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Last ever issue of Trust Matters.
Citation preview
Issue 58 . November 2011
Inside:
. Contact us at: member [email protected] . online: www.smhp.nhs.uk/trustmatters
Welcome to the last ever edition of Trust
Matters, the magazine for
Suffolk Mental Health staff!
The merger, which has
received final approval, will
signal the start of a new era,
and an exciting new combined
magazine for both Suffolk and
Norfolk.
Altogether, there have been an
incredible 58 editions of Trust
Matters, documenting the
achievements and challenges that
the Trust has faced over the last
eight years.
In May this year, the newsletter was
expanded into the weekly e-bulletin Trust
Update, which complements Trust
Matters. Trust Update is a brilliant
communications vehicle and I am excited
to say that it will
be taken forward
into Norfolk and
Suffolk NHS
Foundation Trust.
Trust Update,
and of course
the long-
standing Trust
Matters, have
both laid great
foundations for
timely and
accessible communications.
Ahead of this farewell issue of Trust
Matters, I have been taking a look at
some of the back copies, and
am delighted to see how far
we have come on projects
such as productive mental
health wards and
community teams, the
anti-stigma campaign
work, the launch of new
services and the
reprovision of residential
learning disability
services - to name but
a few!
I was particularly
interested to read about the
launch of the business case for building
Foxhall House and Woodlands all those
years ago. It is fitting that this final edition
rightly heralds the official opening of
Woodlands by the Countess of Wessex.
It’s thanks to our
clinical and project
teams that we have
mental health wards
which are among the
best in the country.
And, of course,
seeing the
numerous letters of
thanks which
service users have
sent in to our teams
remind us all of
why we are here – the Suffolk strapline of
‘helping people make the most of their
lives’ being particularly appropriate. This
positivity and
continual
thanks to the
wonderful staff
across Suffolk
and Norfolk will
continue in the
new magazine
and in Trust
Update.
We have now
been given the
go-ahead for the merger to happen – it
will definitely take place! The Trust
executive teams and senior management
teams in both counties are starting to
work together and we are starting to align
our various projects, such as the clinician-
led Radical Pathway Redesign project, in
order to achieve the benefits we set out in
our business plan.
I think that Suffolk staff should be very
proud of how far they have come and
all the great successes they have been
responsible for. The achievements are
yours and I’ve been pleased to have
been a part of that over the last eight
months.
My next newsletter message will be as
chief executive of the new Norfolk and
Suffolk NHS Foundation Trust, where I
look forward to working with colleagues
both sides of the border as we continue
to develop excellent services for the
people of both counties.
Aidan Thomas, Chief Executive
Issue 43 May 2009
Contact us at: [email protected] online: www.smhp.nhs.uk/trustmatters
INSIDE:
! Trust objectives
! School children learn
about mental health
! Brain training
! Equality for carers
! Campaign updates
! Suffolk Business
Minded
! Respect for dementia
! Centrepiece
! Section 136 suite
! Q&A on whistleblowing
! National insurance
! Childcare vouchers
! CAMHS/LD unit
! Mentor register
! Football fun
! Retirement
! Red Nose Day
This month signals the start of
a new era for Suffolk Mental
Health as building work began
on new in-patient facilities in
Ipswich on May 5th.
The Trust aims to construct the
best mental health wards in the
country so that the staff can
provide their expert care in an
environment that is modern,
inspiring and supportive.
The plans are a culmination of
over a decade of hard work by
clinicians, managers, service
users and family carers, who
have worked together to
improve in-patient areas.
The projects will also help
SMHP to achieve some of its
five year objectives: to
modernise its services, become
a model employer, and to
promote a positive image of
mental health.
It will cost £23 million and
received approval from the East
of England Strategic Health
Authority Board in March.
As you can see from the
pictures, St Clements will be
home to a brand new 11 bed
low secure unit. This will be
built adjacent to the single story
part of Sampson House.
The Heath Road site will have
a larger facility with a secure
Psychiatric Intensive Care Unit
(PICU) and three new 21-bed
wards (one of which will include
a purpose built dementia
assessment unit).
The project focuses on applying
the principles of Towards the
Best together – East of
England’s pledges for mental
health services in this area.
Services will therefore become
more accessible and better
integrated, and will deliver
better quality of life and patient
experiences.
The building work will also
comply with environmental
sustainability standards to
create innovative yet functional
spaces.
The Wedgwood Unit in Bury St
Edmunds is also due for
building work in the near future.
Plans are agreed which will
refurbish the original wards to
give inpatients more flexible
and personal space during their
treatment.
The submission date of these
plans will be confirmed very
soon.
You can find out more about
the modernisation project via
the external website
www.smhp.nhs.uk. Go to
‘recent and current
consultations’ under the ‘we’re
listening’ section and then
choose ‘modernisation’.
Building work starts for tomorrow’s wards
A word from the chairman
The plans... The Heath Road site, left, and the new building at St Clements
In the last issue of Trust
Matters I was kindly
welcomed to Suffolk Mental
Health. I would therefore like
to take the opportunity to
formally introduce myself to
you all.
Although I have only been
chairman of the Trust for a
matter of weeks I already feel
very positive about it. From
my conversations with the
staff who I have met I can tell
that people here have a
passion for providing the best
services they can to local
people. The Trust has clearly
taken significant steps
forward in recent years to
improve the quality of care
that it provides to service
users and family carers, and
this has been borne out by
the most recent HCC
assessment of our services.
As you may know I am a life
member of the House of
Lords and have also held the
role of chairman in other
NHS Trusts, most recently
the Royal Brompton and
Harefield NHS Trust, and
prior to that, North East
Essex Mental Health Trust.
I am pleased to have the
opportunity to use that
experience in the service of
SMHP as we work towards
Foundation Trust status later
this year.
I look forward to meeting
many of you in the coming
months.
Lord Newton of Braintree
- Farewell to Trust Matters
- Woodlands official opening
- Latest merger news
- SharePoint is coming
- CQC praises Airey Close
- Suffolk Health and Wellbeing Month:
- Mental health information stand
- Singing flash mob
- Sudbury VASP events
- Radical Pathway Redesign
- Improved clinical supervision
- Personality disorder strategy
- Patient safety review
- Letters and compliments
FAREWELL ISSUE
On behalf of the Executive teams, I am can
confirm that the Norfolk and Waveney Board has
formally approved the merger with the Trust. I am sure
you will agree that is excellent news!
The Board has agreed to Monitor’s proposed remedies
and accepted its financial and governance risk ratings.
The past 12 to 18 months have been very busy for the
Trusts as we have worked to bring the merger to fruition.
. Contact usat: membe
. online: www.smhp.nh
s.uk/trustmatters
Issue 45. Septembe
r 2009RUST TsrettaMsrettaM
INSIDE:
. NHS Number
. Equality and diversi
ty
- Breaking Through
- LGBT Survey
. Buckingham Palace
Garden Party
. Campaignupdates
- Suffolk Business Minded
- Respect for Dementi
a
. CENTREPIECE
. Garden project
. Saving lives!
. Orwell Walk
- Rocket team
- Alzheimer’s Society
. Library service
. User and carer refere
nce
group
. ProtectedTime
. Childcarevouchers
. Stop smoking service
. NHS247.com
The Suffolk Support
Services Mental
Health Informatics T
eam is taking on a
new project which will he
lp improve
patient safety.
The National Patient
Safety Agency
(NPSA) has issued a
“Safer Practice
Notice” toall NHS or
ganisations in
England and Wales which
recommends
the use ofthe NHS N
umber as the
unique patient ident
ifier.
Led by Evelyn Walters (pict
ured) the
informatics team has comm
enced a
Trust-wideNHS Numb
er and
Information Governa
nce Project.
All staff are kindly as
ked to take these
three initial steps:
1. Raise your awaren
ess – Do you
know what the NHS Numbe
r is?
Find out now on: http://
www.
connectingforhealth.
nhs.uk/systems
andservices/nhsnumb
er
2. Reviewyour local
systems –Do
you hold patient iden
tifiable
information on a spr
eadsheet,
database,or any syst
em that is not
ePEX, ILLY, or PC-MIS? If you d
o,
please contact the M
ental Health
Informatics Team on: 01473
329270
3. Prepare– impleme
ntation over the
coming months will
lead to all
patient records and
communication carry
ing the NHS
Number! Make sure y
ou are ready!
More advicewill follow
over the
coming months.
The “SaferPractice N
otice” wasissued
to supportthe Conne
cting for Health
(CfH) NHSNumber P
rogramme. This is
working towards a co
mplete adoption
of the NHSnumber to
improve patient
care across the NHS.
The key drivers for th
is programme are
patient safety, patie
nt choice,the
NHS Operating Frame
work, financial
implications (e.g. pa
yment byresults),
security and confiden
tiality.
The NHS Number and
Information
Governance Project it
self will look into:
. Base liningthe curren
t usage of
the NHS Number wit
hin the Trust,
by Staff, ITsystems, o
n paper
records and informa
tion flows.
. Creating aconforman
ce plan for
requirements set by
NPSA
. Implementing chang
e into the
trust’s ways of worki
ng, to comply
with requirements se
t.
If you feelthat you w
ould like to get
involved, have a posi
tive contribution
to make, or, would li
ke to raiseany
concerns regarding c
omplications you
foresee, please cont
act, Project
Manager, Evelyn Walters on:
evelyn.walters@smh
p.nhs.uk.
Evelyn said: “I have really enjoyed working on this project so far. We want to help
people in whatever way we can to ensure that this is a straightforward process.”
“The NHSNumber –
it’s all about patient
safety”
Suffolk Mental HealthPartnership NHS Trust
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Issue 44 July 2009 Contact us at: [email protected] online: www.smhp.nhs.uk/trustmatters
INSIDE:
! Staff recognition awards! Medicine record card
! Campaign updates - Respect for dementia
- Suffolk Business Minded
! Centrepiece
! Tales from the Trust
– A success story
! What's in a brand?
! Complaints procedure
! Fraud awareness Q&A
! Chief executive
surgeries
! Falls awareness article
! Thumbs up!
It is the time of year when we ask ourstaff to have a think about those peoplewho have made a difference in the Trust.This year’s awards follow on from thesuccess of the fantastic awardceremonies in 2007 and 2008. Perhaps you want to acknowledge theinnovations or achievements of acolleague.Maybe you have a dedicated andmotivating team manager that you wantto see rewarded.
Whatever the reason, make sure you getyour nominations in by July 24th!There are 12 awards this year in fourdifferent categories:
! quality! making a difference! partnership working ! team leader/manager of the year. There is a full criteria list on page 2.The quality and making a differenceawards are for all employees andvolunteers – not just clinical orpractitioner staff.
This includes social care staff working inour services.The partnership working award is for allemployees, but also any individual ororganisation outside the Trust who hashelped us in our mission of ‘helpingpeople make the most of their lives’.
The team leader/manager award is foranyone who has shown good leadershipin the Trust. Nominations for the makinga difference award are for individualsonly but all the other categories can befor a team or an individual. It is easy to nominate this year. You cansimply complete an online form by goingto www.smhp.nhs.uk and clicking onStaff Recognition Awards 2009 whichcan be found under the news sections.Alternatively you can download a formfrom the same page and post it if youprefer. There is also a list of thecomplete rules and process.Don’t delay, nominate today!
Staff recognition awards 2009:who will you nominate?
All the winners at the Staff Recognition Awards 2008. Turn to page 2 for more
photos from last year’s fantastic event
Onwards and upwards!
Read more on page 3!
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 1
HRH Countess of Wessex GCVO officially
opened the new, state-of-the-art mental
health inpatient facility in Ipswich on
Thursday 20 October 2011.
The facility, called Woodlands, replaces
the out-dated wards at St Clement’s
Hospital.
The Countess was taken on a tour of
Woodlands by locality manager Margaret
Little. She was welcomed by staff inside
the facility who chatted about things such
as the gym, the ECT suite and user and
carer involvement.
After the tour, the Countess officially
opened the building by unveiling a special
plaque, and gave a speech. “I’d just like
to say on behalf of all of all the very
vulnerable people that you care for an
enormous thank you,” she said.
“The facility that you have provided for
them is fabulous. The care, it goes
without saying, is fabulous but you now
have an even better place to do it in. I
wish you all the best in your new facility.
“We can’t put too high a price on caring
for people when they need help.
“It is a great pleasure for me to be able to
come here and formally declare the
building open.”
The general
atmosphere at the
event was one of
excitement and it
was obvious how
pleased all the
staff and guests
were with what
has been
achieved.
Lord Newton of
Braintree, Trust
chair, summed
these feelings up
through his
welcoming words
to the Countess.
“This is a terrific day
for us,” he said. “It
was back in the 19th century that new
mental health facilities on this scale
were provided in Ipswich. We are
effectively replacing St Clement’s with
modern, state-of-the-art provision.
“It comes at the end of a year when we
have all but jumped the last hurdle of a
new administrative arrangement - boring
though that sounds! – to create a new
Trust. We’re getting together with our
friends in Norfolk to create one that
covers the core of East Anglia, which
will be good for patients, staff and
everyone interested in mental health.”
After the official opening, staff enjoyed
an informal party to celebrate the Trust’s
success. Attendees had a chance to
enjoy music provided by Gill Burgoyne’s
(community eating disorders service
manager) jazz band, and a delicious
cake – with a miniature Woodlands made
out of icing - made by mental health
nurse Sue Mannion.
The building, which is based on the
Ipswich Hospital site cost £19.6 million
and represents over 10 years hard work.
Sandra Cowie, director of mental health
and social
care, said:
“After many
years of
project groups
and countless
debates about
building plans
it was
absolutely
fantastic to
see the
opening of
Woodlands.
“I am very
proud to see
this new unit open and functioning with an
excellent environment fit for purpose for
both patients and staff. I would like to
extend my personal thanks to the clinical
managers involved, particularly Margaret
Little, who juggled many responsibilities
to lead this, along with our very able
modern matrons, Jane Coates and Tim
Smith.
“I would also like to say a thank you to
David Leckie and his project team. It is a
significant event for Suffolk to have 21st
century inpatient wards in which to further
develop standards of care and modernise
practice.”
The facility comprises four modern
inpatient wards including a later life ward
and dementia assessment unit, and a
psychiatric intensive care unit.
The crisis resolution home treatment
teams, psychiatric liaison service for older
adults and a base for approved mental
health practitioners (social workers) are
also housed in the building.
TR
US
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AT
TE
RS
FA
RE
WE
LL IS
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R 2
011
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AG
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The Countess meets a service user who was
receiving a therapy treament from Karen
Hemmingway, complementary therapist.
HRH Countess of Wessex GCVO
officially opens Woodlands
HRH Countess of Wessex GCVO officially opens Woodlands
Aidan Thomas introduces the Countess to Lord
Newton of Braintree, Sandra Cowie, David Leckie
and Margaret Little before her tour of Woodlands.
During the day, Mark
Graves, senior project
manager for building
contractors Kier Eastern,
presented a beautiful
wooden carving to modern
matrons Tim Smith and
Jane Coates (pictured right).
The carving was handmade
by one of the people that
worked on the building as
an expression of their
gratitude for being part of
Woodlands.
CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 2
TR
US
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FA
RE
WE
LL IS
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OV
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BE
R 2
011
. PA
GE
3
HRH Countess of Wessex GCVO officially opens Woodlands
The Norfolk and Waveney Mental Health
Trust is now waiting on the Department of
Health to set a date for the Trust to merge
with neighbouring Suffolk.
The merger has been approved by all
relevant organisations and now needs
sign-off by the Department of
Health and Secretary of State.
The merger will be finalised once it
is officially signed by the
Department of Health and
Secretary of State.
The date that the merger occurs is
dependent on when the sign-off
takes place.
One of the key organisations
involved in the process, Monitor,
said integrating the two Trusts
would be in patients’ interests.
Chief Executive Aidan Thomas
thanked all involved for their work
in the lengthy process.
Norfolk and
Suffolk Trusts
began
discussions
around a merger
in early 2010. The
project began
with a scoping
meeting between the heads of services at
both Trusts and the Norfolk Board of
Directors. The Trusts developed a
business case in autumn 2010 which was
assessed by the Strategic Health
Authority (SHA), the Co-operation and
Competition Panel (CCP) and Monitor.
The approvals
process has
taken longer
than expected
(currently 14
months), with
changes to
external
timeframes
causing a
number of
revisions to
anticipated
merger dates.
During the
approval
process, Suffolk
instigated an independent review of
patient safety which found some
weaknesses in the Trust. This had a
significant impact on the merger, leading
to the revision of the planning documents
and the bringing forward of some planned
activities. One of these changes was the
appointment of Aidan Thomas as Acting
Chief Executive in Suffolk at the request
of the SHA and commissioners.
The SHA provided its official support for
the merger in early 2011. However, the
CCP concluded it could not recommend
the merger due to its potential negative
impact on competition. The CCP decision
raised concerns that the geographical
location of both Trusts (i.e. bordered by
sea) prohibited competition, particularly in
Great Yarmouth and
Waveney.
As a result, Monitor,
the final
organisation to
provide a
recommendation,
took additional time
to further consider
the competition
issues. The
organisation was
asked to take into
account the
outcomes of the
patient safety
review in its
assessment: information which had not
been available to the CCP at the time of
its assessment.
In October, the Monitor Board announced
its support for the merger, acknowledging
it was in patient’s interests. To offset any
concerns about competition, Monitor
proposed a package of remedies that
involved retendering of services, provision
of facilities to external service providers,
and information-sharing.
The final stage of the merger will be sign-
off by the Department of Health and
Secretary of State, which will determine
the date that the merger takes place.
With the merger approaching, Norfolk and
Suffolk have been working together to
design a new intranet that allows more
efficient information sharing and effective
communication. When first launched, the
intranet, which uses a program called
Microsoft SharePoint, will exist alongside
the Intranet and LINX (Norfolk’s intranet
system). Staff will still be able to search
and locate information and documents in
their current location, using SharePoint’s
advanced search function. ‘Power users’
from each team have been trained to use
SharePoint and are busy developing their
pages, ready for launch when the Trusts
merge. In addition, SharePoint has a
section called MySite, which acts as an
internal professional networking website.
Staff will be able to add their colleagues,
tag themselves in relevant policies and
offer their advice and expertise.
SharePoint has the ability to hold a vast
amount of information and a large number
of documents. Eventually, each team will
have their own document libraries where
policies, project plans and supporting
documents will be stored. In the long
term, the plan is for SharePoint, which
hosts automatic version control systems,
to replace shared drives. Staff will be able
to access support for SharePoint from
several places. Power users will be able
to help in the first instance, but there are
also help guides and FAQs, which guide
users through ‘how to’ examples step-by-
step. As always, Service Desk will be able
to help with more complicated enquiries.
For more information please [email protected].
SharePoint is coming - get ready for a fantastic new staff intranet!
The Trust’s Airey Close in Oulton, which
houses rehabilitation services for people
with learning disabilities, held an open
day this month following an extensive
refurbishment.
The team provides rehabilitation and
recovery services for adult men with a
learning disability who may also have
another condition such as a mental health
problem. The team works with each
person to help them prepare for everyday
living, such as looking at living
accommodation, community facilities and
budgeting.
The open day followed an unannounced
visit from the independent regulator, the
Care Quality Commission, concluded that
the services at the unit were good.
The assessment team spent two days at
the Airey Close bunglaows, talking to
staff, service users and families.
Unit manager Sue Medley, said: “They
were impressed with our staff and the
relaxed atmosphere among them and our
service users. We are really pleased with
the feedback.”
The assessors praised the Trust’s
incident reporting processes, the
extensive training in safeguarding issues,
the person-centred care approach and
the way the staff involved service users
and family carers in the running of the
unit.
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Contibuted by Alun Hughes, Suffolk
User Forum.
First we would like to thank the
Woodbridge Library staff for all their help
in setting up the foyer for our exhibition of
leaflets and write-ups on mental health
topics.
Most people who came to the library
acknowledged our presence and quite a
number showed enough interest to
become involved in a chat about the
services that the Trust has to offer and
were pleasantly surprised to learn how
wide-ranging the services are.
A recurring topic of interest was about bi-
polar depression and its implications.
Although there were few other specific
topics asked about, the general feeling in
the day was one of success and the
number of Trust staff present felt that their
contribution had been significant in a day
of ‘help and enlightenment’.
It was interesting too, for the number of
people who found that they could help
someone by sharing their own
experiences in solving such problems as
bereavement and isolation. A significant
number told us of the help they had
received from social services, and many
asked about the learning difficulty
services available.
The team on the day was led by
Deogracias Lapena, community mental
health nurse, Later Life Community East
Team. His assistants were mostly in their
third year of training in various disciplines:
Beth Manning, student mental health
nurse; Antoinetta D’Alessandro and Jack
Nkala, social work students; Dianne
Szulc, social worker, and Kate Woollard,
occupational therapist. Also in
attendance, contributing their many years
experience, were team leader Jackie
Carman, CMHT manager Glen Pooley
and Leslie Bradshaw. It is always difficult
to quantify the undoubted success of the
day and although we were in a warm and
comfortable location it was noted that a
larger number of people had been
engaged in the day last year when the
exhibition had been held in the open air
on Woodbridge Thoroughfare.
Mental health
information in
Woodbridge!
From left: Alun Hughes, Deo Lapena and Jackie Carman get ready to chat with library visitors
Left: A day of
singing in
Beccles
Right: Kids at
Gt Cornard
Upper School
talk to a ‘human
library’
Left: Walkers
enjoy the fresh
air at a walk in
Halesworth
Right:
Endeavour
House plays
host to health
information
event
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Contributed by Garrie Parker,
Chairperson Sudbury VASP and Anne
Hopkins, Sudbury CMHT admin
coordinator.
Sudbury VASP members held an event
on market day in Sudbury outside the
Town Hall on 6 October by manning an
information stand. Although a very
blustery day it proved rewarding and
attracted many members of the public
who benefited from supportive
information supplied by local VASP
organisations and, in some cases,
proved to be a good listening ear to a
few needing to off-load who went away
saying they felt uplifted. We received
some very positive feedback, many
confirming VASP should carry on with the
good work we are undertaking and are
very much appreciated. Staff from CSV
(Community Service Volunteers)
attended with a Smoothie bike to inspire
the public to cycle for a few minutes in
order to make their own Smoothie. This
encouraged us all to realise the
importance that exercise and your five-a-
day fruit and veggies make towards you
feeling healthier, and how physical
wellbeing is linked to mental wellbeing.
We even persuaded one of the local
community police officers to have a go! A
member of staff from the local Kingfisher
Sports Centre once again offered his
support. It was a good example of an
effective multi-agency event. Much work
had taken place in the planning and
preparation, thanks to the many
members contributing.
Everyone available on the day was keen
to take part and we had a clear, simple
objective which we all understood and
worked jointly to achieve.
A singing flash-mob surprised book lovers at Ipswich
Library on World Mental Health Day, 10 October to
promote health and wellbeing in Suffolk.
The flash mob was organised by Music in Mind, a
community singing group with support from the Trust,
Suffolk County Council and The Mind Sanctuary.
People keen to take part met in the lecture room at the
library at 2pm to learn the chosen song, Down by the
Riverside. Tracy Sharp, who helps run the group, said:
“It is the perfect song to get our message across, as it
is about overcoming struggles and triumphing over
adversity.”
The singers then went down to the library to perform the
song amongst the book lovers and library staff.
Music in Mind began in January after the InsideOut
Community Arts in mental health project recognised
the impact of singing on wellbeing. The group, which
is now Lottery funded, meets fortnightly in the library
on Monday afternoons and is open to all.
Tracy added: “The aim of Music in Mind is to promote
recovery and wellbeing through singing. Opening out
the group to everyone who wants to get involved is
our way of bringing people together - acknowledging
that we all have times when we experience isolation,
anxiety, grief and depression and that together we can
lift one another’s spirits in song.”
You can watch a video of the flash mob at
http://www.youtube.com/bewellsuffolk.
Singing flash-mob descends on Ipswich
Working together at Sudbury VASP!
Left: mental health
display in Eye.
Right: mental health
information stand at
Stowmarket Library.
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The Trust has started to look at a radical
redesign of services, led by clinical
opinion, that builds on service redesign
work that has already taken place.
The process, called Radical Pathway
Redesign, aims to ensure improved
quality of clinical care within the finances
available to them, and to create more
effective and robust services over the
next four years. Radical Pathway
Redesign will allow clinicians to work out
how best to meet clients’ needs, to
deliver services that produce good
clinical outcomes, and that are cost
effective and cost efficient. The project
builds on the recent service redesign
consultation and is aligned with the
Payment by Results requirements.
Each clinical lead will redesign their care
pathway and propose a business case
using input from colleagues. The Trust’s
four clinical leads are Anna Vizor
(consultant clinical psychologist), Siri
Robling (consultant adult psychiatrist),
Heather Balleny (consultant clinical
psychologist) and Vivien Peeler
(psychiatrist). Dr Siri-Ann Robling said:
“This is wonderful opportunity for
clinicians to influence the development of
clinical services for the future such that
they are sustainable and put the patient’s
needs centre stage. Never in my
experience as a consultant psychiatrist
has there been such explicit backing for
genuine clinical leadership of service
redesign. This is potentially a ‘once in a
career’ opportunity.” Along with other
senior clinicians and managers, the
clinical leads have attended a number of
workshops in Norfolk, where the process
is a little further along. They have since
conducted two redesign workshops in
Suffolk that were well attended and well
received by the Trust’s clinical workforce.
The next stage is to establish working
groups who will first decide what clinical
pathways should be established (i.e.
what services we should have and who
they deliver to), and then what care
packages (treatment packages) should
be developed for staff to deliver to
patients. In Norfolk, they have already
designed their pathways, and some of
their packages. In Suffolk, the clinical
leads have asked for volunteers to work
on pathways and packages and have so
far received at least 50 expressions of
interest. If you are interested pleaseemail [email protected].
Radical
pathway
redesign A survey asking for opinions on clinical
supervision has already had a fantastic
response rate of about 55%. The survey,
which is still open, is helping shape the
Trust’s new model for clinical supervision,
which is regarded as leading-edge by
professionals external to the Trust.
Clinical supervision is an opportunity for
all clinical staff to discuss their work in
order to learn from what goes well and
what gets in the way of clinical practice. It
should feel supportive, giving staff space
to think, and should lead to improvements
in the conditions under which we work
and improvements in what we offer to
users of services.
All clinical staff should receive
supervision. Whilst there are many
services within the Trust that have had
useful supervision for a long while, the
Trust did not have a standard set of
supervisory practices, nor a system to
support the supervisors.
In addition, there was governance so the
Trust did not know whether its staff were
receiving supervision, what was needed
for it to be useful and enjoyable, or what
to do to help supervisors develop their
practices.
The new model is a standardised way of
thinking about what happens during
supervision so that staff gain the
maximum benefit whilst also achieving
the objective to provide good care. It was
developed by groups of supervisors and
supervisees, and has been evaluated
within clinical therapy services. It consists
of four levels: what is brought to
supervision, how to manage what is
brought, what to do in each moment of
supervision, and how to use material to
learn.
The model is not specific to any therapy
or any theoretical orientation. It is
considered useful for helping all staff
think about their work, regardless of their
professional backgrounds. The model is
available on the Intranet, and is included
in the statutory and mandatory
introduction to clinical supervision
session.
Mark Freeston, Director of R&D,
Newcastle Cognitive Therapy Centre,
Northumberland, Tyne and Wear NHS
Foundation Trust said: “Having
supervision that is owned by the
organisation provides an opportunity for
real communication about clinical issues
that affect front line staff within a properly
joined up supervision system. This is
good for people who receive care, the
staff who provide care, the people who
lead services, and the organisation as a
whole.
“It has been impressive to see the
momentum grow, notwithstanding the
challenges the Trust faces with a project
of this scale. It is rare to find clinical
supervision so much at the heart of
organisational change.”
The new system is designed to:
1. Provide a standard way of thinking
about supervision so that everybody
knows what it should provide.
2. Increase the numbers of staff receiving
good quality supervision.
3. Evaluate supervision.
4. Support supervisors.
5. Feedback information about clinical
services that are being discussed in
supervision and that need to go to the
executive (for example, where staff
discuss problems with delivering services
due to insufficient resources.)
The survey that is being conducted, asks
whether the majority of staff receive
clinical supervision, what their experience
of it is and, if they don’t have it, would
they like it. The responses have so far
been very positive, 72% of clinical staff
saying they already receive clinical
supervision and of those who aren’t, 88%
say they would like to receive it.
Below are a selection of the hundreds of
responses to the question ‘What are your
thoughts of clinical supervision from what
you have heard or from your own
experience?’:
- “It is very important to both give and
receive clinical supervision with a peer. It
helps your continued development and its
safe environment; it gives you a forum to
discuss ideas that concern you that you
might not feel like discussing in other
settings.”
- “If it is too prescriptive or is led by
management agenda it will not be
effective.”
- “Challenging but in a supportive way.”
- “It tends to be very ad-hoc, and often
when it is needed due to high ward
pressures it cannot be facilitated.”
- “It promotes staff wellbeing, effective
and reflective practice, not only when
difficulties arise, but when successes
occur.”
- “It is helpful to have that individual time
in the context of a trusting relationship
where concerns regarding clients can be
voiced. Group supervision, I believe, will
increase the potential of practitioners
being more guarded in their disclosures.”
If you would like to give your ownopinions, please visitwww.surveymonkey.com/s/LSZGT8Yor contact [email protected].
Improved clinical
supervision on way
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I am pleased to tell staff that a five-month
update on the progress of the critical Rae
Report has shown positive results. The
report shows that every single one of the
recommendations has either been
completed or that remedial actions are in
progress.
As you are aware, our first concerns are
those of patient safety and quality of
service. The Rae Report was rightly
critical of the governance of the Trust at
the time, but since then, we have made
considerable progress on each and every
action and are pleased that we are now
on the right path.
All this has been thanks to the hard work
and professionalism of everyone at the
Trust who have been determined to work
together to make this happen. Thanks to
you, we have new reporting structures,
new models for clinical supervision, better
alert systems and a clinical workforce that
is truly engaged in the management of
the Trust. And that’s just to cite a few
examples!
I want to be quite clear to our staff and to
the public that our clinical services
themselves are as good as you would find
anywhere in the country. We are, and
remain, proud of what you all do for our
service users.
Contributed by Barbara McLean,Director of Nursing and Quality,pictured right.
Patient safety review progress
report: five months on
A reference group is being set up to look
at the care given to people with
personality disorders. Sue Howlett,
Modern Matron at Wedgwood House, is
leading on the development of a
personality disorder strategy for the Trust,
linking in with colleagues in Suffolk and
Norfolk. People with personality disorders
have a particular set of needs which, if
not met, can lead to them becoming
detached and feeling isolated – in turn,
this can lead to mental ill-health, social
problems and offending, impacting on
both the person and the services which
they come into contact with. The new
reference group seeks to work alongside
colleagues in A&E, the police, primary
care and Norfolk and Waveney Mental
Health NHS Foundation Trust. The new
model of care will be one of a hub and
spoke, with senior experienced clinicians
providing supervision to colleagues.
Will the hub include management sothey can make the decisions?The hub will include senior and
experienced clinicians who can provide
consultation to staff about appropriate
clinical strategies. It is likely that in order
to carry out effective clinical strategies
some policies and practices will need to
be reviewed and the operational impact
will be discussed with managers.
Will we be supported to make positivedecisions about risk?Where staff understand that it is likely in
the long term to reduce risk if they make
decisions not to respond to the short term
risk now (positive risk taking) they will be
supported to do so, by helping them to
write care plans and receive supervision
to maintain and develop confidence in
their assessment and decision making
processes.
How will it make a difference to theway I work?Awareness training is designed to help
staff to understand the origins of
difficulties, and the ways in which to
communicate with these client groups.
The hub of experts will help staff to find
the types of advice they need.
Will this stop the current level ofadmissions?There are not necessarily going to be any
quick wins. However using crisis
admissions and supporting out of hours
services (including the police, etc.) with
training as a priority will make a
difference. As the longer term plan to
develop appropriate support systems in
the community unfolds, a more
permanent change is likely to be seen.
What is Norfolk doing?Our understanding is that the approach
Norfolk is taking complements our own.
Our focus has been upon how to develop
all staff’s competence, whereas Norfolk
have focused upon the development of
their psychological therapy staff.
How will be the personality disorderexperts be chosen?The hub of experts that already exist will
be identified through recommendation.
The development of expertise within
teams will be across all staff, with some
“champions” working within teams being
identified through training, consultation
and more effective communication.
Does this fit in with the costimprovement programme?The strategy will rely on those ‘expert’
clinicians already within the Trust. The
main expense will be the training which
has longer term saving with reduction in
current admissions and specialist bed
usage.
How will this fit in the care pathways?Care packages will be developed to
reflect what staff and national guidelines
consider to be the most appropriate
services for particular conditions. The
strategy is in line with national guidelines.
We already have a personality disorderexpert and she provides team work -will this change?These decisions will be decided within
individual teams, but it is possible that in
order to disseminate expertise more
widely we will use the current experts we
have as consultants to teams who do not
have any expertise.
What about CAMHS/ED/learningdisability/older adults/forensicservices?There will representation from all of these
services in the reference group. Any
specific needs can be reflected within the
strategy.
If anyone would like to discuss the
new personality disorder strategy, they
are welcome to contact Sue Howlett by
emailing [email protected].
Support for those with personality disorders
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EDITORIAL: If you would like to contribute an article (and accompanying photo) for inclusion in the brand new staff magazine
please email it to [email protected]. If you want to discuss ideas about potential features or make a suggestion about
improving the newsletter you can also email the above address or call Helen Abbott on 01473 329700.
.
If you have a letter you would like to share, please email [email protected]. Letters may be edited and will be anonymised
to protect service users’ identities.
Letters and complimentsTo Karen Frost, Nursing Assistant,Northgate WardThank you so very much for the loan of
your books. They are keeping me
entertained. Today has been more
difficult than I was comfortable to
express, and I just wanted to thank you
for snapping me out of it and giving me a
ray of hope. I’m finding it tough at the
minute and you are proving to be the
sunshine on my cloudy days. You are a
very special person with qualities rarely
afforded. Thank you for helping me see
light at the end of the tunnel!
To all staff on Northgate WardThank you so much for everything you
have done for S, I am truly grateful for all
the support, ears and care you have
provided for her. You are all HEROES!
You are inspirational people and so very
good at your jobs. You touch so many
lives, not only your patients but those of
family and friends of your patients.
I am writing to say thank you for all the
help and hard work behind the scenes
helping me to get the spring back in my
step. You will always be a part of my life
which I hold close to me. Keep well, keep
safe. Thank you - I can not say the word
enough. Give the whole ward a cuddle
from me. Thank you thank you I will miss
you loads.
To everyone who took part in my care: it’s
been a long old journey and many ups
and downs along the way. But finally I
have found the real me again and I
couldn’t have done it without all your kind
support. I am very grateful to you all and
would like to wish you all of you the very
best for the future, whereever that may
take you.
Simply saying the words ‘thank you’ does
not do justice for the incredible amount of
time, care, support, enthusiasm and
dedication that you have all so powerfully
displayed to me over the past 5 weeks.
Your kindness and ability to comfort at
times of distress and unbearable
moments of existence have humbled me.
You are unsung heroes that do an
incredible job and one which I will never
forget. I do not know what the future
holds for me, but one thing is certain,
none of you will be forgotten. I simply
cannot thank you all enough.
To all the staff and patients atWedgwood HouseThank you so much for all your help and
support for me and my family. I really
appreciate the kindness you have given
me and how welcome you have made
me feel. I was not too sure at first but I
have loved every moment of it. I would
happily come again. I’ve met some lovely
people and staff who I hope I can keep in
touch with. You must be very proud of
this place as it’s not boring at all there’s
always something fun to do, or someone
nice to talk to. Thanks for all your help I
will never forget anyone here.
Viktoria Cestaro, Primary MentalHealth Worker, CAMHSEvery time I go to start this note I well up
with tears, even now sitting in the waiting
room. However much I try and think on
the positive and see how far C has grown
I still can’t stop thinking what if she had
never got referred to you?
I can’t thank you enough for looking after
my special baby and bringing her back to
me – I’m welling up again – I don’t know
how you do your job but you are
absolutely brilliant at it, you are a very
unique and special lady who I am
eternally grateful to.
Without you I wouldn’t be where I am
today and I hope you realise how grateful
I am! You’re amazing.
To Dr Tucker, Dr Sherry, Beth Clayton,Kathryn Barrow and all the ECT suitestaffThank you so much for the excellent care
given to my much loved dad. You are all
wonderful and very special people.
Thank you again.
Emily Baker, Clinical Psychologist,CAMHSThank you for all your help in the past
two years. All of you that helped at
CAMHS to get me back on the right track
really did save me! I have realised what’s
important in life and that anorexia doesn’t
need to control me! It’s been a tough and
long rocky road but with your help, I’m
now living a much happier life!
Just to say thank you so much for all
your help and support over the last two
years, we would never have done this
without you!
I found that when I missed an
appointment that you would ring me and
be very helpful. I learnt to trust you that
also helped. Thank you for all your help
and support.
This comes to say thank you for
everything you’ve done, your kindness
will always be appreciated. Thank you
Mark Jolly, Primary Mental HealthWorker, CAMHSI now sleep in my own bed every night. I
am very happy.
All is well now! Thank you so much for
your advice.
Just a quick note to say thank you for the
many hours of CBT you gave J. I never
thought I would see the day when she
didn’t run away from a dog, let alone hold
one! J and a friend got the bus on their
own, to watch a film, which is fantastic.
She still won’t answer the phone when it
rings, but we will work on it. I can’t thank
you enough - she couldn’t have done it
without you.
Imren Sterno, Trainee ClinicalPsychologist, CAMHSI’d like to thank you very much for giving
me support through this difficult time. You
have been like a friend to me for the last
few months, someone I can open up to
and share all my thoughts with. Good
luck and best wishes for the future.
Thank you for everything. I know that you
would say it’s your job and what you are
here for, but I have never been able to
talk to someone like I can with you. I am
really sad to see you go, but I am happy
that other people who need help will
meet you. I hope you realise how much
of a difference you have made for me
and I hope that one day I will be set free
from my vampire.
Don’t worry, you know I will never give up
and you have encouraged me to look to
the future. I am so glad I met you and
found someone I could be completely
honest with. You understand how I might
be thinking and that is a real gift. I wish
you loads of luck in the future, although
I’m sure you won’t need it. I am very
lucky to have had my sessions with you. I
will never forget you.
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