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Pioneering Health Education<br />

> <strong>ACADEMY</strong> <strong>News</strong><br />

May / June 2012<br />

Henri Moussalli Prize Giving Event<br />

On Friday 30th March, we held our annual Henri Moussalli prize giving event to<br />

congratulate the 2011/12 winner of the Henri Moussalli Award.<br />

Mrs Jennifer Moussalli, presented John Lewis vouchers to Dr Sheila Grecian, who had been<br />

working as a Foundation Year 2 trainee, supervised by Dr Basil Issa, Consultant Endocrinologist.<br />

The winning lecture was entitled “Surely Obesity & Diabetes; or is it?”<br />

The presentation was then followed by the Henri Moussalli Lecture 2012. Dr Winston De Mello,<br />

Consultant in Anaesthesia and Pain Medicine gave a talk on “Pelvic Dynias and Neuralgias – A<br />

personal selection”. This was a very thought provoking and interesting lecture; enjoyed by<br />

representatives from a diverse range of specialties.<br />

We are now in the process of organising the next cohort of trainees who will compete for the<br />

2012/13 Henri Moussalli Award.<br />

> Pioneering health education


<strong>ACADEMY</strong> <strong>News</strong><br />

Welcome<br />

Dear Colleagues<br />

The enthusiasm for teaching<br />

and learning amongst <strong>UHSM</strong><br />

colleagues never ceases to<br />

amaze. This edition of Academy<br />

<strong>News</strong> highlights some of<br />

the exciting innovations and<br />

developments that the Academy<br />

is currently undertaking as<br />

well as reminding us that we<br />

already do a very good job<br />

as a healthcare education<br />

organisation. The challenge that<br />

the Academy faces is to try to<br />

instil a culture where all <strong>UHSM</strong><br />

colleagues come to work to<br />

learn. This is the only way we<br />

will be able to continually offer<br />

the best possible service to our<br />

patients.<br />

Congratulations to the<br />

Postgraduate Medicine team<br />

who have been awarded a<br />

large grant, following a highly<br />

competitive bidding process,<br />

under the ‘Better Training Better<br />

Care’ fund of Medical Education<br />

England to deliver specialist<br />

training lists to trainee surgeons<br />

and gynaecologists at <strong>UHSM</strong>.<br />

Congratulations must also go<br />

to those across several areas<br />

of the Academy who, following<br />

accreditation of the Academy<br />

as an Apprenticeship Centre,<br />

have secured the funding for<br />

more than 150 apprenticeships<br />

covering a range of disciplines<br />

to be undertaken at <strong>UHSM</strong>.<br />

This success was a very real<br />

example of colleagues being<br />

‘one talented team’ and will go a<br />

long way to give <strong>UHSM</strong> the skills<br />

it requires to deliver state-ofthe-art<br />

care to our patients in<br />

future years.<br />

Ged Byrne<br />

Director <strong>UHSM</strong> Academy<br />

Practice Education Facilitators (PEFs)<br />

The Practice Education Facilitators are involved with several initiatives<br />

contributing towards the provision of high quality learning environments<br />

for all students.<br />

Modernising Scientific Careers<br />

The PEF team are continuing towards developing robust links with AHP<br />

colleagues. For example, in relation to Modernising Scientific Careers the<br />

PEF Team are working to assist in supporting both the Specialist Training<br />

Programmes (SPT) and the Practitioner Training Programmes (PTP). A<br />

pathway of experiences has already been developed for audiology students<br />

to access rotational placements using an inter-professional approach. For<br />

example, audiologists will gain experience in year-1 working alongside<br />

neurophysiologist, visual scientists, pathologists, radiologists and neonatal<br />

nurses. Additionally PEFs have also been instrumental in developing short<br />

exposure experience for PTP specialising in cardiology, facilitating the<br />

students to gain a more holistic view of care delivery. Students can access<br />

placements in the Vascular Studies Department and the Cardiothoracic<br />

Catheter Lab.<br />

Inter Professional Learning (IPL)<br />

In March 2012 students from seven different Health Care professions<br />

attended an inter-professional study day based on ‘the patient’s journey<br />

with a diagnosis of Dementia’. This was the second event developed and<br />

facilitated by <strong>UHSM</strong> PEFs alongside colleagues from Central Manchester<br />

Foundation Trust (CMFT), Manchester Mental Health Services Community<br />

Trust (MMHSCT) and the Christie Hospital. This event was well evaluated<br />

and future plans aimed at ways to build on and embed IPL in practice are<br />

to be developed.<br />

Further IPL has taking place in April jointly facilitated by a PEF and a<br />

member of the undergraduate department. The theme was practising<br />

manual blood pressure techniques and was attended by year-3 student<br />

nurses and year-1 medical students learning together. This followed from<br />

a previous successful session held in February where medical students<br />

and physiotherapy students explored together the care of patients with<br />

respiratory disease.<br />

Our colleagues in clinical practice are invited to contact the PEF team with<br />

any ideas they would like to share around IPL opportunities.<br />

Nursing<br />

Nursing is a major focus for the PEF Team and presently are actively<br />

involved in supporting quality initiatives to enable nursing mentors to<br />

achieve and maintain the NMC Standards for Supporting Learning and<br />

Assessment in Practice. The PEFs are strengthening communication links<br />

with senior nurses and developing robust reporting systems with links to<br />

educational governance.<br />

Future Event<br />

The PEF team are planning to contribute to this years Nursing and<br />

Midwifery Celebration Event with the theme ‘Patient Care at our Heart:<br />

Delivering Excellence Through Informed Care. The PEFs aim to run a stand<br />

with information on Clinical Teaching and assessing over the last 50 years.<br />

2 May / June 2012


Pioneering Health Education<br />

Primary Care<br />

The Academy continues to offer a diverse menu of meetings to our colleagues in Primary Care.<br />

In March, in conjunction with South PCT, we held a very<br />

successful COPD meeting. This event attracted both General<br />

Practitioners and Practice Nurses from all over the region.<br />

In April, we invited Dr Martin Vernon and colleagues to<br />

showcase the diverse service portfolio of the Complex<br />

Health & Social Care Directorate, and again filled Lecture<br />

Theatre 2 with colleagues from the community and General<br />

Practitioners in the area.<br />

The following afternoon, the Academy supported a<br />

“Diagnosis and Initial Management of DVT/PE” event for<br />

Primary and Secondary Care Colleagues organised by<br />

Professor Charles McCollum. This was a hugely successful<br />

afternoon producing excellent feedback for our speakers.<br />

In June, the Academy has been asked by Dr Rash Nawaz,<br />

Consultant Paediatrician to support and host the National<br />

launch of the GMC’s Learning Disabilities Website.<br />

The Academy is delighted to have been invited to support<br />

this hugely prestigious event. Local GPs are already<br />

expressing their interest, and signing up for what we hope<br />

will be an innovative and exciting educational event.<br />

Postgraduate Department<br />

Better Training, Better Care Pilot site<br />

In February a bid was submitted to Medical Education<br />

England (MEE) to become a pilot site for the Better Training<br />

Better Care Programme which aims to improve the quality<br />

of medical training and learning for the benefit of patient<br />

care. The bid proposed the introduction of specific training<br />

lists in theatre, led by trainees; where trainees oversee the<br />

complete surgical patient pathway, including pre-operative<br />

assessment, surgery in theatre, follow up in recovery, post<br />

operative care back on the ward and possible rehabilitation<br />

– all areas to be assessed under the medical education<br />

umbrella.<br />

The proposal was shortlisted and Miss Onon as Director<br />

of Postgraduate Medical Education together with our<br />

Chief Executive, Julian Hartley and the Medical Education<br />

Manager, Rachel Koutsavakis, presented to MEE in London<br />

in March. We are delighted to announce that <strong>UHSM</strong> was<br />

successful in being chosen as one of the pilot sites. We<br />

will be recruiting a Research Fellow and Administrator to<br />

support the project. This is a welcome opportunity to further<br />

improve the surgical experience and training of our Core<br />

Surgical trainees based at <strong>UHSM</strong>.<br />

We are also honoured that MEE have approached <strong>UHSM</strong><br />

Academy to host the official launch of the Better Training,<br />

Better care Programme, which is to take place on 19 June.<br />

Foundation Trainee Posts<br />

<strong>UHSM</strong> Foundation Programme has just completed an<br />

exciting and innovative reorganisation. We are one of the<br />

few Trusts who have gone through the process of selecting<br />

all foundation supervisors.<br />

This has given us an opportunity to introduce new<br />

specialties and supervisors to our programme. The<br />

Foundation Programme at <strong>UHSM</strong> remains one of the most<br />

sought after training programmes in the North Western<br />

Deanery and we hope this innovative approach will<br />

maintain our gold standard.<br />

Mandatory Training Passport Project (MTPP)<br />

The MTPP targets all host organisations across the North<br />

West and is developing considerable momentum and<br />

interest. Organisations are actively engaging with Core<br />

Skills Framework implementation and acknowledging<br />

the considerable benefits a ‘Passport’ system could bring<br />

to health sector staff. The North Western Deaneries<br />

E-Induction package will be CSF aligned by July 2012 and<br />

a considerable amount of NHS organisations will also<br />

be CSF accredited in time for the August Junior Doctor<br />

rotations. For any inquiries regarding the MTPP please<br />

contact<br />

timothy.grocott@manchester.ac.uk.<br />

Change of Director of Postgraduate Medical Education<br />

(DMPE) – Miss Toli Onon<br />

It was my privilege to undertake the<br />

role of DMPE at <strong>UHSM</strong> from October<br />

2008 to the end of April 2012.<br />

During that time I was able to be<br />

part of many exciting developments<br />

in education at <strong>UHSM</strong>, particularly<br />

with the formation of the Academy.<br />

Medical training has evolved rapidly<br />

in recent years and I have learnt<br />

much about how doctors continue their knowledge<br />

acquisition after qualifying, and how we can benefit<br />

from closer educational links with other professions.<br />

It has been a great pleasure to work with so many<br />

educators and administrators across the Trust, and<br />

I have been very impressed by their commitment to<br />

healthcare professionals’ training. From this month I<br />

am standing down from the role of DPME. I have no<br />

doubt that the Postgraduate Department will thrive<br />

under new leadership. I would like to wish my friends in<br />

Postgraduate Medicine all the very best for the future.<br />

3


<strong>ACADEMY</strong> <strong>News</strong><br />

Undergraduate Medical Education and Skills Bus<br />

We are delighted to announce the following<br />

additions to the Undergraduate Team: Dawn Bell,<br />

Medical Education Pharmacist and Tim Strang as<br />

Consultant Lead for Simulation. We would also<br />

like to thank Mehvosh Akhtar, previous Medical<br />

Education Pharmacist and MAU Consultants, Mark<br />

Holland and Ollie Gaillemin,<br />

who were two of our star<br />

teachers. The team and<br />

students will certainly miss<br />

them and wish them well for<br />

the future. We are in the process<br />

of employing Richard Jones<br />

to take over Ollie’s additional<br />

role as Undergraduate Lead<br />

for Year 3 Medicine and Nutrition, Metabolism and<br />

Excretion Module. In addition, we are appointing<br />

Jon Ghosh as Undergraduate Lead for Surgery and<br />

will be recruiting to the post of Staff Development<br />

Lead very soon. For the administrative team, we<br />

are short listing for the post of<br />

Undergraduate Coordinator for<br />

SSCs/Data to replace Miranda<br />

Swift. We had a successful Annual<br />

Review visit by NHSNW and<br />

Manchester University Medical<br />

School in February 2012 and<br />

have also had excellent feedback<br />

from our quality assurance<br />

visits in relation to the Year 5<br />

Student Assistantships, which became a formal<br />

part of the medical course last academic year.<br />

Since January, our mobile skills tutor Rachel<br />

Matthews has delivered 15 training events both<br />

on site on the Skills Bus and at GP Practices across<br />

Manchester for Basic Life Support. In addition,<br />

she has delivered First Aid Courses both on site<br />

in ERC and at local primary schools. The Skills<br />

Bus once again attended Baguley<br />

Hall Primary School for Science<br />

Week. We are now in the process of<br />

providing additional skills teaching/<br />

revision days for our medical<br />

students across Years 3-5 when<br />

on placements at Leighton and<br />

Stepping Hill. The Skills Bus will<br />

be supporting Trust runners in the<br />

Greater Manchester Run. Following Tim Strang’s<br />

appointment, we are now able to concentrate<br />

more efforts on our development of Hi Tech<br />

Simulation Learning. We are very keen to increase<br />

the use of our iStan Patient Simulator to promote<br />

the use of hi tech simulated learning<br />

to all our colleagues at <strong>UHSM</strong> and<br />

would welcome enquiries and<br />

offers of help for clinicians, nurses,<br />

ODPs, AHPs who would like to know<br />

more about the use of simulation.<br />

In the future, we hope to arrange<br />

“Demonstrations” and “Training<br />

Events” which we will advertise<br />

via the Daily Bulletin. Marylyn<br />

Dickinson, Undergraduate Manager at<br />

marylyn.dickinson@manchester.ac.uk or ext 6666.<br />

Clinical Skills Bus Charges<br />

Description of Facility Hire Period Rate Other<br />

Hire of Skills Bus and Driver 1 day £350 (An additional milage Please enquire for ancillary equipment which<br />

(including <strong>UHSM</strong> staff) cost may apply outside of the GM area) may be made available at additional cost<br />

First Aid at Work 3 days £214 per person HSE registered and complies with First Aid<br />

in the workplace regulations<br />

Emergency First Aid at Work 1 day £66 per person HSE registered. This course covers the basics required to<br />

provide emergency treatment in the work place.<br />

First Aid at Work Annual Refresher Half day £50 per person This course provides an update to the full<br />

3 day First Aid at Work course<br />

First Aid at Work Requalification 2 days £139 per person The requalification course can be completed when the<br />

3 year full First Aid at Work certificate is due for renewal.<br />

Paediatric First Aid 2 days £139 per person The paediatric course follows Ofsted guidelines<br />

for those working with children<br />

Parents First Aid 3 hours £30 per person This course covers the First Aid basics for parents of young children<br />

If you require any information on the above courses, please contact Rachel Matthews on 07971679461<br />

or email rachel.napier@manchester.ac.uk (VAT will be added where applicable)<br />

4 May / June 2012


Pioneering Health Education<br />

The Academy Library<br />

Critical Appraisal Training<br />

This course provides an introduction to critical appraisal and shows you how to make sense of systematic<br />

reviews. During the second half of the 2 hour course you will also have an opportunity to critically<br />

appraise a paper.<br />

The course is open to all staff and students. Details of the next 2 courses are:-<br />

10th May, CSU1, 1st Floor, Education & Research Centre<br />

16th May, Seminar Room 3, Ground Floor, Education & Research Centre<br />

Both sessions start at 1.30pm and finish at 3.00pm<br />

For further information or to book a place, contact<br />

Stephen Woods on 0161 291 5780 or email stephen.woods@uhsm.nhs.uk<br />

DynaMed Access<br />

Our subscription to DynaMed runs until February 2013. DynaMed is a<br />

point-of-care clinical reference tool created by physicians for physicians<br />

and other health care professionals and students. It is a resource for<br />

answering most clinical questions and contains clinically-organised<br />

summaries for thousands of topics. Updated daily, DynaMed monitors<br />

the content of over 500 medical journals on a daily basis through<br />

Systematic Literature Surveillance, and is the only resource that applies<br />

the 7-step systematic evidence-based process to all of its content,<br />

assuring that the science backing the recommendations is sound.<br />

Access DynaMed on your mobile device: Read our guide at http://www.academylibrary.org.uk/<br />

Dynamed.pdf and contact the Library for a code.<br />

Access DynaMed from outside <strong>UHSM</strong>: Go to http://dynamed.ebscohost.com/user/login, click<br />

on the Institutional link and select the Athens login link. There is also a direct link from our<br />

homepage at www.uhsmacademylibrary.org.uk. If you don’t have an NHS Athens login or your<br />

login doesn’t work let us know and we can help you.<br />

Access DynaMed from within <strong>UHSM</strong>: (no password required). Follow the Academy Library link<br />

from the Trust Intranet page (left side of screen). You will see the DynaMed links on the Academy<br />

Library Intranet page. If you experience an interface problem when trying to access DynaMed<br />

via a Trust networked computer our guide will show you how to resolve it at http://www.<br />

academylibrary.org.uk/How%20to%20fix%20screen%20interface%20problems.pps.<br />

You can sign up to the bimonthly Academy Library e-<strong>News</strong> at http://<br />

uhsmacademylibrary.wordpress.com and follow us on Twitter @<br />

academylibrary<br />

Contact the Academy Library to find out more about DynaMed and any<br />

other resources or services:-<br />

Telephone 0161 291 5778, email erclibrary@manchester.ac.uk, website<br />

www.uhsmacademylibrary.org.uk<br />

5


<strong>ACADEMY</strong> <strong>News</strong><br />

<strong>UHSM</strong> Apprenticeship Programme<br />

For many years, <strong>UHSM</strong> has delivered National<br />

Vocational Qualifications (NVQs) to colleagues<br />

in bands 1-4.<br />

In late 2011, the new Apprenticeship framework<br />

superseded the old NVQ system, and consequently<br />

The <strong>UHSM</strong> Academy has now replaced its previous<br />

NVQ offer with an apprenticeship framework offer.<br />

In 2011, <strong>UHSM</strong> Academy applied to Skills For Health,<br />

to become an Accredited Apprenticeship Centre.<br />

As a result of that application, we have recently<br />

been informed that we are to be given Accredited<br />

Apprenticeship Centre status<br />

What is an Apprenticeship?<br />

An Apprenticeship is a work-based training framework supplemented with qualifications, from the<br />

Qualifications and Credit Framework (QCF). These nationally recognised qualifications give the apprentice<br />

transferable qualifications and skills. The modular style of delivery enables the apprentice to achieve<br />

milestones throughout the Apprenticeship.<br />

Apprenticeships are offered on three levels:<br />

• Apprenticeship (level 2)<br />

–this is equivalent to 5 A-C GCSEs.<br />

• Advanced Apprenticeships (level 3) –this is equivalent to 2 A levels.<br />

• Higher Apprenticeships<br />

–this is equivalent to a foundation degree.<br />

<strong>UHSM</strong> Academy Apprenticeships<br />

The <strong>UHSM</strong> Academy has commenced a programme of apprenticeships for its colleagues in bands 1-4<br />

and has just had an intense recruitment drive to recruit over 100 colleagues onto the apprenticeship<br />

framework. The majority of these are in Customer Service.<br />

We also have some colleagues undertaking apprenticeships in Business and Administration and<br />

Healthcare.<br />

However, the Apprenticeship Framework is very flexible and can respond to development needs in a wide<br />

variety of service areas. As we go forward and commence delivery of the new People and Organisational<br />

Development Strategy, colleagues will see further increases in training and development opportunities for<br />

all colleagues which are linked to personal development and service needs.<br />

Junior Apprenticeship Pilot<br />

<strong>UHSM</strong> Academy is working in partnership with Newall Green Secondary School and Manchester Solutions<br />

(part of the Manchester Chamber of Commerce) on a very innovative pilot which will help to encourage<br />

Wythenshawe youngsters to enter the world of work in <strong>UHSM</strong>.<br />

The pilot is a 12-month training scheme, during which time, 15 eighteen year olds, will follow a level 2<br />

apprenticeship programme in Healthcare. On completion of their training, they will be able to apply for<br />

any suitable vacancies which are available.<br />

The pilot will be subject to evaluation with the view to continuing/extending it in healthcare or other<br />

areas of service.<br />

For more information, contact Hilary Whyatt, Vocational Qualifications Manager – ext 5793<br />

6 May / June 2012


Pioneering Health Education<br />

The Academy Prospectus<br />

We are delighted to announce that the Academy Prospectus is now<br />

ready for distribution.<br />

All the departments have contributed to showcasing the exciting<br />

work that is done within the Academy.<br />

Inside the Prospectus you will find details of ERC room hire costings,<br />

hire charges for the Skills Bus, and also prices for courses that are<br />

available within the Academy.<br />

We are extremely proud of all the time and effort that has gone<br />

into making this such an innovative, and beautifully illustrated<br />

manual.<br />

There will be electronic versions available, and the booklet will also<br />

be published on the Academy website, so please try to find a few<br />

minutes to look at the Prospectus, and see what the Academy can<br />

do for you!<br />

If you would like a copy please contact Teresa Gough, Academy<br />

Liaison Manager email teresa.gough@manchester.ac.uk<br />

The Trust’s 5-point plan<br />

The Academy is working hard<br />

towards helping the Trust<br />

achieve its 5 point plan for<br />

2012/13.<br />

We are committed to putting<br />

this plan into the heart of<br />

everything we do.<br />

Patients, People, Partnerships -<br />

Our Challenge for 2012/13<br />

We are honest<br />

and open<br />

• We will listen to our<br />

patients and colleagues<br />

and deliver improvements<br />

if and when they are<br />

needed.<br />

• We will measure success<br />

through the National<br />

Patient Survey and the<br />

Annual NHS Staff Survey.<br />

Patient care is<br />

at our heart<br />

• We will continue to work<br />

to make <strong>UHSM</strong> a safer and<br />

more compassionate<br />

healthcare organisation.<br />

• We will drive for higher<br />

standards of care,<br />

particularly in the way we<br />

look after elderly patients.<br />

We lead, learn<br />

and inspire<br />

• We will work with our<br />

partners in MAHSC and<br />

others to bring real patient<br />

benefit for the work we do<br />

in research, education and<br />

through the clinical trials<br />

we carry out.<br />

• We will maintain our<br />

position as Britain’s<br />

Greenest Hospital by<br />

encouraging ideas and<br />

opportunities to make us<br />

more sustainable.<br />

We are one<br />

talented team<br />

• We will help our colleagues<br />

develop to have the right<br />

skills and attitudes to<br />

deliver the best possible<br />

patient care and<br />

treatment.<br />

• We will create an<br />

environment where people<br />

feel respected and valued.<br />

We strive for<br />

excellence<br />

• We will work more<br />

effectively, with GPs and<br />

our community team<br />

partners, to bring care<br />

closer to home for<br />

patients.<br />

• We will strive to deliver a<br />

challenging £17.5 million<br />

productivity programme<br />

through improvements in<br />

quality and efficiency.<br />

7


<strong>ACADEMY</strong> <strong>News</strong><br />

ERC diary<br />

Manchester - Gulu <strong>News</strong><br />

15th - 17th June<br />

British Medical Acupuncturists<br />

Society 2 Day workshop<br />

19th June<br />

NHS Medical Education (England)<br />

– Better Care Better Treatment<br />

Launch<br />

20th June<br />

<strong>UHSM</strong> Academy & GP Half Day<br />

Workshop<br />

25th June<br />

Obstetric Emergency Study Day<br />

26th - 29th June<br />

Privacy & Dignity Week<br />

4th July<br />

NW Regional Association of Hand<br />

Therapists<br />

4th & 5th July<br />

Sage & Thyme Facilitator Training<br />

6th July<br />

Postgraduate Academic Showcase<br />

11th July<br />

Honour Based Abuse/Domestic<br />

Violence Workshop<br />

13th July<br />

Joint Anaesthetic/<br />

Obstetric Study Day<br />

18th - 20th July<br />

Medical Student Project Option<br />

Presentations<br />

1st August<br />

Postgraduate Junior Doctor<br />

Induction<br />

15th August<br />

Postgraduate Core Surgical Trainee<br />

Induction<br />

Postgraduate GP Trainee Induction<br />

20th - 24th August<br />

Year 4 Medical Student Induction<br />

Cardiothoracic Basic Skills<br />

Workshop (Wet Lab)<br />

28th - 31st August<br />

Year 2 Medical Student<br />

Orientation Week<br />

To book a room in the ERC,<br />

please complete the form<br />

on the intranet.<br />

Have you ever been abducted?<br />

No, I’m not trying to recruit you to a UFO chat room to share your experiences of<br />

aliens. This is a standard question in taking a medical history in Gulu. It is one of the<br />

starkest reminders of the threat which has only recently been lifted from the people<br />

of Northern Uganda.<br />

Even if the answer is “No”, listen on and you are very likely to hear of the siblings<br />

who were abducted perhaps never to be heard of again. Or the children or parents<br />

who did not survive to be abducted. Or see the disfigurements and scars left. The<br />

legacy of Joseph Kony and his Lord’s Resistance Army will survive many, many<br />

years. Families were fractured and the fault lines will be there to undermine the<br />

emotional lives, relationships and psychological development of many parents as<br />

they strive for better lives for their children. The threats of malnutrition, inadequate<br />

sanitation, malaria, maternal and neonatal mortality loom large but it is a time<br />

when mental health has to be taken seriously alongside these.<br />

In November 2011 we joined a parade through Gulu town centre marking Global<br />

Mental Health Day. In the heat of the tropical sun, we walked behind people whose<br />

tee-shirts bore the slogan “Mental Health Day 2011, the Great Push – investing in<br />

Mental Health”. Many of the people marching were in pairs – a mother with her<br />

tiny baby strapped to her back with a cloth; the baby’s head just visible, headlined<br />

by this bold statement. Many of the marchers were current or ex-patients of the<br />

Mental Health Unit at Gulu Referral Hospital. Their personal statements were<br />

perhaps even bolder than the slogan: mental health still invokes many fears and<br />

myths, stigmatising its sufferers. These were brave people.<br />

Mental health and illness services are being developed but it will be a long march. It<br />

is a major challenge simply to ensure support for those staff already working with<br />

resources and in conditions which would produce outrage in the U.K.. Supporting<br />

these staff to teach and train future clinicians is imperative. To begin to learn about<br />

this and perhaps to contribute is humbling and enriching. It gets under your skin.<br />

On your first day in Gulu, one trip with the Gulu-Man link can turn into two.<br />

Beware. You may find yourself on a flight to Entebbe, abducted by Marian Surgenor<br />

to serve the Gulu-Man Link.<br />

8 May / June 2012

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