Patient insight report - Q1 April 2022 to June 2022

Patient Insight, Involvement and Partnership Report

Dawn Buck Head of Patient and Public Engagement & Patient Experience

DAWN'S FOREWORD

Southern Health is committed to working together in partnership with people to ensure that the services we provide are of high quality and are delivered in a comfortable, caring, compassionate and safe environment

This report describes some of the ways in which we have engaged our patients, carers and service users, and partner organisations during the last three months

One of our highlights this quarter was our Mental Health awareness day which we held in partnership with St. Denys activity group in Southampton. The event was held as a direct result of the research project undertaken by St. Denys

Activity group, funded by our charity Brighterway. The event was a great success and was attended by 150 people from a wide range of cultures and ethnicities (More details are contained within the report)

We were pleased to participate in a number of summer events this year, giving us the opportunity to engage with our local communities Events included the Mela Festival, New Forest show, and Dementia festival

We hope you enjoy reading the report We welcome comments and suggestions about our report, please do get in touch if you would like to give us feedback

D a w n B u c k

Head of Patient and Public Engagement & Patient Experience

Dawn buck@southernhealth nhs uk

Quick overview

Learning Disabilities/Specialist division

Mayor planting a rose at Thomas Lewis House for Carers

Refurbishment of Melbury lodge Breaking down barriers conference

What is the Esther project

PHASE 2 OF THE SULSA'S

Phase 2 of the SULSAs (Service User Led Standards Audit) is well under way and more teams have worked with those using their services and have created a way of gaining feedback

WORK ON OPENING A NEW WARD AT ALTON HOSPITAL

A new ward at Alton hospital is currently under design and we have been working with service users, carers and the community on the design. This ward will offer rehab facilities closer to home

PILOT OF OXEHEALTH IN OUR CAMHS UNITS

The Trust has chosen to install a new technology system on some of the wards. This system enables staff to take observations without disturbing someone whilst they are sleeping It uses a special camera within the bedroom to take pulse and breathing rates It then sends this information to a computer or tablet that the nurses have.

REFURBISHMENT OF MELBURY LODGE

The Trust is refurbishing all the wards at Melbury Lodge and this is now well underway. We have worked with over 100 service users and carers it was a long process as there were lots of decisions to make, from the layout, inside and out, the paint colours and so much more.

R K I N G W I T H S E R V I C E U S

Beth.ford@southernhealth@nhs.uk

RAVENSWOOD HOUSEADULT SPECIALISED SERVICE

To celebrate and promote Carers week 2022, we held an event in the hospital for service users and their family and friends We had a 9 hole adventure golf course, giant games (Jenga, hoopla and Connect 4) We served cream tea and fresh fruit, hot beverages, and a selection of mocktails We also had fresh popcorn from a popcorn machine. All service users were asked who they would like to invite and as a result, we had 19 visitors, which was fantastic It was wonderful to see carers spend quality time with their loved ones in such a relaxed, fun environment Furthermore, staff from different disciplines across the unit attended the event and introduced themselves to carers so they were able to meet others that are involved in the care of their loved ones. We had lovely feedback from carers and service users following the event – the day was a real success

FUTURE DEVELOPMENTS

We have had feedback that some carers have not always had a positive experience when speaking to staff about their loved ones when ‘consent to share information’ has been withdrawn As a result, consent to share workshops/training has been delivered to staff on the ward with the aim of improving confidence to engage with carers when/if this happens We have liaised with CWM managers beforehand to ensure adequate cover can be found to manage the ward to allow as many staff as possible to attend. During the workshop (lasting an hour), we have covered topics such as: service user and carer rights, capacity and advanced decision making, safeguarding, what to include in conversations with service users about consent to share, where to document on RiO and what a conversation with a carer can/should look like when there is no consent We have had really positive feedback so far and staff have said it will help their practice going forward when interacting with carers

We are still working to improve our visiting facilities and procedures The visiting policy is due to be reviewed soon and a task and finish group has been formed, including staff across Ravenswood and Southfield, to create a flow chart showing the steps involved from admission to the visit taking place. This aims to improve both staff and carers knowledge of the process

We are also still working on providing a support group for carers of loved ones in a forensic setting. We have now secured a venue and our 1st group will be held in September 2022 All carers who care for a loved one across all adult forensic inpatient and community settings will be invited

Furthermore filming will take place 27th July 2022 to create a virtual tour of Ravenswood Once complete, the video can be shared with carers who are not able to visit their loved ones (for a number of reasons) so they can see all the facilities available at the hospital It can also be shown to service users before admission so they have knowledge of the hospital before arrival.

EXAMPLES OF FURTHER ENGAGEMENT INCLUDE:

Carers event at Ravenswood House

Continuing to identify carers and complete CCP at the earliest opportunity

Carers invited to participate in the production of the new carer booklet

Carers invited to attend ‘Making carers visible event’ in collaboration between Southern Health, Solent NHS and University Hospitals Trusts alongside local carer support services

Carers invited to be involved in the production of the Carers Feedback Questionnaire

Supporting carers with the new ward changes and change of MDT at Ravenswood House

Inviting carers to be involved in Triangle of Care training by providing feedback on the process/benefits of completing a CCP

I N G W I T H O U R S E R V I C

R K I N G W I T H O U R S E R V I

Swanwick Lodge

The Recovery Workers within Swanwick Lodge Health & Wellbeing Team worked with Peer Power Organisation to complete some work with the Young People living here. The work focused on having a voice in healthcare.

Voice Matters

This was through the medium of poetry, with the Young People producing a scrap book which is being professionally produced for them to keep

The work the Young People completed also qualified them for an AQA Managing Health Unit Award accreditation

During Carers week we engaged in a number of activities with our carers groups. This included:

Southampton LD Team event planting a rose to thank carers A free raffle

East Hampshire LD Team sent seeds and thank you cards North Mid Hampshire LD Team sent out Thank you car stickers West Hampshire LD Team sent out Thank you fridge magnets and did a free raffle for afternoon tea for 2 They engaged with all carers on their case loads 150 carers were involved in the activities

We had lovely feedback from carers week and comments “it was so nice to be thought of and I look forward to watching my seeds grow into flowers” The carer who won the afternoon tea for 2 said “ I never win anything, thank you”

Having the Mayor of Southampton come to Thomas Lewis House to plant a rose for carers was great The main feedback from the carers was, “it was just nice to be thought of”.

East Hampshire service user group thank you to carers Southampton City LD first service user group meeting after covid, and joint with carers week and Mayor of Southampton joined them

My

Exploring My Voice Using My Voice For Influence Share And Be Heard

SOUTHFIELDS UNIT

At Southfield there has been a lot of change, with the service model moving more towards delivering care to more female service users and having just one male ward, (previously two male and one female) These changes have had an impact on service users across the unit, with males moving to a ward at Ravenswood (20 miles away) and each ward being re-vamped with new bathrooms and living spaces Throughout this period of change the staff have been encouraging service users to engage in the development process, choosing decoration, picking ward names and giving their thoughts on resources. This has helped with managing the changes and feeling part of the process

Community meetings continue to take place weekly and opportunities to meet with the management team occurs monthly Meetings are chaired by patient Ward Representatives, as part of the paid vocational roles project, facilitated by Occupational Therapy

ASHFORD UNIT

At Ashford there has been a focus on staff training in the sensory room, this has been arranged to enable access out of hours to a safe space that service users can use to help regulate themselves when needed

Community Teams: Both Forensic community teams continue to liaise with external agencies to increase the opportunities available to the community caseload Ongoing liaison with workplaces, colleges and leisure based venues have had such a positive impact on helping service users transition into the community and maintain engagement with them following discharge from in patient services.

SPECIALIST COMMUNITY TEAMS

Both of our community teams (Specialist Forensic and Forensic Learning Disability) have been working on introducing the Triangle of Care (ToC) into their everyday practice. They often work closely with service users in their homes and engage regularly with carers, family and friends As part of the ToC project, they now have leads for Carer Engagement, as well as for Service User Engagement During Carers’ Week the leads worked with the staff teams to make pledge trees as a way of promoting the importance of carer engagement

EXAMPLES OF FURTHER ENGAGEMENT INCLUDE:

Service user involvement is well established across all the in patient and community services, with regular opportunities to get involved in service developments, attend community meetings and work with management teams to make positive change in each team.

Each in patient service now has paid Ward Representatives, and they are involved in interviewing new recruits, reviewing processes and procedures to ensure they are least restrictive, and sharing the views of their peers on the wards

The Vocational Rehabilitation project for in patient services is also developing and over recent months we have seen an increase in jobs across each service. The Vocation Lead is working with HR to move all patient roles onto team rosters under a band two contract. This project is nearing completion and once up and running, will demonstrate how in Specialist Services we are creating an amazing vocational rehabilitation experience.

Service users have been particularly pleased with the introduction of PAT dogs in in patient services, having this opportunity has been really positive for those involved

Regular service user events have taken place over recent months, including a summer fete, picnics, wellbeing festival and carers week tea parties, these have helped service users experience time with their loved ones and given a positive focus to the month, with many service users getting involved in the planning and running of the day Community patients have also been invited to take part and share their experiences of community living

Access to mobile phones in the in patient services has been reviewed and each team is moving towards a safe but less restrictive process around phone and internet access This has been well received by service users and managed well on the wards.

K I N G W I T H O U R S E R V I

O R K I N G W I T H O U R S E R V I C E S

LEARNING DISABILITIES Service user groups, NorthMid, West, East Hampshire and Southampton City.

The four service user groups have been very busy looking at documentation that needs to be made into easy read format There is a new health book being developed by our team The health facilitators have been attending all the service groups and engaging the service users on what works for them and having pictures/images they can understand. These books will be used by NHS to improve communication with LD service users This is a great achievement as it should help so many people with Learning Disabilities with health appointments

We have also completed the service users standards in easy read format and this was signed off by the Patient experience group (PEG) on 20th July 2022 ready to be used, all four groups helped with how the final copy looked

One of our service users from the East Team went to the Houses of Parliament on 15th June to meet MP’s and talk about learning disability awareness They have made a very powerful video on what it is like to live with a learning disability.

Future engagement work

We are looking to work with the 4 locations in Hampshire’s learning disabilities Teams and have one carers support group to help with engagement, as most groups only have 1 or 2 carers who regularly attend the meetings We thought if they had a larger group this would help with peer support

We have a transition meeting planned in September, where we will be talking to carers moving from Children’s Learning Disabilities servicers to adult services, explaining what services Southern Health Learning Disabilities Teams offer for adults with Learning Disabilities. This will help with carer engagement from when they are younger and hopefully help with future engagement

Early Intervention in Psychosis (EIP) East

There are now Carer Peer Support Workers in each EIP team(4) We are meeting once a month together, to share learning and experience. We have a team BBQ in August, for service users and carers, hoping to get some new carers to join us Feedback Thanks Nicola…You really are the font of all things ‘carer’ really appreciate it….thank you “ In an email from a carer I support, “You have been amazing, thank goodness for EIP”

The Willow Group

The Willow Group Has been awarded a Gold award for the Pride in Practice Assessment The Pride in Practice programme works with GP practices, dental surgeries, pharmacies and optometrists to ensure that all lesbian, gay, bisexual and trans people have access to inclusive healthcare that understands and meet their needs The Division will be looking to implement this across all services.

O R K I N G W I T H O U R S E R V I

O R K I N G W I T H O U R S E R V I C E S

Getting Through Developed by parents/carers as part of the Children’s and Young Person’s National Taskforce these leaflets should be completed with a parent on admission of their child/young person and aim to answer the questions that they may have about what will happen following admission Each service has a stock of these leaflets, and they will be completed by the nursing team and/or the inpatient social worker/family therapist on admission

CAMHS ASD Training A cohort of nursing and MDT staff across the CAMHS in patient units completed the ASD Train the Training provided by the Maudsley. Over the latter 3 months the foundation level training has been rolled out across all staff working in the 3 units This training has included the Lived Experience of a parent of a young person with ASD with whom I recorded a narrative of their story detailing their experience.

CAMHS Service User & Carer Strategy: Alison Vasey (Operational Manager – CAMHS) and I have begun to develop a Strategy for the service to identify areas for further development and how we can include service users and carers more at a strategic and development level

Willow Group Reasonable Adjustment Patient/ Carer Event June 2022

A face-to-face Reasonable Adjustment event took place on 20th June 2022 linked with Learning Disability Awareness Week Event invites were shared with the Patients and Carers on the Willow Group Learning Disability QOF register and approximately 16 service users and carers attended

The event delivery was to:

Obtain feedback from patients/carers of using the surgery related to Reasonable Adjustments

Have the Reasonable Adjustment Questionnaire available to discuss/complete Meet members of the Willow Group Team Opportunity to promote other services available to support reasonable adjustments

The following organisations had stalls to promote their services: East Learning Disability Service User Group, Adult Services, Shape Up 4 Life, SHFT Carers Team, SHFT Learning Disability Health Facilitators, The Serendipity Group and Fitzroy Love4Life Group.

Initial feedback has been:

The ‘other services’ listed on the event invite could have worded as ‘other organisations’ to make it clearer it wasn’t just The Willow Group at the event

The event invite was directly sent to patients on the Learning Disability register and then shared on social media which meant there was potential that other Willow Group members may attend.

A parent of patient with Autism has queried why they were not invited if the invite stated for both patient groups (Learning Disabilities and Autism)

Staff felt signage outside the venue could be improved to direct people where to go Willow Group received feedback from patients at the event and the Reasonable Adjustment Questionnaire was completed

The Willow Group are continuing to receive completed questionnaires and input onto the EPR Feedback received from the East Learning Disability Service User Group who really enjoyed the experience of the event and would be keen to participate in more in the future.

Additionally, as a result of the event a new member joined the East Learning Disability Service User Group and, Love4Life are going to be having Shape Up 4 Life join them on some joint work to offer some healthy eating support groups to the Love4Life members

PUBLIC INVOLVEMENT IN RESEARCH AND INNOVATION

Southern Health PINR Member Appointed to Volunteer Post

The PINR stands for the Public Involvement Network for Research and is made up of all you lovely service users, patients, carers and members of the public who receive our newsletters and offer to help our researchers design better studies by using your lived experience. Read on to hear how Helen Sloan one of our first PINR members has been appointed to the Patient and Public Involvement Strategy Group for the National Institute for Health and Social Care (NIHR) Clinical Research Network Coordinating Centre (CRNCC)

Helen’s Background

“My contact with Patient and Public Involvement (PPI) began when diagnosed with Advanced Macular Degeneration in 2013, leading me to take part in the development of a research proposal. I attended conferences, meetings and eventually joined a patient led research group at Southern Health to develop further projects This involvement complemented some of my own work and outside interests PPI is a fascinating and rewarding area to take part in It gives patients the insight into how new treatments and discoveries are made in the clinical context and a greater understanding of how professionals deliver their work. Patients, carers and public can feedback on their own experiences of treatment and research which in turn informs future developments. “

Who are the NIHR

The NIHR was established by the Department of Health and Social Care (DoH) in 2006 to improve the health and wealth of the nation through clinical research NIHR supports UK health and social care research, through funding and other support It funds 15 Clinical Research Networks (CRN) that ensure delivery of high quality clinical research across NHS and Social Care organisations in England Therefore, supporting patient participation in clinical research studies within the NHS and other settings.

Helen has been selected to serve on the Patient and Public Involvement Strategy Group for the National CRN Coordinating Centre after seeing the advert in a communication to all the PINR members What it means to Helen

Helen goes on to say “I feel privileged to have been asked to join this new group providing an opportunity to get involved in the work of the networks and promote patient inclusivity. Our local network is Clinical Research Network Wessex (https://local nihr ac uk/lcrn/wessex/) and I am looking forward to finding out more about what they do alongside the other networks This group is our chance as patients to have our voice heard and increase PPI at NIHR Watch this space“

C I N V O L V E M E N T I N R E S E A R

We currently have 3608 carers recorded on Rio, and 72% have a carers communication plan (June 2022)

155 plus 60 honorary Carers Leads across the Trust

The content of the new Trust wide carers booklet is out for feedback with the intention for final amendments to be completed by the end of June. Carers Leads will now begin work in developing their own service-specific leaflets in co production with their carers which can slot into the back of the Trust’s Carers Booklet

1895 staff have complete Triangle of Care training from 2019 – June 2022, with 99 staff having completed additional carer related training such as Forum Theatre and Carers Rights training

Through feedback from the staff carers, Jane was able to have a question about carer responsibilities added to the Trust’s Appraisal template form. Paul Draycott joined the Staff Carers Together Group for the June meeting to listen to our staff carers as part of Carers Week

CARERS LEADS

Guided by our Youth Board we aim to continue to adapt our youth engagement work to remove or reduce the barriers to participation

During the academic year of 2021 2022 we ran three Mental Health and Wellbeing Roadshows at various locations across Hampshire (Havant, Southampton & Eastleigh and The New Forest). Our roadshow days consisted of two workshop activities, guest speaker sessions, a collection of stalls with various organisations and a series of games and ice breakers The topics we covered at all of the roadshows included exploring pressure, stress and anxiety as a young person and student, how to support and understand what it is like to be a young carer, how young people can make a change within the NHS and exploring how Southern Health NHS Foundation Trust plays a role in their lives and finally, the last topic was chosen by the Southern Health Youth Board and explored the Mental Health of LGBTQ+ young people.

The first roadshow was targeted at schools and colleges in the South of Hampshire including Havant and Gosport, we had interest from 6 different schools across the area, with one able to join us on the day During the day we worked with 15 students from Bridgemary school in Gosport, the young people engaged particularly well with the School Nurse team who were running a stall for the day and they were very open and willing to share their experiences during our various discussions The second roadshow was in the Southampton & Eastleigh area and was hosted at Eastleigh College, we had students attend from Regent’s Park Community College, Toynbee School and Eastleigh college throughout the day, the young people at this event had lots of fun meeting students from other schools and spent lots of time talking to the various stallholders including Kooth, iTalk, Solent Mind and SHFT. Our third and final event was hosted at Noadswood school exclusively for their students, initially we had 30 students sign up for the event but due to a clash of school timetables and sports day, we spent our day working closely with 15 of their students

At all of the events we ran, the young people were very passionate when it came to suggesting ways the NHS could be improved we encouraged them to think specifically about services offered by SHFT Some of their suggestions included:

Be more open with young patients, don’t just talk to the parents, include the young person in your discussions

More awareness of mental health problems in school Communicate better because until today I didn’t know about Southern Health – tell schools or do an assembly

More adverts telling everybody about all of the opportunities for anyone careers/jobs Have more opportunities in schools for young people to get involved with the NHS More about how to join the NHS

Opportunities to see the types of careers

We collected feedback from the young people regarding the events and these are some of their comments, these are written exactly as they were displayed by the young people:

I learnt how to cope with pressure, how to support young carers and about how to help people who are struggling

I learnt a lot about how mental health can affect you and I also learnt about young carers

I would like to see more events like this

I enjoyed doing the walk around and talking to people from different organisations I learnt that other people feel like me

I learnt that you shouldn’t be hard on yourself on bad days

I enjoyed the closeness and community of everyone, it made sharing easy

I learned about mental health and topics that are less discussed, I liked the lots of discussion opportunities to talk

I would like to see more help in schools normalise being different

I enjoyed the games but also meeting great people with great intentions to only help and I love that

I learnt that young carers is a serious thing and people may not know they are even a young carer

Although we reached a relatively small cohort of students, it is clear to see that we had a huge impact on those who did attend and the feedback reflects that

R K I N G W I T H O U R C A R E R S

The Trust has been working towards Triangle of Care accreditation and embedding the six core principles of Triangle of Care through four Trust standards for working closely with carers, families and friends We currently have our first star Progress against the Four Trust standards

Carers Leads in every team

Carers booklets for each service available to carers Triangle of Care training for all staff

Carers Communication Plans to be completed with each carer

CARERS FEEDBACK SURVEY

The newly developed carers survey (in line with Service User Led Standards for Audits) is now live and available for staff to share with carers and families https://eu surveymonkey com/r/rw1carers?team code=CARE

Carers Week ran from 6th to 12th June 2022 Southern Health NHS Foundation Trust (SHFT) is committed to working collaboratively with carers, families and friends. As part of the National Carers Week Campaign, SHFT committed to engaging with the theme: “Making Caring Visible, Valued and Supported” through a series of events, campaigns and activities

Carers Leads Network Event

Carers Week Event Collaboration between Southern Health NHS Foundation Trust, Solent NHS Trust, and University Hospitals Southampton Staff Carers Together

Families, Carers and Friends Involvement Group

Forum Theatre: Think Carer! Friday Carers Catch Up Carers Leads/Services

21 carers leads and their teams received funding support from Brighterway for their Carers Week Activities

AUSTEN HOUSE

Austen House On admission parents are sent a copy of the service Welcome Booklet, a letter detailing who their young person’s core team will be (with photos of staff) and resource leaflets (travel directions, what’s in the local area and national carer resources) Welcome Meeting held asap after admission Parent/Carer Forum held every 6 – 8 weeks facilitated by the Carer Leads – this is an opportunity for Parents/Carers to share their lived experience, to learn more about their young person’s journey at Austen House and for their views/wishes on service development to be gathered.

Quarterly newsletter sharing good news and service updates Gestures to mark significant dates, including Christmas, Easter, Carers Rights Day Parent/Carer Noticeboard in reception Questionnaires sent out post admission, at each CPA and post discharge for feedback on parent/carer experience I have been supported to achieve the above improvements by having dedicated administration support at Austen House which has been invaluable

ASHFORD UNIT

Ashford have always put carer engagement at the forefront of the work they do and have great links with carers, family and friends Over this review period they have held regular events for carers to come to Tatchbury to enjoy time with their loved one, such as tea parties, picnics and the annual summer fete

SOUTHIELD UNIT

At Southfield we have advertised a part time Carer Liaison secondment post and Anna Gill has taken up this position Anna has been working closely with Karrie Vallance, the Carer Liaison at Ravenswood, to learn the role and engage Carers, Family and Friends of Southfield Service Users Anna started off in post in time to celebrate carers week and working just one day week, she was able to engage staff from across the unit in making a pledge about how they will support Carers within their roles over the next year Anna created a noticeboard with a post box design that has taken pride of place in Southfield Reception

SPECIALIST COMMUNITY TEAMS

Both of our community teams (Specialist Forensic and Forensic Learning Disability) have been working on introducing the Triangle of Care (ToC) into their everyday practice. They often work closely with service users in their homes and engage regularly with carers, family and friends. As part of the ToC project, they now have leads for Carer Engagement, as well as for Service User Engagement During Carers’ Week the leads worked with the staff teams to make pledge trees as a way of promoting the importance of carer engagement

ADULT SPECIALIST SERVICES

Adult Specialist Services have continued to complete Carer Communication Plans and 100% of the carers we have on our system have been offered the opportunity to create their own individualised plans, with the majority taking part and benefitting from more meaningful contact

Across the Adult section of the SS division we have also continued to deliver training at induction every month to highlight the importance of carer engagement to staff at the beginning of their career This has helped to raise the profile and support staff development Additional to this training, at Ravenswood there has been a roll out of Consent to Share training for ward staff, with the aim of improving the experience of carers and empowering staff to engage them meaningfully. This training will be rolled out across the other adult services over the next few months

P E E R S

U P P O R T P R O G R A

SouthernHealth PeerSupport

Peer support, behind the scenes, is moving in an exciting direction with training and induction packages being developed ready to roll out in the next quarter Already presentations are being delivered to introduce teams to the core values and job roles of service user and carer peer support workers The well supported evidence of the cost benefit of peer support to the trust only pales when compared with emotional and behavioural benefits

A peer support forum has been set up which aims to support all peer support workers, helping them to share their successes with one another and keep their own hope bank topped up The peer forum also gives peer support workers a space to bring challenges and tackle them with the collective experience of the whole team, ensuring that all peer support service is at it’s most effective

We continue to invest with the education and have recently hired the first of our senior peers in order to better support staff to meet the needs of our service users and their families. We are in the process of recruiting a peer educator who is responsible for the development and delivery of training models to support both our peers and the clinical teams supporting them

We have forged good relationships both regionally and nationally to ensure we are linked into the wider conversations around peer support nationally supported with our ongoing relationship and trust partnership with IMroc a national leading training and education provider in the peer support arena We have also secured additional funding for the structure from Health Education England to enable us to grow the framework and staffing structure that we will be adding to in the next one to three years

This service will provide a friendly listening and support service where patients and carers can share their feedback with a focus on resolutions

Carers & Patient Support Hub Figures for April 2022 – June 2022

Support Hub Compliment 32

Support Hub Enquiry 31

Support Hub Information 9

Support Hub Referred to The Complaints Team 9

Support Hub Signposting 40

Support Hub Expression of dissatisfaction 2

Support Hub Feedback 14

Dementia Festival in Petersfield, represented by The Carers & Patient Support Hub team & Brighterway.

Engaged with 77 people during the day, sharing our new service, and the great work Brighterway continues to do to support our services within Southern Health Foundation Trust, including projects that have directly supported Dementia patients and their families

We also spoke with multiple third parties during this event, to continue to build our knowledge on the resources available to our patients and carers living with dementia and create better working relationships to signpost to each other moving forward, this included citizen advice, carers together, and Dementia UK as well as other local organisations based within the Petersfield area

Clinics attended in April 2022 – June 2022

• Thursday 12th May 2022 St Denys Community Centre

• Thursday 9th June 2022 St Denys Community Centre

• Lymington Hospital 6th, 20th April 2022, 4th, 11th & 18th May 2022 & 1st, 8th, 15th & 22nd June 2022

Carers & Patient Support Hub Clinics

The service is in the process of arranging visits to the following areas to arrange Carers & Patient Support Hub Clinics

Parklands Hospital

Antelope House

Avalon House

Elmleigh Fordingbridge

Leigh House

Melbury Lodge

Petersfield Hospital

Romsey Hospital

Ravenswood

Western Hospital

Plans for the future

explore inducing “Chat Health” text messaging service

Visit all the sites listed above and arrange for clinics to be held in these areas Send out an all staff bulletin introducing the Carers & Patients Support Hub

contact the Carers and Patients Support Hub

CarersandPatientsSupportHub@southernhealth.nhs.uk

COMPLAINTS AND PATIENT EXPERIENCE TEAM

Feedback and issues raised via our Complaints and Patient Experience service are monitored and reported on monthly

The reports are submitted to our Patient Experience and Caring group and then presented to the Quality and Safety Committee followed by the Trust Board

These reports are available on our website as part of the Trust Board papers. https://www southernhealth nhs uk/about us/our board/meetings and papers

We have recently established a Complaints Review Panel which meets on a quarterly basis. The group is made up of representatives from divisional staff, complaints advisors, Healthwatch, the Integrated Care system and service users and carers The aim of the panel is to monitor the effectiveness and quality of our management of Complaints, to share good practice and ensure that the Trust is learning from complaints

If you would like to give feedback on our complaint process please scan the QR code

BREAKING DOWN BARRIERS PART 1

Supported by Brighterway, at the end of last month, our Trust hosted a mental health awareness event in Portswood, Southampton working in partnership with St Denys Activity Group.

Over 150 people from the local area came together to talk about mental health. Opened by the Mayor of Southampton (who urged the audience to “take the opportunity to open up, don’t ignore any symptoms, there is someone there that can help you”), the event was a great success in reducing the stigma associated with mental health and raising awareness of the services available in the city

Keynote speaker Shuranjeet Singh (founder of Taraki, a mental health action group for Punjabi communities) spoke about how culture and identity affect your mental health, and the importance of building safe spaces for communities to discuss this We also heard from Dr Abdoulie Sanneh (talking about a research project undertaken within the local BAME community); Dr Zaid Alabassi (our Medical Director from Antelope House); Dr Pritti Aggarawal (about social prescribing, peer support and mental health practitioners); and Dan Arnold (a peer support lead himself, talking about the compassionate nature of peer support). There were also some great videos from patients and carers talking about stigma, how they overcame it and messages of support to others.

The event was borne out of the research project (mentioned above) conducted by St Denys Activity Group which found that there were cultural attitudes towards mental health (particularly in the black and ethnic minority communities) and inequality in treatment due to culture, assumptions and stereotypes having an effect on accessing support. The event marks the start of some fantastic engagement work Southern Health is doing with local communities talking about mental health.

BREAKING DOWN BARRIERS PART 2

150 people from a wide range of cultures and ethnicities attended the event and the market stalls covered a range of local services and support groups For example:

Steps to Wellbeing

Solent University

Creative Options

Carers in Southampton

Solent NHS Trust

St Denys Activity Centre

BAME Carers group

SHFT Carers, Membership, engagement team, peer support

Lighthouse

Enhanced Mental health primary care team Public Involvement network for research Abri Employment Black History Diabetes UK Mental Health First Aid The Advice Service Southampton Mental Health network

The event was opened by Mayor of Southampton Councillor Jacqui Rayment who urged the audience to “take that opportunity to open up and there is someone there than can help you in some way don’t ignore any symptoms”

There were also some great videos from services users and carers talking about stigma, how they overcame it and messages of support to others “I wanted to thank you and your team for the event that you helped organise and supported this Saturday I am not quite sure how many people attended but there seemed to be a good number, I picked up a sense of meaningful engagement and relationship building and I felt a real buzz too ”

Next Steps

Collate all the feedback from the event Work in partnership with St Denys to develop an action plan based on the feedback received

“I wanted to thank you and your team for the event that you helped organise and supported this Saturday. I am not quite sure how many people attended but there seemed to be a good number, I picked up a sense of meaningful engagement and relationship building and I felt a real buzz too.”

We continue to work in partnership with Touch network. Touch is a local voluntary organisation in Southampton who share and celebrate everyday stories of resilience. By doing so, they prevent struggles with mental wellbeing beginning, or getting worse. “Through providing a platform to share and hear stories, we cheer each other on and learn from one another”, Touch use these stories to enable positive change in our communities and the NHS and social care environment

During the last quarter, Touch network have been listening to people’s stories and sharing this valuable insight with us Below are a few examples of what would have helped people in their journeys

In June, Touch hosted a storytelling event for Southern Health. The aim of the event was to encourage staff to listen to patient stories in order to learn from their experience so that we can ensure we are delivering the highest quality care.

Below are some examples of feedback from the event

What did you think of this event?

My first time at a Touch event It was brilliant! Felt really welcomed Brilliant!

Really interesting and inspiring Was great to hear stories but also hear about Touch Network

Would you come to another similar event?

Yes! Fascinated to hear more stories Yes! Always inspiring

Would you recommend this event to others?

Yes! Surrounded by people that exude warmth, acceptance, care, love and grace Yes! So inspirational Yes! Very relaxed atmosphere and setting and enjoyable What did you enjoy most?

Hearing the stories Chatting to people Networking

Learning about others experiences of mental health

How has this event made you feel?

Positive Hopeful Optimistic Motivated and inspired

What has this event meant to you?

Overcoming my nerves

A lot I have felt so much emotion and feel I have learnt so much about my colleagues I think our team should all do this together Reflection and the importance of words A lot, I need to be resilient It’s also given me ideas for more events How do you think this event will continue to affect you after you leave?

Memories and encouragement Some sobering moments Sense of ‘everyday/ordinary’ significance. Moving I’ll be reflecting and telling all about it Keen to promote Touch Network to service users and carers

STUDENTS CREATE FILMS TO CELEBRATE MENTAL HEALTH AWARENESS WEEK

Students create films to celebrate Mental Health Awareness Week

Second year TV production students from Solent University recently worked with staff and patients from our Trust to create a set of videos that focus on raising awareness of mental health

The project to coincide with Mental Health Awareness Week (9 15 May) – has resulted in seven fantastic videos They feature subjects such as being a peer support worker, the benefit of safe havens for those in mental health crisis, what it is like to work in mental health, an educational piece for schools to help them support boys with their mental health, and a guide to physical health checks for those patients with severe mental illness.

The results are not only an excellent example of real world learning for the students, but highly creative films that are the cornerstone of our Trust’s Mental Health Awareness Week campaign this year The project has given the students an insight in mental health and the services available for people across Hampshire

The videos are all available to watch here: www.southernhealth.nhs.uk/mhaw

COMMUNITY DEVELOPMENT

What does community development mean? Is there a difference between development and engagement? I would argue that there is a difference, and that development is far more authentic in as much as it is citizens who create good health and well being rather than an organisation, such as the NHS

I often worry that there is not much to report but community development takes time. You go at the speed of trust You go at the speed of planting a seed and nurturing that seed to fruition

There have been a few seeds planted this quarter In June I was approached by a local Stable who wanted to share something they had not experienced before. Alongside volunteers helping they had hosted a morning for people with dementia. The interaction with the horses had provided a wonderful event and the stables were keen to explore possibilities further.

What interested me was that far from regarding the group that visited as broken, vulnerable and in need of sympathy or pity, the staff and volunteers saw the visitors as co operators and witnessed the horses being cared for in an empathetic way

The point of the call was to illustrate that we (the public/citizens) are the authors of our health and wellbeing in a way that services or interventions cannot reach The folk attending the stables found they were being defined not as people with dementia but as a group good or excellent with horses. They were the equals of the staff and volunteers and no longer regarded as clients or service users

Community development is about celebrating and encouraging people to take an active interest in their health Sometimes that requires some monetary support sometimes not In all things we know that connections, relationships and not being labelled and thus constrained by prejudice produce good health

I look forward to the first shoots from the seeds planted this quarter popping through in the next and that the support we have given to the local Stable will bear fruit in the health and wellbeing of all who visit

FUNDRAISING

The ‘Brighterway Annual Fundraising Divisional Award’

This trophy will be awarded to the division that raises the most funds for Brighterway in 2022/23 through fundraising and regular giving

The money raised will not just go into the Brighterway general funding pot All money raised by the division will go towards supporting projects for their division the more they raise, the more projects can be funded.

The BAFDA year starts on Friday 1 April 2022 We will publish a league table every month, I’ll keep you updated

B R I G H T E R W A Y C H A R I T Y

PROJECTS FUNDED BY BRIGHTERWAY

First class stamp design competition for the Queen's Platinum Jubilee

We ran a first class stamp design competition for the Queen's Platinum ubilee

Where we asked staff to create their own stamp, making sure they nclude the Queen's head! And celebrate events from the last 70 years nd all things British!

We awarded prizes for the top three stamps to win an Amazon oucher, 1st platinum £75, 2nd gold £50 and 3rd silver £25 We sked for £2 to enter

We had so many fantastic designs it was hard to choose, however, we rowned our winners:

1st Place Amber Jones

2nd Place Lily Nichols

3rd Place Poppy Ward (Tracy Adams)

Awareness Week

urney starts with One Small Step’

a Charity Single ‘Every journey starts all Step’ along with ’ Palmer who composed a song to mark lth Awareness Week (09/05/22 he track, ‘Every journey starts with One as written specifically by the Portsmouth songwriter to raise awareness of mental s The lyrics include our charity

tures Richard ‘Ricky’ Palmer and several m Southern Health NHS Foundation Trust ded their instruments to the track: Jane arp), Michael Reidy (Irish Whistle), Justin uki), Amanda Golding (Violin)

n expression of the never ending journey een sharing with my mental health’ said ’ Palmer. He went on to say ‘I wanted to ong a positive message about mental mall step is all it takes, and you are not journey, all you need to do us reach out will be there for you ’ hard Palmer)

PROJECTS FUNDED

Antelope House therapeutic garden project Brighterway was invited to Sparsholt college to meet the students who were presenting their ideas for Antelope House therapeutic garden

The students visited the garden space and measured up the existing area Antelope House presented to the students the history plus what needed to be considered along with the patients views. The students then went away to create designs for the therapeutic garden, based on this information The designs will be taken back to the unit for the patients to review and make a decision We are now just waiting for the chosen design

Another project we are involved with, and funding is The Willow group ‘Incredible Edible’ the site at Forton Medical Centre – Gosport

We continue to support The Willow group ‘Incredible Edibl the site at Forton Medical Centre Gosport The aim of the Willow Incredible Garden:

To utilise the space at Forton MC. for wider communi benefit, improve health and greater wellbeing

To encourage social engagement; get people outdoor speaking to each other and meeting new people

Get people doing practical things, increasing physic activity, reducing loneliness & creating a sense belonging Encourage people to learn more about the food they eat the nutritional benefit, how to make healthier choic and have a go at growing it

To share in the education, knowledge, food & friendsh opportunities that a growing garden can bring, a place just stop and sit a minute, contemplate, a change o scenery, spend time with nature and engage with other

Brighterway were asked to attend the East Hampshire Dementia Fesitival which is a free, drop in event offering services guidance and training useful to those living with dementia or to those who care for loved ones with dementia

The event was organised by East Hampshire District Council and Dementia Friendly and was held at Petersfield Festival Hall, on Friday 8 April 2022, from 10am 4pm

With around 200 attendees taking the opportunity to get up to date information on what support is available in East Hants for families living with dementia and their carers

The rooms in the Festival Hall were used for different events including a vintage tea room and a Memory Café which in the afternoon gave people a chance to enjoy a musical experience and an afternoon tea with Tea for Two

I attended the first NHS Charities Together conference, all be it remotely

NHS Charities Together organised all NHS charities, which represent every NHS Trust and Health Board across the UK, together for the first time to celebrate and grow the collective impact as one of the biggest voluntary health funders in the UK

The National Conference 2022 explored how the charities continue to galvanise support in the future and use donations to have the most impact for the NHS workforce, patients and communities.

The theme was about supporting the NHS through challenge and opportunity and the focus was on empowering the NHS charity sector to be high performing, effective and impactful.

The exciting programme gave NHS charities an opportunity to explore the latest sector trends and how we can work together for most impact, as well as to network, share best practice and hear from speakers with expertise in a range of areas including fundraising, communications, finance and governance.

REGULAR WAYS TO SUPPORT THE BRIGHTERWAY CHARITY

Pennies from Heaven

We want to say a massive THANK YOU to everyone who has signed up to Pennies from Heaven so far, your small change is helping to make big changes! We hit a milestone of 514 staff members and are well on our way to winning a bronze award with ‘Pennies from heaven’ by signing up 10% of our staff We would love to hit this target

SIGN UP TODAY click on the link https://www.penniesfromheaven.co.uk/donatemypennies/

Become a Charity Champion, we have recently appointed 3 more charity champions giving us 10 in total click on the link https://www.brighterway.org.uk/were looking for charity champions/ and sign up.

Like to give more? Then sign up to CAF Charity Aid Foundation CAF allows staff at Southern Health NHS Foundation Trust to donate any amount to the Brighterway charity through their monthly pay Click on the link and make your contribution www brighterway org uk/regular giving/

Scan here to also donate

Brighterway funded this year’s Carers Week – 6th 12th June The theme this year is “Make caring visible, valued and supported”

Brighterway donated £3000 to support Southern Health NHS Foundation Trusts Carers Leads in their plans for carers week

Each team could apply for up to £100 see below some of the stories

THE EARLY INTERVENTION IN PSYCHOSIS TEAM (EAST) CARERS LEAD: NICOLA HOWELL

Using the Community Room at Tesco Havant, we arranged an event to celebrate Carers Week, and invited all the carers from our caseload

We had a cake printed with the Carers Week tag, Make Caring Visible, Valued and Supported, which would be shared with all who attended

We had two different ‘Just for Fun’ quizzes on the tables, which the carers could complete. And had ice breaker questions planned

We had refreshments of tea, coffee and juice, with cakes biscuits and fresh fruit Two staff members who work with the team at EIP East, joined us and our IPS staff with Solent MIND

We had six carers attend which was lovely They all enjoyed some time meeting other carers, working out their quiz answers and having some refreshments

All EIP EAST carers were given a thank you card from the service users with anonymous messages of thanks. We also gifted each carer a packet of flower seeds, and a sachet of Cadburys hot chocolate for them to enjoy. Those not attending had their card and gifts posted to them

RAVENSWOOD

FUNDAY

To bring family/friends/carers together with their loved ones in services, to provide another avenue of opportunity to support carers and to show our appreciation to carers

For our carers event we hired a company to set up a 9 hole adventure golf course in our sports hall There were also 3 giant garden games for everyone to play; Cactus Hoopla, Connect 4 and Jenga

All SU’s from all 4 wards were invited, as were their identified carers We had a total of 19 visitors which was fantastic We served cream tea, tea, coffee and freshly made popcorn There was also a selection of mocktails for people to enjoy. Various staff from Ravenswood were involved in the running of the event The occupational therapy team helped to escort/supervise SU’s and carers, serve the food etc and many from the psychology department came along to play golf and introduced themselves to carers

Carers Week – 6th-12th June The theme this year is “Make caring visible, valued and supported”.

CARERS LEAD: KARRIE VALLANCE AND BECKY HARDING FAMILY AND FRIENDS

We originally planned to offer 1 hour slots for carers to spend at the event, however we were lucky to have lots of staff present to help with supervision therefore we could allow carers to stay for longer; a couple stayed for the entire duration which was wonderful We also set up a Carer stand, providing information leaflets and goody bags for carers to pick up on their way out just a small token of appreciation for all that they do

The carers enjoyed meeting other carers, being able to share their roles with each other, highlighting any extra support needed, they shared their experience with Emma. Carers thanked me after the event, and said how they felt ‘Thank you so much for organising today. You have worked so hard” “Thanks for the seeds and card, they are lovely”

“I had a lovely surprise in the post today with your card and seeds with the chocolate sachet. That’s lovely”

CROSS CAMHS PARENT/CARER CREAM TEA SATURDAY 11TH JUNE 2022

To celebrate Carer’s Week and to launch our Parent/Carer “coffee afternoon”, we hosted a Cream Tea at Totton AFC Football Club on Saturday 11th June from 13:00 15:00hrs. Thank you to those parents/carers who were able to join us, with scrummy scones and cream, vintage bunting and music provided by a talented duo, it was an afternoon enjoyed by all Brighterway Charity kindly donated money across all three CAMHS units to help with the cost of the event, thank you

The aim of the event was to provide a more informal environment for parents whose children/young people are currently receiving care in our CAMHS inpatient units to meet, socialise and begin to share lived experience, fostering a mutually supportive network. Parents who were able to attend have given positive feedback on their experience.

“It was great to put faces to names at the cream tea today Could you please thank all those involved in setting up this event as meeting both the team and other parents was so helpful to us Meeting other parents in person allowed us to have a much easier chat and to talk to other people going through a similar horrific journey made us feel less isolated in what is going on in our family We look forward to further informal get togethers”

We will produce and circulate to all parents/carers a newsletter with photographs from the day and some of the helpful feedback and comments that we received on how we can continue to improve the experience of parents and carers

We will be planning more opportunities for parents to meet and would welcome your thoughts and ideas on what you would like these events to look like.

Carers Week – 6th-12th June The theme this year is “Make caring visible, valued and supported”.

Working in Partnership Committee

Our Working in Partnership committee is a well established Trust wide group of patients, service users, carers, voluntary sector, and community groups who support our engagement agenda. Key aims of the group include:

be a voice for, and champion, the interests and perspectives of patients, their families and friends, and any who use or are affected by Southern Health Foundation Trust services foster good working relationships, communication and cooperation between organisations involved with people who are patients, or use, or are affected by Trust services support the efforts of Southern Health staff and Board to provide excellent service, improve service quality and have those achievements recognised to be an instance of co production at the Trust wide level with a focus on quality improvement of services

DURING THE LAST QUARTER THE GROUP HAVE GIVEN THEIR VIEWS AND FEEDBACK AND SUGGESTIONS ON A VARIETY OF TOPICS INCLUDING:

National Standards of Healthcare cleanliness

Developing a Quality Improvement strategy for the ICS Membership Social prescribing Addiction and mental health Trust strategy

CQC recommendations Recovery and Living well strategy Aspire programme National Mental Health 10 year plan consultation Hospital waiting times (Healthwatch survey)

Families, Carers and Friends

Involvement Group

The focus of this group is how the family and friends (carers) of Trust patients and service users, and those they care for, may be better supported and supporting the implementation and delivery of the Hampshire Joint Carers Strategy and the Southampton Strategy The group actively monitors our carers action plan and receives regular updates on our implementation of Triangle of Care.

During the past three months the group has:

During the past three months the group has:

Hospital discharge Carers survey

Young Carers

Carers booklets

Monitoring the carers plan Healthy ageing programme

Recovery and Living well strategy Hospital waiting times (Healthwatch survey)

S O U R C E S O F I N F O R M A T

THE FOLLOWING SOURCES OF INFORMATION HAVE BEEN USED TO PRODUCE THIS REPORT:

Patient/Carers forums

Inpatient community meetings

Community Engagement programme

Social media

Surveys

Service user audits

Transformation projects across the trust Service engagement activity

Inpatient community meetings

Using the information sources identified above, the report informs the Quality and Safety committee and the Trust Board on:

Trends Learning Actions taken Improvements Future

Plans

It is understood that each method of feedback has its strengths and weaknesses. Using all methods of information available enables the Trust to better understand the patient’s experience of our services and is beneficial to help prioritise where to focus effort on action planning It also enables us to identify good practice which can be shared widely

“I love the new format its really clear and simple and full of pictures"

"It really does show the breadth and depth of the involvement within the Trust, well done everyone you all should be very proud of yourselves