Christmas staff magazine
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Firstly I would like to thank you all for<br />
your hard work in what has been a very<br />
busy year where the NHS has seen a huge<br />
and continued rise in activity. Despite this,<br />
thanks to your continued efforts, we have<br />
been able to maintain the high standards<br />
of safe and effective care that our patients<br />
deserve.<br />
To maintain this high quality care in what we<br />
expect to be an extremely busy winter, we have<br />
taken the necessary step of temporarily altering the<br />
opening times at our three urgent care centres and<br />
changing four of our wards at The Northumbria<br />
hospital. Making these changes will ensure that the<br />
vital skills of our urgent and emergency care nurses<br />
are concentrated where they are needed most and<br />
will help with the flow of patients coming through<br />
at times of increased demand - thank you all for<br />
your understanding, support and help with this.<br />
We mustn’t forget that even in our busiest periods<br />
we are seen as a national healthcare leader. As<br />
part of our vanguard work, we have now had 66<br />
UK trusts and delegations from the governments<br />
of China, India, Nigeria and Sweden visit us to see<br />
our system of emergency and integrated care. This<br />
is something to be extremely proud of as it shows<br />
that you are all the best at what you do and our<br />
visitors all want to learn from us and do things the<br />
Northumbria Way!<br />
As we approach the end of 2016, it is an excellent<br />
time to reflect on all that we have achieved in the<br />
last year - our ‘outstanding’ rating from the Care<br />
Quality Commission, our first full year of delivering<br />
our new model of emergency care, our 10th<br />
anniversary as a foundation trust and achieving<br />
gold level in the regional Better Health at Work<br />
Awards. I am immensely proud of everything we<br />
have achieved this year thanks to your hard work<br />
and dedication.<br />
Looking ahead to 2017, we have some exciting<br />
developments in the pipeline through our<br />
vanguard work which will continue to put<br />
Northumbria at the forefront of developments in<br />
the NHS and make sure we are in the best possible<br />
position to meet the challenges facing health<br />
services. Our new accountable care organisation<br />
(ACO) model in Northumberland is the first of its<br />
kind in the NHS - coming into place in April - and<br />
will help us to better co-ordinate care and further<br />
strengthen partnership working between all parts<br />
of our health and social care system.<br />
We are sharing this learning from our work in<br />
Northumberland right across our trust and with<br />
many others across the country.<br />
That just leaves me to wish you all a happy and<br />
healthy <strong>Christmas</strong> and all the very best for the<br />
New Year. I know many of you will be working<br />
over the festive season, however, I hope you have<br />
the opportunity to enjoy some time with family<br />
and friends.<br />
David Evans,<br />
Chief executive<br />
ROLL YOUR SLEEVES UP!<br />
Angela Forrest is a sister on Ward 9<br />
at The Northumbria hospital. Here<br />
she tells us why she has the flu<br />
vaccination every year:<br />
“I have my vaccination as it is<br />
a simple and pain-free way to<br />
protect me from the flu and its<br />
complications - after all flu is<br />
not just a heavy cold!<br />
“The flu jab is really<br />
important to me as three<br />
years ago I had sepsis.<br />
I went into multi-organ failure,<br />
had bilateral pneumonia and<br />
Time to<br />
You can book your appointment by calling<br />
01670 529214 ext. 33214<br />
Or got a team meeting? Occupational health can come along<br />
and vaccinate attendees – just give them a call to arrange.<br />
Donʼt forget if youʼve had your vaccination elsewhere we still need<br />
to know. Complete the quick form on the flu season intranet page.<br />
after several complications I have<br />
been left with a damaged left lung.<br />
“I am a young lady in my 50s and have<br />
many more years to enjoy my life, my<br />
family and my job. If I caught the flu<br />
I could become severely ill and it<br />
could make my condition worse.<br />
“There are many more people<br />
like me for whom flu could be<br />
life-threatening, please don’t<br />
risk passing the virus on, protect<br />
us and yourself by having your<br />
vaccination.”<br />
Angela Forrest<br />
2<br />
3
Staff <strong>magazine</strong><br />
Winter 2016<br />
Be prepared this<br />
WINTER<br />
Winter is here and we all set out with good intentions, but when we are busy we forget the smallest<br />
things. It is these small changes that can have a huge impact on our lives so it is important<br />
to be prepared. Here are some tips to help you through the colder weather. For more information and<br />
guidance please regularly review the winter intranet page under hot topics.<br />
Your journey<br />
At work<br />
In the community<br />
Key Contacts<br />
4<br />
Check the weather: is there a weather<br />
warning? Are there any road closures?<br />
Is it safe to travel?<br />
Give yourself extra time to<br />
defrost your car and remove any snow<br />
from your roof so it doesn’t slide onto<br />
your windscreen when you brake.<br />
Do your tyres have adequate tread?<br />
You should carry:<br />
» de-icer<br />
» ice scraper<br />
» blanket<br />
» shovel<br />
» phone charger<br />
» map<br />
» square of carpet for under your<br />
drive wheels should you get<br />
stuck in snow<br />
Keep your speed down, brake and<br />
accelerate gently and allow more<br />
time to stop. Try to stay on main roads<br />
and avoid back roads which are less<br />
likely to have been treated.<br />
Severe weather can cause damage<br />
to buildings. If your area is damaged<br />
in any way this must be reported to<br />
the estates helpdesk team officer<br />
immediately, or via the on-call estates<br />
officer out of hours. If building<br />
damage has an impact on the services<br />
you can deliver, this must be escalated<br />
to your OSM/GM as soon as possible.<br />
Temperatures are likely to drop,<br />
if you work on a ward make sure<br />
you are familiar with where you<br />
can access additional blankets for<br />
patients. Thermometers in wards and<br />
departments are essential especially<br />
when reporting heating issues as estates<br />
will require an accurate temperature.<br />
Diarrhoea and vomitting/norovirus<br />
are a higher risk in the winter season,<br />
please ensure you are up-to-date with<br />
your infection control training. If your<br />
ward is affected please display the<br />
appropriate warning posters for patients<br />
and visitors. If you experience symptoms<br />
please do not return to work until you<br />
are symptom-free for 48 hours.<br />
Use 4x4 pool car vehicles, these<br />
can be booked via the pool car<br />
system found on the intranet.<br />
If the pool car system has been<br />
ceased by the responsible director,<br />
pool cars will be bookable via<br />
your OSM.<br />
» plan your travel<br />
» check weather<br />
» use main roads<br />
Restock, make sure you and<br />
your patients have enough food<br />
and medicine.<br />
Don't forget about those around us who<br />
may be more vulnerable in the colder<br />
weather. Keep an eye on elderly neighbours,<br />
especially those living alone, or someone<br />
who has a serious illness or even those who<br />
may be a little bit lonely to make sure they<br />
are safe, warm and well.<br />
Emergency preparedness team:<br />
0191 203 1568<br />
emergencypreparednessteam@northumbria.nhs.uk<br />
Estates team:<br />
0191 293 4353<br />
frontdesk.estates@northumbria.nhs.uk<br />
Communications team :<br />
0191 203 1664<br />
communications@northumbria.nhs.uk<br />
NHS Fleet Solutions Fleet Assist:<br />
If you have a fleet vehicle ring the<br />
Fleet Assist 24 Hour accident helpline.<br />
0344 576 1526<br />
www.nhsfleetsolutions.co.uk<br />
Staff taxi service:<br />
For full terms and conditions and details of how<br />
to use the <strong>staff</strong> taxi service over <strong>Christmas</strong>/new year<br />
please visit the winter information intranet page.<br />
North Tyneside General Hospital or<br />
The Northumbria hospital -<br />
East Coast Taxis 0191 253 3777<br />
Wansbeck General Hospital -<br />
Phoenix Taxis 01670 540 222<br />
Hexham General Hospital - Urgent care reception<br />
01434 655388 ext. 5388
David bounces back with the help of<br />
the dedicated <strong>staff</strong> physiotherapy<br />
service<br />
Do you feel like you’re on<br />
‘autopilot’?<br />
We can all lose touch with what’s going on and not notice our emotions -<br />
with the stresses of work and busy lives it is easy to do.<br />
David attended physiotherapy due to an episode of lower<br />
back and right leg pain.<br />
He said: “It had reached a point that I was starting to find<br />
my normal home and work activities very difficult.”<br />
David’s symptoms had reached such intensity that<br />
his GP had signed him off work, he said:<br />
“I was informed by occupational health that there<br />
was a <strong>staff</strong> physiotherapy service and they arranged<br />
a referral. Once I was referred, I was quickly offered<br />
assessment and started treatment.”<br />
With some advice and treatment from the service, and<br />
pain relief from his GP, David’s pain slowly started to<br />
become more manageable. Gradually he was able to start<br />
increasing his activities and he recently started gardening<br />
and walking the dog again.<br />
He is now being supported back into work on a phased return<br />
to his duties and enjoying getting back to normal.<br />
He said: “I’m pleased to be back to work and enjoying my light<br />
exercise. I am continuing to build up my general fitness and hope<br />
to continue to manage my symptoms well in the future.”<br />
You can self-refer to the <strong>staff</strong> physiotherapy service<br />
for any musculoskeletal problem, whether it is<br />
work related or not.<br />
Call 01670 529094 / ext. 33094 or complete<br />
the self-referral form on the health and<br />
wellbeing intranet page.<br />
“The service<br />
was a fantastic help to<br />
my progress and I would<br />
recommend <strong>staff</strong> physiotherapy<br />
to anyone in my situation.<br />
I would definitely use the<br />
service again if<br />
needed.”<br />
Most of us live our lives on a schedule. From<br />
pressures at work to rushing home to make dinner,<br />
doing housework and chauffeuring the kids around,<br />
it’s hard to find a balance and look after your<br />
wellbeing – that’s where resilience training can help.<br />
The training is based on a psychological model<br />
known as Acceptance and Commitment Therapy<br />
(ACT) and is part of the new generation of cognitive<br />
behavioral therapies, based on two key elements:<br />
1. MINDFULNESS - bringing awareness to your<br />
present moment experience which is helpful for<br />
wellbeing and performance. Mindfulness gives us a<br />
greater sense of self-awareness, improves positive<br />
mental health, improves our ability to cope with<br />
stress and helps create a more cohesive<br />
team environment.<br />
“At first I wondered why I needed this training,<br />
I assumed after 20 years of nursing I was<br />
resilient enough. This training has really made<br />
me think about how I deal with the pressures<br />
of a busy job and home life and that no matter<br />
how resilient we think we are, there is always<br />
room for improvement. With access to the<br />
Headspace app my family can benefit too.<br />
I would recommend this training to anyone.”<br />
Leah Taylor, lead lung cancer nurse,<br />
North Tyneside hospital<br />
2. VALUES-BASED ACTIONS - are principles about<br />
what is important to us in life. It's about taking small<br />
steps towards living the life we want to live - a more<br />
valued life leads to a greater sense of meaning<br />
and fulfillment.<br />
We first launched our resilience training in<br />
2012 and have since secured additional funding for<br />
one year to train band 5 to 8 nurses. Keep an eye on<br />
our intranet page as we are going to launch this to<br />
all <strong>staff</strong> in early spring next year. So take advantage<br />
of this training programme and book your session,<br />
some of your colleagues already have…<br />
“The resilience training has given me tools to<br />
deal with changes at work. The CD has been<br />
of particular use, I found the values part of<br />
the course enabled me to reflect on both my<br />
personal and professional life.”<br />
Barbara Stanton, cluster lead for health<br />
visiting in North Shields and Wallsend<br />
“This has helped me and my family through<br />
a very difficult time. The support from<br />
management and <strong>staff</strong> was excellent and helped<br />
me return to work supported. There is no shame<br />
in asking for support, I believe it enhances the<br />
quality of your care delivery.”<br />
Pauline Stewart, <strong>staff</strong> nurse in POAS<br />
David Sexton - Theatre porter at Wansbeck hospital<br />
If you’re a band 5 to 8 nurse and think you could benefit from this training, please contact the learning<br />
and development team to book or ask your manager to book this using ESR. For more information<br />
visit the resilience training tab on the 'occupational health' intranet page. All training is provided by<br />
the <strong>staff</strong> psychology and counselling service.<br />
6<br />
7
We believe that our <strong>staff</strong> are the foundation<br />
for all that we do. We recognise that a positive<br />
<strong>staff</strong> experience is essential for good patient<br />
outcomes, and we are committed to<br />
improving the working environment<br />
and the opportunities available<br />
to <strong>staff</strong>. Health and wellbeing<br />
and <strong>staff</strong> engagement are<br />
essential components in this.<br />
Over the past few years, we<br />
have been taking part in a<br />
scheme which supports and<br />
recognises local employers<br />
promoting health and wellbeing<br />
in the workplace. We are proud<br />
to announce that this year we have<br />
been awarded the gold level of the<br />
North East Better Health at Work<br />
Award. This award recognises the<br />
trust’s commitment to <strong>staff</strong> health<br />
and wellbeing and the hard work<br />
of the many teams involved.<br />
To achieve this we ran several<br />
campaigns which were all based on the feedback<br />
you gave us in the last health and wellbeing survey,<br />
such as the popular Beat the Board competition<br />
and Work Out at Work Day. We couldn’t have<br />
delivered these without the support of our fantastic<br />
health advocates. We’d like to say a huge thank<br />
you to you all for your support in achieving the<br />
gold level award.<br />
North East OUR NURSES PASS WITH FLYING COLOURS –<br />
IN FIRST TRAUMA COURSE OF ITS KIND IN REGION<br />
Better Health at Work<br />
Award<br />
There is a great deal of partnership working<br />
taking place across the organisation to provide<br />
support for <strong>staff</strong>. Last year we were identified by<br />
NHS England as a spearhead organisation in<br />
relation to health and wellbeing. As a result<br />
we have been able to include a wider<br />
range of options supporting issues<br />
that are important to you –<br />
including mental wellbeing,<br />
weight management,<br />
musculoskeletal problems,<br />
smoking cessation, and<br />
alcohol where we have made<br />
a great deal of progress over<br />
the past few years, and we will<br />
continue to look at new ways of<br />
supporting you in the workplace.<br />
You can find out how to become<br />
a health advocate online. Any<br />
member of <strong>staff</strong> can apply to<br />
take on the voluntary role, we<br />
need enthusiastic and passionate<br />
people who can help us raise awareness and<br />
support <strong>staff</strong> to get involved.<br />
To find out more information on the<br />
health advocate role please contact<br />
healthandwellbeing@northumbria.nhs.uk<br />
or visit the health and wellbeing intranet<br />
page for more information on roles,<br />
resources and health and wellbeing<br />
information.<br />
As a trust we’re constantly striving to further<br />
improve in order to deliver the best possible<br />
care to our patients, that’s why it’s great to<br />
hear when our <strong>staff</strong> have achieved amazing<br />
things…<br />
Four of our emergency care nurses - Nicola Parry,<br />
Lisa Dandie, Claire McMurray and Lauren Nellins -<br />
have recently passed the first higher level trauma<br />
care (level two) course in the area, the Trauma<br />
Nursing Core Course (TNCC), delivered by the<br />
Northern Trauma Network.<br />
The achievement is no mean feat according to<br />
Jacqueline Gregson, emergency care consultant<br />
for our trust and clinical director for the Northern<br />
Trauma Network.<br />
Jacqueline, who has played a key part in delivering<br />
the nursing education regionally, said: “It’s not only<br />
fantastic for our emergency department but also for<br />
our trust that four of our nurses have passed this<br />
course. It is a real challenge that many nurses in<br />
the region have not successfully completed so it<br />
is amazing that our nurses have done so well. I’m<br />
extremely proud of them all.”<br />
Lauren excelled on the course and stood<br />
out as having the potential to be<br />
an instructor, she said:<br />
“I have always wanted to care for people and am<br />
always looking for new ways to improve my skills<br />
and further my career. I am honoured and hope I<br />
can succeed in becoming an instructor, as I would<br />
like to bring these new skills to our trust to further<br />
improve the training we deliver to the emergency<br />
care teams.”<br />
“The course was fantastic, it was very thorough<br />
and well-structured to nursing roles within trauma<br />
which has improved the way I organise and deliver<br />
trauma care. I would recommend colleagues<br />
register their interest in the training although the<br />
pre-course manual is very extensive, so it’s not<br />
for the faint-hearted”.<br />
Jacqueline added: “Lauren is enthusiastic and<br />
passionate about trauma so it isn’t a surprise that<br />
it has been recommended she pursue the role of<br />
an instructor. I’m looking forward to supporting<br />
Lauren, she has a wealth of knowledge she can<br />
draw upon with over eight years of nursing<br />
experience. She also has a great ability to engage<br />
with students so I know she’ll be great.”<br />
Funding has been secured to provide a further<br />
three courses between April 2017 and March<br />
2018. Places on the course are limited and are<br />
predominantly for emergency care adult and<br />
paediatric nurses and trauma coordinators.<br />
If you are interested in taking part keep an eye<br />
out for posters in the emergency department<br />
coffee rooms.<br />
For more information please email<br />
jacqueline.gregson@northumbria.nhs.uk<br />
8 9
ANTIBIOTIC RESISTANCE<br />
THE BUGS ARE<br />
BITING BACK<br />
Resistance to antibiotics is rising at an alarming<br />
rate. It is estimated that 700,000 deaths per<br />
year worldwide are due to infections caused by<br />
bacteria resistant to antibiotics. It is projected<br />
that by 2050 this figure will have risen to 10<br />
million – many more deaths than caused by<br />
all cancers put together.<br />
Without effective antibiotics, many routine<br />
treatments such as basic operations, fracture<br />
fixation and chemotherapy will become much<br />
more dangerous. Just try to imagine for a<br />
moment, what modern healthcare would look<br />
like without antibiotics…<br />
So what can we all do to help? Consultant<br />
microbiologist Dr Tamsin Oswald has produced<br />
this useful guide.<br />
Antibiotics are a powerful tool in the<br />
management of infectious diseases and must<br />
be given immediately in patients with sepsis.<br />
But, they must be used appropriately to reduce<br />
the risk of adverse effects for the individual and<br />
to slow down the development of resistance and<br />
preserve their usefulness for the next generation<br />
and beyond. This will require working together<br />
(as a team) locally, nationally and globally.<br />
If you are a healthworker you can:<br />
Top tips for everyone<br />
Don’t ask for antibiotics to treat cold and flu symptoms<br />
Take antibiotics exactly as prescribed<br />
Discard any unused medication – don’t take them at a later date<br />
Never share antibiotics with others<br />
Prevent infections by regularly washing your hands, avoiding close contact<br />
with people who are ill and keeping your vaccinations up to date<br />
Help us spread the word, tell all of your family and friends.<br />
Did you know?<br />
We've been warned about antibiotic resistance<br />
since at least 1945, we just haven't been<br />
listening! Alexander Fleming (the chap<br />
who identified penicillin) predicted that the<br />
misuse of penicillin would lead to resistance<br />
and increased mortality.<br />
The biggest consumers of antibiotics are<br />
farm animals - they are used as growth<br />
promoters or as prophylaxis when they are<br />
kept in poor sanitary conditions. The second<br />
biggest users are children - who are usually<br />
poorly with viruses!<br />
Prevent infections by:<br />
- Ensuring that your hands, instruments<br />
and environment are clean<br />
- Ensuring your patients’<br />
vaccinations are up-to-date<br />
Only prescribe and dispense antibiotics<br />
when they are truly needed (i.e. not for<br />
coughs and colds)<br />
Prescribe the shortest antibiotic<br />
course likely to be effective<br />
Always select agents to minimise<br />
collateral damage (such as multi-resistant<br />
bacteria or Clostridium difficile)<br />
Monitor antibiotic levels when relevant<br />
(e.g. gentamicin and vancomycin)<br />
Don’t forget to consult our infection specialists and the antibiotic handbook, available on the intranet.<br />
Did you know we have an app with guidance? It’s available on iOS, android and windows devices,<br />
just search for Microguide and select our trust.<br />
When Sir Fleming first isolated penicillin<br />
from the fungus, Penicillium (in 1928),<br />
he called it "mould juice". He discovered<br />
it by accident.<br />
When penicillin was<br />
mass-produced for<br />
WWII, it was nicknamed,<br />
‘The Wonder Drug’ - not<br />
to be confused with the<br />
'cure all miracle drug' at<br />
the time, cocaine!<br />
Children who are given broad-spectrum<br />
antibiotics before two years of age are three<br />
times more likely to develop asthma than<br />
children who are not.<br />
Typically there are between 10,000 and<br />
10million bacteria on each hand and this<br />
doubles after a visit to the toilet!<br />
Bacteria 40million years old have been<br />
extracted and successfully grown from a<br />
fossilised bee (Bacillus sphaericus).<br />
11
The right care, in the right place, by<br />
the right people, at the right time.<br />
As demand for NHS services continues to rise with more people needing our care we<br />
need all parts of our trust to work in a coordinated and consistent way so that people<br />
can flow through the system in the most efficient way for their needs. Lots of work<br />
has been taking place to ensure that we all work together and play our part in<br />
improving patient flow.<br />
1<br />
Patient attends The Northumbria with a serious problem<br />
An overcrowded emergency department runs the risk of delaying the assessment and<br />
treatment of seriously ill patients both inside our hospital and outside by ambulance<br />
services. Our emergency department continues to work hard to improve ambulance<br />
handover times, triage time and our four hour performance target supported by our<br />
ambulatory care teams. All of these are very important to patient experience and care.<br />
The Northumbria<br />
Where will this<br />
patient be<br />
transferred to<br />
safely?<br />
2<br />
Patient requires admission to a specialty ward at The Northumbria<br />
We’ve introduced a number of initiatives to ensure that beds are available earlier in the<br />
day right across the trust and this means we are able to move patients to the right place<br />
and progress their care at the right time. Discharge co-ordinators on wards 9 and 12 at<br />
The Northumbria are helping us to create capacity before 11am and all wards<br />
participate in the full hospital protocol which sees people proactively moved out of the<br />
emergency department at 11am and 4pm. Flow only works if everyone plays their part,<br />
patients need to be able to flow to our general and community hospitals and out into<br />
the community with the support of community services and adult social care.<br />
We see 250 to 300 patients a day in our emergency department at<br />
The Northumbria. Of these we transfer an average of 30 people to<br />
ambulatory care and admit 70 to 80 patients onto specialty wards.<br />
GENERAL HOSPITAL<br />
There’s no bed like your own bed!<br />
4<br />
Patient is well enough to be discharged<br />
We are about to start a pilot, using multi-disciplinary team board rounds, to help<br />
improve communication within teams on wards so that everyone, including the<br />
patient and their family, understands their care and discharge arrangements. This<br />
will take place in our community hospitals and supports all of the work taking<br />
place with local GPs as part of our vanguard programme to further improve out<br />
of hospital care and access to timely advice.<br />
3<br />
Our red and green day pilot aims to ensure people don’t stay in hospital longer than is<br />
necessary. It runs on two wards at North Tyneside and two wards at Wansbeck and will<br />
soon be expanded to cover Hexham. Days are marked green if care has progressed as<br />
we want it to, and red if there are areas where we can improve flow. This is helping us<br />
add value to the time that people spend in hospital, making every hour count and<br />
ensuring that plans are made and diagnostic tests are done in a timely way.<br />
Our community teams, including our Hospital2Home team, are essential in helping<br />
support early discharge (please see page 15).<br />
Thank you all for your work so far and remember everyone’s contribution<br />
really does count in improving patient flow.
to our local communities<br />
HOSPITAL2HOME<br />
here to help you this winter<br />
We regularly engage with our local communities<br />
and in autumn took our 'We're listening' trailer across<br />
Northumberland and North Tyneside. Joined<br />
by our health and care partners and public governors,<br />
we spoke to over 200 people gathering their<br />
feedback on the care we provide. Here are some<br />
of the comments we received:<br />
“All the hospitals I have had to go to -<br />
Hexham, Wansbeck, North Tyneside and<br />
Cramlington - have provided excellent care.”<br />
“The <strong>staff</strong> at Hexham oncology are absolutely<br />
amazing. I am very glad that Hexham has<br />
a wide range of services that I can use and<br />
means I don’t have to go further afield.”<br />
“Such kindness and great care from<br />
Mr Youseff at Wansbeck.”<br />
“Wonderful care from Mr Carr and the<br />
breast team.”<br />
“Great treatment at Berwick.”<br />
“Northumbria Healthcare is excellent and<br />
I can’t say thank you enough for all the<br />
help I get.”<br />
We used the roadshow as an opportunity to remind<br />
people about the most appropriate place to attend for<br />
urgent or emergency care and the services available in<br />
their local area.<br />
There was overwhelming praise for our caring<br />
and compassionate <strong>staff</strong> - thank you for going the<br />
extra mile.<br />
A timely discharge from hospital is a key focus<br />
for everyone as wards get busier over winter.<br />
Don’t forget our Hospital2Home (H2H) team<br />
can support you with this. H2H are present<br />
on wards at general hospitals and at The<br />
Northumbria hospital, seven days a week to<br />
help patients flow through our care system.<br />
We all know H2H can help discharge patients<br />
safely to their homes but did you know they<br />
can also assist care home patients?<br />
New care home residents:<br />
Is a care manager or social worker able to<br />
attend the planning meeting? If not, a H2H<br />
representative may be able to help.<br />
Patients returning to a care home:<br />
Has the patient’s condition deteriorated since<br />
he/she was last in the care home? If yes, the<br />
care home will need to review the patient.<br />
Please encourage them to do this once the<br />
patient is back in their care, this helps to free<br />
up our hospital beds for patients who need<br />
them. If you have any problems, please<br />
contact H2H.<br />
Are you experiencing delays in discharging<br />
the patient? Even if this is only a short delay,<br />
alert H2H – the team want to hear from you.<br />
Is the care home struggling to care for the<br />
patient? H2H can help and give you guidance<br />
on the next steps.<br />
If you need to escalate a concern, or report<br />
a delay, please contact the H2H team:<br />
Wansbeck hospital - ext 33498/33499<br />
North Tyneside hospital - ext 2731<br />
The Northumbria hospital - ext 72124<br />
Hexham hospital - ext 5393<br />
Blyth<br />
North Shields<br />
Berwick<br />
15
YOU’RE FAB!<br />
Annie was blown away by the pledges we received<br />
on fab change day. She said:<br />
“In our trust we embody continuous improvement and we're<br />
extremely proud of the culture we have created, empowering<br />
every member of <strong>staff</strong> to suggest improvements and make a<br />
difference to patient care.<br />
“It is encouraging that the emphasis the organisation has made<br />
to improve <strong>staff</strong> and patient experience is reflected in the pledges<br />
we received. For example 12% were to make a warm and friendly<br />
environment, 16% to support colleagues and 14% to support<br />
patients. It’s incredible that despite being busy and working under<br />
pressure, especially coming up to winter, ‘being positive’ was a<br />
popular pledge theme with a ‘can do’ Northumbria culture.“<br />
Annie Laverty,<br />
director of patient<br />
experience<br />
Here are a few pledges that stood out for Annie...<br />
Alison Appleby<br />
Becky Clark<br />
Sarah Lindman<br />
Make a<br />
difference on<br />
returning to<br />
nursing<br />
Volunteer as often as<br />
I can, do arts and<br />
crafts with the patients<br />
to brighten their day<br />
Be a fab ambassador and<br />
encourage my colleagues and<br />
others to tell me about the<br />
great work they are doing and<br />
use social media to share our<br />
work here<br />
FAB CHANGE DAY 2016<br />
Hundreds of members of <strong>staff</strong> have vowed to make a ‘fab’ difference to patient care as part<br />
of a national day of action. For NHS Change Day - dubbed #FabChangeDay - on Wednesday<br />
19 October, our colleagues pledged their support and committed to make one positive<br />
change in the work place and, most importantly, to turn ideas into action.<br />
This is really interesting,<br />
I am keen to find out how<br />
it was for Alison when she<br />
returned to work.<br />
Gill<br />
Be cost cutting champion.<br />
Reduce waste, be<br />
mindful of the cost of<br />
equipment, i.e. reduce<br />
use of disposable finger<br />
probe monitoring<br />
It's brilliant that Gill is<br />
conscious of this, cost<br />
improvement and waste solutions<br />
are something we can all think<br />
about. What ca we do better and<br />
can something be done in a more<br />
cost effective way with no negative<br />
impact on patient care?<br />
I've been overwhelmed by<br />
the kindness of our <strong>staff</strong> in<br />
their pledges. I love Becky's<br />
willingness to brighten the day<br />
of her patients.<br />
Robina Walton<br />
Continue to be passionate<br />
about cleanliness of the<br />
ward. Our legacy to Rachel<br />
Watson and her work in<br />
infection control<br />
Rachel was a much loved<br />
member of <strong>staff</strong> who passed<br />
away recently so it is heartwarming<br />
to see a pledge to ensure<br />
the ward environment is the<br />
cleanest it can be.<br />
One in five members of <strong>staff</strong><br />
pledged to support and celebrate<br />
their colleagues' great work.<br />
Sarah’s pledge reflects that<br />
commitment and use of social<br />
media is a great tool to share<br />
success, encourage ideas and<br />
promote good work.<br />
Top pledge themes:<br />
1. Supporting <strong>staff</strong><br />
2. Supporting patients<br />
3. Creating a warm<br />
friendly environment<br />
4. Staff fitness and<br />
wellbeing<br />
5. Being positive<br />
17
CHARITY ROUND-UP<br />
Charity<br />
International<br />
Northumbria Tanzania link hits the big screen<br />
In November last year, a film production team joined<br />
our international volunteers to visit Kilimanjaro<br />
Christian Medical Centre (KCMC) in Tanzania to<br />
make a documentary film about our unique, awardwinning<br />
international partnership with the hospital.<br />
The film, ‘Novemba’, provides a behind-the-scenes<br />
insight into our Tanzania partnership and shows<br />
the many achievements and challenges faced<br />
by our international volunteers as they delivered<br />
healthcare in one of the poorest countries in the<br />
world. The film also shows the special friendships<br />
which have formed between Northumbria and our<br />
colleagues in KCMC, through years of working<br />
together to help improve healthcare in the country.<br />
The film was selected for the prestigious Global<br />
Health Film Festival which took place (coincidentally)<br />
in November in London, following its national<br />
premiere on the big screen, 'Novemba' will be<br />
shown in the trust for <strong>staff</strong> to enjoy.<br />
Gifted<br />
Newly-refurbished day room at Berwick<br />
We have been working closely with <strong>staff</strong> from<br />
Berwick on the redevelopment of the Ward 1 day<br />
room. It has been converted into three spaces to<br />
include a reading area, a games/social interaction<br />
area and a TV/music area to cater for a range of<br />
uses and tastes. Matron, Annaluisa Wood said: “The<br />
difference is immense. It’s been an absolute pleasure<br />
to be part of this project, and to see patients<br />
coming together to use the room. It’s been a hub<br />
of activity and it is fantastic to hear the positive<br />
comments from patients, their relatives and <strong>staff</strong>.”<br />
Thank you to our Bright runners<br />
Around 50 runners took part in this year’s<br />
Great North Run (GNR) to support our charity,<br />
Bright Northumbria. A huge well done and<br />
thank you goes to everyone who took part.<br />
Each year the run raises thousands of pounds<br />
for our charity which makes a huge difference<br />
to our patients. If you are interested in<br />
taking part in next year’s GNR please contact<br />
brightcharity@northumbria.nhs.uk<br />
Arts<br />
New artwork for MHSOP<br />
We have been working with <strong>staff</strong> from Mental<br />
Health Services for Older People (MHSOP) to<br />
provide accessible dementia-friendly artwork<br />
for the new wards, part of the trust’s longstanding<br />
healing arts programme which uses<br />
art as a therapeutic medium to improve the<br />
hospital environment.<br />
This includes a large-scale vinyl photograph<br />
of Beamish Burn by <strong>staff</strong> member Ian Taylor,<br />
large-scale photographs of local landmarks,<br />
an illuminated ‘mandala’ mosaic with changing<br />
colours (pictured), projected landscape images<br />
and an interactive crafted ironwork tree.<br />
Further artwork will be installed over the<br />
coming months.<br />
The Retreat<br />
A new quiet garden at The Northumbria<br />
hospital has been designed by celebrity<br />
gardener and former <strong>staff</strong> member Sean<br />
Murray (pictured). The garden has been<br />
named The Retreat following over 40<br />
suggestions and an almost unanimous<br />
decision from <strong>staff</strong>.<br />
18<br />
19
Leading change - adding value<br />
CONFERENCE INSPIRES AND MOTIVATES OVER 200 OF OUR NURSES<br />
Over 200 nurses and midwives from across the<br />
trust attended our third annual nursing and<br />
midwifery conference in November<br />
where they were inspired to make<br />
even the smallest change to<br />
improve quality of care from<br />
a host of internal and<br />
external speakers.<br />
These included; Jim<br />
Mackey, chief executive<br />
of NHS Improvement,<br />
professor Jane Cummings,<br />
chief nursing officer of<br />
England, Dr Ruth May,<br />
executive director of nursing, NHS<br />
improvement, and Tommy Whitelaw,<br />
project engagement lead, Dementia Carer<br />
Voices, who gave an emotive account of being<br />
a carer for his mother, who had<br />
dementia, which resonated deeply<br />
with the delegates.<br />
The afternoon consisted<br />
of participation taster<br />
sessions presented<br />
by our <strong>staff</strong> proving<br />
that talent and drive is<br />
alive in our trust. This<br />
featured an informative<br />
presentation on how to<br />
start your nursing research,<br />
an interactive session on team<br />
transformation leadership style, the<br />
thought-provoking coaching model which is<br />
part of the trust's wider approach to collective<br />
leadership, the inspirational service improvement<br />
projects presented by newly-qualified nurses and<br />
the hugely-popular Jack and Josephine<br />
learning disability resource from<br />
Northumberland Community<br />
Services.<br />
The final presentation<br />
was by Kristina Henry,<br />
our head of learning<br />
and development, on<br />
collective leadership which<br />
reflected the theme of the<br />
day - everyone can make a<br />
difference.<br />
There were a series of exhibitions<br />
including occupational health who gave<br />
over 50 nurses the flu vaccination. The library<br />
and knowledge services, learning and<br />
development team and learning<br />
disability services all ran<br />
demonstrations showcasing<br />
the resources available<br />
to <strong>staff</strong>. New concepts<br />
‘the nerve centre’ and<br />
Dinwoodie Assessment and<br />
Simulation Hub brought<br />
equipment along for <strong>staff</strong><br />
to try. The transformation<br />
team encouraged <strong>staff</strong> to<br />
lead change by submitting ideas<br />
no matter how small using our<br />
improvement cycle. They brought a<br />
fun smoothie bike which made over file miles<br />
worth of smoothies.<br />
Here are some of the pledges attendees made<br />
after hearing Tommy's speech:<br />
“To put a smile on the face of each and<br />
every patient I care for.”<br />
Claire Dixon<br />
“I pledge to recognise each patient as a<br />
person, with their own values and dreams and<br />
hopes. To support them and ensure they feel<br />
comfortable and cared for in the right place.”<br />
Jacqueline Beattie<br />
Debbie Reape, director of nursing brought the<br />
conference to a close highlighting the themes of<br />
the day; inspiration, motivation, a pride in nursing<br />
and midwifery and a sense of moving forward<br />
with ambition. See what our nurses and midwives<br />
thought of the day:<br />
“A fast-moving and stimulating conference.<br />
Tommy was amazing, made it real for everyone<br />
and grounded us in what really matters.”<br />
Bev Davison<br />
“I’m proud to be a nurse working in an<br />
inspirational, outstanding organisation.”<br />
Gillian Emmerson<br />
“I pledge to have tea once a week with<br />
my next-door neighbour who is alone with<br />
dementia and family live away. She looked<br />
after my children when they were little.”<br />
Annaluisa Wood<br />
“I pledge to support Tommy's return to the<br />
trust to share his story with many more.”<br />
Debbie Reape<br />
“Useful for newly qualified <strong>staff</strong> nurses<br />
joining the trust.”<br />
Beth Shepherdson<br />
“I have appreciated the day, it helps you<br />
keep thinking about improvements in your<br />
area.”<br />
Jennifer Sommers<br />
“I found it uplifting in a tough time.”<br />
Christine Morgan<br />
“A little more emphasis on community and<br />
public healthcare issues is required.”<br />
Anne Johnson<br />
20<br />
21
Staff <strong>magazine</strong><br />
Winter 2016<br />
THE IMPROVEMENT CYCLE<br />
Make changes in cycles, testing your<br />
ideas before moving to the next cycle.<br />
P<br />
D<br />
NHS NUMBER<br />
keeping patients safe<br />
S<br />
STARTING AN<br />
IMPROVEMENT<br />
JOURNEY<br />
P<br />
D<br />
A<br />
S<br />
A<br />
What are you trying<br />
to accomplish?<br />
How will you know<br />
that a change is an<br />
improvement?<br />
What changes can you<br />
make that will result<br />
in an improvement?<br />
This is the safest and easiest way to record a patient’s<br />
identity and reduces the risk of errors.<br />
1. PLAN<br />
Think about what would you like to improve or change and why.<br />
Be clear about what you want to achieve as it will help<br />
you move through the next steps<br />
Try setting some SMART objectives<br />
Think about what the best way might be to test your idea<br />
What information do you need to collect<br />
to measure whether the change has had<br />
the impact you wanted<br />
Who needs to know about your change –<br />
think about the people it may impact on<br />
Cycles of improvement<br />
2. DO<br />
Follow your plan<br />
Deliver the change cycle over a time period that makes<br />
most sense – an hour, a day or a number of weeks<br />
Remember to collect your data<br />
Communications is important to success so make sure<br />
people understand what you are doing and why<br />
Encourage involvement and seek feedback –<br />
good and bad<br />
One of the largest single sources of nationally<br />
reported patient safety incidents relates to the<br />
misidentification of patients, according to the<br />
National Patient Safety Agency.<br />
The safest way to record a patient’s identity is<br />
to include their NHS number in their records.<br />
Staff should not use the trust identification number,<br />
known as the T number, as the sole identification<br />
of a patient. This is because patients with the same<br />
name known to the trust prior to 2001 can have T<br />
numbers with only one digit difference.<br />
Always use the NHS number if it is known.<br />
This will reduce the risk of errors in patient<br />
identification. Only use the T number if the NHS<br />
number is not available. And whether you use<br />
the NHS number or the T number, be sure to also<br />
check the patient’s surname, forename, date of<br />
birth and first line of their address.<br />
NHS number - If you have it, use it.<br />
The NHS number makes it easier to find<br />
the right patient quickly.<br />
4. ACT<br />
3. STUDY<br />
Share your learning and<br />
progress with others<br />
Think about what worked well<br />
and implement it<br />
Consider what areas may require a further change<br />
What might you need to stop doing?<br />
Start to plan your next cycle<br />
Analyse the information you collected<br />
to measure the change<br />
Determine whether your change has had the<br />
impact you want<br />
Think about what you have learnt<br />
Is there anything missing that you should consider collecting next time?<br />
Were there any unexpected benefits or implications of your change?<br />
Let the transformation team know if you are making an improvement or if you need help.
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