The magazine for NHS Lothian staff celebrates 70 years of the service

July 2018 THERAPY THE WHY WE PONIES UNSUNG NEEDED HERO THE NHS

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70A message years from Jim Crombie, of Deputy Chiefthe Executive, NHS NHS Lothian It’s remarkable to me the advances that the NHS have made. Even from my career which started about 38 years ago. The positive impact we’re having on people’s lives everyday makes me proud! The technological advancements are one thing. We’ve seen the evolution of imaging technology including MRI, new interventional and other clinical procedures that have dramatically improved patient’s outcomes. More important to me personally is the advances we’ve made with our people. I think the NHS has provided a really great Care and Compassion opportunityDignity for people to learn,Openness, develop and careand for patients in an environmentHonesty and Respect Responsibility that also conducive to their own wellbeing. Every day I’m presented with examples of our staff going above and beyond what I think the 70th anniversary is an opportunity to reflect theyQualit needyT to do to make people feeleamwor better.k Quality Quality on what we’ve done in the last 70 years. Back in the So I think the 70th anniversary is an 40s there was this idea to create a service that allowed opportunity to say to everybody - thank you! Thanks for your efforts, thanks for Dignity Dignity and and everyone access to high quality health care. I think your work and thanks for making a Respect Respect over the last 70 years we’ve continued that commitment. difference in people’s lives!

Care and Care and Connections is your magazine. If you’ve a story you wish to be considered Compassion Compassion or if you have feedback about the magazine please send (no more than 200 words) along with a high quality photo to Allan Benzies, Openness, Openness, [email protected] or call 07713 088 010 Honesty and Honesty and Responsibility Responsibility

Teamwork Teamwork Health and Wellbeing Groups Teamwork While some areas are still developing their Health and Wellbeing groups it’s good to hear from one of the areas that are already up and running: The West Lothian Health and Wellbeing Group was created as a joint group between St John’s and West Lothian HSCP due to having so many staff working across acute and the community. As their area covers a range of staff, they tailor methods of distribution to meet their needs. They communicate by emails, The group have a mix of very active representatives from clinical posters are put up around key places and a Health and Wellbeing and support service backgrounds, having an interest in improving notice board in their main site. As some areas may not have regular the health and wellbeing of staff within their areas. They began by access to email they send materials out to areas such as laundry creating a wellbeing survey and then developed action plans and transport so they then put up the posters in their own area. around the results. Throughout the year they’ve put on poster campaigns such as promoting active travel, events like They plan activities in St John’s Hospital and then replicate them mindfulness sessions and every year they hold a Health and at health centres/community hospitals across the West Lothian Wellbeing event where staff can come along and get information HSCP. This is to make sure that they are considering the needs about all the activities. of staff from all areas. The group also has strong links with West Lothian Council’s health promotion.

Jim Crombie, Deputy Chief Executive, Open culture NHS Lothian

Every day we’re presented with examples of people highlighting issues and concerns. In NHS Lothian I believe we’ve really tried to create an environment that allows our people to be open and honest about their experiences. I firmly believe that a learning organisation should encourage its people to be able to talk about how well they’ve done and the differences they’ve made but when they’re concerned about something they should equally feel safe and supported to tell us about that too. I would once again formally and publicly commit our organisation and its leadership to work within a culture that demonstrates our values every single day! One of the by-products of talking to completely committed to. I want Patients gardening, you about this is I hope people will take everyone to feel proud to be part of Royal Victoria Hospital, a look at our values because that should the NHS Lothian family and if we’re 1980s offer an insurance to everyone that not getting it right then each one of our this is how we work, and where people 25,000 staff should feel able to say so! feel individuals are not living up to our Editors note: In most cases the easiest values I support them to point that out! and quickest way will be to raise a When I think about staff, I think about concern is with your line manager the remarkable teamwork that is (tutor or educational supervisor). If you exhibited every day. I think about the don’t think it’s appropriate you can dedication and resilience of our staff. raise your concerns with your trade Sometimes in the pressured union, professional organisation or environment we work in people can with one of our whistleblowing contacts. be anxious or concerned but you If for any reason you don’t feel know what – it’s ok to put your hand comfortable raising your concern up or go speak to your line manager internally you can seek advice from and say “I don’t think this is right”. If the national alert line. You can find all speaking to a line manager is a wee this information, including the Board’s bit too difficult there are others in the whistleblowing policy, at Computers in occupational organisation that you can talk to. This http://hronline.lothian.scot.nhs.uk/ therapy, St John’s, 1980s is something the executive team are Pages/HROnline.aspx

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Care and Compassion Recognition for our staff Heather Duff @HevEWilliams As always - so grateful for New mum – day surgery @NHS_Lothian. No idea Posted by KL83 (as a service user), where I’d be without them. Thank you to all the doctors, nurses and staff at St John’s My family and I received excellent care on ward 210. I was nervous about for going above and beyond general anaesthetic as I am a new mum and so need to consider my son. The - and all with a smile too! staff were great at putting me at ease, but more importantly they looked after my #thankyou husband and my son while I was in theatre. I felt so reassured that they would be there when I returned to the ward and I got great updates from my consultants and the junior medical staff also did everything they could to facilitate my discharge and ongoing care. The nurses were great and provided Lesley Murray me with a private [area] for me and my family to wait for my bed so I could @_lesley_runs_ breastfeed, and both husband and son got some much needed rest! Big shout out to all staff at Thank you! St John’s Hospital Livingston for taking such great care of me before & after surgery. Esp their #studentnurses who sian tucker spent time talking with me @sevensian about learning & placement Thanks so much to the fantastic team at the RIE emergency experiences. #ingoodhands department for treating my gymnast daughter last night after a #NHSheroes @NHS_Lothian tumbling accident. She looked more like a boxer than a gymnast! @NHS_HS #WeNurses @NHS_Lothian @RCNScot

MBE from the Duke of Cambridge Former midwife from RIE’s Simpsons unit Sara Fitzsimmons has recently received an MBE for her services to bereaved families. Sara was a midwife in Simpsons for 21 that could be used to capture memories years until November 2017 but still of a very short, but precious time together. continues as a registered midwife It was also lovely to see my colleagues supporting parents and speaking at study have something tangible they could offer days, conferences and seminars. She is the parents and support them with now the Chief Executive Director and memory making.” co-founder of the SiMBA charity. SiMBA supports anyone affected by Sara said: “Back in 2005 myself and my the loss of a baby, during pregnancy or work colleagues had very little to offer shortly after birth. They donate Memory bereaved parents when caring for them Boxes, refurbish family rooms within during a most devastating time - I wanted maternity units, install Memorial Trees of to be able to offer much more! The Tranquility and run awareness/support Memory Box concept was something groups and events. On top of all that they familiar to me as I have one for my son also deliver free advanced bereavement If you’d like to know more about SiMBA’s Luke who is now 20. I wanted bereaved and palliative care study days to medical services go to www.simbacharity.org.uk. parents to have their own Memory Box staff and students. 3 A new trial helping patients with Type 1 diabetes Quality Children and young people in with Type 1 diabetes were recently invited to participate in an exciting study into the development of ‘closed loop’ insulin therapy. This study has been run by the Paediatric Diabetes and Research Team in RHSC who are working in collaboration with Cambridge University to advance diabetes care. The new technology aims to improve Despite facing challenges with technical glycaemic control and quality of life for glitches, noisy alarms and the expectation those living with type 1 diabetes. The of remembering to carry the device around ‘closed loop’ device reacts to information with them, being involved in diabetes from a continuous glucose monitor and research has been described as directs insulin delivery via a pump to “worthwhile and rewarding.” One parent maintain the target blood glucose levels. stated “seeing my child enjoying being involved at the cutting edge” was Participants in the trial used the technology motivation for the extra commitment. at home for 3 months. It involved frequent contact with the diabetes team, education The results of the APCAM (Artificial sessions and extra blood sampling. Nine Pancreas Cambridge) study will be families completed the trial and their published in the near future. “We are experience overall was very positive. grateful to the families who have played a part in the future of diabetes care.”

Dignity  and Edinburgh Project Search Respect Interns meet Scotland’s leaders Two of the Edinburgh Project Search interns explored their leadership aspirations and ambitions on DuoDay 2018! Demand pacemaker c.1970 DuoDay is an annual day that aims to bring together disabled people, supported employment agencies and local employers for one day to promote equal employment opportunities across Europe. It highlights the positive contribution disabled people make at work. Interns Paul from NHS Lothian and Yiorgos from City of Edinburgh Council ECG machine – 1960s were invited to join Ministers at Scottish can be accessed through this service. Parliament for the day to see firsthand To say they were very excited on the what leadership opportunities exist for day would have been a bit of an them in Scotland. Their morning was understatement. spent shadowing MSP Jamie Hepburn and they joined First Minister, Nicola Edinburgh Project SEARCH provides Sturgeon for her Question Time in employment and learning opportunities the afternoon. for young disabled people. The partnership is between the City of Edinburgh Council, Spending the day at Scottish Parliament NHS Lothian, and Edinburgh College and was a unique experience for Paul and into Work. Outcome results are very high Yiorgos to represent all their fellow with the majority of interns moving into Edinburgh Project Search interns and Tray of ENT instruments paid work. promote the scope of opportunities that – 1940s

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Care and Social Worker of the Year Compassion A local social worker has been recognised for providing outstanding support to people recovering from the effects of alcohol addiction. At the annual awards in April, Ian Jeffries was named Social Worker of the Year by the Scottish Association of Social Work. Ian was nominated for the award by co-workers and managers in Penumbra, City of Edinburgh Council and NHS Lothian, as well as one of the former residents who credits Ian with transforming her life. Penumbra Milestone Alcohol Related Brain Damage (ARBD) Service is an alcohol-free residential unit in Edinburgh which provides short-term care for people with a diagnosis of ARBD. Although employed by City of Edinburgh Council, Ian is part of the Currently, 75% of the patients are Poster Award at the Royal College of multi-agency, multi-disciplinary team at making positive outcomes and showing Psychiatrists Conference 2015. Last year the service, made up of staff from improvements in their physical and they also presented at the European Penumbra, NHS Lothian and City of mental health. Mental Health Conference in Berlin and are Edinburgh Council. The service supports currently writing up a paper to people to resist alcohol, address any This award is the 3rd achievement for the demonstrate the positive outcomes this mental health difficulties, and relearn the unit, including the Scottish Health Award service has for people with ARBD. life skills they need to live independently. for Innovation 2015 and Winners of the Alastair’s experience of the NHS Alastair McNaughton, an Addictions therapist in , was born in November 1948 just four months after the NHS started in Scotland. He recently spoke to us about his memories of the NHS through the years. think I’d have gotten the same level of One of his earliest memories was being care in many other countries.” an inpatient in the City Hospital in Alastair also talked about how much Edinburgh. He was admitted around the things have changed since the NHS age of 6 or 7 with Scarlet fever. As scary began - “My mum was a nurse but had as it was he remembers how friendly and to leave when she got married because nice the nurses and doctors were which in those days nurses had to be single”. helped put him at ease. Nurse at St John’s Finally when asked to sum up what Alastair explained “through the years I’ve Hospital construction the NHS means to him he simply had some difficult times but the care has site, 1980s replied; “safety.” always been there when needed. I don’t

5 “...If the NHS Therapy Ponies – had been founded a “...best day of my life” few years earlier”

Courtenay Young was born in June 1948, just one month prior to the beginning of the NHS. When Courtenay was born he had an older sister that was just three years old. Sadly only five months later his sister passed away to what Courtenay believes was most likely undiagnosed diphtheria. “Her death would probably not have occurred if the NHS had been founded a few years earlier,” Courtenay suggested. Courtenay’s sister “would almost certainly have missed out on the infant vaccination programme, introduced in the early 1940s, but not universally until 1948-1950,” he continued. It’s well known that interaction with friendly animals Courtenay and the rest of his family spent has a positive impact on patients in mental health. the next few years of their lives moving around the world, which included living It’s been known to uplift their spirits, reduce stress in Australia for two years and Singapore for three. Finally at the age of seven and even encourage communication. Courtenay returned to the UK. By this time Following a very successful one-off visit and find structured activity difficult. the NHS was up and running and private last summer from the Therapy Ponies to The ponies had a number of patients (fee-paying) doctors were on their way out. (REH), it was up and walking (as well as talking) In 1986 Courtenay moved to Scotland clear that it would be worth becoming a promoting a real sense of community and in 2003 started working as a more regular event. With the support of the and fun. counsellor and psychotherapist in Occupational Therapy Department, Patients were delighted to have the the NHS. Edinburgh and Lothian’s Health ponies. One remarked: “It has been the Foundation, Therapy Ponies Scotland, best day of my life” (and has repeated Nursing team, Infection Control, Fire this since); another said they “could cry Officers, and Security we were able to with happiness.” The therapy ponies and make this happen! their handlers, Elaine and John, ensured They had their first visit to the courtyard everyone had enough time to get the garden of Fairmile ward in April. The most from the visit – we couldn’t rate Therapy Ponies were great at both calming them more highly. and stimulating patients! It was very special to see so many patients, staff and carers being able to share and engage in the moment together, especially for those Nurses and babies at who have limited verbal communication St John’s Hospital, 1990s

6 JULY 2018 What’s it like to be a QI coach? Quality Coming from a background of nursing and switching to working in Quality Improvement (QI) full time, it’s important to me to support staff to realise that their improvement work is important and how their project can contribute to continued improvement in the organisation. I really enjoy supporting staff to get where they want to be. As a QI coach, I provide individually tailored coaching, which is often about dealing with ambiguity, keeping up confidences, refining aim statements and helping individuals understand the importance of measuring change. Coaching can be face-to-face, via email The most fulfilling part of coaching in or phone. For me, coaching is about QI is when staff realise that improvement appropriate language and responding to methodology can be used for future needs, whether this is supporting projects. Coaching involves asking individuals to set measurable objectives, questions, which improves my own providing clarification on QI tools or understanding and highlights the Jacqui Pringle supporting them to analyse their own data importance of helping teams learn to Quality Safety Improvement Manager to identify areas for improvement. ask the right questions too.

Feedback from individuals who have received coaching in QI: “...really helpful at explaining ways of working and “...kept myself and my colleague on track when managing to help me to get more specific we needed clarification or additional information. direction in my project - very supportive!” They were open, approachable and went out of their way to assist us.”

Openness, Honesty and What Matters To You? Day Responsibility “What Matters to You?” Day (WMTYD) took place on 6 June. Thank you very much to all staff throughout NHS Lothian who took part in organising events, and for getting involved in WMTY conversations; we hope that these conversations will continue throughout the year. Stephen Covey famously said: “most what we are doing as a result people do not listen with the intent to Source: http://www.whatmatterstoyou. understand; they listen with the intent to scot/deep-listening/ reply.” One of the main aims of WMTYD is More information further to the campaign to help us develop greater intent to listen on 6 June will become available on the deeply and to understand. ‘What Matters to Intranet in the weeks ahead. In the Nursing in the 60s You?’ Day is an opportunity to stop and meantime, please email feedback@ think a little more about how we are nhslothian.scot.nhs.uk if you would like listening, who we are listening to and any further details.

7 Care and Pets are good for us! Compassion

1960s nurse prize giving

Left to right: Ceirwan Wharry (Dep Charge Nurse, Ward 55), Isla with owner Martyn Wright, Pippin and me (Ros Todd), Eilidh Hannah (Staff Nurse Ward 50)”. Ceirwan and Eilidh are the nurses responsible for supporting the Therapets on their wards.

As a Speech and Language Therapist in Acute Medicine at the (WGH), I am always looking for new ways to stimulate and encourage patients to engage and participate in the therapeutic process. This can be easier said than done sometimes, but I think if I could bottle what my wee dog Pippin does on his weekly Therapet visit to the Stroke Unit on Ward 50, I’d be a very successful Therapist indeed! Pippin is a young Miniature Schnauzer and, endorphins, lower blood pressure Special care baby along with his Canine Colleague, Isla the and distract from pain and discomfort. unit 1975 Black Labrador who visits Ward 55, they And if that wasn’t enough, staff members bring a ridiculous amount of pleasure, and visitors also love meeting them stimulate a lot of conversation and and feedback from them has been interaction, and have even helped the odd hugely positive. person with their mobility and upper limb If you would like to know more about The movement (via lots of patting and cuddling). Therapet Service you can contact me or Dealing with a new illness or coping with a contact Canine Concern Scotland Trust long term condition is challenging for all of (www.canineconcernscotland.org uk), our patients, and the few moments of joy, who oversee the service in the hospital and diversion and stimulation these dogs to whom any donations should be made. provide, often helps to alleviate symptoms 100th birthday party, associated with low mood and lack of Ros Todd Hospital, 1970s motivation too. Stroking and interacting Speech and Language Therapist with dogs has also been shown to release Western General Hospital The Unsung Hero The Facilities team at the Royal Willie is part of the team that is responsible Infirmary of Edinburgh celebrated for cleaning all of the surgical instruments recently after one of them was used in NHS Lothian and was chosen for presented with a national award. his decades of dedication and commitment. Engineer Willie Shields, 71, who works He was chosen from scores of NHS workers in the sterilisation and decontamination across the country to take part in the unit (HSDU), was surprised with the celebrations to mark the 70th anniversary Unsung Hero title in the nationwide ITV of the NHS. Willie said: “I really didn’t expect to win NHS Heroes Awards. Willie, who recently But he was surprised when he was called anything. I just thought I was going to celebrated 50 years service with the up on stage, by TV presenter Paul O’Grady, London to take part in the awards NHS, was whisked down to London by in front of scores of celebrities to be given ceremony. I’m not doing anything unusual. the television company to take part in an Unsung Hero award. the star-studded awards ceremony. I’m just doing my job and I really enjoy it.”

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Patients in ward, Royal Infirmary of Edinburgh,1953 Nurses going into the Royal Infirmary of Edinburgh, 1949 Why we needed the NHS

At the start of the 20th century health care in the UK wasn’t doing very well. Life expectancy for males stood at 48 years, while for women, the natural act of child birth was potentially life-threatening. Due to the epidemics of the 19th century, new health departments were set up which created public health services in communities, such as refuse disposal, drainage and street cleaning. These new services, along with advances in medicine, helped bring an end to epidemics, however, the time had come to start looking at health on a more individual basis. For people in Britain seeing a doctor was a luxury that many Following the First World War, concerns over Scotland’s poor couldn’t afford. Families were known to put away money just in health grew. In 1936 the Cathcart report came out, which case they ever needed to call a doctor. The death of children in encouraged a service to promote health rather than simply treat their first year of their life was very common. Poverty in the illness. In the report Cathcart praised the highlands and islands highlands and islands was a particular problem. Following an medical service. investigation in 1912 by a committee appointed under Sir John Finally, in 1948, the National Health Service began. On the lead Dewar, it was recommended that the Government provide grants up to this, leaflets and adverts were created to explain to the to doctors to allow them to treat those that could not afford it people of Scotland what this new NHS meant for them. No longer otherwise, and a new medical service in the highlands and would families have to desperately save money away to call a islands was set up. doctor or go without being treated to avoid costs.

“I believe in universal health care and I’m not afraid to say so.” Stephen Hawking

Tom Baker visits the Royal Hospital KeepFitClass – Keep fit class at the Royal Edinburgh for Sick Children staff, 1978 Hospital, 1960s

9 A great honour Quality Barbara Nugent, MRI/CT Superintendent in the RHSC has been named as one of the Top Ten influencers of MRI safety in 2018. “I am honoured” Barbara said as she was invited to predict safety concerns for 2018, #mrisafety2018. MRI staff have huge safety responsibilities reported all the time and there are even yet they currently receive no national incidents where people have been minimum standards of MRI safety maimed or killed due to objects being education. Barbara’s research showed brought into scan rooms that are unsafe that this is the greatest cause of MRI around MRI equipment. Nationally, patient incidents. Barbara has since tirelessly burns have the greatest number of pushed forward to get mandatory online reported incidents. These are generally MRI safety modules made for staff. “We caused by inadequate patient preparation now have the top UK MRI safety experts and positioning in MRI. Barbara explains: other measures undertaken, is expected and organisations, as well as a global “With education, no patients would be to help reduce the number of incidents. panel of experts set up and ready to help harmed due to MRI.” To read more about MRI safety modules get these long-awaited free MRI safety A business case to support Barbara in go to https://www.e-lfh.org.uk/ modules made,” she said. making a comprehensive suite of programmes/mri-safety/ or read about Barbara’s work has also been supported modules has been submitted and it’s MRI safety predictions go to https:// by patient safety groups as well as all the hoped that funds will be allocated to www.metrasens.com/2018-mri-safety- UK professional MRI organisations. promote this innovative, ground-breaking predictions/. Globally MRI projectile incidents are programme which, along with a host of

An article from The Pelican The New by M.S Miller 1970 And The Old

This is not only a personal knew so well years and years appreciation of the Royal ago. I was most happy there Infirmary, Edinburgh, but one during my long stay of over four that can stand for all time and months. Whatever the outside come from all class and conditions public may say of their modern of patient. I spent many happy nurse I found that those who years in the Preliminary Training looked after me had a wonderful School during the Second World understanding of the old. War when I joined Miss Peterkin They are patient (under trying as Tutor and colleague. circumstances sometimes), good natured with a sense of humour The second period was many years that appeals to all sick people after my retirement when I entered and a compassion that is at times the Royal Infirmary as a patient. It quite touching. was right that I should speak of my Belcroy tube experience as such in a hospital I

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Competition Putting Caring Conversations Win a pair of Brand into Practice New Running Shoes A free interactive learning resource has Run 4 It is a shop dedicated to running! It has stores in Edinburgh, recently been launched with the aim of Glasgow, Aberdeen, Bridge of Allan, Dundee, Giffnock and Inverness. introducing Caring Conversations, a They opened their first running shop in Glasgow, back in 2004. 14 key tool in delivering person-centred years on… 1 shop has turned into 8 shops. A team of 6 has grown care, into all secondary care settings in Scotland. into a team of 100. Yet one thing remains unchanged: their passion for helping runners of all abilities to improve their run! Funded by the Scottish Government and developed by Scottish charity Waverley Run 4 It strive to provide customers with great products, great service Care, Putting Caring Conversations into and expert, honest advice. Call in to check out the wide range of Practice is available to all staff working in secondary care. running shoes (for the road, trails, treadmill or track) and experience their free +runlab video analysis and shoe fitting service, whereby they The resource aims to break down barriers than can exist between patients and recommend shoes with the right level of support and cushioning for healthcare professionals, encouraging you. Run 4 It don’t just stock great trainers… they also have a wide open and honest conversations which range of running clothes, socks and accessories – all guaranteed to achieve positive outcomes for both parties. improve your run. Using an evidence informed model, real-life case studies and a mix of film and NHS Staff can access a 10% discount off purchases in store & interactive content, Caring Conversations online. To view the full terms & conditions, register now with is an engaging and educational online www.nhsstaffbenefits.co.uk and search for Run4It. tutorial. Here’s what it includes: Would you like to win a free pair of great trainers which have been expertly fitted and chosen precisely to fit and support your feet when • FREE online tutorial lasting approx 1 hour running? You can chose any pair of trainers from the store (which • Developed from evidence informed research by Prof Belinda Dewar (UWS) range up to £150). • Individual and group learning options • Downloadable worksheets To be in for a chance all you have to do is answer this • Continuing Professional question: What year did Run For It open their first store? Development certificate Caring Conversations is available now online. Email all competition entries with your answer, name Visit www.CaringConversations.scot to and phone number to: get started. [email protected] or send to: Communications Department NHS Lothian, Waverley Gate Angel Share Competition 2-4 Waterloo Place Winner from last issue Edinburgh EH1 3EG Charlie Norval by 31 July 2018. Clinical Support Worker Western General Hospital

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