medical condition,” Get involved a very rewarding way of using says Mike. your time to help people in the Other volunteers have accompanied We’re currently on the look out community. Most roles don’t people to tai chi groups and local require a great deal of time, for volunteers for: Personal knitting clubs. “There are so many but consider the commitment groups that cater for a wide range of Care Plan Buddies; Community interests,” says Mike, “and part of what you’re making so that you Navigators; Patient Feedback; can always play your part we do is to match them up. Often the Exercise Buddies; and wholeheartedly.” social part of it is more important than Macmillan Telephone Support the actual activity.” Volunteers. It’s a privilege to help people with what often feels to be their most For more information contact pressing need: contact with other Greg Juckes on greg.juckes@ people, says Mike. “Isolation can lead, call 0117 440 9178 or to despair. It is a great pleasure to be visit able to help people break out of it community/volunteer-with-us. and be invigorated by companionship and activity.” | 15

Our services

Bristol Community Health is a not-for-profit social enterprise providing NHS-funded community healthcare across Bristol and beyond. Visit to find out how you can access each of our services. Bladder and Bowel Service Support for patients with bladder and bowel problems. Community and Out of Hours Nursing Healthcare and support to housebound patients in their homes, seven days a week.

Health Assessment and Review Team (HART) and Continuing Healthcare Team Nurses and administrators who assess patients’ eligibility to access NHS Continuing Healthcare and funded nursing care. Health Links Language support and advocacy service.

Physiotherapy (Musculoskeletal Outpatient Service) Helping people who have difficulty with their day-to-day living due to pain or problems with movement. Podiatry Care for conditions affecting the feet.

Heart Failure Service Nurse-led heart failure diagnostic service.

Prison Healthcare Services Prime provider of healthcare services in prisons, including physical and mental healthcare and substance misuse services.

Infection Prevention and Control Advice on the prevention and control of healthcare-associated infections.

Rapid Response Intervention for acutely unwell people in their own homes to avoid unnecessary hospital admissions.

Integrated Community Clinics Drop-in community clinics for patients with lower leg wounds in south Bristol (pilot).

REACT In-Reach Co-located with emergency departments to help people home with support rather than being admitted.

Learning Disabilities Teams Specialist health services for people with learning disabilities.

Specialist Community Neurology Support for patients with a neurological impairment.

Macmillan Rehabilitation and Support Team For those living with and beyond cancer to improve their quality of life.

Strength and Balance Classes Exercise programmes to prevent falls in the community.

Dermatology Diagnosis, treatment and education about long-term skin conditions.

Musculoskeletal Assessment and Treatment Service (MATS) Assessing and managing the care of patients with musculoskeletal and spinal conditions.

The Haven Healthcare service for asylum seekers and refugees new to Bristol.

Diabetes and Nutrition Services Education, information and support about diabetes and nutrition.

Palliative Care Home Support Works with other healthcare professionals to offer care and support at the end of life.

Diabetic Eye Screening Annual photographic eye screening for people with diabetes aged 12 years and over.

Parkinson’s Nurse Specialists Information, advice and support for people with Parkinson’s and for their carers and families.

Community Children’s Health Partnership (CCHP) Health visiting, school nursing, therapies and dietetics for children and young people across Bristol and South Gloucestershire within CCHP (Bristol Community Health services). Community Navigators Bristol Signposting and support to help people over 50 connect with their community. Community Respiratory Service Services for people with chronic respiratory diseases. Community Therapy Occupational therapy and physiotherapy in a person’s home or a clinic setting. Dementia Support Assessment and signposting to dementia services.

Falls Support Support for patients who need a falls assessment.

Stay in touch Find more information about our services and how to access them at

Tuberculosis (TB) Nurse Service Outreach and support to people with active or latent TB. Urgent Care Centre Walk-in minor injury and illness service at South Bristol Community Hospital. Walk-in Centre Walk-in minor injuries and illness service based in Boots, Broadmead. Wound Care Support for patients with non-healing or slow-to-heal wounds.

I need this in another format! If you’d like to access this newspaper in another format or language, please email briscomhealth.comms@nhs. net or call 0117 440 9090 and we’ll be happy to help.

For any other queries or concerns contact us on: • • 0117 440 9090 • Communications Team, Bristol Community Health, 6th Floor, South Plaza, Marlborough Street, Bristol, BS1 3NX

‘Win a meal for two’ prize draw (page 3) terms and conditions: closing date is midnight, 30 April 2018. The winner will be the first name drawn at random from all eligible entries and will be contacted by phone by 4 May 2018. If the winner cannot be contacted by 18 May 2018, we reserve the right to pick a replacement winner. Each individual may only complete the survey once. The prize is as follows: meal worth up to £50 at Riverstation, The Grove, Bristol, BS1 4RB. 16conditions | Terms and specific to the prize will be provided to the winner. The prize is non-transferable and cannot be exchanged for cash. Prize draw not open to Bristol Community Health staff. © Bristol Community Health 2018.

Community Health News - Winter 2018  

A free local health and wellbeing publication, packed with stories from patients and health professionals, health tips, advice, and the late...

Community Health News - Winter 2018  

A free local health and wellbeing publication, packed with stories from patients and health professionals, health tips, advice, and the late...