IMPACT - August

August 2022

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Workforce of the Future Bed Replacement Rollout Transforming Maternity Care

Message from Louise Barnett, Chief Executive Welcome to the August edition of Impact. It continues to be challenging and we remain committed and focused on providing high quality safe care for every patient. That you also find time to continue to plan and make ongoing improvements is testament to the determination of you all to be part of shaping and driving meaningful change for the benefit of our patients and each other. That is what Getting to Good is all about and is fundamental to the success of the programme.

I recognise that we still have some way to go, however I am incredibly proud of the achievements and progress you are making as part of our improvement journey which will enable us to realise our vision of providing excellent care for the communities that we serve.

I really want us all to embrace making change because it is only by working together that we can ensure that this organisation is a great place to work for everyone and one where we are proud to work and to recieve care.

Ensuring that we have the right staff in the right place at the right time is crucial if we are to deliver great care every day, so it is important that we are getting our recruitment right and doing all we can to support colleagues to continue their career journey with us.

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In this month’s Impact, we have a focus on international nurse recruitment and how we are supporting our nursing colleagues who join us from overseas. It can be incredibly daunting arriving in a country, so it is fantastic that we have a Nursing Education and Recruitment Team who work hard to ensure that our new colleagues are fully supported as soon as they arrive in the UK both pastorally and through their training. Some positive progress, however, we still have a way to go. Improving recruitment and retention of staff is critically important, including streamlining our recruitment processes, reducing the time it takes to appoint people and to start in their roles. More on this and the important work our Medical People Services are doing in the next issue.

Ensuring that every colleague has access to training and education so everyone can develop their potential is another priority in our Getting to Good programme. In this edition there is a focus on the rollout of LMS, a new online system created to simplify learning whilst also ensuring that we are all compliant with mandatory training – vital for delivering the safest patient care.

Please continue to share your challenges and improvement journey with us – every single one is valued, and it is only by being honest about the challenges we face and working through them together that we will be able to get to where we want to be – delivering high quality patient care, every day. If you would like me to meet with you and your teams so you can talk to me about what you are doing, please do let me know. And if you would like to feature in a future edition, please do contact me or our Communications Team - sath.commsteam@nhs.net.

Thank you.

Louise Barnett Chief Executive Impact Magazine August 2022

Message from Mary Aubrey, Getting to Good Programme Director Dear colleague,

Sharing the same software tool will better support people to be able to work It has been an incredibly together across organisation busy month for our Getting to Good programme and and and the ICS. Using a systemI am really pleased to report that the majority of our improvement projects are on track.

Thank you to everyone who is involved in helping us to make progress on our Getting to Good programme - your contribution is greatly valued and we couldn’t do this without you.

This month, I wanted to share that a new performance management system for all our G2G improvement projects is being rolled out. This new software tool called InPhase is being launched across the Shropshire, Telford & Wrekin Integrated Care System (our local health and care system) of which our organisation is a part.

Impact Magazine August 2022

wide approved tool will reduce duplication of effort and provide real-time programme and project updates.

colleagues are already starting to roll out InPhase. If you are leading a Getting to Good project, you will have access to this and our PMO team – who have expertise in project and programme management - will support you so that you can produce the reports you need in your role.

And, of course, you may be aware that we also have a very supportive Improvement Team and if you would like any help or guidance to take a project forward, you can contact the team who can provide support on using quality improvement processes to improve quality, safety and person-centred healthcare – sath.improvementhub@nhs. net Thank you for being part of our improvement journey.

Our Programme Management Office (PMO) 3

Theatres for the Future We have moved into the next stage of our Getting to Good digital transformation programme which will see the introduction of a new management system in our Theatres.

committed to delivering this.

wards will be able to track patients to support better The new system is patient planning scheduled to ‘go and flow, and live’ in September, surgeons will be and will be able to review their completed over planned lists for two phases: the next six weeks at a glance, rather • 12 September than relying on is Go Live for our the booking team Bluespier Theatre Scheduling to provide the Theatres will be and Booking information. our replacement Teams (including system for our Maternity Audits are also SemaHelix Scheduling and available from Theatres, Theatre Booking Team) Bluespier which Planner and • 26 September will further Theatre Datasheet, is Go Live for our enhance quality and is being frontline theatre and safety, which implemented as colleagues is positive news for part of our wider our patients and Electronic Patient Training for colleagues. We Record (EPR) our scheduling are committed to programme. and booking ensuring that this colleagues and our new system will The aim through frontline theatre be a success for EPR is to improve colleagues is now the benefit of our your day-to-day underway. patients.” working lives and transform services Andrena Weston, for our patients Deputy Director through more a of Operation more efficient for the Surgery, and accurate Anaesthetics and paperless system Cancer Division – and we are fully said: “Surgical

“The launch of Bluespier is an exciting element of our EPR journey and will give our organisation a fully integrated theatre system which will effectively support quality and safety, whilst driving improvements within our Theatres department. It will provide clear, reliable and easily accessible information that can be used to drive efficiency and improvements to theatre utilisation – and move us away from paper.”

Kevin Lloyd, Theatre & Inpatient Business Manager 4

Impact Magazine August 2022

Futureproofing Endoscopy Ensuring that we have quality, modern and safe facilities for our patients now and in the future is an important part of our Getting to Good Programme.

Our Endoscopy services are subject to an accreditation scheme, known as JAG, which ensures that services are equipped with appropriate skills and resources necessary to provide the highest quality of patient-centred care.

To ensure that we are compliant with JAG standards going forward, we are transforming our Endoscopy services at both RSH and PRH. This will also ensure that we have sufficient capacity to be able to meet patient demand in the future.

This has been a really significant piece of work and we are grateful to all of our colleagues and stakeholders who have been involved in achieving this – bringing great benefits to patients and staff.

We now have a new decontamination unit at PRH – providing greater clinical capacity, a new procedure room creating a larger space to accommodate patients in need of endoscopy procedures, offices and a staff room. Four new members of staff have been recruited and new machines are in place which will halve the time to decontaminate the scopes - bringing workforce and financial efficiencies.

The new rooms also allow us to expand our range of Endoscopic investigations to patients, including the ability to perform ESD (Endoscopic Submucosal Dissection) at RSH – this is something that previously patients were referred out of county for.

We have entered into a long-term partnership with Althea to support our Endoscopy Services.

Tracey McCarthy, Endoscopy Unit Manager at PRH, said: “These brand-new facilities make the world of difference to us in the Endoscopy Unit. Our working environment is now brighter and the new decontamination unit allows us to clean scopes in half the time.

“The new facilities will ensure we can deliver a high class, efficient and reliable service.

We will be able to increase the number of procedures performed in the near future to give our patients the best possible access to healthcare.”

Well done to everyone involved. We will provide further updates on progress at RSH in future editions.

Estates work at RSH continues and is expected to be complete towards the end of the year.

This will see the provision of two additional endoscopy procedure rooms and a new decontamination facility.

The new procedure rooms will consist of state-of-the art facilities and technologies – increasing productivity and efficiency.

When work is complete we will be able to endoscope up to an additional 30 patients per day.

Impact Magazine August 2022

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Working Together to Improve Patient Experience As part of our Getting to Good improvement work, we aim to improve the quality of care and efficiency of our teams, and a new state-ofthe-art CT scanner will help us do this.

This is down to the hard work of our fantastic teams and the very generous support of the Lingen Davies Cancer Fund who kindly donated £475,000 for the CT scanner - one of the first of its kind in the country – and an injector pump, for the Lingen Davies Centre at RSH. A core team from the Radiotherapy and Medical Physics departments were behind the CT scanner project. They included Kirsten Hughes, Senior Clinical Scientist; Stephanie Cockerill, Pre-treatment Superintendent Radiographer, Louise Killey, Radiotherapy Services Manager; Mark Hardy, Head of Radiotherapy Physics and Mike Alexander, Principal Clinical

Scientist.

The team evaluated various scanners on the market.

Key things they looked for included quick and effective training; customer care; size of scanner bore to enable specialist radiotherapy equipment as well as the patient to be scanned; quality of the images and amount of radiation dose. They went on to buy a Canon Aquilion Exceed LB. The advanced technology of the scanner enables outlining of a patient’s tumour and normal organs to be done precisely in a more efficient manner; for patients with metalwork there is no longer ‘streaking’ on the images, resulting in clearer images for planning and negating the need for other imaging such as MRI. There is also improved ability to capture a patient’s breathing motion for advanced techniques. This is all achieved with a lower dose of radiation given.

patients.”

Louise added : “Staff are very excited to be able to use the scanner. It will be great for our patients as the advanced technology results in improved image quality of the CT scans - this will enable consultants and dosimetrists to contour treatment areas with ease and lead to improvement in efficiency of our planning for the benefit of both our teams and our patients.”

“We would like to say a huge thank you to Lingen Davies – without them we wouldn’t be able to have this wonderful scanner and advanced scanning for patients.”

Louise Barnett, Chief Executive, said: “I would like Kirsten Hughes, who was to join Louise in saying a involved in the commissioning huge thank you to the Lingen work, said: “There has to be Davies Cancer Fund, and a thorough test of the CT thank you to everyone who scanner to make sure that has been involved in making everything is as it should be this happen. I know this will and make sure it’s giving good make a real difference for image quality whilst reducing patients going forward.” the dose of radiation to the 6

Impact Magazine August 2022

Workforce of the Future Recruiting and retaining the valued staff we need is an important priority in our Getting to Good programme.

Our international nursing programme is critical to this, which is why we are committed to proving more opportunities, nurturing and

pass rate. This success has led to the Trust becoming the county training hub for OSCE, where we work in close partnership with system colleagues (from Robert Jones and Agnes Hunt, Midlands Partnership Foundation Trust and ShropComm) to help with their exam preparations.

Nursing Times Rising Star Award in 2021.

Hayley Flavell, Director of Nursing, said: “Our dedicated international colleagues are an integral part of our workforce and we are so grateful for their valued contribution to the Trust and our wider communities.

“A big thank you to all our international nurses for their commitment to our patients and our Trust. Thank you for choosing SaTH for your nursing journey.

“Let’s make sure together that we continue to support them in their roles now and in the future.”

developing our international nurses.

Back in 2020, we embarked on a partnership with Health Education England Global Learners Project which has resulted in approximately 400 international nurses joining the Trust from all over the world, including India, Ghana, Nigeria, Trinidad and Tobego, Guyana and Zimbabwe.

Upon joining us, each nurse undertakes 8–12 weeks of preparation for their Objective Structured Clinical Exam (OSCE) and we are very proud to have a 100% Impact Magazine August 2022

The OSCE training and ward readiness programme is delivered by a team of educators, made up of UK registrants, as well as international nurses who have already been through the OSCE process and understand the challenges. The educators also provide pastoral care to ensure our nurses feel safe, well supported and valued.

Thank you to the Nursing Education Team and Recruitment Team for their efforts in delivering this key programme of work and for supporting our international colleagues.

Our international nurses are making great strides and nine of them have been promoted.

As you will no doubt be aware, one of the international nurses’ educators, Jamie Henry, was awarded the 7

Transforming Maternity Care The Maternity Transformation Partnership is a key workstream in the Getting to Good programme and there is some fantastic improvement work taking place with the experience of women and families at the heart.

different number of areas and themes, such as bereavement, to shape developments in our maternity services and improve care and experience. Those involved can feedback about their needs and how their needs can be best met.

We are committed to providing the best possible care for the communities that we serve and our maternity colleagues are working in partnership to help us to deliver this.

This feedback is at the heart of the changes we are bringing about and one of the outcomes is a maternity bereavement care webpage on our external website co-produced with the Maternity Voices Partnership Shropshire and Telford & Wrekin.

The website provides a centralised space for information around the service and the support available for families, memory-making and spiritual and pastoral care.

An example of the work we have been doing using the UX experience system. The UX is really helpful because it enables us to capture the feedback of women, families and staff those whose voices matter most.

The UX has been focusing on a number of

Engaging with our communities so they can help shape improvements in our services is essential. Our partner, The Maternity Voices Partnership Shropshire and Telford & Wrekin (MVP), hosted a 15 Steps to Maternity exercise, providing an opportunity to identify positive work, as well as areas for improvement in our Maternity Services.

The 15 Steps to Maternity exercise is designed to look at maternity services from the perspective of those who use them, exploring their first impressions of care, surroundings and the overall experience across the maternity journey. The exercise helps to ensure the voices of women are placed at the centre of the care we provide.

During the recent visit to PRH, the MVP team focused on our Delivery Suite in the Women’s and Children’s Centre. The groups visited several birthing rooms, as well as viewing the 8

Thank you so much to everyone involved in this important work.

theatre areas.

Louise MacLeod, Lead for the MVP, said: “We had a great turn out to the event with a range of experiences which really helped to use the 15 Steps toolkit completely.

“We had some great discussions on things that we felt were being done well but we were also able to make some great suggestions to address some of the things that were highlighted.”

Louise added: “All our findings will be presented to the team in our report, and we hope that our suggestions will help to support changes that will benefit both service users and staff.”

If you would like to find out more about the 15 steps approach, contact James Owen in the Improvement Team.

Impact Magazine August 2022

Bed Replacement Rollout One of our priorities in Getting to Good is ensuring that every patient is receiving high quality care that is safe every day and that we have the equipment we need to provide this.

That is why we have invested £1.7million in a replacement bed programme which will see 770 new high specification beds delivered to our wards and departments. The first new beds are on the Renal Ward at RSH with others set to be replaced over the next 10 months.

Each high quality bed will enhance patient comfort and safety whilst improving staff useability.

A long evaluation process has taken place to select the beds with demos and a roadshow for ward staff to test designs from six manufacturers to ensure they meet the needs of our patients. Thank you so much to everyone who got involved.

A training programme on how to use the beds is now in place for colleagues with the

manufacturer providing staff training – this will then cascade through to all other staff with those qualified being able to train their colleagues. As all beds are a similar design, staff will be familiar with how we use them, regardless of where they work, and this should make life simpler for colleagues in clinical areas.

Lisa Walker, Quality Matron, said: “These new beds are high specification and bring numerous benefits for patients and to our colleagues.

“This includes a hip indicator, chair positioning, exit alarm and lighting. Alarms and lighting help us with falls prevention, which is a key priority for us, and there is also less manual handling. The beds have physical and psychological advantages for patients too as they can adjust the beds themselves which helps with their digestion, cardiovascular and independence. This in turn assists recovery which is really positive for our patients.”

“It is essential that you all know how to use the beds, so a full operational and clinical training programme is being implemented to support you, in partnership with the manufacturers. Our Medical Engineering colleagues are providing training roadshows to create our own in-house staff trainers who can deliver an ongoing cascade of training. They have been touring wards with a brand new bed delivering the training directly. So far almost 500 colleagues have received training. The next phase will see our specialist beds replaced, including maternity birthing, bariatric and ITU critical care beds.”

Hayley Flavell, Director of Nursing Impact Magazine August 2022

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Supporting You in Your Roles One of the key aspects of Getting to Good is ensuring that all of you are fully supported in your roles with the skills, training and development you need to be the best you can be at the job you do.

Since the initial rollout of LMS three months ago, more than 70% of colleagues have already registered on the system and it is really positive to see that more than 15,000 courses have been undertaken already.

We are also committed to ensuring you feel Our mandatory training compliance has also supported to develop your potential to learn increased to 83% which is a significant step and grow and undertake new roles where forward with more to go. you wish to progress.

Since the rollout, for example, foundation And, of course, there is strong evidence that doctors can now see exactly what they need supporting colleagues and teams makes a to complete prior to starting. Previously this real difference in terms of the quality of care would be in separate emails which would be we can deliver to patients. difficult for the doctors to keep track of. Now this is all in one place, they are able to see Statutory and mandatory training is what they’ve done, and what they still need to important to ensure that we all have the do. critical knowledge and skills we need within our roles, and this includes Health & Safety, A link to LMS is available here.

Safeguarding, Information Governance and Fire Safety.

LMS requires colleagues to give their national insurance number as a unique To support this, we have introduced a new identifier. This is used instead of a Staff system called LMS which is a 24/7 online Number as this enables us to keep portal that gives us access to and oversight mandatory training saved on the system for of all types of training. It also generates staff who leave and return to the Trust (e.g. reminders when training is due or out of retire and return). This information is only date to help prompt us with what we need used for identification. to do.

If you have any questions, or need any We are aware that this is big change for help with the system, please contact you, and as with any new system there are the Education Team on email sath. some teething issues, but we believe this will lmshelpdesk@nhs.net, or call the team on make real difference to you and simplify the ext. 5801 or direct dial 01952 565801. process going forward.

“It is absolutely vital that we do everything we can to keep our patients and colleagues safe so we all have statutory and mandatory training which we need to complete to evidence that we have the knowledge and skills required to work in the healthcare setting. To support you to do your training, we have launched LMS and so far the results are speaking for themselves – simple, quicker, easier with everything in one place.”

James Owen, Deputy Director for Improvement & Education 10

Impact Magazine August 2022

Next Issue - September You will all be aware of the considerable pressures on our services and the challenges we are facing as a Trust, as an integrated health and care system and as part of the NHS. In the next issue, colleagues will talk about some of the challenges they face and how, within their teams, they are working together to try to deal with these pressures and improve the quality of care, and both staff and patient experience.

There is a huge opportunity to bring about positive change and I would encourage you to consider what you can do in your areas to try, test or pilot new ways of working where appropriate. If you need support you can contact your line manager, a member of the executive team including Rhia Boyode, Director of People and OD, James Owen, Deputy Director of Improvement and Education, and members of the Improvement Team.

Impact Magazine August 2022

Simple ideas, however small, can make a real difference and all add up to make a bigger impact. Taking time together to reflect on how things are working, especially at times like this, is really important.

In the next issue, we will share more about the plans for the acute floor at RSH and the Emergency Transformation Programme, steps we are taking to reduce the time it takes to get new colleagues into their posts and also our ambitious plans to become digital first, digital by default and reduce paper and duplication within the Trust.

Thank you.

Louise Barnett Chief Executive

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