InTouch magazine - August - September 2021

August - September 2021

InTouch

Event in a tent PAHT 2030 New Extranet WAY (We Appreciate You)

Foreword 2

Welcome to InTouch magazine

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New chair appointed Event in a tent: are you ready?

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Our Amazing People Awards and Long Service Awards

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AGM

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Share your proudest moments

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PAHT2030

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PAHT2030 (continued)

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NHS Staff Survey

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New procurement and finance system

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Welcoming EPUT colleagues Healthcare group update

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CQC visit

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Our patients said...

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Communications team shortlisted for two awards

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Our new Extranet We Appreciate You (WAY)

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Improving patient outcomes and experience

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#PAHTPeople

Welcome to InTouch magazine – your insight into the latest news and updates from across PAHT. In this edition, you can read about Event in a tent, our spectacular annual staff recognition event. The event will be held in a marquee on the helipad at The Princess Alexandra Hospital from Tuesday 14 - Thursday 16 September.

You will have the opportunity to attend a range of sessions to help you develop your career; celebrate and have fun with your colleagues; and learn about PAHT and our plans for the future. You will also be able to catch up with the sessions later by watching the recordings on our Event in a tent: Reloaded YouTube playlist.

In addition, you can find out more about our PAHT 2030 strategy, from our range of engagement sessions this month to the new wall graphic at The Princess Alexandra Hospital. We are on the verge of a defining moment in PAHT’s history. What lies ahead is a journey of transformation and improvement that will lead us successfully into the future, enabling us to deliver modern, integrated and outstanding care that keeps our growing and ageing population healthier.

Another exciting development featured in this magazine is progress with our new Extranet – thank you to everyone for sharing your feedback and suggestions at our recent engagement sessions. We have also introduced We Appreciate You (WAY) days this month to show our appreciation and how valued you are. The first recipients of the WAY day were our hardworking porters, who received a voucher for a complimentary hot breakfast and hot lunch. Well done – you can read more on p.15.

It is almost the time of year when we invite you to have your say and complete the NHS Staff Survey. It is extremely important that we hear about your experiences.

We want to know what you feel makes PAHT a good place to work and also where we need to improve. Each year, we make many changes as a result of the staff survey findings – read more on p.9. This magazine is for and about you, our #PAHTPeople – please contact the communications team if you would like to see your team featured, at paht.communications@nhs.net.

Best wishes Lance McCarthy Chief executive

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New chair appointed We have appointed a new chair of the board following the retirement of the former chair, Steve Clarke, in June.

Hattie Llewelyn-Davies OBE joins us in September and will continue in her current role as chair of Buckinghamshire Healthcare NHS Trust until March 2022 when she is due to step down as her term of office completes.

Lance McCarthy, chief executive, said: “I am delighted that Hattie will be joining us at such an exciting time as we continue to transform the way we provide care, work more closely with our health and social care

partners and develop our plans for a new hospital for local people.

“Hattie brings a wealth of experience that will support our ambitious plans as we take PAHT forward and deliver our aim to be modern, integrated and outstanding.”

Hattie has extensive experience as chairs of NHS organisations, having chaired Hertfordshire Partnership Foundation Trust (HPFT) for many years before spending the last seven years as chair at Buckinghamshire Health NHS Trust. Before joining the NHS, Hattie had a number of chief executive and senior

management roles in the housing and homelessness sector; and was awarded an OBE for services to homeless people in 2004.

Hattie was also recognised by the Sunday Times as NonExecutive for the Public and Not for Profit Sector in 2019 and is a Trustee on the board of NHS Providers.

Hattie Llewelyn-Davies OBE, said: ”I am really honoured to have been offered the role at PAHT and I am looking forward to working with the PAHT team as we take the organisation forward; delivering high quality care for patients and local people.”

Event in a tent: are you ready?

Can you support us during the event?

We are looking for support from volunteers across the Join us from Tuesday, 14 hospital, with any tasks you September to Thursday, 16 feel you could help with. This September, for a range of could be meeting and greeting sessions to help you develop colleagues as they arrive your career; celebrate and have for sessions, administration, fun with your colleagues; and setting out furniture, tidying up, learn about PAHT and our plans or other ad hoc tasks. If you for the future. would like to help or for more information, please contact The event will take place at paht.learning-od@nhs.net. the helipad at The Princess Alexandra Hospital and the Quiz night (Thursday, 16 sessions will be recorded for September, 5.30pm for a you to watch afterwards on 6pm start – 8pm) - please our Event in a tent: Reloaded register your teams now playlist. Keep a look out for the Test your knowledge and have details of the sessions that will fun at our annual quiz night. be shared via our channels.

Our host, Michael Meredith, director of strategy and estates, will be joined by quiz master, Emma Rammell, The countdown has started to Event in a tent, our spectacular annual staff recognition event.

healthcare group information manager for medicine, to take you through general knowledge, trivia rounds and much more.

It is now time to get your teams together (a maximum of five people, to maintain social distancing) and submit your team names to secure a table at the event.

Entry is free and you are welcome to bring your own refreshments.

Please complete the form available on the Alex homepage by 5pm on Friday, 3 September to register.

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Our Amazing People Awards Help us celebrate the dedication and commitment of our #PAHTPeople who make a difference every day.

A special commendation will be awarded to the people who receive nominations that most strongly demonstrate the award criteria.

Nominations are open for the annual Our Amazing People Awards that give you the opportunity to recognise, celebrate and thank your colleagues.

To nominate a colleague, including volunteers, please tell us how they have met at least three of the following criteria:

5. Creates a caring and inclusive environment where people are valued and listened to

1. Role models holding the patient and their wellbeing at the centre of our thoughts and efforts

You can nominate a colleague via the link we have issued by email. The nominations will close today (Thursday 26 August) at midnight.

2. Demonstrates working together with others, combining our skills and talents to enhance our services 3. Seeks and encourages others to find new and improved ways of working 4. Shows honesty and ability to learn if we get it wrong

Who can be nominated?

You can nominate any staff member (including bank staff) or volunteer for an award.

Remember to provide the contact details for the person that you are nominating.

Your questions answered How will the awards run this year?

People nominated for an Our Amazing People Award will be thanked and celebrated for their dedication and commitment to their role.

Long service awards Thank you to everyone who has emailed the communications team to advise of their long service (20 or 25 years at PAHT).

The awards ceremony will take place during Event in a tent (14-16 September), please keep a look out for your invitation. If you are

unable to attend the event, your senior leadership team will award certificates and badges in your area.

Your questions answered I could not attend the awards ceremony last year.

Can I attend this year?

If you were unable to attend

the Long Service Awards ceremony last year, you should have received your certificate and badge from your senior leadership team.

If you have not received this, please check with your senior leadership team in the first instance and after this, please contact 4

paht.communications@nhs. net.

What happens if I have worked across the NHS for over 20 and 25 years?

Our Long Service Awards currently celebrate those who have worked at PAHT for 20 or 25 years.

What shall I do if my start date in myESR is incorrect?

Please contact paht. peopleinformation@nhs.net for advice on how to update your start date on myESR.

When is the cut-off date for determining length of service?

If you have reached 20 or 25 years’ service at PAHT by the end of September 2021, you will receive an invite to the award ceremony this year.

replacement name badge if you have achieved 25 years’ service, or issue a new pin badge if you have achieved 20 years’ service.

What happens if I have lost my long service badge, changed role or need to provide updated information for a new badge?

Please contact paht. peopleinformation@nhs. net who will order you a

Join us at our Annual General Meeting Join us at our Annual General Meeting (AGM) during Event in a tent.

The event will take place on Wednesday 15 September at 12pm for a light lunch before the meeting starts at 12:30pm and concludes at 2pm.

Our executive team will update on challenges and achievements of the last year and our goals for the future.

Lance McCarthy, chief executive, said: “Our AGM offers an opportunity for our people, patients, stakeholders and local people to hear more about our commitment to providing high quality care and experiences for our patients.

“During the AGM we will take people through our operational, clinical and financial performance, set out our significant service improvements and outline where further improvements are required.

“Please come along and find out more, it is your chance to ask us any questions you may have and share what matters to you. We look forward to welcoming you to our event.”

The AGM will take place in the marquee located near gate 2.

To confirm that you are able to attend the meeting, please accept the diary invite we have issued or contact paht.communications@nhs.net.

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Celebrating and recognising our amazing teams: Share your proudest moments Our amazing teams work incredibly hard to ensure that we provide high quality care and experiences for our patients and people. To celebrate and recognise our teams this year, we are hosting a session during Event in a tent to highlight your teams’ proudest moments. This session is an opportunity to recognise and say a huge thank you to our teams in a fun and creative way.

Get involved

If your team would like to take part in the session, you can: • Email the name of your team, healthcare group, four-five key contacts in your group who would like to get involved, and a detailed summary of your proudest moments over the past year to paht.communications@nhs. net by 2 September.

• Get in touch with our communications team who will film a short video of your team sharing their proudest moment. This could be a series of short clips of people speaking about their experience, a dance, a poem – you name it, we will film it. To arrange the filming session before 2 September, please email paht.communications@nhs.net.

• Attend the proudest moment’s session at Event in a tent to share your proudest moment and support your colleagues - more details to follow.

How the session will work After each participating team has shared their proudest moment, colleagues can then vote for which moment meets the following criteria: • • • • •

Fun and creative Places our patients at the centre of our thoughts and efforts Works together with others Finds new and improved ways of working Creates a caring and inclusive environment

You can vote for several teams and the team with the most votes in each criteria will receive a prize.

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PAHT 2030 and our new values Thank you to all of you who have attended our recent briefings and events about PAHT 2030 and our new values and taken the time to share your thoughts and ideas.

PAHT 2030 is our organisational-wide strategy to transform and improve what we do so we can meet our vision to be a modern, integrated and outstanding hospital.

You are key to the success of PAHT 2030 and so we want to know what you need in your role or team to help us deliver it.

During August, the strategy team have been out and about hearing your thoughts and gathering your feedback.

They’ve met with a wide range of people across the organisation, on the main site, St Margaret’s, Herts and Essex and Kao Park.

Your feedback so far includes the need to: y be more transparent and improve cascade of information to staff y ask patients and staff responsible for delivery how services could be better y make sure any change is

‘done with’ rather than ‘done to’ staff y break down the silo working y be better at celebrating our successes and harnessing the strengths of our highly talented people We still want to hear from you Do you have strong views and want to have your say on our future PAHT? There is still time to feedback before we launch PAHT 2030 this September at Event in a tent.

What you have said so far...

“Always engage with the patients and ask them what they think.

"They will give you the insight on what needs to be addressed first.”

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“Implementing the new values will equip us to deal with increasing health inequalities and complex medical problems and explore what we can do to reduce the burden of disease upon patient populations.”

As a reminder, we would like you to consider: y Is it clear enough how we’ll deliver the strategy? y Are the ways we’ll deliver the strategy the right ones, or are there more? y What will your team do this year to achieve them?

Please send your feedback to paht.strategyteam@nhs. net by 31 August 2021.

InTouch briefings We held InTouch briefings on Tuesday 10 August and Thursday 19 August to introduce our PAHT 2030 strategy as well as find out more about our new values.

For those of you who couldn’t attend, you can watch the recorded briefings via the link that has been shared.

Pictured overleaf, Sarah Murphy, assistant strategy and development manager, with the PAHT 2030 stand (the stand is also pictured right, with the wall graphic).

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Staff Survey coming soon – please share your feedback The NHS Staff Survey will open on 4 October and it is important that you tell us what you feel makes PAHT a good place to work, and also what improvements you would like to see in our organisation. We can all work together to make positive changes – from new ideas you can implement at a ward or department level, to developments that impact on PAHT as a whole.

These include initiatives to improve our culture, in particular supporting your health and wellbeing, and your development opportunities at work. Your feedback has helped us to make a wide range of improvements, including the forthcoming staff area (the Alex Lounge), and further signposting to the health and wellbeing support available to you.

Other improvements and new initiatives have included the below – we will be sharing more soon: y Our Back to better programme of events, webinars and information; providing an opportunity to explore a range of culture and operational improvement topics y Increasing the number of Freedom to Speak Up Guardian roles (from two to seven) y Developing our new Trust values and a new behavioural framework, ‘This is us’ (which is being

y y

y

y y

introduced this autumn) Embracing the continuation of flexible ways of working where we can Expanding the reach of development programmes through more targeted promotion The equality, diversity and inclusion (EDI) group has ensured that EDI factors are a key consideration in the health and wellbeing support we provide to our people e.g. targeted support provided to BAME colleagues throughout the COVID-19 pandemic Introducing We Appreciate You (WAY) days for our teams A wide range of further initiatives at a healthcare group level, including introducing staff checkins, thank you cards, and increasing visibility of senior leadership ‘on the ground’

confidentiality, if there have been less than 11 responses, results will not be shown at a divisional or departmental level.

The survey helps to shape our services, inform improvements to our organisation and improve staff experience, which in turn supports us to provide high quality care for our patients.

It is important that you are all part of this improvement and making PAHT a great place to work and receive care. Please look out for more details, which we will be sharing with you soon.

Please take the time to respond to the survey – you will be supported to do so through protected time during your working day. The survey should take approximately 15 minutes to complete, and all feedback is confidential.

Responses are gathered by an independent survey company, Picker. They then collate the results and produce a report that shows the summarised results at an organisational level, divisional level or department level. As a measure to further protect

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New procurement and finance system pilot now live As you will be aware, we are introducing a new procurement and finance system to significantly improve the experience of our people.

GHX is a modern ordering system for goods and services and will fully replace EROS in 2021. The integrated system, with improved functionality, provides a major upgrade.

The pilot is underway in main theatres, EBME and IT, and will run until mid-September.

EROS will run parallel with GHX until all areas are fully trained and migration over to the new system is complete.

Benefits include: y The design of the system is modern and intuitive. y You will be able to see images of items when ordering, similar to popular shopping websites (pictured above). y The Supply Chain catalogue will be available in a single combined catalogue, without a separate login. y The system will be fully integrated with procurement and finance for a streamlined user experience. y Invoices for authorisation will be sent electronically to the budget manager and can be approved with one click. y GHX also includes an electronic stock management system,

y

y y y

y

where stock items can be scanned in and out with handheld scanners.

Up-to-date information about the volume, value and location of stock will be available at all times.

This removes the need for year-end manual stock takes.

The stock system will automatically prompt when to reorder new items.

It will support ‘scan for safety’ and enable us to easily locate items if they are recalled for safety reasons.

It is fully compliant with best practice procurement and finance standards.

Next steps

y GRN/invoicing: Stores will receipt proof of delivery only and end users will receive goods receipt notes, enabling invoices to be paid.

y A build of inventory module (top up/scan in, scan out), with a pilot in main theatres within the next eight weeks is also planned.

For assistance, please contact Sajit Abraham (sajit. abraham1@nhs.net) and/ or Kelda Alleyne (kelda. alleyne1@nhs.net) in the first instance. For Integra, please contact Robert Kingston (robert.kingston@nhs. net) or Kelda Alleyne (kelda. alleyne1@nhs.net). Thank you to everyone who has been involved in testing - your feedback is invaluable.

We will keep you updated with progress.

For more information, please contact Kelda Alleyne, project manager, at kelda.alleyne1@ nhs.net, or Charlene Clark, transactional buying team manager, at charlene. clark1@nhs.net.

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Welcoming our EPUT colleagues We are pleased to welcome our Essex Partnership University NHS Foundation Trust (EPUT) colleagues who have joined us at Gibberd Ward.

The team, who were previously based at Avocet Ward at Saffron Walden Community Hospital, are temporarily using the space in Gibberd Ward while their ward is being refurbished.

They provide a rehabilitation service for care of the elderly and will be with us for approximately seven weeks (they joined us on Tuesday, 10 August).

We encourage you to support your new colleagues and be aware that as a 24 hour service, they may need your assistance during this time period, including in urgent situations.

Please give the team a warm welcome.

Healthcare group update: Cancer, cardiology and clinical support services (CCCS) We would like to thank our teams for the resilience that they have shown and their willingness to embrace and overcome a number of recent challenges.

Our teams continue to turn issues into opportunities and do what they do best, making a difference for our patients, day in and day out. We are all immensely proud of you all and the job that you do.

The opening of the new Williams Day Unit and the new mortuary (31 August) provide viable improvements to our services, a new CT scanner for the emergency department and the planned improvement works to the aseptic unit and robot in pharmacy will further enhance and provide improved services for our patients.

The cancer, cardiology and clinical support services (CCCS) management team

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CQC update As you will be aware, CQC colleagues have been inspecting the whole organisation against the wellled domain. Under the new CQC inspection format, they have also been undertaking a series of ‘core service’ visits.

cupboards located in the cleaners’ cupboards and dirty We would also like to remind utility rooms on the wards. you of some key areas to focus We have an electronic record, on: management and control system in place called Alcumis, Falls awareness training all relevant management and Falls awareness training is now data sheets are held on this mandatory for all nursing, care system and all wards should have someone who is readily and therapy staff – excluding able to access it (via Alex). paediatrics and women’s health. This must be updated The COSHH cupboards should every three years. Please be metal and kept locked ensure that you and your when not in use. Any damaged teams complete this training cupboards or broken locks – we will be reporting monthly etc. should be reported on on compliance and this training Datix and you must inform is an integral part of our falls the departmental manager reduction strategy. (if required new locks and cupboards can be provided).

The falls awareness training is available online via the It is important that only Electronic Staff Record (ESR). approved chemicals are used The full session code is 292 and stored on the wards and HELMS Slips trips and falls. in the cupboards. Please do You will need to search for this not bring additional chemicals title. on to site, all chemicals must be approved as per policy and If you need to register this session on your ESR account, procedure. please refer to the guidance Any breaches to the COSHH on the CQC Alex page. If you policy and procedures should have any questions, please be reported as soon as contact paht.training@nhs. possible via the Datix system. net.

If urgent action is required due to incident, please report it to Control of substances the departmental manager hazardous to health immediately.

(COSHH) - equipment, escalation of storage issues Security and fire procedures and ensuring compliance with locking cupboards You must ask to see the identification of visitors – do There are lockable COSHH

not assume that all visitors are legitimate. You must also ensure that you are aware of your fire emergency actions and are up to date with your training.

How to access policies/ procedural documents All policies and procedural documents are available on Alex. Follow the ‘PAH policies and guidelines’ link on the right hand side under ‘related links’.

You can also access the page from the top menu, ‘non-clinical areas’ and then ‘policies and guidelines’.

You can then search using the headings on the left hand side, which are in alphabetical order.

For example, if you are looking for a diabetes policy, you would: y Click on ‘Procedural documents C-D’ y Click CTRL + F to search y Type diabetes into the search bar y The policies with this result will be highlighted y Access the document you require Please access the up-to-date version from Alex each time it is required and do not keep hard copies, as they are subject to change.

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How to access your risk registers All risk registers are available on Alex. Follow the ‘Board Assurance Framework and risk registers’ link on the right hand side under ‘related links’.

You can also access the page

from the top menu, ‘nonclinical areas’, ‘patient safety and quality’, and then ‘BAF and risk registers’. y Click CTRL + F to search y Type the name of the service into the search bar y The risk registers with this

result will be highlighted y Access the document you require We are here to support you - please refer to the range of resources we have made available.

Our patients said...

"The A and E department staff were all amazing. They did their utmost to relieve my intense pain and anxiety which went on for hours. I kept being reassured and listened to.

"I was later transferred to a ward where I was seen by the pain team. I was treated with enough pain medication, antibiotics and TLC as much as possible.

"On the day of my discharge the ward manager and other staff were so attentive to my needs and kept asking if I felt well enough to be discharged and I assured them I was.

"I praise every single one of the nurses, doctors, healthcare assistants and ward managers that tended to me. I highly recommend this hospital to anyone."

"My mum lost the fight this morning I cannot thank you enough for everything you've done for my mum and me. You were our saviour in a very hard time."

"I am writing to say how proud I am of the people who cared for me before/during and after my two recent operations.

"They have all touched my heart with their selfless help and support."

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Communications team shortlisted for two awards The communications team have been shortlisted twice for a national awards programme.

The team has been shortlisted in the categories of Best COVID Response and Best Event at the Institute of Internal Communication Awards, in recognition of their strong focus on engagement with people across PAHT during the COVID-19 pandemic.

COVID-19 immediately placed an unprecedented demand on the communication of information and clinical and national guidance designed to protect people and patients.

In March 2020, lockdown was introduced and a clear need was identified to move communications and engagement to a virtual and digital format, whilst remaining accessible to colleagues who were working on the frontline in clinical settings.

The switch to virtual and digital platforms was integral to output and the way the hospital shared and presented information, and this evolved as the team identified further communications needs, including:

way of keeping informed eBulletin sent to all staff, and connected during the creating a trusted and pandemic. current set of information on key topics such as PPE “We are committed to guidance supporting our people y Use of video messages and continuing to build on and montages to this amazing work for the share information and future. Thank you to the appreciation of hard work communications team – we and commitment y YouTube playlists to support are all looking forward to the health and wellbeing and a finals.” range of virtual events and The Institute of Internal webinars Communication Awards 2021 finalists will be announced at A key feature also included Events not in a tent, for which an awards ceremony on 24 September. the communications team has been shortlisted for Best Event.

Ogechi Emeadi, director of people, organisational development and communications, said: “It is fantastic that our communications team have been recognised twice, with the COVID response and Events not in a tent in the spotlight.

y Microsoft Teams Live briefings and webinars y Virtual events to support “We have heard how helpful engagement and health and our people have found wellbeing our communications as a y A daily COVID-19 update 14

Our new Extranet update Our Alex Intranet is retiring soon. Thank you to everyone who attended one of our new Extranet engagement sessions and gave your insights, ideas and opinions.

Your feedback is invaluable to shape the design, functionality - and even its name. We saw people from a variety of roles get involved, across our clinical and support services.

The providers of our new Extranet are now collating all of your feedback to refine the design. We will keep you updated with progress. Thank you for working with us to make the Extranet the best information hub for everyone.

#PAHTPeople: We Appreciate You (WAY) We recognise that our fantastic PAHT people work extremely hard to help make a difference for our patients and provide high quality care, or support those who provide patient care, each and every day. To show our appreciation and how valued you are, we have introduced our first WAY days. WAY stands for: We Appreciate You and is a day: • Dedicated to a particular team to show you how much you are appreciated. The first recipients of the WAY day were our hardworking porters (pictured). To show our appreciation, we provided each porter with a voucher for a complimentary hot breakfast and hot lunch.

• Stay tuned to see if your team will be the recipient of the next WAY day. This will be chosen out of a hat by one of the porters (the current recipients).

Please send any questions about WAY days to the learning and organisational development team at paht.learning@nhs.net.

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Improving patient outcomes and experience One of our top priorities as a trust continues to be to improve our patient outcomes as well as the experience for our patients.

One of the measures of patient outcomes is the hospital standardised mortality ratio (HSMR). We have been a significant outlier for over three years, which means we have had more deaths than you would have expected for the types of patients we care for.

Three years ago, a mortality improvement board was set up and five work streams were developed, led by our senior doctors, nurses and managers. A key measure of success was to achieve an 'as expected' mortality rate across all specialties by March 2021 in comparison to other NHS trusts.

The latest monthly rolling Hospital Standardised Mortality Ratio (HSMR) (for March 2021) shows that our mortality rate is ‘as expected’ for the first time in over three years.

This is a result of sustained improvements in the care that we provide, our clinical documentation and clinical coding – a huge thank you and well done to all of the teams involved.

The five work streams focused on the key areas below: Care bundles y Implement care bundles consistently to achieve improvements in patient outcomes. These included bundles for fractured neck of femur, sepsis, acute abdomen, end of life, acute kidney injury, pneumonia and COPD

organisational shared learning from deaths y Working with our clinical coding team to understand how we can improve both documentation and coding of care Hospital at night y This focused on delivering standardised structured handovers for all specialities enabled by an electronic handover tool

Excellence every time (group one) y Improve compliance with fluids and electrolytes management, early detection and treatment which will lead to reduction in harm y Improve compliance with vital signs recordings that will lead to early detection and escalation of deteriorating patients Excellence every time (group two) y Prescribe correct antibiotic usage for patients to reduce overall antibiotic usage y Improve compliance with Treatment Escalation Plans to ensure patients are placed on correct care pathways and to initiate early discussions about end of life decisions Reporting and recording y All deaths to be reviewed by a medical examiner to enable improved 16

#PAHTPeople Happy Essex Pride Saturday, 21 August, marked Essex Pride - we hope everyone enjoyed the occasion. Below and right you can see some of the messages shared by our #PAHTPeople.

A spotlight on our #PAHTPeople Meet Sophie, one of our amazing clinical trials practitioners.

Sophie has been with us for almost a year now, having graduated from the University of Bristol in 2020. Her favourite thing about this interesting role is recruiting patients into research studies.

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