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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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