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Partnership Matters - April 2009 - Kent and Medway NHS and Social ...

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<strong>Kent</strong> <strong>and</strong> <strong>Medway</strong><br />

<strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust<br />

matters<br />

partnership<br />

The newsletter for staff of <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust<br />

A Right Royal Do!<br />

matters<br />

As Patron of the College of Occupational Therapists, The Princess Royal, Princess Anne was guest of<br />

honour at KMPT’s recent occupational therapy professional development conference organised by<br />

Debbie Bray, Trust Lead for Allied Health Professions <strong>and</strong> Linda Hughes, Eastern & Coastal Directorate<br />

Lead OT. The conference focused on bringing together clinicians, managers, service users/carers,<br />

academics <strong>and</strong> policy makers to explore the central role of occupation in the restoration <strong>and</strong><br />

maintenance of health <strong>and</strong> wellbeing.<br />

Arriving by helicopter the<br />

Princess was welcomed by<br />

Deputy Lord Lieutenant<br />

Edwin Boorman before being<br />

escorted in a convoy to the<br />

conference venue at <strong>Kent</strong><br />

Invicta Chamber of<br />

Commerce.<br />

Trust Chairman, Peter<br />

Smallridge formed part of the<br />

small welcoming committee<br />

which included civic<br />

dignitaries including the<br />

Mayor of Ashford, <strong>Kent</strong><br />

County Council Chairman<br />

<strong>and</strong> the local Ashford MP. The<br />

Princess was then introduced<br />

to almost 40 of the Trust’s<br />

occupational therapists, as<br />

well as some service users<br />

<strong>and</strong> carers.<br />

Chief Executive Erville<br />

Millar opened the conference<br />

by welcoming the Princess<br />

<strong>and</strong> proceeded to outline the<br />

work being undertaken in<br />

<strong>Kent</strong> in dealing with 28,000<br />

clients with problems saying,<br />

“We respond to dem<strong>and</strong>s <strong>and</strong><br />

focus on putting people on<br />

the road to recovery <strong>and</strong><br />

enabling them to take control.<br />

Without occupational<br />

therapists who facilitate<br />

peoples’ recovery <strong>and</strong><br />

passage back to employment<br />

<strong>and</strong> to achieve as much as<br />

they can for themselves to<br />

help them get the most out of<br />

life, we would not see the<br />

success stories that happen<br />

everyday in our services.”<br />

The Princess addressed the<br />

conference, validating <strong>and</strong><br />

endorsing the valuable<br />

contribution of occupational<br />

therapists in responding to<br />

increasing dem<strong>and</strong>s of<br />

people with mental health<br />

<strong>and</strong> learning disability<br />

problems saying, “I am<br />

APRIL <strong>2009</strong><br />

INSIDE THIS ISSUE<br />

Dementia Strategy<br />

Creating Capable Teams<br />

Approach<br />

The Neuro Nutters<br />

Triathlon Team<br />

AND MUCH MORE…<br />

pleased to come to Ashford<br />

<strong>and</strong> support Occupational<br />

Therapy in <strong>Kent</strong>. The issues<br />

of mental health are one of<br />

the most difficult areas to<br />

work in <strong>and</strong> knowing how to<br />

make a difference allows<br />

people to participate in<br />

everyday life. OT gives<br />

people an ability to manage<br />

their own lives <strong>and</strong> the real<br />

value <strong>and</strong> key, is to assist <strong>and</strong><br />

underst<strong>and</strong> the need to be<br />

able to make choices <strong>and</strong><br />

increase independence.”<br />

Dee Christie, chairman of<br />

the council for the College of<br />

Occupational Therapists<br />

concluded the Princess’s<br />

address by thanking her for<br />

her inspirational message.<br />

There followed a series of<br />

presentations by speakers<br />

from the Department of<br />

Health, Leeds Metropolitan<br />

University, <strong>and</strong> the College of<br />

Occupational Therapists, an<br />

Expert by Experience, as well<br />

as a workshop facilitated by<br />

CONTINUED ON PAGE 3<br />

Top left: Meeting the delegates. Bottom left: The Princess addresses the conference


Contents:<br />

PAGE 3<br />

News<br />

PAGE 8<br />

Creating Capable teams<br />

Approach<br />

PAGE 9<br />

Marketing<br />

PAGE 10<br />

Dementia Strategy<br />

PAGE 12<br />

KMPT Staff Learning<br />

Awards<br />

PAGE 13<br />

National News<br />

PAGE 14<br />

Patient Feedback<br />

PAGE 15<br />

Recovery at Trevor Gibbens<br />

Unit<br />

PAGE 16<br />

Major Projects<br />

PAGE 17<br />

Learning & Development<br />

PAGE 18<br />

IM&T<br />

PAGE 19<br />

ePEX<br />

PAGE 20<br />

Dates for your Diary<br />

Lottery/Take a Break<br />

For information about our<br />

services, visit our website:<br />

www.kmpt.nhs.uk<br />

KMPT Headquarters<br />

35 Kings Hill Avenue,<br />

Kings Hill, West Malling,<br />

<strong>Kent</strong> ME19 4AX<br />

Telephone: 01732 520400<br />

Fax: 01732 520401<br />

Designed by Baines.<br />

The views <strong>and</strong> opinions in this<br />

publication do not necessarily reflect<br />

the policies of <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong> <strong>NHS</strong><br />

<strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust.<br />

Editor’s introduction<br />

As we go to press, we are deep into our FT application assessment <strong>and</strong> in the process of<br />

electing governors to the Trust’s Council of Governors. Once complete these important<br />

processes will leave the Trust in a strong position for the future. It will be interesting to see how<br />

the newly elected governors settle into their roles. The success of the staff in these important<br />

posts will be in many ways determined by how you as staff work with your elected governors.<br />

All staff need to make use of the governors <strong>and</strong> use them to make your voice heard. Similarly you<br />

can also encourage your service users <strong>and</strong> carers to make use of the publicly elected governors<br />

in the coming months. I hope you enjoy this edition of <strong>Partnership</strong> <strong>Matters</strong>, which includes some<br />

interesting features on the Dementia Strategy <strong>and</strong> Creating Capable Teams, as well as the very<br />

latest news about your Trust.<br />

Adrian Lowther, Head of Communications <strong>and</strong> Marketing<br />

Contact the Editorial Team<br />

If you wish to contact the Editor of <strong>Partnership</strong> <strong>Matters</strong>, you can do so by writing to Trust HQ,<br />

35 Kings Hill Avenue, Kings Hill, West Malling, <strong>Kent</strong> ME19 4AX, by emailing<br />

communications@kmpt.nhs.uk or calling 01732 520441.<br />

About the Trust<br />

<strong>Kent</strong> <strong>and</strong> <strong>Medway</strong> <strong>Partnership</strong><br />

Trust was established on 1<br />

<strong>April</strong> 2006. It provides mental<br />

health, learning disability,<br />

substance misuse <strong>and</strong> other<br />

specialist services <strong>and</strong> was<br />

formed as a result of a merger<br />

between two predecessor<br />

<strong>NHS</strong> trusts in East <strong>and</strong> West<br />

<strong>Kent</strong>. Service provision is<br />

mainly organised through<br />

three geographical service<br />

directorates which are<br />

coterminous with the three<br />

Primary Care Trusts: West<br />

<strong>Kent</strong>, Eastern <strong>and</strong> Coastal, <strong>and</strong><br />

Requests for information<br />

Please remember that all<br />

requests for Information,<br />

including those from service<br />

users, carers, police, solicitors<br />

etc, must be sent immediately<br />

to the Information Rights Team<br />

at 35 Kings Hill Avenue, West<br />

Malling, for response.<br />

The Information Rights Team<br />

deal with all requests for<br />

corporate information under the<br />

Freedom of Information Act, <strong>and</strong><br />

requests for personal<br />

<strong>Medway</strong>. In addition, the Trust<br />

operates a range of specialist<br />

services across <strong>Kent</strong> <strong>and</strong><br />

<strong>Medway</strong>, including the<br />

Forensic Mental Health<br />

Service.<br />

The Trust boundaries are in<br />

line with those of <strong>Kent</strong> County<br />

Council <strong>and</strong> <strong>Medway</strong> Council.<br />

Serving a population of<br />

approximately 1.6 million<br />

people, the boundaries<br />

incorporate areas of affluence<br />

<strong>and</strong> severe deprivation <strong>and</strong><br />

include both rural areas <strong>and</strong><br />

large conurbations.<br />

information about service users<br />

<strong>and</strong> staff under the Data<br />

Protection Act <strong>and</strong> the Access<br />

to Health Records Act.<br />

As you may know there are<br />

many instances when<br />

information MUST or MUST<br />

NOT be released to those<br />

outside the Trust. The<br />

Information Rights Team will<br />

ensure that all legal<br />

requirements are met in order to<br />

ensure that safety <strong>and</strong><br />

The Trust works in<br />

partnership to provide<br />

responsive <strong>and</strong> dependable<br />

services to the communities<br />

we serve in <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong>.<br />

It aims to provide hope,<br />

recovery, well-being <strong>and</strong> social<br />

inclusion, individual choice <strong>and</strong><br />

independence through high<br />

quality care <strong>and</strong> environments;<br />

services that are safe,<br />

sustainable <strong>and</strong> stigma-free<br />

<strong>and</strong> a culture of development<br />

<strong>and</strong> continuous improvement,<br />

taking account of ethnicity,<br />

culture <strong>and</strong> gender.<br />

confidentiality of staff <strong>and</strong><br />

service users is preserved. The<br />

team can provide advice to staff<br />

who are unsure whether<br />

information should be disclosed<br />

<strong>and</strong> to service users who wish<br />

to access information. Ad hoc<br />

training to teams is available<br />

on request.<br />

For further information<br />

please contact the team<br />

on 01732 520447.<br />

2 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


News<br />

A Right Royal Do! Continued from page 1<br />

KMPT staff <strong>and</strong> a lecturer<br />

from Canterbury Christ<br />

Church University. These<br />

looked at the opportunities<br />

nationally <strong>and</strong> locally, current<br />

<strong>and</strong> future, for occupational<br />

therapists to contribute in a<br />

meaningful way to recovery<br />

from mental distress <strong>and</strong> to<br />

CAMHS “book” a spot in the Library<br />

In 2008, Tunbridge Wells<br />

Child <strong>and</strong> Adolescent Mental<br />

Health Services developed a<br />

book lending service,<br />

however as we only had<br />

limited supply there was often<br />

not enough available.<br />

Following a discussion within<br />

the team, the idea to work<br />

with the local library to see if<br />

they could help was<br />

developed. Subsequent to the<br />

discussion; a joint initiative<br />

CAMHS, based at the<br />

Homeopathic Hospital, <strong>and</strong><br />

the <strong>Kent</strong> County Council<br />

Library in Tunbridge Wells has<br />

resulted in Tunbridge Wells<br />

library increasing their supply<br />

of specialist books to help<br />

families manage the<br />

difficulties arising from<br />

emotional <strong>and</strong> mental health<br />

issues for young people.<br />

The service was launched<br />

during the half term week in<br />

February at Tunbridge Wells<br />

Library with the books being<br />

put on display for families to<br />

view. Throughout the week,<br />

staff from Tier 3 CAMHS were<br />

on h<strong>and</strong> along with<br />

representatives from some of<br />

the services that support<br />

young people <strong>and</strong> their<br />

families such as the SSKY<br />

Project, the 16+ team, Tier 2<br />

Lead Nurse, Connexions,<br />

KCA, Breahthrough <strong>and</strong><br />

Fegans to offer information<br />

<strong>and</strong> advice.<br />

Speaking about the<br />

initiative, local Child <strong>and</strong><br />

Adolescent Mental Health<br />

Team Manager, Paul White,<br />

said, “This is an excellent<br />

resource for families <strong>and</strong> will<br />

help them develop a deeper<br />

underst<strong>and</strong>ing of the problems<br />

some young people<br />

experience as well as helping<br />

with coping strategies. There<br />

is help available from<br />

professional services but<br />

learning about mental illness<br />

<strong>and</strong> underst<strong>and</strong>ing it better<br />

can really help both families<br />

<strong>and</strong> the young person. Not<br />

only did the week at Tunbridge<br />

Wells library provide us with<br />

the opportunity to make good<br />

contact with the public but<br />

also to strengthen the<br />

relationships between the<br />

agencies in attendance.”<br />

Customer Services<br />

Fraud Awareness – the Results<br />

The results of the annual staff<br />

survey to assess the level of<br />

fraud awareness within the<br />

Trust <strong>and</strong> the impact of<br />

Counter Fraud work have just<br />

been published. The survey is<br />

held in accordance with the<br />

Secretary of State Directions<br />

<strong>and</strong> the Counter Fraud &<br />

Corruption Manual <strong>and</strong> is<br />

conducted by Andrew Ede,<br />

the Local Counter Fraud<br />

Specialist. Questionnaires<br />

were delivered to 1400<br />

r<strong>and</strong>omly selected staff<br />

across all Trust sites <strong>and</strong> the<br />

number returned was 657<br />

equating to a 47% return. In<br />

2007/08 the same number of<br />

questionnaires was<br />

issued with a 40%<br />

return. The<br />

questionnaire<br />

was designed to<br />

provide analysis<br />

ensure the maintenance of<br />

wellbeing, as well as an<br />

underst<strong>and</strong>ing of the current<br />

evidence base, linking<br />

occupation <strong>and</strong> health. Marie<br />

Dodd closed the day <strong>and</strong><br />

clinicians went away with a<br />

responsibility to ensure a<br />

return to occupationally<br />

with regard to Fraud<br />

Awareness; Fraud Awareness<br />

Publicity <strong>and</strong> Reporting<br />

Procedures.<br />

Findings show that 86% of<br />

staff is aware of the <strong>NHS</strong><br />

Counter Fraud Service which<br />

is a small increase on<br />

previous years <strong>and</strong> continues<br />

the upward trend. However,<br />

the need for continuing to<br />

develop <strong>and</strong> provide fraud<br />

awareness training was<br />

identified with only 28%<br />

stating that they had attended<br />

a fraud awareness<br />

presentation. The findings<br />

also provide ongoing<br />

assurance that publicity<br />

campaigns to highlight<br />

the work of the Counter<br />

Fraud Service are having a<br />

consistent impact with 67%<br />

stating they had read<br />

articles regarding Fraud in<br />

focused practice.<br />

Delegates were delighted<br />

that the Princess took time to<br />

visit to the Trust before<br />

heading off to her next<br />

engagement with the Olympic<br />

Committee at Canary Wharf.<br />

From the feedback received<br />

many commented that they<br />

the <strong>NHS</strong>; 64% had seen<br />

Fraud & Corruption Reporting<br />

Line Posters; 40% had seen<br />

counter fraud information on<br />

the Trust Intranet site <strong>and</strong><br />

52% had read the ‘Fraud<br />

<strong>Matters</strong>’ newsletter.<br />

With regards to Reporting<br />

Procedures the majority of staff<br />

– 93% - said they would report<br />

any suspicion of fraud, mostly<br />

to their Line Manager which is<br />

consistent with the previous<br />

year’s findings <strong>and</strong> 55% had<br />

read, or are aware of, the<br />

Trust’s Counter Fraud Policy.<br />

Overall the 2008/09 findings<br />

are consistent with previous<br />

years <strong>and</strong> provides an<br />

ongoing assurance that the<br />

Counter Fraud function is<br />

embedded within the Trust<br />

<strong>and</strong> that a real anti-fraud<br />

culture exists which seeks to<br />

felt the Princesses’<br />

contribution made them feel<br />

valued, recognised <strong>and</strong> raised<br />

the profile of OT within the<br />

Trust.<br />

Debbie <strong>and</strong> Linda would<br />

like to extend grateful thanks<br />

to all those who helped make<br />

the day such a success.<br />

Development Librarian Susan<br />

Rogers said: "We work hard to<br />

listen to customers <strong>and</strong><br />

provide the right books for<br />

each area <strong>and</strong> we are<br />

delighted to have been able to<br />

support local families<br />

experiencing mental health<br />

issues by making information<br />

available through the library."<br />

It is hoped this initiative will<br />

be the first of many similar<br />

projects across the region.<br />

prevent <strong>and</strong> deter potential<br />

fraudsters <strong>and</strong> increase the<br />

likelihood of detection. As<br />

part of the Counter Fraud<br />

Annual Work Plan for <strong>2009</strong>/10<br />

action will be taken to ensure<br />

levels of awareness are<br />

maintained <strong>and</strong> improved<br />

upon <strong>and</strong> that the issue of all<br />

managers receiving fraud<br />

awareness training be<br />

addressed.<br />

The South Coast Audit<br />

would like to thank all staff<br />

who participated in the survey.<br />

Full details of the report can<br />

be found at<br />

http://staffzone.kmpt.nhs.uk/<br />

counterfraud<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 3


News<br />

The Trifle Group<br />

The Trifle group is a multi issues he recognised how<br />

agency forum that meets mental health <strong>and</strong> children’s<br />

every 6 weeks to discuss services would often become<br />

issues that may arise within polarised in their service<br />

service provision that relate delivery. A situation frequently<br />

to the needs of children. exacerbated by a lack of<br />

The group was initiated by communication <strong>and</strong> a<br />

Nick Esson, a social worker misinformed mindset<br />

within the Dover / Deal regarding each specialism.<br />

enhanced mental health Nick identified a need for a<br />

team as an attempt to more unified multi agency<br />

provide an interface<br />

response to families where a<br />

between mental health <strong>and</strong> parent suffers from a mental<br />

children services.<br />

health problem <strong>and</strong> sought to<br />

Prior to working within the address this need by co –<br />

Dover locality Nick was facilitating the Cake Group at<br />

employed as an Approved Poultons Family Centre,<br />

<strong>Social</strong> Worker within the Dover. That is the official<br />

<strong>Social</strong> Services County duty version. In reality he wanted<br />

team <strong>and</strong> operated as a to ensure that his weekly<br />

generic social worker<br />

calorie count was maintained<br />

addressing the needs of all by attending a regular source<br />

recognised client groups. As of doughnuts <strong>and</strong> other cream<br />

a result of his involvement filled pastries.<br />

with several child protection The Cake group was a<br />

success (<strong>and</strong> Nick gained<br />

several pounds), however the<br />

group was only scheduled to<br />

operate once a year. (Fearing<br />

that his weight gain may soon<br />

dissipate) Nick identified a<br />

need for a more eclectic<br />

forum which would include<br />

both the private <strong>and</strong> statutory<br />

sector. It was his hope that by<br />

facilitating a forum that<br />

endeavored to promote a<br />

seamless response to service<br />

users he would also develop<br />

greater access to cream<br />

based foodstuffs. Hence The<br />

Trifle Group was born!<br />

Nick decided to call the<br />

forum Trifle as he felt that<br />

there was more to an<br />

individual than just their<br />

presenting need. His analogy<br />

being; ‘there is more going on<br />

than just jelly & custard’. In a<br />

rational moment Nick will<br />

Learning <strong>and</strong> Disabilities leaving do<br />

There was a rousing farewell party to mark the departure<br />

of the Learning <strong>and</strong> Disabilities service from the Trust on<br />

Thursday 26th February in Gillingham as it moves<br />

forward to becoming a more independent organisation.<br />

The journey for change started back in the mid 1980’s,<br />

away from hospitals such as Leybourne Grange, Darenth<br />

Park, Lenham <strong>and</strong> Princess Christian. The Government put a<br />

lot of money into Maidstone’s Health & <strong>Social</strong> Services to<br />

create smaller settings for people <strong>and</strong> enable greater<br />

independence.<br />

Over the years many faces have come <strong>and</strong> gone. Many<br />

buildings <strong>and</strong> services have also changed with clients living<br />

in houses <strong>and</strong> bungalows across towns like Maidstone,<br />

Dartford, Gravesend, Tonbridge <strong>and</strong> surrounding villages. The<br />

specialist services that many other people now also have<br />

access to, such as Physiotherapy, SALT, OT, Psychology,<br />

Psychiatry, Community Nursing <strong>and</strong> activity/day services all<br />

began around that time.<br />

These services have also seen changes over recent years<br />

<strong>and</strong> continue to undergo change to make sure everyone gets<br />

the right health services when <strong>and</strong> if needed, be it now or in<br />

the future.<br />

From the mid 1980’s many good things developed, setting<br />

the agenda for change <strong>and</strong> the step that Learning <strong>and</strong><br />

Disabilities is making now is equally as groundbreaking.<br />

Chief Executive Erville Millar joined in the celebration <strong>and</strong><br />

said,”The ‘Valuing People’ work has rightly pushed for<br />

everyone to have much more independence, choice <strong>and</strong><br />

rights as individuals <strong>and</strong> to not be just part of the <strong>NHS</strong> or<br />

<strong>Social</strong> Service. Across <strong>Kent</strong>, <strong>and</strong> not just for the Trust<br />

pontificate that the term Trifle<br />

not only depicts how a<br />

combination of different<br />

ingredients can become a<br />

beautiful thing, but also keeps<br />

delectable foodstuffs on the<br />

agenda.<br />

The forum is provided at<br />

Coleman House Dover <strong>and</strong> is<br />

primarily attended by<br />

representatives from <strong>Social</strong><br />

Services Children’s Services,<br />

CAMHS, Health Visitors, Drug<br />

<strong>and</strong> alcohol services,<br />

Community Psychiatric<br />

Nurses, <strong>and</strong> Psychiatric<br />

<strong>Social</strong> workers. Over the last<br />

18 months it has been an<br />

appropriate forum to discuss<br />

referrals, seek advice, offer<br />

case presentations, develop<br />

practical strategies for joint<br />

working, <strong>and</strong> consume some<br />

of the finest cakes known to<br />

mankind.<br />

services, a lot of new organisations will now provide support<br />

packages <strong>and</strong> although many of the current staff will keep<br />

working within Learning <strong>and</strong> Disabilities, there will also be<br />

many new staff to help too. I wish you all good luck for the<br />

future <strong>and</strong> thank all the staff who have worked for the Trust in<br />

helping to support Learning <strong>and</strong> Disabilities over the years.”<br />

The party went with a swing<br />

Staff <strong>and</strong> residents from<br />

Oakapple Lane<br />

4 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


News<br />

Testing time for<br />

Neuro Nutters!<br />

It’s not often that a whole Service can<br />

boast of everyone taking part in the<br />

same sporting event but the three<br />

members of staff that comprise the<br />

East <strong>Kent</strong> Neuropsychology Service at<br />

Buckl<strong>and</strong> Hospital in Dover are doing<br />

just that! Dr Chris Strydom, Dr<br />

Jennifer Dean <strong>and</strong> assistant<br />

psychologist Izzy Biggin have signed<br />

up to take part in the relay section of<br />

the South Coast Triathlon on Saturday,<br />

15th August.<br />

All three share a common love of sport<br />

<strong>and</strong> decided to pool their respective<br />

talents to form The Neuro Nutters<br />

Triathlon Team. Izzy explained, ‘From the<br />

age of 9 until I was about 21 I used to<br />

take part in tetrathlons which involved<br />

cross country running, cross country<br />

horse riding, swimming <strong>and</strong> shooting <strong>and</strong><br />

then at university I decided to take up<br />

rugby <strong>and</strong> still train once a week in<br />

Canterbury, so sport has always featured<br />

highly in my life. However, my brother is<br />

a triathlete <strong>and</strong> he gradually roped me in<br />

<strong>and</strong> knowing that Chris had cycled<br />

competitively in his native South Africa in<br />

‘Aiming for Change’<br />

A very successful event took place for Black <strong>and</strong> Minority<br />

Ethnic women on 28th January at Woodville Halls in<br />

Gravesend. There were over 90 attendees, the vast majority<br />

from the South Asian communities in North West <strong>Kent</strong>.<br />

There was much enthusiasm <strong>and</strong> engagement by the<br />

women in discussing their concerns <strong>and</strong> experiences of<br />

gaining access to mental health care.<br />

The event was coordinated <strong>and</strong> delivered by KMPT in<br />

partnership with Rethink <strong>and</strong> Invicta Advocacy Network, with<br />

Gravesend BME Event – the conference was<br />

well attended<br />

the gruelling Cape Argus<br />

Cycle Tour <strong>and</strong> Jennifer is a<br />

dedicated swimmer I realised we had a<br />

relay team in the making!’ ‘We thought it<br />

was a great idea,’ enthused Chris,<br />

‘although the three of us will be<br />

competing, our secretary Debbie<br />

Delbaere will play a supporting role for<br />

the event so it really is an excellent teambuilding<br />

exercise for the whole Service!<br />

We’re also using it as an opportunity to<br />

raise money for Headway, a charity that<br />

supports people with a brain injury <strong>and</strong><br />

one which we come across regularly in<br />

the course of our work.’<br />

Jennifer will start the event with a<br />

1500m open water swim off Seaford<br />

Beach followed by Chris undertaking a<br />

40km bike ride <strong>and</strong> Izzy completing the<br />

final part of the event with a 10km run.<br />

Each currently follows their own training<br />

plan; Jennifer swims a mile several<br />

mornings a week in Maidstone before<br />

going to work; Chris cycles every<br />

weekend <strong>and</strong> regularly clocks up over 26<br />

miles in every session while Izzy is in<br />

training for her first solo triathlon in May<br />

The Neuro Nutters (l to r) Chris, Izzy <strong>and</strong> Jennifer<br />

so the signs are good! And if signs were<br />

needed, then perhaps I should mention<br />

that on the day I met the team at their<br />

office, Dover experienced an earthquake!<br />

Head of Communications <strong>and</strong><br />

Marketing Adrian Lowther is also a very<br />

committed runner <strong>and</strong> would literally like<br />

to give the Neuro Nutters a run for their<br />

money <strong>and</strong> is appealing to any swimmers<br />

<strong>and</strong> cyclists interested in creating<br />

another team to give him a call. ‘It would<br />

be great if the Trust could put two teams<br />

forward for this event <strong>and</strong> with a staff of<br />

4,000 I’m hoping there may be a<br />

swimmer <strong>and</strong> cyclist out there who’ll<br />

want to join me in taking part.’ So, the<br />

gauntlet has been thrown <strong>and</strong> anyone<br />

interested should call Adrian on<br />

01732 520441 or email<br />

communications@kmpt.nhs.uk<br />

The Neuro Nutters have set up a ‘Just<br />

Giving’ account <strong>and</strong> ask that if you<br />

would like to sponsor them <strong>and</strong> raise<br />

money for Headway please go to the<br />

link www.justgiving.com/neuronnutters<br />

funding from CSIP. It saw the launch of a report ‘Aiming for<br />

Change’ published by Rethink which the partnership group had<br />

produced to review mental health service access for Black <strong>and</strong><br />

Minority Ethnic women in west <strong>Kent</strong>. The report made a number<br />

of recommendations from the national <strong>and</strong> local evidence which<br />

were then discussed <strong>and</strong> added to by the women on the day.<br />

The report emphasised the importance of improving collection<br />

of ethnicity data across the health community.<br />

The themes from the report <strong>and</strong> the event were about<br />

improving underst<strong>and</strong>ing of <strong>and</strong> access to GPs,<br />

particularly women GPs; the importance of<br />

having a specific trans-cultural counselling<br />

service; investment in community engagement<br />

with other BME communities such as Chinese<br />

<strong>and</strong> refugee/ asylum seekers; improving<br />

confidentiality <strong>and</strong> safety, <strong>and</strong> reducing stigma.<br />

An action plan will now be developed to take<br />

this valuable work forward in improving access<br />

to mental health services for women from the<br />

BME communities across <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong>.<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 5


News<br />

Evening Lectures<br />

at St Martin’s<br />

A series of free evening lectures is held at St Martin’s<br />

Education Centre, Canterbury on Tuesday evenings from 6pm<br />

to 7pm during the year (with the exception of August) on a<br />

variety of subjects. The lectures carry one CPD point subject<br />

to peer group approval <strong>and</strong> although anyone with a keen<br />

interest is welcome to come along, places are limited <strong>and</strong><br />

advance booking is required. Doors open at 5.30pm <strong>and</strong> a<br />

light buffet is available.<br />

Forthcoming lectures include:<br />

q 28 <strong>April</strong>: Belief in Care<br />

Rev. Peter Richmond, Chaplain at St. Martin’s<br />

q 12 May: Patient Attitudes to Dementia Screening<br />

Dr Chris Fox, Consultant in Old Age Psychiatry<br />

Please note: this is for Clinicians/Doctors only<br />

q 26 May: Treatment of Bipolar Disorder<br />

Dr George Umoh, Consultant in Adult Psychiatry<br />

q 9 June: Maintaining Professionalism - What is<br />

Professionalism<br />

Dr Ram Seth, Joint Director of Medical<br />

Education/Consultant Psychiatrist/Barrister<br />

If you know people who would like to attend please pass<br />

this information on, we’re keen for as many people as<br />

possible to learn about these lectures.<br />

To book on our lectures, please email suz.laker@kmpt.nhs.uk<br />

along with the following details for ALL people who would<br />

like to come:<br />

q Name<br />

q Job Title<br />

q Contact Phone Number<br />

q E-Mail Address<br />

q YES or NO to receiving an attendance certificate<br />

- these will be emailed the day after the lecture<br />

q YES or NO to being added to the lecture email<br />

notification list<br />

PLEASE NOTE, when you book you will receive an e-mail<br />

notification. If you cannot make the lecture PLEASE let us<br />

know so we can offer your space to someone else. Due to<br />

health <strong>and</strong> safety, we have now capped bookings at a<br />

maximum of 70 people <strong>and</strong> we don’t want anyone missing<br />

out needlessly!<br />

Please check our website for information on KMPT <strong>and</strong><br />

Postgraduate Centres:<br />

http://www.kmpt.nhs.uk/NetsiteCMS/pageid/658/index.html<br />

Pssst!<br />

Been to any good<br />

conferences lately<br />

Would you like to share your learning<br />

with your colleagues<br />

Then why not volunteer to write a summary of the conference<br />

you attended for the <strong>Kent</strong> Journal of Mental Health<br />

The exchange of ideas <strong>and</strong> new research is an important<br />

aspect of any job <strong>and</strong> underst<strong>and</strong>ably not everyone can get<br />

to a conference that just might make a difference. We are<br />

looking for volunteers willing to write a brief outline on the<br />

conference they attended detailing what it was about <strong>and</strong><br />

the conclusions drawn. Articles are needed<br />

for the 4th edition of the Journal so hit that<br />

keypad now <strong>and</strong> email to<br />

kentjournal@kmpt.nhs.uk or call<br />

Lesley Van-Beveren on 01322 622222<br />

Wanted!<br />

Peer Reviewers!<br />

Have articles you read in the <strong>Kent</strong> Journal of Mental<br />

Health inspired, encouraged or motivated you<br />

Perhaps it raised more questions than it answered<br />

Either way it would be good to hear your views! We<br />

need more Peer Reviewers <strong>and</strong> in particular,<br />

those from OT/Allied professions. Why not look<br />

at past issues of the Journal by visiting<br />

www.kmpt.nhs.uk/kentjournal for encouragement<br />

If you feel you could be a Peer Reviewer please email<br />

kentjournal@kmpt.nhs.uk or call Lesley Van-Beveren on<br />

01322 622222<br />

6 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


News<br />

Tribute to Dr Eileen Clarke<br />

It is with great sadness that we write<br />

in tribute to Dr Eileen Clarke, who<br />

passed away, unexpectedly, on 10th<br />

March <strong>2009</strong>.<br />

Eileen started her career as a Medical<br />

Officer in the Army <strong>and</strong> came to work for<br />

the Trust 25 years ago as the Senior<br />

Clinical Medical Officer of a fledgling<br />

Community Learning Disability Team.<br />

Having worked closely <strong>and</strong> tirelessly with<br />

others, she later became the Team<br />

Leader of the robust service that had<br />

evolved. More recently, she became the<br />

Acting Consultant <strong>and</strong> Medical Lead in<br />

Learning Disability Services.<br />

Over the years, many of us got to<br />

know Eileen very well, <strong>and</strong> it became<br />

evident that at work she was the same<br />

as in her personal life: generous,<br />

humane, hard working, knowledgeable,<br />

fun-loving; a caring person who had a<br />

wonderful sense of humour.<br />

Eileen had an acute sense of her<br />

patient’s needs <strong>and</strong> distress. She fought<br />

to make sure they got the help they<br />

needed both directly as a clinician <strong>and</strong><br />

as a service developer. Recently Eileen<br />

had been working hard to secure funding<br />

for Medical Staffing in the East of <strong>Kent</strong><br />

<strong>and</strong> to recruit staff to these posts. A<br />

week before she died she found that her<br />

extensive efforts had been fruitful -<br />

clients in East <strong>Kent</strong> are finally going to<br />

get the significant medical resource they<br />

need.<br />

Eileen’s caring nature <strong>and</strong> humanity<br />

extended to her colleagues too. If<br />

anybody was struggling with work, or<br />

some aspect of their personal life, she<br />

always took an interest <strong>and</strong> was there to<br />

assist both with advice <strong>and</strong> practical<br />

help.<br />

Eileen was generous <strong>and</strong> hard working,<br />

often grafting all the hours God sent.<br />

Although, clear that her family came first,<br />

if a patient or colleague was in difficulty,<br />

she would go out of her way to help, in<br />

the knowledge that at that time, this<br />

person needed her more.<br />

Eileen was a genuine person who<br />

made a positive difference to her family,<br />

her patients, <strong>and</strong> her colleagues. Many<br />

people have been shocked <strong>and</strong><br />

saddened by Eileen’s untimely death <strong>and</strong><br />

have sent messages reflecting the<br />

significant impact she made. For the<br />

person she was <strong>and</strong> for her commitment<br />

to her work, on behalf of clients <strong>and</strong><br />

colleagues, we are truly grateful.<br />

Foundation Trust Update<br />

Election results due. Have you<br />

cast your vote<br />

As Monitor continue to assess the<br />

Trust in the final phase of the Trust’s<br />

Foundation Trust application, the<br />

results of the elections to appoint staff<br />

<strong>and</strong> public governors are due any day<br />

now!<br />

Elections<br />

As this edition of <strong>Partnership</strong> <strong>Matters</strong><br />

was going to print the elections to<br />

appoint 4 staff <strong>and</strong> 20 public<br />

governors were well underway. Staff<br />

<strong>and</strong> public governors will play become<br />

part of the Council of Governors.<br />

Governors will act as a channel of<br />

communication between staff <strong>and</strong> the<br />

Trust <strong>and</strong> local communities.<br />

Critically, staff governors will<br />

represent the views of staff!<br />

They will sit alongside governors from<br />

partner organisations, such as the police,<br />

universities <strong>and</strong> local business leaders.<br />

The Council of Governors will not be<br />

involved in the day-to-day running of the<br />

Trust, but will play a key role in shaping<br />

the services that we provide for the<br />

people of <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong>. 46 public<br />

members are st<strong>and</strong>ing for election in four<br />

constituencies <strong>and</strong> 10 staff are st<strong>and</strong>ing<br />

in the four staff constituencies.<br />

The staff st<strong>and</strong>ing for election are:<br />

• Nick Dent<br />

• Terence Huckstep<br />

• Martin Owen Hunter<br />

• Phil Anscombe<br />

• Audrey Dudman<br />

• V M Mathew<br />

• Jeannette Phillips<br />

• Timothy Green<br />

• Sarah Hodge<br />

• Khaled Kassem-Toufic<br />

Every c<strong>and</strong>idate has a statement about<br />

their reason for st<strong>and</strong>ing published<br />

online at: www.kmpt.nhs.uk/membership<br />

All staff are automatically members of<br />

the Trust <strong>and</strong> are therefore able to vote,<br />

unless you have opted out, so cast your<br />

vote now <strong>and</strong> help get the right person to<br />

represent you! Election results will be<br />

published on Tuesday 21st <strong>April</strong> <strong>and</strong><br />

you’ll be able to find out who won, <strong>and</strong><br />

learn a bit more about your governors in<br />

the next <strong>Partnership</strong> <strong>Matters</strong>.<br />

Monitor Phase<br />

It will not have escaped anybody that<br />

since the start of March the Trust has<br />

been in the final assessment phase of its<br />

Foundation Trust application, which is<br />

carried out by Monitor. So far the<br />

process has gone well <strong>and</strong> the Trust<br />

Board would like to thank every member<br />

of staff who has made a contribution to<br />

the process to date. It is hoped that over<br />

the next few weeks the Trust will<br />

complete this assessment phase <strong>and</strong> be<br />

authorised as a Foundation Trust.<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 7


News<br />

The Most Capable of Teams<br />

In a quiet corner of South<br />

West <strong>Kent</strong> there is a<br />

remarkable approach to<br />

service change <strong>and</strong><br />

modernisation underway<br />

<strong>and</strong> it is involving service<br />

users, carers <strong>and</strong> staff.<br />

The Creating Capable<br />

Teams Approach (CCTA) was<br />

born out of the New Ways of<br />

Working programme,<br />

introduced in 2003 to change<br />

the practice of the workforce<br />

<strong>and</strong> develop extended roles<br />

beyond the scope of current<br />

professional practice. The<br />

Care Services Improvement<br />

<strong>Partnership</strong> wanted to pilot the<br />

CCTA <strong>and</strong> acute adult mental<br />

health services in South West<br />

<strong>Kent</strong> stepped forward to take<br />

on the challenge.<br />

They set about building on the<br />

NWW programme which;<br />

• Identifies issues the<br />

workforce faces<br />

• Works to have the right<br />

skills in the right place<br />

• Ensures skilled staff are<br />

used effectively<br />

• Aims to ensure teams’<br />

capabilities <strong>and</strong><br />

competences meet service<br />

user <strong>and</strong> carer needs<br />

• Supports the introduction<br />

of new roles<br />

CCTA builds on this approach<br />

<strong>and</strong>;<br />

• Is an off the shelf structured<br />

tool with five steps<br />

• Defines workforce focus<br />

• Supports the integration of<br />

NWW & new roles within<br />

teams<br />

• Works within existing<br />

resources<br />

• Supports teams to review<br />

their service<br />

• Involves service users <strong>and</strong><br />

carers throughout the<br />

process<br />

• Identifies the skills <strong>and</strong><br />

capabilities a team needs<br />

to meet service user needs<br />

• Enables staff to consider<br />

opportunities <strong>and</strong><br />

flexibilities new roles offer<br />

• Teams become proactive<br />

in reviewing their service<br />

• Takes a bottom up<br />

approach<br />

• Produces a team profile<br />

<strong>and</strong> action plan<br />

“….the changes that get made as a result of implementing the approach are not<br />

all revolutionary. But, the fact there are so many modernisation initiatives<br />

underway at once is impressive.”<br />

The approach has five very<br />

clear steps:<br />

Step One -<br />

Preparation <strong>and</strong> ownership<br />

Step Two - Team function<br />

Step Three -<br />

Service user <strong>and</strong> carer needs<br />

Step Four -<br />

Creating a needs-led<br />

workforce<br />

Step Five -<br />

Implementation <strong>and</strong> review<br />

The whole approach relies on<br />

an open <strong>and</strong> self critical<br />

assessment <strong>and</strong> is also a cost<br />

neutral process so there needs<br />

to be degree of creativity in<br />

your thinking. It is also clear<br />

that the changes that get<br />

made as a result of<br />

implementing the approach<br />

are not all revolutionary. But,<br />

the fact there are so many<br />

modernisation initiatives<br />

underway at once is<br />

impressive. But perhaps the<br />

most impressive thing is that<br />

everyone (service users,<br />

carers <strong>and</strong> staff) is signed up<br />

to the work <strong>and</strong> there is<br />

underst<strong>and</strong>ing, clear common<br />

goals <strong>and</strong> local ownership.<br />

As Acute Care Service<br />

Manager Gwen O’Brian<br />

explains, “The desire for<br />

change <strong>and</strong> improvement was<br />

shared by everyone. Service<br />

improvement <strong>and</strong> change<br />

meant looking at what we do,<br />

who we served <strong>and</strong> the roles<br />

<strong>and</strong> skills we had in place.<br />

This process showed us we<br />

had 300+years of staff<br />

experience <strong>and</strong> 51 service<br />

user <strong>and</strong> carer years.”<br />

The service user <strong>and</strong> carer<br />

involvement processes may<br />

be considered best practice in<br />

themselves. Job descriptions<br />

were drawn up, the roles<br />

advertised <strong>and</strong> people<br />

appointed to be a part of the<br />

team.<br />

Gwen goes on, “The early<br />

stages of the process gave us<br />

a much clearer <strong>and</strong> fresher<br />

view of the needs of service<br />

users <strong>and</strong> carers. Similarly, we<br />

gained a better underst<strong>and</strong>ing<br />

of the skills <strong>and</strong> learning <strong>and</strong><br />

development needs in the<br />

team.<br />

The approach has seen the<br />

team look to combine a whole<br />

series of initiatives <strong>and</strong><br />

develop an action plan that<br />

tackles them all at once.<br />

Paul Hayler, South West<br />

<strong>Kent</strong> CRHT Team Leader, was<br />

clear it was not easy, “Despite<br />

the challenges it has had a<br />

positive impact on the<br />

service.”<br />

“It hasn’t been a perfect<br />

process but if others<br />

implementing it can learn from<br />

what we’ve done they will find<br />

it smoother.”<br />

An example of one of the<br />

changes forming part of the<br />

action plan is the aim to have<br />

pharmacy input to all teams.<br />

This is move hugely supported<br />

by Trust Chief Executive Erville<br />

Millar, who said, “The impact<br />

of access to pharmacists can’t<br />

be underestimated. It has to<br />

be part of the redesign of<br />

services <strong>and</strong> an increase in<br />

clinical pharmacists across all<br />

Trust teams is part of the<br />

Trust’s medicines<br />

management strategy.”<br />

The team that have been<br />

involved in looking at the<br />

service’s set up <strong>and</strong> the range<br />

of skills within have been quite<br />

critical of themselves <strong>and</strong> the<br />

processes they followed. They<br />

have been big enough to<br />

acknowledge where<br />

improvements, that would<br />

improve the approach, could<br />

be made. As carer<br />

representative Keith Jennings<br />

explains, “CCTA is a long <strong>and</strong><br />

detailed process <strong>and</strong> without<br />

being open <strong>and</strong> frank with<br />

each other it wouldn’t have<br />

succeeded. It is however clear<br />

to me we needed more carers<br />

to be involved.” Service user<br />

Linda Riley also made an<br />

invaluable contribution <strong>and</strong><br />

was just as clear on her<br />

thoughts about the approach<br />

taken, “We felt our input was<br />

vital. I’ve never worked with<br />

professionals in such a<br />

detailed way before. We did<br />

learn lessons <strong>and</strong> I think that a<br />

bit more help in the<br />

workshops to enable service<br />

users to participate as well as<br />

others may improve this even<br />

further.”<br />

32 staff from across the<br />

acute care service were<br />

involved the project. As with<br />

The CCTA action plan is still being<br />

implemented <strong>and</strong> includes the<br />

following initiatives:<br />

• Physical “Wellbeing” Programme<br />

• Carers Information Pack<br />

• develop carers support<br />

• Service User Information Pack<br />

• Exemplary Discharge Planning<br />

• Relapse Indicator discussions with<br />

service users <strong>and</strong> carers<br />

• Care Planning Audits<br />

• BME Needs Assessments<br />

• Better employment needs<br />

underst<strong>and</strong>ing <strong>and</strong> action<br />

• Improved catering within in-patient<br />

service<br />

• Develop ‘Approved Mental Health<br />

Professionals”<br />

• Develop pharmacist post<br />

• review the changing role of the admin<br />

staff<br />

• clarify the roles <strong>and</strong> responsibilities of<br />

STR workers<br />

• develop a process to support service<br />

users <strong>and</strong> carers during home leave<br />

<strong>and</strong> initial discharge<br />

• develop/increase the participation of<br />

service users <strong>and</strong> carers in staff<br />

training<br />

• review operational policies<br />

• Implement the “Buddy Scheme”<br />

• review workforce capabilities profile<br />

<strong>and</strong> implement staff development<br />

• develop staff skills in medication<br />

management <strong>and</strong> dual diagnosis<br />

• develop a directory of resources / self<br />

help<br />

• improve links with other agencies<br />

many projects, some were<br />

reluctant to sign up at first but<br />

those who didn’t sign up soon<br />

felt like they were missing out<br />

on something.<br />

With the performance of<br />

acute services in South West<br />

<strong>Kent</strong> being impressive already,<br />

the service will go from<br />

strength to strength as they<br />

implement the initiatives<br />

outlined. Thanks to CCTA<br />

there’s no doubt that it is a<br />

case of when not if!<br />

Read More:<br />

http://www.newwaysofworking<br />

.org.uk/ccta.aspx<br />

The team presented their<br />

work to an audience of staff,<br />

senior management, carers<br />

<strong>and</strong> service users at Whitbread<br />

Hop Farm on Tuesday 26th<br />

January <strong>2009</strong>.<br />

8 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


Marketing<br />

Marketing – What’s in it for you<br />

We are embarking on a new <strong>and</strong> exciting journey in the life<br />

of our Trust <strong>and</strong> the <strong>NHS</strong>. The Trust, as a member of the<br />

<strong>NHS</strong> family, benefits greatly from the power of the <strong>NHS</strong><br />

br<strong>and</strong>. The <strong>NHS</strong> is the most powerful, most recognised <strong>and</strong><br />

most admired organisation in the UK <strong>and</strong> one of Britain’s<br />

greatest achievements of the last 100 years.<br />

However, we are now facing increasing commercial pressures<br />

<strong>and</strong> competition from service providers who are trying to win<br />

contracts we currently hold to provide mental health services<br />

across <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong>. These competitors are after our<br />

business <strong>and</strong> we must fight them if we are to continue to grow<br />

<strong>and</strong> improve the services we provide to all our communities<br />

across <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong>. We have the people, experience,<br />

resources <strong>and</strong> sense of vocation to take them on <strong>and</strong> win in<br />

this marketplace.<br />

Marketing is central to our ability to succeed in the new,<br />

increasingly commercial <strong>and</strong> competitive healthcare<br />

marketplace. Marketing helps us underst<strong>and</strong> what our users<br />

want <strong>and</strong> what they value most about our service. It helps us<br />

decide how best to communicate our values <strong>and</strong> offer<br />

outst<strong>and</strong>ing services at competitive prices to cover our costs<br />

<strong>and</strong> deliver a surplus that can be invested back into improving<br />

services to our communities.<br />

I have the honour of being the first marketing manager ever<br />

appointed by the Trust. My role at this time, as we move<br />

towards becoming a Foundation Trust is to work with you to<br />

make sure that we compete effectively <strong>and</strong> win against our<br />

competitors. I also help train colleagues in marketing concepts<br />

<strong>and</strong> techniques so that they become self-sufficient <strong>and</strong> even<br />

more creative in the way they market their services to users,<br />

Funny money<br />

Geoff Hufton <strong>and</strong> colleagues from the<br />

Legal <strong>and</strong> Corporate Service teams<br />

were ‘doing something funny for<br />

money’ on Friday 13th March to raise<br />

money for Comic Relief.<br />

Geoff did the honours by serving<br />

colleagues with a mouth-watering<br />

selection of cakes <strong>and</strong> teas <strong>and</strong> coffees<br />

<strong>and</strong> got into the spirit of the occasion by<br />

donning a red nose <strong>and</strong> apron. The<br />

cakes were baked <strong>and</strong> donated by Legal<br />

Services Assistant Louisa Tucker, PA<br />

Gemma Duffy <strong>and</strong> Complaints Assistant<br />

Claire Gilchrist <strong>and</strong> raised a very worthy<br />

£160 for the cause.<br />

Geoff’s tea<br />

trolley of<br />

temptation<br />

stakeholders, commissioners<br />

<strong>and</strong> external agencies.<br />

The third component of my<br />

role is to help instil culture<br />

change within the Trust so<br />

that we are all more business<br />

Did you<br />

know…<br />

…that we are responsible<br />

for providing footage for<br />

the Mental Wellbeing<br />

section on the Health<br />

Channel at <strong>Kent</strong> TV<br />

<strong>Kent</strong> TV is the free internet<br />

tv channel for <strong>Kent</strong> led by<br />

<strong>Kent</strong> County Council <strong>and</strong> run<br />

by Bob Geldof’s independent<br />

media company Ten Alps. If<br />

you have not yet had a look<br />

then please visit<br />

www.kenttv.com <strong>and</strong> see if<br />

you recognise anyone! The<br />

Communications Unit is<br />

looking to make some further<br />

short films for use by <strong>Kent</strong> TV<br />

<strong>and</strong> welcomes your input. So,<br />

if you see yourself as a<br />

budding documentary maker or simply<br />

have an idea for a short film to promote<br />

mental health wellbeing that you would<br />

like to discuss, please contact Adrian<br />

Lowther in the Communications Unit on<br />

01732 520441 or email<br />

communications@kmpt.nhs.uk It’s<br />

Marketing Manager Khaled<br />

Kassem-Toufic<br />

aware <strong>and</strong> more tuned to market conditions so that we are<br />

competitive, responsive <strong>and</strong> more dynamic – better able to<br />

deliver value <strong>and</strong> improved service to the good people of <strong>Kent</strong><br />

<strong>and</strong> <strong>Medway</strong>.<br />

The Trust is a wonderful place to work. Colleagues have been<br />

most supportive <strong>and</strong> impressive in their dedication <strong>and</strong><br />

professionalism. I have been welcomed with open arms<br />

although there has been a great deal of curiosity as to exactly<br />

what marketing is all about in the context of the <strong>NHS</strong>.<br />

We have so much going for us, we are potentially unbeatable.<br />

I arrive at the Trust after a career of more than 25 years<br />

working as a commercial manager <strong>and</strong> consultant in the IT <strong>and</strong><br />

finance industries in the UK <strong>and</strong> abroad. I have previously set<br />

up my own management consultancy business <strong>and</strong> helped<br />

many organisations focus on marketing as an essential<br />

business function <strong>and</strong> build marketing plans to support their<br />

business objectives.<br />

Please contact me if you want to find out more about marketing<br />

or wish to run a marketing clinic in your part of the business.<br />

Khaled Kassem-Toufic<br />

Your Marketing Manager<br />

khaled.kassemtoufic@kmpt.nhs.uk<br />

01732 520400 ext 4685<br />

important we use every channel of<br />

communication open to us (yes, pun<br />

intended) to promote what we do <strong>and</strong> we<br />

know there’s a wealth of talent out there<br />

so do get in touch.<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 9


Dementia<br />

Living well with dementia: a<br />

National Dementia Strategy<br />

At the start of February <strong>2009</strong> the government published one of the most eagerly awaited health strategies in years. The<br />

National Dementia Strategy might be considered one of the most important pieces of work for the future of our ageing<br />

population’s health. Here we take a look at how this will affect KMPT’s work <strong>and</strong> consider the positives <strong>and</strong>, potential<br />

shortfalls, of the strategy.<br />

The National Dementia<br />

Strategy, which is backed by<br />

£150 million of investment in<br />

the first two years, will increase<br />

awareness of dementia, ensure<br />

early diagnosis <strong>and</strong><br />

intervention <strong>and</strong> radically<br />

improve the quality of care that<br />

people with the condition<br />

receive. Key proposals include<br />

the introduction of a dementia<br />

specialist into every general<br />

hospital <strong>and</strong> care home <strong>and</strong> for<br />

mental health teams to assess<br />

people with dementia.<br />

To be clear, it is important to<br />

underst<strong>and</strong> that Dementia is<br />

an illness caused when parts<br />

of someone’s brain stop<br />

working properly. Despite<br />

extensive research the causes<br />

are not yet understood.<br />

There is no cure for<br />

dementia, which gets more<br />

common with age. Once a<br />

person has dementia they will<br />

get worse over time until the<br />

end of their life. However,<br />

people who have dementia<br />

can often have good quality of<br />

life for a number of years.<br />

People with dementia have<br />

problems with:<br />

• thinking clearly<br />

• remembering things<br />

• communicating<br />

• doing day-to-day things<br />

like cooking or getting<br />

dressed.<br />

People with dementia may<br />

also have problems like:<br />

• being depressed<br />

• mood swings <strong>and</strong><br />

aggression<br />

• w<strong>and</strong>ering or getting lost.<br />

There are several different<br />

types of dementia. The best<br />

known is called Alzheimer’s<br />

disease. Some people use<br />

‘Alzheimer’s disease’ to mean<br />

all the different types of<br />

dementia. If dementia is<br />

diagnosed early enough, there<br />

are lots of things that can be<br />

done to help people overcome<br />

the problems <strong>and</strong> to improve<br />

their quality of life. This is<br />

where the National Dementia<br />

Strategy is focussed.<br />

The Strategy is the 5-year<br />

plan, which was developed<br />

Dementia Fact File<br />

• 700,000 people have dementia in the UK<br />

• Most people with dementia are over 65 years old<br />

• there are at least 15,000 people under 65 who have the<br />

illness<br />

• People with learning disabilities are at particular risk.<br />

• The number of people with dementia in minority ethnic<br />

groups is about 15,000 but this figure will rise as<br />

populations get older.<br />

• Dementia is becoming more common <strong>and</strong> the cost of<br />

looking after people with dementia is going up.<br />

• By 2038 there is likely to be 1.4million people<br />

• The estimated cost of dementia is £17bn <strong>and</strong> will rise to<br />

£50bn by 2038<br />

• The Government has identified dementia as a national<br />

priority.<br />

with the input of 4,000 people<br />

at 50 events <strong>and</strong> with 600<br />

replies to the consultation, is<br />

aimed at:<br />

• People with dementia<br />

• Carers<br />

• Health <strong>and</strong> social care<br />

professionals<br />

• Anyone affected by<br />

dementia<br />

The Strategy has 3 key<br />

steps to improve the quality of<br />

life for people with dementia<br />

<strong>and</strong> their carers:<br />

1) Ensure better knowledge<br />

2) Ensure early diagnosis<br />

3) Develop services<br />

Ensure better knowledge<br />

There is a lot of ignorance<br />

about dementia. This<br />

ignorance is not only among<br />

the public, but also among the<br />

people who provide services.<br />

Many people do not realise<br />

that there are ways of<br />

supporting <strong>and</strong> treating<br />

people with dementia. In fact,<br />

if there is a diagnosis early<br />

enough, a lot can be done to<br />

help with the symptoms <strong>and</strong><br />

to help people to cope.<br />

One of the key messages in<br />

the Strategy is the need for<br />

better education <strong>and</strong> training<br />

for professionals.<br />

It is clear that this work is<br />

not only the responsibility of<br />

the Trust <strong>and</strong> its staff. As with<br />

so much of the work outlined<br />

in the strategy, this can only<br />

be achieved by working in<br />

partnership. Everyone can<br />

play a role in improving<br />

knowledge but colleagues in<br />

the PCT’s health promotion<br />

<strong>and</strong> public health teams are<br />

central to this work. Working<br />

together we can also help to<br />

run GP awareness events<br />

which will keep them well<br />

informed about services <strong>and</strong><br />

improve their underst<strong>and</strong>ing<br />

of dementia care.<br />

Ensure early diagnosis<br />

At the moment, we think that<br />

only about a third of people<br />

with dementia ever have a<br />

proper diagnosis. When<br />

people see specialist services,<br />

it is often too late in their<br />

illness. This means that the<br />

illness will have got worse <strong>and</strong><br />

the chance of improving their<br />

quality of life is less.<br />

So it is very important to:<br />

• Have an early diagnosis<br />

• Give people the<br />

information needed as<br />

early as possible<br />

• Start support <strong>and</strong><br />

treatment as early as<br />

possible<br />

Currently only a third of<br />

people with dementia receive<br />

a formal diagnosis at any time<br />

in their illness. When<br />

diagnoses are made, it is<br />

often too late for those<br />

suffering from the illness to<br />

make choices. Alternatively,<br />

diagnoses are often made at a<br />

time of crisis, a crisis that<br />

could have been avoided if a<br />

diagnosis had been made<br />

earlier. In <strong>Kent</strong> we are already<br />

clear that our work has to<br />

concentrate on ensuring that<br />

effective services for early<br />

diagnosis <strong>and</strong> intervention are<br />

available in future. This is<br />

something that is not just our<br />

10 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


<strong>Kent</strong> <strong>and</strong> <strong>Medway</strong><br />

<strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust<br />

Staff Survey Results<br />

2008<br />

Findings of the sixth annual survey of <strong>NHS</strong> staff<br />

have just been published. Believed to be one of<br />

the largest surveys of staff in the world, the<br />

2008 <strong>NHS</strong> Staff survey questionnaires were<br />

completed between October <strong>and</strong> December by<br />

160,000 workers from all 390 <strong>NHS</strong> Trusts.<br />

The aim of the national staff survey is to gather<br />

information that assists Trusts in the provision of better<br />

care for patients through improved staff morale <strong>and</strong><br />

motivation. The information gained over the last few<br />

years provides a valuable insight into the values <strong>and</strong><br />

perceptions of the Trust workforce <strong>and</strong> is a recognised<br />

tool to support HR interventions to make a real difference<br />

to patient care.<br />

The following pull-out highlights the results from a KMPT<br />

perspective <strong>and</strong> the overall response rate was 66% which<br />

ranked KMPT as one of the top performers for response<br />

rates. Approximately 850 staff selected on an anonymous<br />

basis were involved in the survey <strong>and</strong> the results are<br />

presented with a comparison to the Trust’s 2007 results<br />

<strong>and</strong> with other Mental Health Trusts <strong>and</strong> PCT’s with Mental<br />

Health services that use the same survey provider. There<br />

were several questions included for the first time in 2008.<br />

The results are broadly similar to 2007, although there are<br />

small improvements in many areas <strong>and</strong> a few areas where<br />

there has been a significant reduction in the scores.<br />

The vast majority of respondents are aged between 41 &<br />

65 <strong>and</strong> have worked for the Trust for over 3 years in a<br />

face to face contact role with service users. This is<br />

representative of the workforce as 66.5% of staff<br />

employed in the Trust are in this age category.<br />

Some of the areas the survey examined showed that:<br />

j Staff are in broad agreement that the Trust is<br />

committed to helping balance their work <strong>and</strong> home<br />

life <strong>and</strong> is open to discussions surrounding flexible<br />

working<br />

j There is an improvement from 2007 in the level of<br />

access to training & development <strong>and</strong> a high<br />

percentage that access training via e-learning<br />

j Rates of access to training in infection control, IM&T<br />

skills <strong>and</strong> service user information/medication have all<br />

improved<br />

j The majority of staff work in a team that has clear<br />

objectives <strong>and</strong> meets on a regular basis to discuss<br />

effectiveness <strong>and</strong> improvement<br />

j The majority report that they have adequate materials<br />

to do their jobs <strong>and</strong> are able to do their job to a<br />

st<strong>and</strong>ard that they are pleased with<br />

See over for more detailed analysis of the survey findings.


Staff Survey Results 2008<br />

2008 Staff Survey - Detailed Results<br />

TOP FOUR<br />

RANKING<br />

SCORES<br />

j KF20. Availability of h<strong>and</strong> washing materials<br />

j KF10. Percentage of staff using flexible working options<br />

j KF6. Work pressure felt by staff<br />

j KF1. Percentage of staff feeling satisfied with the quality of work <strong>and</strong><br />

patient care they are able to deliver<br />

BOTTOM<br />

FOUR<br />

RANKING<br />

SCORES<br />

j KF7. Percentage of staff working in a well-structured team environment<br />

j KF30. Percentage of staff agreeing that they underst<strong>and</strong> their role <strong>and</strong> where it fits in<br />

j KF2. Percentage of staff agreeing that their role makes a difference to patients<br />

j KF15. Percentage of staff appraised with personal development plans in last 12 months


The results shown here are just some of the key findings from the 2008 Staff Survey. There are<br />

detailed reports available online that all staff can view. To see the full reports <strong>and</strong> the full action<br />

plan online at: http://www.kmpt.nhs.uk/staffsurvey<br />

WHERE<br />

STAFF<br />

EXPERIENCE<br />

HAS<br />

IMPROVED<br />

j KF12. Percentage of staff receiving job-relevant training, learning or<br />

development in last 12 months<br />

j KF20. Availability of h<strong>and</strong> washing materials<br />

j KF6. Work pressure felt by staff<br />

j KF8. Trust commitment to work-life balance<br />

2008 Staff Stress Survey<br />

The results of the Trust’s 2008 Stress Survey have also now been published. The survey of stress at work was undertaken in<br />

May 2008 <strong>and</strong> used a self-assessment tool developed by the Health <strong>and</strong> Safety Executive. The survey considers the 6<br />

Management St<strong>and</strong>ards of Dem<strong>and</strong>s, Control, Managerial & Peer Support, Relationships, Role <strong>and</strong> Change.<br />

In total 1519 completed surveys were received, equating to 39.9% of the total workforce. The results against the<br />

management st<strong>and</strong>ards are:<br />

The honest truth is that progress against the performance registered in the 2006 survey has been poor but there is a<br />

commitment to act on these results. A summary of the action plan for the Staff Survey can be found over the page <strong>and</strong><br />

additional action that will address the issues arising from the Staff Stress Survey will be featured in the next issue of<br />

<strong>Partnership</strong> <strong>Matters</strong>.<br />

The full stress survey results can be found online at: http://www.kmpt.nhs.uk/stresssurvey


Where do we go from here<br />

The HR & Remuneration Committee has approved an action plan which will ensure the issues raised by the survey are<br />

addressed effectively. It will also take responsibility for monitoring progress.<br />

Action Plan <strong>and</strong> Target Dates<br />

‘Neither agree nor disagree’ – this was a recurrent<br />

response throughout the survey <strong>and</strong> in particular to the new<br />

questions for 2008. The Trust needs to establish a genuine<br />

agreement or disagreement in order to act on results <strong>and</strong><br />

make the improvements that are required. In recognition of<br />

this need <strong>and</strong> to support a st<strong>and</strong>ard operating culture, the<br />

Trust has commissioned the services of Valuentis, an external<br />

Consultancy Agency, to run a series of ‘pulse surveys’ through<br />

<strong>2009</strong>. The project plan will be drawn up in <strong>April</strong> <strong>2009</strong> <strong>and</strong> will<br />

involve both HR <strong>and</strong> clinical services.<br />

Access to Equality & Diversity training almost half of the<br />

respondents stated they had not had Equality <strong>and</strong> Diversity<br />

training. This is disappointing as the Trust covers Equality &<br />

Diversity at Corporate Induction <strong>and</strong> has training available<br />

via e.learning. In <strong>2009</strong> all staff will be encouraged to attend<br />

this training as it is central to the Trust’s mission <strong>and</strong> values.<br />

Appraisals. The levels of appraisal have not improved since<br />

the 2007 survey. The Trust set an overall performance<br />

objective to raise the levels of appraisal during 2008/09<br />

which makes this result of great concern. It is acknowledged<br />

that a lack of underst<strong>and</strong>ing of terminology such as ‘KSF<br />

review’, ‘appraisal management supervision’ <strong>and</strong> ‘clinical<br />

supervision’ for example may have contributed to this. The<br />

Trust is committed to the principle of regular feedback<br />

through supervision <strong>and</strong> appraisal <strong>and</strong> in 09/10 the target is<br />

for 90% of all staff to have an appraisal.<br />

Dissatisfaction with the level of recognition <strong>and</strong><br />

valuing good work This may have a direct link with the<br />

number or quality of appraisals being conducted. Staff also<br />

hold the view that communication between staff <strong>and</strong> senior<br />

management is not always effective. Greater clarity is needed<br />

for those who have a direct responsibility for people<br />

management <strong>and</strong> it has been suggested that a cascade<br />

system be implemented to establish this. Further work is<br />

needed to clarify the people management KPIs which can be<br />

incorporated as part of objectives <strong>and</strong> measured through the<br />

appraisal process. The HR department will be reviewing this<br />

<strong>and</strong> making recommendations to the HR Committee by the<br />

end of <strong>April</strong> <strong>2009</strong>.<br />

Discrimination on the grounds of race or age a small<br />

increase has been recorded in the number of staff who have<br />

reported discrimination. Analysis is being conducted on a<br />

regular basis by the HR team to establish trends in the level<br />

of grievances <strong>and</strong> bullying/harassment that may or may not<br />

be related to discrimination. The committee will receive<br />

details of this analysis as part of the st<strong>and</strong>ard HR KPIs <strong>and</strong><br />

Trends report.<br />

In response to the results we will:<br />

• Review the Staff Suggestion Scheme<br />

• Hold the Staff Excellence Awards again<br />

• Hold local staff involvement events in the summer<br />

• Hold more Back to Front Days<br />

• Hold Front to Back Days<br />

• Establish more opportunities to meet the Chief Executive<br />

<strong>and</strong> other directors<br />

• Hold CEO Lunches<br />

• Establish Director “surgeries”<br />

• Audit <strong>and</strong> empower managers to conduct appraisals using eKSF<br />

• Encourage use of e-learning<br />

The full action plan can be viewed online at<br />

http://www.kmpt.nhs.uk/Working_for_the_Trust/Staff_Survey<br />

/index.html


Dementia<br />

business but will be the<br />

product of effective integrated<br />

work with GPs <strong>and</strong> other<br />

services.<br />

Develop services<br />

We need to develop a range<br />

of services that fully meet the<br />

changing needs of people<br />

with dementia <strong>and</strong> their carers<br />

in the future. People who<br />

replied to our consultation<br />

generally agreed on what<br />

these services should be. We<br />

will be testing these out, but<br />

they are likely to include<br />

things like:<br />

• GPs working side by side<br />

with mental health services<br />

in a hospital<br />

• GPs knowing how to spot<br />

the first signs of dementia<br />

• Having one person who is<br />

responsible for dementia<br />

services<br />

For KMPT it is important<br />

that we take appropriate<br />

action <strong>and</strong> make it clear where<br />

our market is. There is new<br />

activity (or services) within the<br />

strategy <strong>and</strong> the Trust needs<br />

to consider whether it wishes<br />

to break into these markets.<br />

For example, local<br />

Commissioner Linda Caldwell<br />

has already said that Primary<br />

Care Assessment Services will<br />

be put out to tender in the near<br />

future. The Trust will be able to<br />

bid to run these services, <strong>and</strong><br />

we believe we are in a strong<br />

position to do so.<br />

A critical driving factor to<br />

how services develop will be<br />

the strategic needs<br />

assessment that has recently<br />

been carried out across <strong>Kent</strong><br />

<strong>and</strong> <strong>Medway</strong>, work that has<br />

been led by the lead<br />

commissioner’s in <strong>Medway</strong>.<br />

Another key issue it is<br />

clearly important not to lose<br />

sight of is the need for<br />

comprehensive older people’s<br />

mental health services, not<br />

just dementia services. The<br />

challenge being to provide a<br />

non-ageist, needs-led service.<br />

Work is already underway in<br />

some areas to develop new<br />

services. For example in<br />

<strong>Medway</strong> bids have been made<br />

to gain funding for a<br />

dedicated older people’s<br />

mental health services district<br />

general hospital liaison team,<br />

dementia care advisors <strong>and</strong><br />

dedicated primary care mental<br />

health workers.<br />

The Current KMPT Position<br />

It’s clear that the Trust has<br />

been very aware of the work<br />

to develop a dementia<br />

strategy <strong>and</strong> in some areas<br />

the Trust is already in the<br />

process of implementing<br />

some of the work outlined<br />

within the strategy. Director of<br />

Eastern <strong>and</strong> Coastal <strong>Kent</strong><br />

Mental Health Services, David<br />

Tamsitt, is clear on the quality<br />

of the service staff provide,<br />

“We’ve got some excellent<br />

practice <strong>and</strong> we all need to<br />

work together now to ensure<br />

there is a whole systems<br />

impact.” Jon Parsons,<br />

Associate director for Older<br />

People’s Mental Health<br />

Services, is in agreement, “We<br />

not only need to continue our<br />

work but should also move to<br />

protect the whole system<br />

service we offer, by competing<br />

for <strong>and</strong> winning tenders, that<br />

will ensure we continue to<br />

provide services on the full<br />

care pathway.”<br />

It might be said that there’s<br />

nothing surprising for KMPT in<br />

the strategy, which might be<br />

considered reassuring <strong>and</strong> a<br />

sign that our clinicians are<br />

plugged in to the latest<br />

thinking <strong>and</strong> are keeping<br />

KMPT at the forefront of<br />

dementia care. However, there<br />

are some things that we do as<br />

a Trust which do not feature in<br />

the strategy. There is little<br />

focus on intermediate care in<br />

the strategy, yet we have the<br />

funding for 3 new home<br />

treatment services operating<br />

in Ashford, Shepway <strong>and</strong><br />

Swale from June <strong>2009</strong>.These<br />

teams are very much a core<br />

part of the service we offer<br />

<strong>and</strong> are commissioned by the<br />

local PCT. In addition, a new<br />

Hospital Liaison Psychiatry<br />

Service in east <strong>Kent</strong> will make<br />

a significant contribution to<br />

the improvement of care<br />

received by older adults with<br />

dementia in general hospital<br />

settings. This should be<br />

operational in the next couple<br />

of months.<br />

Perhaps Alison Culverwell,<br />

Head of Older Adult<br />

Psychological Services in<br />

Eastern <strong>and</strong> Coastal <strong>Kent</strong>,<br />

sums up the position KMPT<br />

finds itself in when she says,<br />

“There’s no surprises in the<br />

strategy, but it needs more<br />

teeth. We’ve been continually<br />

improving <strong>and</strong> moving our<br />

services on, so its not new. If<br />

we’d been stood still for 15<br />

years this would be<br />

revolutionary <strong>and</strong> a big<br />

change.”<br />

Not a perfect strategy<br />

Despite a warm welcome for<br />

the strategy from all parts of<br />

the health community, rarely<br />

does a strategy completely<br />

satisfy everyone in full. It’s<br />

clear that those who manage<br />

<strong>and</strong> lead dementia care within<br />

the Trust feel it could have<br />

gone further <strong>and</strong> been more<br />

specific.<br />

For example, the strategy<br />

does not outline a care<br />

pathway management<br />

mechanism or framework in<br />

which to deliver care. There is<br />

also little to identify the<br />

timeframes in which changes<br />

need to be delivered. The<br />

strategy also has a lack of<br />

targets <strong>and</strong> outcome<br />

measures. The senior<br />

dementia service managers<br />

are not just taking shots at the<br />

work though. They have their<br />

own ideas about what might<br />

make suitable measures,<br />

including; more people being<br />

diagnosed, less people in<br />

nursing homes, residential<br />

care or hospital <strong>and</strong> measures<br />

to ensure consistently high<br />

st<strong>and</strong>ards.<br />

The strategy does identify<br />

<strong>and</strong> commit to fund four<br />

dedicated dementia<br />

community psychiatric nurses<br />

per PCT area, but this is a<br />

blanket approach with no<br />

regard to size of PCT area.<br />

Similar to this, all mentions of<br />

figures in the strategy are<br />

broad <strong>and</strong> do not appear to<br />

be ring-fenced.<br />

Those interested in reading<br />

more will find Dr Graham<br />

Stokes’ article online at the<br />

following link very interesting:<br />

http://www.bupa.co.uk/about/<br />

html/pr/030209_dementia_str<br />

ategy.html<br />

The secret to success<br />

Critical to a successful<br />

implementation will be the<br />

already established <strong>Kent</strong> <strong>and</strong><br />

<strong>Medway</strong> Dementia<br />

Collaborative. This countywide<br />

group contains health,<br />

social services <strong>and</strong> the third<br />

sector <strong>and</strong> is currently jointly<br />

chaired by the Trust <strong>and</strong> social<br />

services. It is clearly the arena<br />

in which true joined up<br />

partnership working can make<br />

the aims of the strategy a<br />

reality, if it is more<br />

commissioner led in the<br />

future.<br />

Associate Director of Older<br />

People’s Mental Health<br />

services in West <strong>Kent</strong>, Peter<br />

Marsh, is clear there’s an<br />

opportunity here to be taken,<br />

“The advent of the national<br />

contract may also help to<br />

make commissioners more<br />

joined up <strong>and</strong> consistent<br />

across the county. This is<br />

another area where the<br />

Collaborative can help, if it is<br />

given a formal place in<br />

governance structures <strong>and</strong><br />

therefore even more<br />

credibility.”<br />

To find out more about the<br />

National Dementia Strategy<br />

you can visit<br />

www.dh.gov.uk/dementia<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 11


Awards<br />

The KMPT Awards Ceremonies <strong>2009</strong><br />

The <strong>2009</strong> Learning & Development Awards<br />

Ceremony for West <strong>Kent</strong> took place on<br />

Wednesday 19 March at Oakwood House,<br />

Maidstone followed by the Awards Ceremony for<br />

East <strong>Kent</strong> one week later on 25 March at Christ<br />

Church University, Canterbury.<br />

Award winners were treated to a buffet supper<br />

before the ceremony began giving them the<br />

opportunity to catch up <strong>and</strong> exchange notes with other<br />

colleagues who had also completed their studies.<br />

Before presenting the award winners with their<br />

certificates, CEO Erville Millar gave a short speech on<br />

the merits of lifelong learning, congratulated them on<br />

their achievements <strong>and</strong> encouraged them to continue<br />

with their studies.<br />

Almost 200 people received awards at the<br />

ceremonies covering a range of attainment from NVQ<br />

Level 3 to BSc (Hons). The events were organised by<br />

Danielle Simmonds, NVQ Centre Co-ordinator/Quality<br />

Assurance Co-ordinator of the Learning Development<br />

Department.<br />

To view photos from 18th March<br />

http://www.photobox.co.uk/album/102264788<br />

To view photos from 25th March<br />

http://www.photobox.co.uk/album/102264860<br />

Congratulations go to:<br />

NAME<br />

Jane Etienne<br />

Diane Jaques<br />

Lee Walker<br />

Lloyd Ramsey<br />

Leah Scott<br />

Stephen Mason<br />

Sarah Fage<br />

Christine Gordon<br />

Chris Cutmore<br />

Debra Pope<br />

Rajen Murthoo<br />

Andrew Johns<br />

Liza Smith<br />

Stephanie Bacon<br />

Deepak Deshmukh<br />

Lalita Jugnarain<br />

Suniya Kangal<br />

Jackie Lebrette<br />

Savitri Ootim<br />

Claire Gainsford<br />

Sheila Rungassamy<br />

Jayne Sheehy<br />

Elizabeth Annett<br />

Nora Fosberry<br />

Vanessa Jeffery<br />

Beverley Miller<br />

Steve Overton<br />

AWARD<br />

Diploma in Higher Education in<br />

Learning Disability Nursing<br />

Diploma in Higher Education in<br />

Learning Disability Nursing<br />

Diploma in Higher Education in<br />

Learning Disability Nursing<br />

BSc In Mental Health Nursing<br />

Diploma in Higher Education in<br />

Higher Education in Mental Health Nursing<br />

BSc In Mental Health Nursing<br />

Managing in Health & <strong>Social</strong> Care<br />

Diploma in Higher Education in<br />

Learning Disability Nursing<br />

Managing in Health & <strong>Social</strong> Care<br />

Diploma in Higher Education in Higher<br />

Education in Mental Health Nursing<br />

Diploma in Higher Education in Higher<br />

Education in Mental Health Nursing<br />

Diploma in Higher Education in Higher<br />

Education in Mental Health Nursing<br />

Diploma in Higher Education in Higher<br />

Education in Mental Health Nursing<br />

Diploma in Higher Education in Higher<br />

Education in Mental Health Nursing<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Internal Verifier Award<br />

Assessor Award<br />

Assessor Award<br />

Assessor Award<br />

Assessor Award<br />

Assessor Award<br />

NAME<br />

AWARD<br />

Jayne Sheehy<br />

Assessor Award<br />

Jeanette Hodges Assessor Award<br />

Lee Patten NVQ Customer Service Level 3<br />

Danielle Simmonds NVQ Customer Service Level 3<br />

Jog Ale NVQ in Health & <strong>Social</strong> Care Level 3<br />

Eileen Bates NVQ in Health & <strong>Social</strong> Care Level 3<br />

Melanie Bushell NVQ in Health & <strong>Social</strong> Care Level 3<br />

Margaret Dane NVQ in Health & <strong>Social</strong> Care Level 3<br />

Maxine Doe NVQ in Health & <strong>Social</strong> Care Level 3<br />

Tracey Down NVQ in Health & <strong>Social</strong> Care Level 3<br />

Susan Goodhew NVQ in Health & <strong>Social</strong> Care Level 3<br />

David Johnson NVQ in Health & <strong>Social</strong> Care Level 3<br />

Kay Leaver NVQ in Health & <strong>Social</strong> Care Level 3<br />

Theresa Medhurst NVQ in Health & <strong>Social</strong> Care Level 3<br />

Daniel Wells NVQ in Health & <strong>Social</strong> Care Level 3<br />

Anne Marie Brown NVQ in Health & <strong>Social</strong> Care Level 3<br />

Jackie McGarry NVQ in Health & <strong>Social</strong> Care Level 3<br />

Patricia Mercer NVQ in Health & <strong>Social</strong> Care Level 3<br />

Margaret Pleasance NVQ in Health & <strong>Social</strong> Care Level 3<br />

Derrick Rodger NVQ in Health & <strong>Social</strong> Care Level 3<br />

Sue Smith NVQ in Health & <strong>Social</strong> Care Level 3<br />

Satiamoorthy Sunassee NVQ in Health & <strong>Social</strong> Care Level 3<br />

Vivien Tulett NVQ in Health & <strong>Social</strong> Care Level 3<br />

Leigh Warren NVQ in Health & <strong>Social</strong> Care Level 3<br />

Claire Dudbridge NVQ in Health & <strong>Social</strong> Care Level 3<br />

Maria Baynard NVQ in Health & <strong>Social</strong> Care Level 4<br />

Barbara Brown NVQ in Health & <strong>Social</strong> Care Level 4<br />

Beverley Miller NVQ in Health & <strong>Social</strong> Care Level 4<br />

Lorraine Hart NVQ in Care Level 3<br />

Wendy Keeley NVQ in Care Level 3<br />

Claire Gainsford NVQ in Care Level 4<br />

Tracy Holt NVQ in Care Level 4<br />

Michelle Webb<br />

Accredited Manager’s Award<br />

Patricia Guest<br />

Accredited Manager’s Award<br />

Patricia Todd<br />

Accredited Manager’s Award<br />

Rajinibye Gunnoo Accredited Manager’s Award<br />

Samantha Davies Accredited Manager’s Award<br />

Jim Eldridge<br />

First Line Management Award<br />

12 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


National News<br />

Working towards<br />

reducing our<br />

Carbon Footprint<br />

Saving Carbon, Improving Health, the <strong>NHS</strong><br />

Carbon Reduction Strategy for Engl<strong>and</strong> sets the<br />

ambition for the <strong>NHS</strong> to drive change toward a<br />

low carbon society <strong>and</strong> pinpoints key actions for<br />

the <strong>NHS</strong> to take to become a leading sustainable<br />

<strong>and</strong> low carbon organisation.<br />

Dr David Pencheon, Director <strong>NHS</strong> Sustainable<br />

Development Unit says the <strong>NHS</strong> is perfectly<br />

placed to become an exemplar low carbon public<br />

sector organisation.<br />

“The <strong>NHS</strong> is an internationally renowned health<br />

service, Europe’s largest employer <strong>and</strong> a leader in<br />

local communities across the country. By leading<br />

by example the <strong>NHS</strong> can help mitigate climate<br />

change <strong>and</strong> improve our health tomorrow, as well<br />

as today.<br />

“Carbon reduction is something that needs to<br />

extend to every part of the organisation. Everyone<br />

who works for the <strong>NHS</strong> should be thinking about<br />

reducing their carbon footprint as part of their day<br />

job.”<br />

Trust Chief Executive Erville Millar welcomed the<br />

<strong>NHS</strong> Carbon Reduction strategy <strong>and</strong> said:<br />

“Sustainable development is important to KMPT<br />

<strong>and</strong> we are committed to investigating <strong>and</strong><br />

implementing low carbon <strong>and</strong> sustainable<br />

initiatives wherever possible. As always, starting<br />

with the little things can help make a huge<br />

difference, for example switching off your<br />

computer <strong>and</strong> monitor at the end of the working<br />

day <strong>and</strong> not leaving things on st<strong>and</strong>by or switching<br />

off the lights in your office or meeting room lights<br />

when no one is using it. The old adage SOS –<br />

Switch Off Something - is a good start <strong>and</strong><br />

corporately we will be adopting the national<br />

strategy over the coming months. Over the coming<br />

year this work will be a priority for the Trust as one<br />

of our <strong>2009</strong>/10 objectives is to become a<br />

responsible corporate citizen.’<br />

The <strong>NHS</strong> has a carbon footprint of 18 million<br />

tonnes of CO2 per year <strong>and</strong> it is the largest public<br />

sector contributor to climate change in Europe.<br />

This strategy will help the <strong>NHS</strong> achieve an<br />

enormous cut in carbon emissions, a reduction of<br />

at least 80 per cent by 2050, ensuring it is leading<br />

low carbon <strong>and</strong> sustainable organisation <strong>and</strong> meets<br />

the Climate Change Act requirements.<br />

The <strong>NHS</strong> Carbon Reduction Strategy sets an aim<br />

for the <strong>NHS</strong> to initially reduce its 2007 carbon<br />

footprint by 10% by 2015. This will require the<br />

current level of growth of emissions to not only be<br />

curbed, but the trend to be reversed <strong>and</strong> absolute<br />

emissions reduced.<br />

The <strong>NHS</strong> Leadership<br />

Awards <strong>2009</strong><br />

Achieving our shared ambition for putting quality at the<br />

heart of everything we do will require a renewed focus on<br />

leadership at all levels of the <strong>NHS</strong>. Making change actually<br />

happen takes leadership. Fostering <strong>and</strong> developing<br />

leadership that recognises the importance of high quality<br />

care is central to our expectations for the future <strong>NHS</strong>.<br />

Good leaders already exist at every level in many parts of<br />

the <strong>NHS</strong>, but making this the st<strong>and</strong>ard will require a<br />

significant shift in both our thinking <strong>and</strong> our actions. We<br />

are committed to spreading best practice, fostering good<br />

leadership at every level <strong>and</strong> recognising the best leaders<br />

for today <strong>and</strong> tomorrow.<br />

We know there are many examples of good leadership across the <strong>NHS</strong><br />

be it locally, regionally or nationally <strong>and</strong> our new awards scheme aims to<br />

showcase these outst<strong>and</strong>ing leaders at every level from across Engl<strong>and</strong>.<br />

The scheme is aligned to the National Leadership Council <strong>and</strong> will<br />

compliment their aims <strong>and</strong> commitments by encouraging future leaders<br />

from all backgrounds reflecting the diverse communities served by the<br />

<strong>NHS</strong>.<br />

The seven categories of awards are:<br />

k The <strong>NHS</strong> Leader of the Year<br />

k The <strong>NHS</strong> Mentor of the Year<br />

k The <strong>NHS</strong> Partner of the Year<br />

k The <strong>NHS</strong> Quality Champion of the Year<br />

k The <strong>NHS</strong> Change Leader of the Year<br />

k The <strong>NHS</strong> Innovator of the Year<br />

k The <strong>NHS</strong> Award for Inspiration<br />

Showcasing your nominations<br />

Sharing Best practice is central to the <strong>NHS</strong> Leadership Awards Scheme<br />

<strong>and</strong> all short-listed nominations will be digitally showcased over the<br />

summer.<br />

Nominations are peer-to-peer<br />

The awards scheme is an exciting opportunity for you to nominate one<br />

of your peers for the most prestigious health awards in the country. If<br />

one of your peers has shown outst<strong>and</strong>ing leadership in one of the<br />

categories then you should think about nominating them.<br />

The scheme is for individuals only except for the <strong>NHS</strong> Partner of the<br />

Year which is open to teams <strong>and</strong> organisations.<br />

Eligibility<br />

The <strong>NHS</strong> Leadership Awards Scheme is open to everyone working for,<br />

or on behalf of, the <strong>NHS</strong> in Engl<strong>and</strong>.<br />

Nominations will be accepted from March to Friday, 15th May<br />

inclusive. For further information please visit<br />

www.leadershipawards.nhs.uk<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 13


Patient Feedback<br />

Service users, their carers, friends<br />

of our Trust <strong>and</strong> the public in<br />

general, are continually helping us<br />

to improve our services. Sometimes<br />

these improvements are described<br />

<strong>and</strong> published in <strong>Partnership</strong><br />

<strong>Matters</strong> as individual articles.<br />

However, up to now there has<br />

never been a regular feature to<br />

describe more fully some of these<br />

improvements <strong>and</strong> changes.<br />

We want to correct that <strong>and</strong> share with<br />

you some of these service improvements<br />

<strong>and</strong> changes so from now on, you can<br />

expect further updates or ‘snapshots’ in<br />

future editions of <strong>Partnership</strong> <strong>Matters</strong>.<br />

Janet Lloyd our Trust’s lead on Patient &<br />

Public Involvement comments, “This is a<br />

wonderful opportunity to begin to tell our<br />

service users, their carers <strong>and</strong> the public<br />

just how important a part they play in<br />

improving services”.<br />

There are numerous ways in which our<br />

service users help us to improve<br />

services. These might occur in 1 to 1<br />

meetings between a service user <strong>and</strong><br />

their doctor; at ward meetings where<br />

patients meet together with a member of<br />

staff; through surveys; or through our<br />

Patient Advice <strong>and</strong> Liaison service<br />

(PALS) <strong>and</strong> complaints.<br />

Independent patient <strong>and</strong> carer forums<br />

based in local communities also provide<br />

an invaluable resource. Not only do their<br />

members work closely with our<br />

commissioners, the Primary Care Trusts<br />

<strong>and</strong> the <strong>Kent</strong> County & <strong>Medway</strong> Councils<br />

in highlighting improvement<br />

opportunities, but through the Trust’s<br />

Patient & Public Involvement<br />

Department, they may also be invited to<br />

participate in Trust meetings, interview<br />

panels <strong>and</strong> provide awareness training to<br />

our staff.<br />

Trust volunteers are equally important<br />

in their contribution to improving<br />

services. Whether it be taking a trolley of<br />

consumables <strong>and</strong> toiletries around a<br />

ward; helping to carry out an inpatient<br />

satisfaction survey on a ward; volunteer<br />

driving or raising funds through the<br />

“Friends”, their input is invaluable.<br />

Each year, our Trust is required to<br />

participate in a nationwide patient<br />

satisfaction survey. As a result of<br />

feedback, subsequent improvements<br />

have included ensuring that relevant<br />

correspondence to those service users<br />

on st<strong>and</strong>ard Care Programme Approach<br />

(CPA) clearly states that the<br />

correspondence (letter) is a Care Plan<br />

<strong>and</strong> who the patient’s care coordinator is.<br />

The Trust’s PALS plays an important<br />

role in helping service users <strong>and</strong> carers<br />

sort out any concerns that they might<br />

have about our services. Feedback from<br />

PALS’ clients has resulted in many<br />

improvements to services including:<br />

• The development of a patient<br />

information leaflet outlining the rights<br />

of informal patients (those not<br />

detained under the Mental Health Act)<br />

being treated in an inpatient ward<br />

setting.<br />

• In various wards, patients complain<br />

that it is often difficult to identify staff.<br />

To remedy this situation, staff<br />

uniforms are now being considered<br />

on Amherst Ward, Priority House,<br />

Maidstone <strong>and</strong> even piloted at Dudley<br />

Venables House, St Martins Hospital,<br />

Canterbury. Their uniforms include<br />

black trousers, & different coloured<br />

polo shirts denoting staff grade or<br />

role.<br />

• Service users <strong>and</strong> carers have<br />

demonstrated a need for greater<br />

clarity around how to request a<br />

second opinion, when a diagnosis is<br />

disputed, <strong>and</strong> also how to request a<br />

change of consultant or care<br />

coordinator. Through PALS, the<br />

Trust’s Medical Management Team is<br />

taking these issues forward.<br />

• Patient feedback has also resulted in<br />

a cash machine being installed at St<br />

Martins Hospital to enable patients to<br />

access money, whilst at Priority<br />

House Maidstone; the patients now<br />

have the use of a soft drinks<br />

machine.<br />

Elsewhere, in the Child & Adolescent<br />

Mental Health Service, (CAMHS),<br />

following feedback from its clients,<br />

outpatient appointment times can now<br />

be offered both in the early morning <strong>and</strong><br />

evenings. Other changes have resulted in<br />

more child friendly environments at<br />

Gatl<strong>and</strong> House Maidstone, <strong>and</strong> ensuring<br />

leisure activities are more closely tailored<br />

to a particular young people’s age group.<br />

The Trust takes all complaints seriously<br />

<strong>and</strong> endeavours to involve the<br />

complainant wherever possible. An<br />

investigation is undertaken <strong>and</strong> a<br />

response provided offering an<br />

appropriate apology where applicable,<br />

indicating the outcome <strong>and</strong><br />

recommendations or actions that might<br />

be taken to resolve the complaint <strong>and</strong><br />

improve the services provided by the<br />

Trust.<br />

Together with the review <strong>and</strong><br />

amendment of relevant procedures <strong>and</strong><br />

further training provision for identified<br />

staff, recent changes to services have<br />

included:<br />

• Setting up a joint working group<br />

between mental health services <strong>and</strong><br />

Acute Trusts to look at the time taken<br />

for mental health professionals to visit<br />

mental health patients in A&E<br />

Departments.<br />

• A local protocol has been developed<br />

for taking messages as a result of<br />

reported difficulties in communication<br />

with the Beacon Ramsgate.<br />

• Replacement flooring following<br />

concerns raised about the condition<br />

of the existing floor covering.<br />

• Review of meal ordering system<br />

offering greater choice.<br />

Look out for more improvements to<br />

services in future editions of <strong>Partnership</strong><br />

<strong>Matters</strong>, thanks to the contributions from<br />

our service users, carers <strong>and</strong> the public.<br />

OT Karen Hewitt models the new uniform<br />

which will help patients identify staff<br />

14 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


Lecture<br />

The Road to Recovery at the Trevor Gibbens Unit<br />

Recovery is … a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, sills <strong>and</strong><br />

roles. It is a way of living a satisfying, hopeful <strong>and</strong> contributing life, even with the limitations caused by<br />

illness. Recovery involves the development of new meaning <strong>and</strong> purpose in one’s life as one grows beyond the<br />

catastrophic effects of mental illness’. (Anthony, 1993)<br />

Recovery is to be emphasised throughout<br />

the Trust’s service strategy <strong>and</strong> a key<br />

principle that needs to be measured as a<br />

service outcome. At the Trevor Gibbens<br />

Unit (TGU) the Road to Recovery has<br />

started being implemented <strong>and</strong> a Forum<br />

established with lead service user<br />

participation. Each directorate identified a<br />

sponsor for embedding recovery into<br />

practice. The role of the Forum is to coordinate<br />

<strong>and</strong> support the development of<br />

recovery practice, in particular the core<br />

dimensions around communication,<br />

training <strong>and</strong> outcome measures.<br />

Our responsibilities are to act as<br />

“change agents” accelerating culture<br />

change across the organisation by<br />

motivating <strong>and</strong> driving forward changes<br />

that relate to adapting Recovery<br />

principles in the following ways;<br />

• Ensuring directorate service<br />

developments embrace Recovery<br />

principles<br />

• Promote <strong>and</strong> develop local user<br />

involvement via local forums<br />

• Disseminate Trust-wide Recovery<br />

information to local forums<br />

<strong>Kent</strong> <strong>and</strong> <strong>Medway</strong> <strong>Partnership</strong> Trust<br />

has made a commitment to providing a<br />

service that is recovery focused <strong>and</strong> as<br />

such our primary purpose is to provide a<br />

service that facilitates Recovery <strong>and</strong><br />

social inclusion. Recovery is about<br />

regarding ones self not as an illness/<br />

label but as an individual with strengths,<br />

gifts, past, present <strong>and</strong> future, who just<br />

happens to currently be experiencing<br />

some mental distress. At times this may<br />

be a painful process but it can also be a<br />

process of self discovery, self renewal<br />

<strong>and</strong> transformation. The aim is to ensure<br />

that services are developed, provided<br />

<strong>and</strong> maintained to ensure that those who<br />

access our service receive support <strong>and</strong><br />

assistance at the right time <strong>and</strong> in the<br />

right place, by staff committed to making<br />

recovery a reality for all.<br />

Within the principles of Recovery the<br />

primary aim is for an individual to take<br />

control, make choices <strong>and</strong> develop a<br />

sense of self worth <strong>and</strong> hope. It is a<br />

unique process because every individual<br />

is unique - it is a personal journey.<br />

Recovery is about engagement <strong>and</strong><br />

inclusion, participating in one’s own<br />

community, engaging in vocational,<br />

educational, leisure interests <strong>and</strong><br />

enjoying life. A holistic approach is<br />

essential in achieving Recovery.<br />

It was acknowledged that TGU already<br />

enjoys aspects that are ‘recovery<br />

orientated’ e.g. farm, patient council,<br />

activities, community links <strong>and</strong><br />

psychological approaches but equally it<br />

is recognised that that there is room for<br />

improvement. A recent audit examined<br />

the extent to which the male<br />

rehabilitation <strong>and</strong> predischarge<br />

units were already<br />

recovery orientated <strong>and</strong><br />

identified areas for<br />

improvement including a<br />

change of focus from a<br />

recovery ‘model’ to a<br />

recovery ‘philosophy’.<br />

All disciplines have<br />

provided a list of their<br />

specific duties <strong>and</strong> activities<br />

on the rehabilitation <strong>and</strong><br />

pre-discharge units <strong>and</strong><br />

these will be ‘mapped’<br />

against the 24 agreed<br />

elements of the philosophy<br />

to see how <strong>and</strong> if they are<br />

addressing them.<br />

Among the groups already in place that<br />

are recovery focused is the ‘Supporting<br />

Recovery’ group which has a rolling<br />

programme of 1 hour weekly sessions<br />

<strong>and</strong> all service users are encouraged to<br />

attend. Comfortable seats <strong>and</strong><br />

refreshments are provided <strong>and</strong> there is an<br />

open door policy – if service users miss a<br />

session they can still attend the next one.<br />

The Supporting Recovery group aims to<br />

provide a supportive environment to<br />

share experiences, reduce social isolation<br />

<strong>and</strong> increase self-esteem <strong>and</strong> selfdirection.<br />

The group also explores ways<br />

that participants can begin their ‘recovery<br />

journey’ by identifying solutions or coping<br />

strategies.<br />

The ‘Moving On’ group takes a holistic<br />

approach that covers the<br />

medical/biological, psychological, social<br />

<strong>and</strong> value based approaches. It is<br />

centred around the individuals who are<br />

being supported <strong>and</strong> the idea is that they<br />

will know what helps them most,<br />

therefore the onus is on the group<br />

participants to identify areas they require<br />

assistance with.<br />

The Art Project gives service users the<br />

opportunity to express thoughts, feelings<br />

<strong>and</strong> ideas about recovery through a<br />

creative outlet. This helps improve<br />

confidence <strong>and</strong> self-esteem <strong>and</strong> social<br />

interaction as well as task behaviour<br />

skills.<br />

To be able to deliver all the aspects of<br />

the Recovery Model successfully, multidisciplinary<br />

staff training will be required.<br />

This will enable individuals to underst<strong>and</strong><br />

<strong>and</strong> adapt recovery influences practice at<br />

each stage of a patients care pathway<br />

<strong>and</strong> collaboratively work with patients in<br />

pursuing their goals.<br />

For more information on Recovery visit<br />

http://www.kmpt.nhs.uk/recovery<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 15


Major Projects<br />

East <strong>Kent</strong> Redesign<br />

CMHS REDESIGN: PILOT UPDATE:<br />

Pilots around the delivery of secondary<br />

care liaison have been underway since<br />

17th November last year. The focus of<br />

the pilots <strong>and</strong> indeed the redesign of<br />

community services as a whole is:<br />

• Providing timely access to<br />

appropriate interventions within the<br />

most appropriate environment.<br />

• Improving efficiency of service <strong>and</strong> overall<br />

effectiveness of service delivered.<br />

Teams involved have been asked to collate key data around<br />

referrals; response rates as well as user, staff <strong>and</strong> primary care<br />

views. Early feedback has certainly been positive. Here is a<br />

brief taster of what has been happening in some of the<br />

localities across Eastern & Coastal Directorate.<br />

Canterbury & Coastal: They have named workers for each of<br />

their GP practices in their locality <strong>and</strong> are providing<br />

assessments, <strong>and</strong> advice clinics within primary care settings.<br />

Relationships between Primary & Secondary Care are<br />

improving as are the perceptions of users accessing the<br />

service. Coastal are also currently developing a web based<br />

resource with KCC detailing what is available locally for people<br />

with mental health issues as well as links to national websites;<br />

it is hoped that this will be launched in the near future.<br />

Thanet: They have 3 link workers attached to 7 surgeries.<br />

They have received very positive feedback from primary care<br />

with those not involved in the pilot requesting that this service<br />

is exp<strong>and</strong>ed. Initial data have seen the link workers in the first 3<br />

months assess 83 people within 1-2 weeks of referral; 38<br />

discharged, 32 offered follow up appointments <strong>and</strong> 6 requiring<br />

ongoing secondary care. Compared with 54 assessments<br />

completed by 6 staff; response time on average being 6weeks<br />

over a similar 3 month period. Further analysis is needed but<br />

early findings are exciting.<br />

Dover/Deal & Ashford: These localities are working towards<br />

developing the whole model not only introducing link workers<br />

into primary care but also improving services delivered by the<br />

wider community teams so a whole systems approach is<br />

adopted. They have started working with their teams to prepare<br />

them for the changes ahead as well as meeting with Primary<br />

Care. The first phases of this should begin in the next 6<br />

months.<br />

Changes as you can see are afoot <strong>and</strong> are truly exciting. For<br />

more information please contact the Redesign Team.<br />

Patients’ views guide Mental Health<br />

planning in West <strong>Kent</strong><br />

Mental health patients in West <strong>Kent</strong> have been asked to<br />

give their views, as <strong>NHS</strong> West <strong>Kent</strong> plans mental health<br />

services for the future.<br />

On behalf of <strong>NHS</strong> West <strong>Kent</strong>, Sevenoaks Area Mind carried<br />

out a three-month listening exercise in the second half of 2008,<br />

to find out from people who have experience of mental<br />

illnesses such as depression or anxiety disorders, what they<br />

want <strong>and</strong> need from mental health services.<br />

Using both a questionnaire answered by individuals, <strong>and</strong><br />

discussion groups, opinions were gathered from approximately<br />

250 people on how mental health services should be delivered.<br />

Jason Jongali, Mental Health Commissioner at <strong>NHS</strong> West<br />

<strong>Kent</strong>, said: “We are very grateful to all those who took part by<br />

filling out the questionnaire or taking part in discussions. The<br />

results of this survey will play a key role in guiding our thinking<br />

<strong>and</strong> our commissioning intentions on mental health services for<br />

West <strong>Kent</strong>.”<br />

The service-users’ questionnaire <strong>and</strong> discussion groups<br />

focussed on a selection of key questions looking at: how<br />

people get information about the support available; access to<br />

talking therapies; how GPs <strong>and</strong> others in primary care could be<br />

best equipped to help; what is needed in a crisis; what helps on<br />

the journey to recovery, <strong>and</strong> what services are needed out of<br />

hours.<br />

Mr Jongali added: “As we work with partners such as <strong>Kent</strong><br />

County Council to plan mental health services locally, it is most<br />

important to us to hear the views of the people who use these<br />

services”.<br />

Some core themes emerged through this exercise. Of great<br />

importance to those with mental health problems, <strong>and</strong> their<br />

carers, was the desire for underst<strong>and</strong>ing <strong>and</strong> empathy from the<br />

health professionals they see. The need for consistent contact<br />

with an individual they could get to know <strong>and</strong> trust, in the role<br />

of a 'care coordinator' was also expressed.<br />

Linda Leonard, of Sevenoaks Area Mind said, “We were very<br />

pleased to be able to gather this feedback for <strong>NHS</strong> West <strong>Kent</strong>.<br />

By asking us to carry out the research, the <strong>NHS</strong> enabled people<br />

who use mental health services to give feedback in the way<br />

they want to give it – through direct, face-to-face<br />

communication via existing groups. By going out to our group<br />

meetings, we were able to ensure a good response to the<br />

survey for the <strong>NHS</strong> West <strong>Kent</strong>.”<br />

A Mental Health Commissioning Report will be published<br />

later in the spring. This will gather together feedback including<br />

the results of the listening exercise <strong>and</strong> set out plans for mental<br />

health services in West <strong>Kent</strong>.<br />

Updates on progress on the <strong>Medway</strong> redesign<br />

programme will be published in June’s <strong>Partnership</strong><br />

<strong>Matters</strong>. In the meantime visit:<br />

http://www.kmpt.nhs.uk/medwayredesign<br />

16 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


Learning News & Development<br />

Preparing to Teach in the Life Long Learning Sector<br />

The Learning &<br />

Development Department<br />

will be running a City &<br />

Guilds course called<br />

Preparing to Teach in the<br />

Life Long Learning Sector<br />

for anyone in the Trust who<br />

delivers training <strong>and</strong> who<br />

currently does not hold any<br />

teaching qualifications.<br />

You can do the course at<br />

levels 3 or 4 <strong>and</strong> upon<br />

completion you can progress<br />

to a certificate <strong>and</strong>/or<br />

diploma in Teaching in the<br />

Life Long Learning Sector.<br />

The course starts in late<br />

September <strong>and</strong> will run over<br />

8 weeks, the plan is to run<br />

this course at least twice a<br />

year. If you are interested<br />

<strong>and</strong> would like further<br />

information please contact<br />

kate.stilliard@kmpt.nhs.uk<br />

Interested in Management<br />

Courses<br />

If you are interested in<br />

undertaking a management<br />

development programme we<br />

have three internally run<br />

courses that might be<br />

suitable:<br />

• Award in First Line<br />

Management – a 6 day<br />

course introducing the<br />

fundamentals of<br />

management<br />

Have you visited LearningSpace lately<br />

• Accredited Managers<br />

Programme – a six month<br />

programme for first line<br />

managers developing your<br />

skills as a manager in<br />

KMPT<br />

• Managing Health & <strong>Social</strong><br />

Care Certificate – a year<br />

long course for middle <strong>and</strong><br />

senior managers wanting<br />

to explore further the skills<br />

<strong>and</strong> theories of<br />

management <strong>and</strong><br />

leadership.<br />

Please contact<br />

amy.draper@kmpt.nhs.uk for<br />

further information on any of<br />

the above.<br />

New to LearningSpace is Serving Food e-learning<br />

<strong>and</strong> Implementation of the Mental Health Act (as<br />

amended 2007) workbook. Both of these can count<br />

towards your m<strong>and</strong>atory training depending on<br />

your job role so give them a go! We are currently<br />

working hard to build the site <strong>and</strong> would welcome<br />

suggestions about what you would like to see.<br />

Please log on to http://kmpt.nhslearn.com or<br />

contact clare.marsh@kmpt.nhs.uk for further<br />

information.<br />

Issues regarding Confirmation of Training Letters<br />

We have been informed by some staff<br />

within the Trust that on occasion, they are<br />

not receiving confirmation letters sent by<br />

the Learning <strong>and</strong> Development Department.<br />

We cannot get to the root cause of this<br />

problem but can assure staff that<br />

confirmation letters are most definitely sent<br />

to staff, within 7 days of them sending in an<br />

application form.<br />

In November 2007, we updated our Internal<br />

Application Form, to give staff the option of<br />

how they would like to receive their<br />

confirmation, by letter or email. We would<br />

encourage all staff that has access to email, to<br />

select this option due to the many benefits it<br />

brings. Firstly, it will allow us to reduce the<br />

amount of paper the department uses <strong>and</strong><br />

secondly, it will allow us to ensure that all staff<br />

receives their confirmation letters because we<br />

have a process to track any letters sent this<br />

way <strong>and</strong> can easily copy the information to<br />

managers.<br />

We are aware that some staff cannot access<br />

a computer regularly to check their emails <strong>and</strong><br />

so for these staff please continue to request<br />

confirmation letters by post. As a way of<br />

dealing with confirmation letters that may go<br />

astray, please can we ask you to follow-up<br />

your application with a telephone call if you<br />

have not received a confirmation letter to an<br />

application form you sent in more than 14<br />

days ago. We will then be able to confirm your<br />

booking over the telephone to ensure you have<br />

the correct information.<br />

In The other process that we put in place in<br />

March 2008 was to give the option of the<br />

manager to receive the confirmation instead of<br />

the individual – see bottom of the application<br />

form on the link below – please note that<br />

whoever receives the confirmation letter<br />

assumes responsibilities for informing the<br />

other of the details.<br />

http://staffzone.kmpt.nhs.uk/NetsiteCMS/pa<br />

geid/273/index.html (go to learning <strong>and</strong><br />

development forms)<br />

Any staff wishing to request information on<br />

something they are booked onto can also<br />

email training@kmpt.nhs.uk<br />

If you have any suggestions, comments or<br />

further issues, please email Emma Matthews<br />

on emma.matthews@kmpt.nhs.uk<br />

BME B<strong>and</strong> 5-7<br />

Master Class<br />

The South East Coast SHA<br />

is running a series of BME<br />

B<strong>and</strong> 5-7 workshops across<br />

the South East Coast local<br />

health economy. Although<br />

the workshops are primarily<br />

aimed at BME B<strong>and</strong> 5-7<br />

staff, they are considering<br />

applications from staff that<br />

fall outside this group.<br />

Please note priority will be<br />

given to BME B<strong>and</strong> 5-7 staff.<br />

For further information on<br />

dates <strong>and</strong> venues, please<br />

visit our website:<br />

http://www.southeastcoastb<br />

estofhealth.nhs.uk/home/ac<br />

ademy/talentmanagement/breakingthrough-masterclasses/<br />

Below is a list of the<br />

courses that are being offered<br />

as part of this programme <strong>and</strong><br />

I have attached an up to date<br />

list of local coordinators who<br />

are hosting the events locally:<br />

• Presentation skills - two day<br />

course<br />

• Project & Report Writing<br />

skills<br />

• Commissioning<br />

• Interview skills - two day<br />

course<br />

• Influencing <strong>and</strong><br />

communication skills<br />

• Finance for non-finance<br />

managers<br />

In the past there have been a<br />

number of no-shows from<br />

those who booked to attend<br />

courses <strong>and</strong> as a result of this,<br />

courses are running below full<br />

capacity. A significant amount<br />

of commitment put into these<br />

master classes in terms of<br />

finances <strong>and</strong> extra resources,<br />

for example local co-ordinators<br />

taking on additional<br />

responsibilities by organising<br />

<strong>and</strong> hosting the events locally -<br />

so if registered participants are<br />

unable to attend, please notify<br />

the local coordinator as soon<br />

as possible so that your place<br />

can be filled by somebody else<br />

on a waiting list.<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 17


ePEX<br />

Trust Goes Live with ePEX<br />

Thursday 12 March <strong>2009</strong> was a big day for KMPT <strong>and</strong> for<br />

the ePEX Project Team too as the Trust went live with the<br />

new, enhanced version of ePEX.<br />

Congratulations rightly go to the IM&T Information Team <strong>and</strong><br />

others who worked tirelessly to ensure that migration to the<br />

new system went to schedule so the March Go-Live date could<br />

be met.<br />

Staff have been brilliant too, attending workshops,<br />

collaborating on current state assessment work, engaging in<br />

specific pieces of work that needed specialist input <strong>and</strong>,<br />

perhaps most important of all, finding the time to attend ePEX<br />

training. Each one of you has played an important part in<br />

making Go-Live happen <strong>and</strong> should feel rightly proud of your<br />

achievements.<br />

Supporting colleagues in the east<br />

Although ePEX is a new version of<br />

an existing system we recognised<br />

that for our colleagues in the east<br />

of the Trust it was the launch of a<br />

br<strong>and</strong> new system; for some people<br />

this proved to be a bit of a daunting<br />

experience. To help overcome<br />

some of the initial difficulties being<br />

experienced we provided extra on-site support <strong>and</strong><br />

training. This proved enormously popular with the staff; so<br />

much so that the support was extended to cover the whole<br />

of last month <strong>and</strong> this month as well.<br />

Data Quality really does matter<br />

Ever talked about what could <strong>and</strong> should be done to<br />

improve the quality of the data held on the Trust’s patient<br />

information system<br />

Well, now’s the time to stop talking <strong>and</strong> do something about<br />

it. Going live with an enhanced version of ePEX provides you<br />

with the golden opportunity of starting to turn those words into<br />

action. For the first time since the <strong>Kent</strong> <strong>and</strong> <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong><br />

<strong>Social</strong> Care <strong>Partnership</strong> Trust was established we have one<br />

system where patient information is recorded.<br />

Not only are staff responsible for the care they provide but<br />

also for the associated data they collect <strong>and</strong> record, whether<br />

they are clinicians or administrators. ePEX can only ever be as<br />

good as the data it holds therefore the accurate <strong>and</strong> timely<br />

recording of patient activity information is vital if the Trust is to<br />

ensure continuity of care for its service users <strong>and</strong> manage<br />

clinical risk. Good data quality is essential because it allows<br />

the Trust to accurately measure service user activity as well as<br />

plan <strong>and</strong> design future services.<br />

As we move closer to becoming a Foundation Trust it<br />

becomes even more important that we record all of our activity<br />

accurately <strong>and</strong> as soon as possible after the event; failure to do<br />

so could not only jeopardise patient care but also result in loss<br />

of income for the Trust.<br />

Access to patient<br />

information<br />

Staff are encouraged to underst<strong>and</strong><br />

the Caldicott principles <strong>and</strong> ensure<br />

that information is maintained<br />

confidentially <strong>and</strong> accessed only as part of the operational<br />

processes that allow for providing continuity of care for<br />

patients.<br />

Level of access to ePEX is dependent upon job role <strong>and</strong> staff<br />

must only ever access service user details with people whom<br />

they have a legitimate relationship with. To access a patients’<br />

record without that legitimate relationship is a breach of<br />

confidentiality. This is a serious offence <strong>and</strong> should it happen<br />

staff will be disciplined in accordance with HR <strong>and</strong> Caldicott<br />

procedures.<br />

Where there is a conflict of interest, by way of example this<br />

could include one or more of the following relationships: when<br />

the person using the service is a wife, husb<strong>and</strong>, child, family<br />

relative, friend or neighbour of the staff member concerned, the<br />

patient record must never be viewed by that staff member.<br />

As a way of monitoring access to patient records regular<br />

r<strong>and</strong>om audits are undertaken; any subsequent concerns will<br />

be investigated by the Caldicott Office.<br />

For further information or general advice please contact the<br />

Caldicott office on 01732 520475 or<br />

leanne.manley@kmpt.nhs.uk<br />

The Comm<strong>and</strong> Centre<br />

To fully support staff in the runup<br />

to, during <strong>and</strong> for two weeks<br />

after going-live a Comm<strong>and</strong><br />

Centre was set up at<br />

Southl<strong>and</strong>s. Operationally the<br />

centre supported people during<br />

the early days of Go-Live <strong>and</strong><br />

acted as the link between staff<br />

<strong>and</strong> the system support people.<br />

Feedback on the provision of support was positive <strong>and</strong> from<br />

an operational perspective things went well; all of the issues<br />

raised were of low clinical risk. Most were responded to on the<br />

day, <strong>and</strong> those that couldn’t were resolved by support staff out<br />

on-site <strong>and</strong> by the project’s Change Facilitators.<br />

From 12 March <strong>2009</strong> up to 8.00 pm on Friday 20 March <strong>2009</strong><br />

Comm<strong>and</strong> Centre staff took a total of 1820 of your calls; 405 of<br />

these were taken on the first day with just over 75% of those<br />

being for the resetting of passwords. Requests then dipped<br />

considerably <strong>and</strong> consistently over the following days so that<br />

by 20 March password reset requests were sitting at just under<br />

30%.<br />

The top four most popular issues for the Comm<strong>and</strong> Centre to<br />

deal with were:<br />

• Password resets<br />

• Logon ID requests<br />

• Training queries relating to how to book on to a course<br />

through to can you tell me how I do this<br />

• Not being able to access clinical notes<br />

18 <strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong>


ePEX<br />

News<br />

ePEX Training<br />

ePEX training returns to “business as usual” training<br />

following Go-Live so anyone wanting to book onto future<br />

ePEX training should e-mail Sheila Sydall at<br />

sheila.sydall@kmpt.nhs.uk<br />

In the February issue we reported how the IM&T Directorate is<br />

actively encouraging its staff to develop skills relevant to their<br />

post through study <strong>and</strong> that Leanne Manley <strong>and</strong> Sharon<br />

Plumridge are both working towards a law degree. We<br />

mentioned that Leanne had recently passed her ILM but<br />

omitted to say that Sharon had also passed her ILM.<br />

Apologies <strong>and</strong> congratulations to both <strong>and</strong> continued success<br />

with your future studies.<br />

CPA forms on ePEX<br />

As part of the move to consolidate the Trust’s<br />

information systems into a single system existing CPA<br />

forms were rationalised so that only the official<br />

approved Trust version of the CPA forms appeared on<br />

ePEX. However, over the years a number of services<br />

have adapted the forms for their own purpose. This has<br />

created difficulties in data collection <strong>and</strong> made the list of<br />

forms on ePEX long; it has also become challenging to<br />

choose the correct forms needed.<br />

Having different versions of forms that have not been<br />

subject to the correct governance procedure prior to use<br />

creates risks for the Trust not only in data collection but also<br />

in the lack of uniformity of clinical information gathered<br />

across the Trust.<br />

As part of the implementation project for the new CPA<br />

guidance the Trust is addressing new CPA paperwork <strong>and</strong><br />

will be aiming to overhaul the existing forms; the aim is to<br />

create one set of approved Trust forms. Those forms<br />

currently in existence will then be removed from use<br />

meaning that clinicians will only be able to use the new<br />

forms <strong>and</strong> not adapt them for use on a team-by-team basis.<br />

A consultation phase will begin shortly <strong>and</strong> interested<br />

clinicians will be asked to assist with building <strong>and</strong> testing<br />

new documentation.<br />

If clinicians wish to be involved in the consultation process<br />

please email Rebecca Lowe CPA Lead for the Trust at<br />

rebecca.lowe@kmpt.nhs.uk<br />

Requests for changes to<br />

ePEX<br />

Requests for changes to the system can be made<br />

by downloading the ePEX Change Request Form<br />

available on the Intranet. It can be found by<br />

clicking on the Internal Form link on the left h<strong>and</strong>menu<br />

bar <strong>and</strong> scrolling down to the Information<br />

<strong>and</strong> IT section.<br />

Vox Pop<br />

Once you are used to the navigation around the site ePEX<br />

will be an easier to use, more underst<strong>and</strong>able <strong>and</strong> useful<br />

system that all staff can access as I feel it is only the<br />

initial 'getting to know' the site that is confusing.<br />

Leah Stewart – Coleman House<br />

I personally feel that this will be a system that when<br />

mastered (with a lot of practice) will be beneficial for all<br />

concerned with using it. As with all new systems it is<br />

daunting but once we have got used to it I am sure it will<br />

be fine.<br />

Marilyn Lindow – Consultants Secretary<br />

I think the implementation of the new ePEX seems to have<br />

gone fairly smoothly. Most of the teething problems in<br />

our team have been easily dealt with by the support centre,<br />

the champions <strong>and</strong> the quick reference guides. At the<br />

moment I think most staff are feeling fairly confident<br />

with the system, although we need to get used to inputting<br />

everything on ePEX.<br />

Kerry Holl<strong>and</strong> – Administrator<br />

We’ve not had any major problems although it is taking<br />

longer for staff to input data, but this was expected <strong>and</strong> I<br />

feel sure once people are more confident with the new<br />

system it will not present much of an issue. We have three<br />

ePEX champions in our team <strong>and</strong> they have been a great<br />

assistance in helping people navigate around the new<br />

layout.<br />

Kate Allen – Service Manager<br />

Here at the Rochester CMHT we have experienced a few<br />

minor problems but all-in-all nothing major has occurred.<br />

Overall we think the transition has been positive <strong>and</strong> the<br />

team has risen to the challenge <strong>and</strong> responded <strong>and</strong> adapted<br />

well to the new system.<br />

Tina Russell – Service Manager<br />

Interesting Fact<br />

During the first three months of this year 1643 people<br />

have logged into ePEX <strong>and</strong> changed their password.<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 19


Ideas inbox<br />

There are two new ways that<br />

staff can make their voice<br />

heard as part of our ongoing<br />

Staff Involvement Strategy. We<br />

cannot unfortunately publish all<br />

of your ideas <strong>and</strong> suggestions,<br />

but please keep them coming<br />

in as they are extremely valued<br />

by the Chief Executive <strong>and</strong> the<br />

executive team.<br />

All staff are encouraged to use<br />

the inbox to contact the Chief<br />

Lottery winners<br />

Executive on any issue. You<br />

can contact Erville at:<br />

chiefexecutive@kmpt.nhs.uk<br />

Staff have also expressed a<br />

wish to be able to submit their<br />

ideas for improving services,<br />

working practices or any<br />

matter concerned with the<br />

Trust. You can deliver your<br />

ideas direct to the Trust's<br />

Directors at:<br />

ideas@kmpt.nhs.uk.<br />

Thinking<br />

about<br />

trees <strong>and</strong><br />

money<br />

Are you able to read your copy<br />

of <strong>Partnership</strong> <strong>Matters</strong> online<br />

Do you really need a hard copy<br />

of the newsletter If you wish<br />

to save the planet <strong>and</strong> the<br />

Trust some money, you can<br />

request that in future you<br />

access your copy of<br />

<strong>Partnership</strong> <strong>Matters</strong><br />

electronically via the KMPT<br />

website. You will also get your<br />

copy quicker!<br />

You can notify us that you<br />

would prefer to access your<br />

copy in this way by emailing<br />

communications@kmpt.nhs.uk<br />

Dates for<br />

your Diary<br />

<strong>April</strong><br />

Trust Board meeting<br />

22 <strong>April</strong> at 10am,<br />

The Boardroom,<br />

Trust Headquarters<br />

May<br />

Trust Board meeting<br />

27 May at 10am,<br />

The Boardroom,<br />

Trust Headquarters<br />

June<br />

Trust Board meeting<br />

24 June at 10am,<br />

The Boardroom,<br />

Trust Headquarters<br />

January Lottery Winners<br />

£500 2454 <strong>Kent</strong> & Canterbury Hospital<br />

£250 1008 QEQM Hospital<br />

£100 2408 Queen Victoria Memorial Hospital<br />

£100 1379 St Martins Hospital<br />

£100 1550 Royal Victoria Hospital<br />

£50 2260 Royal Victoria Hospital<br />

£50 4169 QEQM Hospital<br />

£50 2461 Canada House<br />

February Lottery Winners<br />

£1000 1929 Ogden House<br />

£500 3896 QEQM Hospital<br />

£250 3213 Whitstable & Tankerton Hospital<br />

£100 3428 Eastern & Coastal Area Office<br />

£100 3367 William Harvey Hospital<br />

£100 2616 Queen Victoria Memorial Hospital<br />

£50 1336 Whitstable & Tankerton<br />

£50 3312 Templar House<br />

The staff lottery is open to all<br />

staff across the <strong>Kent</strong> <strong>and</strong><br />

<strong>Medway</strong> <strong>Partnership</strong> Trust.<br />

The minimum contribution is<br />

£1 per month, which is<br />

deducted directly from your<br />

salary. Each month a draw is<br />

made <strong>and</strong> r<strong>and</strong>omly selected<br />

winners can win cash prizes.<br />

The top prize alternates<br />

between £1000 <strong>and</strong> £500 each<br />

month. Smaller cash prizes are<br />

won each month ranging from<br />

£250 to £50.<br />

The lottery also improves<br />

patient care with money raised<br />

going towards making<br />

patients' lives more pleasant.<br />

If you wish to buy some<br />

numbers or purchase more<br />

numbers, please contact your<br />

lottery representative:<br />

Gill Dearing, Lottery Promoter,<br />

<strong>Kent</strong> <strong>and</strong> <strong>Medway</strong> <strong>NHS</strong> &<br />

<strong>Social</strong> Care <strong>Partnership</strong> Trust,<br />

Eastern <strong>and</strong> Coastal Area<br />

Offices, Littlebourne Road,<br />

Canterbury, <strong>Kent</strong> CT1 1AZ.<br />

Take a Break<br />

2 1 5<br />

1 4 9 8<br />

5<br />

4<br />

7 3<br />

6<br />

2<br />

1<br />

8<br />

5<br />

9<br />

7 2 6 5<br />

1 6 4<br />

Want to know more<br />

Why not log on to www.kmpt.nhs.uk or visit the Trust intranet<br />

at nww.kmpt.nhs.uk Also you might find more useful<br />

information online at: www.healthcarecommission.org.uk<br />

www.dh.gov.uk www.mhac.org.uk<br />

<strong>Kent</strong> & <strong>Medway</strong> <strong>NHS</strong> <strong>and</strong> <strong>Social</strong> Care <strong>Partnership</strong> Trust <strong>Partnership</strong> <strong>Matters</strong> <strong>April</strong> <strong>2009</strong> 20

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