MENTALHEALTHMATTERS - West London Mental Health NHS Trust

MENTALHEALTHMATTERS
www.wlmht.nhs.uk november 2009
world
Mental Health
the winners!
MENTALHEALTHMATTERS 1

Next steps
You’re probably aware that
in July this year, a report was
published by the Care Quality
Commission (CQC) following
their investigation of our trust.
The report was highly critical
of the way we operate.
RISK
We’re putting systems in place to identify and minimise
risks for patients. Everyone, from top down, has a part
to play in making sure that we learn from incidents –
by attending events and taking responsibility for reading
communications sent out.
To support staff working in the SDUs we’ve created
new jobs in the trust’s risk team to help manage
investigations. This team will also help to organise
learning events for staff and make needed information
more readily available.
Under the leadership of a
new chief executive, managers
at the trust have developed an
action plan to get the trust
back on track as the provider
of exceptional care.
Says chief executive, Peter Cubbon,
“We are all in this together.
For the plan to work, every
single member of staff has
to ‘keep pushing’. In other
words, first, we must each
take personal responsibility
for doing all we can do to
make this trust the best –
a trust where our patients
and their carers receive the
levels of care they deserve.
Second, every one of us has
a duty to challenge things
when we see they are not
being done properly and
make sure they are put
right. These are the two
key behaviours I mean
when I say ‘keep pushing!”
The trust’s board members are
responsible for checking that the
actions in our CQC plan are being
dealt with - on time and in the right
way. The trust is not only being
regularly scrutinised by its leadership
team but also by the CQC and NHS
London. These bodies need absolute
confidence that we are making the
changes required – otherwise they
may take further action against us.
Staff will be able view the action plan
via the Exchange (intranet.) NHS
London will have viewing access to
the documentation on the Exchange,
which allows them to monitor us
closely.
“It’s only when every individual fully
plays their part that you can achieve
change in the way organisations work
and what they can achieve,” Peter
adds. “If we all come to work each
day determined to put the needs
of our service users first, then we’ll
become a top performing trust.”
Below is a summary of the key
elements of the action plan. A
summary of the key action points for
each SDU is being produced by the
communications team and will be
distributed shortly.
Everyone has a responsibility to attend training in order
to develop a good understanding of the trust’s risk
strategies and to ensure lessons learnt from incidents
are embedded into their practice. Staff will also now be
expected to assess properly the actual and potential
risks that users of services pose to themselves or
others and reflect these in the risk management and/or
care plans.
REDEVELOPMENT OF BROADMOOR
HOSPITAL AND EALING SITE
The leadership team has prioritised redevelopment plans
for Broadmoor Hospital and the trust’s Ealing site and
these will be advanced with the full support of the board.
BED MANAGEMENT
Our commissioners are strengthening their role so that
together we can properly ensure that there are the right
number of beds for each patient group and a sufficient
range of alternatives to hospital admission. All staff working
in clinical areas have a job to do in making sure that our
patients get the type of care they need when they are in
our services.
STAFFING LEVELS
We are re-looking at our HR processes to make it easier
for us to recruit staff in a timely fashion. We’ve set targets
to reduce staff vacancies - and these targets will be strictly
monitored. We‘ll review recruitment campaigns and
focus on recruiting more quickly to fill staffing gaps. We’ll
be monitoring staff sickness more rigorously to identify
problem areas and using HR processes to sort them out.
The trust board has given its full support to initiatives
such as mandatory training, professional development,
leadership development, pre and post registration training,
supervision and performance development review. The
overall aim of this is to develop the trust into an employer
that attracts high calibre staff who choose to stay with
us and have meaningful careers here. For example, the
trust will develop rotation schemes for qualified nursing
staff and improve internal transfer processes, as well as
continuing to be more proactive in employing people with
mental health issues.
MANDATORY TRAINING OF STAFF
Extra mandatory training sessions are being made
available, and more locally to staff in some areas. We’re
putting in a new electronic system to help staff understand
what mandatory training they need to attend and to
book themselves onto courses. We’ll monitor and report
on attendance so that staff and their managers are clear
about what is expected of them. As a starting point we’re
reviewing the mandatory training requirements for staff
and once these are agreed we’ll be letting everyone know.
PHYSICAL HEALTHCARE OF PATIENTS
We’ll be giving the physical healthcare needs of people
who use the trust’s services a higher priority, particularly
in forensic services where the CQC report flagged it as
a more significant problem. All SDUs will have a physical
activity programme in place which will include for example
a walking group. Staff have a role to play in ensuring our
patients have equity of access to primary care services.
MEDICINES MANAGEMENT
We will continue to strengthen the role of pharmacy at the
trust so that it’s better embedded into the service delivery
units. We are reviewing resources for pharmaceutical advice
and will strengthen them if necessary, with investment so
that staff and services users receive the right advice and
support when it comes to medication.
CULTURAL CHANGE
The CQC said that the trust must develop its board so
that it can promote a more dynamic, innovative culture
that encourages staff to be enthusiastic, up to date with
current practice and highly motivated. Board members
are participating in management development to help
them raise their game to lead the organisation to new
levels of success. It doesn’t stop there, though. Every
single member of staff has a role to play in supporting
the ongoing change process at the trust so that the
culture of the organisation changes.
TRUST MUST BECOME A LEADER
For the trust to become a leader we know we need to
develop local leaders in all areas of the trust. These local
leaders will challenge things when they are not going well
and fix them so that we as a trust we will then be in a
position to start shouting about the good work being done
here, to colleagues and others outside the organisation.
NON - EXECUTIVE DIRECTORS
The trust’s non-executive directors have signed up to
closer working with patients which will help them to have
a better understanding of their experiences of using our
services. This will help them in their role of working with
the directors to improve the experiences of our patients.
MEETINGS
Work has already started to change the way meetings are
run, to streamline them so that effective decision-making
can happen more quickly.
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MENTALHEALTHMATTERS
3

Serious incident reviews
are changing
New bullying and harassment
investigation arrangements
The trust has introduced a new
route for staff to report bullying and
harassment issues at work. This has
been done in the light of feedback
from staff, via the annual staff survey,
that some staff face difficulties
with bullying and harassment from
colleagues at work.
Last year the board commissioned
Middlesex University to conduct
research into all aspects of bullying
and harassment in order to better
understand the issue and to improve
systems and processes.
A number of
recommendations were
made in the report:
• Revise the bullying and
harassment policy to include
deadlines for investigation
completion.
• Provide staff with an alternative
route for reporting complaints.
• Consider appointing
independent investigators.
• Use an external organisation to
monitor bullying and harassment
cases and staff experiences for
those who have used the revised
arrangements.
In addition to the existing methods,
staff can now report bullying via the
email address bullyingcomplaint@
wlmht.nhs.uk
Bullying and harassment
investigations will now be carried
out by a specially trained member
of staff from CNWL (Central and
North West London Foundation
NHS Trust). The investigator from
CNWL will be supported by a
member of staff from this trust’s
human resources consultancy team
– who will provide administration
support only.
A revised bullying and harassment
policy has been produced that sets
out deadlines for acknowledgement
of complaints and for completion
of investigations. The policy can be
found on the Exchange by clicking
the policies and procedures button
on the front page.
The trust will provide data for
Middlesex University who will
monitor performance against
the set deadlines and with their
agreement, Middlesex University
will also ask for feedback from
staff who have used the new
arrangements.
Befriending scheme
In conjunction with the new
reporting arrangements, staff can
make use of the trust’s befriending
scheme, run via Ealing BME staff
network and open to all trust staff.
A befriender is a member of staff
who will support work colleagues
going through work place difficulties.
They will be trained to provide an
impartial and objective listening
ear and have knowledge of
different sources of advice. They
can stand along-side an individual
to give emotional support during
investigatory meetings and hearings.
For information on this please
contact: maura.dillon@wlmht.nhs.uk
The Care Quality Commission told
us that we must change the way
serious incident reviews are dealt
with at the trust. Timandra Dyer has
been appointed within the trust’s
risk team to overhaul the system.
Work on this project has now
started and from January onwards
serious incident reviews will be run
differently.
Timandra says, “The first step for
me is to work my way around
the trust talking to people and
explaining the main changes which
can be summarised as:
Valuing Difference -
Quality Awards 2009
Thanks to the joint efforts of staff and service users
things are really looking up for the women patients at
Lakeside. A women’s strategy led by Kingfisher ward’s
Dr Chandra Weerasinghe and Simba Kaseke, has been
the driving force behind the changes.
Lakeside already has in place a bright new child visiting
room, a dedicated women’s inpatient consultant
psychiatrist along with a new weekly peri-natal
psychiatric clinic at West Middlesex Hospital.
• To support staff who are
involved in serious incident
reviews – by providing central
help in co-ordinating reviews and
administration support.
• To make sure staff, patients and
their relatives get good quality
feedback following reviews.
• To make sure that we are
continually monitoring the quality
and timeliness of our reviews
to make sure they comply with
standards set by the strategic
health authority and the National
Patient Safety Agency.
This is a positive move for the trust
and will have a big impact on our
work to improve the experiences of
patients at the trust.”
Contact Timandra if you have any
questions: timandra.dyer@wlmht.
nhs.uk
Women’s services get a make-over
at Lakeside Mental Health Unit
Having completed delivery of a women’s strategy,
the team at Lakeside has now formulated a further
three year work plan to maximise a specific gender
service. All of the environmental improvements on the
ward have been driven by feedback from the women.
A hairdressing and beauty salon has replaced the
smoking room, and there is now an extra lounge on
the ward, which provides space for activities such as
a weekly dance group and regular yoga sessions. The
ward activity programme has been developed based
on service user choice, and consists of a women’s
health forum and a clinic on the
ward to address all aspects of
women’s health on an individual
basis. There is also a breakfast
club in which the women join
occupational therapy and nursing
staff to go shopping and cook
breakfast for other women.
4
MENTALHEALTHMATTERS MENTALHEALTHMATTERS 5

Quality Awards 2009
On Friday 13 November the annual
Quality Award celebrations took
place in a hotel near London. 247
entries made this the biggest year
to date in the history of the trust’s
Quality Awards! Nominations were
sent in from staff, service users
and carers recognising exceptional
members of our staff, the best of our
Service user & carer award
Winner: Becky Lodge,
head of occupational therapy
and rehabilitation, The Orchard.
West London Forensic SDU.
A nomination from a patient in the Orchard led to
Becky receiving this award. She said: “Becky brings a
sense of normality to the life of being in a hospital
environment. For example thanks to her, someone
brings in homemade rolls to the unit and she organises
for bands at times like Christmas to give us some
entertainment. She organises for volunteers or people
from an educational background to come in and do
street dance, craft groups, newsletter groups, book
clubs. She does all of this from a small pot of money.
Becky is so creative and we are blessed to have her in
the Orchard. She should receive great recognition for
her efforts. Becky Lodge is my great inspiration.”
Runners up:
Laurence Drew, healthcare assistant, Broadmoor
Hospital SDU.
Heather Tomlinson, senior clinical psychologist,
Broadmoor Hospital SDU.
teams and a number of the trust’s
extraordinary volunteers.
During July, judging panels, chaired
by the trust’s directors had the
difficult job of agreeing upon which
teams or individuals should top
the categories.
This year the winners are.....
Unsung hero – non-clinical
Winner: Sharon Mahmoud,
ward administrator, area 1,
H&F Mental Health Unit.
Hammersmith & Fulham SDU.
Sharon was nominated by Dr Michael Phelan, clinical
director of Hammersmith & Fulham SDU, who said:
“Sharon has always adapted well to the changing
demands of her role and is someone who makes
sensible and useful suggestions about how things can
be improved. She is highly organised and efficient.
However, what really stands out about Sharon is the
way she always has time for people and her friendly
warm manner has a profound influence on the whole
ward. Despite having her own heavy workload she is
always willing to stop doing what she is doing to say
hello to someone and give them a helping hand.
She treats everyone in a friendly and open manner.”
Runner-up:
Pauline Wilson, application support manager, IM&T
department.
Valuing difference
Winner: Kingfisher ward,
Lakeside Mental Health Unit.
Hounslow SDU.
During the past year the team on Kingfisher ward has
demonstrated an ability to deal positively with change
in moving from being a mixed ward to a women only
ward. Service manager, Suzanne McMillan says: “The
team has tirelessly worked to research and network
with experts in caring for women and has been
committed to providing the most effective services
for women. They have listened to others in Lakeside
with experience of supporting women with often
multifaceted complex problems involving their mental
health and social systems within their family network.
Every nurse on the ward has attended national
training to develop their skills in delivering services to
women on the ward.”
Runner-up
Women and family services, Hounslow SDU.
Views into Action
Winner: Ajay Dhoopnarain,
team manager, Brentford,
Isleworth and Chiswick (BIC) community
mental health team.
Hounslow SDU.
Jennifer Fellows, head of nursing for Hounslow SDU
nominated Ajay for the award. In the nomination
Jennifer talked about Ajay’s leadership of the Hounslow
nurse research group, which has been successful
in getting two pieces of their research published in
national journals. Says Jennifer: “This was down to Ajay’s
ability to motivate group members into undertaking
these pieces of research and making sure that they
were addressing contemporary issues with clear
positive outcomes for both service users and staff.” The
nomination also talked about Ajay’s success in putting
views into action in the community mental health
team which he leads. For example, his team set up a
physical healthcare clinic to help service users access
primary care activities. Jennifer also said: “Ajay had led
on reviewing how effectively the duty team works and
has successfully implemented the actions resulting from
a borough wide audit of referral pathways. This led to a
standardisation of systems across the three community
mental health teams; improving the referral pathway and
the subsequent management of referrals.”
Runners-up
Older people services, Ealing SDU.
CAMHS user involvement group, Hounslow SDU.
6 MENTALHEALTHMATTERS
Our event sponsors:
MENTALHEALTHMATTERS 7

Unsung Hero-Clinical
Winner: Stephen Urry,
clinical team leader, John Conolly wing.
Ealing SDU.
Stephen Urry was nominated for the award by Bridget
Ledbury, director of Ealing SDU. She says, “I was
particularly impressed by Stephen’s actions during a
serious untoward incident at work, recently. Stephen
was extremely professional, contained the anxieties
of staff, reported upwards appropriately and gave
exceptional levels of support to the family concerned.
He is an outstanding member of our staff team, a good
role model for others and someone who has immense
pride in the work he does. I am continually impressed
by the compassion he shows for the work he does,
his enthusiasm and the respect and dignity he shows
patients, their carers and colleagues. Stephen always
responds well to challenges at work, he learns from
events and is always striving to improve his knowledge
and practice and that of colleagues.”
Runners up:
Mary McCaffrey, inpatient sector manager, John Conolly
wing, Ealing SDU.
Duncan McDougall, healthcare assistant, Broadmoor
Hospital SDU.
Leadership
Winner: Lilian Hove,
clinical nurse manager, The Orchard.
West London Forensic SDU.
Lilian was nominated by a colleague from the Orchard,
Gillian Tuck. She describes Lilian as “exceptional in
the way she manages and leads the nursing team and
collaborates with her MDT colleagues to provide a
specialist service for the women patients.” Gillian cites
her clear vision for the ward and her drive to achieve
that vision as exceptional. She says that: “Lilian helps
nurses to understand patients’ complex presentations.
She also helps them to reflect on the challenges of
their work by ensuring her team regularly accesses
group and individual supervision. Lilian uses her
skills as a teacher to educate nurses and regularly
co-facilitates training workshops both within the
service and at a trust level. One of Lilian’s biggest
achievements has been leading the implementation
of preceptorship within the women’s service. Thanks
to Lilian all newly qualified nurses now complete the
trust preceptorship programme – she has completely
turned things around.”
Runners-up
Steve Dudley, head of occupational therapy services,
West London Forensic SDU.
Jane Kelly, assertive outreach and early intervention
services team manager, Hounslow SDU.
Lifetime Achievement
Winner: Clive Bonnett, senior clinical
nurse specialist, PMVA.
Broadmoor Hospital SDU.
Clive has worked at Broadmoor Hospital for over
30 years, initially as a nurse and since the 1980s in
the PMVA department as a tutor. Says Gail Miller,
associate director of risk reduction: “During this time
Clive has demonstrated the core values essential for a
caring profession, his key objective is clearly aimed at
maximising the quality of life of the patients in his care
and ensuring that Clive’s experience and knowledge
has informed policy and practice across all services
in the trust. He also influences practice nationally and
internationally via a network of trainers educated
at WLMHT. Over the years he has contributed
to valuable research, informed publications and
contributes to a national working group via NHS
Security Management Services. His specialist
knowledge has informed a number of developments in
this area of practice.”
Runners-up
Prof Tom Barnes, professor of psychiatry, director of
research and development.
Kelvin Cheatle, executive director of workforce and
environment.
Volunteer of the Year
Winner: Kwabena Mehutusekamen
Kwabena was nominated for the Quality Award by
David Nicholson, a music therapist in the John Conolly
Wing in Ealing. He said: “Since becoming a volunteer
in February 2008, Kwabena has shown remarkable and
dependable dedication to setting up and establishing
the John Conolly wing inpatient drumming group.
What started out as a weekly session on a short fixed
term pilot project that Kwabena was involved with as
a volunteer has grown, through the trust’s recognition
of its impact, to become a fully funded group that
meets two evenings a week. Kwabena’s willingness
and selflessness in volunteering his services in the first
place has been a crucial factor in enabling us to get this
important group off the ground in the first place.”
Runners-up:
Kay Kensall (see page 19 for interview)
Marco Borria (Hammersmith & Fulham volunteer.)
8 MENTALHEALTHMATTERS
MENTALHEALTHMATTERS 9

Team of the year
Winner: Activities co-ordinators,
men’s services.
West London Forensic SDU.
The activities co-ordinators are a team of twelve
healthcare assistants, from a variety of wards.
Their roles were originally ward based. However
in response to identified need and due much to
their own initiative and motivation – over the last
year they have come together as a group and have
implemented a programme of cross-ward activities
for service users, which are delivered at weekends
and in the evenings as well as during the day. Says
SDU director Andy Weir, “I cannot stress enough
the difference that this group of staff has made to
the quality of life of our service users. They have
developed activities in direct response to patient
requests and in partnership with them. They have
engaged a number of service users who have been
particularly unwell or very challenging in their
behaviours. The group is now training and supervising
volunteers to further develop the groups and
activities. Their enthusiasm, commitment and patient
focus is commendable and they really deserve to be
named as team of the year.”
Runners-up:
Mental Health Act Office, corporate services
(Ealing and Broadmoor).
‘FIRST’, early intervention service, Hammersmith &
Fulham SDU.
Service Excellence Award
Winner: Finance department
The winner of the service excellence award is selected
by the trust’s executive directors. This year the award
has gone to the trust’s finance team. Lesley Stephen,
director of strategy and performance says:
“We decided to give this year’s award to finance due
to the professional integrity and excellence they display
at work day in day out. They understand the business
of the trust extremely well which enables them to give
exceptional levels of support to the service delivery
units and corporate services.”
Chairman’s Award
Winner: Mary McCaffrey,
in-patient sector manager,
John Conolly Wing, Ealing SDU
The chairman, Nigel McCorkell says, “I am delighted
to present the chairman’s award for 2009 to Mary
McCaffrey.
Mary has been with the trust for the past 28 years. In
that time, she has become known for her dedicated,
optimistic, warm and caring nature. She has been
described by staff, service users and carers as a nurse
who goes above and beyond to help those who are in
need. Her modesty prevents her from accepting praise;
she always attributes it to her team. In fact, one of her
colloquialisms is, “I measure my success by the success
of others around me. The Trust is proud to recognise
Mary’s commitment to excellence and patient care,
which epitomizes the values of the trust and the spirit
of the Quality Awards.”
Innovation
Winner: Hounslow community
adolescent team.
Hounslow SDU.
Following an audit in 2005, the team became aware that
they were good at asking their clients about education
and employment but there was a gap in practical support
in this area for a group of young people who often have
specific difficulties in this area. The audit also showed
that some young people were hesitant about using
the service due to the perceived stigma. Dr Wendy
Vogel, consultant child and adolescent psychiatrist says,
“The team built up a relationship with Connexions
to engage young people with mental health services,
overcoming barriers to access. The team now offers
an enhanced package of care for young people which
includes additional support for those with mental health
difficulties in college, sourcing of appropriate education
and employment opportunities and preparation for
work. Working with a specialist teacher the team has
successfully maintained a vulnerable group of young
people with mental health difficulties in
mainstream education.”
Runners up:
Dual diagnosis project, Hounslow SDU.
Crisis resolution and home treatment team,
Hounslow SDU.
10 MENTALHEALTHMATTERS MENTALHEALTHMATTERS 11

World Mental
Health Day 2009
World Mental Health Day was
celebrated in colourful style this
year with events ranging from
a service user art exhibition in
Brentford to a tea dance in Ealing
and a staff against service user
football match in Isleworth.
As always the day provided an
opportunity for trust staff to raise
awareness of mental health and to
provide hope, optimism and well
being for people with mental health
problems.
Café on the Hill – work rehab
Black History month was celebrated in style in Café on the
Hill on World Mental Health Day. Pictured is Mary Byrne,
Nuala Muldoon and Ruth Reynolds.
Sycamore Lodge
A tea dance extravaganza for service users, carers, families
and staff.
Hounslow Hawks
The Hounslow Hawks
hosted the 2nd Annual
World Mental Health Day
Shield Challenge. Hounslow
Hawks and Hounslow SDU
staff played an 11 - a - side
football match. The final score
was 8 - 2 to the Hawks!
Left:: Darren Ramchuran and
Chris Rabbitts, service user
captain of the Hawks
John Conolly team – Ealing SDU (above)
The team ran an anti-stigma event in the main foyer of
Ealing Hospital.
Watermans arts centre - Hounslow SDU
A service user art exhibition
12 MENTALHEALTHMATTERS
Broadmoor Hospital
The recovery and social
inclusion sub-group
organised a week’s event
in the central hall and caffé.
Good Vibrations facilitated
a range of Gamelan
(Indonesian percussion)
workshops for patients.
The Orchard
– Ealing SDU
In the morning a range of
stalls in the Orchard included
cake decorating, nearly
new clothes, healthy eating
information, body transfers,
massages and makeovers
courtesy of the Body Shop.
The band Sound Minds played a number of tracks during
the afternoon with foods from around the world on display,
provided by each ward courtesy of the activity coordinators.
Competitions on the day included posters and cake making
which everyone voted for throughout the day.
Hammersmith & Fulham SDU
By day staff in the Hammersmith & Fulham Mental Health
Unit ran a music and world foods event – with table
tennis competition. This was topped off with an evening of
karaoke for patients and staff.
Ealing town hall
A partnership event between the trust, Ealing PCT, Ealing
Borough Council, Ealing Mental Health Forum and Ealing
Community Network attracted lots of interest.
Ealing BME talent contest
The Ealing BME NHS staff network 7th annual anniversary
event held at Ealing Town Hall proved to be a great
success. The audience cheered their way through eight
superb acts from guitarist and singers to Irish dancers.
The winner of the adult competition was solo singer,
Louise Benjamin and for the children’s contest, three
Irish dancers topped the bill. Bernie Collins, organiser
of the event was yet again impressed by the raw talent
and enthusiasm displayed. She commented “Never mind
Britain’s Got Talent, Ealing has Talent, and we certainly have
some shining stars in our borough. Bernie added that
“everyone’s a winner as each performer received a BME
certificate.” A BME seminar took place earlier in the day
with guest speaker Dr Vivienne Lafar-Cisse.
Rehabilitation, recovery and independent living services team from the Limes
ran a stand informing people of the services they provide. Pictured from the left
is Robert White, Mike Foley, Punita Sharma, Nuria Bara-Carril, Rinaldo Meza,
Amy Lyon, Rashid Siddiqui, and sitting down below - Abbi Shaw. MENTALHEALTHMATTERS 13

Broadmoor’s
health at work team has moved!
The health at work team has moved to new
premises, ‘The Redwoods’. The move brings
together occupational health and staff counselling
and support services which will enable the team to
offer improved facilities under the same roof. The
new building offers two counselling/support rooms,
two occupational health consulting rooms, one
therapy room for reflexology and physiotherapy.
Samira Ammounah, staff counselling and support
services manager, says “These new premises offer
Our buildings
on the Exchange
Pam Scott from capital development has been working
closely with the estates and facilities team to develop a
new page on the Exchange called ‘Our Buildings.’ Pam says,
“the trust did not have an electronic property portfolio
that was accessible for all trust staff. It is hoped that the
page will be particularly useful for new staff, especially
those who have to travel around the various sites. In
order to develop the page further, there are plans to
incorporate items such as key performance indicators on
space utilisation, sustainability targets and other strategic
property information. The ultimate aim is to directly link
the page to estates and facilities current information
systems to provide as up to date information as possible.”
To access the page, click on the “Our Buildings” tab on the
left hand side of the home page. This opens a page showing
a map of the three boroughs with an arrow directing the
user towards Broadmoor in Berkshire. The user can then
click directly into a borough to reveal a map identifying the
properties and subsequent web directions to get there by
entering the starting post code.
us the excellent opportunity of further developing
working alliances with our occupational health
colleagues. The way I see it, we all share one vision
and that is to provide a service of excellence to
our staff. From my team we offer the psychological
support and from our occupational health team we
offer the physical support - a perfect partnership.”
The Redwoods is located on Kentigern Drive. To
speak to a member of the team call 01344 75 4310
(Broadmoor) or 020 8354 8177 (Ealing).
Alternatively, to access more information about
individual properties, click on the drop down menu
on the right hand side to select a property and
reveal information about parking options, opening
times, photographs and contact numbers. The “Site
Information” tab provides more detailed information on
running costs, tenure, and usage.
If you have any suggestions on the page or would like to
see particular information property information displayed,
please email Pam at pamela.scott@wlmht.nhs.uk
new staff
side Team
Pictured from the left is Marie, Arthur and Gavin
Trust staff who are members of The British
Medical Association (BMA), Chartered Society
of Physiotherapists (CSP), Prison Officers
Association (POA), Royal College of Nursing
(RCN), Unison and Unite are eligible for staff
side representation.
Staff side conveys staff views to management and vice
versa and represents and negotiates on behalf of staff, on
all day-to-day work related issues. Recently three new
staff side officers were elected as part of a restructure to
embrace modern employee relations. This means staff side
representatives and all managers in the trust can embed and
move towards partnership working, staff engagement and
involvement.
It is hoped these changes will bring a positive experience for
all: patients and carers, staff and managers, and will assist in
staff moral, job satisfaction, career development and good
working relationships.
Staff side convenors are supported by over 50 union
representatives across the trust who perform representation
and negotiating duties. In addition there is a dedicated team
of health & safety, learning & development and e-learning
representatives. A vacancy exists for an equality and diversity
representative. If you are interested in becoming a specialist
representative in this field, please contact the following:
Staff side chair:
Arthur Muwonge 020 8354 2122
Staff side convenors:
Marie O’Brien (Ealing) 020 8354 2107
& Gavin Ryan (Broadmoor) 01344 75 4481
Employee of
the Month –
relaunched
The trust’s Employee of the Month
scheme has changed.
As before if you work
with someone who is
deserving of this award
– send a brief email
detailing the reason why
to the chief executive
(Chief-Executive@
wlmht.nhs.uk).
Alternatively you
can write to the
Chief Executive c/o
communications department, trust HQ,
Uxbridge Road, Southall, UB1 3EU.
In the past the chief executive looked
through the nominations and made a
decision. In order to make the scheme more
inclusive the nominations will now be judged
by a panel including the chief executive,
director of nursing and patient experience,
staffside conveynor and a service user or
carer representative. The communications
team will publicise the result and arrange for
the chief executive to visit the winner in his
or her place of work to present them with a
certificate, a £25 Marks & Spencer voucher
and the guarantee of two tickets for the
trust’s annual Quality Awards ceremony.
Get your nominations in now for
December’s award.
16 MENTALHEALTHMATTERS
MENTALHEALTHMATTERS 17

Personality disorder
and the nurse to patient relationship
Over 100 nurses from the trust and across the UK who
work with personality disorder, attended a conference
at the Learning & Development Centre, Broadmoor.
The conference aimed to address interpersonal
complexity for nurses and to provide plenty of space for
discussion and reflection by the delegates.
Anne Aiyegbusi, head of nursing at West London
Forensic Services delivered the keynote presentation.
Anne conveyed the message from her research study
that with personality disorder, the distress and struggle
experienced by people who have this diagnosis is
often difficult to identify, especially when relating
interpersonally.
Andy Brooker, a current service user with a diagnosis of
severe personality disorder, and director of Borderline
UK and Personality Plus was supported in part of his
presentation by two nurses who had previously worked
with him. They held an informal conversation on how
nurses can experience a transformative and mutually
hopeful relationship working with this client group.
A training DVD developed and produced by the
Dangerous & Service Personality Disorder (DSPD)
Consultants training on carers
Around 25 consultants trust wide including deputy
medical directors and clinical directors attended training
sessions on carers, organised by Mahbub Khan, carers
support officer, Ealing SDU. The main aim was to give
information about government legislation on carers and
how clinicians can assist carers to improve the welfare
of service users.
In 2004 the Royal College of Psychiatrists joined the
Princess Royal Trust for carers in an initiative ‘Partners in
Care’ working together to make a real difference. The
campaign aimed to promote effective communication
and partnership between mental health professionals
and carers of people with mental health problems. A
major outcome of ‘Partners in Care’ was the proposal
to involve carers in the training of psychiatrists. In
June 2005, the Royal College of Psychiatrists made it
mandatory to involve patients and carers and to include
patient and carers modules in psychiatric training.
Members of the DSPD team
unit was shown, outlining principles for effective
boundary setting and maintenance, and how boundary
phenomena can manifest itself in day to day practice.
Dr Neil Gordon, a former consultant nurse at the
personality disorder service, Rampton Hospital said
that nurses are uniquely placed to work collaboratively
with service users to avoid further experiences of
stigmatisation and rejection.
A plenary session at the end of the day enabled
participants to reflect on their learning.
Anne Aiyegbusi expresses her thanks to Janet Holding
who administered the conference and to Dr Gwen
Adshead, consultant forensic psychotherapist and John
Carthy, consultant forensic nurse who chaired the day.
Dr Sarwat Nauroze says “I found the training really
thought provoking and informative. It was clearly one of
the most clinically relevant training programmes
I have attended this year. I really appreciate Mahbub
Khan for arranging it.”
The good and bad
of mental health
Interview by Alison Nunan, communications officer
Kay Kensell – a volunteer’s story
Runner up – Volunteer of the Year – Quality Awards 2009
I understand that you were a
service user before becoming a
volunteer
Yes, I suffered a nervous breakdown
about nine years ago. I had a very
stressful life at the time and I was at
home looking after my two young
children. I was admitted to John
Connolly wing.
What was your experience as a
service user
I had never suffered with mental
illness before and it was very
traumatic. I was admitted twice to
the ward and was on medication
for about nine months. I was
embarrassed and didn’t want to tell
anyone that I had a mental illness. It
was also difficult for my family to
understand what was happening but
they were extremely supportive. It
took me a long while to recover.
As part of my recovery I went to
Australia for six weeks and spent
a lot of time with friends. I also
received good care and support
from the staff in John Connolly.
What made you decide to become
a volunteer
I saw a sign at Manor Gate which said
‘volunteers needed at West London
Mental Health Trust, service users
and carers are welcome.’ I stood
there and thought ‘I could do that.’
Tell me about becoming a volunteer
I attended four induction sessions
and after an assessment about which
area would be most suitable for
me to work in, I was placed in the
PALS office for about a year. As my
confidence grew, I started doing the
trust induction presentation ‘service
user and carer experience.’ Then
a position came up as an activity
sessional worker in the John Conolly
wing. I really enjoy talking to people
and it was an opportunity for me to
put my own experiences of mental
health issues to good use.
..............................................
“I was embarrassed
and didn’t want to tell
anyone that I had a
mental illness. It was also
difficult for my family
to understand what was
happening but they were
extremely supportive.”
..............................................
You have returned to work, do you
feel the benefits of being a volunteer
has helped you
Most definitely, it has built my
confidence, given me a focus and
taught me many new skills. With the
support of Pat McGrath, volunteer
services and PPI manager I pushed
myself forward in applying for jobs
and going for interviews. I now work
one evening a week in the new salon
for the women’s ward at Lakeside. I
work on my own with the support
of a co-worker and beautician. I
really enjoy seeing the reaction from
patients when I’ve done their hair, a
facial or painted their nails. I also do
service user monitoring at the John
Connolly Wing on behalf of Loud
and Clear user involvement project.
This involves running four monitoring
sessions a month on patient care. I
follow the process through from
beginning to end and it is great to see
changes being implemented.
You have been shortlisted for the
Volunteer Quality Award, how do
you feel about it
I feel priviledged to be nominated by
Beulah and the occupational health
team. They have been so supportive.
I’m more concerned about what
to wear on the night of the awards
ceremony rather than winning!
What is your outlook on mental
health now
It can happen to anybody, anytime,
anywhere. It’s completely changed
my outlook and I support the trust
in reducing the stigma surrounding
mental illness.
18 MENTALHEALTHMATTERS
MENTALHEALTHMATTERS 19

Housekeepers
New therapy mall at
Broadmoor will help
patients recover
In an innovative move to improve care
on inpatient wards, the St Bernard’s
estates and facilities department is
introducing housekeeping staff to the
ward multidisciplinary teams.
Housekeepers perform a unique function within
wards and work to ensure there is a high level of
coordination and continuity of services between the
wards and estates, domestic and maintenance staff.
“We work to ensure wards are clean, warm and
welcoming by focussing on a variety of tasks which
can include ordering levels, arranging repairs,
clearing out obsolete equipment and ensuring
adequate levels of food and linen are provided on
the ward,” said housekeeper Tarek Saadi.
“The housekeepers have been an invaluable
help to each of the wards,” commented Mary
McCaffrey, service manager for the John Conolly
wing. “These tasks have traditionally been
performed by nursing staff. However, the presence
of the new housekeepers is giving clinical staff
additional time to dedicate to direct patient care.”
The new system is currently being trialled on
four wards in the John Conolly wing (Coniston,
Beverley, Windermere and William Sergeant)
and three wards in the Tony Hillis Wing (Rollo
May, Blenheim and Avebury ward). The vision
is that this will in time extend to all inpatient
units across the trust. Housekeepers are taking
responsibility for ward stores, linen and catering
services, working closely with ward managers and
team leaders and other nursing staff to improve
patients’ experiences.
Housekeepers, Luis Simoes and Tarek Saadi.
(Housekeeper, Andrew Jones was not available for the photo.)
One central place where patients
can come to shop, receive therapy
and have a meeting, take part in
a social work or have a coffee.
It’s called the therapy mall and
it is planned as the model for a
much bigger area when the new
Broadmoor is built.
The advantages are that patients
can have more time away from
the ward, can see advocates and
even have legal meetings, all in one
central area. So the new therapy
mall is a major development, taking
place in Broadmoor now. The caffé
has already been improved. And
by next March the whole mall will
be complete.
Appointed as operations manager
of the therapy mall project, Jacky
Glover (right) brings to the job
her experience as a nurse in the
acute sector, 13 years as a practice
manager in a GP surgery, and six
years as a PA and admin manager at
Broadmoor. So why does she want
this job
“I think it’s a fantastic challenge
and a really exciting job,” she says.
“Together with staff working in
the mall, I believe we can make a
difference to the quality of life of
the patients and the best way to
do that is to get them off the ward.
The new clinical recovery model
BSc for Broadmoor
Broadmoor Hospital has been given authorisation
to develop a BSc in advanced forensic practice in
association with the Tavistock Clinic and accredited
by Middlesex University.
has a target that all
patients who can leave
the ward should have
25 hours activity every
week away from their rooms.
“But they have to want to do that,
and at the moment the activities
are limited. There is a tendency
for them to stay in their rooms
with their TV and DVDs and
get comfortable. I want to ask
the patients what they want and
then see how we can provide the
kind of activities that will make a
difference.”
Jacky will be talking to staff and
patients about the details of
organising services, together with
a robust booking system to make
sure that the patients who come to
the mall are well enough and that
supervision is carefully managed.
Clinical improvement manager Tony
Hopkins adds, “In the improved
mall patients can be involved in
more activity than they are at the
moment, and escorting can be
reduced. It means a clinician does
not have to go to the ward to see
one patient, then onto another
ward. Two or three patients can
come to see them. That is right
because this is not taking place
within their living space.
Rod Ramsey and Kirk Frew
“The therapy mall will provide social
activities, treatment areas, a place
to watch films and play bingo. All
of these activities take place now,
but in different parts of the hospital.
By centralising them we provide a
much more attractive environment
for mixing and socialising and
reduce dramatically the time wasted
by both patients and staff just
moving around the site.”
Contact operations manager,
Jacky Glover on x4456.
Please note that Jacky is
responsible for booking the
museum room and central
hall within the building.
Says consultant forensic nurse, John Carthy, “This
is really good news and makes us the first mental
health trust to run a course of this kind. A curriculum
development group will now be established and our
first piece of work will be to develop the course
handbook. We hope to be able to deliver the new
BSc by October 2010 at the Broadmoor LDC.”
From left to right is Mary McCaffrey, Anna McLoughlin, Harry
Ramsamy, Jennifer Holmyard, Tarek Saadi and Luis Simoes.
20 MENTALHEALTHMATTERS MENTALHEALTHMATTERS 21

moving
on up
starters
If you would like us to feature a colleague in moving on
up send an email to communications@wlmht.nhs.uk
Ali Nunan, communications officer
Lucy McGee is the trust’s director of communications. She comes to us from a leading firm of
business psychologists and has a strong background in corporate communications, branding and
PR. The purpose of her role is to help create a positive relationship between the trust and the
community it serves. This will include forging a stronger united identity for the trust and promote our
strengths and achievements to everyone. “I’m hugely excited by the opportunity to be part of the
change here. Tara, the team and I will be working with you all to build our reputation as a successful
trust that puts the service user first in everything we do,” Lucy says.
The communications team is pleased to welcome Sophy Meyers as communications assistant.
She has a degree in physiology and is a qualified swimming instructor. She will be supporting the
team to provide communications both inside and outside of the trust. She says: “I can’t wait to get
involved in communications and I look forward to getting out and about to meet staff.” Sophy is
contactable on x2276 or via groupwise.
Christine Higgins became a non-executive director of the board this month. Trust chairman,
Nigel McCorkell says: “I would like to welcome Christine to the trust’s board where her skills and
experience will be put to good use in helping us ensure that the trust is delivering exceptional levels
of care to our local populations and using public funds appropriately. Christine has been chosen to
lead the trust’s audit committee due to her broad-ranging experience in the financial sector over a
number of years.”
Allen Howe and Suzanne Godsell have been appointed as assistant
directors of estates and facilities, working under the direction of Barbara Wood.
Allen is now responsible for all estates issues in relation to the St Bernard’s site
and all of the Ealing community sites. He has trustwide responsibility for cleaning,
catering, laundry services and portering. Allen joins the trust from The Hospital of
St John and Elizabeth, and before that he was with West London Shared Services
and Guy’s and St Thomas’ Foundation Trust.
Suzanne is responsible for estates issues in Hounslow and Hammersmith & Fulham. She has trustwide responsibility for
performance management of all estates and facilities work at the trust. Suzanne joins the trust from a banking organisation
in the city where she was a director of facilities & support services. Prior to that she was group head of facilities
management for the Genesis Housing Group in west London and head of facilities services at University College London.
Reverend Charlotte Collins has joined the trust’s spiritual and pastoral team. She has a
background in education and counselling and for the past six years has been a circuit minister in
Oxfordshire. Charlotte will act as a spiritual care resource for Ealing and Hammersmith & Fulham
SDUs supporting the development of inpatient, outpatients, community and outreach teams. She
will also provide training where required developing links with community based voluntary agencies
to enhance an understanding of mental health issues. Charlotte says: “I am looking forward to the
challenge for spirituality and spiritual needs to be taken seriously and included in a holistic approach
to patient care and to help implement the department’s vision for spiritual and pastoral care over
the next three years.”
movers
Alena Buttivant has moved from
L&D to risk reduction and will manage
the new serious untoward incident (SUI)
system and monitor level 1 and 2 serious
incident reviews. She will also work
closely with Timandra Dyer in the process
of changing the way serious incident reviews are currently
dealt with at the trust. “I believe the new process will bring
clarity and guidance on how to undertake a good quality
review following an SUI, from which lessons can be learned,
shared and patient care improved,” says Alena.
Maura Dillon has joined the diversity
unit on a secondment. She says: “I
am looking forward to increasing my
knowledge of diversity issues and
developing new skills.” Maura will support
the team in delivering the diversity agenda
for the trust. Specifically this will include
the implementation of the Befriender Scheme which aims
to support staff who are being bullied or harassed at work,
improving our diversity monitoring to ensure initiatives already
in place are achieving positive results for staff, and providing
specialist advice on various investigations where issues of
diversity and equal opportunity are paramount.
Congratulations
Pictured from the left is: Vijay Kumar, Mike Jones,
Anna Mcloughlin and Elizabeth Uche.
Diplomas in education.
Recently five nurses from
Ealing and Hounslow SDU
have completed under and
post graduate courses. Mike
Anjoyeb, lead nurse says:
“This demonstrates that the
trust and nursing directorate are committed to supporting
staff in their personal development, up-date their evidence
base knowledge practices and enhance the quality of care
throughout the patient journey.”
Royal College of
Nursing union
representatives
appointed.
A successful
recruitment day was
held at Broadmoor by staff side convenor, Marie O’Brien on
behalf of the Royal College of Nursing (RCN) to increase
nursing union representatives. Three new representatives,
Yani Chocalingum, Offered Muchedzi and Tande Tanyaradzwa
were appointed. They will help support RCN nursing union
members to give support and advice with work related issues
and ensure that individuals are treated fairly. The event was
well attended by nursing staff, diversity and human resources
personnel. If you would like to find out more about becoming
a representative, please contact the staff side convenors for
Broadmoor and Ealing on 07800 820152.
leavers
Domestic assistants, Rajwant Mahli and Gladys
Gadzanaki, have retired after working 32 and 13 years
respectively. Jennifer Holmyard, support services manager
says: “I have found Rajwant to be a real asset to the team.
It was a real joy to meet her daughter and granddaughter
at the retirement party. I would also like to say thank you
to Gladys for the work carried out in staff accommodation.
She always had time to talk to the tenants and they found
her to be very helpful. We will miss her loud and bubbly
presence and wish her well in her retirement.”
Sam Armadass, clinical team
leader, has retired after 30 years
of service on Canterbury Ward at
Broadmoor. Gladmore Maringa says:
“Over the years he has remained
the constant on Canterbury, with
unquestionable commitment to his job. I and many others
see him as a true role model, he has represented the
hospital across the UK borders and internationally in
badminton and golf competitions. The patients hold him
with great regard and staff see him as a true beacon.”
It was an emotional farewell for
Mohinder Lakhan, health care
assistant in the Coniston Ward, John
Connolly Wing. Mohinder has worked
for the trust for 36 years working in
many different areas. She says: “This has
been my first and last job and I love it. I particularly enjoyed
working with the elderly and I will really miss my colleagues.”
Ward manager, George Mamombe says: “She will be greatly
missed by the team. We appreciate her hard work over
the years. I sincerely believe that patients benefited from her
caring nature.”
At Veronica Latibaudiere’s
retirement party she spoke to
colleagues and patients about how
much she enjoyed every minute of
work. She felt she had done
something meaningful in her life by
being a healthcare assistant for the older people’s service
in John Connolly wing. Mike Anjoyeb, lead nurse says:
“She is a generous, caring and bubbly person who always
strives to enhance the quality of patient care. We shall all
miss her.” Veronica has worked for the NHS for 33 years,
16 of those being at the trust. She plans to return to her
hometown, Jamaica.
22 MENTALHEALTHMATTERS MENTALHEALTHMATTERS 23

every picture
tells a story
Getting to the heart of it in Ealing
Dietitians, Lori Coleman, Fiona Rezannah and Jon Lucas, alongside
physical activity advisor, James Fishlock organised events in
Ealing to celebrate World Heart Day. Patients and staff became
involved in a wide range of activities including a heart health
quiz. Physical activity advisor, James Fishlock used pedometers
to demonstrate how many steps individuals need to take each
day for optimal health and Fiona Rezannah said “fresh fruit was
enjoyed by all present and the event was a great success.”
Watch your back!
As part of BackCare Awareness Week, manual
handling advisors from the trust, Ealing Hospital and
Ealing PCT held information stands to promote
awareness of back pain, the issues surrounding it,
including prevention management and treatment.
Victor Buckman says “apart from the variety of
information provided, staff particularly enjoyed the
free massage that was provided and the competition
which tested their knowledge of back care.”
Sylvia Trilsbach from Lammas CMHT won first prize
in the competition.
MHM around the world
Diane Simpson, activity co-ordinator from
Butler House in Ealing is pictured with Mental
Health Matters in Fisherman’s Wharf in San
Francisco. She says, “I brought it with me to
read on the plane and took the photo to prove
how well travelled MHM is!”
Service user mural launched
Thanks to the efforts of service users and activity co-ordinators
in Ealing an eye-catching mural has been installed in the games
room in the Tony Hillis wing. Five service users, activity coordinators,
Caroline Ahmet and Jerry Peters alongside Ben
Barbour, an artist from Artspace worked on the design and
painting of the mural. Feedback from those involved has been
very positive, with comments including, “I have learnt to be more
confident when drawing and I would like to use the skills I have
learnt to create another mural with a different theme.”
24 MENTALHEALTHMATTERS
Mental Health Matters is printed on recycled paper