ISSUE 63 OCTOBER 2010
n wsline Releasing time to care Productive Ward Initiative launched in two wards at BHFT Two trail-blazing wards at BHFT are embracing a new way of working. The Productive Ward initiative has been implemented in Rowan Ward at Prospect Park Hospital and Ward 12 at Heatherwood Hospital. The scheme is based on the results of a research commissioned by the NHS Institute that showed that on average staff nurses only spend 33% of their time directly in contact with patients. Says Lynne Renals-O’Kane, Practice Development Lead, “The Productive Ward initiative aims to give staff more L-R Support Worker Amy Loveridge and Practice Development Lead Lynne Renals-O’Kane in the reorganised medical supplies cupboard in Rowan Ward, Prospect Park Hospital time to care for their patients and to improve the quality and safety of patient care. The A series of modules provides a systematic way of key to making the initiative a success is that ward making improvements. There are three foundation staff themselves identify areas which could be modules: improved and come up with the solutions.” • Knowing How We are Doing (KHWD) looks at how the ward is performing currently and provides a baseline for further improvement. Staff are able to measure, track and record performance. • Well Organised Ward (WOW) - Making ward areas simplified and reducing waste by having everything in the right place at the right time. • Patient Status At a Glance (PSAG) – Ward teams develop visual patient information that improves communication, patient experience and effective pathways.
Productive Ward Lead Babalwa Nogwaza with old (left) and new style (right) boards in Ward 12 at Heatherwood Hospital
Says David Kennedy, Support Worker on Rowan Ward, “I am 100% behind this initiative. We started this initiative only six weeks ago and already have seen very positive results. For example, we used to overstock medicine trolleys. Now we have a stock list. The clinical room is really organised so staff
know where items are located. It saves time so I can spend more time with patients. And it saves money as stock levels are monitored.”
“Our storeroom is much better organised too. Once we cleared it up we found we had overstocked items. Now we keep an inventory and only order what we need.”
Maree Adam, Staff nurse and Productive Ward Lead from Rowan Ward said: “I really enjoy working in a more organised environment, where things can be found easily and hope that it will allow me more one-to-one time with patients.”
LEFT: Lynne Renals-O’Kane points out the new information boards on Rowan Ward, RIGHT: The reconfigured laundry room at Rowan Ward
Productive Ward Lead Babalwa Nogwaza in Ward 12 at Heatherwood says, “It’s early days but this initiative is proving to be a real success. For example, we now have big information boards that give patients’ data at a glance using symbols to ensure confidentiality. So if a patient’s blood pressure or blood sugar levels needs to be monitored, it is highlighted. This kind of information was available before but it was in a more haphazard way. Now there is far more organisation and a lot less disruption.”
The next wave of wards is being identified at the moment for this trailblazing initiative. For further reading go the intranet or click on: http://www.institute.nhs.uk/quality_ and_value/productivity_series/the_produ ctive_mental_health_ward.html For more information contact: Lynne Renals-O’Kane, Practice Development Lead Nurse firstname.lastname@example.org
Ward 12 PWI team: L-R Kate Warrington, Babalwa Nogwaza and Debbie Webb
Review and Reablement Service An exciting new initiative is giving choice and support to service users to help them get back into the community The Review and Reablement Service is all about providing clear pathways for service users so they can rebuild their skills and confidence,” says Reading Locality Manager for Mental Health Jane McCausland.
Reading Locality Manager for Mental Health, Jane McCausland
“Reading has a high number of service users in health and social care placements - from secure units to supported living units - and this new service will provide a clear care pathway for service users needing to move on. It will ensure that no-one is left ‘warehoused’ indefinitely. “The service will ensure all placements are regularly reviewed, outcome focused and that all providers use the Recovery Approach.
“We have set up a database of all those in existing health and social care placements, plus patients on long-stay wards who need to come out into the community. We will then track where they need to be in 6 months, 12 months and 3 years time, and this information will aid future commissioning. “Close partnership working with housing providers is crucial to the project, to ensure our service users are given high priority. “Apart from improved outcomes, we have already identified substantial savings on social care placements and hope to do similar with health placements. “There are hopes to roll it out to other areas of Berkshire. But to be successful, it has to be a joint initiative with local authorities.”
BHFT staff support Reading Pride On Saturday 4 September, the Reading Pride festival took place in Reading. The event celebrated the local community and promoted Lesbian, Gay, Bisexual, and Transgender equality.
join us that day. “After the event I reflected on just how far we had come. People growing up in the 60s and 70s, perhaps even the 80s could never have imagined an event like Reading Pride. Reading Pride and events like it show that if enough people get behind something you have the power to make a real difference. “There were record crowds this year with 15,000 people attending.”
ABOVE: BHFT Web Editor, Krisztina Bocz and BHFT Public Consultation Project Support Officer, June Carmichael
Members of BHFT were present on a stand with colleagues from Royal Berkshire NHS Foundation Trust who were one of the sponsors of the event. June Carmichael, Public Consultation Project Support Officer at BHFT who attended the event said: “We took the opportunity to talk about the Trust and had 20 new members
L-R Tom Mortimer, HR Project Manager, Royal Berkshire NHS Foundation Trust, Cllr Jenny Rynn, Reading Deputy Mayor, Lorna McArdle, Chair of Reading Pride
World Mental Health Day 2010 Members of staff, MPs, mayors, local councillors and the general public came together on Friday 8 October to celebrate World Mental Health Day across Berkshire. The theme of this year’s event was healthy mind, healthy body and the Trust was out in force to promote healthy lifestyles and how they can impact on mental health. Very often, people with long-term conditions may develop a mental illness too such as depression. Similarly, people with mental illnesses often have physical health problems such as heart disease.
The Trust had stands at shopping centres in Reading, Bracknell, Slough, Maidenhead, Calcot, Wokingham and Newbury library. The stands offered fact sheets on mental health and suggestions as to how physical effort can improve mood and other symptoms of mental health. There was also a competition to test the public’s knowledge of how mental health affects physical health and vice versa.
Wokingham event: L-R John Redwood MP, Christine Dale, Cllr Dianne King (Mayor), Julian Emms and Vicki Matthews
Reading event: L-R Ian Mundy, Jane Vango, Julia Gladowski, Rob Wilson MP, Cllr Gul Khan (Mayor), Philippa Slinger, Jo Gilbert
In Wokingham, Trust staff were joined by Head First campaigners who were Walking a Mile to raise awareness of mental health issues and tackle discrimination. Research and Development Administrator for the Trust, Jane Vango, who is also a Staff Governor said: “I was at the Trust stand in Reading and it was a great opportunity to talk to people about mental health problems and reduce the stigma around mental health problems. I met some really nice, interesting people who were very concerned about mental health issues.”
Maidenhead event: L-R Pauline Herring, Kazem Bholah, Theresa May MP, Cllr Catherine Bursnall (Mayor) and John Hedger
Home Secretary and MP for Maidenhead Theresa May visited the Trust stand at the Nicholson Centre in Maidenhead. She said: “I was pleased to join many others in visiting the World Mental Health Day stand in Maidenhead and to support this important occasion.
How the Trust celebrated the occasion Bracknell event: L-R Cllr Ian and Enid Leake, (Mayor and Mayoress), Philippa Slinger, Cllr Chas Baily and his wife Sandra
Slough event: L-R Cllr Jagjit Grewal (Mayor), Philippa Slinger, Sunita Kohli
Theale event: L-R Nicola Jeffery, Alok Sharma MP, Cllr Graham Pask (Mayor), Julian Emms and Anita Peek
Although public understanding of mental health is increasing there are still far too many stigmas attached to it, and this was therefore an important chance to raise awareness of the issues associated with mental health and to pay tribute to the local services that do such valuable work in this area.” At Newbury Library, Jean Andrews, Carol Brindley and Trust governor Gray Kueberuwa, talked to members of the public about mental health issues. Carol, who is Carer Development Co-ordinator at Beechcroft said: “We met several people who had stories to tell about how the stigma of poor mental health had affected their lives or the lives of their children, particularly in the workplace. Those people were pleased that events like World Mental Health Day made information more accessible to the general public so that understanding of their situations would be better in the future.”
Trevor Lyalle, Trust PALS officer who was on the stand at Princess Square in Bracknell said: “This was a good opportunity to engage the public and change their perceptions about mental illness. Members of staff and representatives from Rethink and SEAP worked collaboratively to convey a positive message. Hopefully, this can be carried forward to be incorporated in all aspects of our day-to-day lives and help to alleviate the stigma and discrimination.” Philippa Slinger, Trust Chief Executive Officer who attended several events said: “Physical and mental health are intertwined. With a little adjustment in our lives such as walking to work if we live fairly close or using the stairs instead of the lift or just being more active by doing housework, we can improve our physical health and our mental health. Many studies have shown that moderate exercise like walking improves the way we feel and ultimately our mental health.”
Knowing Me Knowing You Each issue, Newsline interviews a different member of the Trust’s staff. For this edition we have spoken to Jen Knight. What is your official job title and what building do you work in? My title is Clinical Audit Manager. I am based at Fitzwilliam House in Bracknell, but my work covers the whole of the Trust – and beyond sometimes. How long have you been working for the Trust? I joined the Trust in November 2001. What does a typical day at work involve? There isn’t such a thing as a typical day. The role is a real mix of training, advice, reporting, and some hands-on analysis too. Clinical audit is about improving the quality of care that we give to our service users and their carers or families. I support clinical teams to identify areas in which they could improve, or sometimes it is about saying a ‘well done’ for the areas that they are great at! Increasingly, I have a role in supporting trust management to provide evidence and assurance about the services that we provide. I work closely with other members of the governance team in areas such as policy implementation, complaints (and compliments), safeguarding, etc. I also liaise with the R&D department on projects that need to be managed either by them, or jointly. I spend quite a bit of time feeding into reports for areas such as the Care Quality Commission (CQC) and the NHS Litigation Authority (NHSLA). This year is the first time that there is a specific NHSLA standard for clinical audit, which means that me and my colleague in the department – Claire Newton – need to spend time following up reports and action plans from teams ready to provide evidence for this too.
commissioners, but has also meant that they can ensure that the service is delivered in line with best available evidence – making a difference to the service users they see. What did you do before your current role? Prior to the audit manager role, I worked in the same department in a clinical effectiveness facilitator post. I started in a more junior post, and as the job and posts developed so did my role. Prior to this Trust, I was at University - studying ‘Biology with Management Studies’. If you weren’t working for the Trust what would you be doing? Probably doing my other job, so I could get my evenings back! My husband is an electrician, and we have our own company. With payroll, VAT returns, accounts, invoicing, and so on, it takes up quite a lot of time. I know far more about cables, fuse boards, and electrics than is good for me! What do you like to do outside work?
What is the most rewarding part of your job?
When we work on a team with a project that makes a real difference. Just one example of this is the work with the Early Intervention in Psychosis team. They have done a great job of ensuring that clinical audit is an integral part of their service. This has been useful for them – in terms of providing evidence for
Ice-Hockey! I have been following the Guildford Flames since the end of their first season. I used to play a bit, but now just watch. My daughter went to her first game less than 48 hours after she was born – so yes, we really are a bit mad about it! I have a lot of friends that we see both at games, and outside of it. There is nothing better than a ‘road trip’!
Donate your brains! BHFT appeals to public to help dementia research BHFT is appealing for people in Berkshire to donate their brains to help battle the region’s growing number of dementia cases.
ABOVE: Assistant Research Psychologist, Jack Ayre
Figures from the Dementia UK report (2007) show that there were 822 people with dementia in Bracknell, 1,203 in Reading, 795 in Slough, 1,295 in West Berkshire, 1,462 in Windsor, Ascot and Maidenhead and 1,322 in Wokingham. The total in Berkshire was nearly 7000 in 2007 and the condition is on the rise. Finding a cure for the disease is therefore imperative and local people can support this work by registering as a donor for a study of brain tissue. Brains for Dementia Research (BDR) is a national study funded by the Alzheimer’s Research Trust and Alzheimer’s Society.
BHFT Assistant Research Psychologist Jack Ayre who works for the Dementia and Neurodegenerative Diseases Research Network (DeNDRoN) says: “We are looking for people who have been diagnosed with memory impairment or dementia as well as people without a diagnosed memory problem. “We recognise that this is not an easy thing to consider and are mindful of the fact that tissue donation happens at a distressing time for families. Participation in the initiative is voluntary and participants can withdraw at any time. “For many, signing up to become a brain donor can help to reduce the helplessness that they feel in the face of dementia. A total of 11 brains have been donated so far.” For more information go to: www.brainsfordementiaresearch.org.uk.
Open Day at Jack in the Box Staff, children and parents celebrated the opening of a new garden at the Upton Hospital’s Jack in the Box nursery on Saturday 18 September. Built with a grant from Slough Borough Council, the garden has artificial grass making it suitable for children to play on in all weathers and safety surfacing to prevent accidents. Acting Manager, Lee Owen, said: “There was face painting, hook a duck,
RIGHT: Danyl Johnson joins staff at Jack in the Box Nursery on their garden opening day
obstacle races and all kinds of other exciting activities at the Fun Day. We raised over £400 and everyone had a fantastic time. “We also had an X-factor finalist in our midst. Danyl Johnson, last year’s runner up opened the Fun Day which was really great for us. The money will be used to buy the children resources for the garden.”
Opening a window on ADHD On 13 October a conference on Attention Deficit Hyperactivity Disorder (ADHD) was hosted by BHFT’s Specialist CAMHS team. The conference covered the history of ADHD, its treatment, assessment, management at home and at school, and new technologies available. It was aimed at school teachers, educational psychologists and family support workers and attracted an audience from across Berkshire. Family and Systemic Psychotherapist at Bracknell CAMHS Claire Wainwright who organised the event said: We wanted to create a better understanding of this disorder and debunk prejudice about the condition. CAMHS offer a unique service and we wanted to show the audience how referrals can be made. “We wanted to market our services to a wide range of professionals and give them a flavour of what is available in Berkshire.” The conference was opened by Stephanie Morton, a Clinical ADHD Nurse Specialist working for Bracknell CAMHS. She told the audience how the first diagnosis of ‘mental restlessness’ was made in 1798 but it was not until 1987 that ADHD became an official diagnosis. She desribed the three stages of diagnosing ADHD - the moral diagnosis, the medical diagnosis and the strength-based diagnosis. Stephanie also wanted to assure the audience that a diagnosis of ADHD was not
RIGHT: Members of Berkshire CAMHS attending the ADHD conference
necessarily a negative issue. There is a premier league football manager who has ADHD and actively recruits apprentice footballers who have ADHD as they have excellent physical skills. The second presentation was made by Carsten Vogt, Consultant Child and Adolescent Psychiatrist based at Reading CAMHS. The subject of his presentation was ADHD and co-morbidity - which is where other conditions exist with ADHD including, Developmental Coordination Disorder, Emotional Disorders, Tourette’s Syndrome and Autistic Spectrum Disorder. Eva Winch, a Clinical Nurse Specialist at Wokingham CAMHS, told the audience about the availability of local services which could be accessed before going to CAMHS. There were also national support services such as ADDISS (Attention Deficit Disorder Information and Support Service). Following these presentations, there was an exercise for the audience on what it is like to have ADHD and a description of the CAMHS ADHD assessment. Workshops took place in the afternoon and then Claire Wainwright made a final presentation on how ADHD impacts on the family. The conference attracted 50 people who gained an in-depth knowledge of an often misunderstood condition.