MENTALHEALTHMATTERS - West London Mental Health NHS Trust

wlmht.nhs.uk

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

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