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febRuary 2012

about integrated healthcare

National expert on substance misuse opens offender health event Lord Patel shares recommendations on prison treatment services see page 4 Above: Adrian Perks, Kate Davis and Lord Patel Inset bottom: Dr Adarsh Kaul and Dr Mike Harris

royal visit national centre funding inspiring hope panthers in thorneywood stonewall success


of expertise with the aim of reaching better outcomes for patients.


The Community Pharmacy and Podiatry Team and Mental Health Services for Older People Directorate must be applauded for their recent efforts to work proactively to implement National guidance and policy change to get the best results for patients and the wider organisation.

It is great to see the good work and innovation taking place within the Trust recognised and commended externally, by our peers and by official bodies. We are delighted to have received the news that once again we have been highly placed in the Stonewall Work Place Equality Index, reflecting the commitment of the Trust to equality and diversity and to providing services that reflect everyone’s needs. The Butler Trust commendation of the end of life suite at HMP Whatton was a great achievement and it is fantastic that our healthcare team was a focus for The Princess Royal on her recent visit. Sharing learning, research and innovation is important to continually

improve services. The conference held by our Trauma and Self Injury Team to share their experience of effective therapeutic interventions was well received providing delegates with valuable insight into this specialist area. Similarly, the event held by the Trust and NHS Doncaster to look at developing substance misuse treatments within prisons was designed to bring together all the partners involved to draw on a wealth

Next month will see our annual celebration of staff achievement, the OSCARS. The shortlisted nominees have been announced and we are all very much looking forward to a great evening on 15 March to honour those who have made an outstanding contribution to our services.

Dr Peter Miller Executive Medical Director

HRH The Princess Royal visits Offender Health team The healthcare team at HMP Whatton received a royal visitor last month. HRH The Princess Royal was touring the prison in her capacity as Patron of the Butler Trust. As part of the visit, she was shown the Palliative Care Suite, The Retreat, which has been commended by the Butler Trust.

The Retreat was developed jointly by the prison and the Offender Health team following a number of deaths at the prison due to cancer. It is a purpose built suite, designed to meet the needs of patients requiring end of life care, offering access to healthcare of a standard comparable to that in the community. The challenge for health and prison staff is to provide good quality care and support and the opportunity for these patients and their families to have a dignified and positive experience. Funding for the suite was secured from the King’s Fund as part of the ‘Enhancing the Healing Environment’ programme.

Mike Cooke is introduced to the Princess Royal

The project team worked with Prison partners and the King’s Fund over a period of two years to develop the facility. Protocols were developed to meet patient, prison and healthcare needs to ensure that a fully integrated approach was adopted. In The Retreat, the Princess was introduced to Karen Shaw, End of Life Lead, Bridget Hall, Senior Practice Manager and operational prison

National Centre of Excellence for Sport & Exercise Medicine The Princess Royal meets with Senior Practice Nurse Karen Shaw (far left) and colleagues in The Retreat

The Government has announced £30m extra funding for the establishment of three National Centres for Excellence for Sports and Exercise medicine. The Centres will be in London, Sheffield and the East Midlands.

staff. She was also escorted through the main healthcare department where she learnt of the primary care, mental health and substance misuse services provided there, meeting other members of the nursing team and Trust Chief Executive Mike Cooke. Matt Mitchell, Acting Head of Healthcare said: “The team at Whatton do a fantastic job and it was great for their work to be recognised as part of this important visit. It was an honour to be able to show the Princess Royal round our department and introduce her to the people who deliver such a high level of care.”

The Trust is one of a consortium of partners supporting the East Midlands centre which will be built at Loughborough University. The group which includes Nottingham University Hospitals, the University of Nottingham, University Hospitals of Leicester and the University of Leicester will provide a fantastic array of clinical and research skills and experience to support exciting developments at the new National Centre. The Centre will act as a focus for research relevant to Sport and Exercise medicine as well as developing pathways and partnerships for the translation of these research findings into practice. Specifically, it will look to help people become more active and maintain these healthy life changes. Additionally medical services will be provided for those who become ill or injured through sport and physical activity, aiding a return to full fitness, work and sport.

The announcement is a clear London 2012 Olympic legacy pledge, and continues the Government’s support being given to the emerging specialty of Sport and Exercise medicine. Nottinghamshire Healthcare’s staff, service users, families and friends are all being encouraged to take part and to come up with their own Olympic inspired activities in an effort to get everyone to be more physically active. The Trust campaign has been awarded the London 2012 Inspire mark, officially recognising it as part of the Inspire programme which aims to bring the benefits of the 2012 Games to every part of the UK. Only those projects recognised as the most inspiring, stimulating, participative and accessible are awarded the Inspire mark. Chief Executive Mike Cooke said: “As an integrated care provider offering not only mental health, but also physical health services, we are passionate about people’s health and wellbeing from top to toe. This announcement of our successful joint bid will be a tangible outcome for the Olympic investment and an endorsement of our approach here in the East Midlands.”

Positive February 2012


Improving substance misuse services in prison The Trust’s Offender Health team in partnership with Doncaster NHS hosted a successful event recently to look at improving the substance misuse treatment pathway across the Doncaster prisons. Professor Lord Patel of Bradford opened the event that brought together prison, health and other key workers involved in the justice system to consider how prisoners with a dependency on drugs or other substances can be given the treatment and support they need, both in and out of prison. Lord Patel is an expert on substance misuse. He chaired the Prison Drug Treatment Strategy Review Group that worked on a review across England of drug treatment and interventions in prisons and people on release from prisons. The review report recommends ways that prison drug treatment services should be commissioned and delivered in the future.


Left (l-r): Dr Mike Harris, Executive Director Forensic Services, Tracey Gilford, Area Manager (Yorkshire) Offender Health, Rebecca Chadburn, Commissioning Manager Offender Health, NHS Doncaster, Lord Patel, Kate Davis OBE, Non Executive Director, National Treatment Agency, Adrian Perks, Mike Cooke

Adrian Perks, Associate Director Offender Health, said: “This was a really important opportunity to work with partners to share best practice and reflect on how we can develop and further improve services to provide real benefits to our patients, their families and local communities. Evidence suggests that up to 80 per cent of the prison population has a substance misuse problem, which has often influenced their offending behaviour. If we can successfully tackle this, we can prevent many people from ending up in prison in the future.” NHS Doncaster funds healthcare services at Doncaster’s prisons and Nottinghamshire Healthcare’s staff provide these services including primary care, mental health and substance misuse services to the 3,500 prisoners housed at Doncaster, Hatfield, Lindholme and Moorland jails.

Inspiring Hope A series of events looking at the theme of ‘Inspiring Hope’ was held across a variety of sites to link with last year’s Mental Health Awareness Weeks. Organised by the Spiritual and Pastoral Care Service and Occupational Therapy teams from Adult Mental Health Services at Highbury Hospital, The Wells Road Centre and Queens Medical Centre, the events offered music and art activities to enable service users to explore and creatively express what inspires hope for them. Supported by local community arts organisation SEND, activities included art workshops, music ‘jamming’ sessions and the chance to try out singing and DJ-skills. At Highbury Hospital a beautiful ‘Hope Tree’ collage was created featuring images representing the inspiration of hope. A group called ‘The Cultural Caribbean Arts Service’ provided lively African-style drumming, and people chatted, mingled and danced at a disco in the evening. Over at QMC, service users made their own fantastic ‘Inspiring Hope’ CD by picking out their favourite songs which gave them hope and creating art work around this theme for the CD cover and inlay card. At The Wells Road some incredible music was created and recorded. One patient said: “I was lost for words but it felt amazing. I’m really glad I took part in this musical experience, maybe the future will hold more sessions, I look forward to this if it is a possibility. Thank you for a great day.” Overall, feedback from patients, staff, volunteers and all those involved was incredibly positive. One volunteer said “the reactions and expressions of the people taking part made this a day I will never forget... it was quite simply an honour to be there” whilst a service user said it had been one of the best days of his life. Many thanks to all who participated and who were involved at making the event a great success. Top: The Highbury ‘Hope Tree’ Group Collage. Middle: QMC Service Users’ ‘Inspiring Hope’ CD Cover

Positive February 2012


Development programme aids success A training programme put together by a Trust colleague is helping three office assistants develop their skills and careers. Jane Hawksley, Training Facilitator for AMH County, developed the programme for three of her mentoring students at Millbrook. It covers 10 modules and is running for 12 months. The modules each cover a five-week period and include corporate identity, management, training, target setting, finance and customer care.

“I’ve really enjoyed putting this training programme together,” said Jane. “The students have made good progress and I can already see them growing and maturing. By the end of the programme it would be great for them to develop a career within the Trust and take this experience with them.” For further information about the programme contact Jane Hawksley on 01623 784768 or 07824 599414.

During the course each student assumed the role of a chief executive and carried out tasks including designing a corporate logo, organising recruitment and holding an annual general meeting for their selected organisation.

“I’ve learnt more about this Trust and what goes on in different areas. I’ve had the opportunity to talk to the doctors and now have a greater understanding of their roles. I’ve really enjoyed doing this training programme so far.”

Chelsie Gosling

DVD supports learners with personality disorders A DVD is helping education providers around the country understand how to support people with personality disorders. 6

Jane Hawksley (back) with students (left to right) Chelsie Gosling, Becky Eaton and Jake Woolley.

“I’ve learnt so much about the Trust so far and found out lots of useful information about the different services. It has helped my personal development and I feel more confident now in my role. I’ve really enjoyed doing this and look forward to completing the whole course.” Becky Eaton

The Peaks Education Team worked in partnership with the Learning and Skills Improvement Service to create the DVD titled ‘Connecting the pieces: A guide to working with people with Personality Disorder’. Along with an accompanying information booklet it aims to raise awareness of personality disorders. It also offers ideas for supporting learners in further and higher education who have personality disorders. The teams began the project by contacting adult education establishments nationally to

“I’ve found this programme to be extremely beneficial in my role. It has given me many opportunities to learn about the services including visiting other sites and meeting lots of people. I’m really enjoying doing this and feel I have achieved a lot.”

Jake Woolley

Communication Support Worker collects MBE

Hosts wanted to help young people A charity is looking for local people to offer a home and support to young people who are unable to live with their own families. Through its ‘Supported Lodgings’ scheme Stonham places young people with a supportive single adult, couple or family who have a spare room to rent out. The scheme enables young people aged 16-25 to remain in a ‘home’ environment while the host supports them to gain the skills needed to live independently. The Supported Lodgings team works with the host and the young person to achieve personal objectives

and help resolve any difficulties. The service is designed to be short term (up to two years) but lengths of stay vary. Training is provided for all new hosts. Payment comprises housing benefit from the local authority, a support payment of £35-£50 per week and rent of £25 per week. Most Supported Lodgings placements are extremely successful and end up with the young

find out how much they already understood. The clear message was that very few people know anything about personality disorders and consequently do not understand how to support learners with personality difficulties. It was decided that a DVD would be the best media for addressing these gaps in knowledge and raising awareness. The DVD contains interviews with Peaks staff who have first hand experience of supporting people with personality disorders and with a student who suffers with a personality difficulty. It provides

person moving to independent living or sometimes mending relationships with their families. In many cases their lives really are turned around by the positive role modelling and support they receive whilst in supported lodgings. For more information contact Maggie Mairura, Placement Manager at Stonham Supported Lodgings on 0115 941 9479 or 07730 093211 or visit uk/careandsupport/ stonhamservices.

advice for anyone in an education or training role working with people who may have a personality disorder. It also offers a brief explanation of personality disorder, characteristics of individuals with personality disorder and the impact of these disorders on life situations, particularly with regard to learning. The DVD has been sent out to further education colleges and offender learning providers nationally. For more information or to request a copy of the DVD email or telephone 01777 880446.

Les Townend, Communication Support Worker at Rampton Hospital, was awarded an MBE for services to deaf people in the Queen’s Birthday Honours list 2011. He visited Buckingham Palace in December to receive his award. “I went with my wife and daughter to collect the MBE,” said Les who is profoundly deaf. “When we went in I was totally bowled over by how posh the Palace was. It certainly was fit for the Queen! It was steeped in history and as we entered, I and the interpreter were ushered one way, whilst my wife and daughter went another. “While I was waiting I didn’t feel nervous at all, but when we were called up I started to feel very emotional. The Prince of Wales was presenting the medals, and he asked me what my job was and whether Les Townend with his MBE there were many deaf people in Rampton Hospital. I told him I worked as a Communication Support Worker and yes, there were quite a few deaf people in the service. He congratulated me and told me to continue with the good work I had been doing. “After receiving my medal I then had to collect an official box to keep it in, and was quite surprised at the level of security involved. Once Prince Charles had left, we were ushered out to have the official photographs taken with our families. The day was so special and memorable, my only wish was that my mother had been alive to see such a proud moment in my life.” Congratulations to Les on this fantastic achievement.

Positive February 2012


‘Check It Out’ campaign – going from strength to strength The ‘Check It Out – Healthy Body, Healthy Mind’ campaign running in conjunction with the Nottingham Panthers is still going strong. The campaign is at the half-way stage and mental and physical healthcare messages have been promoted to thousands of Panthers supporters at a number of games.   Themes focused on so far include alcohol, smoking cessation, healthy eating, depression and general health promotion. Members of the public have been involved with a number of interactive activities on the Trust stand, one of which saw people taking taste tests to establish which foods have a higher fat content. A mother who participated said: “This is a very good idea. It makes you realise how much fat is in everyday food and it’s good to get kids thinking about being healthy because of how much fatty food there is around us.”


The Check it Out team at one of the games

Panthers roar into Thorneywood The Nottingham Panthers visited Thorneywood Adolescent Unit in December. Imogen Renshaw, 16, writes about the day: We had been waiting for this event for weeks and weeks and at last it was here. All the staff and patients were huddled in the lounge waiting for the arrival. When the Panthers arrived, along with Mike Cooke, they were greeted and taken through to the room next door for tea and a cake. Myself and another patient were far too shy and giggly to go and ask them what they wanted so we went together. All the Panthers there were very cheerful and were pleased to be offered a cup of tea. We went back to our advocate pouring the drinks and gave the order. Our advocate had put a great deal of time and effort into preparing the event and was so nervous about something going

wrong that she couldn’t keep her hand steady when making the tea! We all went back through to the lounge where we asked the Panthers questions such as ‘how do you cope with being away from home so much?’ (which is something many of us here could relate to) and ‘what is the worst injury you’ve had?’ All the questions were answered very straightforwardly with the odd joke thrown in to keep the atmosphere light and friendly. Afterwards we were allowed to speak to them individually. One player asked me what it was like in Thorneywood and how much it had helped me. I replied that Thorneywood is probably the best thing that has happened to me

Thorneywood patients Imogen Renshaw and Alice Robbins with some of the Nottingham Panthers.

and it has helped so many others with issues not so much different to mine. It has changed so many people’s way of thinking and has given people the life they deserve. Throughout the afternoon pictures were taken and ping pong was played by a patient and one of the Panthers. Overall, personally, the afternoon couldn’t have gone better.

Comments from some of those involved in the day include: “Slightly overwhelming; slightly mesmerising” – Freya (17) “It was amazing; it was fantastic” – Emily (14) “It was amazing; I had a lovely time listening to what they had to say” – Hebeny (17) “It was fantastic; I really enjoyed the experience. I’m a massive Panthers fan so it was nice to have the opportunity to see them face to face” – Laura (staff) “It was an early Christmas present” – Saul (14) “It changed an ordinary day on the unit into an extraordinary day” – Imogen (16)

Values Exchange: make yourself heard A new online tool is providing a one-stop resource for surveys and debate. The Trust’s Values Exchange (VX) hosts surveys, debates and case studies and offers an easy way to encourage service users, carers, the public and professionals to take part. Anyone can use VX and it is simple to set up new surveys and debates. Responses can be invited from everyone or only from people with specific interests or characteristics. To access the Values Exchange visit (Trust staff can also find a link on the far right of the intranet home page.) If you are not already a member, you will need to register and then sign in. Use your real name or be anonymous – it’s up to you. To join a support forum, complete the short survey relevant to your interest, and then create or join discussions. If you are interested in ethical debate, click on ‘cases’, and then click any image to access interactive screens. Responses are all recorded in the Values Exchange database and can be seen by all other respondents. This sharing offers a useful way to learn about and from each other and to debate difficult or complex issues. VX also includes a reports wizard to investigate hundreds of reports for single cases or across many cases and groups. This rich source of data and opinion has huge potential for involving staff, service users and other stakeholders in issues that are important to the Trust and its service users. It is also an excellent tool for learning and gaining feedback. The Online Ethical Debate Community of Interest supports the use of Values Exchange and will regularly add new topics for debate and discussion. To add a topic or join the Community of Interest, or for more information about the Values Exchange, email rachel.

Positive February 2012


National Trauma and Distress Conference The National High Secure Healthcare Service for Women (NHSHSW) Trauma and Self Injury (TASI) team held a one day conference at the end of last year which focused on working effectively with Trauma and Distress with women who use forensic services. The event, which was very well received, was opened by Chief Executive Mike Cooke who gave a welcome speech followed by Dr Mike Harris, Executive Director, Forensic Services, who chaired the conference. One hundred delegates were enthralled by the two expert speakers. Dr Felicity de Zulueta spoke about how people can move from pain and trauma to violence and Dr Nuri Gene-Cos focused on the importance of Neurobiology in the effective treatment of trauma.

The work of the TASI team and its successes were outlined by Christine Milburn and Dr Sue Elcock. After the appetising lunch provided by the Hospital’s catering team, three workshops were facilitated by members of the TASI Team. These focused on: • ‘Working proactively with Trauma and Self Injury’, led by Yasmin Siddall, Dr Sue Elcock and Lucy Thomas;

Positive signs of Involvement The Involvement Centre added an accessible twist to Christmas tradition by using a signer at its December celebrations. Deaf visitors to the Chair’s Christmas Tea at the Involvement Centre in Nottingham were able to follow the carol singing thanks to sign translation throughout, and all 70 visitors were invited to learn the Twelve Days of Christmas in British Sign Language.

Casey Kimberley, an Involvement Volunteer who played piano in the band at the Duncan Macmillan House event, said: “It was great to see people from across the Trust enjoying themselves all together. I particularly enjoyed being taught the Twelve Days of Christmas in British Sign Language.” “Involvement is of course top of the agenda for us,” said Jonathan Wright, Involvement Centre Manager, “and we really wanted to make sure that as many

people as possible were able to get involved with our Christmas celebrations this year. It’s great that we were able to use a sign language translator to help us achieve that goal.” Around 35 people also joined Dean for Christmas Tea at the Rosewood Centre the week before. Nigel Groves, Rosewood Centre Manager, said: “It was great to see service users, carers, members and Governor Members as well as Executive Directors all come together at Rosewood. It was a great day and a chance to wish everybody well over the Christmas period and for the New Year.” Learning to sign the Twelve Days of Christmas


• ‘Working with Women’s Distress through the use of Personal Distress Signatures’ led by Christine Milburn, Jo Sherrif and Gary Moran; • ‘Women’s use of Therapies and Interventions’ facilitated by Jane Jones, and Myra Briggs The workshops showcased the different approaches undertaken within the TASI program and proved to be extremely popular with the delegates. Thank you to the TASI ward champions who helped facilitate the conference. Feedback from the event was positive. One delegate responded, “It just shows that you do not need to go far to experience the level of quality and expertise seen at this conference.” Thank you to all those who helped make this conference a success.

MHSOP Involvement Event A special event to provide information on Mental Health Services for Older People (MHSOP) will be held on 6 March at Ashfield Community Hospital. The event, which will take place in the reception area, is being opened by General Manager, Andrea Ward and will feature information stalls from various MHSOP wards, the Alzheimer’s Society, Mind, the Involvement Team, Community Mental Health Teams and Dementia Outreach. Representatives will be on hand to answer questions, offer advice and information relating to their service. There will also be an opportunity for people to learn how to have their say on the Patient Opinion website and how the teams use that feedback to improve services and care. The event runs from 10.30am until 3.30pm and is open to patients, service users, families and friends. There is no need to book, just drop in.

The Trauma and Self Injury team joined by key note speaker Dr Nuri Gene-Cos (7th from left) and Dr Mike Harris

Trust and Institute focus on law

Professor David Ormerod, Law Commissioner for Criminal Law and Evidence, speaking at the event.

The Institute of Mental Health teamed up with colleagues within the Trust to stage another successful Trent Study Day. The focus of the event at the Mike Harris Learning and Development Centre was ‘Forensic Mental Health: A Legal Update’ and it attracted a large number of delegates from across the East Midlands. High-calibre speakers came from St George’s University of London, the Health, Education and Social Care Chamber and the Special Committee on Human Rights. Delegates were welcomed to the event by Mike Harris, Executive Director of Forensic Services and the afternoon saw a panel discussion and case presentation.

Stonewall success For the third year running, the Trust has been named as one of the top 100 employers in Stonewall’s Workplace Equality Index, which features the best employers in Britain for lesbian, gay and bisexual (LGB) people.

with other organisations to help demonstrate workplace culture support further improvements and activity, covering policy, in this area. practice and service user engagement. A key focus for the Trust this The number of companies year was around monitoring participating in the index – now patients’ sexual orientation in its eighth year – has more and engaging directly with LGB The result reflects the Trust’s than doubled since 2006. Every service users. This has enabled commitment to equality and organisation in this year’s top the way in which services are diversity and demonstrates 100 offered diversity training provided to this group to be its ability to ensure that the examined and in turn, improved. that covered lesbian, gay and services provided truly reflect bisexual issues, and collected people’s needs. It has also monitoring data on the sexual The scoring was based continued to share best practice on evidence submitted to orientation of their employees. The Trust was ranked 13th overall, the second best performing employer in the healthcare sector and the top healthcare employer in the East Midlands, scoring 170 points out of a possible 200.

Positive February 2012


Working together – reducing costs and improving patient care Community Pharmacy and Podiatric Surgery are working together to reduce costs and improve patient experience in the community.   Recent changes to the Medicines Act have allowed podiatrists access to an extended range of medicines and pack sizes. As a result, Neelam Ali and Sara Simmons in Community Pharmacy and Anthony Maher, Podiatric Surgeon at Park House Health and Social Care Centre, have taken this opportunity to work in partnership to implement a number of changes resulting in positive outcomes for patients and the organisation. Examples include: • Previously, the Podiatric Surgery Team was ordering specially packed painkillers. The team is now using standard pack sizes for routine post operative painkillers and significant cost savings will be achieved. • Patients are now offered a wider choice of pain relief medication following foot surgery. As a result, in almost all cases patients will not need to see their GP for routine post operative pain


relief. This improves the patient experience and relieves pressure on GP practices. • Improved access to antibiotics means post operative infections can be managed rapidly in the community, avoiding delays in treatment and improving outcomes for patients.   Podiatry has also benefited from close joint working with the Procurement Team. When an order for new podiatry drills was sent through with a quoted price of £97,500, Procurement investigated to see whether they could achieve better value. Jayne Norwood, who specialises in clinical procurement, took up the challenge. She researched the market, found a number of contracts with different NHS organisations that the Trust could use, and was able to negotiate on price. As a result of the work, the team saved £7,000 on the order and established an agreement which will enable them to purchase future products competitively and compliantly.

Board level changes Dr Peter Miller Executive Medical Director Peter has been appointed Associate Medical Director at NHS Midlands and East, for the East Midlands area. He will be working half the week there and half the week in his current role. This is a well earned promotion and we are delighted for Peter. It is prestigious for the Trust to have our Medical Director selected to be Associate Medical Director for the East Midlands area. Pete’s work on revalidation, quality and safety made him the stand out choice. We are also delighted he will remain our Medical Director with support from a team of colleagues who will step forward to make this a success all round.

Choir springs into song Janet Sheard Janet Sheard, Director of Nursing and Allied Health Professionals has announced her retirement from the Trust with effect from June this year. We only expected Janet to be with us for nine months but because of her extraordinary depth, experience and interpersonal resilience we managed to persuade her to stay two and half years! Janet has already made a fantastic contribution to the development and growth of Nottinghamshire Healthcare and we are sure by June there will be many more things to celebrate with her. A new Executive Director of Nursing, Quality and Patient Experience will be appointed in due course.

The Nottingham Hospitals’ Choir will be performing a spring concert on Saturday 24 March in support of Kinder (QMC Paediatric Renal Ward). The event will take place at 7.30pm at St Michael and All Angels Church, Church Street, Bramcote. Tickets are priced at £7 and can be bought on the door, through the choir’s website at or by calling 0115 939 9315. The Nottingham Hospitals’ Choir has been performing choral music for over 40 years and has presented many concerts and other choral events at a range of venues, raising over £200,000 for charity to date. The choir is currently looking for new members. Members do not need to be employed by the NHS, but must have a love of singing. For more information please send an email via the contact page on the choir’s website.

Farewell... Pat Harris Pat Harris retired from her role as Head of Occupational Therapy (OT) in December after nine years working at Wathwood Hospital. Pat’s career in OT began in London. After a break to have children she worked part-time as a lecturer at Derby School of OT. Later wanting to return to work full-time, Pat joined Nottingham Healthcare Trust as Head OT. At that time the service was suffering from high numbers of vacancies and poor morale, but Pat built it up. She was then appointed Deputy Clinical Director and had direct management responsibility for the perinatal psychiatry service, the psychological medicine service and the day hospital at QMC as well as the OT service. When Nottinghamshire Healthcare was created in 2001, Pat took early retirement with no thought of returning to work. Some six months later, however, her husband, Dr Mike Harris, persuaded Pat to visit Wathwood Hospital, knowing that they were looking for a head OT to help rebuild the service. Pat offered to join for six months to help get the service moving again. Nine years later she has retired for the second time. Pat has commented that these have been some of the best years she has spent in her career and a lovely way to finish a career which started as a basic grade at Shenley Hospital in 1969. We thank Pat for her work at the Trust and wish her a happy and healthy retirement.

Positive February 2012


Health promotion event a hit at Lindholme Doncaster’s HMP Lindholme held its most popular health promotion event to date in December. More than 165 offenders attended the sexual health event held in the prison library. The day was organised by Lindsey Woodhall, Healthcare Assistant, assisted by Bridie Wraith, Administrator to link in with World AIDS Day on 1 December 2011.

Patients picked up leaflets, visited information stands and talked to colleagues about sexual health. Many had in-depth discussions about infections and learnt about the testing process, and 37 patients requested a full screening. “We did have discreet packs available containing condoms and information but none were taken on the day,” said Anna Conway, Head of Offender Health. “We’ll now be making these

available across the site as I expect we may have patients popping in to ask for them. “We hold regular health promotion events at Lindholme, but 165 patients is our biggest ever turn-out. It’s great to see another successful event taking place here.” The event was supported by NVQ catering who provided buns with the World AIDS day ribbons on them to open up discussions with visitors. The G.U.M. team was unable to attend but helped with preparations. For more information contact Anna Conway on 01302 524655 or email l-r Bridie Wraith and Lindsey Woodhall

MHSOP leads on recovery in dementia A recent training day highlighted how new Department of Health guidance on recovery can improve the care of people with dementia.

Left to right: Deborah Thompson, Inpatients Services Manager, MHSOP; Jo Moriarty, Research projects – Kings College London; John Davies, MHSOP Discharge Facilitator; David Connelly, MHSOP Psychologist; Heather Maxfield, Operational Manager, MHSOP

Nottinghamshire Healthcare is the first NHS Trust to adopt the new guidance and Andrea Ward, General Manager of Mental Health Services for Older People, described how the directorate is moving to a more dynamic risk enablement model of care which encompasses the values of recovery. The training day was organised in conjunction with NICE and the Department of Health. Other speakers included Jo Moriarty, author of the Department of Health recovery and


risk enablement framework Nothing Ventured Nothing Gained. Jo spoke about how the lives of people with dementia can be improved by positive risk taking. The new guidance acts as a model of recovery for people with dementia, allowing them to remain as independent as possible for as long as possible. For more information email



q&a This issue we chat with CPA Lead Suzanne Foulk

q What is your job title and what

does your role entail? a CPA Lead, Local Services. Promoting the Care Programme Approach, training, education, documentation development with teams, monitoring quality through audit and monitoring follow up following admission.

q How long have you been with Nottinghamshire Healthcare? a Since 1995. q What do you see as your priorities for Nottinghamshire Healthcare? a Embedding CPA practice effectively across Local Services, working closely with others to support meaningful service user involvement in the CPA process, focusing on Recovery within CPA, reducing duplication and unnecessary bureaucracy. q What is your employment

background? a Before training as an Occupational Therapist I was previously a swimming

teacher and lifeguard. After qualifying as an OT, I worked in Adult Mental Health community teams for many years before becoming a team leader in 2002 and then going on to manage Crisis Home Treatment teams in 2003. I have been CPA Lead since July 2009.

q What is the best piece of advice you

have ever been given? a You always reap what you sow!

q What was the last CD you bought? a Adele. q What is your greatest achievement? a Being part of the winning Lifesaving

Swimming Team in the national finals when I was sixteen.

q What makes you angry? a Negative attitudes, poor work ethic and

inconsiderate drivers.

q What are you most passionate about? a My family.

q What single thing would improve your working life at Nottinghamshire Healthcare? a More hours in the day. q What is your favourite hobby? a Travelling. q What keeps you awake at night? a Nothing if I have written my list of

things to do. Too much red wine!

q What is your favourite film? a Bourne Identity. q What is your idea of bliss? a A hot summer day, BBQ-ing with

family and friends.

q What three words would you use to describe yourself? a Inclusive, motivating, sociable. q What is your favourite holiday destination? a Portafino in Italy q Who would you take to a desert island? a Peter Kay. q Where do you see yourself in 10 years’ time? a Travelling the world and enjoying life. q Do you have a ‘claim to fame’? a Well for me it was being Chair of SNAAC in 2011.

q How would you like to be remembered? a “She tried her best.”

Graduation success Three members of the Trust’s Infection Control team celebrated receiving their graduation certificates in Infection Prevention and Control in December. Natalie Murphy, Head of Physical Healthcare and Infection Prevention and Control Local Services, Fiona Hind, Infection Prevention and Control Practitioner, and Pixy Strazds, Infection Prevention and Control Nurse, were presented with their certificates at Leeds University on 15 December 2011. Congratulations to all three.

l-r: Natalie, Fiona and Pixy

Positive February 2012


Getting to know you


You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare NHS Trust is.

Sir Neil McKay, the Chief Executive of the NHS Midlands and East cluster, visited Nottinghamshire Healthcare during January to meet with the senior team and find out about the Trust, one of the largest in his new patch. Mike and the Executive Team spent the morning with Sir Neil and he enjoyed hearing about our core mental health and learning disability services, as well as contributing to an important discussion on the development of truly integrated services, for which the Team was joined by Alison Rounce and Kelvin Lim from our primary care partnership in the County. It was an interesting morning and we welcomed the opportunity to get to know Sir Neil a little more.

Tag rugby coaching An Olympic themed Tag Rugby Trust tournament is planned to be held in June at Duncan Macmillan House. In preparation for this, members of staff are being offered some free coaching from the experts to enable them to lead their own sessions in the run up to the tournament.

The course will be delivered by qualified RFU Coach Developers and RFU Community Rugby Coaches. Attendees will gain an understanding of the laws of the game, how to design matches and how to referee. There are two sessions available:

We provide integrated healthcare services including mental health, learning disability and community health services.

Sir Neil McKay

Tag rugby is a noncontact, fast-moving game suitable for all. For further information please contact James Routen, Health and Wellbeing Coordinator on 0116 2077802/7702 or Julie Royston on 0115 952 9488.

• Friday 17 February 2012 at Mansfield Rugby Club from 10am until 12noon • Tuesday 21 February 2012 at Rushcliffe Arena from 2pm until 4pm.

Joined up working gets results in Nottingham West Colleagues in Nottingham West Adult Services have developed a new approach to reducing unplanned hospital admissions for patients with long term conditions. A new model of care was developed in 2011 in which the GP practice and a community matron worked together as a community team focusing on long term conditions. Those patients most at risk of repeated admissions to hospital are now specifically targeted to receive the


new model of care. Their care is carefully coordinated between everyone involved and they are encouraged to remain independent and to manage their own care as far as possible. Community matrons and GPs now work together to set and review goals and outcomes for patients at risk of admission. Together they make sure appropriate care is always available and that patients receive the best possible care from all professionals involved.

As a result of the team’s work the average length of stay on the community ward for patients with long term conditions more than halved between the first half of 2010 and the first half of 2011. In the same time period referrals almost doubled and discharges also increased. For more information about the new model of care contact Claire Towne, Head of Adult Services, on 0115 8835209 or email claire.towne@nottshc-chp.

We also manage medium-secure units in Leicester and Rotherham, and the highsecure Rampton Hospital near Retford and provide healthcare in 12 prisons across the East Midlands and Yorkshire.


If you have any ideas or suggestions for the newsletter, please contact Suzanne Aitken in the Trust Communications Team on 0115 955 5403 or via email at We are always pleased to receive articles for possible publication, but ask that they do not exceed 300 words. Wherever possible when naming individuals, please include details of their job titles/roles and the organisation they are from. If any individuals other than yourself are mentioned in what you write or featured in accompanying photographs, please make sure you check with them that they are happy to be potentially featured. It is your responsibility to ensure this consent is given. Please send photos as separate image files and not in Word documents. Please note that the Communications Team has full editorial control and may have to edit articles appropriately. Therefore, if you want to see the final version please ensure you send your article in with plenty of time before the deadline and state clearly what you require. If you would like copies of any past editions of Positive, or if you are having any ‘distribution issues’ with the newsletter – whether you’re receiving too many copies, too few, or none at all – then please contact us. If you would like your story in the May issue of Positive, please contact us by 5 March 2012. However, due to space constraints we cannot guarantee the publication of all articles received by the deadline. Nottinghamshire Healthcare NHS Trust, The Resource, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA tel 0115 9691300

Printed on Cocoon · 100% recycled paper

Positive February 2012  

All the latest news from Nottinghamshire Healthcare NHS Trust

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