Chatterbox - 231124 by The Shrewsbury and Telford Hospital NHS Trust

CHATTER BOX Your fortnightly bulletin for SaTH colleagues and events Friday 24 November 2023

SaTH safeguarding conference and Cavell Star Award presentation The safeguarding team held its second Trust conference timed to coincide with National Adult Safeguarding Week. This was the first time it had been opened out to external safeguarding partners including the Integrated Care Board (ICB), Shropshire Community Health Trust, Robert Jones Agnes Hunt Orthopaedic Trust, Midlands Partnership NHS Foundation Trust (MPFT) colleagues, police, education and private care providers. The conference was opened by Hayley Flavell who made a presentation to Teresa Tanner,

Lead Nurse for Safeguarding Children and Young People. Teresa also received a Cavell Star award (pictured top left). Speakers at the event were: • Helen Gordos, National Crime Agency Tactical Advisor – who spoke about modern slavery and human trafficking. • Deb Thomas, Telford and Wrekin CATE TEAM who gave an update about child sexual exploitation. • Daphne Franks – Predatory Marriage . This was a really powerful personal story about her mother and the campaigning done after her

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death to change laws around mental capacity and marriage and wills. Alfie Moore – who gave a light-hearted view of a safeguarding scenario.

Chantal Harding, our Adult Safeguarding Liaison nurse composed and presented two excellent poems, and Training Trainer Bill Young was the host. Bill also hosted a big safeguarding interactive quiz for the delegates that ran throughout the day. Turn to page 3 for more pictures from the day.

Free Oxon Park and Ride bus service is now available, turn to page 11 for more information

National Grief Awareness Week: 2-8 December to light a candle if at home, or turn on their ward mood light in work on Friday 8 December at 6pm to mark the close of the week. More information can be found on the Good Grief Trust web page.

As part of National Grief Awareness Week (NGAW) the Trust will be holding a series of events. This will start in the lead up to NGAW when there will be a staff bereavement support café in SECC at the RSH. Southwater Library in Telford will light up in Orange on Saturday 2 December to mark the start of the week and Cardiff Castle will mark the last day of NGAW by lighting up in Orange at 6pm on Friday 8 December.

This week will also see the official opening of the RSH Renal Unit Supportive Care Suite on Wednesday 6 December. This room will be used to have important, open and honest conversations for renal patients who would like supportive care. Supported by the Swan Fund and Kidney Association Fund, the supportive care suite is dedicated in memory of Dia Lock, a true gentleman. The late husband of Jules Lock, the amazing lead Swan EoLC Volunteer who has worked tirelessly to improve EoLC at the Trust and is in her 10th year as a volunteer. A big thank you to Sean Roberts and his Estates Team for making this happen, the suite will make a real difference at the hardest of times.

The NHS 70 Statue at RSH will also light up in orange for the week and staff are being asked

Bereavement Support for Staff DEATH OF A COLLEAGUE Manager has initial conversation with the team (consider who needs to be informed, what information can be shared, normalising a variety of reactions, highlighting sources of support – use Managers bereavement booklet) Link in with People & OD Business Partner/ People Advisory team

Manager links in with Staff Psychology Service to discuss options for support (1:1, team)

Psychological debrief provided by Staff Psychology Service if appropriate

Bespoke Bereavement Support Café and Chaplaincy Team support offered if needed

Individual psychological support available if needed via Staff Psychology Service Further information: Swan End of Life Care Facilitator / Lead Nurse & Lead for Staff Bereavement Support e: jules.lewis@nhs.net ext 3464

e: sath.staffpsychology@nhs.net

DEATH OF A PATIENT Hot debrief takes place – ideally on the same shift Make sure everyone is invited (consider non-clinical staff such as porters)

Psychological debrief provided by Staff Psychology Service if needed

Individual psychological support is available if needed via Staff Psychology Service

Consider whether a bespoke Bereavement Support Café and Chaplaincy Team support might be helpful for the team (eg longer term patients)

Additional information to consider should a member of staff be bereaved by suicide:

Manager has initial conversation with the staff member normalising a variety of reactions, highlighting sources of support Use Bereavement Guide for Managers and Staff Link in with People Advisory team if needed

Bereavement Support Café Initial conversation with member of staff to take place with Jules Lewis (for 1 to 1 support) before considering attendance at a staff bereavement support café to discuss what support is available and screen for appropriateness Chaplaincy Team support (available if needed) Multi-faith team providing religious, spiritual and pastoral care along with practical help with funerals and aftercare

The Bereavement Guide for Managers contains a section on bereavement by suicide

If the need for more in-depth support is identified signpost staff to:

Please make your People & OD Business Partner aware of the bereavement so they can assist in offering support

MPFT Psychological Wellbeing Hub (all staff) Phoenix Psychology (medical staff only)

Additional resources which may be of use: • MPFT Psychological Hub • OptimaHealth (occupational health) • Help is at Hand booklet Partnering Ambitious Caring Trusted

PERSONAL BEREAVEMENT

Special honour to meet King at Buckingham Palace Reception Jan Bacani, a Senior Charge Nurse for Critical Care, recently attended a Buckingham Palace reception hosted by the King. More than 400 international nurses and midwives attended the reception and Jan, who was one of the first Filipino nurses to work at the Trust, was selected to represent the region. The reception came as part of the NHS 75th anniversary and also to mark the King’s 75th birthday. Jan said: “I was really surprised and proud to be nominated to represent our Trust – it was an honour. “It was an amazing evening. Everyone was so excited and

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people were so nice to me from different backgrounds and Trusts. It was a celebration of the NHS – we are all working together to help the NHS and despite any differences, we all have a common goal to do our best for the NHS.” Jan said that he shook the hand of the King a couple of times. He added: “The King was very gracious and very generous to everyone and he made sure he greeted as many people as possible.” He arrived in Shropshire in 2001 from the Philippines. His first clinical area at the Trust was the Medical Admissions Unit (now Acute Medical Unit) at Royal Shrewsbury Hospital.

World Radiography Day World Radiography Day on Wednesday 8 November bought together diagnostic radiographers and therapeutic radiographers for the first time - an exciting time for the Trust. Awareness stands were held at both sites. You can read about some of our fantastic radiography colleagues below.

Diagnostic Radiographers Andy – Assistant Practitioner Andy started in the Trust as an Imaging Assistant and then applied for the Assistant Practitioner (Radiology) apprenticeship course and started University in September 2020. Andy said: “If it was not for the apprenticeship course I would not have progressed to where I am now, I could learn whilst earning a wage for the whole period, still being able to support my family. I qualified in September 2022 with the possibility in the future of doing another apprenticeship to become a qualified Radiographer. Inyene – Diagnostic Radiographer

Therapeutic Radiographers Carrie – Apprentice Therapeutic Radiographer Carrie applied to be a Radiotherapy Care Assistant whilst doing a part-time Access to Health course at a local college. Following that she started as an Apprentice Therapeutic Radiographer. Carrie said: “I feel very supported by my colleagues who are keen to teach me and help me get involved in patient’s treatment. My workplace mentor has been amazing at coaching me, helping me set targets and holding workshops to enhance my understanding; she is by far my biggest cheerleader.” Jess – Senior Therapeutic Radiographer

Inyene works as a Diagnostic Radiographer, mostly as a plain film Radiographer and rotate through Computed Tomography(CT).

Jess studied at Birmingham City University and carried out her placements in the radiotherapy department at the Royal Shrewsbury Hospital.

Inyene said: “My day-today responsibilities include producing diagnostically accurate images while supporting in/outpatients across the main acute hospital sites and the Community Diagnostic Centre(CDC).

Jess said: “As a therapeutic radiographer you get to build trusting relationships with your patients who you often see for many weeks in a row. In this way working as a therapeutic radiographer is very rewarding.”

“I love the dynamic nature of the Radiography profession; opportunities to improve daily and to support the training of other student Radiographers is extremely gratifying.”

“I most enjoy the environment that working in pairs creates, meaning we can share decision making to help deliver the best possible care.”

Black History Month In October, we celebrated Black History Month which recognises, rewards and celebrates the contribution made to our society over many years by the African and Caribbean communities. This celebration is inclusive of all communities and characteristics to encourage learning and awareness of the celebrated communities, and promote unity. The EDI team held food and music stalls at both hospital sites, a poetry competition and educational awareness stands at both hospital libraries.

Disability History Month (DHM) is an annual event running from 16 November to 16 December 2023. DHM provides a platform to raise awareness and another opportunity to remind us that disabilities do not define a whole person and that not all disabled people look the same. Disabilities come in all shapes and forms. Some are visible, some are not. Some are permanent, some are not. Some are physical, some are related to mental health. Someone may have more than one disability, where one is visible and the other invisible, or their disability may fluctuate and be visible on some days but not others. Regardless of the type of disability, every single person has an equal right to thrive and we as the NHS and human beings have a responsibility to make sure that happens. Currently, disabled people make up 22% of the UK’s general population: that is one in five of us.

Yet research shows that nearly half of disabled people, and 87% of parents of disabled children, frequently feel judged by members of the public. At SaTH we want to: • Celebrate the achievements of staff with disabilities • Encourage leaders and managers to support staff through compassion and inclusivity • Encourage staff to record their disability on the NHS Electronic Staff Record and have open conversations with their managers • Check-in with staff that sufficient adjustments have been made to support those with disabilities to carry out their roles whether that’s onsite or from home • Review recruitment practices to ensure they are inclusive The EDI team will be holding an open house at both RSH and PRH libraries on Wednesday 6 December from 10am-12.30pm, welcoming staff to engage with the team.

National Stop the Pressure Week International Stop the Pressure week is held every November. It seeks to raise awareness of preventing pressure damage and improving the healing of pressure ulcers. Pressure ulcers cost the NHS more than £1.4 million every day. The theme this year was ‘every contact counts’. The aim is to encourage all members of the NHS team to be aware of pressure ulcer prevention and how

every contact with a clinician, a surface, healthcare leaders and social media can count to reducing this largely avoidable harm. The SaTH Tissue Viability team embraced national ‘Stop the Pressure Week’ with a ward ‘trolley dash’ at both RSH and PRH. There was fabulous engagement from all staff, the launch of the new Trust wound care formulary and highlighting care of the Diabetic Foot.

Health Literacy Month The Trust highlighted Health Literacy Month in many different ways during October. Louise Stevens (Librarian) delivered health literacy awareness sessions to over 100 colleagues. Health literacy stands were held in the restaurants at both sites to highlight unfamiliar facts around health literacy, and storytelling sessions took place on the children’s ward at PRH every week throughout November. The winner of the health literacy competition was Shiny Darwin, a Keele Medical Student (pictured bottom left) Local published author Roy Bradshaw visited PRH to join in the storytelling sessions, he read a number of his own stories to the children and their families

and gifted a selection of books and bookmarks to the Children’s ward. SaTH charity donated a box of books to the children to encourage reading and refresh the books available in the play and school rooms on the ward. The patient information panel has also been working with the EPR team to ensure letters are written in a language and style format that is accessible. The panel consists of librarians, patient experience team members and a patient partner. The patient information panel is complemented by the Readers Group which is due to restart in November. Health literacy training takes place throughout the year, individual staff, teams or departments can contact l.stevens@nhs.net or the Patient Experience Team to arrange a session.

Harvey’s Gang Poem success Harvey’s Gang is a programme all about introducing children, especially those on EoL, Palliative, or Chronic illness pathways, to the pathology lab. It shows them what the pathology lab do and how their samples are managed.

recently re-signed up to it. Senior Biomedical Scientist Fern Meagre put pen to paper to create a wonderful poem to explain the process. The Institute of Biomedical Science recently adopted the poem, and it will now become part of their Harvey’s Gang information ‘pack’.

It helps them understand the whole care package and what happens to their blood (or other sample) when it’s taken, and how that affects their care. It was paused during COVID-19, but SaTH have

A huge well done to Fern and all the team on this fantastic achievement.

World Prematurity Day - neonatal ward fundraising for memory boxes for babies was recently featured for World Prematurity Day The neonatal ward at PRH marked World Prematurity day by raising funds to provide (pictured bottom middle and right), click here to read more. memory boxes for parents. Making memories on the neonatal unit helps the parents’ bond with their babies, which will have a positive effect on the whole family’s physical health and wellbeing. The neonatal team raised over £800 at the raffle in the atrium of the Women’s and Children’s centre at PRH. The star prize, a huge penguin, was won by MollieMae. A very special little girl, whose mother’s story

One generous staff member bought five tickets and asked for them to be distributed to patients in the atrium, one of those lucky recipients won a prize. If you would like to donate, please contact nicola. elliott6@nhs.net. or SaTH Charity sath.charity@ nhs.net.

Advanced Practice Week From 13-17 November we celebrated Advanced Practice Week, where we recognised the contribution that these individuals make to care that our patients receive. Advanced Clinical Practitioners come from a range of professional backgrounds such as nursing, pharmacy, paramedics and occupational therapy. They are healthcare professionals educated to Master’s level and have developed the skills and knowledge to allow them to take on expanded roles and scope of practice caring for patients. Kim Humphreys and Maria Houghton Kim Humphreys qualified as a nurse in 2005 and joined SaTH in 2011 from RJAH, she initially worked as a staff nurse in the Emergency Department and ITU and subsequently took a post as a Resuscitation Officer. For the last seven years, Kim has been working in Emergency Medicine as an Advanced Clinical Practitioner. Maria Houghton qualified as a nurse in 2006 and worked in Intensive care at PRH before joining the Royal Navy as a Critical Care Nurse. She returned to SaTH in 2014, initially working as a Resuscitation Officer before the Hospital at Night team as a Nurse Practitioner. Maria joined the ACP team in 2017 and is currently working as an Advanced Critical Care Practitioner (ACCP) in Critical Care. Kim and Maria have recently commenced a new role as an ACP Educators within SaTH. This hybrid role encompasses clinical working, clinical education, education strategy and planning, supported by Post Graduate Medical Education. Damian Platek Damian Platek is an Advanced Critical Care Practitioner (ACCP) based in Critical Care at the Royal Shrewsbury Hospital. He started his NHS career as a staff nurse in acute surgery before working in ITU as a junior staff nurse and later, as a charge nurse. His passion for ultrasound extended to vascular

access and invasive line placement and formed the basis of his Advanced Work Based Project (AWBP) for his MSc. As ACPs are now in each major speciality, hopefully this will make an improvement to our patients’ journey through hospitals. Lizzie Smith Lizzie Smith is an ACP working in the Emergency Department at SaTH, she is currently credentialing with the Royal College of Emergency Medicine (RCEM). As part of her MSc dissertation, she has designed and delivered an ECG interpretation training programme which benchmarks learning and competence with an assessment to state Advanced Clinical practitioners are safe when signing ECGs. This has built confidence and improved patient safety within the working environment at SaTH. Beckie Nock Paediatric Clinical Snapshot (PCS) is a monthly, educational publication created by Beckie Nock and her colleague Amy Clarkson. It is hosted by a wide range of practitioners within the paediatric service. PCS allows for everyone within the service, regardless of grade, to improve their knowledge base surrounding a multitude of topics, not only of a clinical nature but also in regard to governance, guideline and practice changes, human factors and much more. PCS has been a successful project since its initiation into the service in 2019. They are currently developing their 50th edition of the newsletter. Rob Clarke As part of his masters qualification, Rob Clarke set up an elective lumbar puncture service. The service has been going since 2020. This service has meant that patients in Shropshire and Powys have considerably shorter waits, the tests are more convenient and cause less distress.

Additional parking is now available for colleagues through Oxon Park and Ride Please show your ID badge to the driver for free We are pleased to announce that a travel. new FREE staff only bus service is now operating Monday to Friday from Oxon We are encouraging everyone who can park at Park and Ride to RSH. The first bus will LAUNCHING Oxon, to please support this initiative. It really depart at 7.20am, running every 15 MONDAY 13TH willNOVEMBER make a difference to our patients, and our minutes to the Main Outpatient Bus Stop. colleagues who need to park on site, including on The last bus will return to Oxon at 6.35pm.PARK FREE HOSPITAL & RIDE SERVICE night shifts.

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MSW and WSA Celebration Day Today (24 November) is the RCM’s Maternity Support Worker (MSW) and Women’s Services Assistants (WSAs) Celebration Day. A tea trolley loaded with goody bags has visited

areas of Maternity Services and a raffle is taking place. We have close to 100 MSWs and WSAs at our Trust who help midwives care for women and their babies before, during and after childbirth, providing valuable support during this important and unique time.

Risk Management Training James Webb and Holly Burrows are your Risk Management Team and are now offering on-site training to help you raise and manage risks on Datix! Please click here to book onto the two-hour risk management sessions on LMS. These are at RSH Education and Research Improvement Institute (SERII) and PRH in the Education Centre rooms. In the training we will cover: 1. How risks can affect the delivery of SaTH services

2. Risk culture 3. Scope, context and criteria of risk management 4. How to identify, register, analyse, escalate and control risks 5. How to monitor and review risks using the Risk Register module on Datix. There are opportunities for Q&A throughout the sessions. Please click here to view our risk management intranet page for “all things risk”.

Coaching skills for leaders Congratulations to Sian Silgram, Charlie Delves, Penny Burton and Joicee Almoneda (pictured left to right) on completing the second day of coaching skills for leaders on 6 November 2023.

Urgo Innovation award winner Nichola Beard received an educational grant as part of the Urgo Innovation awards, which support innovative independent clinical projects within wound care. Nicky received the grant of £6,000 for her project the ‘Achilles Heel tool’. Nicky said: “I am delighted to have received this award. All clinicians are aware of how heel pressure ulcers can cause pain, reduced mobility, prolonged hospital stays and emotional distress to the patient. If that patient has diabetes, a heel ulcer can be catastrophic, heel ulcers are the most severe and complex foot ulcers to treat due to the anatomy and these can go on to potentially result in amputation. “Introducing the ‘Achilles Heel tool’ will enable clinician’s to correctly distinguish between a High Pressure Ulcer (HPU) and Diabetic Foot Ulcer (DFU) and signpost them to the correct specialty referral and means of reporting. It will aid the user to question the cause of the heel ulcer, such as the underlying aetiology, circulation and infection and help guide the clinician’s treatment plan to appropriately manage the wound.” Nicky will be working with the innovation team in SaTH to prevent heel ulcers on the wards and put in plans to treat those who have been admitted with them. Congratulations.

Walk to the sea for charity Colleagues from Research and Innovation are walking 100km throughout the month of November. They are walking the distance from RSH to the sea to raise money for SaTH Research and Innovation Charity and improve patient outcomes through innovative projects. Following on from their successful fundraising campaign in May, when they climbed Snowdon, they have now set themselves another challenge in order to raise even more money for the fund. Mandy Carnahan, Trust Lead Research Nurse, said: “The funds will enable us to carry out as much research as possible across all specialities for our patients, money raised helps us with staff and equipment costs, funding new research ideas and much more. “Please support us in our endeavour so that we can get closer to finding new treatments and improving the health of our population - the more we can do, the closer we can get!” Julia Clarke, Director of Public Participation at The Shrewsbury and Telford Hospital NHS Trust, said: “The Research and Innovation team is doing

an incredible job through its fundraising to raise awareness and fund new research. Research in new medicines and technology is so important to improve patient care and outcomes for the future and the team is proud to be part of this important work.” The challenge will continue for the whole month of November. Twelve members of the team are taking part and you can follow their journey on Strava. To follow the team on Strava click here. If you would like to donate to Research and Innovations fundraiser, click here.

Donation of books for Cancer Services patients Cancer services have received a kind donation from author Kevin A Donaghy of his book ‘ Stories of Cancer and Hope’ which will be given to patients. The book is a collection of stories brought together by Kevin Donaghy from people affected by cancer. Each story is a lived experience of the impact of the disease and by sharing the stories, he hopes to help people affected by cancer to feel that they are not alone. These copies will become a resource to the Living Well Sessions, with copies also available in the Macmillan Centre and Lingen Davies Oncology Centre.

Colleague Notice Board The OWEN Model

for staff bereavement support at SaTH Bereavement and grief can impact all our lives at some time. The way we cope with grief and loss is unique and people will react in so many ways. There is no time scale to grief and support can be needed at many different times along that journey. NHS staff can be affected by personal grief and through their professional life. Staff who look after patients with long term conditions, will form friendships with those patients and the families. The loss of these patients can be very upsetting, and this must be factored into the care provided within a trust. The OWEN model was devised to provide staff with a safe space to talk about their loss. It is not counselling but can be used as a tool to support and signpost staff to other organisations they may wish to access. The model has been expanded to provide a bereavement café at regular intervals throughout the year. After initial 121 support, either by phone, MS Teams or face to face, staff are then invited to the cafés to interact with other staff who have accessed the programme. The cafés have been a great success and led to staff forming bonds which enable them to look out for each other.

O penness

Staff are given the time and space, to share their feelings about the death of a loved one or a patient they have cared for.

W ellbeing

The wellbeing of the staff is at the centre of the support we give. Signposting to other services is offered as appropriate. The needs of the staff will vary greatly.

E mpathy

Compassion, kindness and understanding, are at the centre of the model. The use of appropriate and kind language is key to everything we do.

N ew Beginnings

Recognise that grief can remain with us for the rest of our lives. Enabling staff to move forward with hope, whilst never forgetting the person who has died.

Reflective Reading Sessions

Nursing & Midwifery Revalidation requirements are that: “you must have undertaken 35 hours of continuing professional development (CPD) relevant to your scope of practice as a nurse or midwife, in the three year period since your registration was last renewed or you joined the register.”

Library are holding reflective reading sessions on the dates below:

Session Dates and Times Thu 21 Sep 23

10.00 - 11.30

MS Teams

Mon 13 Nov 23

2.00 - 3.30

MS Teams

Tue 9 Jan 24

9.30 - 11.00

MS Teams

Wed 13 Mar 24

1.00 - 2.30

MS Teams

Fri 31 May 24

3.00 - 4.30

MS Teams

Mon 7 Jul 2024

12.00 - 1.30

MS Teams

How do the Revalidation Reflective Reading Sessions work: Prior to the session you will be sent an article to read and a small checklist of points to consider when reading, this will earn you 1.5 hours of CPD time. When you attend the session the article will be discussed in a small group, reflecting on points whilst working through the checklist, this will earn you another 1.5 hours of CPD time. The 3 hours of credited CPD time that you earn from these sessions can be used towards the 35 hours of CPD that you need to acquire to revalidate.

WALK

TALK

Join us on the last Tuesday of every month outside Stretton House, RSH at 12pm for a 30 minute walk and talk.

Next meeting: 30 January 2024 No reason needed! We’re here to offer a listening ear and kindness. Get out into nature and boost your health & wellbeing. All are welcome. For more information, please contact jules.lewis@nhs.net, carla.webster@nhs.net or penny.watson@nhs.net

During the sessions a checklist is used and the emphasis is upon what can be learned and taken away from the article. You will receive a certificate of participation and attendance.

To be led by Louise Stevens, Librarian. If you wish to attend one of the Revalidation Reflective Reading Sessions, choose from one of the dates and contact Louise Stevens l.stevens@nhs.net or call Ext: 4694

Walk & Talk group is starting at RSH as a trial, with plans to develop across both sites

F F A ST RY E T T O L s winn Th i s mont h ’ 1st £400

Why not join our lottery? 50% of profits are given out in prizes and the other 50% is adding to our Small Changes Make a Big Difference Fund which is all spent on items for staff.

Angela Windso

2nd £200

en &

es, Wom Margaret Hugh Children’s

2nd £200

er s

The SaTH Small Things Make a Big Difference Fund aims to improve the working environment and amenities for all employees. Click here to download the T&C’s and enter the staff lottery

harmacy

Kate Lindsay, P

3rd £100

O’Connor Sally Van-Rees, Unt Haemoatology

3rd £100

Delyth Hughes,

Facilities

Thank you

I went into labour on the 30th June and my midwives were Victoria and Charlotte (student), they were both fantastic and really supported me in the labour I wanted. When this didn’t go to plan, they reassured me and still encouraged me to have a say in what I wanted. I ended up with an emergency C-section which had some complications and everyone involved were fantastic and constantly offered reassurance and support. I can honestly say that despite the circumstances, the staff were fantastic and advocated for me and my needs when I was not in a position to do so. I also want to thank all of the staff on the postnatal ward and the neonatal unit - they were constantly there offering me support and company when I needed it. A huge thank you to you all!