InTouch magazine - October-November 2021

October - November 2021

InTouch

COVID booster and flu vaccinations Staff Survey Our values Charity update

Foreword 2

Welcome to InTouch magazine

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Our values

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Black History Month

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Freedom to Speak Up Month Nurse led consent

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Virtual fracture clinic Vaccinations

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The Alex Lounge

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Remembrance Day service Alertive

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Staff Survey

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Charity update

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Charity update (continued)

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CQC

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Our patients said...

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Communications team win award Your health and wellbeing

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Our new Extranet Healthcare group update

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#PAHTPeople

Welcome to InTouch magazine – your insight into the latest news and updates from across PAHT. This edition includes an update on the fantastic improvements we are making to your environment, including the Alex Lounge.

We also focus on the success of our COVID-19 booster and flu vaccination programme - thank you to everyone involved. Please note that the hub has now closed and you can book your COVID-19 booster via the national booking system, and the flu vaccination continues to be available at our roaming clinics.

We now have just two weeks to go until the national NHS Staff Survey closes – please make sure you have your say. Every year, your feedback directly impacts on the positive changes we make for everyone’s benefit.

It was good to see many of you join us on Teams for a poignant Remembrance Day service. There are also some great opportunities to support our charity, including a comedy night and an orchestral concert – you can read more on pages 10-11.

Following Black History Month and Freedom to Speak Up Month in October, we have features on our amazing #PAHTPeople from our BAME Network and our Freedom to Speak Up Guardians, with more details on pages 4 and 5.

You can also read the latest healthcare group update, this month from medicine. Additionally, please take the time to read our CQC article with the progress made across our teams.

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.

I hope you enjoy the read.

Best wishes Lance McCarthy Chief executive

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Our values Following the development and launch of our new values, This is us has been created as our new values and behaviours framework.

This is us will support and guide everyone in our organisation to shape our culture to one that truly reflects our values and how we want to work with everyone at PAHT - our patients, service users, visitors and each other.

Various key publications and sources of staff feedback have formed the basis of This is us – including the NHS People Promise, the values of the NHS Constitution, the NHS Healthcare Leadership Model and our own Staff Survey feedback. We are therefore confident that by focusing on our new ways of working, management practices and leadership promise outlined in This is us, we’ll be stronger together in creating a great place to work and receive care.

We’ve now started the journey to embedding This is us as how we do things at PAHT – and here’s how you can get involved.

1. This is us workshops for supervisors and managers started in October and continue to run with dates available throughout November and December.

You can read more information on Alex.

These workshops aim to

familiarise managers with the content of This is us, share some initial tools/ideas to help managers start conversations about This is us, and importantly introduce our new culture huddles initiative and what this will involve.

2. Culture huddles will start from December.

These are short, informal team conversations, lasting approximately 30 minutes and held monthly (suggested to form part of existing team meetings). The conversations will be framed around This is us – focusing in on a particular aspect at each huddle. The aim is to help teams in creating a shared understanding of the experience people have working with each other,

giving people the opportunity to say what matters to them in connection with our values. The first huddles will be supported by a culture huddle facilitator – and afterward will be led by supervisors/managers.

We are looking for people to support embedding This is us through training as a culture huddle facilitator. More information is available on Alex.

Please contact paht.learning-od@nhs.net with any queries.

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Black History Month – celebrating our diverse #PAHTPeople y We were proud to support Black History Month that ran throughout October. The month was an opportunity to recognise and celebrate the incredible contribution of our black PAHT people and those across the NHS. y y There were a range of events organised throughout the month by our BAME network that shared personal stories and encouraged career opportunities, including: y y My story, our story – a webinar to hear from our colleagues about their experiences of working within the NHS. y What does allyship mean for the BAME network? – exploring how our people can support with understanding issues, share and seek diversity, and proactively champion inclusion.

Shining the spotlight on our people Janice Bernardo, frailty lead practitioner Janice, our frailty lead practitioner, joined us over 18 years ago. Janice is #ProudToBe working for the NHS because we have a diverse workforce who share a goal of providing high quality care for our patients.

Christian Nweke, lead orthopaedic occupational therapist Christian, our lead orthopaedic occupational therapist, joined us nine years ago. Christian says that he is #ProudToBe working at PAHT caring for our patients, their families and carers.

Ivy Faytaren, orthopaedic extended scope practitioner Ivy, our orthopaedic extended y Film evening – an scope practitioner, joined us 18 opportunity to discuss, debate years ago. Ivy says that she is and to ask questions about proud to work with an amazing, the issues arising from one of diverse and dedicated group of the most iconic, compelling people who go the extra mile and troubling films of our time, to make a difference for our titled Selma. patients.

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Freedom to Speak Up Month

y October marked Freedom to Speak Up Month, which was an opportunity to raise awareness of freedom to speak up and the work that is being done to make speaking up easier for you and your colleagues. y y Last year, a key theme from your feedback from the Staff Survey was that we could do more to support your health and wellbeing. As a result, we have increased the number of Freedom to Speak Up Guardians from two to six. y y How can the

guardians support me?

y Our guardians are keen to ensure that all of our people have a voice, promote speaking up, develop an open and transparent

y y y

culture and provide feedback in response to any concern raised. They are here to provide advice on a variety of concerns you may have, including: Patient safety concerns Lack of support Behaviours not in line with our trust values Bullying Discrimination

y y y y Who are the Freedom

to Speak Up Guardians?

y We have recently increased the number of our Freedom to Speak Up Guardian roles from two to six, to include guardians from a clinical background. The team are here to support you in raising concerns in a protected, confidential and safe environment. The team

now includes: y y Natalie Gray, matron – cardiology y Lindsay Hanmore, associate director of nursing – quality improvement y Dr Jeff Phillips, consultant – intensive care medicine and anaesthetics y Dr Jane Snook, consultant orthogeriatrician y Lisa Thurley, virtual visiting and message to a loved one coordinator y Lorraine Nixon, head of secretariat

Endoscopy department: Nurse-led consent audit outcome

y The endoscopy department successfully introduced nurse-led consent in April 2019. y y This means that our endoscopy registered nurses, who have undergone further training in the admission and consent process, are competent to discuss the procedure and the associated benefits, risks, alternatives, potential complications and clinical

outcomes with the patient. their feedback. y y y A detailed guideline has y In summary, the audit found been developed to increase that all of the team were the confidence, knowledge practising consent to a high and skills of our endoscopy standard and received great nurses for obtaining feedback from our patients. informed consent before the patients’ procedure.

You can take a look at the guideline on Alex. y y The nursing team carried out an audit in April 2021 to reflect on their own practice and to ask our patients for 5

Virtual fracture clinic y Patients who have been diagnosed with a fracture are now reviewed at our new virtual fracture clinic. y y Some patient injuries will require a specialist follow-up review at our virtual fracture clinic, following their initial attendance at our emergency department or at a local minor injuries unit in Cheshunt or Herts and Essex with a suspected fracture. y y Ajay Sooknah, head of operations for the surgical

y “The patient may be and critical care healthcare discharged by phone back group at PAHT said: “The to their GP, or require virtual clinic has improved further specialist help and our patients' experience so will be referred to the most that they are not required appropriate clinic. to attend the hospital y for multiple face-to-face y “Patients are notified assessments and can be following their initial reviewed in a timely manner. attendance at the y emergency department y “Clinicians look at the or minor injuries unit and patient's X-rays, medical receive a patient information notes and electronic referral leaflet to explain the form following their visit and process.” telephone the patient to discuss their treatment and management.

Vaccinations for our people y Thank you to everyone involved in our COVID-19 booster and flu vaccination programme. y y If you did not receive your COVID-19 booster vaccination at our hub, you can access it through the national booking system. y y Flu vaccinations are available via our staff health and wellbeing (SHaW) team and the roaming flu vaccination clinics. For more information, please contact SHaW on y x 7015 or tpa-tr.shaw@nhs.net.

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The Alex Lounge – your health and wellbeing space

y We know you are waiting with anticipation as the Alex Lounge takes shape. You may have seen the outside – but do you know what the plans are for the inside of the building? y y The Alex Lounge, next to the Alexandra restaurant at The Princess Alexandra Hospital, will be a hub for you to meet colleagues and relax together, to take some time out for yourself, or to join one of the health and wellbeing sessions planned for the dedicated space at the lounge. y y It will be a bright, modern area and has been funded in response to your feedback about how important a new staff area is to support your health and wellbeing.

Contributions have also been made via the COVID-19 charity appeal, in recognition of your hard work and dedication from our local community. y y We asked for your feedback to help shape the space for all of our people to relax and socialise. Thank you to everyone for your contributions. y y You can see the latest artist’s impressions (right), however these may be subject to change. y y

y The space is set to open in the next couple of months, with the date to be confirmed. y y The improvements to our environment will be joined by a new training and education centre as a hub to focus on your learning and development, and agile working spaces for all to use. Look out for more details coming soon. y y Please note that we are following all social distancing guidance in the development of the Alex Lounge.

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Remembrance Day service

y Remembrance Day is on 11 November, a day that marks the end of World War One. y y It was good to see many of you join us on Teams for a Remembrance Day service led by our chaplaincy team. y y The service took place at the main entrance to the hospital, with a selection of poignant readings, prayers and poems read by our chaplaincy team and executive team, and we observed the two-minute y silence together. y y Colleagues were also encouraged to observe the two minute silence in their workplace, if preferred. y y Please note that the live streamed service was

y

y New clinical

y The IT training team will be visiting your area over the next two weeks to demonstrate how to use Alertive. y y For more information, please visit Alex or contact the IT training team at paht. ittraining@nhs.net. y

Alertive

and corporate communication tool

y We have recently invested in a new clinical and corporate communications tool called Alertive. y y The new system will replace non-emergency bleeps and has the functionality to be used as a clinical messaging tool. The system was introduced from Monday 1 November. y y You can download the App via your smartphone App store and enter the ID code princessalex.

y recorded and will soon be available to watch on our YouTube channel. y y Display at the hospital y We created a poignant poppy display at the main entrance of the hospital (pictured). y y It features a Fallen Tommy statue, donated to the

hospital by the Patient Panel, and poppies for the flowerbeds.

y y Our volunteers, including from the Patient Panel, also kindly helped to sell poppies for the Royal British Legion at their Remembrance Day display stand. y y Thank you to the Patient Panel for this wonderful contribution. y

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Staff Survey: Reasons why...

y Help us to make a difference together and have your say in the latest NHS Staff Survey. y y You will have received a copy of the survey, either on paper or by email everyone can complete it online using the QR code on the paper version if

preferred. Please take a look at the short video on our PAHT People YouTube channel which details the improvements made since the last Staff Survey.

y y You can read more about the reasons why you should complete the Staff Survey below.

y The survey closes on 26 November. y y If you have any queries, please contact paht. learning-od@nhs.net. y y

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Charity update Comedy night to raise funds for our charity

The comedy night follows Clare’s virtual gig in March, as a result of which she kindly raised £100 for The Princess Alexandra Hospital Charity.

A generous fundraiser will take to the stage to raise money for our hospital at a charity comedy night.

Clare Harrison McCartney, 48, a comedian from Harlow (pictured), will use her razor sharp wit to boost funds for her local hospital at The Burnt Mill Social Club, Harlow, on 27 November, in thanks for the care she has received.

Tickets cost £10 each and can be purchased via Eventbrite. epilepsy and a car accident People are invited to bring old I had. I visit The Princess bras to donate to charity Mama Alexandra Hospital a lot Biashara, which works with the because of my thyroid, breast poorest and most marginalised tumour and migraines and they people in Kenya. There will are always there to support me. also be a raffle during the Please join us for a laughevent, with prizes donated by She will be joined by a a-minute comedy night to local people. This includes a fantastic line up – headliner support the hospital – there is free haircut from Head2Head Pam Ford, an Australian something for everyone.” hairdressers donated by comedian with a sassy take on Steven Parish and a signed life, with support from acts CJ John Keddie, non-executive copy of Moira’s Magical Dream Hooper, Sara Louise Aston, director and chair of The Strands by Yasmin Khan, a The Anti-Duhring Battalion Princess Alexandra Hospital local author.

Show, and Winter Foenander Charity said: “Thank you to – from 7.30pm.

Clare and the comedians Clare would also like to thank taking part on the night for the committee at Burnt Mill Clare said: “I chose to raise hosting this fantastic event for Social Club who have donated money for The Princess our charity. It is great to see the venue.

Alexandra Hospital Charity such generosity – please come because I was born there and along and support your local they helped me through my hospital.”

Patient goes the extra mile...

y A microbiologist from Sawbridgeworth went the extra mile to raise funds for our physiotherapy department. y y The physiotherapy department helps patients to restore movement and function after they have been affected by injury, illness or disability.

y Ian Morrissey, aged 56, (pictured overleaf) undertook the gruelling 26.2 mile London Marathon in October. y y The PAHT physiotherapy team cared for Ian following y a motorbike accident that resulted in him fracturing his y ankle and wrist that required specialist surgery. y Ian said: “One major part

of my road to recovery both physically and mentally was my regular visits to the physiotherapy team – I cannot thank them enough for their support, expertise and encouragement.

“A big goal for me was to get my running shoes back on and start running again. 20 months 10

later, I was preparing to run the London Marathon.

y y “I was delighted to hear that I had received a place through the ballot and wanted to use this opportunity to raise enough money to purchase specialist equipment for the physiotherapy department. y y “I’m truly humbled by the support I have received and so grateful to everybody who has donated.” y y John Keddie, non-executive director and chair of The Princess Alexandra Hospital Charity said: “A huge

thank you to Ian for raising important funds that will help to enhance patient care and purchase additional patient physiotherapy assessment beds.

y y “We are pleased to hear that Ian is recovering well and our teams involved with Ian’s care will be extremely proud that he participated in the London Marathon - a remarkable achievement, well done.” y y Ian has raised £2,475, exceeding his target of £1,600 - thank you to Ian for this generous donation.

Orchestra to perform in aid of our hospital The Saffron Walden Symphony Orchestra will perform in aid of our hospital on Saturday, 27 November.

The programme for the concert at Saffron Hall includes Jacob Bride – Der Trommler (new commission) followed by Rachmaninov – Piano Concerto No. 2, and Glass – Symphony No. 4 'Heroes'.

The event starts at 7.30pm and there will be a collection for the hospital.

You can read more and book tickets at: https://www. saffronsymphony.org/

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CQC Quality compliance and our CQC recommendations Our quality compliance group, chaired by Sharon McNally, director of nursing, midwifery and allied health professionals, meets weekly and has oversight of all the CQC recommendations and key quality programmes such as for urgent and emergency care and Trust documentation.

We are delighted to report that through you and your team’s hard work, we are ready to close 20 projects from a list of 57 projects and we have advanced a further 35 towards an amber status.

What happens when a project is closed and how can we be assured that we will not regress?

part of our quality compliance and the quality project management office will set up post project-closure learning sets, inviting the project leads and their colleagues to talk through their project, their experience of managing the project, and key learning points.

The quality programme management office process The quality programme management office process includes four stages:

y Project identified - Project highlight report set up - Each project is assigned a project lead and an end date Each project lead completes a - The project is signed off by closure report or a business as the senior responsible officer usual (BAU) report detailing the - The project moves to recommendation, describing implementation how the team managed the y Project enters reporting project, providing evidence cycle and data and how they will be - Weekly reporting cycle managing the recommendation to quality programme post-closure. management office - Tracker updated and saved Every project needs to be signed off by the executive for daily the project lead's workstream. - Weekly progress report to the Four weeks after sign off, each chief executive and director of project will have a peer review nursing, midwifery and allied health professionals to check that the project has - Risk log updated at the end of moved to business as usual and offer any support required each meeting - 1:1s with project leads to to ensure the work can be keep on track sustained. y Project completed Organisational learning is an - Project presentation to the important factor to consider as

programme group for checking and assurance - Final report compiled and signed off by the senior responsible officer - Final report to the programme group y Business as usual (BAU) - Transition to BAU - Peer review set up to test the transition (within four weeks) - Learning events To discuss any aspect of the quality compliance programme, please contact Finola Devaney, deputy chief nurse - quality (director of clinical quality governance) at finola. devaney@nhs.net.

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Our patients said...

"My experience when I was admitted to Harvey Ward was excellent and I could not fault the staff and nurses for their hard work and dedication, the care and attention I received was second to none. Thank you very much."

"As soon as I went into the unit, the staff were lovely and friendly, putting me at ease. Nurses checked my details more than once and were great at answering questions.

"The doctor and nurses were fantastic. They put me at ease, even before my sedation and talked to me throughout. I’d been petrified so I can’t thank them enough! I was into recovery, given tea and biscuits and on my way home before I knew it. "

"I had my follow up appointment at the oral surgery clinic with Mr Bhandari. I would like to say a huge thank you to him and the team of nurses and reception for how amazing my experience was. Everyone was so kind, helpful and extremely professional. It was a first class experience which has renewed my faith in the NHS and all that it represents. I am extremely grateful for all of your hard work under pressure."

"Thank you to the Harold Ward team for making my husband's stay as good as you possibly could, it was such a relief to know he was in kind, caring hands."

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Communications team win national award The communications team has won a national award.

The team received the accolade of Best Event at the Institute of Internal Communication Awards on 24 September. They were recognised for their work on Events not in a tent, our spectacular virtual staff health and wellbeing programme, held in September 2020.

Ogechi Emeadi, director of people, organisational development and communications, said: “I am Additionally, they were a finalist absolutely delighted that our in the category of Best COVID communications team have response for their strong focus been recognised nationally. on engagement with our PAHT people during the COVID-19 “It is testament to their pandemic.

dedication to keeping our people informed and connected during the COVID-19 pandemic.

“We are looking forward to continuing to build on this amazing work for the future.”

Your health and wellbeing y There is a range of health and wellbeing support available to you. y y This includes our employee assistance programme, the Here for you psychological support service, other information lines, Apps and much more. y y Our employee assistance programme from Vita Health offers free, confidential, 24/7 support for a variety of issues, from work, family, and relationships to finance, retirement and management support. Call 0800 111 6387 or visit www. my-eap.com, username PRINCESSWELL.

y y Please look out for your wellbeing, and for your colleagues. y y You can find more information on the staff health and wellbeing (SHaW) Alex page and our private webpage, www. pah.nhs.uk/health and wellbeing.

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Our new Extranet update Our Alex Intranet is retiring soon.

The providers of our new Extranet are continuing to work on building the site, uploading the content you have supplied.

Help shape our new Extranet

Thank you to everyone who has been involved so far.

We will keep you updated with progress.

Healthcare group update: Medicine "The refurbishment of Winter Ward has now been completed and the team have moved back to the area, which is a fantastic environment for both our patients and our people. With full glass bay walls, improved ventilation and spacious multidisciplinary team rooms, it truly is an improved experience for all within the facility. We would like to thank all of the ward teams who have moved around during the refurbishment stages and appreciate their patience. We have also started to fully maximise our new third endoscopy suite which is seeing our waiting list backlog decrease week on week, back to pre-COVID levels.

"We would also like to give a huge thank you to two of our long-standing staff members who have retired, Peter Robinson, Harold Ward manager, and Gill Holden, Harvey Ward manager. We thank them immensely for their dedication over the years and wish them well with all of their future plans. We would also like to welcome Fran Humphries to medicine. Fran is currently the business change manager for family and women's services (FAWS) and will be joining us as our new general manager for sub division 2 in our new structure. Fran will be replacing Natalie Vidler, who will be taking up a general manager role with the urgent and emergency care (UEC) division. We again would like to thank Natalie for what she has achieved for medicine and are pleased she will continue her hard work with UEC." The medicine management team 15

#PAHTPeople Aircrew return to provide first class service As you will have seen, Project Wingman came back to support us - this time by bus.

They arrived on 25 October and were with us until 5 November.

Colleagues came aboard

the Wellbee Bus, parked opposite the Eye Unit, to enjoy a first class airport lounge refreshment service from volunteer aircrew.

It was a fantastic opportunity to unwind before, during and after your shifts.

This VIP service was a thank you for your hard work and commitment during the COVID-19 pandemic.

Gastroenterology team introduce seven-days-a-week rota We have introduced our internal rota for endoscopy (telescope tests) for gastrointestinal bleeding (upper gut bleeding).

We are very proud that our clinicians have got

Allied Health Professions Day Thursday 14 October marked Allied Health Professions (AHP) Day, which is an opportunity to highlight and celebrate our amazing AHPs and the vital role that they play in our patients' journey.

We have over 160 allied health professionals at PAHT. Did you know that there are

together and have made this happen, despite an unprecedented daily workload. This is the first time that we have been able to provide this muchneeded service seven days a week, to the benefit of

14 allied health professions?

These include: y Art therapists y Drama therapists y Music therapists y Chiropodists/podiatrists y Dietitians y Occupational therapists y Operating department practitioners y Orthoptists y Osteopaths y Paramedics y Physiotherapists

patients and patient safety.

For more information, please contact Lakshmana Kumar, lead endoscopist, at lakshmana.kumar@nhs. net.

y Prosthetists and orthotists y Radiographers y Speech and language therapists

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The Princess Alexandra Hospital NHS Trust, Hamstel Road, Harlow, Essex, CM20 1QX 01279 44 44 55

NHSHarlow @NHSHarlow @PrincessAlexandraNHS The Princess Alexandra Hospital NHS Trust 17