InTouch magazine - October - November 2023

October - November 2023

InTouch

PAHT 2030 Alex Health Celebrating our #PAHTPeople

Foreword 2

Welcome

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PAHT2030 listening events Alex Health Ambassadors

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Alex Health workspace Alex Health: A prescription for success

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Celebrating our #PAHTPeople - AHPs

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Celebrating our #PAHTPeople - sterile services Patient Initiated Digital Mutual Aid System

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A Day in the Life Of...

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Winter rapid responders

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NHS Staff Survey Integrated Urgent Assessment and Treatment Centre

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Finance for the future Black History Month

11

Our Journal Celebrating Diwali

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Patient Safety Incident Response Framework

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Patient Safety Incident Response Framework

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Our patients said...

15 Wise about wellbeing...

16 #PAHTPeople

Welcome to InTouch magazine – your insight into the latest news and updates from across PAHT. In this edition, find out more about how you can get involved and have your say, from our PAHT2030 listening events (p.3), how to become an Alex Health Ambassador (p.3) and the NHS Staff Survey (p.9).

We also celebrate our #PAHTPeople, with special events to mark National Allied Health Professionals (AHPs) Day on 14 October (p.5) and Sterile Services Appreciation Week from 8-15 October (p.6). Congratulations to all of the award winners and runners up.

Additionally, Jim McLeish, director of quality improvement, spent the day with our emergency department team on 31 October as part of our A Day in the Life Of… programme.

You can read more on p.7.

Please consider if you could become a winter rapid responder, supporting our patients during mealtimes, to ensure that they receive the essential food and nutrition to aid their recovery – more details are on p.8.

We also focus on the Integrated Urgent Assessment and Treatment Centre service, following a change of provider on 1 November (p.9); the transfer of finance and accounting services to NHS Shared Business Services (SBS) on 1 November (p.10); and the fantastic variety of events hosted by our Race Equality and Cultural Heritage (REACH) staff network to celebrate Black History Month (p.10).

We encourage you to take a look at the sixth edition of Our Journal (p.11); join the Diwali celebrations (p.11); and we introduce the new Patient Safety Incident Response Framework (p.12-13). You can also read the latest feedback from our patients (p.14); wellbeing tips (p.15) and much more.

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.

Lance McCarthy Chief executive

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How we make change matters - have your say to help us to improve, we’re here to listen We are holding a series of listening events and workshops to review and establish how we make changes at PAHT.

This will help to ensure that we achieve our vision of being modern, integrated and outstanding and our PAHT2030 strategy.

PAHT2030 is our plan to improve and develop both the way we deliver care alongside the way we all feel about the organisation and its culture, style and behaviours.

You can read the summary of the strategy via this link > The listening events are an opportunity for you to help inform and shape the processes we follow (the methodology and approach)

and how we engage our people and wider stakeholders with change.

There is no need to book, please join the above link on the day.

Your views are essential to help us understand how best to implement change at all levels of the organisation and across our wider health and care system in order to bring PAHT2030 to life.

In-person listening events

The listening events (outlined below) are an opportunity for you to get involved, have your say, and help to shape the next steps.

Date: 15 November Time: 9-10am Venue: Kao Park, staff canteen

Online listening event – for all our people

Date: 16 November Time: 9-10am Venue: The Alex Lounge

You can join the meeting via this link >

How to book: Please email paht.qualityfirst@nhs.net to book - spaces will be allocated on a first come first served basis due to limited places.

Date: 15 November Time: 12-1pm Venue: Microsoft Teams

These workshops are open to all our people who have not previously attended a PAHT2030 change strategy listening event.

Interested in becoming an Alex Health Ambassador?

We are recruiting for Alex Health ambassadors, and we need you. As an Alex Health ambassador, you’ll take the lead in engaging your colleagues with the programme so we can make the change we need to ensure Alex Health is a success. You’ll be our eyes, ears and mouth 'on the ground', sharing updates on progress with our people, identifying your colleagues’ fears and concerns as well as feeding back their needs and views directly to the Alex Health team. You can read more on AlexNet here > 3

Updated AlexNet workspace - Alex Health

We have updated the Alex Health workspace on AlexNet. This includes the Alex Health Pulse Survey, your questions answered, patient and staff journeys and more.

You can take a look on AlexNet here >

Alex Health: a prescription for success

By Rob Hart, EPMA workstream lead, Alex Health From the early days of my career as a pharmacy technician, I have always been drawn to the everevolving landscape of pharmacy, seeing its potential to help streamline the patient journey within the Trust.

And in my current role as electronic prescribing and medicines administration (EPMA) workstream lead for the Trust’s new electronic health record, Alex Health, it is the ability to transform how quickly and safely medication is administered that really excites me.

There are many challenges within the NHS, from funding to staffing and increased

patient demand. We need innovation and change to adapt to these shifting pressures, moving away from incompatible systems, processes and procedures.

These impact on our efficiency and have increased risks to patient safety.

Pharmacy is no different. Our current prescribing system, JAC, has its own risks. Every aspect from drug recording on patient arrival to outpatient prescriptions is a mix of paper and digital systems, repetitive data inputting and manual reporting.

for us to get there, but the prize will really be worth it.

You can read more on AlexNet >

We need to work much smarter, for the benefit of ourselves, our partners and our patients. Alex Health is the solution to deliver this change. It will be a lot of work 4

Celebrating our #PAHTPeople Allied Health Professionals (AHPs) are the third largest clinical workforce in the NHS. There are 14 different professions represented within the AHP workforce, eight of which are employed at PAHT. Saturday 14 October marked National AHPs Day, which is an opportunity to recognise, celebrate and thank our 160 AHPs who provide specialised and compassionate care for our patients, across all specialities and pathways. We celebrated the occasion on Friday 13 October.

AHPs work alongside doctors, nurses and other healthcare professionals from diagnosis and treatment, through to rehabilitation and prevention.

Thank you to all of our AHPs who play a pivotal role in the daily running of our hospital, exceptional care delivery, and commitment to developing and driving new ways of working to support us in achieving excellence now and in the future.

Celebrating our people awards ceremony An awards ceremony took place on Friday 13 October, from 2-3pm, in the Alex Lounge, to recognise, thank and celebrate our amazing AHPs. Congratulations to those who were nominated, came runner-up and won an award:

AHP Individual of the Year Award 2023 Charles Asare-Abbey - highlycommended Rita Copio - runner-up Eliza Furman - winner AHP Team of the Year Award 2023 The emergency department/ Frailty therapies team - highly commended The MRI team - runner-up Medical care of the elderly therapies team - winner AHP Support Worker of the Year Award 2023 Cherry Ford - runner-up Dan Richardson - winner AHP Leader of the Year Award 2023 Zoe McCree - runner-up Deborah Davison - winner AHP Patient Panel Award Carmelo Zimba - winner AHP Unsung Hero Award The orthoptist team Nneka Smith Pictured right: Award winners and runners up receiving their certificates - full details are on AlexNet > One: Nneka Smith Two: Medical care of the elderly therapies team Three: The emergency department/frailty therapies team Four: Attendees at the event

You can learn more about our AHPs by watching this video >

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Celebrating our #PAHTPeople Our highly-experienced sterile services team provides effective decontamination and sterilisation of all surgical instruments and equipment used in our theatres, wards and departments.

The sterile services department are often a hidden service which patients will never see, but without the dedicated team, operations would cease.

Over 45,000 trays of surgical instruments are processed per year, along with other medical devices for clinical use.

Celebrating our people awards ceremony An awards ceremony took place on Friday 13 October, from 12:30-1:30pm, in the Alex Lounge quiet room, to recognise, thank and celebrate our sterile services colleagues.

Congratulations to those who were nominated, came runnerup and won an award:

>

Innovator of the Year Award 2023 Sally Mclean - winner Above and Beyond Award 2023 Hayley Johnson - winner

The department uses the latest technology to process surgical instruments and equipment and to ensure compliance with the national ISO standards.

Leadership Award 2023 Jodie Lane - winner

To mark Sterile Services Appreciation Week (8-15 October) and to recognise and celebrate the team, there were tours of the department and an awards ceremony.

Pictured right: Award winners receiving their certificates - full details are on AlexNet > One: The attendees at the event Two: Jodie Lance Three: Hayley Johnson

Team Player Award 2023 Sue Marder - winner

You can learn more about our sterile services team by watching this video >

Patient Initiated Digital Mutual Aid System

Providing greater patient choice with the option to transfer care In line with the national announcement on 31 October, patients who have been waiting over 40 weeks for treatment at PAHT and do not have an appointment date within the next eight weeks, could be eligible to request to move to a different hospital to be treated sooner. Our dedicated teams are working hard behind the scenes to identify patients who are eligible to receive care by another care provider, via the national Patient Initiated Digital Mutual Aid System (PIDMAS). This is part of our work to help reduce elective waiting lists and provide greater patient choice.

We will be expanding the offer in a phased approach to other long-waiting patients over the coming months (those waiting over 32 weeks etc.). Read more on AlexNet > 6

A Day in the Life Of...

The emergency department (ED) team Our A Day in the Life Of... programme continued on Tuesday 31 October, with Jim McLeish, director of quality improvement, spending the day with our emergency department team.

He also supported with undertaking assessments to determine what investigations and immediate treatment is needed for patients who are waiting to be seen in the emergency department.

Jim started the day with the clinical streamer role, ensuring the safe and effective redirection of patients to the most appropriate clinician or service at the hospital.

Additionally, he joined the majors team during their daily huddle, which is a short and focused team gathering to discuss important information or concerns with colleagues.

Jim went back to his nursing roots, working with our emergency department majors team as a staff nurse to provide patient-centred and compassionate care.

You can watch the highlights video via this link > You can watch a video of Jim’s reflections here >

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Urgent call for winter rapid responders With winter fast-approaching, we know that the demand for our services will increase, which will put pressure on our clinical colleagues who are providing vital care for our patients. As a result, we are in need of rapid responders to dedicate some of their time to support our patients during mealtimes, to ensure that they receive the essential food and nutrition to aid their recovery.

How will you support? y Clearing patient tables ahead of mealtimes y Encouraging patients to wash or wipe their hands before eating y Delivering the correct meals to patients y Ensuring that the patient has everything that they need and that they are comfortable y Supporting those who find it difficult to eat their meals, for example opening packets or cutting up their food y Position trays, cutlery and cups correctly on the table so that patients can access them easily y Encourage and enable patients to eat and drink y Assist the housekeepers to collect trays and tidy after the mealtime has finished y Offering companionship to our patients whilst eating their meals Who is suitable for the winter rapid responder role?

The winter rapid responder role is suitable for our people

up to become a winter rapid responder, please discuss with your manager the realistic amount of time you are able to dedicate each week.

in non-patient facing roles who are able to dedicate some of their time to support our patients during mealtimes.

Mealtimes usually take place on the wards from 8-9am, 11:30am-12:30pm, and 4:30-5:30pm.

What training will I receive?

You will need to complete a training session (details are on AlexNet) that will cover the importance of nutrition for our patients, the tasks that you will be supporting with, and how to support our patients who have a learning disability, or who are living with dementia.

Where will I provide support?

You will support patient mealtimes on our wards, the ward you visit may change on each occasion.

How often will I need to support?

You can support as often or as little as you like, we are grateful for any time that you can give. Ideally, you will be able to support for at least one mealtime (one hour) every week. Before signing

How will I be notified of the support required?

When signing up to become a winter rapid responder, you can list your availability on the application form and the voluntary services team will make a note of this. Please complete the application form and indicate your availability via this link > What checks will I need to have before becoming a winter rapid responder?

Our voluntary services team will ensure that your disclosure and barring service (DBS) and occupational health checks are up to date and that you have completed the relevant statutory and mandatory training in order to support our patients.

Where I can I access the application form?

You can download the application form on AlexNet > If you have any further questions, please contact our voluntary services team at paht.volunteers@nhs.net or call 01279 97 8786.

You can read more on AlexNet >

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Your voice counts – share your feedback in the NHS Staff Survey The national annual NHS Staff Survey 2023 opened on Monday 2 October and closes on Friday 24 November.

Look for your email invite in your inbox (from picker_ surveys@picker.org - if you haven’t spotted yours, please check your junk email folder), except for our estates and facilities colleagues who will have received a paper copy (with a QR code to complete the survey online if preferred).

Please get involved and complete the survey as soon as you can. Your feedback shapes the improvements we make at PAHT together, and is an opportunity to share what you are proud of on our journey to making PAHT a great place to work for everyone.

You can take a look at the your questions answered document here >

You can also watch our video with Christine Wah, Older People’s Assessment and Liaison (OPAL) nurse, here > Have your say, complete the Staff Survey today.

Integrated Urgent Assessment and Treatment Centre at The Princess Alexandra Hospital – update

From 1 November, there was a change in provider of the Urgent Treatment Centre (UTC) service at The Princess Alexandra Hospital.

Going forward, the Integrated Urgent Assessment and Treatment Centre service will be provided by local GPs working with nurse practitioners and other clinicians, with the aim to improve urgent care pathways for the local population. We will also be able to book patients into the Integrated Urgent Assessment and Treatment Centre at the first available arrival time following a clinical assessment at the front door of both our adult and paediatric emergency departments.

The services provided, the opening times (8am-midnight, seven days a week) and the location at the former outpatients’ department opposite the Marks & Spencer store at The Princess Alexandra Hospital will remain the same. You can read more on AlexNet > 9

Finance for the future Transfer of our finance and accounting services

on AlexNet > If you haven’t completed your training yet, you must do so more details are on AlexNet >

On 1 November, we transferred our finance and accounting services to NHS Shared Business Services (SBS).

This includes accounts payable, accounts receivable, general ledger transactions, requisitions and purchase orders (POs). You can access the system here, which is also accessible from our AlexNet home page and our online systems page.

your training, you will have received your username and password, along with a welcome pack that will help you to get started in the new system. The welcome pack includes details of who to contact for support and links to training guides and videos.

For those who have completed

You can also access the Integra to Oracle Cost Centres

y You can book the ordering goods and services training, including two extra sessions this week, here > y You can book the reviewing and approving budget spend training here > Once you have attended your training, you will receive your log in details the next working day.

You can also take a look at the your questions answered on AlexNet > Thank you for your support.

Black History Month: ‘Saluting our Sisters’ October was Black History Month (BHM) and the Race Equality and Cultural Heritage (REACH) staff network hosted a number of events for our people to get involved with.

This year’s theme was ‘Saluting our Sisters’ and activities were aligned to support the REACH staff network priorities to achieve improved psychological safety, professional development of people and allyship (active support for the rights of minority or marginalised groups).

Our people were able join/

Thank you to everyone involved.

You can read more on AlexNet >

learn more about: y talks with guest speakers y staff spotlights showcasing women in science and healthcare y exploring ways to break down barriers to speaking up

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Our Journal - take a look...

We are pleased to share the sixth edition of Our Journal – a publication written by our clinical people, for our clinical people, at PAHT. This edition features: y Alex Health: a prescription for success y Hospital takes part in significant breast cancer research trial y Consultant publishes new book y Paediatric team recognised at national event y Paediatric team host training workshop y Paediatric team successfully implement electronic prescribing for non-trial chemotherapy y Dedicated teams shortlisted for quality improvement award y New anticholinergic drugs guidance y New Patient Safety Incident Response Framework – what you need to know y Divisional update: Clinical support services (CSS) y Medical education team share the latest updates y Research team praised for outstanding trial protocols and best practices y Articles and publications - our #PAHTPeople You can read the autumn – winter 2023 edition via this link > Thank you to the teams who have contributed to this edition. Please let us know which developments we can profile in the next edition at paht.communications@nhs.net.

Celebrating Diwali at PAHT Diwali, the festival of lights, is a religious observance that is commemorated by Hindus, Sikhs, Jains and some Buddhists around the world.

Diwali is a festival of new beginnings and the triumph of good and light. For some, the festival also coincides with harvest and new year celebrations. This year, Diwali celebrations will take place over a week, running from 6-12 November. To celebrate Diwali at PAHT, the Race, Equality and Cultural Heritage (REACH) network are holding an event on Friday 10 November, from 12-3pm, in the Alex Lounge.

All are invited to attend the event, which will include: y Making a Rangoli (traditional art decoration) y Games – word scrabble, a maze and creating a picture with Diya (a small cup-shaped oil lamp made of baked clay) y Traditional Bollywood music and dancing More information is available on the event poster > Traditional outfits are encouraged. There is no need to book, please come along on the day or drop into any of the sessions.

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New Patient Safety Incident Response Framework – what you need to know The way that we manage patient safety incidents has changed, in line with best practice nationally.

As of 1 November, we introduced the new Patient Safety Incident Response Framework, which involves a series of important changes to our ways of working. It is a mandatory requirement for hospitals to work within this new framework.

It focuses on: Compassionate engagement and involvement of those affected by patient safety incidents y Expectations are clearly set for engaging, involving, and supporting those affected by patient safety incidents y Aligned with ongoing research around improving patient and family involvement Application of a range of systems based approaches to learning from patient safety incidents y Promotes a range of methods for responding to and learning from patient safety incidents y Moves away from root cause analysis (RCA) to more investigation methodology y Timelines are more flexible and set in consultation with the patient and/or family

y Quality of response and resulting improvement work is the priority Considered and proportionate responses to patient safety incidents y Changes blunt rules (the time it takes to undertake an investigation versus the time used to carry out the improvement work and having fair proportion) to determine what to learn from and what not to learn from y Resource planning based on a thorough understanding of patient safety incident profiles and ongoing improvement activity

y Supports organisations to be more proportionate, sensitive and considered in their approach Supportive oversight focused on strengthening response system functioning and improvement y Regulators and integrated care systems (ICSs) will consider the strength and effectiveness of organisations’ incident response processes y It makes leaders of organisations providing healthcare accountable for how their organisation responds and improves following patient safety 12 incidents

It was recognised nationally that the Serious Incident Framework (the previous system of managing patient safety incidents) required updating to ensure that clinical incident investigation and complaints handling meets the expectations of patients, their families and our colleagues.

Investigations need to be more targeted to identify what happened and to establish the key issues of why so that we can learn from incidents effectively and share with others who may be affected in the future.

The framework aims to support us to: y Learn more accurately about how work is carried out and use this to inform improvement y Focus on improvement during an investigation, reducing administration y Develop ownership and engagement What has changed? y The terminology we use – we no longer use the term ‘serious incidents’ y The National Reporting and Learning System (NRLS) and Strategic Executive Information System (STEIS) is one system learning from incidents y More engagement with patients/carers/families with investigations

y We have moved away from root cause analysis (RCA) to system investigations y Fewer large investigations, with more time spent working on improvements What remains the same? y We continue to report incidents via Datix y We continue to hold the bi-weekly Incident Management Group y We continue to drive forward quality improvement strategies (falls and pressure ulcers) y We continue to learn from and improve y We continue to carry out rapid reviews How does the Patient Safety Incident Response Framework look different for ward and department teams? y You are no longer required to undertake full root cause analysis for the majority of incidents – instead you will be looking at themes of incidents, with a focus on high quality investigations with improvement work and learning y We are engaging with patients and families as part of any investigation and ensuring their voices are heard to support our learning and improvement y At the divisional patient safety and quality meetings,

the focus is on different types of investigations: after action review, rapid reviews, harm reviews, and gap analysis. There are new documents to complete, available on Datix, for which you will be supported, with more information on the patient safety and quality workspace on AlexNet > y Following incidents, there will be an initial review of all incidents at divisional level.

Any deemed moderate or above or frequently occurring will be discussed at the Incident Management Group, where the next stage of investigation will be agreed y The focus is on learning from themes of incidents to prevent them reoccurring Next steps All colleagues involved in managing patient safety incidents have been invited to take part in training directly.

For more information, please contact finola.devaney@nhs.net.

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Our patients said...

"My friend would like to extend her thanks, particularly to the wonderful day staff on Lister Ward and to the ladies who came in to offer personal care in the mornings. She would like them to get the recognition they deserve, as they went above and beyond to ensure she was well looked after. I, as her friend, would also like to thank them for taking care of her wellbeing during her stay."

"Thank you to the Harold Ward staff for your care, warmth, holding my hand and helping me breathe. I am doing well."

"I attended a respiratory clinic and was then admitted to A&E. I want to express my huge thanks to Dr Tariq, the health care assistant, the admissions team and staff in A&E; the nursing team in Further Assessments; the staff who delivered much needed cups of tea, and finally to the doctor and consultant who discharged me. Every member of staff, although clearly working in difficult circumstances, treated me with kindness, care and skill."

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Wise about wellbeing...

Mental health

While you are caring for our patients, or supporting those who provide care, it is extremely important to remember to focus on your wellbeing and to check in with your colleagues too.

There are a wide variety of resources available to you to support your health and wellbeing. Each month, we share practical information and tips as part of our wise about wellbeing feature. This month, we are focusing on the next Schwartz Round: "Mental health and me."

You can join the Schwartz Round team for the session on 24 November. The round will start at 12:15pm and finish around 1.15pm. A light lunch will be served after the round for those able to stay.

All discussions at the sessions are confidential – open to all and no need to book, please just come along on the day.

What will the discussions involve?

The panellists will share their experiences of managing mental health. Stories may include managing their own mental health or supporting others either at home or at work.

Do you have an experience you would like to share?

Have you experienced mental health issues yourself, or supported someone that has? If you would be happy to share your experience, please get in touch with the Schwartz Round team at paht.schwartzround@nhs.net or call x 7015.

You can access details of the full range of health and wellbeing resources on the staff health and wellbeing workspace on AlexNet > 15

Welcome to our new #PAHTPeople In the last month, 83 new #PAHTPeople have joined us: Ibrahem Abdulla Wendy Allen Jasmine Anderson Aiman Aref Louise Barnard Joseph BacareseHamilton Helen Beard Gabrielle Beckwith Rachel Beuvelet Krizel Angela Castro Tilly Cooper Alexa Coyle Anne Crossley Robyn Crump Emily Day Sophie Dee Lucy Dodd Stacey Easton Louise Ellis June Evans Jonathan Fabricante Vannicar Fajardo Hollie Fox Stephen Frimpong Ekta Gandesha Jane Geddis Abbie Godfrey Giovanna Goetz Santos Leeks Jeevan Gopal Luke Granger Fernando Guerrero Lopez Gehad Habashi Teresa Hadgett

Jacqueline Harman Ariel Hibionada May Thu Hla Aye Matthew Holland Jane Honeyben Gemma Hornsby Oliver Hufton JoelyIontton Georgia Jackson Natazia John Zoe Jordan Don Amitha Kirihettige Oana-Andreea Larion Stacey Lee Kathryn Leggatt Charlotte Malden Naomi Manning Hannah Martin Md Abdul Matin Maguy Mayamba Theresa Maynard Eve Medlycott Gloria Mensah Samuel Mensah Rizmy Mohamed Fathima Nisfa Mohideen Chikomborero Munyoro Joshua Nadimi Zsofia Nemeth Corinne Neville Hayley North Emmanuel Orianzi Sarah Osei Deepthika Papadurai

Alexandra Passingham Ana Margarida Pereira De Almeida Kelsey Pooley Zahrah Raheel Srinath Ranjit Abigail Richardson Gemma RobertsonToon Mariana Rusu Jairus John Samuel Muhammed Saifudeen Sampath Samarasekara Shuhena Shah Winifred Taingson Aishwarya Tandon Kimberly Welsh Olivia Wesley

In this time, 44 people have left PAHT - thank you for supporting our patients and our people.

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