Issue 39 - Southern Health and Social Care Trust
Issue 39 - Southern Health and Social Care Trust
Issue 39 - Southern Health and Social Care Trust
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3 RCN Nurse of the Year Awards<br />
2<br />
Up date<br />
Staff newsletter<br />
<strong>Issue</strong> <strong>39</strong> July 2011<br />
Minister Praises Services<br />
for Patients at Daisy Hill<br />
<strong>Health</strong> Minister Edwin Poots praised the<br />
st<strong>and</strong>ard of care provided to patients at Daisy<br />
Hill during a recent visit to the Hospital.<br />
The Minister toured the refurbished Accident<br />
<strong>and</strong> Emergency facility <strong>and</strong> the upgraded<br />
maternity unit at the hospital as well as the<br />
hospital’s new recently installed CT scanner,<br />
worth £600,000.<br />
Since Mid-October 2010, the <strong>Trust</strong> has<br />
invested over £3.5m in essential refurbishment<br />
work to upgrade the infrastructure on the<br />
Daisy Hill site. There has been a wide range<br />
of work undertaken on the site ranging from,<br />
for example, the demolition of the Hospital<br />
Chimney to an upgrade of a range of facilities<br />
within the Hospital including the refurbishment<br />
of the Accident & Emergency Department <strong>and</strong><br />
the relocation of Gynaecology <strong>and</strong> Antenatal<br />
out patients departments. There has also<br />
been considerable work done to upgrade the<br />
electrical <strong>and</strong> heating infrastructure which will<br />
lead to long term savings <strong>and</strong> a reduction in the<br />
carbon footprint of the Hospital. The work will<br />
completed by summer 2011.<br />
Minister Poots said: “I am very impressed by<br />
the enhanced facilities at Daisy Hill hospital<br />
<strong>and</strong> the <strong>Southern</strong> <strong>Trust</strong>’s commitment to<br />
providing the people of the Newry <strong>and</strong> Mourne<br />
area <strong>and</strong> further afi eld, with the very best of<br />
care in a modern state-of-the-art setting.<br />
><br />
Mairead McAlinden, <strong>Southern</strong> <strong>Trust</strong> Chief Executive<br />
(left) <strong>and</strong> <strong>Southern</strong> <strong>Trust</strong> Chair Roberta Brownlee<br />
welcome <strong>Health</strong> Minister Edwin Poots to Daisy Hill<br />
Hospital<br />
“I have seen the new multi-slice CT scanner<br />
which provides a much improved range of<br />
diagnostic scanning, reducing the need to<br />
transfer patients to Craigavon, <strong>and</strong> I have<br />
heard about the <strong>Trust</strong> future proposals<br />
for Daisy Hill particularly in the treatment<br />
of seriously ill patients. I welcome the<br />
achievements of the <strong>Trust</strong> <strong>and</strong> its dedicated<br />
staff.”<br />
GPs <strong>and</strong> Libraries join up in self-help book scheme<br />
The <strong>Trust</strong> has launched the third <strong>and</strong> fi nal phase of<br />
the ‘Bibliotherapy Scheme’ which prescribes self-help<br />
books for individuals experiencing diffi culty with their<br />
mental health.<br />
The scheme aims to support GPs <strong>and</strong> health<br />
professionals in the treatment of mild depression <strong>and</strong><br />
anxiety. Angela Corr, Senior <strong>Health</strong> Promotion Offi cer<br />
for Mental <strong>Health</strong>, explains, “If you are experiencing<br />
diffi culties, your doctor can support you to identify a<br />
self-help book from a pre-selected list as part of your<br />
treatment. You can then go to your local participating<br />
library <strong>and</strong> borrow from a range of books, leafl ets<br />
<strong>and</strong> DVDs covering topics such as addiction, anger<br />
management, bereavement, depression, <strong>and</strong> stress<br />
management.”<br />
Dr Peter Beckett, the <strong>Trust</strong>’s Associate Medical Director<br />
for Primary <strong>Care</strong>, added that there is evidence to suggest that the prescribing of self-help books<br />
is an effective way to support people with a range of mental <strong>and</strong> emotional problems.<br />
><br />
<strong>Health</strong> Minister Edwin Poots visiting the new CT<br />
scanner at Daisy Hill Hospital<br />
St<strong>and</strong>ing: Angela Corr, Senior <strong>Health</strong> Promotion<br />
Offi cer for Mental <strong>Health</strong>; Julie Russell, <strong>Health</strong><br />
<strong>and</strong> Mind Project Libraries NI; <strong>and</strong> Evelyn Hanna,<br />
Area Manager Libraries NI; (seated) Mairead<br />
McAlinden, Chief Executive; Dr Peter Beckett, GP<br />
<strong>and</strong> Associate Medical Director for Primary <strong>Care</strong>;<br />
<strong>and</strong> Irene Knox, Chief Executive Libraries NI<br />
In this issue<br />
2 A Director’s Take<br />
2 PhD in Life <strong>and</strong> <strong>Health</strong><br />
Sciences for Ruth<br />
3 Queen’s University Belfast<br />
visit Craigavon<br />
4 Chair Visits
Director’s Take: Paul Morgan<br />
Paul Morgan has recently taken up post as<br />
Director of Children <strong>and</strong> Young People’s<br />
Services. Paul has over 30 years’ experience in<br />
a range of Child <strong>Care</strong> Services <strong>and</strong> over 12 years senior<br />
management experience. He qualifi ed in 1979 with a<br />
BA Hons Degree in <strong>Social</strong> Work. He was Acting Director<br />
in the Craigavon & Banbridge Community <strong>Trust</strong> from<br />
2004-2007 <strong>and</strong> has been the <strong>Southern</strong> <strong>Trust</strong>’s Assistant<br />
Director for Safeguarding <strong>and</strong> Family Support since April<br />
2007. Paul chairs the <strong>Southern</strong> <strong>Trust</strong> Child Protection<br />
Panel, as well as being a member of the Regional Child<br />
Protection Committee. He has signifi cant experience of<br />
service reform <strong>and</strong> represents the <strong>Trust</strong> on the Regional<br />
Reference Group for Safeguarding Board NI <strong>and</strong> the<br />
Regional Reforming <strong>and</strong> Modernising Children’s Services<br />
Implementation Group<br />
A Director’s take on: your recent appointment<br />
I am really pleased to be appointed as the Director of<br />
Children <strong>and</strong> Young People’s Services. My entire working<br />
career has been spent in the area of Child <strong>Care</strong> Services<br />
<strong>and</strong> I am delighted <strong>and</strong> privileged to have this opportunity<br />
to work as Director, in driving forward the services we<br />
provide.<br />
A Director’s take on: the best bits of the job<br />
The best bits of the job are working with a diverse range<br />
of staff who have a vast amount of knowledge, skills<br />
<strong>and</strong> experience. We couldn’t provide services without<br />
them. I value the input <strong>and</strong> dedication of all staff working<br />
in the Directorate to ensure that we continue to deliver<br />
high quality services for children, young people <strong>and</strong> their<br />
families.<br />
A Director’s take on: the worst bits of the job<br />
With the dem<strong>and</strong>s of the post, means that I have less<br />
time to meet with staff <strong>and</strong> receive direct feedback from<br />
those staff providing frontline services. Also the endless<br />
number of e-mails.<br />
St Luke’s Hospital Gala Ball<br />
Over 400 people attended the Gala Ball at Armagh City<br />
Hotel recently to celebrate healthcare provision at St<br />
Luke’s Hospital from its foundation in 1821.<br />
The Ball, which marked the 190th anniversary of the<br />
Armagh hospital, was organised by St Luke’s <strong>Social</strong> <strong>and</strong><br />
Recreational Club <strong>and</strong> coincided with an exhibition.<br />
Speaking at the Ball, the Chief Executive Mairead<br />
McAlinden said, “Since its foundation in 1821 as the<br />
first purpose built hospital of its kind in Irel<strong>and</strong> <strong>and</strong> the<br />
Western world, St Luke’s Hospital has provided a centre<br />
for innovation in the care of people with mental illness.<br />
St Luke’s shows that the models of care developed here<br />
have led the way <strong>and</strong> shaped the provision of mental<br />
health hospital treatment in Northern Irel<strong>and</strong>, nationally<br />
<strong>and</strong> internationally.<br />
A Director’s take on: the<br />
challenges facing Children<br />
<strong>and</strong> Young People’s<br />
Services<br />
A major challenge is the<br />
current economic climate <strong>and</strong><br />
the financial issues that the<br />
<strong>Trust</strong> <strong>and</strong> the entire <strong>Health</strong><br />
<strong>and</strong> <strong>Social</strong> <strong>Care</strong> family faces.<br />
We all recognize that there<br />
is a need to make further<br />
efficiencies while at the same<br />
time providing a wide range<br />
Paul Morgan<br />
of services that make a real<br />
difference to the lives <strong>and</strong><br />
futures of young people <strong>and</strong><br />
their families. They are our focus <strong>and</strong> priority.<br />
><br />
A Director’s take on: the future of Children <strong>and</strong><br />
Young People’s Services<br />
Early intervention <strong>and</strong> prevention is key in Children’s <strong>and</strong><br />
Young People’s services <strong>and</strong> we need to further develop<br />
partnerships with the community <strong>and</strong> voluntary sector<br />
to deliver on promoting <strong>and</strong> supporting these goals.<br />
We need to continue to provide a range of universally<br />
accessible services for Children <strong>and</strong> Young People but<br />
continue to deliver on new innovative specialist services<br />
for specific groups, such as children with autism. We<br />
need to ensure that young people <strong>and</strong> their families <strong>and</strong><br />
carers have access to information on <strong>and</strong> contribute<br />
to services provided by the statutory, voluntary <strong>and</strong><br />
community sectors at local <strong>and</strong> regional levels.<br />
A Director’s take on: relaxing away from work<br />
I currently manage the under 16 football team in my local<br />
community. I enjoy playing golf <strong>and</strong> walking my dog,<br />
Toby. I have also started running again after recently<br />
taking part in the Belfast marathon.<br />
“Buildings don’t provide care, people do, <strong>and</strong> we have<br />
been fortunate that so many people working in the service<br />
based in St Luke’s Hospital <strong>and</strong> in our communities have<br />
had the vision <strong>and</strong> drive to improve care <strong>and</strong> treatment for<br />
mental health.<br />
“We must pay tribute to these staff, past <strong>and</strong> present, who<br />
have been at the cutting edge of mental health care, <strong>and</strong><br />
who have continually shaped <strong>and</strong> infl uenced the policy,<br />
strategy <strong>and</strong> model of care for mental health care. The<br />
purpose of St Luke’s has changed over the years, but<br />
the ethos <strong>and</strong> values that drove its establishment 190<br />
years ago have not changed. They are to provide the best<br />
possible care for people with mental illness <strong>and</strong> to treat<br />
them with compassion <strong>and</strong> humanity.”<br />
Congratulations, Ruth<br />
2<br />
Ruth Carroll, <strong>Health</strong> Visitor Team Manager based in Dungannon,<br />
graduated on 2 July with a PhD in Life <strong>and</strong> <strong>Health</strong> Sciences. The subject<br />
of Ruth’s research was the <strong>Health</strong> Visitor’s response to family violence<br />
<strong>and</strong> abuse – a grounded theory study, <strong>and</strong> although relevant to <strong>Health</strong><br />
Visiting practice it can be adapted by other professionals. Ruth was<br />
runner-up in the RCN Chief Nursing Offi cer’s Award for Patient Safety<br />
2010. Ruth <strong>and</strong> her team were nominated for the work they carried out<br />
in identifying a number of non-English speaking clients who had been<br />
victims of domestic violence <strong>and</strong> offering them support on accessing<br />
services <strong>and</strong> developing personal safety plans.<br />
Julie McConville, Head of <strong>Health</strong> Visiting <strong>and</strong> School Nursing; Francis Rice, Executive<br />
><br />
Director of Nursing; <strong>and</strong> Ruth Carroll, <strong>Health</strong> Visitor Team Manager
RCN Nurse of the Year Awards<br />
Four nursing staff have scooped awards at this year’s RCN<br />
Northern Irel<strong>and</strong> Nurse of the Year Awards. Kay Donegan<br />
<strong>and</strong> Joan O’Hagan, from Daisy Hill Hospital, won the Chief<br />
Nursing Officer’s Award, while Vera Kelso, Lead Midwife,<br />
Community Midwifery Services, won the Public <strong>Health</strong><br />
Award. Joint Runner-up of the Patient’s Choice Award was<br />
Mary McNicholl, Community Mental <strong>Health</strong> Nurse, who is<br />
based at South Tyrone Hospital.<br />
Speaking at the event, <strong>Health</strong> Minister Edwin Poots<br />
said that nurses are ideally placed to develop new <strong>and</strong><br />
innovative ways of delivering care: “You are there for the<br />
patient, whether it be day <strong>and</strong> night. You are available<br />
to listen to the patient’s story, <strong>and</strong> have the privilege of<br />
experiencing the patient’s journey. You are the people<br />
who know what needs to be done <strong>and</strong> how we might do<br />
it. Driving up quality of services <strong>and</strong> outcomes for patients<br />
is my priority <strong>and</strong> will guide all that I do. That is why I will<br />
promote greater involvement of professionals in decision<br />
making <strong>and</strong> service development.”<br />
><br />
Martin Bradley, Chief Nursing Offi cer, DHSSPS; Kay<br />
Donegan, Joan O’Hagan <strong>and</strong> Janice Smyth, RCN<br />
Chief Executive Mairead McAlinden adds: “Mary supported<br />
the patient when he underwent brain surgery at the Royal<br />
Victoria Hospital in Belfast <strong>and</strong> continued to support him<br />
through his follow-up treatment. Mary was nominated<br />
by the wife of a patient who was suffering from anxiety<br />
<strong>and</strong> depression following his discharge from Craigavon<br />
Hospital. Vera was nominated for being an outst<strong>and</strong>ing<br />
example of commitment to public health by a midwife<br />
in promoting <strong>and</strong> facilitating the vaccination of pregnant<br />
women against H1N1 (swine fl u) <strong>and</strong> seasonal fl u. Kay <strong>and</strong><br />
Joan were nominated for their contribution to patient safety<br />
through their work in lowering catheter-related infections<br />
in haemodialysis patients within the renal unit at Daisy Hill.<br />
Their project has delivered savings in laboratory time <strong>and</strong><br />
cost, <strong>and</strong> in treatment with antibiotics or antimicrobials. I<br />
want to congratulate Kay, Joan, Vera <strong>and</strong> Mary on their<br />
achievements <strong>and</strong> for the well-deserved recognition of their<br />
work given the calibre of entries in the competition.”<br />
><br />
Eddie Rooney, Vera Kelso <strong>and</strong> Janice Smyth, RCN<br />
Addressing an audience of around 300 health service<br />
leaders, politicians <strong>and</strong> RCN members, the Minister said,<br />
that it was right to celebrate the excellence that exists<br />
within healthcare <strong>and</strong> within nursing in Northern Irel<strong>and</strong>.<br />
An event to mark the offi cial launch of University Teaching<br />
Hospital status was held recently at Craigavon Hospital<br />
<strong>and</strong> was attended by a number of senior staff from<br />
Queen’s University Belfast. A plaque was unveiled in the<br />
main hospital as part of the event.<br />
Craigavon <strong>and</strong> Daisy Hill Hospitals are among seven<br />
acute hospitals in Northern Irel<strong>and</strong> that have been<br />
designated as ‘Queen’s University teaching hospitals’ in<br />
recognition of their major contribution to medical education<br />
in providing high quality clinical placements to medical<br />
students.<br />
The event marked the launch of establishment of the<br />
<strong>Southern</strong> <strong>Trust</strong> Sub-Deanery in conjunction with Queen’s<br />
University Belfast. The <strong>Southern</strong> <strong>Trust</strong> Sub-Deanery, led<br />
by Dr M McConnell has responsibility for the co-ordination<br />
<strong>and</strong> delivery of undergraduate clinical educational<br />
programme.<br />
><br />
Queen’s University Belfast visit Craigavon<br />
Frances Barrett, Mary McNicholl, Pauline Haslett <strong>and</strong> Janice<br />
Smyth, RCN<br />
said: “The creation of educational sub-deaneries <strong>and</strong><br />
teaching hospitals provides an integrated framework<br />
which enables academics <strong>and</strong> clinicians to work together<br />
to deliver the highest st<strong>and</strong>ards of medical education.<br />
These developments also recognise the role of Northern<br />
Irel<strong>and</strong>’s acute hospitals, such as Craigavon Area<br />
<strong>and</strong> Daisy Hill Hospitals, which perform a critical role<br />
in delivering high-quality clinical placements for our<br />
students.”<br />
The sub-deanery in the <strong>Southern</strong> <strong>Trust</strong> has been up <strong>and</strong><br />
running since August last year, improving the collaboration<br />
between Queen’s <strong>and</strong> The <strong>Trust</strong>, enhancing the student<br />
experience as they join us as part of their placement.<br />
The Vice-Chancellor of Queen’s University, Professor Sir<br />
Peter Gregson,<br />
><br />
Mairead McAlinden, <strong>Southern</strong> <strong>Trust</strong> Chief Executive; Professor<br />
Patrick Johnston, Dean, Queen’s; Mairead Boohan, Deputy<br />
Director, Queen’s; Roberta Brownlee, <strong>Southern</strong> <strong>Trust</strong> Chair,<br />
Professor Sir Peter Gregson, Queen’s University Vice-<br />
Chancellor; <strong>and</strong> Dr M McConnell, <strong>Southern</strong> <strong>Trust</strong><br />
3
Staff Profile<br />
Name: Dawn Gibson<br />
Dawn Gibson ><br />
What is your Job<br />
I work as a Clinical Coder in South Tyrone Hospital, Dungannon.<br />
Tell us a bit about yourself<br />
I live in Lurgan <strong>and</strong> I am married with three children aged: 17, 15 <strong>and</strong> 8.<br />
What is Clinical Coding<br />
It is the way in which every condition, diagnosis,<br />
operation or clinical procedure is logged, stored <strong>and</strong><br />
shared. It is a method of confi dentially comparing the<br />
costs, quality <strong>and</strong> safety of our hospital care across<br />
Northern Irel<strong>and</strong>, <strong>and</strong> nationally. This helps hospitals<br />
report on patient safety, cost effectiveness <strong>and</strong> quality of<br />
care so that any variations can be investigated to make<br />
improvements. Mention clinical coding <strong>and</strong> most people<br />
are likely to wonder whether or not it’s a postcode for the<br />
nearest health centre but Clinical coders in the <strong>Southern</strong><br />
<strong>Trust</strong> make a vital contribution to this worldwide process!<br />
How did you get started as a Clinical Coder<br />
I worked as a secretary before applying to become<br />
a clinical coder. I worked in Lurgan Hospital, before<br />
transferring to South Tyrone Hospital last year. It takes<br />
two years to become a fully qualifi ed coder, with initial<br />
training provided regionally, <strong>and</strong> supported through on the<br />
job training <strong>and</strong> regular refresher courses.<br />
Describe the type of work done by you <strong>and</strong> the rest<br />
your team<br />
There are three coding teams based in: South Tyrone,<br />
Daisy Hill <strong>and</strong> Craigavon Area Hospitals. There are 15<br />
staff as well as one manager.<br />
Clinical Coders receive every patient’s casenote after<br />
they are discharged from hospital or as a daycase <strong>and</strong><br />
they ensure that every condition, diagnosis, operation<br />
or procedure from every individual patient is coded on<br />
the Patient Administration System. I have wards <strong>and</strong><br />
specialties for which I am responsible, <strong>and</strong> it is my job to<br />
Chair Visits<br />
The <strong>Trust</strong>’s Chair, Roberta Brownlee, has made her fi rst visit<br />
to Newry, Bessbrook <strong>and</strong> Mullaghbawn to meet with staff <strong>and</strong><br />
service users.<br />
She met staff <strong>and</strong> service users at Millview Resource Centre,<br />
<strong>and</strong> staff from the Physical Disability <strong>Social</strong> Work Team <strong>and</strong><br />
the Sensory Impairment Team. Within Learning Disability, the<br />
Chair visited staff <strong>and</strong> service users at the ARC, Clougharaven<br />
Road, Bessbrook, a joint project with the USPCA. There were<br />
visits to Ardaveen Manor in Bessbrook <strong>and</strong> Teach Sona in<br />
Mullaghbawn, the Laurels <strong>and</strong> Windsor Day Centre.<br />
The Chair visited Cloughreagh House, Orchard Day Centre,<br />
Newry <strong>and</strong> Mourne <strong>Social</strong> Work Team for Older People <strong>and</strong><br />
Newry <strong>and</strong> Mourne <strong>Trust</strong> Homecare Team. Mrs Brownlee<br />
review the notes, extract each individual diagnosis <strong>and</strong><br />
conditions which affect their stay in hospital, allocate<br />
a code <strong>and</strong> then record on PAS. There are around<br />
110,000 inpatients <strong>and</strong> daycases discharged from the<br />
<strong>Southern</strong> <strong>Trust</strong> hospitals each year, which means that<br />
each coder codes around 7,300 patients’ treatment per<br />
year <strong>and</strong> includes the vast range of conditions treated<br />
<strong>and</strong> managed within our hospitals!<br />
Is your job difficult<br />
It can be complex <strong>and</strong> time consuming – for instance<br />
it can be diffi cult to assign a code to some complex<br />
diagnoses <strong>and</strong> innovative new procedures. In those<br />
cases, we have to alert the regional co-ordinator who<br />
in turn works with colleagues nationally to agree a new<br />
unique code. That ensures that our staff are credited<br />
with the innovative <strong>and</strong> progressive work being done<br />
across the <strong>Trust</strong>. The World <strong>Health</strong> Organisation<br />
produce a comprehensive reference book for coding –<br />
it runs to over 1200 pages <strong>and</strong> shows what a detailed<br />
<strong>and</strong> comprehensive process it is!<br />
Is your job satisfying<br />
Coders are a vital support function in the health<br />
service. We have our own set of performance targets<br />
– 95% of coding should be complete with 30 days<br />
of the patient’s discharge from hospital with 100%<br />
complete within 60 days. It is satisfying to know that<br />
our work is part of a vital national support system for<br />
the health service <strong>and</strong> that the job we do is part of an<br />
internationally recognised process which helps improve<br />
our underst<strong>and</strong>ing of health issues.<br />
met Dromalane House staff <strong>and</strong> visited the two<br />
residential homes for young people in Newry.<br />
Speaking about her visits Mrs Brownlee said,<br />
“I am delighted to have met so many dedicated<br />
<strong>and</strong> enthusiastic staff providing services to older<br />
people, young people, <strong>and</strong> those with learning<br />
<strong>and</strong> physical disabilities. Community facilities in<br />
Newry, Bessbrook <strong>and</strong> Mullaghbawn are important<br />
to meet the needs of service users, groups <strong>and</strong><br />
carers <strong>and</strong> provide individuals with independence,<br />
control <strong>and</strong> choice in their lives. It is my intention<br />
to visit as many facilities in the <strong>Trust</strong> area <strong>and</strong><br />
meet staff <strong>and</strong> service users over the next year.”<br />
><br />
Millview staff Darren Campbell, Leon McShane, Andrew Smyth,<br />
Allyson Steenson, Roberta Brownlee, Gemma Sloan <strong>and</strong> Philip<br />
McGhee<br />
><br />
Service users Edith McGinn, Francie Kearns, William Morris<br />
<strong>and</strong> Brendan Murphy with (back row) Orchard Centre<br />
Manager Maureen Smith; Roberta Brownlee; Marie Quinn,<br />
user; John Hollywood, user; Helen O’Hare<br />
4