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I Ye Dia nsid ne a r o be t e w f C es sle a tte re r Issue 14 March 2008

News and views from Kirklees Primary Care Trust

Health and Social Care Awards

Shortlisted Kirklees PCT has not one but three entries shortlisted for the NHS Health and Social Care Awards regional finals. Well done to staff working on the following entries: • Mid-Yorks health economy 18 weeks programme in the category Leadership for Improvement • Self-care Support Programme in the category Success in Partnership Working • Practice Activity PALS in the category Improving Health and Reducing Inequalities There are 12 categories with three entries in each. They will battle it out in Sheffield on April 3, with the winners going through to the national finals in London as part of the NHS 60th anniversary celebrations in the summer. Margaret Edwards, Chief Executive of Yorkshire and The Humber Strategic Health Authority, commented: “These awards offer a real opportunity to thank our staff for their hard work and commitment in developing world class, high quality services. “I am pleased that an outstanding number of entries were received and the standard is extremely high. Well done, and good luck to the regional finalists.” And so say all of us! More information about the results in next month’s TalkAbout.

60 Birthday invitation This year the NHS celebrates its 60th anniversary and this milestone offers the PCT an opportunity to raise the profile of services within the local community and, hopefully to have a good time too! We’re on the look-out for good ideas for the local celebrations but we also think the best way to plan for the events is to set up a small working group to look at all the options and plan, plan, plan. If you would like to be involved in this project please contact

Health trainers help people lead healthier lives Whether someone is struggling to lose weight or desperate to stop smoking, we now have 18 professionals to help them break the habit of a lifetime. Health Trainers are qualified experts working across Batley, Dewsbury, Spen, Huddersfield and the Valleys who are trained to motivate and set goals by developing personal health plans and give practical support to help people change their lifestyles.


The Health Trainers work alongside the PCT’s self care team to give individuals with long-term health conditions, such

as heart disease and diabetes, access to information and advice about coping better, staying fit and healthy, both physically and mentally, and taking action to prevent illness and accidents. Dr Judith Hooper, Director of Public Health, said: “Health trainers are a positive move forward in helping people with long term medical conditions to get the information and support they need to make positive changes to their lifestyle. “They are there to help people set personal health goals, whether it’s

stopping smoking, planning a walking route, or encouraging families to go to a children’s centre for support and advice.” The development of health trainers will build on the services the PCT already offers with the Expert Patient Programme and the PALS physical activity scheme, where local people are trained to support people with long term health conditions or those who want to be become more active or eat more healthily. Patients are referred to the health trainers by a GP, health professional or by self referral.

Mike's column - 2...Breastfeeding champions offer support - 3... New birth centre open - 4... In the spotlight - 5... New HQ - 6... Chlamydia update - 9... Provider services update - 10... Mandatory training - 11...


Bereavement booklet launched A new PCT booklet, ‘Coping with bereavement: A practical guide for people in Kirklees’ has just been launched. It was receiving requests for bereavement information, advice and contacts in an easy to read, accessible format, that led to the development of the booklet by Simone Arratoonian (Public Health). It brings together initial advice about coping and vital information about practical arrangements, and it also signposts to reliable sources of information for more detailed or complex issues. Simone said, “When someone dies, it is often an overwhelming and stressful experience. I hope we can help to ease that a little by addressing common questions and providing helpful advice through this resource.” Many support groups and agencies contributed to the final content and format of the booklet, including Julie Williams (previously Pathway Facilitator Palliative Care for End of Life Initiatives), and Seamus Nash (Family Team Leader, Kirkwood Hospice). A dedicated team at Kirkwood Hospice provides specialist care and support for those affected by a life-threatening illness – and their families – so this resource complements the already valuable work they do.

Simone Arratoonian and Seamus Nash

The section on ‘Children and bereavement’, Seamus feels, “is a necessary addition which may assist adults to understand the often complex range of emotions which children can face“. The booklet will be available in a variety of settings, including GP surgeries across Kirklees, Social Services and Library Information Points, and also will be given

out as appropriate by hospital bereavement officers, coroner’s officers, police and district nurses. It is also available on the Kirklees PCT website – just follow the ‘Publications’ link. To obtain a copy, please contact the Public Health Resource Centre, Woodkirk House – telephone 01924 816186.

Mike’s column The end of the financial year is once again upon us and as is typical at this time of year, everyone is working hard to ensure that we deliver our promises on improvements in services and also meet our financial targets. This is an important year, in that by December 2008, no patient will wait longer than 18 weeks from referral to treatment. Achieving the targets set for the end of March 2008 is an important milestone on our journey to delivering 18 weeks by December. I continue to be impressed by the enthusiasm and commitment of frontline staff to new and innovative ways of working. I know there is excellent work going on across the PCT which is leading edge and among the best in the region. We are now starting to be recognised for our innovative work with three of our services being shortlisted for the Yorkshire and Humber Health and Social Care Awards – self care, practice activity and

leisure scheme (PALS) and 18 weeks “Route to a Solution”. A project around the setting up of a drop-in wound care clinic for injecting drug users has been shortlisted for the prestigious Queens Nursing Institute Award. My warmest congratulations go to all those involved and we wish them well in the finals of these important awards – we will be rooting for you! The summer of 2008 also marks the 60th Anniversary of the NHS and I would like your suggestions on how together we should mark this occasion. Please send your suggestions to communications@ The findings from the NHS Review will also be published to coincide with the 60th Anniversary celebrations. We will shortly receive the final report on the staff survey which was undertaken last year. As a new organisation, I was

keen to get as many of you as possible to complete the survey, as this will provide valuable information in support of our ongoing development and commitment to staff. The response rate was fantastic, 70%, - well above the average of 60% – thank you. I am planning to take the report to the March Board meeting, following which we will be working with staff, through your directorates, to prepare action plans to respond to the report’s findings. Work has concluded on the site for the new PCT HQ which the Board has now confirmed will be at Bradley Business Park. The new building will not be ready for occupation until Autumn 2009. Staff will be able to receive regular updates via the team briefing process, weekly bulletin and the Intranet. Thank you for your ongoing support

Mike Potts, Chief Executive


Breastfeeding Champions offer support This year has seen the start of a new Kirklees Breastfeeding Champions training programme in south Kirklees. So far 18 community staff including health visitors, nursery nurses, health care assistants from Kirklees and Calderdale PCTs have been trained to provide extra community support to breastfeeding families and women interested in breastfeeding. Their new skills extends the network of available support and the Champions are also working from The Baby Café @ Woodhouse Children’s Centre , Deighton. The training was funded by Kirklees PCT and Jayne Heley from Public Health Directorate – currently co-ordinating Breast Feeding Initiatives – would like to thank attendees and course facilitators and set a date for the first South Kirklees Breastfeeding Steering Group on Tuesday April 15 2008.

The facilitators are Claire Fox and Anita Holroyd – Infant Feeding Advisors - who also provide Breastfeeding Training courses for new Kirklees PCT staff and plus updates training. The remaining 2008 two-day initial breastfeeding training will be May 15/22 and August 18/28. Update training for those who have already attended the first course will take place on April 10, 24, May 2, June 13, 26, July 3, September 26, October 24. All courses take place at Huddersfield Royal Infirmary. To book on either course contact Debbie Rees, HRI Training and Development, 01484 347142, debbie. Breastfeeding Champions are already working in north Kirklees. If you require further information regarding Breastfeeding Initiatives in Kirklees please contact Jayne Heley on 4350.

Be on your guard Since the start of the year there have been a number of incidents of stolen items from cars and from premises. Remember don’t leave anything removable on view in a vehicle and lock personal items away in your place of work. Risk Manager, Chris Bedford reminds us that people generally risk leaving their belongings on view for a few minutes but it only take seconds for someone with criminal intent to take advantage of the situation. The Home Office reports that nearly 1.7 million vehicle-related thefts were recorded in 20006/07. Their advice is “never leave anything on display when you leave your vehicle. Evan an old coat or a plastic bag can tempt a thief. A cleaner had her handbag stolen whilst she was working at Princess Royal Community Hospital – doors to outside were left unlocked. Chris also reports that items have been taken from a jacket left over the back of a chair in a health centre where the public has controlled access. If the public can access an area so can thieves and remember, sometimes thieves can also be patients. Obviously the loss of personal items, keys, credit cards, phones etc. can cause a lot of problems. There is the work involved in cancelling cards and phone contracts, replacing locks, sorting out insurance claims plus the heartache of losing sentimental items.

On your bike for charity

Kirklees Council is once again holding a cycling event to raise funds for the Mayor’s charity, Forget Me Not Trust. An 80 mile Sportive ride around Kirklees on Sunday 27 April 2008 will take in some breath taking scenery and stunning climbs! The event is designed to stretch riders’ legs before other forthcoming challenging rides. The route will take in the rural districts of Kirklees and tackle some of the famous South Pennine climbs, including Holme Moss. The starting point will be the YMCA Sports and Social Club, Laund Hill, Salendine Nook and the entry fee is £15 with all profits going to the charity. Riders can arrive from 8.00am with the bike ride starting at 9.00am. For further details look at

But we’re not just talking about personal losses here, the PCT is also affected. For instance, in stolen handbags or jacket pockets there are likely to be keys to health centres (or other premises), ID cards, swipe access cards and phones. Chris added: ”You must bear in mind that if the PCT trusts you with items of value, they expect you to look after them, and you can be held accountable. It’s a sad fact of life that if you leave it out someone will probably steal it."

Look after your property and look after ours.



New ‘home from home’ birth centre open After five months of hard work the Huddersfield Family Birth Centre welcomed its first women on Monday March 10 - with the first baby arriving a few hours after

Half of ward 14 at Huddersfield Royal Infirmary has been completely gutted and redeveloped to provide six en-suite birth rooms, including one with a birthing pool. There is a communal kitchen and quiet/ prayer room, plus facilities for partners to stay overnight. The centre offers a unique ‘home from home’ birth experience for women and their partners. It is an ideal place for healthy women with uncomplicated pregnancies. For the first months it will run alongside the delivery suite and post-natal ward (ward 14) at HRI and later in 2008 will become a stand-alone unit. Birth centre manager Gina Augarde said: “I really would like to say a big thank you to everyone who has helped out with the work and to our supporters too.”

The Birth Centre’s first arrival, Sumaya Sajid with her proud mum, Shamama Saeed, and dad, Sajid Majeed, opening. of Birkby, Huddersfield.

Helen Shallow, the Trust’s consultant midwife, said: “The reaction we have had from people who have seen the centre has been extremely positive and we hope that others share our excitement and enthusiasm too.”

Fabulous state of the art, warm and relaxing – views of the new Birth Centre at Huddersfield Royal Infirmary.

What’s the word on health events? Now we’re approaching the summer months, community events are being planned across Kirklees. Some might be known as ‘health events’, ‘roadshows’, ‘health campaigns’ or simply ‘health days’. Quite often PCT staff are either asked or decide to take part in these events, to promote health. Although crowd pleasing, we know that these events fail to achieve the type of focused participation in health improvement that we’d like. Public health evidence indicates what kinds of activity are more likely to improve health, and that just giving information alone often isn’t enough. Sometimes using an event to promote sign-up to a service can be useful, but it’s more difficult to change attitudes and behaviour. So to help all PCT staff, we’ve developed a guide – ‘Improving the Effectiveness of

Health Events: A Guide to Planning and PCT Participation’. If you’re approached to take part in such an event, you will find the guidance useful in helping to decide whether your contribution will make a positive impact on health. And it can help to inform anyone who is planning an event with an aim to improve health – so they can learn how to promote health effectively in their own communities. You may come to the conclusion that promoting the health subject you work with through a health event is not going to achieve what the organisers are aiming for. Or you may highlight some gaps for resources or training for groups of staff instead. Whatever the outcome, this guidance should help you to get the information you need to make a decision, and pass on some learning along the way. Before you use the guide or give it to any organisers, make sure you familiarise yourself with its principles. Then if you

feel that someone would need your support to understand and complete it, do offer. If you’re in doubt about the guidance yourself and you need to know more, please contact Simone Arratoonian (Health Improvement Practitioner Specialist), or a member of public health. You can find the guidance on the intranet under ‘Team Information’ and also on the external website under ‘Public Health Information/Public Health Resources’. Please send copies of any completed forms from the guide to Christine Stephen, our Community and Volunteer Engagement Officer, so that she can stay abreast of your contact with the community. We will review how people are getting on using the document in about six months, so remember to feed back to us what you think works well and what doesn’t. Here comes the summer….!! Simone Arratoonian, Health Improvement Practitioner Specialist


t h ig l t o p s e h t In

This month we talk to Tina Quinn, Assistant Director of Provider Services. As Assistant Director in Provider Services I am responsible for the provision of our therapy services, a range of specific services, including long term conditions and community dental care services. I also act as the Single Point of Contact for Yorkshire and Humber SHA for Allied Health Professionals in the PCT. I am a speech and language therapist by background and have worked in the NHS since 1980.

What are the best things about your job?

What do you like doing in your spare time?

and relaxing and the scenery was stunning.

The variety it offers – no two days are the same and every day presents new challenges. I have lots of opportunities to meet different people. I love going out with front line staff, seeing what they do and meeting patients.

I love to watch Formula One Racing – I even get up in the early hours to watch it live if need be! I also love reading and enjoy knitting.

If money was no object, what would you buy?

What is your pet hate?

…. And the worst?

Extra time in football matches – just when you think it’s all over!

Unexpected deadlines and the pressures they bring.

Where was your best holiday?

How would you describe yourself in three words? White-knuckle ride addict!

This was a special family holiday on the island of Oahu in Hawaii a few years ago – it was our last family holiday before my son moved out and onto university life. We stayed at a fabulous hotel just off Waikiki beach. The island was very idyllic

I would buy a red Ferrari and then book a session at Silverstone so that I could drive it at top speed!!!!

And finally, if you could change one thing about the world, what would it be? I would love there to be a cure for diabetes type 1 – my daughter has lived with this condition for the last 9 years and it would be fabulous if she no longer had to worry about it.

Expert Patients in the making If you are working with patients with long term conditions and you think they may benefit from taking part in our free Expert Patient programme, now’s the time to encourage them to register.

induced by their illnesses and given them a lot more confidence. Some participants have even managed to go back into full time employment.

New courses are starting soon and taking part could be a life-changing experience for your patients or their carers. The course provides a set of tried and tested skills which have been shown to lead to many benefits for people with long term health conditions – helping people feel better and more in control of their lives.

The next courses at Beckside Court, Bradford Road, Batley, start on Wednesday April 30 (mornings) and Thursday 27 March (evenings). An evening course will also start at the Brian Jackson Centre, New North Parade, Huddersfield on 7 May.

Taking part will help them to learn about relaxation, healthy eating, exercise, and dealing with anger, fear, frustration, isolation, fatigue, depression and coping skills. Since the Expert Patient course came into being in October 2003 some 400 people have completed the training with more than 16 going on to become tutors. Marilyn Horton, User Involvement Manager, said the Programme has helped many people to cope with stress levels

atients Program ert P me p x E

For more information or to book a place, please contact: (01924 351423) or (01924 351431).


THIS quality recognised The Health Informatics Service has just become the first organisation in the Yorkshire and the Humber region to gain national accreditation for its Service Desk. Awarded by the Connecting for Health (CfH) Accreditation Team, this status means the Service Desk can report faults directly to suppliers of NPfIT systems rather than go via the National CfH Service Desk. This will cut out an extra step in the fault reporting and resolution process. It also means the Service’s customer organisations won’t have to pay for using the National CfH Service Desk should any charges be introduced in the future. To achieve accreditation the Service Desk had to meet criteria relating to service levels, processes, communications and monitoring of call/incident management. Formal service level agreements now in place with the system suppliers mean users get the correct level of support and performance from NPfIT systems. THIS Service Desk standards will be re-assessed annually by the CfH Accreditation Team which also provides support and guidance on the latest policies and processes. Eileen Jessop, Assistant Director for Technologies with The Health Informatics Service said: ‘This is a brilliant achievement for the Service Desk and The Health Informatics Service and the culmination of a sustained period of hard work for the teams involved’

Congratulations to… Joan Booth - Head of Localities for Provider Services Congratulations to Joan Booth who has been appointed to the post of Head of Localities for Provider Services. Joan will take up her new post on 1 April 2008. Janey Hellings – Practice Manager, Kirkgate Surgery, Birstall As from Monday 25 February Janey Hellings will take on the role of Practice Manager at Kirkgate Surgery in Birstall. Janey will be taking over from Gill Moody in this role. ….. and also to Shazia Fulat - Team Admin Assistant, Beckside Court Shazia gave birth to Musa, pictured below aged four week and four days.

So far 16 other NHS Service Desks across the country have achieved national accreditation.

Intranet link The IT Service Desk team is encouraging staff to log requests by clicking on the new icon on the intranet homepage. You need to use the same username and password as for logging onto your PC. You don’t need to fill in the ‘Authentication’ field. This is an extra option for contacting the Service Desk as well as by telephone and email.

New HQ – an Looking at obesity impression Staff will, no doubt, know by now that the location of the PCT new headquarters has been identified - after considerable deliberation and consultation – as Bradley Business Park, Huddersfield. It will be around 18 months before staff will be moving in and in the meantime the HQ Project Board and HQ Project Team will be meeting regularly to plan the transfer in detail. This is the first architect’s drawing of the planned building that we have and over the coming months more information and plans will be available.

Kirklees PCT and Calderdale and Huddersfield Hospitals Patient and Public Involvement Forums’ joint annual general meeting was billed as “Beat the Bulge – Obesity in Kirklees” as it took place during national Obesity Awareness Week. In publicising the meeting they pinpointed the growing levels of obesity – particularly amongst young people – and the resulting health risks. They also highlighted the work the PCT is doing to help people make choices to improve their diet and increase physical activity. They posed the question for those attending: “So, something is being done, but is it enough? Do people know enough about what they can do to improve their own health? Is the threat to health serious or just a scare story?” • The Forums’ members are volunteers together acting as an independent voice for the public on local health issues. • PPI Forums came into being on December 1 2003 to monitor and inspect health facilities. Currently, there is a Forum for every NHS Trust, Primary Care Trust, and Foundation Trust in England, however, they will cease to operate on March 31. New structures, LINks (Local Involvement Networks), are to be set up from April 1.


Year of Care

Welcome Welcome to the first Diabetes Year of Care newsletter. Many of you will be familiar with the Year this there will be a 12 month ‘test of Care concept from the work previously period’. Tribal Group have been done across the trusts in 2006/7. The commissioned by the Department of joint Trust in the locality had focussed on Health and Diabetes UK to capture Diabetes, Heart Failure and COPD as part formative learning and to develop an of their Long term Conditions Strategy evaluation methodology to measure and used the Year of Care principles to impact and outcomes as the ‘Year of explore how service provision could be Care’ goes live. improved to benefit the patient and to As a pilot site we are expected to design ensure value for money. a number of ‘Year of Care’ packages The ‘ Year of Care’ describes the ongoing care of a person with a long term condition should expect to receive (usually over the course of a year) including support for self-management. This project aims to test how the ‘Year of Care’ approach to designing, delivering and commissioning services can be developed and delivered. During late summer last year, Calderdale & Huddersfield Foundation Trust, Kirklees PCT and Calderdale PCT put forward a joint bid to the DH to be one of three national pilot sites for the Diabetes Year of Care Project. From the 23 NHS areas that applied we were one of six shortlisted. A team from The National Diabetes Support team and Diabetes UK who are funding the project, lead by Sue Roberts, National Director for Diabetes, visited all the sites in August. Following our selection Sue and her colleagues reported that they were struck by our tremendous commitment and passion, with Chief Executives, commissioners, managers, clinicians and people with diabetes rearranging diaries to spend a day talking about the Year of Care. Following this success, the pilot has been set up in six practices across Calderdale & Kirklees (see right) and will involve all who work to support people with diabetes across the health economy. The preparatory phase commenced in September with the agreement that we shall have a new service model agreement by April this year. Following

that meet the needs of specific groups and which allow choice within each package – this includes testing the range of services that need to be in place in order to support that choice. We are also expected to deliver shared decision making between patients and healthcare professionals (see Care Planning overleaf). The final challenge will be to test how commissioners can link micro-level commissioning at an individual level to commissioning across a whole population (i.e. macro-level commissioning). Together with the other two pilot sites, North of Tyne and Tower Hamlets, we are able to share experiences and use the learning from other areas with the vision of being able to transfer this across the whole population and other long term conditions. In this newsletter you will find summaries of the key worksteams that are assisting the delivery of the project. The Project Steering Group meets six weekly with representation from key individuals from across the health economy. The group is chaired by Sheila Dilks, Senior Responsible Officer for the Year of Care Project. If you would like more information please contact Trudi Akroyd Clinical Project Lead via email on or 07795 540194.

Provider workshop On January 10 potential providers from across the health service, social services, local authority, private and voluntary sectors were invited to an event to map current and planned Year of Care menu of options. Two groups reviewed existing levels of provision and identified coverage/ gaps or overlaps to highlight key issues and discrepancies between what is currently provided or planned versus what is needed. A second workshop was held on Thursday February 7 at Heath Training Centre where the group reviewed proposals to fill identified service gaps from potential providers leading to a revised service model by April 8 2008.

Diabetes Year of Care Pilot Practices Blackburn Road, North Kirklees The Grange, Fartown Huddersfield Kirkburton Group Practice Huddersfield Plane Trees Group Practice Halifax Spring Hall Practice Halifax Todmorden Group Practice

Diabetes Year of Care Contacts Sheila Dilks, SRO Trudi Akroyd, Clinical Project Lead Janice Foster, Year of Care Secretary

more over the page...

issue 1 • March 2008

Education Care planning Part of the aim of the project is to incorporate care planning into the annual review. This new approach to the consultation will be used as a vehicle to engage and empower individuals .The idea is to transform the annual review for the person with diabetes, which currently often just ticks if tests have been done, into a care planning consultation. This approach gives people more time to consider and discuss information, and more options for the kind of care and support for self-management they access. It’s a process that offers people active management in deciding, agreeing and owning how their diabetes will be managed – it has been described as looking with rather than at someone with diabetes.

DESMOND DESMOND (Diabetes Education and Self Management for Ongoing & Newly Diagnosed) is a structured education programme for people with type 2 diabetes and their carers, delivered by trained facilitators and subject to a quality assurance programme. It provides six hours of group education according to a formal curriculum. You can read more about this by visiting www.diabetes. DESMOND_info.pdf Two dieticians and two podiatrists in Calderdale & Huddersfield have now completed the DESMOND training. Arrangements are now being made to roll out the delivery. NB: North Kirklees will continue as before.

Diabetes training In response to the findings of a local training needs analysis healthcare professionals across Calderdale and Kirklees were offered training to diploma level in a course facilitated by BPCTC and satellited locally. More than 40 people are currently registered for these courses. Good luck to everyone in your exam in April.

Year of Care

In practical terms this would include preparing people for their consultation by providing them with written results of their blood tests and what they mean prior to the consultation. We would also encourage them to think about what their agenda is to enable joint decision making and goal setting and therefore plan. The plan agreed will form the basis for their individual Year of Care. To facilitate this approach we have commissioned a bespoke care planning programme from Bradford Primary Care Training Centre (BPCTC). The first of these runs in February, where teams from the practices involved in the pilot and their colleagues from secondary care, are invited. The plans for the future include encouraging other local education providers to offer training in Care Planning to meet the needs of the wider healthcare population. Of course if this is to be successful then we recognise that patients will also need training and support. To this end we are interested in piloting a new version of the structured education programme for people with type 2 diabetes, DESMOND, that incorporates the care planning principles. Other opportunities to offer patients training are also being explored, for example the Expert Patient Programme, leaflets and taking the leaning from other projects being hosted locally e.g. Co-Creating Health. Further information on Care Planning can be found on Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance

Service user engagement Service user involvement is central to the Year of Care project. The importance of working collaboratively with people with diabetes who use the services to explore their experiences and discuss how providers could better meet their needs. A series of six service user workshops were hosted across the patch in November and December. People with diabetes who attend the six pilot practices were invited to explore what support they would wish for to enable them to improve their self management of their condition. Lots of interesting discussions followed with key themes emerging. The themes were then used to develop a menu of options to make up the Diabetes Year of Care model which then formed the basis for the provider workshops. We would like to extend our thanks to all the service users and their friends and family who contributed so much and also to the facilitators from across the three trusts who gave their time and skills to support these events. Many thanks to you all In addition to the workshops, a number of representatives from the Diabetes UK support groups have joined the project team to contribute locally and at the national meetings to represent the experiences and views of patients. Throughout the project the experiences, vision and feedback from service users will be vital to developing a service that meets the needs of patients and their carers and we will continue to value any contributions.

Clinical reference group On November 14 2007 a multidisciplinary group of clinicians met at a workshop designed to develop an understanding of the challenges facing patients when managing their diabetes. The aim was to comprehend the behaviours which might impact on the success of diabetes self management. The event was successful in creating descriptions of characteristics which define the differences between those who appear to manage their condition well and those who sometimes struggle. This information may be able to be used to group patients according to need that would enable services to be provided to meet these needs more effectively. Integration of this learning, insight and ideas from this group together with that of the service user groups will be used to populate the menu of options in the Year of Care and in turn inform the commissioning process.

Year of Care


Chlamydia update Txt 4 a test!

People wanting to take a test in the north now also have the option of sending a text for a testing kit and receive the results by text. They are asked to text bclear plus their name and address to 80010.

! d o P a r o Pee f

Sexually active under 25 year-olds living in North Kirklees (or Wakefield district) who get tested for Chlamydia during March you could be in with a chance of winning an IPod Nano v3 8BG. The ‘Pee for a Pod’ prize draw is part of our latest campaign urging young people to take the simple test to check if they have the sexually transmitted infection, Chlamydia. Chlamydia Screening Co-ordinator, Vivien Thompson explains: “If you take up our Pee for a Pod challenge this month, not only will you get the peace of mind that you’re clear of Chlamydia but you might also bag an IPod Nano in the process!”

Dear TalkAbout I am reading the magazine and just wanted to mention that I think the Wee for a Wii is a brilliant idea for a Chlamydia screening campaign. It’s funky and up to date and I am sure will be a big hit with the younger generation. I know how important this campaign is in making everyone aware of this very nasty infection and the serious consequences of it not been treated in time and how it could affect future fertility. I am sure most young people don’t think about the consequences or perhaps are unaware!!!! I had experience of Chlamydia in my early twenties when I was in a long term relationship and thought I was safe. The sexual history of your partner may seem safe but how do you really know!! I was devastated when they told me I may not be able to conceive in the future because of Chlamydia. I hope that the campaign is a huge success. Chlamydia can happen to anybody, regardless of how careful they may think they are. This was a very good article well done to all who contributed. Debbie, CHFT

Movers & shakers Starters Diane Lane, Contracts Support Manager, SLH, Donna Roberts, Community Infection Control Nurse, SLH, Hassan Karimi, Continuing Care Finance Administrator, SLH, Jean Habron, Health Visitor, Golcar Clinic, Jayne Griffiths, Bank Auxiliary Nurse, PRCH, Angela Robinson, Bank Staff Nurse PRCH, Rabana Azam, Practice Support Pharmacist, Cheryl Johnstone, Bank Health Visitor, MHHC, Hayley Wilson, Equipment Officer, Community Care Stores, Elizabeth Clayton, Equipment Officer, Community Care Stores, Caroline Scott, Health Visitor, MHHC, Debra Hoyle, Bank Auxiliary, Rachel Haughey, Health Visitor, Kirkburton, Caroline Cunningham, Bank Health Trainer, Woodkirk House, Carl Gillespie, Bank Health Trainer, PRCH, Karen McKie, Bank Health Trainer PRCH, Veronica Whittle, Bank Health Trainer, PRCH, Jane Throssell, Bank Staff Nurse, Gillian Cleary, Bank Staff Nurse, HVMH, Donna Kellett, Auxiliary Nurse, HVMH, Paula Campbell, Health Visitor, MHHC.

Leavers David Watt, Patricia Dobson, Nicky Williams, Hester Dunlop, Gemma Simcox, David Latham, Nicola Gilbert, Sarah Makin, Jennifer Hughes, Margaret Shaw, Dawn Dyson, Pam Nee-Pamment, Vivienne Payne, Audrey Murray, Neil Rollinson, Kaleigh Ellis, Sania Mahroof, Valerie Wood, Julie Clarke, Kathryn Greaves, Hannah Greaves.

New support to stop smoking Our Stop Smoking Service staff will be drawing breath by the time you read this as they recover from one of their busiest times of the year – No Smoking Day on March 12. Teams were working at The Packhorse Centre, Huddersfield and in Market Place, Dewsbury offering free carbon monoxide readings and free goodie bags alongside their advice and support to those who want to quit. And, that’s not all, they even took to the airwaves to spread their message… See next month’s TalkAbout for more information.

Children’s Centre staff in Dewsbury and Batley are being trained to offer stop smoking support to try and reduce the number of women who continue to smoke throughout their pregnancy.

health of the mother, child and the whole family.

The recently published shock report into baby deaths in north Kirklees revealed alarmingly high numbers of women who continued to smoke right up to and beyond the time their babies were born - 34% in Dewsbury and 31% in Batley. The national average is 18%.

Stop Smoking Specialists from the PCT will be also be visiting one-stop-shops at Children’s Centres in the area. At these open house, drop-in sessions, members of the public can pick up information in an informal and non-judgemental setting about the benefits of stopping smoking, and maintaining a smoke free home.

So, working in partnership with community based services is more important than ever for the PCT Stop Smoking teams. Training for the Children’s Centre staff will help them reach women who smoke, before they become pregnant, and their partners. They will highlight the dangers smoking poses to the

This is real frontline working and reaches out into local communities to offer support where it is most needed.

At a recent session at Dewsbury Moor Children’s Centre local people asked staff to refer them into Kirklees Stop Smoking Services so they could take advantage of the friendly professional support provided.

Provider Services update


MSK service proving a point When the Dewsbury-based musculoskeletal (MSK) service was being set up about a year ago the planning assumption was that around 1000 new patients would be seen in the first year. The service was up and running last summer and so far just over 800 patients have been referred, so things are right on target. The idea behind this service is to reduce inappropriate referrals by GPs to hospital orthopaedic clinics. The ongoing result of this is the speeding up of patients’ treatment wherever possible and making sure they receive the most suitable level of care. So far this first year, once patients have been assessed by the MSK staff only 12 per cent have needed hospital treatment. So the value of this initiative is already being realised. Dewsbury Health Centre on Wellington Road, is the location for the service. This is the base for Extended Scope Practitioner, Chris Creaghan (who has a physiotherapy background) and Emma Jones, an Advanced Physiotherapist. They are supported by Amit Pannu, a GP with a Special Interest and Jeremy Ridge, Consultant Orthopaedic Surgeon, who each do one session a week. The service administrator is Janet Renton. Chris and Emma assess every patient referred into the service. This takes around an hour. They can order a range of diagnostic tests, such as X-rays or ultrasound and also carry out a range of treatments, such as joint injections. They

Musculoskeletal Service Pathway

Unsure of diagnosis

refer to Amit or Jeremy for a second opinion and if necessary, they refer to a hospital orthopaedic clinic. Once a week Chris and Emma go to Mid Yorkshire Hospitals Trust to look at referrals that have been sent directly to Orthopaedics by GPs. Working with the Consultant Orthopaedic Surgeon there they estimate how many of the referrals could have been dealt with by the MSK service. They then feed this back to the GPs concerned and discuss the alternative options open to them for patient care. Gillian Waterhouse, Rehabilitation Services Manager for the PCT, manages the MSK service. She said: “Chris and Emma have built this service from nothing. They have done a tremendous job. They have visited every GP practice in the area to explain what the service has to offer. It has been a matter of partnership working and education. “Our patient satisfaction feedback forms are very positive. Patients like the thorough holistic assessment and comment on the thoroughness and friendliness of the staff. At the end of the day, it’s about offering the best possible appropriate care for patients. “We’re really pleased because there is evidence that the service is having an effect on the numbers of inappropriate referrals to secondary care and reducing referrals for unnecessary diagnostic tests.” For further information contact Gillian Waterhouse on 07903 752455.

Patient identified for orthopaedic referral

Confident of diagnosis

Unsure of best practice

MSK Service Dewsbury Health Centre Telephone 01924 351402

Knowledge of best practice


Teenage immunisation Well done to all the Huddersfield School Nurses! Average uptake of teenage immunisation (diphtheria, polio and tetanus) was around 40% across Huddersfield but thanks to a new approach, that figure has almost doubled. Concerned about the low rate, our school nursing service explored the way they were working in schools and looked at new options. This resulted in changes: • In the past immunisations for school leavers could be carried out by school nurses or in GP practices. After discussions between School Nurse Team leaders and all the GP practices across Huddersfield, with support from Public Health, it was agreed that the school nursing service would take on the whole of the teenage immunisation programme. • To improve uptake the School Nursing Service decided to bring forward immunisation from year 11 pupils to year 9 pupils. This gives the school nurses the opportunity to catch up any missed immunisations in subsequent years, before the young people leave school. • In addition, the school nursing service has undertaken an in-school proactive marketing campaign to all year 9, 10 and 11 pupils stressing the importance of the teenage immunisation. This has involved presentations in assemblies, a poster campaign and close liaison with school staff. Obviously, to bring the teenage immunisation down from year 11 to year 9 there has to be an on-going big catchup involving three year groups - years 9, 10 and 11 (potentially approximately 9000 pupils across Huddersfield). And as a result, immunisation take-up has already increased to 70% - a massive improvement. Well done to all the school nurses for their hard work and excellent team working!


Dental nurses scale new heights Two of our community dental nurses are set to scale the highest peak in North Africa as part of a sponsored trek. Debbie Jackson and Sara Cook work for Calderdale and Kirklees Community Dental Care and are based at Laura Mitchell Health Centre, Halifax. The intrepid pair, who have never done anything like this before, will set off in September for the trek to 4167m-high Mount Toubkal in Morocco. Their challenge is to raise funds for Dentaid, a charity which provides basic oral health to developing countries around the world. They each have to raise £1899 to fund the trip, as well as provide their own kit. So they are seeking sponsorship, donations or help with purchasing

everything they need and would be very grateful for any support. In the meantime, although they are both regular gym goers, Debbie, who lives in Marsh, Huddersfield and Sara, from Batley, are polishing up their training schedule in preparation for their adventure. Bracing themselves for the cracks and fissures of the mountain landscape they are brushing up their walking techniques and stamina, going out every weekend and now the nights are lighter on weekday evenings as well. On the trek they will need to walk for between six and 10 hours a day. Debbie and Sara will be walking in the daytime heat of 25°C and camping overnight when the temperature will fall to around 8°C which adds to the

dilemma of what clothing to pack. After their families and friends had recovered from their surprise that they were undertaking this venture they have offered tremendous support. Said Debbie: “I think they thought we were crackers at first but now they are really right behind us in this. It all came about because we both hit our mid-30s this year and we want to prove we can do something like this and we’re not too old!” Anyone who would like to support Debbie and Sara in any way can contact them at the Laura Mitchell Health Centre, Great Albert Street, Halifax on 01422 305547 or online at www. or

Mandatory training Mandatory (Statutory) training is a legal requirement that the PCT must offer its staff. Mandatory training courses are offered at various levels to target specific staff. Please make sure you attend courses when they are advertised. The following courses formulate the Mandatory Training Programme; Training


Fire Lecture Infection Control

Annually, 1 hour Annually 1 hour

Moving and Handling Basic Awareness Moving and Handling Refresher Basic Life Support & Anaphylaxis Moving and Handling Non Clinical Staff Information Governance & Records Management Health, Safety and Risk Conflict Resolution

Bi-annually One off, 1 day

Conflict Resolution Refresher Vulnerable Adults

Child Protection Basic Awareness

Mental Capacity Act Fraud awareness Embracing Diversity

Who should attend

All PCT employed staff The Infection Control Team has developed two programmes, one for Clinical staff and one for Non-Clinical staff. One off 3 hours Clinical Staff – i.e. District Nurses Community Staff Nurses A.H.Ps After attending the Basic Awareness session all clinical Clinical Staff – i.e. District Nurses, Community staff must undertake the refresher annually, 3 hours Staff Nurses, A.H.Ps Annually, 3 hours All Clinical and Front-line staff Front Line Staff (people that have contact with the public) Bi-annually All Admin & Clerical Staff Non Clinical Managers Support staff Bi-annually All PCT employed staff

3 yearly refresher ½ day Via Trust Induction and leaflet Training package developed for localities to deliver as a one off 30 minutes Also information on intranet for all staff Via Trust Induction Basic awareness for all staff who come into contact with children One-off 2 hours Annual refresher for Supporting Families team Annually – 1 hour One Off 2 hours One Off 15 minutes One off 3 hours

All PCT employed staff All PCT employed Clinical and front line staff (people that have contact with the public) GP practice staff All PCT employed Clinical and front line staff All PCT employed staff All PCT employed Clinical and front-line staff. All PCT employed staff All staff who come into contact with children Supporting families team All PCT employed Clinical and front line staff All PCT employed staff All PCT employed staff



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Carbon action



al Good news, people are now volunteering to become Green NH en Sw gre orking for a Champions. Helena Corder, Director of Corporate Services, will be getting together with them in the coming weeks and there will be information about the Green Champions in TalkAbout in future issues.

In the meantime the recycling issue has not gone away. Members of staff have said they think the PCT should be recycling as much of its waste as possible – particularly paper. But it is not that simple, given all the premises we work from. The PCT is looking into this as are Kirklees Council and other organisations in the local health economy. The Council can help Kirklees residents improve the energy efficiency of their home through its Warm Zone team (freephone 0800 052 0071). They are visiting every home on a street by street basis over the next three years to make sure no one is missing out on information advice and the possibility of free loft and cavity wall insulation. In addition you can now check online how much heat is escaping through your roof and walls. Virtually all of Kirklees has been photographed so that a thermal image of your home is available at

G re e n t ip

A typical window left open overnight in winter will waste enough energy to drive a small car over 35 miles.

Recent new/ updated policies The following policies are available on the PCT website • Guidelines on the storage & handling of vaccines within KPCT – the Cold Chain • Non-medical prescribing policy • Maternal Mental Health policy • Child Protection Policy • Management of Clinical Sharps injuries & exposure to blood & high risk body fluids • Domestic Abuse Policy • Ear irrigation using the propulse ear

A spring in your step at the … library! Local people could get a spring in their step at Huddersfield Library, on Princess Alexandra Walk earlier this month. Library staff worked with our Health Trainers to present a free health fair. Visitors were able to try out a range of activities and gather information on health and fitness including Tai Chi, blood pressure tests and relaxing with bead therapy. There was also the opportunity during the three hour session to discover healthy eating and take part in an under-fives healthy story time with activities and refreshments provided by Sainsbury’s.

Get involved

News and views from Kirklees Primary Care Trust

Remember, this is your newsletter and we’d like everyone to be involved. So, if you have anything you’d like to share please send it to: Communications team, St Luke’s House, Blackmoorfoot Road, Crosland Moor, Huddersfield HD4 5RH 01484 466044/466223 or email Deadline for articles for next issue is 4 April 2008

Knock Out for asthma How do you fancy getting wet through, frolicking in a foam bath and larking about on giant inflatables? Just to entice you even more, you will be helping raise awareness of asthma, and rumour has it you will have a great fun day too! Our Respiratory Nurse Specialist Nikki Rochnia has teamed up with Respiratory Project Manager, Lisa Chandler of Wakefield PCT, to organise the event at Shawcross football ground, Leeds Road, Dewsbury. The It’s a Knock Out fun day takes place 1-5pm on Sunday, May 11 and teams of 10 are needed to make sure people get the message about asthma. The event is well timed since it’s World Asthma Day the previous Tuesday, May 6. Nikki and Lisa have already signed up teams of paramedics, fire services and social services. So now they are looking to PCT colleagues to take up the challenge. The entry fee is £40 per person and the actual cost of hiring all the equipment etc. is around £4,000 so the plan is just to cover those costs. Nikki explained; “The whole idea is to raise awareness of asthma, not to fundraise. If we do have money over we will use it for asthma education. Teams can get sponsorship for their £400 entry fees if they wish. They also need to organise their own clothing. “We’ll have our Health Trainers and Expert Patients there and the fire service will be offering fire safety information as well as providing the water and having a team take part. It’s a fantastic opportunity for everyone working together. We probably need around 10 teams, so it’s first come first served.” And she added: “You don’t have to be super-fit to take part but people will need to complete a safety questionnaire beforehand. Who knows what the weather will be like but I can guarantee two things: it’s going to be a great fun day and there’s going to be lots of water!” For more information contact Nikki on 07984 274414.

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