Positive May 2010

Positive May 2010 v3:twc news

30/4/10

16:38

Page 3

Images: © www.crocodilehouse.co.uk

Nottinghamshire Healthcare

NHS

NHS Trust

MAY 2010

about mental health and learning disability

Oh what a night!

First club night for people with learning disabilities is a shining success see page 18 TRAVELLING CIRCUS ONE STOP MOVE-ON SHOP LEADERSHIP CHALLENGE BROOMHILL’S GOT TALENT JUNIOR SCIENTIST AWARDS

Positive May 2010 v3:twc news

30/4/10

16:38

Page 4

MESSAGE FROM THE BOARD Welcome to this bumper edition of Positive. Following on from the achievements of staff and volunteers in the recent OSCARS, to whom I would like to add my own congratulations, there is currently much to be applauded across the Trust.

We are delighted to be moving further towards becoming equivalent to a Foundation Trust, and you can read more about our progress on the opposite page.

Staff have been sharing good practice at various conferences and gaining accolades for their work and achieving in their own professional development. The new service for young people with eating disorders and their families is providing much needed help and support and a year on from its

launch, the Working Age Dementia service continues to be in great demand.

Positive Goals is going from strength to strength with a new tournament planned this month and its spin off tag rugby league getting underway; I am sure it will be just as successful.

Last month I hosted a visit to Rampton Hospital by John Holmes, a presenter on BBC Radio Nottingham. John wanted to produce a programme dedicated to the Hospital so that listeners could begin to understand what it is really like and dispel some of the myths and preconceived ideas that people may hold. I was delighted to have the opportunity to explain to the general public more about the Hospital and the services we provide there.

John visited the women’s service, the new

Help on the road to recovery A pilot project where people who have had mental health issues support others in their recovery has begun in the Trust. The six peer support workers have been trained to visit inpatients in the acute mental health wards at Highbury Hospital and Queen’s Medical Centre on two afternoons a week.

The project, which will run for six months, is based on a similar model used in

Arizona. The aim is for the workers to share their experiences and give hope and encouragement to others. It also gives the peer support workers a chance to get into paid work and can help with their own continuing recovery.

been awarded £250,000 by NHS East Midlands to develop the service to include peer support workers in the community.

For more information or if you are interested in becoming a peer support worker, contact Beverley Johnson, Recovery Training was carried out Facilitator for Adult Mental with Making Waves, an organisation which develops Health City Services, beverley.johnson new ways to support people experiencing mental @nottshc.nhs.uk distress. The Trust has also l-r Lydia Morley, Beverley Johnson, Peter Robinson, Adam Childs

learning disability unit, a villa for mental health patients, the unit for the deaf and also witnessed patients taking part in therapeutic woodwork. He commented how privileged he felt to be given such an insight and found the experience fascinating. The programme aired on Friday 2 April and presented a good overview of the services provided within a high secure hospital, the high quality of the treatment and care given to the patients within a safe and secure environment, and the dedication of the staff. Thank you to everyone who took part. If you wish to listen to the programme, please contact the Communications Team.

Mike Harris, Executive Director Forensic Services

Trust leaders some of the best in the NHS Five of the Trust’s Executive Directors have been identified as among the top 250 leaders in the NHS. Mike Cooke, Chief Executive, Mike Harris, Executive Director Forensic Services, Ruth Hawkins, Executive Director Finance and Performance, Dr Peter Miller, Executive Director Clinical Governance and Medical Affairs and Rachel Munton, Executive Director of Nursing and Allied Health Professionals (currently seconded to NHS East Midlands) are all on the national NHS Top Leaders Programme.

The programme has been developed by the National Leadership Council (NLC) and aims to offer those with the most challenging and complex jobs in the NHS a development opportunity to enhance their leadership skills and prepare them for the challenges ahead. Organisations with excellent leaders deliver better results ie, better care for all.

The programme launch on Tuesday 27 April was hosted by Sir David Nicholson and Dame Barbara Hakin, with a personal endorsement from Sir David of

2

Positive May 2010 v3:twc news

30/4/10

16:38

Page 5

Travelling Circus On 19 March, the Perinatal Psychiatry Team hosted the first ‘Northern Travelling Circus’ to be held in Nottingham. ‘Travelling Circus’ refers to the clinical meetings held in turn by the various Perinatal Psychiatry Services across the UK, roughly divided into North and South Regions. The meetings focus on sharing good clinical practice and experience in managing difficult clinical problems in this sub-speciality.

Although aimed at mental health professionals working in the field of Perinatal Psychiatry, there is often a significant presence in terms of midwifery and health visiting professionals working with women with severe and enduring mental illness.

The day’s talk and workshops, given by various members of the Perinatal Psychiatry team and three visiting speakers, Dr Margaret Ramsay, Consultant in FetoMaternal Medicine, Dr Charlotte Porter, Consultant in Community Gynaecology and Dr Margaret Oates, Clinical Director of the East Midlands Managed Care Network in Perinatal Psychiatry, were well received.

Approximately 30 delegates attended and provided very positive feedback.

Since April 2008 the Perinatal Psychiatry Service has had a countywide remit.

Following Dr Oates’ retirement from the

service, Dr Neelam Sisodia has been the full-time Consultant in the team. With this increase in consultant sessions, and the additional sessions now available with Dr Ben di Mambro’s part-time appointment to the service in July 2009, there is now medical input available in the North of the county. In addition, there is the preexisting medical provision in the City and South county and the countywide specialised community nurse team. The Psychiatric Mother & Baby Unit, which has been housed on the newly refurbished

The Perinatal Psychiatry Service sharing good practice

A45 since 2007, continues to be a regional and at times, national, resource.

The service as a whole aims to provide high quality, joined-up care for women with serious mental illness from preconception through to the end of the post-partum year, wherever appropriate.

The referral criteria and Care Pathways are available by contacting the team secretaries at Queen’s Medical Centre, extension 61339, direct line 0115 9709339.

Equivalent of Foundation Trust Update Nottinghamshire Healthcare is moving further towards becoming equivalent to a Foundation Trust (eFT). This is a brief update on our progress.

Our application has been developed in partnership with the Strategic Health Authority (SHA) and the Department of Health (DH). We have undergone four major assessments in this time and the SHA and the DH now feel that we are ready to enter the final stage.

the quality of leadership at Nottinghamshire Healthcare. Mike Cooke and Catherine Conchar, Head of Equality and Diversity are also featured in the NLC’s first annual report as best practice examples of leadership in action.

A Monitor assessment team has been appointed and the final parts of the application process are being agreed. We are expecting the team to be arriving at the Trust early this month.

Look out for more on this and the launch of the NHS East Midlands Leadership Academy (EQIPP) which is hosted by the Trust, in the next issue of Positive.

We are delighted to have reached a public membership base of over 7500 and plan to use this valuable resource as a means of authentic engagement with our members.

The end of May will see three Communities of Interest set up and beginning to contribute to the way we shape our plans for the future.

Communities of Interest are formed by people coming together with a shared interest and understanding or passion who all work together to achieve common aims and objectives.

By the end of September the first Members’ Council meeting will have taken place following the election and appointment of all the staff and public Governor members.

If you are interested in standing for election to become a Governor member or for more information contact Tony Footitt, Company Secretary on 0115 993 4518.

Mike Cooke, Chief Executive said: “This is a big step for the Trust, I’m convinced we are ready for the assessment and keen to continue developing our services to benefit all who use them. We are committed to ensuring that we are successfully authorised, but at the same time we will deliver business as usual for now and in the future.

Our patients and delivering quality services remain our priority.”

Positive May 2010

3

Positive May 2010 v3:twc news

30/4/10

16:39

Page 6

l-r: Greg Finn, Consultant in Palliative Care, Nottinghamshire Community Health; Karen Moore, Community Learning Disability Nurse, Nottinghamshire Healthcare NHS Trust; Mike Sergeant, Mental Capacity Act Practitioner NHT; Debbie Abrams, General Manager, Community Learning Disability Directorate NHT; Kerry Harrison, Community Learning Disability Nurse, Nottinghamshire Healthcare NHS Trust; Sue Read, Reader in Learning Disability, Keele University; Dr Richard Lansdall-Welfare, Clinical Directorate, Community Learning Disability Directorate, NHT; Claud Regnard, Consultant in Palliative Care Medicine and Visiting Professor of Research (Northumbria University)

End of Life Care More than 100 delegates met in February to discuss the sensitive and thought provoking topic of end of life care for people with learning disabilities in Nottinghamshire.

The date was perfectly timed to share the recently published ‘Nottinghamshire End of Life Pathway’ and also the Trust’s own documents that people can use to help them with choices for future care and how to be clear about treatment they don’t want when they are ill. The Trust

Delegates heard from a host of national and local expert speakers about the difference between distress and pain and how difficult it is to ascertain that difference. Professor Regnard shared his research and a tool he had designed to help identify this in people with severe communication difficulties. Sue Read spoke about her work developing a best practice guide to end of life care for people with a learning disability that had been published by MENCAP. The most memorable part of the day were two stories of end of life care presented by local community learning disability nurses Kerry Harrison and Karen Moore. Both illustrated how important it is for services to work

Ward B2 and Bassetlaw Mind

Due to the dedication and positivity of ward staff, Mind volunteers and service users, the group has gone from strength to strength, promoting the use of the Recovery model and social inclusion through discussion and fun activities such as bowling, bingo, board games and quizzes.

Over the past year, a link has been forged between Ward B2, an acute ward at Bassetlaw Hospital, and the charity Mind, via the joint facilitation of a social group.

The group is held once a week on Friday afternoons, and has had a fantastic response from service users leading to attendance at Mind groups in the community upon discharge. Members have commented that: “The group is enjoyable and lots of fun, with lots of different activities, to participate in” and “The group has helped to build up my self esteem and confidence. A great big thank you to staff and volunteers.”

The group, ‘HOPE’, named by service users and Mind volunteers, aims to provide a setting for patients to make links with a community organisation independent of the NHS in an accessible, safe and supported way. This can help to increase and rebuild confidence in social settings and promote social interaction.

4

documents were developed and launched

by Mental Capacity Lead Mike Sergeant.

HOPE has been coordinated and facilitated on the ward by three members of staff; Marcia Ribchester, Lead Coordinator,

together, and also what a lot of learning remains for some organisations to be able to deliver a quality service to people at the end of their lives.

Dr Greg Finn and Dr Vincent Crosby skilfully explained the Nottinghamshire End of Life Pathway, the complexity of identifying when people are approaching the end of their life and the issue of advance care planning, including advance decisions to refuse treatment.

The day concluded by looking at how to manage pain in the last 48 hours including anticipatory prescribing to achieve effective symptom control.

The event itself was co-chaired by Debbie Abrams General Manager of the Community Learning Disability Directorate and Dr Richard Welfare, Clinical Director.

Bill Crowson and Deborah Beverley.

Marcia has recently accepted an invitation from Bassetlaw Mind to become a member of their Board of Trustees. She said: “This is a wonderful link and I feel very honoured and privileged to be able to promote and be included in the Recovery process. Celebrations will take place for the group’s first anniversary. Here’s to another twelve months of HOPE.”

Positive May 2010 v3:twc news

30/4/10

16:39

Page 7

HIS update: Health Informatics supporting smart working Health Informatics is working with the Local Services Division to 'mobilise the workforce' in support of modernising Nottingham City Community Adult Mental Health (AMH) Services; this will see a more flexible use of community team bases by staff.

The primary driver is the closure of Rosebery House and Regent Street, consolidating staff at Stonebridge in a 'Smart-Working' environment based around ‘hot-desking’ in Stonebridge and mobile computing when working in the community.

The smart working approach has been trialled with community staff in Bassetlaw, providing valuable feedback to inform the Stonebridge work. In addition advice and guidance has been provided by British Telecom who have supported the Trust in discovering what they need to do to change working practices and how they may do that.

Below is a summary of the key components: • Notebook PCs provide a lightweight yet reasonably durable device for staff to access the RiO patient record system

L-r, Sue Hallam, Acting Volunteer Coordinator Mind, Nicola Rae, Centre Coordinator Mind, Marcia Ribchester, Link Coordinator and Facilitator, Ward B2, Brian Doxey, Centre Coordinator Mind and Liz Daniels, Manager, Bassetlaw Mind.

when working on Trust premises through a wired or wireless connection or through the Mobile networks when in the community.

• Networked multifunction printers installed at Stonebridge together with ‘easy access’ software management provide secure, accountable printing for Trust staff. This system allows users to easily select a printer when they change physical location reducing support calls and enabling users to see the cost of their printing.

• The plan will incorporate the introduction of Unified Communications (UC) where the current data network will be used to carry voice traffic as well as data. The system will enable mobility extension giving staff the ability to ‘login’ to any enabled phone which would then answer on their direct-dial extension number. Ultimately, administrative staff will be able to track and forward calls onto staff irrespective of their physical location.

• In order to ensure ‘hot-desks’ and meeting room facilities are available when needed, an online facilities booking system will be implemented.

The preferred solution has been

Staff Survey – the results are in!

During October and November last year we participated in the 2009 National NHS Staff Survey. We are now in receipt of the survey analysis and the results show a generally positive response. The National Staff Survey was structured around the four themes of the staff pledges, with an additional two themes of staff satisfaction and equality & diversity.

A random sample of 850

specifically developed for the healthcare market and is in use with Torbay Care Trust. This is based on SharePoint 2007 and seen as a key enabler to drive the SharePoint 2007 system into common use in the Trust.

• To keep travel costs and time down video conferencing facilities will be installed at Stonebridge linking to QMC. The units chosen are at the lower end of the price scale and based on existing Trust technology. This is seen as a good exploitation of the technology HIS has already developed over the last two years.

Whilst this deals with the technology there must also be a more efficient use of the Electronic Patient Record. The HIS has engaged with a new Local Services Clinical Records Committee to determine the clinical priorities for developing RiO. These are letters easily and directly created and referenced in RiO, CPAs in RiO and then Risk Assessments in RiO. Clinical noting has not been forgotten and needs to run alongside these requirements in Local Services. At that stage the Trust will be in a position to start to move towards a paper light position and fully exploit mobile ways of working and enhance patient care.

The Trust would like to take this opportunity to thank all staff who contributed to the survey and took the time to return a questionnaire. It is through this kind of feedback that we can make improvements to our working environment.

senior management and staff; • Percentage of staff who would recommend the Trust as a place to work or receive treatment; • Work pressure felt by staff [the lower the score the better]; • Numbers of staff intending to leave their posts [the lower the score the better]; • Percentage of staff having equality & diversity training in the last 12 months.

We scored in the top 20% of Mental Health & Learning Disability Trusts in: • Percentage of staff using flexible working options; • Percentage of staff receiving health & safety training in the last 12 months; • Impact of health and well being on ability to perform work or daily activities; • Communication between

From the analysis received the Trust will take this opportunity to develop an action plan, with key working groups, to further improve on the areas where we compare less favourably with other Mental Health and Learning Disability Trusts. The survey results and more information can be found on the Care Quality Commission website.

individuals were selected to participate, from this 515 staff returned a questionnaire, which resulted in a 61% response rate.

Positive May 2010

5

Positive May 2010 v3:twc news

30/4/10

16:39

Page 8

Many happy returns to the Working Age Dementia Service

The Trust’s Working Age Dementia Service has celebrated its first birthday and an overwhelmingly successful 12 months.

Individuals are being seen more promptly thanks to a care pathway enabling timely access to assessment, diagnosis and ongoing intervention. The ground breaking service is for anyone below the age of 65 who has a suspected or established diagnosis of dementia. Other terms commonly used to describe the condition are ‘younger people with dementia’, ‘early onset dementia’, and ‘working age dementia’.

In the year since 1 April 2009, the service received over 300 referrals, almost double the predicted number envisaged, evidencing a clear demand for this service. The service continues to receive a steady flow of referrals mainly from primary care and currently there are 181 clients on caseload. 119 clients have been discharged either due to them completing their current treatment episode or where the diagnostic clinic has been able to determine an alternative

Research Trial recruiting The Mood Disorders Randomised Clinical Trial within the CLAHRC NDL (Collaboration for Leadership in Applied Health Research and Care – Nottinghamshire, Derbyshire and Lincolnshire) supervised by Prof Richard Morriss is now recruiting.

6

development to ensure that it met their requirements. They include Jim Radburn, who following the death of his wife from early onset dementia, campaigned passionately for the service and has remained a staunch supporter of it.

diagnosis for their memory problem e.g depression or a neurological condition.

The city and countywide service was developed within the Mental Health Services for Older People (MHSOP) Directorate in recognition of the different needs and requirements that people below the age of 65 have compared to older people with the condition.

The service is dedicated to improving social inclusion and providing a recovery model (i.e. living well with dementia), empowering individuals to play an active part in managing their care needs.

The birthday was celebrated with a gathering at Café Art, Duncan Macmillan House on 14 April where a commemorative cake was cut by Jim, Tracey Wilkinson, OT Consultant and Simon Smith, Executive Director, Local Services. Tracey and Jim spoke of their involvement and how pleased they are with the success of the service, while Simon echoed these sentiments and congratulated and thanked everyone involved.

Tracey said: “We are delighted with the performance of the service over the past year and the way it is making a difference to people’s lives. I want to thank everyone involved and especially the service team who have worked so hard and shown great commitment to provide a high quality service we can all be proud of.”

Top: Jim Radburn and Tracey Wilkinson cut the cake.

Below: l-r Jim Radburn with the WAD team Rebecca Saunders, Rachel Thorpe, Tracey Dabell, Tracey Wilkinson, Dr Jennifer Ditchfield, Jayne Morecroft, Jayne Johnson.

Service users and carers also had a great influence in the service’s creation and were involved in its

This five year research project is evaluating a new way of delivering specialised treatment for people with depression. A new Specialist Mood Disorders Team has been developed to provide this care. The treatments offered within the specialist depression service will be delivered in a stepped care model following NICE guidance for the treatment of depression.

These will be a combination of evidenced based medication

and Cognitive Behavioural Therapy treatments.

The study is not investigating any specific treatment but instead the overall usefulness of coordinated care offered by a specialist depression service.

Any adult patients with current chronic depression (continuous treatment with little improvement over past 6 months) who are currently

under secondary care are eligible for the study. Referrals from any mental health clinician will be accepted. If patients self refer, suitability for the project will need to be checked with their primary clinician.

To refer please contact Sandra Simpson (0115 823 1284 or 07771 944659, sandrasimpson1 @nhs.net). Alternatively the research team can be contacted on 0115 823 2478.

Positive May 2010 v3:twc news

30/4/10

16:39

Page 9

One Stop Move-On Shop Occupational Therapists based in Acute Adult Mental Health Services in Nottingham celebrated the establishment of the Acute Recovery Team in Nottingham with a ‘One Stop Move-On Shop’ on 22 February at the Queen’s Medical Centre.

The Acute Recovery Team is being developed

by Occupational Therapists Margaret Cheetham, Sarah Hammond, Paul Fitchett, Sonia Moratto and Viv Kilbourne. The team aims to support people’s recoveries from acute mental health experiences, regain stability in their lives and facilitate effective discharge. People can attend whilst on the ward and continue their treatment post discharge as well as accessing the service through the Crisis Resolution and Home Treatment Teams.

The Team also provides Recovery focused groups and approaches to support alternatives to hospital which focus on the importance of regaining an ordinary life including structure, a valued role and purposeful activity, alongside respect for individuals.

The ‘One Stop Move-On Shop’ event focused on recognising and celebrating individuals’ Recovery journeys and strengthening the partnerships between in-patient and community based services.

The event was provided for people who experience mental health distress, their family, friends and staff. It provided opportunities to gather information and sign up for support from the Trust’s Social Inclusion and Community Arts and WellBeing services, education, volunteering and employment opportunities offered by Framework and Nottingham Women’s Centre, day resources provided at Amity, Open Door and Middle Street Resource Centre, Advocacy, Making Waves and Spiritual and Pastoral Care.

l-r Paul Fitchett, Margaret Cheetham, Mike Cooke, Sarah Hammond, Viv Kilbourne

Mike Cooke opened the event with an inspiring account of his personal recovery journey and the Trust’s Recovery approach. A number of people currently receiving care from our services took the opportunity to speak with Mike after his presentation.

There was an overwhelmingly positive response from everyone who attended from around Nottingham and Millbrook.

Those providing information also valued the opportunity to network with each other. The Occupational Therapy and Acute Recovery Teams plan to run similar events in the future.

‘Hand in Hand Fighting Infection Together’ Throughout February and March, the Trust supported NHS East Midland’s ‘Hand in Hand, Fighting Infection Together’ campaign, which aims to reduce healthcare associated infections by raising awareness of infection prevention and the importance of hand hygiene.

As part of the campaign, a ‘true/false’ quiz machine, challenging assumptions about antibiotics, hand hygiene and cleanliness, toured the region, and was on display in the Millbrook Mental Health Unit reception area on Saturday 6 March. Campaign materials were also distributed across Trust inpatient areas.

Fiona Hind, Junior Matron Infection Prevention and Control, said: “Reducing the spread of infections and ensuring that people receive their care in a clean environment is of the utmost importance. The campaign provides an important opportunity to raise awareness of how to reduce the spread of infection and the steps that can be taken to achieve this.”

Fiona with the quiz machine

Positive May 2010

7

Positive May 2010 v3:twc news

30/4/10

Nice Try! Fancy joining the scrum?

You could get your chance as the Trust breaks new ground, starting the UK’s first mental health rugby project, in partnership with the Rugby Football Union (RFU) and Notts County Council.

Taster training sessions for

16:39

Page 10

the new up and coming tag rugby festival in September – named Nice Try! – have been underway since January.

“Our findings have been really exciting,” said Lisa Evans, a health promotion lead and fitness instructor, who helped get the league off the ground. “People who wouldn’t normally engage with physical exercise have been coming along every week and getting involved.”

One participant, who is obese, has lost half a stone and drastically reduced their blood pressure in the few weeks the project has been running.

Tag rugby is a non-contact variant on the traditional sport, where players wear a Velcro belt, and tear off strips – or tags – to indicate a tackle.

RFU coach Stuart Bell explained the particular suitability of rugby to improvements in mental health. “Tag rugby attracts people who aren’t necessarily agile enough to play football,” he said. “It really is a game for everybody. The emphasis in tag is having fun.”

But there’s more than just the physical exertion to consider, Mr Bell said. The particular ethos of rugby helps promote team spirit, discipline and respect, both for match officials and other players.

“There’s no arguments with

Positive Goals BIG changes are afoot in Nottinghamshire’s premier mental health football league – all culminating in a football festival to round off the season this month.

The Positive Goals league is now being overseen by Notts FA with support from Notts County Council, and more than £3,000 has been invested in brand new strips for each team.

“It’s going from strength to strength,” said newly appointed League Chairman Paul Farrell. “Exercise is good for everybody and a lot of people watch and play football. It brings communities together, and the league is a perfect model of that.”

Kev Sanders, FA disability football development officer with Notts Disability Football Focus, explained some of the plans in the pipeline: “We are looking to make the league more East Midlands-wide, and we’re looking to get some sponsorship. The league is

8

moving towards ‘charter standard’, which means we have adopted the FA’s official guidelines. It gives us a higher standard to aim at, and promotes that proper football feel.”

the referee in rugby. It’s all about fair play. It’s like Jonny Wilkinson says,” he added, “it takes 15 players to score.

You’re only as strong as your weakest link.”

Participant Phil said that the sessions provided a boost in motivation and energy levels, and provided something to look forward to. “I didn’t think I would enjoy it. I was never into rugby before,” he said, “but I’ve found that I really like it. It gets you out of bed and moving around, and you feel refreshed afterwards. You feel inspired to do other things.”

For more information on the Nice Try festival and if you wish to have a taster session set up for your service, please contact: Anders Carrington on 0115 9772 315 or anders.carrington@nottscc. gov.uk or Michael Osborne, on 07890 871769 or mike2osborne@yahoo.co.uk

contact Kev Sanders on 0115 9837415, Anders Carrington on 0115 9772315 or Michael Osborne on 07890 871769 or mike2osborne@yahoo.co.uk.

League Standings as of 5 March 2010

At the centre of the FA’s guidelines is the Respect Programme, which emphasises cordiality and professionalism between rival players, and toward referees. Players will soon be able to take advantage of official coaching and refereeing qualifications that will help them develop their own skills, and stand the next generation of players in good stead.

“It’s turning into a thing all of its own.

We just don’t know where it could end up – the sky is the limit,” added Paul Farrell. “Now it’s all on a firm footing, and next season we can ask ourselves ‘what’s next?’ Maybe in a few years we might see a mental health world cup!”

The festival will take place on Tuesday 25 May at Arnold Town FC. More players are welcome, both individuals and teams. For more details,

Middleframe United – 23 points The Equals – 18 points Millennium Falcons – 16 points Trent Titans – 16 points Rowan Rovers – 13 points Mapperley Rangers – 10 points Flexible Rangers – 10 points Stonebridge Rovers – 2 points

Positive May 2010 v3:twc news

30/4/10

16:39

Page 11

Command and Control

“It will never happen in the East Midlands...”

Professor Mike Cooke welcomed over 100 Trust Staff and colleagues from NHS organisations across the region to the Trust’s second annual Emergency Planning Conference on 22 March 2010 at the Council House in Nottingham.

The focus of the event was the current SEVERE threat that the United Kingdom faces from international terrorism in the form of a Chemical, Biological, Radiological or Nuclear attack.

The event featured a variety of presenters from partner agencies including a Counter Terrorism Advisor from Special Branch, Nottinghamshire Police who explained the UK Counter Terrorism Strategy (CONTEST), a Senior Paramedic from East Midlands Ambulance Service outlining the role of the Hazardous Area Response Team, a team from the Department of Communities and Local Government talking about decontamination, identification and monitoring equipment. Also, the Head of NHS Security Management outlined the

Peaks Education Presentation Event The first ever Peaks Presentation Day was held on 8 January, giving Peaks’ patients, and their invited guests, the opportunity to celebrate their educational achievements from the 2009 modules.

In recognition of this, the 27 patients selected all received certificates, ranging from 100% attendance to Open University achievements. The Awards were presented by Sarah Spurry, Development Advisor from the Learning

Lockdown procedures to secure premises in an emergency that all NHS Trusts are currently preparing and the launch of Exercise Prometheus that will test these plans later this year.

Delegates also learned how to recognise a suspicious mail item and the need for vigilance in spotting unusual or out of place packages or parcels in or around Trust premises.

“Whilst it seems that this kind of severe attack only happens in large cities like London, the threat to cities in the East Midlands is very real” said Janet Sheard, Executive Director, Nursing and Allied Health Professionals, who facilitated the day. “This conference aimed to ensure that our Trust and our local colleagues are fully prepared to respond to such a rare attack. We can also reassure the public that we have robust plans in place should we ever need to act upon them.”

Caroline Brookes (left) and Janet Sheard (right) with members of the Detection, Identification and Monitoring (DIM) Team and Hazardous Area Response Team (HART), l-r Martin Ellis, Dean Dagley, Kevin Cleary, Dave Broughton

and Skills sector. The event was supported by Peaks’ staff as well as Michael Osborne, volunteer and service user representative. For many patients the event was very moving as it formally recognised their hard work and commitment to learning.

Sarah and Michael

The UK Metropolitan Police created a hierarchical three tier Command and Control structure for managing sudden events in 1985, following a serious riot in North London. This system is still used today by emergency services, NHS organisations and Local Authorities when managing a major incident or disaster.

A similar Command and Control structure is being introduced across the Trust for the management of any event that cannot be dealt with by using normal day to day arrangements. This could be as the result of a fire, explosion, release of hazardous substances, adverse weather conditions, loss of utilities or the outbreak of infectious disease and may involve support from the Police, Fire or Ambulance.

GOLD (Strategic) Command is the senior tier of incident management led by the Executive Director on Call. GOLD command is based offsite at a control room and will formulate a strategy for dealing with the incident.

SILVER (Tactical) Command is likely to be led by a General Manager. SILVER will determine the tactics to be used to achieve the strategic aims of GOLD and will be based close to the scene of the incident. SILVER determines priorities in planning and co-ordinating the Trust’s overall response but will not be directly involved in dealing with the incident.

BRONZE (Operational) Command will be appointed by SILVER to directly control the Trust’s resources at the incident. There may be more than one BRONZE team and they could be led by a Ward Manager, Deputy Ward Manager or Nurse in Charge.

During Command mode, all Trust staff will be expected to comply with instructions and directives from the Command Teams in order to bring the situation to a safe conclusion. Using this universal structure ensures all agencies involved are better able to communicate with each other and understand each other’s functions and authority.

More information about major incident planning can be found on the Emergency Planning pages of the Trust intranet, or by emailing the Head of Emergency Planning at Emergency.Planning@nottshc.nhs.uk

Positive Positive January May 2010

13 9

Positive May 2010 v3:twc news

30/4/10

16:39

Page 12

Lifelong Learning and Empowerment in Mental Health In February Sue Atkinson, Learning Advisor with the Social Inclusion and Wellbeing Service, attended this exciting and inspiring international conference in Paris, organised by the EMILIA Project Consortium. Sue presented a paper on ‘Professionals Perceptions of the Obstacles to Education for People Using Mental Health Services’, cowritten and researched locally with Carole Bramley and Professor Justine Schneider, part of the Education Managed Innovation Network.

The conference explored developments and new approaches to social integration and inclusion, focusing on the person living with mental ill-health.

Themes of recovery, empowerment, selfcare, peer helpers and health professionals with mental health problems themselves, along with trends surrounding learning and employment throughout Europe and across the World, were represented. It was strongly felt that Recovery initiatives should not be organised and delivered solely by

HSJ Leadership challenge success The Trust was a sponsor of The HSJ Mental Health Leadership Challenge held on 2 March, and entered two teams to take up the challenge; one from Local Services and one from Forensic Services, coming in first and second place respectively.

The interdisciplinary teams of six people each included a service user and were tasked with taking on the role of a fictional Trust Board for the day. The challenge was to create a realistic and sustainable strategy for mental healthcare provision, whilst managing a number of unforeseen events occurring throughout the day. The day culminated in a presentation to a group of assessors acting as an Overview and Scrutiny Committee.

The County Acute Care Pathway team won the innovation award and was

10

initial results of the EMILIA Research Action Project which involved 16 partner sites in 12 European Lifelong Learning Conference countries between 2005 and 2010. This is a lifelong learning programme which has developed 11 different training modules for the purpose of improving the knowledge of people using mental health services around their own mental health disorders, boosting their selfconfidence and self-esteem.

The modules were developed mental health service professionals with the active participation of the and that collaborative approaches individuals themselves. Outcomes were vital. While mental health included new strategies for the joint professionals could not empower training of professionals and people using individuals, since this power comes mental health services on how to live from the individuals themselves, they with mental ill-health. Lifelong learning are able to disempower them, and that programmes designed and run by people partnership rather than simply the using mental health services for other involvement of people using mental service users were also developed. They health services is the way forward. can be found and used free of charge on the EMILIA training website The conference also presented the www.emiliatraining.net.

commended for their strategy which outlined plans to redesign older people’s services, palliative care and combined mental health and physical health services for the fictional Trust.

Sam Eagling, Service Manager – Acute Care Pathway (County), who was part of the team said: “It was a tough and very challenging day so we were very proud to win the award. We had a great team and the challenge helped raised our awareness of leadership skills and working under pressure. The experience we gained will enhance how we work together and think about service provision in the future.”

challenges of the day. We produced a strategy for our fictional trust, dealt with emergencies and participated in press conferences. Whilst the day was full on and hard work it was an enjoyable learning experience. We were pleased to come second and would recommend the experience to others.”

The event facilitated new and innovative ways of developing leadership skills and insights into working collaboratively and showed that service user involvement can lead the way to improving services.

There was the opportunity to share the learnings of the day with other teams and to benefit from the assessors’ feedback. The teams are looking Diana Brennan, Therapies and forward to applying this in their day-toEducation Department Manager, Rampton Hospital, was part of the team day activities. representing Forensic Services. She said: The Trust was invited to provide an “The Forensic Team was drawn from assessor for the day and Kieron Murphy, across the division from different National Programme Lead, World Class professional groups. The team soon bonded despite meeting each other for Commissioning Mental Health, kindly agreed to do this on behalf of the Trust. the first time and rose to meet the

Positive May 2010 v3:twc news

q

30/4/10

Page 13

q&a

What is your job title and what does your role entail? a I am a band 3 Healthcare Assistant, although my official title is Clinical Support Worker Higher Level, but that sounds a little elitist to me, so I prefer Healthcare Assistant. I work on the new 136 Cassidy Suite at the QMC. My role is to assist the qualified staff in arranging Mental Health Act Assessments on people detained by the Police under their power of detention under the Mental Health Act, Section 136.

My role is to assist the qualified nurses in looking after the detainee’s needs, whilst they are on the unit. This includes monitoring and reporting on their physical and mental state whilst on the unit. I also assist other areas when we have no detainees on the unit. It can be quite a varied role, which involves working at different units throughout Nottingham.

q

How long have you been with Nottinghamshire Healthcare NHS Trust? a I have worked for Nottinghamshire Healthcare for approximately 5 years. I first worked for the Trust back in 2001, for about 3 ½ years, then due to a personal crisis had to leave to work in the private sector. I returned to the Trust on 2 January 2009.

q

What do you see as your priorities for Nottinghamshire Healthcare? a To provide our patients with the best possible care, which will give them a positive experience of the Trust and enable them to have a better quality of life, both in hospital and in the community.

q

16:40

What is your employment background? a I worked for many years, far too many to wish to remember, in Lace factories. I left school in 1978 with few qualifications and there was few opportunities open to me, so The Lace trade it was, right up until 1999. The trade had seen many changes over this time and was now in decline, so I started to look for other opportunities. I was keenly involved in motorcycles and had ridden bikes for many years, so decided to take out a small loan and start up a business doing custom paintwork on motorcycles. This led to opening a shop for accessories and then to an import business, involving importing and distributing crash helmets. Unfortunately this over stretched the business and our competitors took the opportunity to put us out of business. For a

This month we talk to Healthcare Hero NHS Employee of the Year finalist Phil Flanegan

short time I spent time working for driving agencies and then my girlfriend introduced me to 24/7 nursing agency, for whom she worked. I have been working in mental health ever since.

q

What is the best piece of advice you have ever been given? a I have had so much good advice over the years, that it would be very difficult to choose, but possibly the most influential piece of advice would be to apply for my Nurse Training, which I have done and hope to start in September 2010.

q What is your favourite hobby? a Scuba Diving. q What keeps you awake at night? a Nothing much, I sleep like a log.

Although I do tend to work a lot of nights, so night shifts keep me awake at night I suppose.

q What is your favourite film? a Avatar 3D. Absolutely fantastic. q What is your idea of bliss? a Hot sunshine, tropical beach and a cold drink.

q What was the last CD you bought? a I don’t buy many CDs, but I was bought a couple at Christmas. One was a compilation album of 80s Electronica; very good, with loads of Human League, Soft Cell, Ultravox etc.

q What is your greatest achievement? a Being a finalist in the NHS Employee of the Year 2010.

q What makes you angry? a Discrimination of any kind. I hate to see people discriminated against for any reason, we all deserve a fair crack of the whip, so to speak.

q What are you most passionate about? a Sad I know, but my work is one of the

q What three words would you use to describe yourself? a I try not to describe myself as anything, let those who know me be the judge of that. q What is your favourite holiday destination? a The Maldives. Absolutely stunning.

Went there for my honeymoon 5 years ago. I would love to return. q Who would you take to a desert island? a Probably someone who could cook well and had a boat, so we wouldn’t be stranded there for too long.

most passionate things in my life. I love my job and find it difficult to switch off from at times. I also love Scuba Diving, but don’t get the chance to go diving often enough.

q Where do you see yourself in 10 years’ time? a Preparing for retirement. I am 48 now and will only have 7 years left by then.

q What single thing would improve your working life at Nottinghamshire Healthcare? a We could all argue for better pay, but that would be unrealistic. I guess the one thing that would improve my working life, would be a better funded NHS in general.

q Do you have a ‘claim to fame’? a I once ate breakfast with Hulk Hogan in Florida.

q How would you like to be remembered? a With fondness.

Positive May 2010

11

Positive May 2010 v3:twc news

30/4/10

16:40

Page 14

Sharing Good Practice Day The Sharing Good Practice Day was held at Rampton Hospital on 18 November 2009 and was chaired by Dr Manjit Gahir. The theme of the day was ‘The Assessment and Treatment of Deaf Sex Offenders’ and there were attendees from Rampton Hospital, St George’s Healthcare in Oldham, Alpha Hospital in Bury and St Andrew’s Hospital in Northampton.

Visitors also came from HMP Whatton in Nottinghamshire, which is the regional sex offender prison and provides group therapy for four deaf sex offenders.

The day began with a brief presentation by Dr Simon Gibbon about the new medium secure deaf service which is due to open at St Andrew’s Hospital in January 2011.

The unit aspires to have up to 50% deaf staff and was commended for this, although it was noted that all of the deaf services are struggling to find trained deaf staff.

The keynote presentation was by Nick Horn and Will Hough from Alpha Hospital supported by Trevor Borthwick-Hare. This was a mixture of research presentation, clinical experience and role play, which highlighted the complexity of assessing deaf sex offenders due to their complex language needs. Their presentation was very well received and resulted in a great deal of (sometimes heated) discussion. Overall, the day was regarded as a great success.

In print A paper jointly written by Dr Irene Cormac, Consultant Psychiatrist, Rampton Hospital, on a survey of standards for carers in Forensic settings has been published in The Psychiatrist.

The work is part of a series of leaflets from the Royal College of Psychiatrists’ Partners in Care campaign.

The leaflets and more information about the campaign can be found on the Royal College of Psychiatrists website www.rcpsych.ac.uk/campaigns.aspx

Eating Disorder Service for young people officially launched An Eating Disorder Service for young people up to 18 years of age in the south of the county was officially launched on Tuesday 9 March. The service, which is delivered by the Trust’s Child and Adolescent Mental Health Service (CAMHS), has been operating since October 2009.

The event, held at Nottingham Trent University Djanogly International Centre was attended by more than 60 people including Trust staff, service users and carers. Simon Smith, Executive Director: Local Services opened the event which featured contributions from the service team, accounts of personal experience from service users and the opportunity for questions and discussion. The guest speaker on the day was Rachel BryantWaugh, Consultant Clinical Psychologist, Joint Head of Feeding & Eating Disorders Service, Great Ormond Street Hospital, London.

The service team works with young people and their families by taking a multi-disciplinary approach, involving the expertise of a Consultant Psychiatrist, Nurses, Specialist Clinicians, Cognitive Behavioural Psychotherapists, Systemic Family Therapists, Psychoanalytic Psychotherapists and Dieticians.

Each young person referred to the service has a treatment package tailored to suit their Rachel Bryant-Waugh

12

needs which is regularly reviewed as part of the Care Programme Approach Pathway. Treatment will begin to address possible reasons behind the young person’s struggles with eating, and work towards improving their relationship with food.

Lynne Addicott, Eating Disorder Clinical Development Lead, CAMHS said: “Eating disorders can affect many areas of a young person’s life and that of their family. They not only impact upon physical health, but also psychological wellbeing and can affect social functioning, education and family life. Research has shown us that the most effective way of helping a young person overcome an eating disorder is by using a multi-disciplinary approach to address this variety of psychological and physical implications.”

There are three main types of eating disorders; Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not Otherwise Specified. Eating disorders are common and can range from relatively mild to extremely severe and can be life threatening.

The new service works closely with the Adolescent Inpatient Unit at Thorneywood, and other partners including family doctors (GPs), Community Paediatricians, Paediatric Liaison Psychiatry and Paediatric Physicians at the Queen’s Medical Centre, Nottingham.

The Trust’s eating disorders service for young people and their families in North Nottinghamshire was launched in November 2009.

Positive May 2010 v3:twc news

30/4/10

16:40

Page 15

Broomhill’s Got Talent Last year Broomhill House rehabilitation unit in Gedling invited staff, clients and friends to showcase their talents and be entertained at their own talent contest. Many acts took part, ranging from stand-up comedians to DJs and dancing dogs. The night was a great success and much entertainment and buffet food was enjoyed by all.

The acts were judged by staff members from Broomhill and Framework along with one of the carers and all three were impressed by the level of talent shown.

• Daniel Bissessar was first up on the decks and played a medley of his own tracks.

• Broomhill’s own Beverley Stewart had the audience in stitches with her comedy sketch.

• Frederick Leonard from Macmillan Close rapped his way to great applause from the crowd • Kirsty Bradbury played her flute, putting the audience in the festive mood with Christmas songs.

• Carl Smart played his saxophone with impressive enthusiasm.

• Laura Ingleson and Maggie McKeon sang ‘I know him so well’ from the musical ‘Chess’, bringing some of the audience to tears with their harmony.

• Phil Newbury showcased his talent by playing Spanish guitar.

• Talulah danced in circles round Angela Purdue showing that dogs really can dance too.

• Pat Stewardson from Framework gave a powerful rendition of ‘Wild thing’.

• Alex Bown performed a selection of hilarious jokes.

Stuart Vanner won the trophy on the night, reading a beautiful poem which he had written himself.

The talented group at Broomhill with Stuart and his trophy

Could I but harbou r a feeling

By Stuart Vanner Could I but harbour a feeling, Tie it down so it would n’t escape.

Could I but box a sen sation, And wrap it in sticky tape.

Could I but organise my mind, Put memories in some sort of order.

Could I but spend the rest of my life In excitement and aw ay from boredom.

Could I but like worki ng, Then I would apprecia te rest.

Could I but feel elatio n, Without later being dep ressed.

Could I feel pure conten tment, Undiluted by fear an d hate.

Could I but sail from pole to pole And not once be made to wait.

So could I but harbour a feeling.

O, joyful feelings let me harbour thee, And when I have harbo ured these feelings I hope that you shall sail with me.

NHS Leadership Awards 2010 – nominate now You may be aware that Mike Cooke was named runner up in the inaugural NHS Leadership Awards last year.

Nominations for these prestigious awards for 2010 are now being sought and we hope that Mike’s achievement will inspire others to nominate their peers.

Nominations are open to everyone working for, or on behalf of, the NHS in England. This is your opportunity to champion the best leaders around you, at every level. For further information visit www.nhsleadershipawards.nhs.uk

New joint clinical director appointed Dr Michele Hampson and Dr Bert Park have been appointed as the joint Clinical Director for Adult Mental Health services in Nottingham City. Bert and Michele both have well established local, regional and national reputations in their respective fields of

acute and rehabilitative mental health care.

Commenting on the appointment, Simon Smith, Executive Director Local Services said: “I am very pleased that Bert and Michele have taken up this pivotal leadership role. I would also like to thank John Brewin for looking after the position over the past six months; he has made a great contribution to moving the service on. I am sure you will all join me in wishing Michele and Bert well in this new role.”

Please note – if you wish to make a nomination, please contact the Communications Team on 0115 993 4530 who will help you in submitting your recommendation. Closing date is 28 May 2010.

Congratulations Congratulations to Donna McGrath (MHSOP), Candy Holmes (Finance) and Sally Bullock (MHSOP) who successfully completed the NVQ Level 3 in Business Administration. They attended their graduation ceremony on 28 January at the East Midlands Conference Centre. l-r Donna, Candy and Sally

Positive May 2010

13

Positive May 2010 v3:twc news

30/4/10

16:40

Page 16

fatiguefighter.org.uk Fatiguefighter is a new website that offers a resource and self help program for sufferers of Chronic Fatigue syndrome (ME), and may be of use to sufferers from fatigue in general, and from fibromyalgia.

The site is absolutely free and has been developed by experts in this field who work for the Trust; Phillip Kinsella, a Cognitive Behavioural Specialist and Ann Childs, a Physiotherapist.

The website contains a self help programme as well as information on relaxation, exercise and posture. It has been developed in conjunction with Mirata, who also developed the Living Life to the Full health website. The site contains information that is of use to people suffering from ME as well as professionals in this field. The website was developed as part of a successful bid in the Trust’s Invest to Innovate programme.

Chronic fatigue syndrome (CFS) causes long-term tiredness (fatigue) that affects everyday life. It does not go away with sleep or rest. CFS, also known as ME, means muscle pain and encephalomyelitis means inflammation of the brain and spinal cord. Both terms are commonly used.

There is no cure for CFS, so treatment tends to focus on easing the symptoms. These include muscle pain and headaches. For more information about fatiguefighter, please contact Philip Kinsella on 01159249924x62090.

Research Assistants win Junior Scientist Awards Research assistants from Rampton Hospital and Arnold Lodge were recently named winners of the British and Irish Group for the study of Personality Disorder (BIGSPD) Junior Scientist award at the BIGSPD conference in March.

BIGSPD is the main academic organisation for the study of Personality Disorder.

Jennifer Gallagher is a research assistant in the Peaks Academic Research Unit and won the

14

Jennifer Gallagher

award for the work she presented at the BIGSPD conference, Assessing the functions of self-harm behaviours in Dangerous and Severe Personality Disordered (DSPD) males in a high secure hospital and Risk reductions in DSPD forensic inpatients.

Volunteers wanted for CSV Befriending Scheme in Ashfield and Mansfield CSV is a national charity working in North Notts with the Trust to provide a befriending service to people with mental health problems living in the community. Currently about 20 volunteers regularly visit service users to share a few hours each week doing some kind of social activity – shopping, cinema, walking, playing games, pool, going for coffee, etc.

Could you join them? Or do you know anyone who could?

No knowledge or experience of mental health issues is required, just the desire to help someone who maybe has low self confidence or motivation to get out of the house and spend some time doing something that you will both enjoy. In doing so you will help that person to reconnect with their community whilst having a fun time. It’s as simple as that! Training is provided and expenses will be covered.

Befrienders have said: “It’s no problem, I really enjoy befriending” and “We really have a good time together.” Service User comments include: “I feel we have a lot in common. We chat away easily and the time just flies. I don’t feel anxious about her visits at all” and “The Befriending Scheme has made a difference in my life, giving me opportunities I never would have had.”

Volunteers must be able to commit to at least six months, and complete a CRB police check. To find out more, contact Pete Sturgess on 01623 784994 or pete.sturgess@nottshc.nhs.uk

Jennifer said: “It was a lovely surprise to receive the award. I felt honoured that I had been nominated and extremely proud to have won. It was wonderful to receive such recognition for the hard work that has gone into the projects, particularly from such a knowledgeable source. It was a great confidence boost, and I will endeavour to maintain high standards of research and dissemination to live up to my new reputation!”

Michael Baliousis was the other recipient of the Junior Scientist accolade. He is currently working as a research assistant at Arnold Lodge facilitating the Personality Disorder Unit follow up study, a major longitudinal project currently undertaken by this department. He said: “This was an unexpected yet wonderful surprise. Although, when one works with such a

Michael Baliousis

supportive team good things are bound to happen. It was an honour to receive recognition from an eminent audience and will certainly encourage me to continue developing research in this fascinating field.”

Well done Michael and Jennifer.

Positive May 2010 v3:twc news

30/4/10

16:40

Page 17

Community Treatment Orders: trial participants wanted The evidence of the effects (and effectiveness) of supervised Community Treatment Orders (CTOs) remains inconclusive. The Department of Psychiatry at the University of Oxford is addressing this by conducting a randomised controlled trial, OCTET, which compares CTOs with what was previously available for patients who need ongoing supervision in the community. The trial is funded by the Department of Health and has Research and Development approval for implementation in the Trust.

OCTET has been adopted locally by the East Midlands Mental Health Research Network, with dedicated Clinical Studies Officers supporting teams to recruit into the trial. Involvement requires little work on the part of clinicians, other than identifying potential participants. Wards currently recruiting to the trial include Rowan 1 and Lister.

Suitable candidates include those on a Section 3 (or unrestricted Section 37), aged 18-65, with a psychotic illness and

Patricia at the Palace A staff nurse from Autumn Unit at Highbury Hospital was recently invited to a reception at Buckingham Palace held by the Queen and Duke of Edinburgh. The event on 23 February took place in advance of the State Visit of the President of the Republic of South Africa to the UK. Patricia Dzikiti was one of 20 people selected to attend in recognition of the contribution they have made to the healthcare sector.

Patricia said: “It was a lovely reception, I felt really honoured to be there. I met people from all sectors, and shook hands with the

l-r Ian Hall is presented with the donation by Tim Shields

deemed to be in need of ongoing supervision.

Nationwide, OCTET aims to recruit 300 patients to the trial, randomising them to either a CTO or section 17 leave and discharge to informal status.

Outcome measures include readmission to hospital, adherence to medication, use and experiences of services and a range of social outcomes which will be gained through regular interviews.

If the trial shows improved outcomes for patients, it may convince sceptics and ensure rapid and consistent uptake.

If not, it should stimulate rethinking of the role and use of CTOs. To find out more or to refer into the trial, contact Jo Higman, Clinical Studies Officer, Mental Health Research Network, East Midlands Hub on Jo.higman@nottshc.nhs.uk, 0115 8231333. Alternatively, contact Professor Tom Burns, University of Oxford, tom.burns@psych.ox.ac.uk, +44 (0)1865 226 474

Queen and her husband. It was brilliant. I really felt like an ambassador for Nottinghamshire.

“I met NHS ladies from other trusts, and we shared a lot about our different trusts and were all overwhelmed about being part of the delegation. After a brief welcome speech we had lots of champagne and a variety of eats. Everyone was excited, friendly and free to chat. The Queen and her delegation were moving around chatting to us all. It was amazing how approachable and friendly she is.

Osberton Day Centre donates to Hospice Osberton Day Centre at Rampton Hospital has donated £320 to Bassetlaw Hospice in Retford.

The money was presented to the charity’s administrator Ian Hall by Tim Shields, Modern Matron Personality Disorder Services at one of Osberton’s evening social events in February.

In the run up to Christmas 2009, the patient group that meet in the Osberton Day Centre at Rampton Hospital decided as a part of their festive activities that they would like a raffle to raise money for the Hospice. A member of Osberton’s staff had a family member who sadly passed away there, and the patients thought that it would be a nice gesture to raise some money for them to enhance the facilities that are offered at the Hospice.

The prizes for the raffle were donated by departments within Rampton Hospital and by individuals. The raffle was very popular with the Male Personality Disorder patients and staff throughout the hospital. Thanks to everyone who took part for such a tremendous effort.

Patricia’s nomination for the event cited that she is a very respected member of staff who has contributed to the development of Autumn Unit which cares for patients with severe challenging behaviours. She has worked tirelessly with colleagues to provide holistic person-centred care. Patricia is positive and encourages her colleagues and is committed to continual improvement and development.

Well done Patricia!

“I would like to thank Sharon Howe, Modern Matron, Michelle Handsaker, Service Manager, Jo Churcher, Manager Autumn Unit, Jenny Hadfield, Personal Secretary, Mike Cooke and all those who made this day possible.”

15

Patricia outside the palace

Positive May 2010 v3:twc news

30/4/10

Payment by Results: a new funding system for Mental Health About Payment by Results (PbR) PbR was first introduced into the acute sector in 2003/4. In 2007, the Department of Health identified Mental Health as the priority for PbR and the 2008 report High Quality Care for All set out the need to introduce PbR into Mental Health.

The aim of PbR is: “To provide effective, high quality and safe services more easily and quickly, in an acceptable and fair manner, making best use of resources.”

How it works PbR is a method of paying for activity that is related to an agreed care pathway.

Following work undertaken in pilot Trusts

16:40

Page 18

across the country, it was agreed funding should be related to how service users fit into care clusters.

Care clusters focus on the characteristics of individual service users, allowing a tailored approach to care, reflecting the need for personalised care. Service users benefit from an informed discussion of their care options and a clear understanding of the support they will receive. This is outlined in an agreed care pathway and payment will be dependent on doing what is agreed in the pathway.

Clinicians use an assessment tool called the Mental Health Clustering Tool (MHCT), also referred to as HoNOS PbR. This is a nationally recognised assessment tool, which helps to ensure service users are allocated to the care cluster which accurately reflects their needs.

Benefits • Opportunity to better understand the needs of service users and ensure that

service responses to these needs are high quality (safe, effective and a positive experience) and good value (by being efficient and productive).

• Services designed around the needs of the service user.

• Clearer understanding for commissioners about the number of people being treated, what that treatment entails and how it is measured to show it is effective.

• Comprehensive understanding of need, to allow providers to receive funding appropriate to the service provided.

Ability to plan service provision, training and development needs.

Find out more Chris Ashwell has recently been appointed to the post of Project Lead for PbR and Care Pathways. This is a one year secondment funded by the Strategic Health Authority. Chris will be doing roadshows throughout the Trust. If you require further information or want to discuss PbR, he can be contacted via 01623 781 602 or christopher.ashwell@nottshc.nhs.uk.

Maximise!

Maximise was designed as a course to build confidence and self-esteem in young males from black or minority ethnic communities who have experienced significant mental health problems. The course was a partnership between Young Diverse Minds and the Early Intervention in Psychosis (EIP) Service.

Maximise used group and individual activities to challenge course participants and stimulate discussion and learning experiences.

The course was designed in three blocks.

The first focused on individual challenges undertaken within a supportive group environment. A number of these were ‘adrenaline’ activities, e.g. rock climbing, abseiling and others involved novel skills e.g. driving blindfolded, archery, pioneering.

The second block promoted teamworking skills, including communication, assertiveness, negotiation and conflict resolution, using a music production task hosted by Nottingham-based social enterprise, The Stone Soup Project.

The final block consolidated learning from the first two and required participants to work together in planning

The Maximise group rock scrambling in Derbyshire

and hosting an event, taking on roles and responsibilities that tested their abilities and required a combination of all elements of the course.

The final day of the course was a celebration with perhaps the greatest challenge of all – abseiling 100 foot from the Miller’s Dale viaduct in the Peak District.

Maximise was evaluated using the Rosenberg Self-Esteem Scale. All participants who completed the course achieved a significant improvement.

From EIP’s positive experience of partnership working with a third sector organisation, future projects are being developed to continue tackling health inequalities and working with diverse communities.

Comments from service users included: “It has affected me quite a lot – I have gained self-confidence now. I can go out more and do more things now.” And “I just feel confident, so it has helped me with talking to people. The group made me talk more, and that changed things.

It was a good group, with good people.”

Positive May 2010

16

Positive May 2010 v3:twc news

30/4/10

16:40

Positive and Proud Friday 26 February heralded the first LGBT (Lesbian Gay Bisexual and Trans) employee partnership conference hosted by the Trust and Nottingham City Council.

Over 100 members of staff and managers attended the day, opened by Professor Mike Cooke, Chief Executive, and Michael Collins, Director of Community and Culture at Nottingham City Council.

Page 1

provides services to them/treats them regardless of all other considerations.”

This oratory extravaganza was hosted

by Sue Thornton, General Manager, Adult Mental Health (AMH) City. Dr John Brewin, Associate Medical Director Local Services/Consultant Psychiatrist, AMH, spoke eloquently in favour of the House Motion using some interesting analogies based on his experiences as a Consultant Psychiatrist. Opposition came from Tricia Moores, Nottingham City Council and Ian Robson from the Leicester Lesbian and Gay Centre. John claimed the

two against one weighting was part of the reason for his motion’s defeat, but insiders believe that it had more to do with his account of his experiences in a dental chair, right after lunch!

Also on hand on the day was the Involvement Team who successfully recruited some more public members from another of the Trust’s diverse communities of interest.

L-R Tricia Moores, Vice Chair of Nottingham City Council LGBT Staff Network, Fi Cusick, Chair of Nottingham City Council LGBT Staff Network, Phil Curry, Secretary of Nottingham City Council LGBT Staff Network, Lis Gray Co-Vice Chair, Nottinghamshire Healthcare Trust LGBT Forum, Simon Hedley, Chair, Nottinghamshire Healthcare Trust LGBT Forum

Key speakers included Fionn Morven from the Learning Disabilities Directorate, Max Biddulph from Nottingham University, Brent Chamberlain from Stonewall and Gregory Woods from Nottingham Trent University (first ever Professor of Lesbian and Gay Studies).

One of the biggest successes of the day was the debate entitled “This house believes that the patient/ service user has a right to choose who

London to Paris... by pedal power As Technical Instructors in the Sports and Leisure Department at Rampton Hospital, Sarah Hyde and Katie Ford are well accustomed to putting patients through their paces.

Now, Sarah and Katie are partaking in a punishing training regime of their own, as in September they will be cycling the distance from London to Paris; 300km over three days to raise money for the Alzheimer’s Society.

Sarah and Katie

17

700,000 people in the UK have a form of dementia; more than half of those have Alzheimer’s disease. In less than 20 years nearly a million people will be living with dementia. This will soar to 1.7million people by 2051.

These facts are one reason why Sarah and Katie are committed to raising as much money as they can.

As you read this, another fundraising event the pair Sarah said: “I have chosen this have organised will have already taken place on 30 charity because it’s very April at Bannatynes Health personal and close to home Club in Worksop. This is a for me. I increasingly come across colleagues, friends and ‘spinathon’ event, running family members that have had from 6.30am-11.00pm where personal experiences of coping Sarah and Katie aim to stay in the saddle for a full 11.5 with this terrible disease.” hours; hoping to achieve their fundraising target of £2000.

1 in 3 people over 65 will die The manager of Bannatynes, from a form of dementia.

Paula Hill, is kindly supporting the event and providing the two with refreshments and buckets of motivation along the way.

A further fundraising event will take place on Sunday 15 August when a team of exprofessional footballers from Mel Sterlands All Stars take on Rampton Staff in a charity football match at Worksop Town Grounds. Kick off is at 3pm, entry fee £2.50 adults £1.50 children, followed by an evening function in the club house (tickets £10.00).

If you wish to show your support to Sarah and Katie for either of their cycling challenges, or for tickets to the charity football event please contact Sarah Hyde 07904712126 or 01777 248 321 ext 7960.

Positive May 2010 v3:twc news

30/4/10

16:40

Page 2

Shine!

Shiny, happy people packed Nottingham’s The Maze last month, and helped make the inaugural Shine club night for people with learning disabilities one to remember.

Created in partnership between Learning Disability services, the Trust’s Anti-Stigma Campaign and Confetti Institute of Creative Technologies, the night brought in revellers from across the County, and was hailed by all as a glittering success.

“I’ve been excited all week,” said party-goer Katy Billson. “I haven’t been out like this in a long time. I loved getting all dressed up, and it’s been absolutely brilliant.”

l-r: Katy Billson, Flexible Day Services, Dawn Cole, Flexible Day Services Support worker, and Jane Danforth, Involvement Officer

Over a hundred guests, of all ages, were treated to a night of music, dancing and drinks, as well as entertainment from stilt-walkers, balloon artists and a best dressed contest won

by James and Fiona. The event was captured by photographers from Crocodile House. DJs from Confetti blasted a wide array of party tunes, ranging from Dizzee Rascal to Dee-Lite.

Carer Jackie Lewis, meanwhile, praised the inclusive nature of the event. “They have got everybody involved, clients as well as carers, and they have catered for all disabilities. I think it’s brilliant,” she said.

“We knew it was going to go well,” said Confetti student Gavin Arblaster, “Out of a thousand students, James Summers, our tutor, asked us to represent Confetti, and it’s been an honour to be involved.”

Fellow student Darren Marriott, agreed: “I think it’s fantastic. It’s no surprise that people have enjoyed it, since many of them have never had the opportunity to get involved in things like this. It’s a fantastic idea.”

And as the night wound to a climax, there was little room for disagreement – indeed, the only question on attendees’ lips seemed to be ‘when’s the next one?’

Many thanks to Debbie Abrams OBE. For photos of the event please contact Ann Incerti on 0115 8542263.

Noel Oxford, Involvement Volunteer

Human Library Images: © www.crocodilehouse.co.uk

A Human Library event on the topic of education will be held at Middle Street Resource Centre, Beeston on Monday 17 May. Come and talk to the experts about the benefits and joys of education and available courses.

For further information contact Michael Osborne, mike2osborne@yahoo.co.uk

WHO WE ARE... WE NEED YOU! You may have picked up this copy of the newsletter not knowing what Nottinghamshire Healthcare NHS Trust is. We provide mental health and learning disability services for the whole of Nottinghamshire. We also manage medium-secure units in Leicester and Rotherham, and the high-secure Rampton Hospital near Retford.

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 suzanne.aitken@nottshc.nhs.uk. We are always pleased to receive articles for possible publication, but ask that they do not exceed 300 words. 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. 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 July issue of Positive, please contact us by 11 June 2010. 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 9934545 · Fax 0115 9934546 www.nottinghamshirehealthcare.nhs.uk

Printed on Revive · 100% recycled paper