MC Magazine - winter 2023/24

YOUR COMPLIMENTARY COPY

BEHIND THE MASK I wish I’d been diagnosed sooner

WINTER 2023/24

A Taste for Zero

The Unlikely Apprentice

New Hope After Loss

MC

INSIDE...

3 WELCOME

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4 THIS IS ME 6 I’VE NEVER BEEN HAPPIER

I’VE NEVER BEEN HAPPIER

10 HOME AND DRY

Linton would ring his gran in the early hours of the morning in distress. Read how being diagnosed with autism has changed his life.

12 MORE THAN BRICKS AND MORTAR 16 NEW HOPE 18 MS – SEEING THE SIGNS 20 THANK YOU FOR THE DAYS

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22 IRRESISTABLE IDLI

NEW HOPE

24 WINTER WELL 26 CRITICAL CARE

Mum Zara talks about grief and anxiety after losing her first baby – and her gratiitude for the support she had during her second pregnancy.

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Editorial: Julie Crompton, Joanne Cunningham.

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30 A SOUND VISION 32 THE UNLIKELY APPRENTICE

THE APPRENTICE

35 MEET YOUR GOVERNOR

John felt his future was mapped out – until he became an apprentice in his late 40s. Read his story and discover how you could follow in his footsteps.

Nurse Surabhi’s day starts with a healthy dish that her family loves. Find out how to make her amazing idli.

Contributors: Jo Henwood, Steve Murphy, Emma Wilson.

29 LOOKING BACK TO THE FUTURE

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TASTE OF INDIA

MC magazine team: Managing Editor: Steve Murphy.

Editor: Jackie Rankin.

28 GOING STEADY

Photography: Freepik.com, Joel Goodman.

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

Design: Jo Hadfield.

MerseyCareNHSFoundationTrust

Cover: Christine McGuiness.

Read more on page 4. ©BBC

@Mersey_Care @MerseyCareNHSFT

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ROUND ZERO

Why low or no alcohol beer is the new favourite tipple.

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 ft.membership@merseycare.nhs.uk with your details or call 0151 471 2303 asking that your details be removed.

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WELCOME I t’s cold and dark outside – but you know there’s plenty about winter to savour. Wrapping up in layers and going for a walk, snuggling up with a hot drink, nibbles and a good snow filled movie (The Holiday is our favourite) – and best of all knowing that spring will follow.

We’ve discovered while putting together this issue, the power of being with like minded people and asking for help during dark times.

We met people who have spent years, even decades, facing challenges – like Linton, who was diagnosed with autism at 28 and has ‘never been happier’. His recovery worker helped him not only to work through his emotions, but to fulfil a lifelong passion for photography and in joining a group of film makers, to find his ‘tribe’. (Page 6).

Winter is a time for recovery and preparation.

Zara lost her baby son at just five months old. When she became pregnant again the fear of a recurrence became a ‘constant nightmare’. With support from Silver Birch Hubs, a service for women experiencing pregnancy or maternal distress, Zara was able to share her anxieties and meet mums in her position. (Page 16).

For some of us it may be the season to be jolly – but the trend is towards non alcoholic tipples. We ask a brewery (yes that’s right) why it’s good news all round.

It’s time to take stock and settle. As the writer Paul Theroux said: “Winter is a season for recovery and preparation.”

Enjoy this issue and find time for all those things and more.

Linton Jonas has found his passion and his people after years of struggle.

A winter walk is also a reminder that Spring will follow.

The MC Magazine Team.

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FOCUS ON AUTISM

THIS IS ME As more and more people are diagnosed with autism as adults, we look at how knowing what makes you who you are can be life changing.

Talking openly about autism has changed perceptions.

Dr Sonia Anderson is helping

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people see autism as a strength. ® BBC Duncan Stingemore

Christine McGuiness.

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utism Spectrum Condition is a lifelong condition that affects how a person makes sense of the world, processes information and relates to other people. It is described as a ‘spectrum disorder’ because it affects people in many ways and to varying degrees.

As social media and access to information increases so does the demand for professional help.

Christine McGuinness (left), who featured in a documentary about her autistic children, found out she had the condition at 34.

Clinical Psychologist Dr Sonia Anderson (below) sees people – some in their 70s – whose different view of life brings challenges. Part of her approach is to help them turn autism ‘on its head’ and see their traits as a strength, even a superpower.

“Some people may need talking therapies or medication, but often explaining that autism means your brain works in a different way from other people is enough. In many cases adjustments within your home, work or social environment can help and empower you. Being around people who think like you can be a huge source of support.”

BEHIND

THE MASK

By Steve Murphy

I understand myself so much more now,” she said, “but I wish that I’d been diagnosed sooner – I left school when I was 14 – an earlier diagnosis would have made such a difference.”

It was in 2021 that the then 33 year old, who was raised in Liverpool, made a life changing discovery: she was autistic. In the recent BBC documentary, ‘Unmasking My Autism’, Christine delves into her late diagnosis and looks at some of the challenges she has encountered. In this

Sonia says there are lots of ways someone can be supported.

“We see people who have struggled in education or employment all their lives, but we also see professors, social workers, teachers and students.

“A young man I supported recently had always nursed an ambition to study medicine. He was academically able but had struggled in other ways. We worked with his university to make reasonable adjustments and he’s now settled and doing well.”

Talking openly has changed public perceptions. Naturalist Chris Packham, diagnosed in his 40s has helped others through his openness.

Combatting social stigma is important says Sonia. Autism traits – repetitive behaviour or interests, struggling with sensory input and difficulty making friends are just a few – can worsen during times of stress. People may mask their behaviour to fit in. ”It’s the swan analogy” she says. “On the surface someone might appear to be gliding along seamlessly, but underneath they’re paddling furiously to maintain normality.”

Mersey Care is investing in a modernised accessible autism service from referral and diagnosis to post diagnostic support for Naturalist Chris Packham those who need it. Although autism is not a mental health problem, some people experience anxiety and depression as a result. If someone being treated for a mental health issue is assessed as having autism, they will be supported for both conditions.

For many people, a diagnosis is enough. “As health professionals we never want to label someone,” says Sonia, “but a diagnosis brings knowledge and understanding of why the person thinks and acts as they do – it really can open doors. Instead of feeling frustrated and confused they feel liberated. They can think ‘what’s happening is because of my autism.

They can say ‘this is me’.”

Main feature and interviews: Jo Henwood

It was a seasonally wet and windy day when I met Christine McGuinness but the wintery weather didn’t dull the spark in her eyes as she told me of the difference that being diagnosed with autism as an adult has made to her. candid film Christine collaborates with experts from King’s College London, and we see that her diagnosis has given her a newfound understanding. Throughout it’s clear that Christine sees diagnosis as an important issue; not just for herself but for other women who may share her struggle.

And there may be many women – some would say countless – who have lived with undiagnosed autism for years.

But hope could be at hand as Professor

Francesca Happé, Professor of Cognitive Neuroscience at King’s College explains, “Our understanding of autism has changed enormously, particularly the recognition in women. The truth is that historically research has mainly looked at boys and men. We’re trying to address that balance now and do much more research with women and girls.”

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Find out more about the Kings College research at : kcl.ac.uk

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I’VE NEVER BEEN HAPPIER After 28 years living in a world of confusion and frustration, Linton Jonas was diagnosed with Asperger’s Syndrome and given the right support.

Eight years on he’s loving life.

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hen overwhelmed, Linton would ‘accidentally’ ring his gran Sheila, the fulcrum of his life. It could be anytime, including the early hours of the morning.

“I just wanted to hear her voice,” said Linton. “It would calm me down.”

At school he was bullied by other pupils and seen as lazy by some teachers. “I didn’t make eye contact; I was very quiet and subdued and not good around other kids.”

Things improved after Linton was diagnosed with dyslexia and moved schools. He was more comfortable among what he describes as ‘people like me’ and staff helped to unlock his reading potential.

But he was still struggling to fit in and would rebel against teachers and family.

FOCUS ON AUTISM “I would refuse to go into shops.

The crowds, the noise and the bright lights would make me feel anxious.”

It was during a post college role at a gardening project in Southport that his lack of eye contact and reluctance to take down his hood or remove his coat (which he used as a safety net) was noted by a staff member, who suggested to gran Sheila that Linton might be autistic.

There were more dark days waiting for a diagnosis. “I’m not going to lie, I did have suicidal thoughts,” says Linton. “I don’t think I’d be here today If it wasn’t for my grandparents and my father.”

In 2015 Linton was diagnosed with Asperger’s, an autistic spectrum sydrome. He describes it as ‘a huge relief’.

A therapy course with Mersey Care has helped him process his thoughts and emotions. His big breakthrough came when Autism Spectrum Condition recovery worker Ian Matthias introduced Linton to a photography course.

He was able to develop a lifelong passion for photography. Now involved in a film project he’s enjoying being with like minded people and is involved in setting up an autism friendship group in Southport.

Linton wants to share his new love of life. “I couldn’t be happier. Now I want to help other people with autism... I understand what they are going through.”

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* The term Asperger’s in no longer used as a diagnostic term for autism.

A RELAXED ASSESSMENT An autism assessment appointment will be face to face with a diagnostician and may take between three and four hours. A parent or carer with you can help you feel more relaxed and answer many of the questions about your early years.

Diagnostician Sharon Meade explains the need for lots of questions: “Indications of autism can be similar to those brought on by many things, including trauma, so we want to find out whether traits were present as a child.”

HELP You may be offered some post diagnostic support. You may be given advice and recommendations such as making reasonable adjustments at your workplace or place of study, like a dedicated workspace, a direct point of contact, permission to wear

earphones or a standing chair. You could get support to attend health appointments or join a group or help claiming benefits.

During the assessment you may be asked about: •

When you learnt to walk and talk

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Friends and friendships

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How you behave at social occasions (like parties)

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How you cope with change – your route to work, holidays, furniture moved in the house Any sensory sensitivities, such as light, sound, smell or taste.

SUPERPOWERS Here are some examples of positive aspects of autism: •

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Creative with distinctive imagination, able to express ideas

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Tenacious and resilient, able to challenge opinions

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Less likely to judge others

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Honest, loyal and committed

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Deeply knowledgeable on subjects, with high level of skills

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Methodical and analytical, spotting patterns and repetition

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Unique in thought processes, finding innovative solutions

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Able to concentrate deeply without distraction

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Good at listening, looking, learning and fact finding

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Able to absorb and retain facts.

Thorough, accurate and attentive to detail

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HAPPILY DIFFERENT

MYTHBUSTERS EMOTIONAL SUPPORT It is not true that autistic people can’t feel empathy – some feel empathy for others so strongly that it becomes uncomfortable and unmanageable.

REFRIGERATOR MUM Historically, one theory suggested that lack of love and attention by mothers of children with autism caused the condition. This theory has since been discredited by scientific research.

THE MALE FACTOR

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Autism used to be described as a male condition, with patterns of behaviour described as more consistent with a male brain.

This theory has now been debunked as there are as many women diagnosed as men.

A morning at the hairdressers was anything but relaxing for Caroline Keep (above). As a child she was super sensitive to having her hair brushed or plaited.

“For me it was like having a root canal treatment,” she recalls.

M

any years later, an assessment for Attention Deficit Hyperactive Disorder (ADHD) suggested she would benefit from being assessed for autism.

“I was always smart, stubborn and a bit problematic,” says Caroline. “I didn’t enjoy parties. I was popular, but not that interested in other people. I would spend hours on my own making things.”

After working in engineering, she spent a decade as an airline steward, gained a degree in geophysics and became a teacher. But by then she was struggling with extreme highs and lows.

“I would push myself to achieve, become overwhelmed then crash and burn out. At one stage I didn’t speak for four months. I felt as if my Life Game settings had been set to Very Hard and that other people were cruising along on Easy.”

In 2018 Caroline won the Times National Teacher of the Year award and cofounded Liverpool MakeFest, a festival to promote science, technology, engineering, art and maths (Steam) to young people.

Three years later, aged 41, she was diagnosed with autism.

FOCUS ON AUTISM I’ve spent a lifetime doing things I don’t want to do in order to fit in.

Today Caroline is studying for a doctorate in Artificial Intelligence in Education. Her key worker helps navigate studies, she keeps a Hidden Disability Sunflower lanyard to avoid stressful situations and her home is equipped with mood changing lightbulbs.

A most valuable source of help is being a member of Merseyside Autistic Adults group.

Caroline describes the support from her peers as feeling like ‘coming home’.

“I’ve spent a lifetime doing things that I don’t want to do in order to fit in,” she reflects.

“Now I focus on self care. I used to live life as a perfectly broken neurotypical person, now I live as a perfectly good autistic person.”

How is going to the hair salon? “It’s fine. I’ve explained to my hairdresser that I’m autistic – now she lets me brush my own hair.”

I focus on self care.

I live as a perfectly good autistic person.

AUTISM ATTENTION CARD If you are autistic, it may help blue light services for you to carry an Autism Alert card in case of a crisis.

The National Autistic Society has a link to download the credit card sized card, but your local authority or blue light services may have their own scheme.

For Liverpool and Cheshire visit cheshireautism.org.uk

BLUE BADGE SCHEME An autism diagnosis may mean that you are eligible for a Blue Badge, which helps people with disabilities or health issues park closer to their destination.

This might be appropriate if your sensitivities are such that you cannot walk as part of a journey without considerable psychological distress.

BE AUTISM AWARE Watch our short animation: Search Autism Awareness Mersey Care on YouTube.

WEBSITES National Autistic Society autism.org.uk Autistica autistica.org.uk Beyond Autism beyondautism.org.uk

FIND OUT MORE: Find out more about autism spectrum condition on the NHS website: nhs.uk/conditions/autism For more information on autism services visit: merseycare.nhs.uk The World Art Factory Working towards a better understanding for autistic people in the general community theworldartfactory.com Email: contact@theworldfactory.com Telephone: 07904 958056 Autism Spectrum Collective A drop in every last Friday of the month, 1.30pm to 4pm at the Quaker Meeting House in School Lane, Liverpool (behind Primark).

Further information and other events: Email: austisticspectrumcollective@gmail.com Telephone: 07887 369550 Merseyside Autistic Adults Email: merseysideautisticadults@gmail.com Eventbrite: Merseyside-autistic-adults. eventbrite.com Facebook: merseysideautisticadults X: MerseyAutistic Instagram: merseysideautisticadults Reach Men’s Centre Neurodiverse social groups 6-7 The Palatine, Strand Shopping Centre, Bootle L20 4SN Telephone: 07504 565764 Swan Women’s Centre Linacre Road, Litherland, Liverpool L21 6NR Various social and peer support groups. swanwomenscentre.org Life Rooms Social, mental health and wellbeing sessions and pathways advice service at various locations liferooms.org

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SPOTLIGHT ON...

HOME AND DRY

By Jo Henwood

Eleanor Donnelly lived on the streets of Liverpool on and off for six years. Her struggle with alcohol addiction led to two of her three children being placed in foster care.

Eleanor Donnelly.

I had anxiety and depression and was using alcohol to cope,” says Eleanor. “I always knew I had other mental health problems. I would be high as a kite, dead happy and everything was amazing, then a day later I’d be crashing down.”

Now sober for a year and living in a shared house, Eleanor is training to become a counsellor. She puts her transformation down to diagnosis and treatment of bipolar disorder and the ‘amazing’ support of Mersey Care’s Homeless Outreach Team.

The team assessed and diagnosed Eleanor with bipolar disorder.

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The right medication and a readiness to listen to her, follow her lead and give her space when needed has been life changing.

I had anxiety and depression and was using alcohol to cope.

“The treatment is tailored to the person” says mental health practitioner Will Swain. “It’s small things like meeting in non medical settings. Eleanor loves a charity shop bargain, so if it suited her to meet there, that’s what we would do.”

Previous rehabilitation for her addiction had only short term success. With the team’s help, Eleanor attended ‘Prehab’ sessions at Liverpool’s BRINK dry bar.

She went back into rehab with a new mindset.

“I realised I’d been doing it for all the wrong reasons – so I had somewhere to live or so I could see my children – but now I stay sober for me. I’ve learnt to take compliments. I can see life through sober eyes.”

Eleanor now has indirect contact with her children. She carries on her phone a photograph of a letter from her daughter.

She wants to be reunited with her kids, but she acknowledges that the decision is not hers.

WHAT ARE THE SIGNS OF BIPOLAR DISORDER? People with bipolar disorder can have extreme moods of feeling really high, very active and euphoric (manic); or feeling really low (depression).

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When someone is experiencing bipolar disorder, their behaviour and thoughts can be beyond their own control

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not sleeping (most commonly experienced sign)

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agitation, irritability, emotional intensity

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energised with ideas, plans, motivation for schemes

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intense expression laden behaviour with implied extra meaning.

I’ve learnt to take compliments.

I can see life through sober eyes.

“In the past I thought I should be rewarded for trying, but now it is important that my children are the ones who make the decision to want to see me.“ Eleanor is working hard to build on her achievements.

She still attends Alcoholics Anonymous meetings, often leading sessions. She practises the martial art of Qigong, has become a mental health first aider and advocate and is taking drama classes.

Her ambition is to work within the hostel system.

“What I went through happened for a reason and I want to help others to have the same opportunities.”

How does she feel now? “I don’t go to bed with my head racing anymore. I take my medication, say my prayers, do some breathing and fall fast asleep,” she says. “For the first time in years, I feel listened to and not judged.”

MORE HELP...

The homeless outreach service accepts referrals from GPs, other health professionals, the Whitechapel Centre, or you can refer yourself.

If you struggle with alcohol addiction and are ready to begin your recovery, you can contact: ALCOHOLICS ANONYMOUS www.alcoholics-anonymous.org.uk 0800 9177650 Email: help@aamail.org Local meetings will be held in your area.

THE BRINK 15-21 Parr Street, Liverpool L1 4JN 0151 703 0582 Open Monday, Tuesday, Wednesday and Friday thebrink.org.uk The Brink is a place where you will experience people living meaningful and fruitful lives free of alcohol or drugs. Everyone is welcome at the café for a cup of tea or coffee, a piece of cake or a home cooked meal, to find out more about services or attend a course.

If you are sleeping rough or are concerned about someone else that is, contact: THE WHITECHAPEL CENTRE whitechapelcentre.co.uk 0300 123 2041 – a 24 hour helpline

HELP YOURSELF • ALCOHOL AND YOU Support for you

Treatment is tailored to the person says mental health practitioner Will Swain (pictured).

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

merseycare.nhs.uk/self-help-guides

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SPECIAL FEATURE

MORE THAN

BRICKS AND

MORTAR

By Jo Henwood

Catherine Mills uses her experiences as a mental health service user to share her vision of how hospitals and other therapeutic buildings should look and feel.

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Buildings, homes, schools, workplaces, theatres, museums and sports halls are as much about the people who live, work or visit than the materials they are made from.

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hen a hospital development is first proposed at Mersey Care, top of the Trust’s agenda is to listen to the people who will spend time in that space – service users, carers, visitors and staff, as well as the local community.

For mental health service user Catherine Mills light was a non negotiable need. Her own recollection of being in hospital was ‘a dark, grim, sparce room that felt like a prison cell’.

“I was ‘lucky’ she says. “I had my own room – but all it had was a bed and a sink and it had bars on the window. My biggest distress was knowing it would upset my parents when they visited me.”

When Clock View, the first of a new generation of mental health hospitals was being designed almost two decades ago, previous Trust chairman Beatrice Fraenkel was passionate that service users should be directly involved.

Catherine would sit on design panels, consult architect’s drawings and building plans and tour the site as the vision became reality.

That vision was to design a place that is therapeutic, where the building itself helps someone recover more quickly and not have to stay so long.

Today each inpatient has their own light airy bedroom with a display cabinet to personalise with their own artwork, family photographs or decorations at special times of the year. Each ward has its own accessible garden.

Catherine, now Mersey Care’s Mental Health Care Division service user and carer lead, says: “There is so much light, through generous windows or rooflights, which gives such a sense of space. You don’t feel oppressed, the building values everyone who stays there, works there or visits. It was a privilege to play a small part in helping create this environment.”

The vision is to design a place that is therapeutic.

Clock View Hospital exemplified the approach and has since won many accolades. It has been followed by Rowan View medium secure unit in Maghull, where bedrooms and therapy suites are all built around a social hub; Hartley Hospital acute unit in Southport and a new state of the art mental health hospital in Mossley Hill, South Liverpool, due to open in 2024.

Also opening soon at Maghull Health Park, is Aspen Wood low secure unit. All follow the blueprint of being buildings with people at their hearts.

Continued on p14.

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SPECIAL FEATURE

Views onto Hartley Hospital courtyard garden (above and below).

Photography courtesy of timothysoar.co.uk

Clock View Hospital in Liverpool was the first of a new generation of mental health hospitals.

Continued from p13.

Director of social health and community inclusion Michael Crilly says: “It’s about the way you walk through a space and lines of sight, to hygiene, the quality of the furniture and artwork on the walls. We want to make the space work for the people who will use it, people with lived experience of our services.”

Architect and service user volunteer Robert MacDonald feels that listening to people like him helped architects appreciate what it’s like to be an inpatient in a mental health hospital.

“They understood from us that staying in a mental health hospital can be a frightening experience. Being observed and trying to sleep in unfamiliar rooms can feel uncomfortable.”

Rob used to run art classes at Mersey Care’s Life Rooms. He values how art and horticulture have been threaded into building design.

“There’s so much natural wood and warm colours. Sculpture and art are integrated into the design. Bedrooms have window seats with garden views. The caring environment is valued – it feels optimistic.”

Volunteer Jeanette Murray is very excited that the new Mossley Hill hospital will have plenty of outdoor space. She has been nationally recognised for using her own

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experience of mental ill health to help the Trust develop ways to reduce the need for physical restraint when someone is in mental distress.

“I can’t wait to see the building finished.

Imagine the outdoor greenery for the patients to just sit and chill – it’s so important,” says Jeanette.

Service user photography identifies patient bedrooms at Hartley Hospital in Southport.

Off the shelf artwork? Think again says recently retired arts coordinator Berenice Gibson. Before a hospital is even built, service users, carers and the local community are invited to work on large scale creations.

“This is not about heading to IKEA to buy something to go on the walls. We invite service users and the local community to work with professional artists on say a sculpture, stained glass windows, wall art, photography or poetry.”

A stained glass window in the sanctuary at Clock View was inspired by ideas born in a workshop by patients at Ashworth high secure hospital. Cyanotype images are used throughout Clock View, made using vegetables grown by an allotment group.

Rowan’s song is a poem written by service users in collaboration with poet Pauline Rowe.

At Hartley Hospital, rooms are identified through photographs taken by service user groups.

Mersey Care’s new low secure hospital Aspen Wood (above and bottom right) was a winner in this year’s Building Better Healthcare awards.

“Art is part of the therapeutic nature of building,” says Berenice. “It’s creating something ‘in the moment’ which will bring great lasting benefit.”

Art is part of the therapeutic nature of building.

The stained glass window at Clock View Hospital sanctuary was created from patients’ ideas.

Senior Clinical Nurse Noirin Smith (below and right) sums up the importance of this collaborative approach to new buildings.

“It’s not always about the fanciest things, often it’s about having somewhere quiet and private, knowing that your belongings are at hand or being able to step outside your room into the sunshine.”

The Curve cafe at Rowan View medium secure hospital (also below).

It’s about having somewhere quiet and private.

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NEW HOPE

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Zara Cannon and Marcus

The loss of a baby during pregnancy, birth, or shortly afterwards can be one of the most devastating experiences any parent can go through. Launched in 2021 the Silver Birch Hubs is working to help those who are struggling.

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service set up to support mothers who are experiencing neonatal or maternity distress says it is busier than ever. Silver Birch Hubs, which is staffed by therapists, psychologists, specialist midwives and peer support workers and offering what they describe as ‘rounded care’, says that more women are willing to seek help on sensitive (and potentially painful) topics such as difficult births, miscarriage and still birth.

Zara Cannon is one such mum. Her first baby, Franklin, was born prematurely and died after complications at just five months.

She has spoken about trying to deal with her grief and anxiety and the effect that this was having on her during her second pregnancy. “I couldn’t sleep properly,” she says, “it was a constant nightmare, I was afraid of a recurrence.”

It was a constant nightmare, I was afraid of a reoccurrence.

Following contact with a mental health midwife in the run up to the birth of her son Marcus, Zara was referred to the Silver Birch Hubs. It was here, she says, that things started to became clearer.

SPECIAL FEATURE “I couldn’t quite understand why I was having all these feelings but the people at Silver Birch explained this is how our brains work.

And importantly for me, through group sessions, I met with other mums who were in a similar position. Spending time with them was so helpful, we were all in the same boat. We formed a healing, therapeutic bond – it was like wrapping ourselves in this mutually supporting comfort blanket.”

Love marks – Zara carries a tattoo of babies Franklin and Marcus’s footprints.

Others too have spoken of the importance of this inclusive and supportive approach.

Mother of two and peer support worker Debbie suffered three miscarriages and says maternal mental health is still ‘a bit of a taboo’. “With peer support, you can break down your feelings of shame and find answers to your unanswered questions,” she says. “It sends the message that you are human.”

It was like wrapping ourselves in this mutually supporting comfort blanket.

Zara is an enthusiastic advocate of what the Hub is aiming to do. “What I would say to anyone who finds themselves in this situation is that you’re not alone. I know that it’s difficult, I know there are times when you don’t feel strong enough and everything seems so dark, but there is hope.

I encourage you 100 per cent to seek out the help that is out there for you.”

FIND OUT MORE Silver Birch Hubs offer psychological therapy and support to women who have experienced: •

Birth trauma

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Extreme fear of childbirth

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Miscarriage and stillbirth

•

Loss of their baby while on a maternity ward or a neonatal ward

•

Removal of their baby from a maternity hospital into social care

You can be referred to the service by any healthcare professional such as midwives, health visitors, GPs, social workers, therapists or counsellors.

Appointments may be virtual, using video technology, by phone or face to face.

Find out more at: merseycare.nhs.uk

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WELLBEING FEATURE

WHAT IS

MS?

Multiple Sclerosis (MS) is a disease that affects nerves in the brain and spinal cord.

MS affects the body in different ways and has many symptoms but people with MS won’t normally experience them all.

Some of the most common symptoms include: feeling very tired during the day, bladder problems and problems with balance and coordination – for example when walking.

At the moment there is no cure for MS but drugs can help reduce the effects.

Around 85 per cent of people have ‘relapsing remitting’ MS where symptoms are mild for a while, or even disappear completely.

Sources: NHS and Multiple Sclerosis Society

Some of the most common symptoms include: •

fatigue

•

vision problems

•

numbness and tingling

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muscle spasms, stiffness and weakness

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mobility problems

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pain

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problems with thinking, learning and planning

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depression and anxiety

•

sexual problems

•

bladder problems

•

bowel problems

•

speech and swallowing difficulties.

Most people with MS only have a few of these symptoms.

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Christina Applegate as Jen Harding in Dead to Me. © Netflix 2020

Actress Christina Applegate opens up about her battle with the autoimmune disease Multiple Sclerosis and recalls the symptoms she overlooked before diagnosis.

Christina with the cast of Married with Children.

SEEING

THE SI C hristina Applegate became a household name as a teenager, playing Kelly Bundy in the long running sitcom Married with Children. But a lot’s happened since then. In truth she began acting as a child and has worked steadily ever since. Over the years she’s established an enviable career in film and television, including winning a Primetime Emmy for her work on Friends. She starred with Will Farrell in the Hollywood hit Anchorman and has earned both Tony and Golden Globe nominations.

More recently you may have seen the 51 year old in the Netflix comedy drama ‘Dead to Me’. It was during the filming of this show, that she was diagnosed with multiple sclerosis (MS) an autoimmune disease which disrupts communication between the brain and the body.

Looking back she says that she missed the early signs of her illness and now wishes she had recognised them.

In recent interviews she’s spoken quite candidly about how, over the space of a few years, she became aware of changes in her body.

She’d experienced tingling and numbness in her extremities and this became progressively worse. She’d seen that her tennis game was slipping and then – while shooting a dance sequence for the first season of “Dead to Me’ – she struggled with her balance. And whilst these things did give her cause for concern, she chalked them up to not working hard enough.

But that wasn’t the case and in the summer of 2021, on set for the third and final season of “Dead to Me,” she received confirmation that she had MS.

I wish I had paid attention – but who was I to know?

Earlier this year Applegate opened up about her battle with the condition, sharing how even simple activities like getting into the shower can be frightening. “You can slip, you can fall, your legs can buckle. There are just things that people take for granted in their lives - that I took for granted.”

Speaking of these early warning signs she told the press, “I wish I had paid attention – but who was I to know?”

IGNS

By Steve Murphy

GETTING MEDICAL ADVICE

See a GP if you’re worried you might have signs of MS. The symptoms often have many other causes, so they’re not necessarily a sign of MS. Let the GP know about the specific pattern of symptoms you’re experiencing.

If they think you could have MS, you’ll be referred to a specialist in conditions of the nervous system (a neurologist), who may suggest tests such as an MRI scan to check for features of MS. For more help: NHS.co.uk mssociety.org.uk Christina Applegate. Saeed Adyani © 2021 Netflix, Inc.

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We didn’t want to put up with the adverse effects of alcohol and its impact on our body and mind.

THANK YOU FOR THE DAYS

By Steve Murphy

Duncan Keith and Mike Gammell set up Days Brewing when they questioned if beer needed to equal alcohol.

The times are a changing and the number of young people choosing not to drink alcohol is on the rise. According to recent figures from the charity Drinkaware, one in five under 25 year olds in the UK now report that they are teetotal, the highest figure on record.

S

ome say that there are now more non drinkers in their late teens and 20s than at any point in the last decade.

In fact NHS statistics for 2021 revealed that 38 per cent of 16 to 24 year olds and 21 per cent of 25 to 34 year olds in England either don’t drink or haven’t drunk in the last 12 months.

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With figures like these perhaps it’s no surprise that as a nation we’re developing a thirst for low and no alcohol drink options; or that there’s a rise in demand for grown up, non boozy drinks that still have an authentic taste.

“We wanted beer without alcohol and anything other than zero felt like a compromise,” says Mike Gammell, co founder of alcohol free brewer, Days Brewing.

Gammell says that over the years he realised that his own relationship with alcohol had totally transformed.

“I love beer,” he says, “It has a unique ability to bring people together. You cheers it, you socialise with it – it opens up conversations and starts so many great moments. But we found ourselves turning away from those beer occasions because we didn’t want to put up with the adverse effects of alcohol and its impact on our body and mind.”

STAY WELL FEEL GREAT

Millie Gooch (pictured), founder of the Sober Girls Society says it provides tips, resources and events for anyone who wants to drink less or give up entirely. She told ITV that she made the decision to quit drinking at the age of 26, after struggling with blackouts and what she describes as “horrendous hangover anxiety.”

As a nation we’re developing a thirst for low and no alcohol drink options.

Millie Gooch.

Now five years sober, she says there isn’t a single part of her life that hasn’t improved since she made the change.

She told the broadcaster: “My physical (and mental) health is so much better, I have so much more energy and less brain fog, I can be present, my friendships have improved.

“In terms of finances, I bought a flat which I would have never been able to do in a million years if I was still drinking because that’s where all my money went.

“So I just have nicer stuff now, and I’m able to spend my money on holidays and things that I really love and can keep forever.”

HELPFUL LINKS sobergirlsociety.com

ALCOHOL AND YOU

CALORIE COUNTDOWN There is no getting around the fact that alcohol contains calories, so in general cut the alcohol and you cut the calorie count. For example a pint of 4 percent beer carries around 182 calories compared to 75 calories for a 330ml bottle of alcohol free larger. There are 75 calories in a glass of prosecco (10.5% ABV); swop that for a glass of zero alcohol sparkling wine and your count drops to 35 calories. Red wine (12.5% ABV), weighs in at 90 calories per glass whilst the alcohol free version helps you to drop that to just 30.

(Source British Heart Foundation).

A CAUTIONARY NOTE…

Support for you

daysbrewing.com NHS.co.uk bhf.org.uk merseycare.nhs.uk/self-help-guides

Although certain aspects of low alcohol and alcohol free beers may be better for you, they should still be consumed in moderation. Just like regular beer, they may be high in carbs and may lead to weight gain and other health related issues.

Pictures courtesy of ITV, Heineken, Days Brewing and Sober Girls Society.

ZEROS ALL ROUND Last year Global Brewer Heineken teamed up with ITV to ensure that regulars in the Woolpack and the Rovers Return can enjoy a pint of quality alcohol free draught lager. Dr Zoe Williams – who recently fronted ITV’s documentary Our NHS, which looks at the pivotal role played by black doctors in the health service – said: “The great British pub plays a key role in many of our lives, including the residents of Coronation Street and Emmerdale. Being able to head down to the local and have a pint of alcohol free beer with friends and family definitely means more people can be included and enjoy time together whilst drinking mindfully.”

Dr Zoe Williams (pictured)

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IRRESISTIBLE IDLI Surabhi Bharathan’s South Indian breakfast dish is perfect for sharing.

This soft and fluffy steamed cake is made with fermented rice and lentil batter and served with a range of chutneys.

“Idli is tasty, healthy and suitable for everyone, even babies,” says nurse Surabhi. “It was one of my daughter’s first solid foods – she’s five now and we have them with chutney for lunch, dinner, and snacks in between!

“The ingredients are in most supermarkets.

You’ll need an idli plate, readily available to buy online. It’s a good investment to start your day healthily.”

It’s a good way to start your day healthily.

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STAY WELL FEEL GREAT

My daughter would eat these every day.

IDLI INGREDIENTS 2 cups idli rice

IDLI METHOD

CHUTNEY INGREDIENTS

•

Rinse idli rice until water becomes clear, then wash dal

1 cup of coconut

Put rice, dal and fenugreek in three separate pans of water and leave to soak for four hours

Small piece of onion

1 cup urad dal ½ tsp fenugreek seeds

•

Salt Oil

•

EQUIPMENT Idli plate (available online or in kitchenware seections of department stores)

•

Steamer or pressure cooker

Drain off water from each pan. Blend the rice with salt according to taste, then add the urad dal and fenugreek to the mix to make a batter Let the mix ferment for around 12 hours (if the room is cold preheat and keep in the oven, or place under the hood with the lights on)

3 to 4 green chillies

⅓ cup coriander leaves 8 to 10 curry leaves 1 tbsp oil ½ tsp mustard 1 clove of garlic Salt to taste

CHUTNEY METHOD

•

To cook, boil water in a steamer or pressure cooker; oil idli plate and pour batter in to moulds

•

Add coconut, garlic, coriander leaves, onion and chillies and salt to a blender and mix

•

Place the stand inside the steamer

•

Heat the oil in a pan

•

Cook for 10 minutes, allow to cool.

Loosen idlis with a spoon and serve with chutney (see recipe).

•

Once hot add mustard seeds and curry leaves, then pour the chutney mix into the pan

•

Once boiling, remove from heat and serve with the idli.

Surabhi Bharathan is a nurse at Longmoor House Reablement Unit in Liverpool.

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LOCAL HERO Your pharmacist could be your health ally this winter. Shadeia Younis – award winning Independent Pharmacist of the Year – gives her top tips for self care and winter wellness.

C

old weather always brings its own set of challenges and this winter your local pharmacist is on hand to help you. As most minor conditions can be treated at home, your pharmacist can provide you with the advice and support you need.

And that’s not all; we can help you if you want to lose weight or stop smoking. We can check your blood pressure and diabetes and give you the support you need to ensure that you’re taking the right medications at the right time. Of course there are things that you can do to help yourself. Here’s some of my top tips to help keep you well this winter.

TREATING COMMON AILMENTS Cold and Flu: Over the counter remedies like decongestants, pain relievers, and cough syrups can help alleviate and soothe symptoms. Your pharmacist can advise you as to what may work best for you.

Sore throat: Lozenges, throat sprays, and pain relief options are available to help you to manage symptoms.

Asthma: Cold air can trigger asthma symptoms. Ensure you have your prescribed medication to hand. If you do need advice on inhaler techniques your pharmacist can help.

Dry skin/eczema: Combat the harsh weather by using emollients, moisturizers, and prescribed topical steroids. Your pharmacist can recommend suitable products.

Arthritis: Cold weather can exacerbate arthritis symptoms. Warming creams and over the counter pain relievers can provide soothing relief.

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Shadeia Younis

Self Care: Your Guide

by Shadeia Younis – Independent Pharmacist of the Year

LOOK AFTER YOURSELF Stop the flu: make sure you get your vaccine to protect you and others.

Stay hydrated: The chilly weather might dampen your thirst, but don’t let that fool you. Hydration is key to keeping your body functioning optimally. Sip on hot teas, broths, and water throughout the day.

Healthy diet: Fuel your body with a diet rich in fruits and vegetables.

These nutrient packed foods bolster your immune system, acting as a natural defence against winter woes.

Exercise: Don’t let the cold keep you indoors. Regular physical activity not only boosts your mood but also strengthens your immune system, helping you ward off seasonal illnesses.

Restful sleep: Adequate sleep is your body’s best friend, especially during winter. It’s during deep sleep that your body repairs and strengthens, enabling you to fend off infections effectively.

Moisturise: Cold weather can wreak havoc on your skin. Combat dryness by generously moisturizing.

Your skin will thank you!

Seasonal Affective Disorder (SAD): Beat the winter blues, expose to natural light or light therapy, regular exercise, and a balanced diet.

WINNER It’s been a stellar year for Shadeia. Not only was she invited to the House of Commons to be named Independent Pharmacist of the Year, she also beat off stiff competition to win Pharmaceutical Entrepreneur of the Year at the British Asian Professional Awards. Her talent and contributions were further celebrated when she was nominated to join the EqualityX list of the top 50 Influential Muslims in Europe.

HELP US HELP YOU! Ambulance services, hospitals, walk-in centres and urgent treatment centres can get especially busy over winter.

By choosing the right health service, you will help to relieve pressure whilst also being better placed to look after yourself and others.

WHERE TO GO For more serious conditions, when you use the right NHS service, you get the right treatment sooner. The first step is knowing the best service for your symptoms. Visit 111.nhs.uk or call 111 and get to know where to go this winter.

WHAT’S AN URGENT TREATMENT CENTRE? Urgent treatment centres treat non emergencies, offer diagnostics (such as tests and x-rays), and prescribe medication for some conditions.

They will also be able to refer patients to other urgent care services within the community and hospitals.

WHAT’S A WALK-IN CENTRE? Walk-in centres offer consultations for minor injuries or illnesses: such as rashes, burns, scalds, eye, muscle and joint injuries. They treat all ages.

HOW LONG WILL I WAIT? We aim to see and prioritise you within 30 minutes and assess within two hours (longer during busy periods).

WHO WILL TREAT ME? You’ll see the right clinician: GP, nurse or paramedic, based on your needs. Doctors are available, although not on site at all times.

WHEN SHOULD I GO TO A&E? A&E or 999 is for life threatening situations and emergencies, such as loss of consciousness, a sudden confused state, chest pain, breathing difficulties, fits that are not stopping and severe bleeding.

For any medical or mental health emergencies, you should call 999 or visit A&E.

If you live in Cheshire or Merseyside find out more at: merseycare.nhs.uk/help-us-help-you For mental health support go to: merseycare.nhs.uk/urgent-help

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CRITICAL CARE

By Steve Murphy

A heart attack is a medical emergency – and recognising the symptoms can be the difference between life or death.

I

t pays to know if the heart is malfunctioning and nationally the NHS is encouraging people to call 999 when they are having early signs of a heart attack.

Cardiovascular disease is the second biggest killer in England and recognising the symptoms of a heart attack and seeking medical attention early helps nine in ten people survive this potentially deadly emergency.

Heart attacks occur when the supply of blood to the heart becomes blocked, which can starve it of oxygen and this can quickly become life threatening.

“Often people don’t realise they’re having a heart attack, either because they don’t recognise the early signs, or because they don’t consider them severe enough to trouble the NHS. But make no mistake, a heart attack is a medical emergency, and it’s never too early to call 999 and describe your

TELLING THE DIFFERENCE BETWEEN...

symptoms,” says Professor Nick Linker, cardiologist and national clinical director for heart disease, NHS England.

“Every moment that passes during a heart attack increases heart muscle damage and nearly all of the damage takes place within the first few hours,” he explains.

“So, if you experience symptoms such as a sensation of squeezing or tightness across the chest, alongside sweating, nausea or a sense of unease, please call 999 so you have the best chance of a full recovery.”

WOMEN HAVE HEART ATTACKS TOO Around 30,000 women are admitted to hospital following a heart attack each year in the UK. Women’s risk of a heart attack increases after the menopause, so it’s really important to take these symptoms seriously.

NHS research also shows that whilst 70 per cent of those surveyed understood that pain in the chest is a symptom of a heart attack, just 41 per cent knew sweating was a symptom and only 27 per cent understood feeling weak, lightheaded or a feeling of general unease were also symptoms.

“Research has found that women are less likely than men to recognise the symptoms of a heart attack, which can result in them delaying seeking medical attention, reducing their chance of survival,” says Kate Bratt-Farrar, chief executive at Heart Research UK. “Our own data shows that women still have a limited understanding of their own risk of developing coronary heart disease, which is the main cause of a heart attack.

This risk also increases after menopause, so knowing the symptoms and getting your blood pressure and cholesterol checked regularly is important.”

CARDIAC ARREST

HEART ATTACK

CALL 999

The person will usually be CONSCIOUS and may experience symptoms including chest pain, dizziness, and shortness of breath.

If you think someone is having a heart attack, CALL 999 IMMEDIATELY

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The person will usually be UNCONSCIOUS and not breathing, or not breathing normally. The faster you act, the better their chances of survival.

If you think someone is having a cardiac arrest, CALL 999 IMMEDIATELY AND START CPR

NATIONAL

STAY WELL FEEL GREAT

CAMPAIGN

HEART ATTACK

The NHS has launched a lifesaving campaign to encourage people to call 999 when they are having early signs of a heart attack, as admissions for heart attack return to pre-pandemic levels.

THE SIGNS

The campaign will teach people about the common signs of a heart attack that are often dismissed or ignored by people.

While the most common symptom is chest pain, symptoms can vary from person to person. Some people may have other symptoms such as shortness of breath, feeling or being sick and back or jaw pain without any chest pain.

NHS figures show that there were more than 84,000 hospital heart attack admissions in England during 2021/22, up by more than 7,000 compared to the previous year when fewer people came forward for care during the pandemic.

Symptoms of a heart attack can include:

People’s chances of surviving a heart attack are far higher if they seek care earlier. Around seven in ten people survive a heart attack increasing to more than nine in ten for those who reach hospital early to receive treatment.

• Chest pain – a feeling of pressure, heaviness, tightness or squeezing across your chest

ACT FAST… An estimated 1.1 million people living in England today have survived a heart attack.

Knowing the signs and dialling 999 could mean the difference between life and death.

Here’s what to do if you think someone is having a heart attack: 1

Send someone to call 999 for an ambulance immediately. If you are alone, go and call 999 immediately and then come straight back to the person.

2

Get the person to sit in a comfortable position, stay with them and keep them calm.

3

Give the person an adult aspirin tablet (300mg) to chew if one is easily available, unless they’re allergic to aspirin or they’ve been told not to take it. If you don’t have an aspirin next to you, or if you don’t know if the person is allergic to aspirin, just get them to stay resting until the ambulance arrives.

Source: British Heart Foundation

STEP BY STEP CARDIAC ARREST

1

4

CALL 999 GIVE RESCUE BREATHS

• Pain in other parts of the body – it can feel as if the pain is spreading from your chest to your arms (usually the left arm, but it can affect both arms), jaw, neck, back and tummy • Feeling lightheaded or dizzy • Sweating • Shortness of breath • Feeling sick (nausea) or being sick (vomiting) • An overwhelming feeling of anxiety (similar to a panic attack) • Coughing or wheezing.

3 2 5

CHECK BREATHING

LIFT CHIN CHECK BREATHING

PERFORM CPR

Chest pain is often severe, but some people may only experience minor pain, similar to indigestion.

Source: NHS

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STAY WELL FEEL GREAT

GOING

STEADY TOP TIPS

AVOID THE TRIPS

A new free booklet is available to help you overcome the fear of falling.

A

nyone can have a fall, but older people are more vulnerable to injury from a fall. Around one in three adults over 65 and half of people over 80 will have at least one fall a year.

So falling as we get older is quite common, and although most falls don’t cause serious injury they can leave us feeling distressed. Falls can shake our confidence so that we become withdrawn and feel as if we’ve lost our independence.

During the winter months the risk of falling increases. So it’s worth having a think about what you can do to reduce your risk. The good news is there are lots of things you can do to stay steady on your feet.

“Healthcare professionals take falls in older people very seriously,” says Catherine Parkinson, Falls Clinical Specialist from Mersey Care. “As a result, there’s a great deal of help and support available for older people, and it’s worth asking your GP about the various options.

“At Mersey Care we have a free booklet to help you overcome the fear of falling.

It takes you through the reasons we worry and gives you practical hints and tips to help build back confidence and get you back on your feet.”

Falls can shake our confidence.

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•

Use non slip mats in the bathroom

•

Mop up spills to prevent wet, slippery floors

•

Ensure all rooms, passages and staircases are well lit

•

Remove clutter

•

Get help lifting or moving items that are heavy or difficult to lift.

The NHS and Age UK has more advice here: NHS.co.uk ageuk.org.uk Get your free copy of Mersey Care’s new booklet – How to overcome the fear of falling at: merseycare.nhs.uk/fallsprevention

ZERO SUICIDE FEATURE

LOOKING BACK TO THE FUTURE Feedback on ZSA training: •

93 per cent rate the course as excellent or good

•

93 per cent would recommend the training to others

•

95 per cent feel more confident they could identify the signs that someone is struggling

•

92 per cent feel more able to talk to someone struggling with suicidal thoughts.

“The scenario helped me see the training in a day to day situation.”

Since its formation the Zero Suicide Alliance (ZSA) has been at the forefront of suicide prevention research, awareness and training. Now, thanks to a vital injection of charity funding, it’s looking to the future.

It’s been an exciting six years,” says ZSA co founder Professor Joe Rafferty CBE. “When we launched in 2017 we didn’t envisage that our free online training would be accessed an incredible 2.5 million times. This means that right across the country a statistically significant number of people are now better equipped to help save a life. They’re more aware.

Because they’ve taken our training they’ll know the signs to look out for, how to talk to someone who may be struggling and how to signpost them to the help and support that they may need.”

ZSA says that they’re committed to helping people to speak about suicide and, perhaps more importantly, to encourage and support those potentially life saving conversations.

And their track record is impressive. Not only have they produced a Welsh language version of their award winning training but they’ve worked with others to introduce a range of courses aimed at reaching those who may be at most risk of suicide – the so called ‘at risk’ groups. On their website you’ll find training specifically created to help identified groups such as university students, taxi drivers and military veterans.

TAKE THE TRAINING zerosuicidealliance.com

Now the importance of their work and the role they play has been recognised futher; the Alliance has secured a raft of essential funding from NHS Charities Together and Mersey Cares, the Mersey Care NHS Charity.

“This funding will breathe new life into the delivery of our free training,” says ZSA Project Manager, Alex Close. “With every new training programme we launch, we learn something valuable. We’re committed to using this knowledge, along with user feedback, to enhance our original training.

Our aim is to continue to improve the user experience and ensure the content is accessible to all. We’re thrilled to receive this funding and to begin this work.”

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SPECIAL FEATURE

A SOUND

VISION Mersey Care’s NHS mental health team at HMP Liverpool have produced a powerful short film to encourage people to open up and not struggle alone with thoughts of suicide.

We know that movies have power so we’ve employed this technique here to support our overall approach – our vision for suicide prevention,” says Josh Gilroy who manages the Suicide Awareness Pathway at the prison and also directed the film.

“We want to prevent suicide and we think this video will highlight the different kinds of help available to prisoners who may be suffering alone and point them to the care they can access from our team and others.”

To create the film Josh joined forces with a local production company and Informatics Merseyside colleague Joe Lewis.

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“Joe had written a play, The Confession, that focuses on suicide awareness,” Josh explains. “Originally we planned to stage a performance of this to a selected prison audience but we felt that wasn’t enough – we wanted to reach a wider audience; and so we shifted our thinking to the idea of a short film that could potentially reach all of our prison population.

Josh and Joe spent weeks working with prisoners to fine tune the script; making it as realistic as possible, before casting local actors Dan Hippoylte and Lewis Prior to play the lead characters.

The film was shot entirely on location at HMP Liverpool and will be shown to all new arrivals at the prison.

We know movies have power.

“We are pleased that the film is now online,” says Josh. “We want those outside of prison to watch it and see what we are doing.”

You can view the film at: merseycare.nhs.uk/hmp-liverpool Or scan the QR code here.

Please be aware the film contains adult themes and strong language.

Left: Paul Nilson with the camera. Right: Josh Gilroy.

Our vision is to prevent suicide.

Daniel Hippolyte (in grey) discussing the script with Joe Lewis.

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THE UNLIKELY APPRENTICE

By Emma Wilson

You might think that apprenticeships are only for young people. But that’s not true. Mersey Care’s modern apprenticeship scheme offers anyone over 16 the chance to grow and advance their career.

H

elen Bailey (above), is completing her registered nursing degree apprenticeship at 52.

“I hadn’t considered an apprenticeship before,” says nurse associate Helen. “I thought they were only for school kids. But I was contacted by one of Mersey Care’s education facilitators and she suggested that I submit an expression of interest.

“To be honest I didn’t know what I was letting myself in for. But I knew that support was always going to be there, so I gave it a go.”

And Helen found she was supported, and not just at work. She sought help from her daughter, who was at university. “As a mature student the academic writing was a little daunting, but my daughter lent a hand and checked some of my writing for me.”

Helen’s husband and others in her cohort

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helped too. “There were hurdles but with support from home and colleagues I knew it was doable.”

I couldn’t have afforded to leave work and do the apprenticeship.

Learning whilst continuing in paid employment with Mersey Care was an important factor. “ I couldn’t have afforded to leave work and do the apprenticeship,” says Helen, “so having that peace of mind was a great help.”

She says her apprenticeship has given her more confidence, autonomy and drive. “I can see a big change in myself and I want to

carry on learning. I’m going to give myself a year in my new role, develop my skills and then I’d like the opportunity to progress even further.”

It’s a career route Helen encourages others to embrace. “Take every opportunity with both hands,” she says. “Yes, I was settled in my role, but I’m so glad I believed in myself and took the opportunity to expand my horizons.”

There were hurdles, but with support from home and colleagues I knew it was doable.

FOCUS ON RECRUITMENT

I thought my age might be a barrier – but it wasn’t.

Occuptional Therapy apprentice Geraldine Fanning.

School wasn’t great for me and that can have a massive impact on you. But I didn’t want that to hold me back,” says Geraldine Fanning. At 57 she’s now a second year occupational therapy apprentice.

“I knew I still had a lot of years left in my career and I wanted to develop. I’ve always had the mindset and the goal of becoming a qualified member of staff.”

Geraldine was keen to apply to the programme but wondered if her age may be a barrier. She soon discovered it wasn’t.

As an assistant practitioner in paediatric therapies, Geraldine is a huge advocate of adult education and she knew she could take things further.

Work placements have given me so much confidence.

She likes where her apprenticeship has taken her and sees value in the variety that the Mersey Care scheme offers. “My work placements have given me so much confidence. I go back to my team with new ideas and ways of thinking – it’s something I wouldn’t have done without my apprenticeship.”

And she wants to inspire others. “On one placement with the homeless health team, a lady the same age as me said she wanted to be an occupational therapist. When I asked her why she wasn’t doing an apprenticeship she said, ‘I’m too old.’ I said ‘no you’re not’ and told her how to apply. I hope she does because who knows, we may be working together one day.

“I think my mantra could be don’t sit there and wait. Don’t be put off by your age.

There are loads of experiences out there waiting for you. I’ve done it later in life, so can you.”

Read John’s story and find out more about apprenticeships on page 34.

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FOCUS ON RECRUITMENT

A NEW DIRECTION

J

ohn Sloan, 49, is a social work apprentice studying for a Bachelor of Science degree.

“I used to feel like my future was laid out for me and to be honest I felt stuck” he says. “Now, I can see that there are many roles and career paths available to me once I qualify.”

After being diagnosed with dyslexia, John strived to keep learning. “Back in the day I didn’t enjoy school but understanding my diagnosis and getting solid practical support from Mersey Care has made learning as an adult much easier.”

34

“I’ve always pushed myself,” he says, “and becoming an apprentice has given me a new perspective. It’s allowed me to develop both my knowledge and skills base. What’s more it’s helped me to grow; both personally and professionally.”

The benefits of this aren’t lost on John. In his role with Mersey Care’s community alcohol service he supports people into recovery.

“I often meet someone when they’re at their lowest. I believe I can make a difference, but I also see my apprenticeship is enhancing my skills and confidence and that’s got to be good for both for me and the people I care for.”

MERSEY CARE APPRENTICESHIPS Mersey Care currently offers more than 45 apprenticeships, to anyone over the age of 16.

Becoming an apprentice, even as an older adult, means that you can learn and gain qualifications while continuing to earn and develop your career.

To find out more email: Apprenticeships@merseycare.nhs.uk

SPREAD YOUR WINGS

If you’re interested in finding out more about working for Mersey Care, visit: merseycare.nhs.uk/working-us

GOVERNOR PROFILE

EASY RIDER Colin Pearson Public Governor – St Helens

Life in the fast lane led to health issues for Colin Pearson. Art gave him an antidote to stress. Now he’s using his life experience to guide his role as a Trust Governor.

M

y working life has taken me in several directions; architect, senior police officer, volunteer and now a governor. I qualified as a police road craft instructor many years ago. I make time for my greatest passion, motorcycling.

I ride as often as I can.

As an architect the hours were long, with early starts and late finishes each day. I loved the job but the job didn’t love me.

The pressures of the job were all I could see in front of me. I developed medical problems due to the stress of my work and became isolated.

Eventually I sought help. I was diagnosed with clinical depression and medically retired.

COMING

Colin used art as therapy.

All of this knocked my confidence. I felt completely out of the game to the point that I needed inpatient care and I spent some time on a Mersey Care ward. It was there that, step by step, things started to improve.

As part of my recovery I got involved in the arts and crafts sessions, in fact I ended up running them. It was things like this that helped to turn me around and put a spring back into my step.

To me, art is important and it should be all about fun and enjoying yourself.

I realised there was an ideal opportunity for me to use my life experience to help support others so I became a governor.

SOON

I spend as much time as I can speaking with patients. I think I have a sympathetic understanding towards their situations. After all I’ve been there myself, and I know how many people were there to support me.

What Mersey Care offers is exemplary – in my experience it’s what a good health care provider should be. I want to work to help keep it that way. As a governor I’ve sat on numerous project groups, which has helped to acquaint me with the work they’re doing and I can see that staff are committed to implementing new initiatives.

I believe that I can help shape Mersey Care to be the best place it can for our patients our staff and the communities we serve.

Governor elections will take place early 2024.

If you would like to find out what a governor role involves, please visit our website: merseycare.nhs.uk/council-of-governors

Find out more about our membership and governors at: merseycare.nhs.uk Tel: 0151 471 2303 Email ft.membership@merseycare.nhs.uk Write to: Mersey Care NHS Foundation Trust, Corporate Affairs, Hollins Park House, Hollins Park, Hollins Lane, Winwick, Warrington, WA2 8WA

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Help Us Help You This Winter Visit merseycare.nhs.uk/HelpUsHelpYou for a range of resources to help improve your health and wellbeing, including how to access urgent mental health support. Or you can get help from the following services.

Do you need urgent mental health support? Visit: merseycare.nhs.uk/urgent-help

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

Contact us at the following address.

Mersey Care NHS Foundation Trust, Hollins Park House, Hollins Lane, Winwick, Warrington, WA2 8WA 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, Hollins Park House, Hollins Lane, Winwick, Warrington, WA2 8WA T: 0151 473 0303 E: communications@merseycare.nhs.uk W: merseycare.nhs.uk. MC MAGAZINE is available in other formats on request.