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