The Department of Spiritual and Pastoral Care

THE DEPARTMENT OF SPIRITUAL AND PASTORAL CARE

THE CHAPLAINCY

SERVING

THE GEORGE ELIOT HOSPITAL working with WARWICKSHIRE HEALTH AND THE COVENTRY AND WARWICKSHIRE

PARTNERSHIP TRUSTS

THE REPORT OF OUR WORK

2008/2009

Our Mission Statement

This Team is committed to providing pastoral, spiritual and religious support and care in a multi-cultural context for patients, their families and staff, promoting the well being of the whole person within our whole community. Index

1. Mission Statement 2. Executive Summary 3. Establishment 4. Where are we now? 5. Where do we need to be now? Our Business Plan

Appendices

1. Activity 2008 Notes on Activity 2. Admissions by Religion 2008 Notes on Admissions

2 2. Executive Summary

Background and Context

Health Care Chaplaincy nationally has received high profile coverage regarding its role and its purpose.

This Report and Business Plan gives an outline of work carried out and the planning for the year ahead. It also reveals the diversity of our work.

Our Aims

 The continuing purpose of the Department is to embed more firmly the facilitating of staff to access spiritual and religious needs as part of our endeavour with our Team to deliver good whole care.

 Also, for the Christian Chapel facility to be adapted to be a place of relaxation and meditation – to encourage a quiet place in a busy and noisy environment.

 For the All Faiths Prayer Room to be expanded to facilitate all the needs of the users.

 To develop a more formal and integrated staff support service with all other agencies in the Trust.

 To continue to work in an integrated way between the acute, palliative and Hospice, mental health and primary care organisations. This we have done despite all the formal changes to our Trusts in recent times.

 To continue to develop our Team through the West Midlands Collaborative of Health Care Chaplains, developing local standards and continuing our Reflective Practice.

Canon Edward Pogmore Chaplaincy Co-ordinator

3 3. Establishment

Staffing Resources

Edward Pogmore Chaplaincy Co-ordinator Anglican 10 sessions 1 x whole time chaplain specialising in medical care

Steve Sankey Team Chaplain Methodist 10 sessions 1 x whole chaplain specialising in surgery, intensive care, paediatrics, Stroke Unit and Bramcote Hospital

Jay Chauhan Community Development Chaplain Baptist - 10 sessions 1 x whole time chaplain working with Warwickshire Health and the George Eliot Hospital NHS Trusts. With GPs and their staff and developing regeneration projects through Catalyst Plus.

Pauline Warner Part time chaplain Methodist 1.5 sessions

David Lacy - Roman Catholic Co-ordinator 1 session working with

Fr Philip Harrop Fr Stephen Day Honorary Roman Catholic Chaplains Fr Trevor Smith Sr Therese Horrigan

Molvi Abbas Khalifa Honorary Muslim Chaplain

Anju Nathwani Honorary Hindu Chaplain

Mohinder Singh Honorary Sikh Chaplain

Wendy Edwards Chaplaincy Secretary, 12 hours per week

Lay Visiting Team – 25 Lay Visitors at the George Eliot Hospital

Organist - Allan Procter – 2 sessions per week

4 We have had a number of changes in Chaplaincy personnel since the last Business Plan. After Linda Mudd (our Hospice and Hospital Chaplain) was appointed whole time Hospice Chaplain and Bereavement Service lead in July 2008. Subsequently, Steve Sankey was appointed as whole time Team Chaplain in July 2008. Fr Arul Samy left the Team in July 2008 to take up a new parish post and Fr David Lacy took up his position within the Team on his appointment. Our Lay Team has been strengthened after a process of interview and selection, and training from September to December 2008. This led to the Commissioning of 7 new Lay Visitors in January 2009 including, for the first time, 1 Sikh and 2 Hindu Lay Visitors. This has led to the strengthening of our links with all the Faith Communities.

4. Where are we now?

(i) The work of the West Midlands Chaplaincy Collaborative is something that our Team has taken an active role in. 2007 saw an emphasis on the whole area of audit and a pro forma for recording our activity.

2008 has seen the encouragement of Spiritual Care Assessment and Reflective Practice. This is ongoing work with Rev Debbie Hodge, the Secretary of the Free Churches Groups for Health Care Chaplaincy.

(ii) The Chaplaincy Co-ordinator has submitted a research bid to the Strategic Health Authority (with the backing of Warwick Medical School, Dr Ann Jackson), to explore Spiritual Care Assessment in the Doctor’s surgery. This has not yet been accepted for funding at the time of writing.

Steve Sankey

Since Steve’s appointment in June 2008, his induction into the Trust and the Team has been diverse. With the Chaplaincy Co-ordinator, he has contributed to the End of Life Care Pathway. This has meant input to the training of ward based groups and contributing to the wider training of the Multi-Disciplinary Team.

This has been a very productive process in the disseminating not only the role of chaplaincy but also the education of Spiritual Care Assessment of all.

Lay Visitor Training

During the autumn of 2008, he shared the organisation of the 10 week training course for our new Lay Visitors. This received very positive feedback from the diverse participants. The Commissioning Ceremony was planned and delivered within the Team.

Development

He attended his initial Health Care Chaplaincy course in Cardiff. He has become a member of the College of Health Care Chaplains and an accredited member of the register of Chaplains.

5 Observations

Steve has helped to identify areas of development to enhance the work of the Chaplaincy Team.

1. Development of the Sunday Service in the Chapel and the encouragement of the contributions of the St John Ambulance Team. 2. To help in the development of the Chapel as a place of Spiritual Reflection. 3. To help raise the profile of the Chaplaincy regarding availability and overall purposes. 4. To help develop the further integration of the assessment of spiritual needs into the patient care pathway. 5. He has contributed to and will continue to share the lead in the Trust Induction presentations.

David Lacy

Fr David was appointed to the co-ordinating role for the Roman Catholic Team in August 2008. He arranges for the Catholic Mass to be celebrated on the first Friday of the month in the Hospital Chapel.

He shares the Catholic ministry with our honorary chaplains, Sr Therese Horrigan and Rev Deacon Trevor Smith. We have recruited another Roman Catholic Lay Visitor in the last year to join another 3 of the Team. Out of hours on call cover is shared with Fr Stephen Day and Fr Phillip Harrop and during leave time, Fr Frank Daly and Fr Moses Pitya share that work.

 Due to the on call commitments of the Roman Catholic Team budgetary talks are in progress to bring the weekly sessions from 1 to 2.

Simon Moult

George Eliot NHS, Acute NHS Trust works closely with Coventry and Warwickshire Partnership Trust. The Partnership Trust provides care for those with Mental Health, Learning Disability and Substance Abuse issues.

The close working means that there is a seamless overlap with referrals from the acute into mental health services and visa versa. Providing the best possible standard of care for patients and their carers. Indeed, the same sometimes applies for staff who should have any mental health issues or Partnership Trust staff being admitted into George Eliot.

There is also a reciprocal arrangement for on call out of hours service, again giving patients in both services readily accessible spiritual care.

Rev Simon Moult, Chaplain and Co-ordinator of Faith Services, regularly attends chaplaincy meetings held at George Eliot and is involved in the Teams ongoing reflective practice, which again builds the links between departments of spiritual care.

Service Level Agreement talks are still on going regarding Simon’s on call arrangements for us at the George Eliot Hospital (1 in 4 out of hours).

6 Abbas Khalifa

Abbas has served the Trust in his honorary capacity since 1993 as Honorary Imam and advisor on Muslim needs.

In 2003, the Jumui’ah Prayers (mid day congregational Prayers on Fridays) was set up with the Hospital.

From 2007, the All Faiths Prayer and Quiet Room has been kept in full use 365 days each year and on average, 17 – 20 brothers attend the Friday prayers each week.

Patients and relatives also make good use of the room and the ablution facilities.

 Due to the lack of space and the religious requirements of gender segregation, our sisters are not able to join the brothers in prayer on the Fridays. The Muslimah sisters make limited use of the Room and are hopeful that sometime in the near future similar facilities shall be made available for patients and staff. The known numbers of staff in this situation is 10 to 15 sisters.

Imam Abbas has, in the last year, been able to work closely with staff colleagues across the Trust with approaches to improving care with regard to Halal diet; modesty, personal hygiene and other socio-religious and cultural needs for patients, staff and families.

During the year, Abbas and the Chaplaincy Co-ordinator gave a joint lecture on Spiritual and Religious Care to the final year medical students at Warwick Medical School.

Grief and loss sessions have been arranged for the Coventry and Warwickshire Partnership Trust this year.

 Budgetary talks have been held regarding travel expenses for Abbas’ call outs.

Pauline Warner

Pauline joined our Team in April 2009. She has taken on the 1.5 sessions post of Free Church Chaplain. She has taken on a generalist role after her induction, supporting the Team according to workload and advising the Team on specifically Free Church issues with Steve Sankey. Her role is being reviewed in September 2009 regarding the possibility of specialisation as well as generalist work.

Edward Pogmore

In his role as Chaplaincy Co-ordinator, the past year has facilitated a number of projects within the Team.

1. Has organised larger church and Faith based meetings, for the Foundation Trust members meetings. 2. Has participated with the Team in the development of the West Midlands Faith Forum as described in the report. 3. Continues to encourage our Faith Forum within the Hospital including overseeing the Faith Team in the culture of the Hospital. 4. In partnership with A&E and a staff bereaved family, arranging the refurbishment of the A&E relatives Room.

7 5. Submitting a Primary Care Spiritual Care Assessment Research bid to the West Midlands SHA. 6. Celebrating the 15th year since the Dedication of our Christian Chapel. 7. With Steve Sankey, participating in the End of Life Pathway training of staff both at ward base and more generally. 8. Acting as Mayor’s Chaplain 2008/2009 in the Nuneaton and Bedworth Borough Council culminating in the service ‘Because We Care’, bringing together all the care agencies, Health, Social Care and Third Sector Voluntary bodies to celebrate the very often unseen work of care within our communities. 9. As a national assessor for Chaplaincy, has been involved with appointments at Warwick, Milton Keynes, and Queen Elizabeth’s Hospital, Birmingham.

Jay Chauhan

Jay has been in post as Community Development Chaplain since 2004. He has developed the role to meet the ever changing Health Care shifts of organisation and delivery of care.

Context and Background of the Work and Catalyst Plus

(Promoting Health and Wellbeing, Time for a Paradigm shift in Healthcare Chaplaincy)

The Healthcare Community Development Chaplaincy, a joint initiative and piloted by both the former North Warwickshire and George Eliot Hospital NHS Trust, in accordance with the emerging agenda to shift the balance from Acute to Primary Care settings within the framework of prevention and the promotion of the whole well being.

Catalyst Plus, which is operating as a ‘not for profit’ (unincorporated) Health Enterprise Agency was created as a vehicle trough which the strategy was to be developed and delivered. Since its inception in 2004 Catalyst Plus has initiated community developments approaches to tackling health inequalities and promoting the well being agenda by linking the wider determinates of health care in particular regeneration, housing, spirituality and emotional health.

Catalyst Plus’ operating principles and framework for health and well being is based on the following 1. Professional healthcare Chaplaincy capability 2. Linking health, regeneration and spirituality 3. Community development

Like the whole Team, Jay and Catalyst Plus has adapted and operates within the 10 Essential Capabilities for Healthcare Chaplaincy.

1. Working in partnerships 2. Respectful diversity 3. Practising ethically 4. Challenging inequality 5. Identifying the needs of people using chaplaincy services 6. Providing safe and responsive patient centred care 7. Promoting best practice 8. Promoting rehabilitation approaches 9. Promoting safe care

8 10.Promoting personal development and learning

Work in Progress and Future Developments

1.1 Integrated Community Based Intermediate Care Services

What is Core Business of ICS

The above model is linked to the original 5 aims of the NSF Standard of Three, as previously discussed, and they concentrate on the core functions of:

a) Avoidance of unnecessary hospital admissions for adults, primarily older persons (over 65 years), through early interventions in patients’ homes b) Facilitating discharge from hospital by providing targeted rehabilitation programmes in patients homes c) Avoiding unnecessary or premature admission to long term care through provision of targeted rehabilitation programmes

1.1.2 Utilising Extra Care Housing Scheme as Intermediate Care

Nuneaton and Bedworth Borough Council (N&BBC) Housing Department agreed in principle to allocate up to 12 beds for the provision of Intermediate Care in the community based at Alwynne Court, Kerseley. If this pilot is successful then the Housing Department will consider asset transfer of 1 of their Extra Care schemes nearer George Eliot Hospital. Awaiting response from the Senior Management Team of the George Eliot Hospital.

1.1.3 Community Based Intermediate Care Home from Hospital

1.1 Proposal has been submitted once again to both the Warwickshire PCT and George Eliot Hospital for consideration. Due to restructuring being undertaken, the proposal has been delayed.

1.2 Coventry and Warwickshire Health and Regeneration Forum

Currently in the process of developing the above in collaboration with N&BBC. The primary objective is to connect Health, Housing and Regeneration initiatives, in order to improve the well being of local residents. The primary function of the Forum will be to create a platform to maximise the capacity and capability of the health economies to participate successfully in issues of social and economic regeneration. The membership of the Forum will consist of senior officers from key agencies such as LSC, Health, RSLs, Job Plus, LAs, etc.

The principle areas of development being considered are:

- Health Sciences/Medical Technologies - Procurement and investment in local business - Recruitment - Skills and career development - Good Corporate Citizen - Environment/Carbon footprint

9 1.3 Community Enterprise – Provision of Healthy Ethnic Food

The Hindu, Muslim, Sikh and African Caribbean Centres provide meals on wheels for those who are house bound. The aim of this initiative is to expand these community enterprises by extending the provision of authentic, ethnic meals for both the patients and staff through the George Eliot Hospital Catering Department. If successful the initiative has the potential for:

 Creating additional income for these not for profit community groups  Local job creation  Improved ethnic diet as the menus will be subject to strict guidelines provided by dieticians

1.4 Camphill GP Led Centre

The Health Xchange Hub is a partnership development between Catalyst Plus, a Not for Profit Health Infrastructure and Regeneration Agency; and George Eliot Hospital NHS Trust.

The creation of Camphill Xchange Hub is an innovative example of vertical and local integration. The Hub aims to deliver a service that is focused on health promotion and disease prevention through the development of:

1. Health and Fitness Centre, located on current Practice site. Planning permission is being sought to extend current premises 2. Health Inter-Change, located within the premises 3. 50 plus Lifestyles, as above 4. Camphill Nterprise Clubs, various community sites 5. Camphill Health Xchange website hosted by the George Eliot Hospital NHS Trust 6. Camphill Health Forum, consisting of registered and non-registered residents

The above will support the George Eliot Hospital commitment to ‘fully support the drive to provide care closer to home’.

“As an organisation (George Eliot Hospital) that provides local hospital services, we are well placed to extend these services within the community to offer a complete range of healthcare and have a more direct impact on improving the health and well being of the area” Sharon Beamish CEO George Eliot Hospital

1.5 Participatory Research Proposal – Management of Long Term Conditions

The Warwickshire PCT Department of Public Health is seeking to support Catalyst Plus above the proposal. It is suggested that this should be piloted and tested initially in Camphill and surrounding area. Research brief is being drawn up for discussions with the SHA Lead for Long Term Conditions. The primary aim of the exercise is to promote the management of the chronic conditions through self support leading to reduced visits to GP practices, reduction in emergency referral to A&E and hospital admissions. The research will be carried out with the support of the Camphill Area Health Forum.

10 This work is part of an integrated approach to healthcare where the focus is health promotion as well as acute secondary care.

5. Where Do We Need to Be Now? Our Business Plan

i. A lot of the work of the Department of Spiritual and Pastoral Care has been not only with patients and their families and carers but particularly with our staff in the Trust at every level and circumstance. We are keen to formalise our care with all the other support agencies with whom we work ie Occupational Health, Human Resources, Bereavement Service and the Psychology Department as well as other counselling agencies. ii. We look to build up a business case to promote the facility of ‘Relaxation’ within the Chaplaincy. This is to respond to constant patient feedback about the lack of ‘quiet places’ in the Trust for reflection. We look to collaborate with those who already work in this area of care to start a pilot to test the efficiency of such a scheme ie Occupational Therapy, Pain Clinic, Maternity Complementary Therapies, Psychology and Physiotherapy. Initially this would be to identify a small group to discuss the project and develop it. iii. To reorganise the Roman Catholic sessions to 2 sessions from 1 session. iv. To put in a bid for secretarial hours to be extended from 12 to 16 hours per week. This was in last years Business Plan because of expanding workload. v. Expansion of All Faiths Prayer Room facilities for our Muslim woman patients, staff and family members. vi. Travel expenses for our Faith Honorary chaplains vii. Out of hours on-call cover from Partnership Trust (ie Simon Moult) SLA to be agreed. viii. To scope and respond to the distribution of information on Chaplaincy to patients and staff.

Finance

The pay overspend: £3820 (mainly due to Pay Accrual) The non pay: Overspend £206, Income: Extra Income of £321 was achieved

Overall: £3700 overspend. Pay: Chaplains pay budget was overspent at 2008-2009 Year End by £3820. The main reason for this was due to an accrual of charges. Non Pay: The Non Pay budget was overspent by £200. This was due to minor overspends in establishment costs. Income: Chaplains were able to reach their income target through recharges of Chapel personnel sessions to other Trusts. Chaplains were also able to generate £500 non patinet related income. The overal income achievement was an extra £321 Total overspend was £3705

Business Plan in proccess of prepartion

11 Appendix 1

Activity

For Clarification

The visiting figures show a decrease between 2007 and 2008 across the board. This is partly due to the change of staffing and the building of the Lay Visitor Team.

The outside referrals have fluctuated little over the year.

It should be noted that the admission by religion data shows 13,651 not specified. As in our last Business Plan there has been little improvement in the ‘clerking in’ procedure to remedy this lack of specification.

Referrals 2007/2008

120 97 100 89 84 79 80 2007 60 2008 40

20 10 6 0 Hospital Outside Staff (self)

Lay Visitor Contacts

10000 9291

8000 6817

0 2007 2008

12 Midweek Holy Communion and Chaplain's Visits Including Bramcote August - December

8000 5755 6000 Chaplain's Visits 3874 4000 Holy Communion Bramcote Aug to Dec 08 2000 319 349 141 0 2007 2008

Sunday Holy Communion and Visits

1400 1315 1198 1200 967 1000 859 800 Visits 600 Holy Communion 400 200 0 2007 2008

Tuesday Holy Communion and Visits

1150 1114 1100 1047 1050 Visits 1000 Holy Communion 938 942 950

900 850 2007 2008

13 Roman Catholic Sacramental Ministry and Visits

1200 1086 1000 927 800 Chaplain's Visits

600 478 355 Holy Communion and 400 Anointing 200 0 2007 2008

The Muslim Friday Prayers

800 728 700 600 500 400 300 200 100 0 1 2008

The All Faiths and Quiet Room officially opened in October 2007 and figures for attendance started to be recorded from November 2007.

Occasional Services

80 72 70

60 55 55

30 24 20 16

0 Little Ones Induction Good Friday Rolling Christmas Day Christmas

The Chaplains were called out of hours 33 times during 2007 and 31 times during 2008.

14 Appendix 2 Admission Method (All)

Count of UR No Religion Grand Total Church of England 20564 Not Specified 13651 Roman Catholic Church 2566 Methodism 756 Christian (non-Catholic, non-specific) 710 Islam 299 Sikhism 269 Baptist 246 Hinduism 162 Church of Scotland 146 Jehovah's Witnesses 95 Reformed/Presbyterian 59 Atheist 49 Anglican 43 Pentecostal 40 Latter Day Saints 38 Spiritualism 32 Orthodox 28 Christadelphian 20 Church of Wales 18 Judaism 16 Greek Orthodox 15 Agnosticism 12 Zen Buddhism 11 Unitarian-Universalism 9 Church of Ireland 4 Declined to give 4 NULL 4 Lutheran 3 Animism 2 Babi & Baha’i Faiths 1 Scientology 1 Wicca 1 Quaker 1 non-Roman Catholic 1 Grand Total 39876

15 Some words of appreciation

‘to the Team of Chaplains for your visits to our mother on the EMU ward and your words of comfort and the prayers after mother passed away’.

‘ On behalf of my family and myself we wish to thank you for all the support you have given us during this sad episode in our lives. The service you gave at the crematorium was much appreciated’.

‘ for a beautiful service you gave …………… on Monday 13 July’

‘ Thank you for everything you have done to make me feel welcome ……..’

‘Thank you very much for your counsel and kind words on a particularly tough day. It was really very kind of you to have taken the trouble to take the time to help me’.

‘It will have been very important to her to have been given that final passport to travel on her heavenward journey, and all the family are very grateful to you.’

‘I feel very proud and honoured to have worked with a hugely professional and respected Team. You were always eager to offer your support, advice and an excellent listening ear.’