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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

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