Lothian NHS Board Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG

Telephone: 0131 536 9000 www.nhslothian.scot.nhs.uk

Date: 11/04/2019 Our Ref: 3422

Enquiries to : Bryony Pillath Extension: 35676 Direct Line: 0131 465 5676 [email protected]

Dear

FREEDOM OF INFORMATION – STAFF NEWSLETTERS

I write in response to your request for information in relation to staff newsletters in NHS Lothian.

Question: Can I please view the NHS Lothian staff newsletter ‘Connections’ from May 2018 until now?

Answer: The newsletters are enclosed.

I hope the information provided helps with your request.

If you are unhappy with our response to your request, you do have the right to request us to review it. Your request should be made within 40 working days of receipt of this letter, and we will reply within 20 working days of receipt. If our decision is unchanged following a review and you remain dissatisfied with this, you then have the right to make a formal complaint to the Scottish Information Commissioner within 6 months of receipt of our review response. You can do this by using the Scottish Information Commissioner’s Office online appeals service at www.itspublicknowledge.info/Appeal. If you remain dissatisfied with the Commissioner’s response you then have the option to appeal to the Court of Session on a point of law.

If you require a review of our decision to be carried out, please write to the reviewer at the address at the top of this letter. The review will be undertaken by a Reviewer who was not involved in the original decision-making process.

FOI responses (subject to redaction of personal information) may appear on NHS Lothian’s Freedom of Information website at: http://www.nhslothian.scot.nhs.uk/YourRights/FOI/Pages/default.aspx

3422 Staff Newsletters April 2019

Yours sincerely

PROFESSOR ALEX MCMAHON Executive Director of Nursing Midwifery and AHPs Cc: Chief Executive

Page 2 of 2

THE MAGAZINE FOR NHS LOTHIAN STAFF

JANUARY 2019

You are 2 SENSORY MATS 2 A NOTE FROM 3 AND SLEEVES ALEX MCMAHON Incredible

TFEE AS D E IN R G NHS Lothian Breastfeeding B

F R Y Friendly Award I E N D L In NHS Lothian we offer Breastfeeding Awareness sessions and Breastfeeding Friendly awards to anywhere that mums might visit in the community, such as GP surgeries, libraries, restaurants and cafes, to provide a safe, relaxing place where all mums are welcomed to feed their babies.

The Breastfeeding Friendly Award is a small part of the UNICEF Care and Compassion Baby Friendly Initiative to encourage public services to protect, Dignity Openness, and Honesty andCare and promote and support breastfeeding and to help strengthen Respect ResponsibilitCompassiony mother-baby and family relationships. The Infant Feeding Team recently awarded The Pennywell All Pat continued “having the award formalises what support Care Centre (PACC) in Muirhouse. mums can expect, the blueQualit stickeryT is a visible symbol thateamwor is k Quality Quality easily recognisable for those who may have communication Pat Bennett, Manager of the PACC said that “Having the award difficulties or not have English as their first language”. allows the public to have awareness that breastfeeding mums If you would like to know more or you know somewhere that Dignity Dignity can be comfortable to breastfeed their baby in any area of PACC. and and If required they can request a private room. They can breastfeed would like to host the award, please call the Infant Feeding Respect Respect here knowing that they will be supported by staff to do this”. team on: 0131 286 5053

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

Teamwork Teamwork Sensory mats and sleeves Quality for patients with dementia Sensory mats have been used in a variety of ways, like supporting children’s mental development, and more recently as a source of comfort for people with dementia. In the Western General Hospital (WGH) they’ve recently introduced mats and designed a “sleeve” for people with dementia who may benefit from having one. It started when (a patient that we’ll call) These sleeves and mats are currently You Mr A was admitted to the WGH with acute made by a volunteer and have a wide Are Incredible confusion relating to a severe sepsis. He variety of designs which made it easier to came from a nursing home and had find one that Mr A preferred. The patient dementia. On admission Mr A was very immediately settled. The sleeve deterred agitated and required enhanced him from pulling out his venflon. He was observation as he was constantly pulling able to receive the antibiotics he needed at his catheter and at his venflon. In a and no longer needed constant short period of time, Mr A had pulled out supervision. The mats and sleeves are for six venflons which resulted in a delay in him receiving essential intra venous one person use only to comply with antibiotics as part of his treatment. Infection Control. After some discussions around Mr A’s Since then we have introduced a “bank” background, Avril Brown, the Acute of sensory mats and sleeves that wards Hospital Lead for Dementia and Older within the WGH can access by contacting People in the WGH suggested using a [email protected] sensory sleeve to support Mr A. or call on extension 33824.

Openness, Honesty and A Note from Alex McMahon Responsibility Executive Director, Nursing, Midwifery and AHPs Executive Lead for REAS and Prison Healthcare Every year, especially in the winter months, our staff deal with real pressure in our emergency departments, on our wards as well as in the community. It never ceases to amaze me the dedication staff show, even when they’d rather be at home with their loved ones. Every week I spend around two days visiting different services and it’s fantastic to see this dedication and the developments that are taking place, both in terms of advance practice and also developing roles for our health care support workers. In 2018 I was delighted that we were recognised nationally when technique to manage stress and distress for people with dementia. both our Cancer Nursing Team and our Rapid Response Team won They’ve significantly reduced incidents of distress, the use of UK awards. At a local level teams won awards through Celebrating medication to manage that distress and the need for supplementary Success and through other national forums. NHS Lothian has real staffing. They’ve overall improved the quality of care. We’ve now depth and strength in nursing and AHP staff and my job for 2019 made a decision to now have Frances work across the whole of is to build on that platform and make us even more successful. Lothian to support other areas that would like to drive that same Throughout the year I’ve had the chance to meet with groups of level of quality so I look forward to seeing how that develops student nurses. We need to ensure that those nurses are getting throughout 2019. the best experience they can. I’ve been heartened to hear that the I’d like to finish up by saying - thank you for the huge effort you experience and the support they get from their mentors has been put in during the festive period. Staff in the hospitals and in the really exceptional. community do an amazing job every single day and I love to see One of the developments that has really stood out for me in the this first hand. What I’d love for 2019 is for areas that I’ve not seen last year is a project in Canaan Ward in the Royal Edinburgh. before to invite me out to see their service so please take this Senior Charge Nurse Frances Aitken has run a program based on a opportunity to contact me as I’d be delighted to come and visit. 2 JANUARY 2019 You Teamwork Are Incredible A huge thank you to everyone who has taken up our ‘Be Incredible - fight flu’ challenge so far, especially those who’ve had your flu jab and are ready for winter! So many of you have got into the spirit of taking a ‘Be Incredible’ selfie by putting on a superhero mask and t-shirt and posting your ‘Be Incredible’ selfie on social media. Here’s just a few images of you getting behind our campaign. You are all truly incredible! FLU CLINICS For those of you who have not had time to get your free flu vaccination, don’t worry... there’s still time!! You can find details of clinics by going to the intranet directory and clicking in Flu Vaccinations. Please note that you can attend any of the clinics to receive your free flu vaccination. These clinics are dynamic and subject to change. Please see local information about arrangements for the roving vaccinator teams including evening, weekend and night duty. We encourage staff to attend any clinic along with identification and consent form. Please note that you may need to travel to an appropriate clinic. Don’t delay, protect yourself and your patients – this is your chance to ‘be incredible’!

3 Care and Recognition for our staff from Care Opinon Compassion “The care provided “Edinburgh by the staff at the Heart Centre” Royal Infirmary Radiotherapy Unit” Edinburgh It’s often said you don’t Western General appreciate the NHS until you I was having 20 sessions of Radiotherapy very recently need it and I found this to and at the start was very apprehensive given I had worked be true. in microwave radio communications for years and was In February this year when I responsible for the safety side of my people working in was in ward 103 and at 6am that environment. I had a heart attack but the That said a member of the staff there sat me down ultra fast reaction of the nursing and explained the process and the way I was going to staff especially Andrea saved be treated which allayed most of those fears. During those my life. They were as focused early sessions another member of staff explained what and professional at the end of the pictures taken of me during the process meant. a long shift as they were at I really appreciated that. the start of it. There can’t be many more jobs that require I’ve taken the trouble to write this as I can’t praise the this level of commitment and staff there too highly. They were brilliant all the way quick reaction. through to the end of my last session. I had 24 hours in intensive care During one of the sessions there was a power outage being looked after by a group of that interrupted it three times. Their professionalism in people I can only describe as keeping me informed, being considerate about how I superhuman. might feel and making sure I received it correctly eventually was excellent. Thank you to all the staff in LA7. “Excellent hospital care” St John’s I recently had an operation at St Johns Livingston and the staff from arrival to discharge were fantastic. I really can’t fault the care I received and the treatment given. We are so lucky to have free access to such a wonderful service and I want to extend my thanks to all healthcare professionals employed by the NHS.

4 JANUARY 2019

Dignity  and Care and Respect Cuddle blankets Compassion Rainbow Cart gifted to mother and baby unit St Johns

Project Linus UK is a voluntary organisation that aims to provide comfort, security and a hug through quilts and blankets to ill, injured or traumatised babies, children and young people up to the age of 18. The babies are given a blanket which is theirs to keep. The rainbow cart helps to provide a comfortable “The Mother and Baby Unit (MBU) are environment for a child receiving end of life care in a hugely grateful for the donation and we want to say a big thank you to the hospital setting. The items within the cart enable staff charity and all the volunteers that took to make the clinical environment less acute and their time to make the beautiful clothing and blankets that will be so create a holistic ambience. appreciated by the mothers and The rainbow cart was an initiative Ruth Innes, Palliative Care Nurse, Royal babies who receive them.” said Tricia brought back from North Carolina Hospital of Sick Children said “We would Breslin, Interim Charge Nurse, Mother following a professional visit by Katrina like to say a special thank you to Jak’s Den and Baby Unit, St John’s Hospital. Marshall, Senior Palliative Care Charity for their support and input into this St John’s Mother and Baby Unit Nurse Specialist. initiative. Jak’s Den provided funding for opened 11 years ago and has been the cart itself and the purchase of all items. The Rainbow Cart contains nice bedding providing care to perinatal ladies from They continue to support this initiative by cross regional areas of Scotland ever – duvets and sheets appropriate to different replenishing what has been used in the cart. since. Both mother and baby are able age groups, a selection of sensory lights, “The Rainbow Cart was introduced in March to stay in the unit while the mother is iPod for music and stories, hand held fans, of this year and has been used a number receiving treatment. To find out more nice toiletries, pampering items, books, of times. We have seen how much the about the MBU you can watch a short soft towels, cushions for the chairs and items within the cart can transform a room video by going to https://vimeo. disposable rugs for the floor and single and the response from both parents and com/239798213 use slippers for the family. It also contains staff has been overwhelmingly positive.” Project Linus began in the USA and a coffee machine, a variety of snacks for came to the UK in March 2000. the family during their time in hospital. For any information on the Rainbow Cart initiative contact the Anticipatory and It is a non-profit organisation and The cart can be brought to the patient’s Palliative Care Service at RHSC. everyone involved with it are bedside or outside the room. Equally items AnticipatoryPalliativeCareTeam@ volunteers who give their time, can be taken from the cart and used. nhslothian.scot.nhs.uk or 0131 536 0318 skill and resources freely.

5 Teamwork New Royal Edinburgh Supporting Our Newly Building adds value Qualified Nurses through landscape Over the past couple of years, the senior management team at the Royal Infirmary Edinburgh have invested in an innovative programme of work in collaboration with the Clinical Education Team to support newly qualified staff nurses (NQNs), with a period of induction followed by support/discussion groups every few weeks. In their meetings they discussed a variety of topics and as a group are able Quality to offer each other support, guidance and a listening ear. Lesley Triseliotis, Senior Charge Nurse The latest development on said: “I am delighted and privileged to be the Royal Edinburgh Campus, able to facilitate a group of newly qualified which welcomed patients in nurses who have just started in the RIE.” 2017, achieved the highly “It is a real challenge being a NQN coming commended finalist status into such a busy acute site during the “It gave as the unique opportunity to be at this year’s Landscape winter months. We were very fortunate open and honest about our experiences Institute Awards. that our group were all willing to share and feelings, and I personally felt that The annual awards celebrate the value of stories, good and bad. It felt sad when this was hugely beneficial to me in my landscape practice in connecting people, we met for our final time, but so first year of nursing.” place and nature by demonstrating rewarding to see how far everyone has “I’ve found the meetings over the past excellence, innovation and creativity in developed and grown in confidence. I year so valuable and you’ve been really the natural and built environment. think we will always share a special bond.” approachable for advice and guidance - Recognised in the Adding Value Through Here’s what a couple of people from the so thank you for that. Also for supplying Landscape category, the Royal Edinburgh group had to say: us with lovely cakes at each meet up” Building project was praised for demonstrating that it has brought improved cultural, social economic or Openness, learning benefits to the Royal Edinburgh Honesty and Responsibility Campus community. The project shows Our iMatter journey how landscape and architecture can be fused to ensure that the social and health Our iMatters meeting this summer brought us together with our team value of access to high-quality landscape feedback report allowing us to get to know each other as individuals can drive the design of the building. as well as our work. Up until then, as we were a fairly new team, we had been working on individual areas of expertise, with awareness The Royal Edinburgh Hospital has a of overlapping initiatives but not yet joining them up strategically. long standing association with mental health services going back to the site’s What was clear from the outset was that with an action plan and bench marking. development in 1813. The landscaping we were 5 colleagues with a passion for Having a sense of belonging is known incorporated through and around the our roles. By the end of the meeting we new build was set out to make sure that had identified each role as closely to have a positive effect on workplace health and wellbeing. We now meet immediate access, external therapeutic inter-related and the more supported spaces continued to run through the staff feel, the more positive the patient regularly – informally with coffee, or more formally at Site meetings - and hospital campus for the safe delivery experience is and the fewer number of of mental health and associated services. complaints received. feel a genuine sense of connection and Appointed landscape architect, ERZ shared goals, which in turn has created We were then able to map the bigger worked with NHS Lothian staff and patient a positive team spirit. picture, seeing the links and sharing representatives to develop and refine the work plans to create a strategic vision, Jacqui Macrae, QI Hub Team, RIE clinical brief.

6 JANUARY 2019

Competition How to tackle tiredness this Win 1 month free subscription to Hapi winter – The Nutrition Coaching App Created by nutritionists, the Hapi Nutrition Coaching app makes it simple; eating well and living life to the full. The qualified and experienced Nutritional Therapists provide expert personalised one-to-one coaching and support. When the temperature outside is We all use smartphones to take food hovering around zero and you’re photos, add value to the experience feeling tired and listless from a by injecting a 1 - 1 coaching element. little too much festive cheer, the Your HAPIcoach will provide you with temptation to hibernate until spring 1 on 1 personal nutrition coaching and can be overwhelming. Resist the review every meal you post. urge and be active instead. This means your HAPIcoach will take the time to learn your habits and goals. Physical activity can reduce tiredness, With this information about YOU, your HAPIcoach will provide tailor-made advice improve your mood and help digest all that to help you reach your health goals! festive fare. The long-term benefits of regular physical activity are well-known. www.nhsstaffbenefits.co.uk members have access to a discount code when The short-term benefits include having purchasing the app through Google Play or the App Store to receive this service more energy, a better ability to cope with for just £27.99 per month instead of the usual price of £39.99 per month. stress and an increased metabolic rate To be in with a chance to win 1 month free subscription to Hapi - The Nutrition – which means calories burn more quickly. An effective and simple form of physical Coaching App simply answer the following question: activity is walking. The thermometer may have dropped outside, but if you wrap up Which of the 5 NHS Lothian values means the most to you? warm and go for a brisk walk – about 30 There’s no wrong answer and the winner will be chosen at random. minutes – you will feel better for it. Just send us your answer along with your name, job title Your heart will welcome the increased or department, site and telephone number to: activity and your lungs will enjoy the fresh [email protected] or send to: air after the heat of indoors. The exposure to daylight, so limited at this time of the Communications Department year, will also help to improve your mood. NHS Lothian, Waverley Gate 2-4 Waterloo Place If you have children, make sure they are Edinburgh EH1 3EG active too. Staying inside with no outlet for by 1 February 2018. their energy can cause frustration and arguments. A game of hide and seek, tig or football in the local park will help burn off the excess energy. By maintaining a level of physical activity The winner of the kilt hire competition during the holidays, you can combat the Marion Wilson, Learning Facilitator, Comely Bank Centre tiredness usually associated with the first

Chosen by random number generator – witnessed by Fiona Murray and Bhav Joshi, Strategic Programme week back and ensure that you welcome Manager - Unscheduled Care. Tuesday 5th December 2018 the New Year refreshed and full of energy. 7 The magazine for NHS Lothian staff celebrates 70 years of the service

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

6 8 9

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

2 JULY 2018

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 Edinburgh 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

4 JULY 2018

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 Astley Ainslie Hospital, 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. Royal Edinburgh Hospital (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 Western General Hospital (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 Bruntsfield 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.”

8 JULY 2018

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

10 JULY 2018

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

11 THE MAGAZINE FOR NHS LOTHIAN STAFF

MARCH 2019

2 NHS LOTHIAN 3 RECOGNISING OUR 5 A REAL FUNDRAISING NEWS SITE STAFF’S ACHIEVEMENTS JOURNEY The 10th annual Celebrating Success is almost here! Celebratin Succ

Doesn’t time fly! It’s been ten years since we launched the Celebrating Heather was praised by her patient Success Awards and they have grown and improved year on year. “Everyone should have Heather on their side when going throughCare and treatment for Compassion We are marking this special anniversary want to showcase some of our past cancer.Dignit I reallyy don’t know howOpenness, I would and Honesty and by launching a brand new award – the winners who go above and beyond have gotRespec throught it without her.”Responsibility Chair’s Award. This Award will recognise everyday and show why the judges outstanding contribution to services thought they were worthy winners. Robbie Collins, Clinical Support in NHS Lothian by a team or individual. QualityTeamwork Quality Quality It’s open to all staff and the winner Heather McVicars, Worker, will be chosen by the Chairman. Research Nurse in Haemophilia and Linking strongly to our objectives and Cancer Clinical Thrombosis, Royal values, we anticipate the winner of this Trials, Western Infirmary, Caring Dignity Dignity and and award will provide inspiration to others. General, Health Champion of the Respect Respect In celebration of the last ten years we Hero 2014. Year 2015. Continued overleaf Care and Care and Connections is your magazine. If you’ve a story you wish to be Compassion Compassion considered or if you have feedback about the magazine please send (no more than 200 words) along with a high quality photo Openness, Openness, to [email protected] Honesty and Honesty and Responsibility Responsibility

Teamwork Teamwork Marion Robinson, Play Volunteer, Neurology Ward, Royal Hospital for Sick Children. Volunteer of the Year 2018. Was praised for her commitment to bringing some fun into children’s lives as well as offering support to the families on the ward. Marion has been a volunteer for 17 years. It’s so easy to nominate a colleague or team who you think puts their heart and soul into their day to day work. Don’t delay, nominate now with our easy to use online form on the Celebrating Success website at https://news.nhslothian.scot/ CelebratingSuccess/Nominate/Pages/default.aspx The Catering Team at St John’s won 2017 Team of the Year. The deadline for nominations is Friday 29 March 2019. The judges highlighted the flexible and approachable nature of Please note the date will not be extended. The winners the team and the positive impact this has across the hospital will be announced at a glittering event at the Corn on both patients and staff. Exchange on Thursday 20 June 2019. NHS Lothian News site Connections magazine comes out every two months in both printed and digital format but did you know you can now keep up to date with NHS news online? We have a brand new site dedicated to celebrating all the great work being done across NHS Lothian. This includes stories about innovation, quality, awards and much more. You’ll find some of the best stories from Connections there as well as other stories exclusive to the site. The site is available to both staff and the general public which means you can access it anywhere! So whether you’d rather read the articles through the intranet in work, on your mobile while on the go or PC at home just go to: http://news.nhslothian.scot/

2 MARCH 2019

Celebrating Quality improvement Quality in occupational therapy The rehabilitation occupational therapy service across AAH, Liberton and RFU are on a mission to build Quality Improvement (QI) capacity and capability within their team in order to ensure that it becomes embedded into their daily practice. Workshops were held to demystify the process, enhance learning and promote enthusiasm, using fun and inclusive exercises to identify the team’s overall priorities for improvement. Tools were developed to measure knowledge, skill and confidence in the use of QI methodology as well as to capture QI reporting frequency within team meetings. Results showed improvement in all areas and feedback on QI has become a regular agenda item at the occupational therapy staff meetings. Feedback demonstrates the value of experiential learning and skills learned We are building a QI culture within the department and our have continued to be used to support new change ideas. mission continues with newly acquired skills being used in the Quality Improvement “jamborees” have been held locally to ever evolving local clinical QI projects. This remains key in our showcase project results and take pride in our achievements in efforts for continuous improvement to ensure safe, effective, the use of QI methodology. person centred quality care.

Openness, Honesty and Recognising our staff’s achievements Responsibility A note from Alex Joyce, Employee Director

The staff in NHS Lothian are our biggest asset and without them we wouldn’t achieve the great things we do. I personally don’t think we spend enough time recognising our people that go that extra mile to look after the patients in their care. Celebrating Success is a wonderful event to be able to do just that. I’ve never met a member of staff that didn’t think it was a great night, even if they didn’t win an award. They’ve enjoyed being part of the event and getting to meet Executive and Non Executive Board members. Being recognised for awards goes being put forward for more high-level sometimes it feels like a last minute along way for staff morale. I urge you awards like Celebrating Success (The process. We should be putting people all to consider nominating your Premier League if you will). I’m glad to forward all year long. colleagues that go that extra mile for see that on some sites they are doing it I go around on the patient safety visits Celebrating Success. already with initiatives like ‘Team of the throughout Lothian and I’m yet to meet a Month’ and I urge more services or sites As well as this big annual event we team that’s not been impressive. It never to do the same. also need to congratulate our staff fails to amaze me how good they are at all year around. Staff should be There are also other events such as the their work which is how I know there are recognised locally on a more regular Daily Record event. We’ve won several so many of our people that deserve to basis throughout the year as well as prizes over the years at this event but be recognised.

3 Dignity  and The Integrated Hub Recognition for our staff Respect - St John’s Hospital The Frail Elderly Teamwork High praise for hospital Programme at home service My frail and elderly mum was recently unwell due to a urine infection. Her GP referred her to the Hospital at Home Service. She was visited very quickly by a friendly and approachable specialist nurse who assessed her and took blood which was analysed and the results given within hours. He set up a drip and cannula for IV antibiotics. She got all the treatment that she would An Integrated Discharge Hub have received in hospital, without the upset and trauma of being team has been newly established transported to hospital and the inevitable wait once we got there. in St John’s Hospital and are responsible for planning the safe, My family can’t praise this service enough, not only was it effective and timely discharges beneficial to my mum, who was suffering from confusion, but also of patients from the hospital to for the family for whom it’s also a stressful time. The service also the community for ongoing enabled my mum to maintain her care package without any assessment. The team is made disruption. up of staff from the hospital, Many thanks to Roy and the team community, social work and Carers of West Lothian to work Joan Ward (staff member and daughter) alongside multi-disciplinary ward teams. The integrated team has huddles twice a day to coordinate discharging patients seamlessly in real time, using a person “Care received by -centred approach. The team uses an electronic tracker to monitor process my mother” against discharge plans. The hub has several aims which include My mum was recently admitted to the Western General Hospital reducing hospital stay through earlier as she had fallen and was unable to get up unaided and was supported discharge and improving the confused. overall patient experience. My mum received excellent care at Western General Hospital - in Jim Forrest, Director of the HSCP said the emergency department and in the MAU. She was treated with “We’re delighted to see that change has care, dignity and respect. She was provided with a toothbrush, been achieved very quickly and within toothpaste and a comb - little things but important! budget, as part of the Frailty Programme. Every opportunity has been taken to As her daughter, I was kept informed and involved in her care and screen, assess and divert patients where felt that I was treated compassionately and respectfully. I was able appropriate to alternative community to take her home the day after her admission having had tests and pathways at the earliest opportunity. “ CT scan. I was delighted to receive a phone call from the OT The team can be contacted on 01506 Assistant the following day telling me that my mum would be 522102, ground floor in St John’s Hospital. receiving some help with taking her medication - a real weight off For any information on the Rainbow Cart my shoulders. The service we have received has been fantastic initiative contact the Anticipatory and and truly patient centred. Palliative Care Service at RHSC. AnticipatoryPalliativeCareTeam@ nhslothian.scot.nhs.uk or 0131 536 0318 4 MARCH 2019

Edinburgh & Lothian Quality Viral Interventions Study for Kids – ELVIS Kids At the end of 2018 the Children’s Clinical Research Facility decided it’s now or never and welcomed its first ELVIS Kids participants. Following the study with adults this study aims to show that salt water nose drops help colds go away more quickly, stop colds from developing into more serious illnesses and make it less likely to spread to other family members. Participants across Edinburgh and East Lothian are visiting us in our facility at Sick Kids to learn how to make up the saline drops and complete study questionnaires. We’re hoping to attract 480 participants over the next year! So for those of you with suspicious minds or those who are simply interested to know more go to www.elviskids.co.uk. If you have a child under 7 years of age and would like to participate please contact us on 07973 657457.

A real fundraising journey In 2018 Lesley-Anne Palmer, Clinical On the 6th of December Lesley-Anne completed her Skills Coordinator from Edinburgh Dental challenged of walking 2,018 miles Institute, started a challenge to walk 2,018 and raised £465. miles to raise money for Cancer Research/ Lesley-Anne said “People were so Early Diagnoses. kind and generous! Thank you so very much, pictures were taken Just to make this campaign even more fun Lesley-Anne did all her and so much laughter had by all. donation collecting while dressed as a giant converse shoe! She walked in several locations throughout the UK including Aberdeen, She continued “Cancer is York, Glasgow, Newcastle and even got lost once in the Trossachs happening right now, which is in Stirling. why I’m fundraising right now. To achieve this goal would mean you’d need to walk on average 6 My fundraising page is still miles a day however Lesley-Anne set out to do more. There were open, I can collect donations days she walked up to 19 miles. – I’ll walk to you! Lesley-Anne said “I managed to do more miles in the day which I might be optimistic but was hoping to stay with theme allowed me down time for rubbish weather and any sick days - and collect £2000.18.” however only a hurricane would stop me as we had snow, sleet, https://fundraise.cancerresearchuk.org/page/lesley-anne- winds, rain and sunshine and I even walked during red weather walking-the-year-2018 warning back in February.”

5 Quality success for stroke throughout Lothian Quality Recently the stroke team from St John’s Hospital were invited to present their QI work at the National Stroke Audit meeting. The team presented on the success of the Stroke Bundle Nurse role in ED and AMU to ensure all patients receive the stroke bundle timeously, the Stroke Outreach Rehabilitation Team (SORT) project where appropriate patients are discharged early in their pathway and receive their rehabilitation within their own home environment, and finally, the Chest, Heart and Stroke Scotland (CHSS) nurse project which ensures that no stroke or Transient Ischaemic Attack (TIA) patients miss out on the support that is offered by CHSS Nurse and all received very positive feedback. The team at the Western General Hospital has been looking at reducing social isolation for patients on the ward and increasing opportunities for patients that can mobilise to do so as much as possible outside of sessions with the physiotherapists. The Royal Infirmary team has been looking at patient focused goal setting as well as a project that looks at moving patients March 2016. The global aim of the programme is to improve undergoing rehabilitation to the Western General Hospital to the outcome and experience of care for stroke patients ensure that they remain under the care of stroke medicine and throughout Lothian. to facilitate the flow of stroke patients through the system. For more information on Quality Improvement go to These projects are all part of the wider Stroke Clinical Quality https://qilothian.scot.nhs.uk/ Programme in Lothian which has been up and running since

London Marathon Fundraising challenge NHS Lothian staff members Eric and Deborah Brown are embarking on a new challenge – to run the London Marathon as part of a fundraising campaign for Child Bereavement UK. So far the pair has already raised almost £6000! Although this is a new challenge for both “Running a marathon is a scary thought it’s not their first time running for this but we’re following a straightforward 16 charity. Back in 2011 Eric, a Senior Nurse week training plan and taking it one week practitioner in the Hospital at Night team at a time.” based at the Royal Infirmary Edinburgh, “Child Bereavement UK (CBUK) is such a and Deborah, a Flow Coordinator in worthwhile charity, they support adults Midlothian, ran the Edinburgh Half Marathon who have lost children and also children and successfully raised over £2000. who have lost siblings or parents. We have Thinking back about his run Eric said close friends and family members who are “It was a great atmosphere and although we in this awful situation and feel grateful that had been nervous about doing a half CBUK can give practical, expert help at a marathon it was a fantastic day and the time when most people feel completely enjoy running and being generally active spectators really got behind us and crossing helpless.” outdoors. the line together was an amazing feeling”. The £6000 has been raised through a The Marathon takes place on the 28th of To prepare for the London Marathon both series of events such as raffles and dinner April. If you’d like to support them with Eric and Deborah have been training dances. The couple who live in Dunbar their fundraising go to http://uk. several times a week. Deborah said have 3 sons aged 11, 9 and 5 who also virginmoneygiving.com/team/deberic 6 MARCH 2019

Care and Tips for Compassion Competition sleeping well Win 6 month free membership to PureGym The PureGym concept starts with the idea of making fitness more affordable, convenient and flexible for everybody, not just the few. They have designed their gyms around the things that matter most to their members, which allows them How well do you sleep? Good to provide high quality gym sleep is important for good health. Poor sleep, apart from memberships for low prices. making you tired, irritable and Most gyms are open 24/7 so you can struggling to concentrate, can train whenever it suits you! There are up also mean you are more to 50 FREE classes a week, large free susceptible to infections and weights and cardio areas and plenty of personal trainers - you’ll find everything has also been linked to an you need. increased risk of obesity, heart disease and type 2 diabetes. NHS Staff Benefits members are being offered a 10% ongoing PureGym discount To improve your sleep, try these plus no joining fee! To access this offer, register today or log on to your account on www.nhsstaffbenefits.co.uk & search for ‘PureGym’. tips for sleeping well. One lucky reader also has the chance to win a 6 Month Single-club Membership! Adults require between 7 and 8 hours of All you have to do is answer the following question: sleep each day. During sleep, you cycle back and forth between two stages of What article most interested you in this month’s Connections? sleep. Exposure to natural light is key to regulating this sleep pattern so get Just send us your answer along with your name, job title outside during daylight for at least 30 or department, site and telephone number to: minutes each day. [email protected] or send to: Coffee, tea, chocolate and energy drinks Communications Department contain caffeine which is a stimulant. NHS Lothian, Waverley Gate Consuming caffeine too close to bedtime 2-4 Waterloo Place will affect your ability to fall asleep. Try and Edinburgh EH1 3EG avoid caffeine within 6 hours of sleep by by 1 April 2019. switching to decaffeinated versions instead.

While it may help you to relax and fall Terms and Conditions: 6 month membership prize is for a standard single club asleep, alcohol affects the quality of your membership. If you wish to upgrade your membership, the winner would need to sleep resulting in a much lighter sleep. wait until after the 6 month period to do this. If you do not wish to continue after Switch to non-alcoholic drinks at least 3 your 6 month membership, please read the cancellation instructions on the hours before bedtime. PureGym website. Mobile phone, tablets and computers emit a blue light which suppresses the release of melatonin, a hormone important in regulating the onset of sleep. Turn off The winner of the HAPI app competition electronic devices at least an hour before Marion Paxton, Spiritual Care, Royal Edinburgh Hospital bedtime and leave them out of your bedroom. Emma from Staff Benefits picked the winning number Wednesday 6th February 2019 7 THE MAGAZINE FOR NHS LOTHIAN STAFF

NOVEMBER 2018

2 3 5 ARABELLA BECOMES NEIGH BOTHER A SCIENTIST The Power of Memories Reminiscence Therapy for dementia patients Quality The team at Willow Ward, in Ferryfield House, have been working to break down the barriers of dementia to bring out the person within the patient. For the past few months, staff on the Willow Ward have been using a new Digital Reminiscence Therapy System to help evoke memories and joy in their patients with dementia. The new computer programme allows the staff to build up a profile on each patient based on information from their past. It could include their favourite songs, hobbies they liked, favourite films and even horse racing. Care and Compassion Dignity Openness, Megan Ferguson, Deputy Charge Nurse, said: “We brought and Honesty and particular interests. With Eillish,Respec theyt knew she likedResponsibilit to y one of our dementia patients, called Phil, in to take part in the be creative. therapy. She sat with a cup of tea in front of her, uninterested in what was going on around her and unwilling to take part. Hannah decided to do some painting and Eillish was amazed at how she could paint by simplyQualityT touching the computer screen.eamwork Quality Quality “Then we brought in a second lady, called Eillish, who seemed much “I really like that”, she said. When she saw a drawing of a horse, more responsive. Phil wanted to stay in the room and it wasn’t it evoked memories of how her Dad used to take her to see long before she was joining in singing and tapping her foot to music.” horses and how much she enjoyed being around them. Dignity Dignity and and Hannah Moncrief, activities coordinator, and the staff on the After a few stories from her past, Hannah played a few of Respect Respect ward work with patients to note their likes, dislikes and any Eillish’s favourite songs. Continued on Page 2

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

Teamwork Teamwork Continued from Page 1

Megan added: “As soon as the music began you could see Phil getting interested in what was happening. Her foot began to tap the floor followed by her hand tapping on the table. All of a sudden Phil was smiling and talking. She then started to sing ‘Donald where’s your troosers’ along with Eillish and Hannah. Next she was telling jokes to Eillish and the two were communicating brilliantly with each other. “It’s incredible to see how a patient like Phil can go from being uninterested in communication of any kind to talking, singing, smiling and even laughing along with her friend Eillish. “Reminiscence Therapy is a great way of evoking memories and creating joy in patients with dementia.” This project was possible thanks to the funding from the Edinburgh and Lothian Health Foundation (ELHF), if you have an idea which could make a difference to the patients you support, please call 0131 465 5850 / ext 35850 to discuss possible funding opportunities.

More than just Neigh Bother horsing around Standing out in the mud, exposed to the Care and Compassion elements, may not sound like fun but it was for the young people at Neigh Bother! Being around horses, whilst learning practical horse care, achieving their skills section of the Duke of Edinburgh Award, and not to mention being able to meet other like-minded young people, is enough to make the biting wind and pouring rain worthwhile. Neigh Bother is a collaboration between CAMHS and FOTA (Friends of the Award) with Karele Equine facilitated activities. It gives autistic young people the chance to learn a skill, develop interests and meet other people in a small, young people across all of Lothian can now also benefit supported group environment. from the support of the CAMHS FOTA Development Officer. One group member described the day as “very therapeutic” Course organisers hope that Neigh Bother will be the first and a family member said it was the first in a long time of many joint initiatives in East Lothian ... and no they’re that her daughter had successfully managed being in a not horsing about! group setting. This project was possible thanks to the funding from the Over the last 10 years, CAMHS Occupational Therapy Team Edinburgh and Lothian Health Foundation (ELHF) and FOTA. and FOTA have developed a unique project to support young If you have an idea which could make a difference to the people attending CAMHS in Edinburgh to achieve their Duke patients you support, please call 0131 465 5850 / ext 35850. of Edinburgh Award. Additional Big Lottery funding has meant

2 NOVEMBER 2018

Get Your Flu Jab We know our staff are exceptional in the care they deliver every day, but this winter we are asking you to ‘Be Incredible’ by getting a flu jab. By taking up the offer of a free, flu vaccination, you can help of yourself, you and your bestie or even your full team and share take the strain off the NHS during the busiest time of the year, by them on our Facebook and Twitter pages. doing something ‘ Incredible’. The jab will offer the best available protection against two A FLU CLINICS strains and two B strains of the bug. You can find details of clinics on the intranet flu pages. Please note that you can attend any of the clinics to receive your free That means you can protect your colleagues, yourself, your flu vaccination. patients and your family from a really nasty illness that can hold serious implications for more vulnerable people. These clinics are dynamic and subject to change. Please see local information about arrangements for the roving vaccinator We all have it in us to ‘Be Incredible’. teams including evening, weekend and night duty. We And as a bit of fun, we are asking all of our staff to join our encourage staff to attend any clinic along with identification and campaign and show off their new found super powers. consent form. Please note that you may need to travel to an Selfie frames, superhero masks and T-shirts are being delivered appropriate clinic. to clinics across Lothian. Don’t delay, protect yourself and your patients - this is your We are asking you to pull on a superhero mask and take photos chance to ‘Be Incredible’.

What does Quality Improvement mean to NHS Lothian A message from Simon Watson, Chief Quality Officer NHS Lothian’s ambition is to make Quality Improvement (QI) the way we do things throughout the organisation and not just a separate thing. Our aim is that in five years time at least 80% of all our teams will have quality plans, measuring quality and testing out new ideas. We’ll support them through training, expert coaching in their service, giving them the time to do this and of course helping them to share what they’ve learned. To make this work, leaders across the a lot of the best ideas come from patients Not only does QI work to improve organisation need to bring people and their families. the service but most people involved together and allow them to talk about One thing that we’ve learned since have found that it makes them feel what they need to do to deliver a high better too. This approach gives people testing QI over the last two years is there quality service and what are their biggest permission not to ask permission. We all are lots of different ways of testing challenges versus their biggest priorities. know what the sensible boundaries are quality, however, once you’ve got one Then through constant testing we work and people in their service know what that works - you should stick with it! together to improve the quality of those needs to be better and this will help priorities. To do this there needs to be So far we’ve been testing QI in six them to make it better. It gives staff the consistent collaboration from teams on different areas and we’re happy to say opportunity to take control of what needs the ground, to leadership and the people that the teams have shown some really to get better and how they do it. we’re looking after. Our experience is that positive success.

3 Care and Recognition for our staff Compassion “Care and “Excellent compassion” paediatric I am a current inpatient on ward 31 at the Western General Hospital following an acute onset of bilateral peripheral care of neuropathy that is yet to have the cause identified. I have to say the level of care and compassion I have been my son” shown is unreal. The staff have all made me feel relaxed, My son was admitted to spoken to me with genuine empathy and are a complete Edinburgh Sick Kids A&E last credit to the nursing profession. I would just like to Saturday. We were triaged mention a CSW called Rebecca who is one of the kindest immediately and given a CSW’s I have met (I’m a nurse in a different hospital so bed straight away. Fiona, the I know many health workers). Her manner and way of deputy charge nurse, was relaxing patients is a true credit to the profession and amazing, kind and extremely she should be recognised as perhaps one of the strongest caring. It transpired that my assets on the ward. son had broken his forearm Thanks again for all the hard work and support and within 20 mins of walking demonstrated to not just me but the others in the bay and through the door he had been visiting relatives. It’s really made an anxious patient feel reviewed by both nurse and less frightened by it all. medic and given appropriate and adequate pain medication. My son was extremely nervous about attending hospital Ewen Cameron but the professionalism, @EwenDCameron kindness, patience and cheerful My family & me would like to thank the nurses attitude of ALL staff turned @NHS_Lothian for their amazing support over the last such a horrible experience fours days in helping us care for my Stepdad at his home. into a positive. Names of the They were caring, compassionate, understanding, orthopaedic surgeon, A&E thoughtful & supportive. consultant, plaster technician, It won’t be forgotten ♥ clinical support worker and newly qualified nurse, I can’t remember but they were all amazing. THANK YOU. CARE John Pendlebury WAS EXCEPTIONAL. @johnfpendlebury @NHS_Lothian Many thanks and sincere gratitude to medical and nursing staff of infectious diseases unit WGH. Saved my life.

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School girl becomes a scientist for a day Teamwork Thanks to the Royal Hospital for Sick Children and Harvey’s Gang charity 10 year old Arabella Muir became a medical scientist for the day to help in her battle against leukaemia. Arabella became the first patient in Lothian member of Harvey’s Gang and presented to become a “trainee Biomedical Scientist” with Certificate of Attendance and a goodie in a bid to de-mystify the blood and bone bag filled with fun takeaways such as a marrow tests that she has to regularly squishy microscope, a Harvey’s Gang undergo. As part of the tour, Arabella got journal, a Gonk novelty character and to wear a mini laboratory coat and a more. She even got a new mini lab coat personalised NHS Lothian I.D badge. to take home. Arabella said “I saw how the blood sample Tamara Hanson, Biomedical Scientist arrives in the laboratory and I got to put RHSC Team Leader, NHS Lothian, said: stickers on the tubes and scan them into “The scheme is fantastic for staff and the computer. Then I put them into a tube patients. It acts as a powerful reminder that spins it in a circle really fast. for us that behind every blood sample received into the department, there is “I got to look through a microscope at a a patient. making her feel better. sample of my bone marrow from when I was first diagnosed and my most recent “Arabella was a fantastic visitor. Not only “The launch of the Harvey Gang initiative at sample. I found it cool when we looked at was it a pleasure for the staff to get the Royal Hospital of Sick Children has had a blood cells (Neutrophil) and one of them opportunity to meet her, but she asked lots positive and exciting impact on everyone looked like it had eyes and a mouth and it of questions to keep us on our toes. involved.” was smiling. That was my favourite cell” “We also got the chance to explain how we You can find out more about Harvey’s Gang At the end of the tour Arabella was analyse blood samples and how important on their website http://harveysgang.com congratulated on becoming an honorary the results are in treating her illness and

Dignity  and Old Masters – New Masters? Respect How Ellens Glen became an art gallery The team at Hawthorn Ward in Ellens Glen House recently put on an art exhibition called “Old Masters – New Masters?” with work created by palliative care patients. Activity Coordinator Susan Macrae supported the patients to create pieces of art based on either their past or their current ability. They’ve had works including a sculpture Another remarkable piece was of a three-tier cake celebrating the NHS wheelchair art done by one of the 70th made from bedpans, a knitted gentlemen. He had great fun producing elephant, an adaptation of a painting by his painting by maneuvering his Gustav Klimt of a woman swathed in gold wheelchair back and forth over paper as fabric, wildlife paintings of a fox seen in Susan put different colours of paint on the the hospital garden and one of a frog, a wheels. They made a huge mess but both self-portrait and abstract works. laughed a lot – and the water soluble paint was easily cleaned up. One lady, who initially felt she couldn’t contribute, agreed to be photographed in The exhibition has been displayed along a style similar to the famous “Old Master” the Cedar corridor in the hospital. It painting called ‘The Girl with the Pearl represents three months of hard work, Earring’ by Vermeer. especially by the wonderful patients. It’s created great enthusiasm and enjoyment – and even some terrific pieces of art.

5 Dignity  and Courage and perseverance – living with diabetes Respect Kay Malloch, Diabetes Specialist Nurse (DSN), recently presented 91 year-old Evelyn Emslie, who has diabetes, with the John MacLeod Medal. This was awarded by Diabetes UK in recognition of the courage and perseverance required to live with diabetes for 70 years. This is timely as 2018 is the 70th anniversary of the NHS. Evelyn recollects how diabetes has In February 2018, NHS Lothian was the changed over this time. She became first Scottish health board to implement unwell while studying for her MA at the Freestyle Flash Glucose monitor for Aberdeen University in 1948, was people who intensively manage their admitted to Gray’s Hospital, Elgin and diabetes. Since then, diabetes control has diagnosed with Type 1 Diabetes. She improved across all Lothian clinics, with spent several weeks in hospital, when the clinics at the Western General, Royal she learnt how to test her urine for Infirmary of Edinburgh (RIE) and Leith glucose, by adding 5 drops of urine and Community Treatment Centre ranked 2nd, 10 drops of water into a test tube with a 3rd and 4th in the country. Clinitest tablet. She also learned to sterilize needles for injections and A further major change has been the display cabinet in the RIE OPD2. The carbohydrate count. Nowadays needles development of the DSN role from the display was prepared by retired DSN are disposable, education at the time of early 1980’s onwards. It would now be Joan Allwinkle and funded by the RIE diagnosis is generally done in out- unthinkable to run a service without Diabetic Treatment Trust. patients and testing involves compact DSNs. If you’d like to see a bit more blood glucose meters. about the history of diabetes there is a

A night to remember Teamwork After attending the NHS 70th birthday at the National Museum of Edinburgh in June, NHS employee Cornelius Ojo and his wife were amongst a small group of NHS staff invited to have supper at Bute House and then went on to attend the Royal Military Tattoo as VIP guests of First Minister Nicola Sturgeon. “It was a great honour to be invited as a guest of the First Minister. A truly amazing night to remember,” Cornelius told us. Originally from Nigeria but living in the UK since 2003, Cornelius joined NHS Lothian in 2011 as part of the Generic Recruitment Team. In 2016 Cornelius was appointed as one of the first GIRFEC (Getting it Right for Every Child) Administration Co-ordinators. Cornelius works alongside our East Lothian Health Visitors and provides essential administration support to our NHS GIRFEC child planning process. GIRFEC is about supporting the wellbeing of our children and young people by offering the right help at the right time from the right people.

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Improving Quality Competition Inpatient Care at the Win a full kilt hire Royal Edinburgh With more than 125 years’ experience and seven stores nationwide, McCalls is Scotland’s leading Hospital Highlandwear outfitter supplying exceptional tailored Stress and Distress is an kilts, high quality hire outfits and the exclusive evidenced based model of care striking PRIDE range. which has been successfully McCalls offer an unrivalled level of choice with over implemented in the Older Peoples 2,000 distinctive tartans available and one of the service in the Royal Edinburgh largest selections of Sporrans, Sgian Dubhs and Hospital. It was initially trialled on other accessories in Scotland. Canaan Ward and led to great improvements in care for patients McCalls have 7 stores; in Edinburgh you will find with dementia. This included a them in Haddington Place. They also have stores in reduction in violence and Glasgow, Elgin, Aberdeen, Dundee, Broughty Ferry aggression and the use of and Tillicoultry. restrictive practices such as 1:1 NHS Staff can access 10% off hire & sales nursing care. Staff have also seen (excluding packages) – for more information the benefits with increased job visit www.nhsstaffbenefits.co.uk satisfaction and less use of bank and agency staff. Would you like to win one FULL KILT HIRE OUTFIT consisting of jacket, waistcoat, kilt and flashes of The Adult Acute wards have now been your choice, sporran, shoes, sgian dubh and tie? Also motivated to look at similar models of includes shirt & socks (retail items). A prize worth up care to improve the experience of patients being cared for in their setting. to £130. Tartan choice from standard, premium and The Safewards is one of these models exclusive pride selection. now being tested. The aim of this is to If so just answer the following question: make patients feel and be safe in the hospital environment. Teams feel Do you prefer a paper copy of Connections or a digital copy? empowered to use the QI methodology to conduct small tests of change on There’s no wrong answer and the winner will be chosen at random. their own ward and to share the Just send us your answer along with your name, job title learning between teams to see which or department, site and telephone number to: are the most powerful interventions. [email protected] or send to: Braids ward is also testing an approach Communications Department called Positive Behaviour Support. This NHS Lothian, Waverley Gate is an evidence-based approach which 2-4 Waterloo Place involves assessing patients and using Edinburgh EH1 3EG evidence-based interventions and decision making. The aim is to support by 3 December 2018. patients to build social and functional skills and reduce harm. We hope that the ongoing testing of The winner of the Cardrona competition these exciting and innovative Janine Ferguson, Mental Health Nurse Specialist, Department of Psychological approaches to patient care will continue Medicine, Royal Infirmary of Edinburgh to improve the experiences for patients requiring inpatient care and can aid in Chosen by random number generator – witnessed by Fiona Murray and Kate MacDonald, SCAN Cancer Network Manager. Tuesday 16th October 2018 their recovery. 7 THE MAGAZINE FOR NHS LOTHIAN STAFF

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DEMENTIA CAFE THE JUPITER PROJECT AWARD FOR BRAVERY 3 – A JOURNEY OF CHANGE 6 HELPING VULNERABLE TEENS 7 Become a Peer Vaccinator – and keep your colleagues healthy this winter

If you are a registered nurse or doctor, you can help us minimise the effects winter has on our services by becoming a flu peer vaccinator. We know our flu champions and peer vaccinators help increase the number of staff who get the flu jab, helping to protect them and their patients. But we need more of you and now. Becoming a peer vaccinator offers you development opportunities to enhance your skills and experience. You will be offered training and support. We know peer vaccinators already have a rapport with colleagues which raises the level of trust and encourages more staff to be vaccinated. Peer vaccinators also know the pressure staff are under and more able to identify a good time to approach staff about their vaccination. Care and Compassion Dignity Openness, Sandra Carr, Senior caught flu and was unwell for four weeks and frailand patients here at the Honesthospital.y and Respect Responsibility Charge Nurse, Loanesk going from nine and a half to seven and a Not only are you helping to protect Ward, Midlothian half stones. Two of my colleagues are yourself and your patients but the role Community Hospital also peer vaccinators and we run clinics gives you transferable skills too.” became a peer vaccinator for NHS and social care staff locally. At QualityTeamwork Quality Quality last year when her one clinic we managed to vaccinate 60 For more information about becoming predecessor retired. staff in 60 minutes. I also drop into wards a peer vaccinator contact, Andrew at different times on shift capturing staff McArthur at Andrew.mcarthur@ She said: “I thoroughly enjoyed it and we Dignity Dignity who may not come to clinics. I can’t nhslothian.scot.nhs.uk or Patricia and and had a good response. I know how serious stress enough the importance of getting McIntosh at patricia.mcintosh@ Respect Respect flu can be. A number of years ago I vaccinated, especially for our vulnerable nhslothian.scot.nhs.uk

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 Improving Hip Quality Four Strain Fracture Care Flu Vaccine! in NHS Lothian 2017 was a bad year for flu and we all In spring 2017 the team working on the felt the strain. This season’s vaccine Neck of Femur Fracture Pathway started covers four influenza strains rather than on a Clinical Quality Improvement journey three in previous years, including two to help create better patient experience. A strains and two B strains. It is being The aim is to ensure patients have their offered to healthcare workers and 18-65 fracture repaired quickly and are able to Miss Chloe Scott – Trauma Orthopaedic year olds in clinical risk groups. This is the return to a homely setting as soon as Consultant, Chris Myers - Service Manager best available protection against a very possible. Since then they’ve made and the Orthopaedic Multidisciplinary unpredictable virus and the earlier you are improvements to the preoperative clinical Team to assist frontline clinicians to vaccinated the better. Staff flu clinics will process and in doing so have reduced the interpret data and identify variation in be available across a number of sites from wait time to theatre. The team are now clinical processes to understand 1 October and information of dates/times working to reduce medical delays and improvements. can be found on the intranet at http:// cancellations of surgery. The next phase Regular coaching clinics are available and intranet.lothian.scot.nhs.uk/Directory/ will be to work on improving reliable post staff are welcome to share ideas for fluvaccinations/Pages/ operative care and discharge planning. FluVaccinationClinics.aspx projects or improvements. We can also The Quality Improvement (QI) team have a sponsor staff who would like to attend the Being immunised is the best protection pivotal role in supporting clinicians to set Quality Academy. you, your patients and your family have up clinical quality management systems More info against virus that can cause severe illness. and provide full QI, financial and data https://qilothian.scot.nhs.uk/orthopaedics Your efforts will help us cope and take the analytic support. Susan Whyte, Senior strain off our staff and services this winter. Programme Manager and Andy Duffy, Or contact Senior Data Analyst, work closely with [email protected]

Openness, Honesty and Staff Engagement and Experience Responsibility A message from Janis Butler, Director of HR and OD I believe that when staff are engaged at work they feel enthusiastic, motivated, and they know that the work they’re doing is important to achieving the organisation’s goals and indeed delivering the best outcomes for patients. Engaged staff actually care about their work and their organisation.

Staff Engagement and Experience Development Framework 2018 – 2020 At times of unprecedented demand staff can often feel ambitions in response to iMatter Staff Engagement and Experience Development Framework 2018 – 2020 isolated, with lower levels of engagement and in some cases feedback and other information that burn out. It’s important we all recognise good staff experience we’ve received from staff. It covers

RECOGNISING AND is important to help prevent this, in fact it’s one of our 4 everything from focusing on staff’s CELEBRATING SUCCESS

WE ARE ALL LEADERS

STAFF organisational goals (often referred to as the Quadruple Aim). health and wellbeing, embedding our COMMUNICATIONS

WHAT MATTERS TO YOU

STAFF HEALTH There is clear evidence that good staff experience helps to values, improving communication, to AND WELLBEING

FINDING JOY IN WORK

create good patient experience and engaged staff are more the visibility of leaders and more. One OUR SHARED VALUES likely to continue and develop in their careers. example of a key actions is setting up 12 health and wellbeing groups I think NHS Lothian is at the start of a journey, the across all of our sites and HSCP’ s. beginning of a conversation which is about what matters There is also focus on communicating to staff and how we can improve their experience at work. in an open and honest way with all of our staff, maintaining The leadership team realised we weren’t spending enough career growth and development, and recognising and time looking at and understanding staff experience and how celebrating the really great things teams do every single day! we help to improve it. Due to this we’ve now developed the You’ll see and hear more about the Staff Engagement and Staff Engagement and Experience Framework. The Experience Framework in the coming months. Framework is a roadmap that sets out key commitments and

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Openness, Honesty and Why we use iMatter ( Janis Butler’s message contiued from page 2 ) Responsibility iMatter is our main source of staff feedback. As leaders it gives us an opportunity to listen, to reflect and to help staff have a better experience. It provides teams with an opportunity to have good conversations about how they work together and their experience at work. We’ve had good response rates for the survey but as conversations to take place at work. Examples we’ve seen individual teams we sometimes struggle turning this are teams finding ways to be able to communicate better feedback into action plans. These plans don’t need to be with one another or how teams celebrate success within anything complicated, it’s about 1, 2 or 3 actions a team can their own area. agree and it’s important that it’s driven by the teams Finally, in terms of iMatter I’d like to say - please take part, themselves and not something that comes from the leader. have your say, and give us the opportunity to work with you Leaders should facilitate the meetings and allow the to improve your experience at work.

Dementia Cafe – A journey of change Quality Inside the Canaan Ward, at the Royal Edinburgh Hospital, there is a little room called the Dementia Cafe, designed to bring back memories and make the residents feel comfortable. In the room there are circular tables covered in red and white polka dot table cloths. Around the room there is old fashioned memorabilia like a phone from the 1930’s, a Hoover from the 1970’s and on the wall a plaque that simply says “Service With A Smile”. The Canaan Ward is a dementia ward for men over the age of 65. It was there I got to talk with Senior Charge Nurse Frances Aitken and Charge Nurse Charlotte Monk. They told me about how Canaan Ward over the last few years had been on a real journey of change. When Frances first started the staff were very “risk adverse”. The idea of letting the patients out anywhere was terrifying to some! Through using the quality improvement methodology they’ve been able to make some real changes. They’ve now gone gentleman’s life. During the walk, he began to pull on the from a culture of being worried about having activity days to handle of Charlotte’s bag. When Charlotte asked the the staff “jumping over themselves” to take the gentlemen gentleman to stop, he responded with a tear in his eye “I’m out and about. They now have days out to local coffee shops, telling my dad on you”. At this point, it became evident that the cinema, local Football clubs and North Berwick. They also the gentleman was a young child in his timeline and that the have a disco where they invite the gentlemen’s partners or behaviours he used to communicate with others, had been families to come along. And of course there’s the Dementia vastly misunderstood. Cafe. In the evenings the cafe gets turned into a romantically lit restaurant for the gentlemen and their partners to spend Frances and Charlotte, as well as the rest of the team, fully time together. believe that these changes have really helped both them and their patients. The engagement in therapeutic activities have This journey has enhanced staff’s ability to understand their allowed staff to see the person rather than the patient. It’s patients needs. Charlotte told me about a gentleman that had evident the team believe that we should allow patients to been labelled as “aggressive” prior to admission. Staff in continue to fulfil their role as a husband, father, grandfather Canaan found this gentleman to be settled, however he could or brother. experience distress at times during the day. One day to help relieve his distress, Charlotte assisted him to the local Frances said “the staff have gone from being fed up at their supermarket; Walking was a significant aspect of this work to being proud to wear their uniforms”.

3 Care and Recognition for our staff Compassion BIG 70th “All great but one nurse Celebrations was exceptional” I was in for an operation on a brain aneurysm in June 2018. All staff were excellent, but while in the high dependency unit one nurse on the night shift was exceptional. The lady opposite me was distressed so the nurse sat with her looked at magazine, and talked to her. I’m sure at one point they were doing a jigsaw when the lady was calmer the nurse put her in to bed. She stayed with her till she fell asleep. The nurse then took a chair and sat outside the ward in the doorway as the lady had tried to leave the ward earlier on that evening and had fallen. The nurse did her night time duties but always returned to the chair Patients, staff, groups, club and to check on her patient. friends and families across NHS Lothian got together on 5th July to host their “A trip to hospital with my son” own NHS Big 7Tea party My 10 year old son broke his wrist so we had to visit the A& E to help celebrate the 70th department at St. John’s Hospital in Livingston. The info board said 2. 5 hours wait for Triage so I explained to my son we’d be there a while birthday of the NHS. however he was taken to be triaged very quickly then we saw the ENP, Liberton Hospital, CAMHS at REH and he was xrayed, we saw the ENP again & lastly the Plaster Technician. patients and staff at the Astley Ainslie Hospital enjoyed beautiful weather The ENP was lovely & the 2 Radiographers who xrayed him were great, which added to the party atmosphere. spending time with him explaining what they were doing & showing him Staff and visitors to Waverley Gate had his own xray picture which he was amazed with. The Plaster Technician a roof top celebration complete with was also great by chatting to my son instead of talking over him to me. strawberries and cream! We were out within 1. 5 hours of us arriving despite it being a very busy Asda Stores at Chesser, and Straiton also evening. It was a pleasant visit considering the unfortunate circumstances. offered to bring the party out to patients at Liberton hospital and at Astley Ainslie! Fabiano Furlan, the Community Champion for Asda Straiton and said. BC Jules “Asda believes that the 70th birthday of @CoburnBen @Jules_Sheridan the NHS was a great opportunity to celebrate the achievements of this great Just had latest Just been treated institution, to appreciate the vital role procedure at daybed @NHS_Lothian Western the service plays in our lives, and to unit @nhs_lothian General minor injuries recognize and thank the extraordinary Western General Hospital unit, phenomenal care & NHS staff and volunteers.” and I feel the need to attention, done & dusted Do you have a question about donations share just how brilliant in under an hour (inc. or have an idea which can make a difference to your patients? Feel free all the staff are. The NHS Xrays & stitches). Massive to contact the team via e-mail: rocks. #NHS #Western thanx #nhsscot70 [email protected] or call #Edinburgh on 0131 465 5850 http://www.elhf.co.uk/

4 SEPTEMBER 2018

Dignity  and Healthy Working Lives Respect Have a break Work pressure does not necessarily have to mean work stress. The Royal Infirmary’s Healthy Working Lives Have A Break campaign is designed to reduce levels of stress and promote feelings of wellbeing at work with 5 simple messages. It also encourages role modelling of behaviours by staff to create a culture of breaks as a necessity, not a luxury. Why not try one today and feel the difference? Breathe – A break is not called “taking a breather” for nothing. Simply taking a breath in and a longer breath out will screen will not only reduce stress but increase your creativity, promote a sense of calm. productivity and sense of wellbeing Refresh – Roughly 60% of your body is made of water. The Keep active – After only 10 minutes of physical activity your next time you are flagging try a glass of water. It may be all brain releases ‘feel good’ chemicals. A 15 minute walk will your tired muscles need to help you through until home time. have you feeling focused and energised. Alternatively, choose to stretch at your desk with one of the Feel Better in 5 videos Energise – Food fights fatigue. Grab a piece of fruit for below. energy and for a Vitamin C boost. For info contact: [email protected] Allow time away from your desk. It is not down time, in fact just the opposite: as little as five minutes away from your Feel Better in 5 Following on from the very successful “10 minute workstation workouts” that we have brought to many of you over the past few years we would like to make things more accessible to all. We have now created videos of the workouts that you can follow and do whenever it suits you. Not only that, but we have made it even easier by making two videos of only five minutes each. You can choose to stretch and relax or do some body toning. They both involve movement which is especially important if you have a desk job or spend a lot of time in one position at work (eg. Standing in theatre or would like to extend our thanks to Stephan Punton in Medical sitting in labs). Do them on your own or as a group; do Photography for undertaking the filming and voice over them both or just one- the choice is yours. Please enjoy technical work with us. and you’ll find you feel better in (just) five! We hope you will be feeling even better in just five soon: The videos have been created by ourselves (NHS Lothian Follow the link below- and pass it on. Best wishes, Amanda Occupational Health Physiotherapy service team) for you. We Jones, Head of Occupational Health Physiotherapy. http://intranet.lothian.scot.nhs.uk/Directory/OccupationalHealthAndSafety/ OccupationalHealthPhysiotherapyService/Pages/ActivityatWork.aspx

5 The Jupiter Project – helping vulnerable teens The Jupiter Project was One participant said “I like doing designed to help the wellbeing art because it calms me down and of vulnerable young people aged gives me a way to express myself” 16+. There is evidence that Another said shows spending time outdoors is good for your mental health “Jupiter Artland is amazing. It is and being creative can relieve my favourite place.” stress and encourage creative This collaboration between NHS thinking. Well the Jupiter project Lothian and Jupiter has been an combines the two! example of how we can work with other organisations in our communities The project brings young people to provide opportunities for young together to help both their social people to increase their wellbeing. interaction and their creative expression and the Jupiter Artland is This project was possible thanks to the perfect location to do this! Based the funding from the Edinburgh and on the 100 acre estate of a 19th Lothian Health Foundation (ELHF), if century house, it’s surrounded by you have an idea which could make a beautiful gardens, fields and woodlands. difference to the patients you support, please call 0131 465 5850 / ext 35850 The project gives the participants an to discuss possible funding opportunities. opportunity to form a peer group and express themselves creatively. It also gives an opportunity to develop potential personal and career interests through the range of activities at Jupiter such as art, landscape design and more.

A great start for the Rapid Response Team Teamwork NHS employee

Well done to the Rapid Response Team (RRT) as they’ve recently been meets Prince William shortlisted in the Nursing Times Awards in the Nursing in Mental Health category and the Nursing Older People Category. In 2016 there was a reduction in psychiatric in their first year. The average length of hospital beds for people over 65 within the stay in dementia assessment wards has Royal Edinburgh Hospital (REH). As a reduced by 27%. response to this the RTT was established. RRT’s first year has been hugely successful, The team generally visit patients in their changing the way older people’s mental own home, making use of any supports health care is provided in the community they already have in place. They’ve found and providing access to inpatient beds that most people are really happy to be when they are most needed. supported in the comfort of their own home. In the last edition for Connections we told Leading the way as the first of its kind in you about how Willie Shields, Engineer at Scotland the RRT prevented 290 (65%) the Sterilization and decontamination unit admissions to the REH during their first was presented with the national award for year. 17% of the remaining referrals were Unsung Hero. Well following his award he supported to have early discharge from was asked to attend the NHS 70th hospital. As a result the average length of birthday at the National Museum of stay in the older people’s functional Edinburgh. During the night he got to assessment wards was reduced by 44% meet Nicola Sturgeon, new Cab Sec Jeane Freeman and even Prince William! 6 SEPTEMBER 2018

Competition Award for bravery Win one night bed and breakfast at Cardrona Hotel, Golf and Spa Macdonald Cardrona Hotel, Golf & Spa in Peebles, offers luxurious contemporary accommodation set in timeless natural surroundings. With the hotel’s scenic location on the banks of the River Tweed you’ll discover a relaxing haven – just 40 minutes outside Edinburgh – nestled amidst the tranquillity of the Scottish Borders landscape. Transport coordinator Chloe Bell has With an award-winning restaurant, two bars, 99 comfortable and been given a prestigious bravery award after she risked her life in spacious bedrooms and conference and wedding facilities, the hotel in a dramatic rescue bid to save an Peebles makes the perfect retreat for a leisure stay and offers a superb injured motorist. backdrop for special family occasions and business events. Chloe, 21, who works at the Flow Centre, While you’re staying there, why not try your hand at a round of golf on at Astley Ainslie Hospital, was presented the 18-hole championship course or enjoy a dip in the pool and a with a ‘Vellum Award’ by the Royal Humane Society after she volunteered to luxurious treatment in the spa and leisure club. climb into a crashed car to help the NHS Staff can access several great offers at Macdonald Cardona Hotel. stricken driver. To see what offers are available go to www.nhsstaffbenefits.co.uk: The frightening incident began after Chloe witnessed a car turnover and crash on the Would you like to win one night stay with Bed & Breakfast with 20% off M90 just south of the Queensferry Spa treatments or a round of golf at the MacDonald Cardrona Hotel? To Crossing. An off-duty paramedic, travelling be in with a chance all you have to do is answer the following question: in another car, also saw the crash and joined Chloe in a rush to help. The paramedic judged that the injured What river is the hotel located next to? driver might need a tracheotomy – an Just send us your answer along with your name, job title incision in the windpipe made to relieve or department, site and telephone number to: an obstruction to breathing - and that his head and neck needed to be supported to [email protected] or send to: keep his airway open until emergency Communications Department services arrived. NHS Lothian, Waverley Gate With the smell of fumes coming from 2-4 Waterloo Place the crashed car, Chloe volunteered to Edinburgh EH1 3EG climb through a broken rear window of by 1 October 2018. the crashed car and support the driver’s head. “I was in the car for seven or eight minutes but with the smell of fumes it felt like a lifetime,” said Chloe, adding that adrenaline helped her get through Winner of the RUN4IT Competition the experience. Deirdre Elphinstone, Senior Charge Nurse, Ward 55, Western General Hospital “I’m quite overwhelmed. It’s something Chosen by random number generator – witnessed by Fiona Murray and Ruth Kelly, Deputy Director of HR/OD you do as a natural reaction – you don’t on Wednesday 1st August 2018 expect to receive an award for it.” 7