MC Magazine - Spring 2022

YOUR COMPLIMENTARY COPY

BLOOMING

GOOD

How Emma blossomed

SPRING 2022

Behind Closed Doors

After Life

Energise!

MC

INSIDE...

3 WELCOME

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4 BEHIND CLOSED DOORS 7 DRAGONS’ DEN 9 MEETING THE DOCTOR

MEETING THE DOCTOR

12 A DOG’S LIFE 14 WE’RE RIGHT BEHIND YOU

Doctor Who fan Luke Kolassa was 13 when a mystery illness left him in chronic pain. Read how a specialist team is helping him live life to the full.

15 THE GREEN ROOM 17 BRING SPRING INDOORS

07 25 SKIN DEEP Get your skin spring ready. Dietitian Amy gives ideas to bring back the glow.

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CHINA CRISIS

Liverpool’s Chinese community is often isolated and reluctant to seek help for health issues. Meet the woman on a mission to make things better.

YOU’RE NOT ALONE

18 FOOD GAVE ME BACK MY LIFE 19 STICKY SESAME STIR FRY 20 ONE VOLUNTEER...

21 TEAM TALK

Struggling to rekindle friendships? Or feeling alone even in company?

A psychologist explains why loneliness happens and offers ways to overcome it.

24 YOU’RE NOT ALONE 25 SKIN DEEP 27 ENERGISE! 28 SCAN SWIPE SHOP 30 NEWS OF THE WORLD

MC magazine team: Managing Editor: Steve Murphy.

Editor: Jackie Rankin.

Contributors: Sophie Brown, Joanne Cunningham, Jo Henwood, Steve Murphy.

Editorial: Julie Crompton, Shae Fowlis.

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Photography: Joel Goodman, Freepik.com, Vecteezy.com Design: Jo Hadfield.

You can contact us at: communications@merseycare.nhs.uk MerseyCareNHSFoundationTrust @Mersey_Care @MerseyCareNHSFT

31 EXAMS? DON’T STRESS 32 ASK A GP 33 WHAT TO TELL THE KIDS 34 THE APPRENTICE 35 MEET YOUR GOVERNOR

MEMBERSHIP AND GENERAL DATA PROTECTION REGULATION The GDPR is the General Data Protection Regulation, a European-wide law, which governs how organisations can collect, use and transfer personal data. It came into force on 25 May 2018 alongside the new Data Protection Act 2018. As a Foundation Trust, Mersey Care has a statutory requirement to develop and maintain a membership and it is necessary for us to process our members’ personal data to perform this task. Our members are drawn from the public, people who use our services or care for people who use our services and staff. We request and securely hold data on our members, which they provide when joining our membership.

The data we hold on our members enables us to show that we are representative of the community we provide services for, to keep members updated through our quarterly MC magazine via email or post and to invite all members to the Annual General meeting. We also engage with all members advising when the election for governors will be taking place, giving members the opportunity to nominate themselves to become a governor and to vote in elections for the council of governors. Should you no longer wish to be a member of Mersey Care please email membership@merseycare.nhs.uk with your details or call 0151 471 2303 asking that your details be removed.

WELCOM A

s we wake to lighter mornings, revel in being able to drive home from work in sunshine, or – dare we say it, eat alfresco – the reality that spring is here can’t fail to bring a smile.

It’s a season like no other, not least in its contrast to its predecessor. The sense of promise is palpable. For gardeners it’s the start of hard work. But as someone said,’ in a garden there is always a future’.

In this issue teacher turned plantswoman Emma Taylor-Johnson talks about finding solace in the soil, when certainty seemed a million miles away.

Coping with uncertainty isn’t easy. In her new column ‘Ask a GP’, BBC Breakfast’s Dr Fari Ahmed offers advice.

In a garden there is always a future.

We meet Yan Xiao, whose passion is supporting Liverpool’s Chinese community – and badminton. She entered the Dragons’ Den to further her vision of helping this often isolated community overcome health and social issues.

Doing the things you love can be hampered by pain.

Meet the man who beat his with food and the specialist team changing the way people think about pain.

PS. there’s a quirky twist for 1960s Doctor Who fans!

BBC Breakfast’s Dr Fari Ahmad writes about coping with uncertainty on page 32.

There’s advice to beat loneliness, deal with exam stress and how to get your skin spring ready.

Enjoy this issue and enjoy spring!

The MC Magazine Team.

We are in an ever changing situation. The information in this issue was correct at the time of going to press, but please consult nhs.uk or gov.uk for latest advice and information.

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FOCUS ON... DOMESTIC ABUSE

BEHIND

CLOSED DOORS Domestic abuse soared during lockdown. Police records reveal more than 845,000 incidents took place in England and Wales – a rise of six per cent. We hear from victims and talk to an expert helping people regain their life.

by Jackie Rankin and Joanne Cunningham

It was ‘little things’ like control over the colours of her clothes, then alienating her from her family.

S

he was Scary Spice, the fiercest of 90’s pop idols, the Spice Girls. Yet Melanie Brown has revealed years of abuse from her ex-husband.

Four years after escaping and returning to her family home in Leeds, she’s received an MBE for her work with Women’s Aid – and dedicated it to others who have suffered in abusive relationships.

Her own abuse ran over a decade. At first she says, it was ‘little things’ like control 4 over the colours of her clothes, then

alienating her from her family. Threats of violence became real and when she self medicated with drink and drugs, Stephen Belafonte threatened to take away her children.

Refuge, which runs the national domestic abuse helpline, reported a 61per cent increase in calls and contacts logged during the first lockdown. For Melanie Brown the realisation that she wasn’t alone came only when she talked to women at a refuge near her family home. “We all had exactly the same story.”

ANYONE CAN BE A

VICTIM Abuse can happen to anyone.

You may not even realise it’s happening to you. Read Aiden’s story.

“She was very subtle, with sly digs. I caught her checking my phone, reading a football WhatsApp group I was in.

She removed my access to our joint account then said it was the bank’s error. She’d say my ideas were rubbish, that I was being unreasonable, I felt I was going mad.

He explains the approach. “The first part of the therapy is to help them build their mood and reduce those anxieties. We offer a gentle introduction to cognitive behavioural therapy, or perhaps an online programme supported by a therapist. If we feel they need it, we would invite them in for face to face therapy.”

She says the impact will be with her for life. “I just have to learn how to deal with it.

You can’t erase those kinds of traumas.”

Steve Simpson, manager of Think Wellbeing talking Steve Simpson therapies service in St Helens says recovery is possible.

It’s often at this point that people are able to talk about their abuse.

Domestic abuse is any incident or pattern of incidents of controlling, coercive, threatening behaviour.

“As someone develops a therapeutic relationship with the therapist they become comfortable enough to tell someone. They feel prepared to deal with the root cause of the trauma because they have learned through the therapy that’s the only way they can move on.”

Clients often attend with symptoms of anxiety and depression – the abuse may only come to the fore during therapy.

“If someone has repeatedly been told they’re stupid or worthless they’re likely to have low self esteem and negative beliefs about themselves and feel too ashamed to speak about it,” says Steve.

He’s honest about the role of the therapist. “I’ve always said to my clients ‘I can’t make you better – but you’re going to make yourself better by letting us help you and show you what to do’.”

“Recalling traumatic life events can be very upsetting, so although we ask about contributing factors when we assess people, it’s only through therapy they feel able to revisit what is often the root of the problem.”

Those who stay with the therapy with that knowledge are more likely to recover than those who disengage, says Steve.

Therapy can prepare you to deal with the root cause of your trauma.

“They’ve changed their beliefs about themselves – there’s a realisation that at last they can get on with their life.”

Former Spice Girl Melanie Brown has revealed how she lived with domestic violence.

“I started to feel absolute dread when I heard her key in the door, I knew that wasn’t normal. I couldn’t sleep. My mates were saying I was under the thumb at home.

My life is completely different now.

I see my mates more often, I get picked for the footy team every week and I’ve been promoted in work. I don’t even recognise the old me.

I read in my staff newsletter about a domestic abuse policy. Things started falling into place, I felt so embarrassed, a man… being abused, I didn’t know what to do. As I visited websites things became real.

Once I was out of the relationship, I began to realise how bad it really was, I was shocked I let it get that bad.

I asked my brother for help. I didn’t tell him the details, I was too embarrassed.

I told him I was thinking of leaving just taking that first step gave me the strength to pick my life up. A friend of my brother’s offered me a room for a few months and I left.

I’ve not started dating yet, I’m not ready for that but I’ve learned some valuable lessons and I’m starting to believe in myself again”.

•

These are not the real names of the people involved but they are true stories. If you need help please get in touch with one of the services on these pages. Don’t suffer in silence.

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Continued from page 5.

LAURA’S

Soaps like EastEnders have been acclaimed for raising the issue.

STORY

Twenty two years ago I was a normal 20 year old starting university and enjoying life.

Then my dad died suddenly. I found him – the grief was intense.

I

was the youngest of five and we’d lost my mum when I was 12, so he’d brought me up. I was trying to study, holding down two jobs and living alone in my family home. Looking back I was very vulnerable.

A friend introduced me to the man. He was 26, originally from Albania and seeking asylum. I needed to fill the huge void in my life and developed a very unhealthy reliance on him. He took full advantage.

After moving in he began to turn me against my family, saying they didn’t care. If I went out with friends he’d get angry and say I mustn’t love him. People were telling me something was wrong, but you don’t recognise a toxic relationship when you’re in it.

He wanted to get married and have a baby. I know now it was to get asylum. I did fall pregnant accidentally, but I miscarried.

The psychological abuse escalated and I stopped going to university. My days were spent washing and cooking for him.

He had total financial control; I’d pay for everything because he told me he had no money. When I found a savings book with £16,000 in it we argued and he pushed me into a door frame fracturing my nose.

I was ashamed. I knew this wasn’t right but I was so frightened of being on my own. In fact my family were there, scared for me. I just wouldn’t listen.

Eventually I asked them to intervene and my brother threw him out. I discovered afterwards he’d used a fake passport to leave the country. My family wanted to press charges but I refused, even then I felt the need to protect him.

The experience left me emotionally broken, partly because I’d not grieved properly for my dad. I spent a long time in specialist domestic abuse counselling. It was so good to talk without fear of being judged or having guilty thoughts.

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©BBC

HELPING A FRIEND IF THEY’RE BEING ABUSED If you’re worried a friend is being abused, let them know you’ve noticed something is wrong. They might not be ready to talk, but try to find quiet times when they can talk if they choose to.

Find out more at nhs.uk

HELP AND SUPPORT Samaritans: 116 123 or jo@samaritans.org Women’s Aid at womensaid.org.uk helpline@womensaid.org.uk The Freephone National Domestic Abuse Helpline, run by Refuge on 0808 2000 247 Men’s Advice Line on 0808 8010 327 or info@mensadviceline.org.uk ManKind on 0182 3334 244 If you identify as LGBT+ you can call Galop on 0800 999 5428 or email: help@galop.org.uk Gov.uk Forced marriage unit: 020 7008 0151

I always wanted to be an arts therapist, but I’ve seen the difference counselling made so I chose to work in areas where I could help women like me. I’ve since trained to teach, had loving trusting relationships and have four amazing children.

If you’re considering leaving, be careful who you tell. It’s important the person abusing you does not know where you’re going. Women’s Aid has useful information about making a safety plan that applies to both women and men, including advice if you decide to leave.

The experience was such a dark period in my life, but from it I found a path that’s helped me thrive and help other women turn their lives around. I count myself lucky.

If you are worried that you are abusive, you can contact the free Respect helpline on 0808 802 4040.

SPECIAL FEATURE

DRAGONS’

DEN

Yan Xiao is on a mission.

Determined, resolute and committed she’s looking for recruits to join her band of badminton players.

by Jackie Rankin Photos: Joel Goodman 7

Families care for each other; they don’t feel confident to ask health or social services for help.

Y

an Xiao, a health link worker for Liverpool’s Chinese community, is taking her racquet and shuttlecock into the heart of the city’s Chinatown in a bid to help them understand the importance of exercise to their wellbeing.

She’s just pitched for – and won – a Dragons’ Den style grant from Mersey Care NHS Foundation Trust to support this isolated group of people.

Yan explains: “Some Chinese people are in high end jobs in the city and take advantage of the leisure and exercise opportunities on offer. But there are also those who work exhaustingly long hours to become financially independent. They may be business owners, or workers who get paid only for the hours they put in. Either way they’re reluctant to take time off.

“We have a saying ‘health is wealth’, yet many people don’t understand medical terms, so are unaware about depression, cancer or diabetes. They are reluctant to seek help – being mentally unwell still carries stigma – so they either don’t know they

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have a problem, or they hide it. Families care for each other; they don’t feel confident to ask health or social services for help.”

She shares the story of a young woman left alone with three children after the death of her husband – he was just 39 years old.

We have a saying ‘health is wealth’, yet many people are unaware about depression, cancer or diabetes.

Why badminton? “I needed to find something meaningful, that could connect people, give them a social hub and explain the benefits so they take ownership of their health. I know how good it makes you feel.

I want my community to experience that,” she said.

Before going into the Dragons’ Den, Yan spoke with Chinese community leaders.

“They say people are enthusiastic. They’re starting to realise the link between exercise and health,” she said. Having funding means we can hire badminton courts to run taster sessions and recruit volunteers to support and run groups that would eventually sustain themselves. That’s my hope. ” And that’s why the Dragons said... I’m in.

“She was so distressed. She told me he had worked extreme amounts of hours making sure he could support his family, but not looked after his own health.”

As a keen badminton player, Yan’s vision is for people to see their peers taking part in sessions, and to follow suit.

FOR MORE INFORMATION on Chinese community organisations visit: liverpoolchinatown.co.uk

SPECIAL FEATURE

H MEETING THE DR

e’d also become reliant on morphine. “I was looking for a magic pill. It didn’t stop the pain – it just meant I didn’t care. ” What helped the young dad to move forward was a combination of a pioneering approach by a highly skilled clinical team – and a Dalek.

Special report by Jo Henwood Photos: Joel Goodman

Kevin Howard had lived with chronic pain for years. No longer able to kick a ball around with his young son, the electronics engineer was desperate to regain his former life.

Kevin’s pain in his shoulder began in the shower as he was getting ready for work. He took painkillers, had scans and was eventually referred to Sefton’s Community Pain Service.

By then he was at desperation point.

Dr Chris Barker and his team at Ainsdale Centre for Health and Wellbeing got to know Kevin before developing a personalised treatment plan that included physiotherapy,

psychology, acupuncture, and a medicine review. This unique, multifaceted approach uses knowledge about the person, and what they see as a good life, to tailor treatment and set goals.

The ‘golden thread’ running through the plan was the whole team’s psychology focused approach. Dr Becky Simm recognises that some patients can be in a bad place when they first arrive at the pain service.

“If you’re living with persistent pain, your nervous system can put you into ‘fight or flight’ mode, making you more tense. If you listen only to this alarm system it can make you think: ‘The pain is not safe, I mustn’t move, I must stay in, I can’t go out.”

Continued overleaf

Kevin Howard (centre) with pharmacist Mohammed Patel and psychologist Dr Becky Simm from Sefton Community Pain team.

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Getting to know the person is vital. “There is a lot of highly tuned listening in our team”, says Becky. “We’re curious about what is deeply important to people, so we can help them find out what their best life might look like. It could be anything from being able to pick up their grandchildren from school, getting back to the gym or returning to work.

Then we encourage them to consider these other things besides their response to the alarm.”

He was so distressed he could only see what he couldn’t do.

WHAT IS

Kevin couldn’t see past the fact that his pain prevented him from doing what he wanted to do with his son.

Becky recalls: “He was so distressed. It was as though he had tunnel vision – understandably, he could only see what he couldn’t do. Talking about what was most important to him opened up so many more opportunities. It also acknowledged and validated the legitimate feelings he was having. Through talking we arrived at a different future.”

The breakthrough came when Kevin suggested he and his son Stuart, then a big fan of Doctor Who, make a life sized Dalek together. With the aid of hardboard, scandi foam and bargain basement golden balls, Doctor Who’s nemesis was born. It forged a partnership between father and son and the two still enjoy working practically together, recently building loudspeakers for Stuart’s car.

They changed the way I thought about pain.

Kevin has since cofounded a unique support group for other pain sufferers (see page 11). “My experience at the Community Pain Service changed the way I thought about pain. They treat you as an individual and are always working to see how they can help.”

He’s also an advocate for mindfulness.

“I always thought it was for hippies, now I’d choose it over medication. If you’re sitting in the garden take time to look at the leaves on the trees – concentrate on their colours; listen to the birds; breathe in smells around you.”

CHRONIC PAIN?

Imagine switching on the ignition in your car to see every warning light flashing.

D

r Chris Barker uses the analogy to help people understand chronic pain.

“The problem might have started with one warning light but the knock on effect in the engine causes another light to come on and so on.”

He and his team aim to untangle often complex issues. “Pain is a part of a complex sensory system which has evolved to allow us to keep safe.

If you stub your toe your brain interprets that information based on what it already knows.

If the last time you stubbed your toe, you broke it, your brain might try to draw more of your attention to another similar injury by generating severe pain. It’s saying: ‘when this happened last time, you broke it, I need you to make sure it’s safe.’

He explains also why the pain of trauma is sometimes delayed.

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“Every moment the ‘under the bonnet’ parts of the brain decide what to make of all the nerve impulses they receive, they may prioritise another reaction over pain.

So if a soldier is injured in battle, the priority might be to get out of the situation. The brain may defer pain until the soldier is safe.”

PACE YOURSELF “No matter what your energy levels, it is important to learn to use energy more efficiently.

If on a good day you can walk for 10 minutes but on a bad day you can only make six minutes, focus instead on walking seven or eight minutes each day. If you’re cleaning the house, don’t attempt it all in one day – do it room by room.”

Kate Maguire, physiotherapist.

Dr Chris Barker leads the Community Pain Service.

SPECIAL FEATURE

LUKE’S JOURNEY

L

uke Kolassa was 13 when his medically unexplained body pain and muscle spasms began. In a bizarre coincidence Doctor Who, and the pain service, played a role in his recovery too.

The teenager was studying for his GCSEs when he lost the use of his legs. He overcame huge barriers to take and excel in his exams. But the pain continued.

Once he reached adulthood Luke could be referred to an eight week pain management programme.

He can’t speak highly enough of the team.

“They get you to think about what you can do. For some people that might be just getting out of bed.

It’s because of them and the people at Pain Clinic Plus that I’ve regained the use of my legs.”

THE EXPERT PATIENTS Buoyed by his changed outlook Kevin Howard and fellow patients were keen to support other pain sufferers. In 2007 the award winning Pain Clinic Plus was born.

K

evin and his team – known as expert patients – are on hand to help anyone in pain, whether or not they are a patient of the service.

They were awarded funds for a projector for music and videos, and comfy chairs for people whose pain prevents them for sitting in one position for long periods.

Newcomers are welcomed with a brew, and Kevin is keen to reassure anyone who worries about becoming emotional. “I might sometimes throw in a joke,” he says, “but only if it’s appropriate. I like to think I’m a good judge of where someone is on their pain journey.”

Expert patients are on hand to help anyone in pain.

To book a place at pain clinic plus email Kevin.Howard@merseycare.nhs.uk

It was with this mindset that Luke and his family planned a long overdue holiday. “I adore Doctor Who and there had been talk that the Doctor Who Experience in Cardiff was closing. I had always wanted to go,” he recalls.

They get you to think about what you can do.

Travel worsens his pain, but the team encouraged the family to think about options, including a day’s buffer before and after the visit, plotting service stations en route and a mid journey stopover if needed.

And the verdict? “It was one of the best experiences of my life,” smiles Luke.

Medication is just one tool in the box – focusing only on medication isn’t always the answer.

Pharmacist Mohammed Patel

FIND OUT MORE For more on the Community Pain Service visit: merseycare.nhs.uk Flippin’ Pain – support for people with chronic pain: flippinpain.co.uk Pain UK: painuk.org

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FEATURE

A DOG’S

LIFE

Steve Murphy takes a look at our relationship with our pets – and what can happen when we have to say farewell.

©Netflix

After Life, Ricky Gervais’ show for Netflix, is now in its third season; and it’s fair to say that it’s a hit. In fact it’s officially the most watched British comedy of the decade, with a viewership of nearly 100 million.

I

n this dark comedy drama Gervais plays Tony, a writer who struggles to come to terms with his wife’s sudden death. But throughout Tony has a true friend – his beloved dog Brandy. The dog plays a vital role; she’s Tony’s anchor as he navigates his grief and loss.

Apparently during filming both dog – a German shepherd called Anti – and actor formed a close, even emotional bond; as Gervais revealed to the BBC’s Graham Norton: “I said goodbye to the cast and crew on the last day, but when I said goodbye to the dog, that’s when I nearly cried,” he recalled.

Many people will recognise Ricky’s reaction.

Up and down the land dogs are welcomed into our homes and lives as pets – they become cherished family members. So what

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happens when we have to say goodbye to our canine companions? Parish priest Jim Bridgman shares his story: “I am used to grief in my job as a priest; I deal with bereaved families, those caring for a loved one who is dying, or those preparing for a funeral. And I’ve written, delivered and listened to a lot of eulogies. And the nature of eulogies is such that it’s a rare thing to hear a truly rounded version of someone’s life.

Brandy is Tony’s anchor as he navigates his grief and loss.

It’s great to share those photos of that perfect holiday or night out, the achievements of our kids, or our fantastic partners. Great for the good stuff yet seldom honest when life sucks. So when Rex died, I didn’t want to follow that pattern, because the truth was life with Rex was not perfect or rose-tinted.

I wanted to be honest and with a sense of humour; for me that is being true to life. Posting about him was an act of acknowledging a part of our life had gone, and in lieu of any dog funeral, it was my way of processing that transition.

I think that this could be connected to the coping mechanisms we can develop to deal with grief. For me, comedy is one of those mechanisms. In my personal life, my private times of coping, I often look for the funny.

So when it was time to say goodbye to our dog, Rex, to take him for his last visit to the vet, in the midst of my sadness, I thought ‘how will I share the news on social media’? ©Netflix

Ricky Gervaise in After Life.

REAL LIFE STORY

A EULOGY

FOR REX (HIGHLIGHTS)

I saw in him myself in dog form.

From the moment Rex joined our family, he was a burden. He got in the way, and would continue to get in the way for the next ten years.

H

e wasn’t all bad and I will miss seeing his face at the window as I walk down the drive. But overall he was annoying. There was his constant need for attention, his greed for food and sticking his head in the dishwasher at any opportunity.

He was unable to catch anything, so balls would bounce off his ridiculous face. He couldn’t stay still long enough for a photo. Even in death, he managed to be an inconvenience, costing nearly £300 to shuffle off this mortal coil!

He was the only member of the family lower than me in the food chain, which is why I’ll miss him; I’m now propping it up...

His early life took its toll on him (he was a rescue dog). He was neurotic, loud, anxious, clumsy, needy, desperate for affection and in later times took to defecating wherever he pleased.

Which I suppose is why in some ways I’m not too upset - who would want to live with that? But at other times, I am very saddened; I saw in him myself in dog form (aside from the defecating bit.)

DID YOU KNOW? •

There are about 75 pet cemeteries and crematoria in the UK offering to bury or cremate anything from a canary to a large dog. Find out more: appcc.org.uk

•

In China people can opt for pet funerals that include a limousine hearse, luxury coffin and flower arrangements. After cremation some even turn their pets’ ashes into a diamond.

•

In the UK the Animal Samaritans Pet Bereavement Service provides support for anyone whose pet has died or who has lost their pet in other ways.

•

Find out more: animalsamaritans.org.uk

So thanks Rex. You could have been a great dog. You weren’t, but I’ll forgive you for that.

He was the only member of the family lower than me in the family food chain.

I will miss seeing his face at the window.

Rev. Jim Bridgman

Rex in his glory days with the Bridgman family.

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SPOTLIGHT ON...

WE’RE RIGHT

BEHIND YOU

Words: Jackie Rankin Photo: Joel Goodman Rob Stroud (centre) with The Life Rooms Wellbeing Support team members Tony Kley and Lousie Mulcahy (left) and Alan Price and Jade Draper (right).

Rob Stroud has lived with anxiety as long as he can remember. Traumatic life events left him close to suicide.

When he visited The Life Rooms near his home in Southport, Robert was sceptical.

I was a mental health nurse myself but the stigma stops you from talking about it. From the moment I walked in and was greeted by Diane the receptionist, I felt I was among people who understood.”

Team Manager Jade Draper explains the approach. “A simple call gives people who are managing their wellbeing an extra cushion of support. Most importantly it relieves pressure on clinical teams so they can focus on those most at risk of becoming more unwell.”

Rob is supported by the Wellbeing Support team, set up to help people under the care of community mental health services, offering help to prevent them descending into crisis.

The approach proved so successful that it has since supported Mersey Care’s Asperger’s service. Support workers linked in with people waiting for an Autism Spectrum Disorder assessment, to ask how they were coping and encourage them into Life Rooms services.

The team makes a wellbeing call to ask how someone is doing should the person need extra support, they can be referred to Life Rooms services, such as the Learning Team and the Pathways advice service for help with housing, employment or other issues that can affect people’s health.

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The team drew on its diverse skills and personal experience. Alan Price is a former Life Rooms service user and volunteer. Tony Kley worked in a contact centre after leaving the armed forces. Louise Mulcahy had supported children in care and the homeless community.

A simple call gives people an extra cushion of support.

In its first year the team made contact with more than 10,000 people.

“It worked because we made decisions collectively”, said Jade Draper. “We each had the same aims and goals – and we quickly discovered how versatile we could be!”

Head of Integration Gary Thorpe agrees: “The team designed a simple service using the experiences of its people, with fantastic results.”

Visit The Life Rooms: liferooms.org

THE

GREEN ROOM

SPECIAL FEATURE In a world where everything is online and gratification is one phone tap away, why are we so obsessed with the slow world of plants and gardening? Jackie Rankin finds out.

I’m at my happiest when I’m planting.

Teacher turned plantswoman Emma Taylor Johnson.

Soil has healing elements – I feel that every time I put my hands in soil.

P

lant owners are a pretty sizeable tribe – and they’re getting younger.

The Royal Horticultural Socoety reported a 533 per cent increase in the number of 18 to 24 year olds visiting its website in the second half of 2020.

Plants are a breath of fresh air – literally. But they don’t just give out oxygen – research shows their therapeutic abilities include reducing stress, helping concentration and even increasing pain tolerance.

Emma Taylor Johnson’s plant shop, in the market town of Ormskirk, is a treatment room for those seeking horticultural therapy.

The former English teacher doesn’t just sell plants – she nurtures and even rescues them (mostly from owners who’ve been overzealous with the watering can).

Emma’s parting advice to people as they leave the shop with a new plant is simple: “Find the right place, with the right conditions and care, it’ll thrive.”

That same sage advice can apply to people – as Emma herself can testify.

For 18 years she taught English in secondary schools. Long hours juggling a young family were tough. But as time went on and education became more exam centred Emma despaired at the lack of opportunity for creativity and free spirit.

Together with a colleague she created an outdoor learning centre in a woodland area

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within the school grounds, with an allotment, pond and planting area. The impact was profound. ”Kids who struggled in the classrooms would be totally engrossed and focused,” said Emma.

But while the garden project flourished, Emma’s own mental health was suffering.

It’s something she’s only recently been able to openly talk about.

Plants are a breath of fresh air – reducing stress, helping concentration and even increasing pain tolerance.

“I’d been given time off from lessons to do a horticultural course and I’d banged the drum for horticulture to be included in the curriculum, but I gradually realised it wasn’t going to happen. I felt schools were becoming exam factories and I was part of that. We’d lost a colleague to suicide which took its toll on colleagues. I became more and more anxious. I didn’t tell anyone – I’d always advocated talking yet I couldn’t do it myself.”

When she returned to school after summer break her body did the talking. “I was about to take the register when my body froze.

I couldn’t speak. I managed to email a

colleague, who sent cover. I went home and didn’t go back.”

Emma and her family had moved home to a more rural spot so she could grow flowers and produce. But she struggled. “I was in this beautiful place and my family life was perfect, yet I felt I’d failed. I was ashamed.”

Horticulture became a central part of her road to recovery. “I knew from the school gardens that this was something I was good at.” After a month of being unable to do more than sit in a chair, she began growing plants and flowers to sell.

Life took an even more unlikely turn when, driving past an empty shop on the corner of a cobbled street in the market town of Ormskirk, Emma stopped and went in ‘just for a peek’.

Although not part of her plan, it ‘felt right’ and a few weeks later she opened Emma’s Wild Garden. Two years on and surrounded by native seasonal flora and fauna, Emma’s days are spent sourcing, curating, running workshops – and sharing her passion and knowledge to help plants and people thrive and flourish.

“I’m at my happiest when I’m planting” she grins. “There are studies showing that soil has healing elements. I feel that every time I put my hands in soil.”

SPECIAL FEATURE

Emma shows how to make a spring bulb planter that will brighten up your home.

BRING SPRING

INDOORS

TO MAKE YOUR PLANTER •

Cover the pot base with a layer of horticultural grit, stones or ‘crocks’ to provide drainage

•

Fill with compost leaving 1cm to 2cm free at the top

•

Squeeze and tip out each pot of bulbs, loosening the soil around the roots

•

Create hollows in the compost. Plant each bulb, ensuring the roots are completely covered and the soil firmed. (Space the bulbs out, mixing up varieties to create a naturalistic effect when in flower)

•

Cover the compost with moss or decorative stones (horticultural grit is also good for retaining moisture and giving a lovely finish to pots) and add foraged spring twigs such as willow, birch and hazel, for a beautifully decorative and rustic finish to your planter

•

Water sparingly, place it where you can see it constantly and enjoy watching your planter flower!

YOU’LL NEED: •

Rustic planter or pot

•

Horticultural grit/stones or ‘crocks’ (small pieces of broken crockery)

•

Peat free multi purpose compost

•

Pots of already growing spring bulbs of your choice – you can get these from supermarkets or garden centres (I love muscari and mini daffodils)

•

Moss and twigs to decorate (optional).

TIP: Once your bulbs have finished flowering, allow the stems to die back. Then, either remove and store the bulbs in a cool dark place ready for potting up indoors next year, or plant them outside to multiply and reappear next Spring.

17

At 21 James Wythe was on his way to becoming a professional golfer. Months after completing his university degree, he was bedbound with an unexplained disease. Now back on the circuit he talks to Sophie Brown about his darkest days and how a dramatic change in diet supported his recovery.

A

s a child James never stopped moving. “I had so much energy.

My parents channelled me into sport because it was the only thing that would tire me out.

I represented Dorset juniors’ and men’s golf teams. I travelled the country playing national events. My life was focused around becoming a professional.”

But, after a casual meal out with friends, James woke up hardly able to stand or talk.

His dad carried him into the doctor’s surgery, but when hospital tests failed to show a cause, doctors suggested a possible viral infection and advised rest.

For the next six months James was bedbound, unable to stand up or walk by himself.

“I was in a dark room for six months, unable to look at light. I couldn’t use my phone or watch TV... all of those things that you take for granted. I was completely wiped out.

I couldn’t even hold a conversation.”

James eventually received a diagnosis of M.E. (Myalgic Encephalomyelitis) also known as CFS (Chronic Fatigue Syndrome).

With no known cure, he faced a mental struggle. “The diagnosis left me with an attitude of ‘what can I do about it’? so being told that there wasn’t a cure was really scary. I felt trapped.”

After contacting a nutritionist who recommended removing gluten and dairy from his diet and taking supplements, James slowly began to recover and after 14 months of being bedbound he managed to walk down his driveway.

18

FOOD GAVE ME BACK MY LIFE “Using her ideas, I cooked a couple of times a day sitting on a chair in the kitchen. I’d never cooked before, but it really took my mind off what I’d been through and what I felt like I’d lost in my life, it gave me a purpose.”

It was a further four years before James went beyond his home. He launched a website to share his passion for cooking online – and was amazed at the response.

“I had lovely messages and realised it was helping more people than I thought it would.”

Eleven years on and almost fully recovered, James enjoys a Professional Food Blogger status, sharing daily updates to more than 180,000 Instagram followers.

He’s now celebrating the publication of his first cookery book.

“It’s the book I needed when I was struggling.

I had no idea how to cook and no energy to concentrate on complicated instructions.

Everyone’s time strapped so there’s a store cupboard dinner section, which only needs two fresh ingredients. Say you’re driving home

after work, you can pick up a couple of fresh ingredients, rather than having to do a full shop.”

The book is heavily plant based and reflects James’ lifestyle.

“I’ve really enjoyed experimenting and trying different flavours. A lot of people think that gluten and dairy free or even plant based food is boring but it’s actually the complete opposite. A lot of plant based food is so packed full of flavour. It’s also some of the easiest, cheapest, quickest food to make.”

“I can look back and see what a huge impact food has had in my recovery, the more I clean up my diet the better my energy levels become. I want to show anyone who is curious or keen to try healthy living that it can be easy, fun and tasty*.” @healthylivingjames Blog: healthylivingjames.co.uk

* Healthy Living James: Over 80 delicious gluten free and dairy free recipes ready in minutes by James Wythe Available online and from bookshops now.

James says: “This recipe is super easy and quick to make. It’s 15 minutes and uses mainly store cupboard ingredients.

For additional protein add in some prawns, tofu or chicken”.

STAY WELL FEEL GREAT

INGREDIENTS 1 green pepper 1 red pepper 150g green beans 1 tbsp oil 70g (½ cup) cashews

SAUCE 3 tbsp tamari 2 tbsp maple syrup or runny honey 2 tbsp sesame seeds 1 tbsp plain flour (I use gluten-free) juice of 1 lime pinch of chilli flakes 1 garlic clove SERVES: 2 PREP: Prep 5 mins COOK: 10 mins

STICKY SESAME STIR FRY METHOD •

Firstly, thinly slice the peppers and chop the ends off the green beans

•

Heat a wok or frying pan with the oil until hot, then add the peppers, green beans and cashews and fry them together for 7 to 8 minutes

•

Meanwhile, add all the sauce ingredients to a jar with the crushed garlic, screw on the lid and shake

•

Turn the heat off, quickly pour in the sauce and stir it through until it becomes sticky and ready to serve.

19

FOCUS ON... VOLUNTEERS

Tony Maddock is a volunteer with the Learning Disability team in Warrington. Rachel Boswell is a Learning Disabilities nurse. They explain why each values the other – and why volunteers are an integral part of the service.

Tony is an integral part of our service – he’s the reason we come to work. As learning disability professionals we can try to plan services from our own perspective. But if we really want to deliver what someone with a learning disability and their family or carer want, we need input from someone who uses those services.

Tony looks for something in the applicant that he knows other service users would want to see.

Tony is 56 and has a learning disability and autism. He supports the team with office based tasks. He also sits on interview panels to recruit new staff to the team.

ONE

VOLUNTEER...

“I look for honesty and trust” says Tony.

“When you talk to someone you can tell by what they answer if they’re the right person”.

He’s certain volunteering has made life better. “In the past I’ve been really down; sitting at home wasn’t nice. I love working with the team and it makes me happy when they say I’m helpful.”

20

Read more about volunteering at: merseycare.nhs.uk

by Jackie Rankin

It takes time to build relationships with volunteers. Sometimes reasonable adjustments are needed to enable someone with a learning disability to be part of the team, says Rachel, but it improves life for everyone.

“They give us ideas we’d never have thought of and in turn we’re always thinking about how we can broaden their scope. We all have different skills – why not share them?”

Rachel says Tony’s contribution can shape who the panel eventually selects. “Tony looks for something in the applicant that he knows other service users would want to see. He takes a lot of pride in his role.”

FOCUS ON... WOMEN IN SPORT

TEAM TALK

What’s it like to be a woman in football?

How much have things changed? Former Everton FC academy player Inayah Robinson-Greenidge talks exclusively to Liverpool forward Ashley Hodson – and finds out that we may be going back to the future...

21

Ashley Hodson has notched up more than 100 games with Liverpool FC Women’s team. She talks exclusively to former Everton academy player now mental health learning facilitator Inayah Robinson Greenidge about women in football – and her surprise sporting hero.

IRG: We played against each other in the Everton and Liverpool academies over a decade ago. How far has the women’s game come since then?

AH: It’s moved on massively. When we last played Everton at Anfield, there was a 27,000 crowd. If you look at the Euros and Women’s World Cup, the way games are advertised, it’s second to none. In ten years it’ll be back to the olden days when women’s games got more interest than the men’s!

IRG: I always say ‘you can’t be what you can’t see’. Our generation of players were the beginning of that change for young girls wanting to play. Do you think today’s girls are coming into a game that’s more respected and on a par with the men’s?

AH: Definitely. People are interested and asking questions. They genuinely want to know more about you and get your opinions on the game. If you look at the top games on TV and watch some of the finishes – honestly it’s on the same level. The physicality is higher in the men’s game of course, because men are physically stronger, but technically a lot of players in the Women’s Super League can compete 100%.

IRG: How tough is it to be a top level player?

AH: I think it was much tougher when we were young – it wasn’t seen as a career.

In the same way everyone else takes their job seriously, I do the same. I’m doing what I love, learning and getting better so for me it’s not tough.

22

Ashley Hodson has played more games for Liverpool than any other player.

I always say you can’t be what you can’t see.

Our generation of players were the beginning of that change for young girls wanting to play.

Inayah Robinson – Greenidge is a senior learning facilitator with The Life Rooms.

IRG: I’ve watched your games on Twitter.

It’s great that it’s so accessible but does social media have another side?

AH: There are negatives. You take backlash, people comment on your photos. But there are massive positives. It’s a great way to grow the game especially for our generation. My mum will watch online, follow the Twitter feed then update me after the game!

IRG: What’s your view of women commentators and pundits?

AH: You only have to look at TV sports programmes to see women in both roles that have done their research and have just as much knowledge as men. I love listening to anyone with a good footballing brain.

IRG: How does it feel to be campaigning for promotion?

IRG: As a kid I was obsessed with Ronaldo.

Who was your idol?

AH: Growing up I didn’t support a team so my idol would be my dad. He coached a lad’s team when I was tiny and he’d take me to every game. I’d kick a ball around and he said he could see how much I enjoyed it so he got me into a girl’s team. From that day he’s never missed one of my games!

AH: Honestly it’s amazing. The way we were demoted during COVID felt unfair and last season didn’t go our way. A lot’s changed; we have a new manager and the best group of players in a long time. We all get on, which shows on the pitch. When we take it up a gear, teams can’t cope with us.

IRG: Who would be your fave female player?

IRG: I realised early on how dedicated you have to be. What would you say to girls who want to be you? And to women who want to take up the game later?

AH: Fara Williams (Everton, Liverpool and England midfielder). She’s an amazing player and she gave me great advice when she was at Liverpool. I was 17 and not playing regularly. I nearly moved away but she persuaded me to stay and be patient. I’m glad I took her advice.

AH: If you’re trying to play professionally you’ll have to work hard and sacrifice stuff, but don’t put too much pressure on yourself.

You might have off days, everybody does.

But always enjoy where you are now. As an adult it’s a great way to keep fit and socialise. Find a team and go for it!

IRG: Fara passed me at 13 in a street playing football with my mates. She came over and said ‘you need to come for a trial’. She’s a good mentor – she’d always be checking if I’d been partying!

If you’re trying to play professionally you’ll have to work hard and sacrifice stuff.

JOIN THE CLUB...

Football is the biggest women’s sport in England. Teams range from mini soccer for girls aged five to 11 wanting to try football for the first time, through to teenage and adult programmes and walking football.

For teams and schemes near you, visit: thefa.com

23

YOU’RE NOT

ALONE

by Jo Henwood

Staying safe and saving lives have been central to the way most of us have spent the past two years. But social distancing, restrictions on getting together with friends and family and full blown lockdowns have led to millions of us feeling lonely.

A Government campaign in England to ‘Lift Someone Out of Loneliness’ encourages us all to carry out small acts of kindness to help others.

P

sychiatrist Dr Declan Hyland believes the COVID pandemic has affected the mental health of the nation and that a continued lack of social contact could lead to more anxiety and depression.

By looking after ourselves and others Dr Hyland believes we have every chance of making a social as well as a medical recovery from the pandemic.

HELP YOURSELF You may be feeling lonely because of something that has happened. Events which can trigger loneliness might be shielding during the pandemic, grieving for someone close to you or having an ‘empty nest’ after your children have left home.

You can also feel lonely for no reason. You are not alone in feeling lonely and it is perfectly normal to feel the way you do.

24

Dr Hyland says: “It is important not to treat loneliness as being abnormal, which can lead to feeling stigmatised and thinking you are beyond help. It can also increase the risk of relapse for someone with psychotic illness.

Recognise that we have had a shared experience.”

Take small steps and don’t expect too much too soon.

If you have been shielding or alone during much of the pandemic, it might help to develop and stick to a routine. Simple tasks like going to the shop for a pint of milk or picking up a daily newspaper are a good start.

Take small steps and don’t expect too much too quickly. If you haven’t been out to the supermarket yet, plan your trip so that there aren’t any unexpected surprises. Think about when it is very busy and avoid those times – maybe go first thing in the morning or late at night. As your level of confidence increases, you should be able to stay out for longer.

Dr Hyland says: “A lot of people think an activity is going to be more anxiety provoking than it actually is. Each time you go out or make contact with someone, the next time it will be easier.”

EXERCISE CAN LIFT OUR MOOD AND REDUCE ANXIETY “Whether it is walking to your local park or joining a gym, you will soon recognise the positive effect it can have,” says Dr Hyland.

“Just being out means you are likely to meet other people and be exposed to social situations which gives us all more confidence.”

STAY WELL FEEL GREAT

THINK OF OTHERS The longer loneliness persists, the more difficult it can be to overcome.

“Coming out of the pandemic is a perfect time to make new friendships,” says Dr Hyland.

“Try creating a list of things you enjoy – this might be something you know you like doing like gardening or amateur dramatics or something you haven’t tried before, like getting better computer access. If you enjoyed cooking or baking during lockdown, consider building on what you have learnt.

Eat and drink your way to fabulous skin.

“People are a lot more comfortable and confident with technology now so keep up with friends and family online if not in person.”

Other ideas might be to drop in on a neighbour, send a friend a text or just wave and say hello when you see an acquaintance in the street.

“A light touch can make all the difference,” says Dr Hyland.

Dr Declan Hyland is a consultant in general adult psychiatry at Clock View Hospital.

“Don’t be put off. If you enjoy playing football but haven’t played for a while because of COVID restrictions, everyone will be in the same boat.”

TOP TIP

People of all ages can experience loneliness and young people who have had a difficult start at college, university or in a new job because of lockdown and restrictions may find it more challenging to make new friends.

“The COVID pandemic has taught us that it is important to maintain regular contact with people, especially those we recognise as being vulnerable or lonely,” says Dr Hyland.

SKIN DEEP

T

ea av “H s of en s gla etwe ks b n dri ter wa holic ther u o o alc d an re yo n fo a .” be ss o bed a l t g go

he skin is our body’s largest organ, protecting everything on the inside as well as assailants from the outside like pollution, bacteria and temperature.

Dietitian Amy Croft talks to reporter Jo Henwood on how to treat your skin with the respect it deserves and keep it looking healthy for spring.

HYDRATION STATION

Where to go for MORE

“We should drink about two litres of water or six to eight glasses a day – but it’s easy to forget. I try to carry a bottle with clear markers on how much to drink and when.

Another option is to set alarms throughout the day. If, like me, you aren’t keen on drinking water, add a little sugar free cordial.

HELP:

The Marmalade Trust raises awareness of loneliness and helps people make new friendships marmaladetrust.org Campaign to End Loneliness wants to inspire everyone to connect and to make a difference to older people’s lives campaigntoendloneliness.org The British Red Cross has a ‘Tackling Loneliness Digitally programme’ to help build confidence and coping skills, and connect people redcross.org.uk Your local library will have a wealth of information on groups or courses you may be able to join.

Volunteer doing something you enjoy.

Go to: gov.uk and search volunteering.

Am arly y’s ma wa rk ter bot ed tle Cle

Coffee and tea count towards your fluid intake – but alcoholic drinks don’t. Include pure juice but limit yourself to one glass a day as it’s high in natural sugars. Remember to drink more when it’s hot or after exercising.”

Continued overleaf.

25

TO PT IP

Beans aren’t just for chilli – try someth ing differe nt with your p asta lik ea bean b ased sa u ce.

Amy re comme n ds: bbcgoo dfood.c om/ recipes /pasta-e -fagioli

Fruit contains antioxidants which we need for healthy skin Dietitian Amy Croft Photo: Joel Goodman

Continued from page 25.

FRUIT ROUTE

OIL NO TOIL

SKIN THERAPY

“Fruit contains antioxidants which we need for healthy skin. It’s best to eat fruit as a whole piece, rather than blending or juicing it which can cause a rise in free sugars.

“I can’t stress the importance of eating healthy fats - oily fish, nuts, seeds, pulses and vegetable oils. They help build the outer layer of skin. Lentils can be a great thickener for soups and if you aren’t keen on the texture just blend them with your vegetables.”

Amy’s advice is to approach skin health in a holistic way. “A good night’s sleep helps keep your skin refreshed. Try to avoid stress or use relaxation techniques whenever you can. Moisture every day and use a cream with a sun protection factor on your face, even when the sun is not shining. Exercising and keeping active increases the blood flow to our skin and helps remove the toxins.”

The added bonus is it takes longer to eat and can make you feel fuller. Apples, strawberries, watermelon and cucumber have a high water content so can help keep up your fluid intake.”

PROTEIN ROUTINE “Protein like meat, fish, eggs and tofu contain amino acids that contribute to building collagen and elastin, which keep our skin supple.”

26

WATER AND WINE “A pint of beer or a large glass of wine might be a lot of liquid but the alcohol leaves us needing the toilet more, so it doesn’t count towards our fluid intake.

Try to stick to 14 units a week.”

A good night’s sleep helps keep your skin refreshed.

STAY WELL FEEL GREAT

SCAN SWIPE SWAP

Toddler tantrums in the bread aisle and teenage meltdown in the soft drinks section are proof that supermarket food shopping with a child is only for the superhuman, writes Jo Henwood.

B

attles over what to buy don’t help.

With obesity rates among children on the rise a new food scanner app could bring harmony and help us help our children make better dietary decisions.

The NHS Food Scanner app allows you to scan your favourite soft drink, frozen chips, baked beans or sweets. It’s simple enough to use and the most appealing bit is that rather than having to just say ‘no’, you – and the kids – are offered swaps which contain less sugar, salt or saturated fats.

Find healthier swaps with Food Scanner Download the free

NHS Food Scanner App and scan, swipe, swap healthier choices for your family.

It’s got kid appeal too.

Androgynous plasticised characters, jumping sugar cubes, rolling blobs of saturated fat and floating packets of salt keep youngsters entertained.

Dietitian and mum of two girls Ally Talbot tried out the app on a treat bag of sweets bought for a cinema trip.

“As a dietitian, I knew the sweets would be full of sugar but the app showed it as cubes, which made it easier for the girls to understand. I was also pleasantly surprised that it didn’t just tell me to swap the sweets for an apple – it offered alternative products that were similar but healthier.”

Most well known food brands are on the app but if your item isn’t there, you can upload photographs of the barcode, the ingredients label and the nutritional information. Swaps will be in the same price bracket where possible so your shopping bill shouldn’t increase.

If you are already buying healthily you’ll get a slap on the back with a Good Choice badge!

To download the app search ‘NHS Food Scanner’ with your usual app provider

Find simple recipes on the Healthier Families pages of the NHS website nhs.uk.

WATCH YOUR

LANGUAGE Dietitian Ally Talbot says adults should think about language they use about food with children. “Food isn’t good, bad or ugly – it’s just food. We need Ally Talbot to help them understand that there are some foods we should have every day and other foods we should eat less often.”

JUST

COOK

Ally suggests pizza making as a way to get children involved in making healthy choices.

It’s great for fussy eaters – they can choose their favourite topping. Kids love getting stuck in so making dough from scratch and making pizza base shapes with your children is a fun activity in its own right. But if you prefer the easy option use pitta bread as a base.

Ally recommends the NHS Change4Life website for more family cooking ideas.

27

ENERGISE! Sunny days and lighter nights can make us feel more alive. Drumming up motivation to get more active can still feel an uphill struggle. Jackie Rankin asked wellbeing expert Dan Melling for ideas to help us get back our ‘get up and go’.

D

an’s love of fitness and health could be unsettling. He openly admits to living and breathing being active and practising what he preaches. Yet he’s spent many professional years supporting people with long term medical conditions to improve their physical health, so he recognises that one size doesn’t fit all.

HOW DO WE BEGIN? “Setting a goal is a huge motivator”, says Dan. “A change in your health, a special family occasion or an upcoming holiday can give you a reason for making changes to your lifestyle. You may be looking to lose weight or improve your fitness levels. Both can help you feel healthier.’’

It’s important to get the right advice.

“Someone who is overweight should avoid physical activity that puts extra strain on the body, so I encourage more gentle activity such as walking, cycling or swimming to start with. These are less strenuous. A chat with your GP or a fitness professional about your plans, is a good idea.”

28

Setting a goal is a huge motivator.

It’s refreshing to hear Dan talk of ‘physical activity’ rather than ‘exercise’, which can feel intimidating to a beginner or those struggling with motivation.

WHAT’S THE NEXT STEP? Set a small target, maybe commit to taking a daily walk or going to the gym a couple of times per week. Wear something you feel comfortable in and perhaps take a drink with you to keep yourself hydrated.

What about those with an inherent adversity to the leisure centre or who simply don’t enjoy walking or cycling?

“All activity counts”, says Dan.“Housework and DIY can increase your breathing rate and make your heart and muscles work harder. They burn calories too.’’

You can be active as you travel as well.

“Get off public transport a stop earlier, take the stairs, cycle or walk rather than drive,” suggests Dan.

STAY WELL FEEL GREAT WHEN SHOULD YOU STOP BEING ACTIVE? Never says Dan. “As we get older our bodies tend to lose strength, our muscles shrink, and our bones become thinner.

Being active helps keep our muscles and bones strong. We can also lose balance.

Activities like yoga, bowls, or dancing can help reduce the risk of falls because they improve balance.’’

Focus on movement you can do and don’t be still too long.

If you have limited mobility, ‘’focus on movement you can do and don’t be still for too long.’’

And his final piece of advice? “Find something you enjoy so you’ll do it more often and for longer. Consistency is key in making progress and reaping the benefits!

Above all see it as a lifestyle change rather than a quick fix.”

•

Dan Melling is a health and wellbeing practitioner with Mersey Care NHS Foundation Trust.

Dan Melling health and wellbeing practitioner.

Being active helps maintain bone density which prevents osteoporosis and maintains our strength.

Find out MORE

AT:

NHS Live Well – nhs.uk British Heart Foundation – bhf.org.uk

29

©BBC

Feeling Anxious?

Talk to us

NEWS OF THE Need help with stress, anxiety or depression?

We can help.

You can refer yourself online by visiting talkliverpool.nhs.uk or calling 0151 228 2300, alternatively you can be referred by your GP or another health professional.

WORLD

by Steve Murphy

A recent Instagram post from the host of BBC Radio 1’s breakfast show, Greg James, (pictured above) said: “We’re all feeling pretty useless, angry and heartbroken at the state of things in Ukraine.”

A

nd it’s true it does appear that the world has once again taken a turn for the worse.

At times like this it’s easy to feel anxious about things that seem out of our control as psychotherapist Caroline Plumer explained to the Independent.

Brendan Street, Head of Emotional Wellbeing at Nuffield Health, says that it’s a matter of balance. The Express Tribune online quotes him as saying: “Part of the reason we can feel so acutely worried about situations is that we start to see them as an attack on our personal safety.”

“It’s understandable that the news can make us feel anxious and helpless at times; there’s so much going on in the world and some of it is far from positive.”

“While it’s important to stay updated, check a trusted news site once in the morning and again in the evening to catch any important updates. But try to avoid your phone. Simple breathing exercises can help us stay in control as well. Close your eyes and focus on your breathing”.

“Empathy with those who are suffering is a great quality to have, but in extreme situations such as the war in Ukraine, which is far from home, being overly empathetic and taking on the feelings of others as our own can actually be unhelpful.

“We need to strike a balance between allowing ourselves to feel sad, and also not letting the feeling consume or overwhelm us.”

30

GP Dr Fari Ahmad talks about coping with uncertainty on page 32.

NEED SUPPORT? ANXIETY

Support for you

•

Help yourself – our self help guide on anxiety can be read online, downloaded or watched as a video.

STAY WELL FEEL GREAT

EXAMS?

DON’T STRESS

By Sophie Brown

Jeremy Clarkson may tweet annually about failed exams being no barrier to friends, happiness and a very big car.

But for most students life’s a lot more uncertain. For some, things get too much. More than 2,300 15 to 24 year olds took their own lives between 2018 and 2020.

M TOP TIPS FOR GETTING THROUGH EXAM WORKLOAD STRESS...

1. Plan ahead – I know, I know, everyone says it, but trust me. Planning how you will best use your time at the beginning of every week means you can stick to a timetable and enjoy downtime without feeling guilty. Make downtime part of the schedule to relieve stress.

2. Sleep well – Get early nights in where you can. Personally, I never worked past 7pm. Use the few hours before bed to watch TV or read.

Winding down and getting a good night’s sleep is essential if you want a clear, focused mind the following day.

y own stress levels soared during exam season. In the moment each exam is the be all and end all. It’s success or failure – or so it feels. It’s easy to get bogged down with revision and research, but I wish I’d known a few things back then that might have made me a bit more relaxed.

For instance, I wish I’d known there were more people in my situation. It’s easy to look at others and think they have it all – starting careers, planning travels or having families. They may appear to be enjoying life and going with the flow, but it’s not always how it seems on the surface. Many others are struggling the same way you are.

It’s easy to get bogged down with revision and research.

I wish I’d known that good things will come in one way or another and there are many routes to get where you want to be.

If things are getting you down – and I know how that feels – speak to someone you trust about how you feel.

I talked to my uni friends but it could be a relative, a student helpline, professional, a friend, a colleague.

Don’t bottle it up. It’s time to talk.

It’s easy to look at others and think they have it all.

3. Don’t compare yourself to others – We’ve all been there, when that one friend tells you they’ve read much more of a book than you or have revised double or half the amount you have. It doesn’t matter. Only you can best prepare yourself and only you can take the exams. Focus on your own progress.

4. Talk – In the midst of what feels like chaos, make sure you’re checking in on friends and sharing how you’re feeling with others. A quick offload is always good to take the weight off.

31

ASK A GP with Dr Fari Ahmad

COPING WITH

UNCERTAINTY

L

ife can sometimes feel uncertain. But there have always been factors beyond our control.

Times like this can make us anxious. Sleeping difficulties, constant worrying, struggling to concentrate and fluctuating moods are examples of how anxiety can affect us.

If things start to feel out of control it can be helpful to remember that there are many factors we can still influence. Accepting uncertainty doesn’t mean you shouldn’t have a plan, and being able to navigate through the unknown is a skill we can all acquire.

Here are some things you might find helpful: CALL IT OUT: Naming your emotions can help you not only manage them, but also help you learn to process them. Healthy coping skills like journaling, breathing exercises and mindfulness can also be useful.

WORK IT OUT: Exercise is a natural and effective way of relieving stress; a run round the block, a walk in the park or an impromptu kitchen disco can be easy ways to lift the mood (and get your steps up).

CUT IT OUT: In our 24 hour news culture, it’s so easy to feel overwhelmed. Restricting yourself to the news headlines once a day is a good strategy. Limiting screen time and exposure to social media can also benefit mood and concentration.

SHARE IT OUT: Try to eat a balanced diet and if you can, share a meal with others.

Eating together can be a chance to share worries and assure each other.

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BBC Breakfast’s Dr Fari Ahmad.

SLEEP ON IT: Prioritising your sleep is important. We can all benefit from a structured sleep routine with regular bedtimes and routines that allow unwinding before bed.

Most importantly be kind to yourself, those you love and those around you.

Look for the positive things in your life – the things that lift your mood and bring you peace.

Sometimes negative thoughts and behaviours need challenging, even within ourselves. To combat those ‘bad things always happen to me’ thoughts, look for the positives in your life and point them out to yourself. And try to be grateful – practising gratefulness has been repeatedly shown to have benefit, even in extremely stressful situations.

STRESS

Most importantly, be kind to yourself, to those you love and those around you. We are all on this uncertain journey of life together. We all need to let go the feeling of needing to know and embrace life with its uncertainties – to live in the moment and appreciate the joy and beauty in the many moments that surround us.

Support for you

Support for you

DEPRESSION AND LOW MOOD Support for you

Look for the positives in your life and point them out to yourself.

Find out MORE NHS UK: nhs.uk Mind: mind.org.uk

AT:

POST TRAUMATIC STRESS

SLEEPING PROBLEMS Support for you

NEED SUPPORT? •

Help yourself – our range of self help guides on various subjects can be read online, downloaded or watched as a video.

STAY WELL FEEL GREAT

WHAT TO

TELL THE KIDS

I

heard recently of a six year old girl who was feeling unwell. As the two lines came up on the obligatory COVID test she became terrified and inconsolable.

Although she was reassured her fear prompts the question: how should we manage our children’s worries about the virus?

Rest assured if your child is concerned, they are not alone. Rhiannon Evans, operational manager for Mersey Care’s Children and Young People service says that coronavirus has impacted all children, from little ones just starting school through to teenagers.

“There has been a massive increase in calls for speech and language support and we have seen more 8 to 16 year olds calling crisis teams or accessing A&E for self harming issues, she says.”

While there is a lot of work going on in schools around resilience, the influence we have at home is most important, says

What has the pandemic done to our children’s minds?

Jo Henwood asks an expert.

•

Don’t be afraid to say you don’t know the answer. If we all grew up thinking that being adult meant you knew everything we could easily consider ourselves a failure if we didn’t.

•

Ask questions. If they are anxious ask what it is that is making them feel worried and acknowledge that you understand their feelings. Acknowledge if you have the same concerns.

•

And finally, remind children of what has changed since the pandemic began.

Rhiannon.

“The way children process information is very different from that of an adult. When we talk to them about COVID, we should try to think about their level of understanding compared with our own wealth of experience of the world.”

When talking to children Rhiannon advises: •

Have healthy, human conversations and be careful not to say things that might influence them. If you are very cautious and plan to continue wearing a mask, make sure they understand that nothing horrific will happen if you don’t. Try to give them a balanced view.

Rhiannon says “Remind them that the risk from COVID is reduced because the latest variant seems not to make people so ill and that a lot of people are protected because they have been vaccinated.”

Search ‘emotional wellbeing’ at merseycare.nhs.uk

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TOGETHER WE’RE MERSEY CARE

THE

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APPRENTICE

Tom Foster put the skills he learnt working in hospitality towards helping others in his new role as an apprentice health care assistant in Mersey Care’s high secure services.

He talks openly about overcoming first day nerves and the small victories he’s proud of.

I needed and Mersey Care helps people to get to where they want to be.

I’ve always felt I could talk to people.

When you’re working behind a bar, you’re meeting new people and often helping them feel better.

You’ll manage to persuade someone to take a bath or a shower and you’ll have a smile from ear to ear. For others it’s an everyday occurrence, but for someone who is very mentally unwell it’s a big deal.

I’d heard that an apprenticeship could give me all the experience and qualifications

When I went in on my first day, I was terrified but within a couple of hours the staff had put me at ease. You become really close as a team.

Every day is completely different, you’re never bored. You feel like you’re having an impact on people’s lives and doing some good...that’s what keeps you going.

At Mersey Care there are so many opportunities.

As an apprentice, you can become a fully qualified mental health nurse by the end of it. They’ll ask you where you want to be and help you get there.

If you think that you might be good at working in the mental health sector, then odds are you probably will be.’

TOGETHER WE’RE MERSEY CARE If you’re interested in finding out more about the apprenticeships Mersey Care has to offer, please email: apprenticeships@merseycare.nhs.uk or visit apprenticeships.gov.uk/ apprentices/how-do-they-work

GOVERNOR PROFILE

LIAM

STOWELL Children and Young People’s Crisis team manager and staff governor Watching my colleagues during the pandemic first made me think about standing as a governor.

They had difficult times and I wanted to give them a voice.

I

manage the children’s crisis team so I’ll be campaigning on behalf of children’s services. Children struggle to be heard, we should listen to them.

I’m excited at how many children’s services we have in Mersey Care – it’s rare in a mental health trust. The biggest challenge for professionals and families is the sheer number of organisations who make up children’s services. If they were to exist in their own right they could be a gold standard flagship service.

COME AND

I’m on the National Council for Mental Health Nurses so I’m getting a perspective from a national, regional and very local level within my own team. It’s a chance to bring national developments back to Mersey Care and share our successes with them.

that your background or band is irrelevant.

If you have something to say, they listen.

It’s as simple as that. You may not always get what you want but there’s usually a good explanation. If you want to be part of change just do it.

My vision is that families will get a better deal and children’s nurses can forge a career path and progress in a job they love.

My vision is that families will get a better deal.

I had no idea what I was getting into when I became a governor! Like many people I wondered what they did. I’ve discovered

JOIN US

To learn more about our Council of Governors, go to merseycare.nhs.uk

Following our most recent Governor election period, you can view the statement of voting and information on the successful candidates, along with the rest of your Governors, on our website. Visit: merseycare.nhs.uk and go to the Governor election pages

Find out more about our membership and governors at: merseycare.nhs.uk. Tel: 0151 471 2303 or 0151 473 2778 Email: membership@merseycare.nhs.uk Write to: Alison Bacon, Mersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, Liverpool L34 1PJ

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Contact details Got some news you’d like to share?

Contact us at the following address.

Mersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, Merseyside L34 1PJ Telephone: 0151 473 0303 Email: communications@merseycare.nhs.uk

MC MAGAZINE is published by Mersey Care NHS Foundation Trust and produced by the communications team, Mersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, Merseyside L34 1PJ T: 0151 473 0303 E: communications@merseycare.nhs.uk W: merseycare.nhs.uk. MC MAGAZINE is available in other formats on request.