Coventry City

footballers Issue 34 visit for nutrition & Spring 2016 hydration week Page 06

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Staff Survey the scores are in #HOWMUCH Find out how we’ve done… The costs behind your NHS Pulse

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INSIDE THIS ISSUE INSIDE www.swft.nhs.uk Chief Executive What our patients say...

I am excited to write this piece for The Pulse and let you know My mother died peacefully at home in the outcome of the 2015 Staff January. The community nurses from Survey which was reported Leamington who cared for her in her last nationally on 23 February days were wonderful, I cannot praise them 2016. I see this as the most enough. Not only were they gentle, kind important annual performance and efficient with my mother’s care but indicator available to me and I they were also constantly checking that am encouraged to hear that the Care Quality Commission (CQC) now the family were ok and really took the see the Staff Survey as the strongest dataset time to talk to us in a sensitive and predictor of quality. reassuring way. I am proud to say that this year’s results exceeded our already high scores from the previous year and our overall engagement score continues to rise. The key @nhsswft highlight for me is that 81% of staff said they would be happy with the standard of care provided by the Trust Follow if a friend or relative needed treatment, compared to 72% in 2014. We have also welcomed the Care Quality Commission Feedback provided by for their inspection during the week commencing 14 our patients via Twitter March. It will be a while before we know our rating, however I would like to take this opportunity to thank all of our staff who took part in the inspection on the important thing: last night EVERYONE top of what was already an extremely busy week. I we interacted with at the @nhsswft am hopeful that they will have seen what a fantastic hospital was amazing. Even the cleaners. organisation we have. On the back page of the magazine you will find a new Brilliant fast service @nhsswft A+E campaign we are running called #HowMuch. This is tonight already providing an #nhs aimed at informing people on the various costs to #7dayservice the NHS for treatment. The costs highlighted in this campaign demonstrate some of the saving that can be made if we achieve these improved health outcomes More thanks, @nhsswft Warwick as well as the costs associated with not turning up Hospital / Central Rehabilitation for appointments. Our new strategy which we will Unit. 8 months repair/ rehab / great care. feature in the next edition of Pulse focuses on working Must be fed up with me by now! in partnership with our local population to improve wellbeing and health, reducing hospital admissions. There is a focus in this edition of Pulse on Nutrition and Hydration and we were helped along by Coventry City To all the nurses at the Ulcer Clinic, just a note to Football Club players who visited our children’s ward say thank you for all your care and kindness over to talk about the importance of good hydration and the past 6 months. I still can’t believe how well the handed out bottles of water. It also features our latest treatment has gone. You guys really are brilliant news from across the Trust and fundraising activities.

I hope that you enjoy reading this latest edition of Pulse magazine. To the Camp Hill Clinic staff -Thanks for mending me! GLEN BURLEY

LIKES FOLLOWERS 630 2051 Keep up-to-date on all things SWFT by ‘liking’ our Facebook page www.facebook.com/nhsswft or following us on Twitter@nhsswft 02 www.swft.nhs.uk The staff survey is commissioned by the Department of Health and invites a variety of staff to answer questions anonymously about the Trust, as an employer and healthcare provider.

Once again the Trust featured in the best rated category when asking staff if they recommended the Trust as a place to work or to receive treatment, scoring 4.01 against an average of 3.71. There were also many other areas where we also performed above the national average including; staff believing that the organisation provides equal opportunities for career progression or promotion, staff satisfaction with resource and support and the percentage of staff satisfied with opportunities for flexible working.

The staff survey is a good opportunity for Trusts to identify any areas of improvement. Following We’re delighted to announce that we the findings from last year’s survey we’ve been working have achieved some of the best staff with staff to show how feedback is implemented across the organisation. This has improved significantly and survey scores in the country. we’re now scoring 3.71 compared to 3.51 in 2014.

We have continually received positive results year The Trust recognises the hard work and commitment on year and the latest figures do not disappoint, with from our workforce and understands the importance the Trust being noted as ‘average or above average’ of staff satisfaction. To support this we have recently in 27 of the 32 categories when compared to other launched a Benefits Platform which gives our employees organisations. One of the key areas that the we have access to exclusive discounts and offers. The platform exceeded the national average is for staff engagement, is the first of its kind in the NHS and enables staff scoring 3.92 against a national average of 3.79 and to access their personal benefit information from increasing our 2014 score of 3.86. This fantastic desktops and mobile devices. achievement demonstrates the emphasis placed on ensuring our workforce is effectively engaged.’

90% 2016 80% 2015 81% 80% 70% 74% 72% 73% 71% 60%

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Staff said they would be happy with Staff said that the organisation acts Would recommend the organisation the standard of care provided by SWFT on concerns raised by patients as a place to work if a friend or relative needed treatment

the pulse : Spring 2016 03 Healthcare Staff receive national award to improve care locally. Our Practice Development Team compiled a workbook portfolio and assessment book to help their CSWs work towards and achieve the 15 standards set within the Care Certificate.

Since launching the initiative in July 2015, our staff have been working hard to embed the Care Certificate in all areas of the Trust. A 4 day induction programme introduces CSWs to the Trust values: Safe, Effective Compassionate and Trusted. Specialist speakers from different departments within the Trust deliver presentations that equip the new starters with knowledge to assist them as they step out into the workplace.

Dee Barrenger-Higgins, CSW said: “I’m really pleased Helen Lancaster, Director of Nursing and Fiona Burton, Deputy Director of to have completed the Care Certificate because it helps Nursing present Dee Barrenger-Higgins with her Care Certificate to ensure I have a thorough understanding of current practices and it’s great for my development. I’m looking A group of our Clinical Support Workers (CSWs) have forward to sharing what I’ve learned with my colleagues become the first members of staff to receive the national as I think the Care Certificate provides benefits to both award which was developed from the Cavendish Report staff and the patients we care for.” for the Department of Health. SWFT Director of Nursing Helen Lancaster said: “It’s The Care Certificate is designed for non-registered great to see the first group of competent, committed members of staff who are involved in direct patient Clinical Support Workers receive the Care Certificate. It care. The initiative aims to ensure consistent high demonstrates that they have the knowledge and skills standards and provides reassurance that healthcare required to deliver high quality, compassionate care. workers have the skills to deliver compassionate, safe, The Care Certificate is theirs to retain and add to as high quality care. they continue through their career pathway.”

04 www.swft.nhs.uk PROVIDING HIGH QUALITY CARE THROUGH STAFF DEVELOPMENT Health Visiting

In 2011, the Call to Action project was launched. After working as a community nursery nurse with It was designed to grow the health visiting the health visiting team Gemma was keen to become workforce, transform the service and improve a health visitor. Encouraged by one of the practice teachers, Helen Efstathiades, she applied to commence outcomes for children and families. her nurse training. Gemma was seconded by our Trust to Worcester University where she completed her Here in , we have played a crucial role in paediatric nurse training. meeting this. Throughout her journey Gemma has also been What has changed since 2011 supported by our practice teaching team and the • We have trained over 125 student health visitors inspiring academic staff at Birmingham City University. who have gained employment either with us We feel that this multi-organisation investment in or with other trusts nationwide healthcare staff is a valuable exercise for us and the • Developed a model of health visitor education community as a whole. Assisting Gemma to succeed which has received positive recognition from the means the families she provides care for will benefit Department of Health from her talent and commitment.

• Increased our practice teaching team from 4 to 12 Gemma said: “Although this has been a long and challenging • Developed the mentoring skills of health visitors journey, I have always had my end goal in sight. I could not have across the Trust done this without the financial backing. More importantly, the fact • Developed and implemented a supportive package that the Trust, particularly the practice teachers, believed in me, of Preceptorship for newly qualified health visitors gave me the confidence to carry on. One of our success stories is Gemma Laishley, one of I’m thrilled about my new post at Southam; it’s great to work six student health visitors who have recently qualified and started working as health visitors. closely with families, doing the job I have always wanted to do”.

Standing: Keeley Whittaker, Charlotte Davies, Fiona Machin, Kate Hollowood, Gemma Laishley, Michelle Lavende Sitting: Helen Efstahiades, Tracey Biggs, Kerry Danesi Crombie

the pulse : Spring 2016 05 Trust asks “How hydrated are you?” As part of Nutrition and Hydration week our staff have been working hard to show how positive changes to eating and drinking habits can help improve quality of life.

Running from 14 to 18 March, the week saw events taking place across the Trust. At Warwick Hospital the Dieticians, Speech and Language Therapists and Occupational Therapists created a public information stand. There were also service audits to follow food from the kitchen to the wards. Our community sites in Leamington, Stratford and Shipston hosted tea parties; providing a relaxed environment to share an important message.

Sue Whelan-Tracy, Non-Executive Director and Kathy Wagstaff, Clinical Lead Nurse enjoy a tea party with volunteers and patients on Campion Ward at the Central England Rehabilitation Unit

Speech and Language Therapists and Occupational Therapists at Warwick Hospital ran an information stand in the Dieticians Bonnie Campion (left) and Kim Alexander (right) with Outpatients department patients and ward staff during Nutrition and Hydration week.

Children receiving care at Warwick Hospital were Local football stars visit thrilled when they received a surprise visit from two local football stars. our children’s ward Reda Johnson and Jordan Willis who play for Coventry City Football Club visited MacGregor Ward to meet with our young patients. As well as posing for photographs with stunned fans they spent time with families and explain the importance of a healthy diet.

“As a professional football player staying healthy and keeping in shape is crucial to my job. On top of exercising regularly, eating healthy food and making sure I drink enough fluids really helps. This is something we’ve tried to pass on to the kids we’ve spoken to.”

Trust Play Specialist Sue Moulton said: “We really appreciate the Coventry City FC players visiting our children’s ward. As well as helping to cheer up our younger patients Reda and Jordan have helped to share an important message that we promote L-R: Play Specialist Sue Moulton with CC FC’s Reda Johnson, MacGregor Ward during Nutrition and Hydration week as well as patient Sophie, Jordan Willis, CC FC and SWFT Staff Nurse Jessica Williamson. throughout the year.” NUTRITION & HYDRATION WEEK & HYDRATION NUTRITION 06 www.swft.nhs.uk Food First Project promotes nourishing diet over supplements

We have been working on a pilot that Called the Food First Project, it is based on the award aims to improve the identification and winning initiative of the same name that was created by Bedfordshire Dieticians. treatment of malnutrition through focussing on the use of food rather than The pilot has seen us work in partnership with a number of Warwickshire care homes due to a 2010 prescribed nutritional supplements. study that showed the impact of malnutrition.

BAPEN Malnutrition Research Findings

• Malnourished individuals have poorer health and are at greater risk of dying • Malnourished individuals are admitted to hospital more frequently and for longer • Malnutrition costs the NHS £13 billion annually

Our project aims to reduce reliance on supplements to treat malnutrition. This is done by identifying and treating malnutrition earlier and ensuring that care home residents are provided with nourishing food and drink. This includes simple measures such as providing milky drinks, high calorie snacks and adding ingredients such as butter and cream to food.

Overslade and Cubbington Mill have both met the standards we have been aiming to achieve through the project. Nutrition screening is being carried out regularly and accurately and resident care follows guidelines we have set out. To recognise the progress made we have presented both care homes with certificates.

At the start of the project we recorded various aspects of the residents’ health. This is compared with further information we then collect at regular intervals to allow us to monitor how effective this approach to nutrition is. If necessary we can then make any changes to ensure the residents are well nourished and healthy as a result.

the pulse : Spring 2016 07 GEM Awards We are pleased to announce the Winter GEM Winners:

Malcolm Westwood (Non-Clinical) Data Quality Information Analyst Malcolm has received the award for his time on A&E Reception. Malcolm was nominated by a member of the public. Here’s part of what they said about him: “If I were to select someone to be the front facing member of staff for the hospital, I would select Malcolm. He was friendly and empathetic and put us at ease when visiting A&E. He makes you feel entirely in safe hands. From a distance whilst waiting in reception at different points in the evening, I could see Malcolm diligently working away. Whilst I obviously couldn’t hear conversations, I could tell that he was making a difference, caring for individual needs, ensuring an efficient service” Megan Nanfeldt (Clinical) Staff Nurse Megan was nominated by a member of staff. Here’s part of what they said about her: “Megan has put herself forward to support the new starters in her team looking to attain the Care Certificate. Aware of the extra time this would require the CSW’s careers can flourish following such a strong foundation and fundamental values instilled by Megan. The staff she has supported have achieved the Care Certificate Jayne Blacklay, Director of Development presents Malcolm within the set time frame and all feel that she values with his GEM Award their role and wants to help and support them as much as she can. All the new staff have really benefitted from Megan’s dedication.” A special mention also goes out to our December winners Jean Allsopp (Clinical) and Carole Maguire (Non Clinical). Governor Elections

We recently held elections for our Council of Governors.

The Governors have now been appointed and an introduction on each Governor will be included in the next edition of the Pulse. In the meantime, if you want more information about the elected and appointed Governors, please contact the Membership Office on Freephone 0800 085 2471 or via email: [email protected]

08 www.swft.nhs.uk Healthcare Staff work together to improve end of life care

Trust staff have been working with partners from local hospices to explore the important subject of end of life care during Dying Matters week.

Targeting our staff as well as patients and Elizabeth Rixon, the Practice Development their carers and relatives, the aim was to Nurse for End of Life Care who helped to promote discussion around matters relating organise the week, worked with Palliative to death and dying. This has been done in Care Consultants and Trust executives. They a number of ways with NHS and hospice visited hospital wards to look at how end staff manning stands in prominent places at of life care is tailored to treat patients with our main hospital sites. As death is a rarely differing medical conditions. discussed topic they shared information to give people some idea of what to expect Illustrating the many aspects of end of life during end of life care; highlighting the things care the Trust’s chaplains also took part people may want to think about, including in the week by setting up a ‘message tree’. where they would like to be cared for. This was a tree with paper leaves attached that provided an outlet for people to express As well as collaborating with staff from The their feelings on death and write messages Shakespeare Hospice and Myton Hospice, to deceased loved ones.

SWFT staff provide a listening ear to tinnitus sufferers During February our Audiology team took part in Tinnitus Awareness Week 2016.

Tinnitus is defined as a noise in the head or ears which has no external source, known cause, or current cure. Whilst for most people, tinnitus is a temporary experience or is managed successfully, for one in ten it can affect their quality of life, leading to depression, anxiety, stress and sleep deprivation. The Trust’s Audiology staff provide this kind of support outside of Tinnitus Awareness Week too. On the third The Audiology team held a ‘Tea 4Tinnitus’ event where Friday of every month they host a Tinnitus Workshop to they provided information on tinnitus and discussed give sufferers the chance to share their experiences and it with patients in the department. Tea and cakes advice with others. The workshops are free to attend were available in exchange for donations with funds and often feature speakers who cover topics such as lip forwarded to the British Tinnitus Association who reading, relaxation and guide dogs for the deaf. rely entirely on the generosity of its members and supporters. To find out more please email [email protected] the pulse : Spring 2016 09 Welcoming nurses from the UK and abroad to benefit patients across Warwickshire

Medication To ensure that we have sufficient staff to provide safe, effective care we have recently recruited 25 international nurses. The nurses come from Safety Week various countries within the European Union including Italy, Poland, Romania and Spain. At the end of February we held our annual Medication Safety week. The week gave our With phased starting dates, 16 of the nurses have staff an opportunity to receive updates on key already commenced working in our hospitals and medication safety topics, ask questions and learn out in the community across Warwickshire. We about the work of the Patient Safety Medication will welcome the remaining staff members in the Working group. coming weeks.

During the week the executive team, senior While our main priority remains to recruit nurses, doctors and pharmacists visited many student, newly qualified, return to practice and ward areas to discuss medication safety with experienced nurses from within the UK there is staff. Pharmacy staff also manned stands located vacancy gap that can’t be filled by UK nurses. This at each of our hospital sites. These were an is because there is a national shortfall in nurses interactive way for staff to ensure they have as recently reported in the media. As a result our a good grasp of medication safety because plan is recruit approximately 50-60 international there was a medication safety crossword and a nurses in total, in addition to the nursing staff we competition for staff to come up with the best recruit from the UK. idea to make improvements. We feel that recruiting from both the UK and the Key topics highlighted in this year’s Medication EU will ultimately benefit the patient care we are Safety Week included improving safety around able to deliver. high risk medications such as Insulin and Anticoagulants, and highlighting ways staff It is important to note that as an organisation we can avoid unnecessary omissions or delays to are bucking the national trend and have seen a medication doses. There was also a chance to net increase in the number of nurses in post. Due learn about the ways in which medications may to the nurses we are recruiting our staffing levels contribute to patient falls - tying in with the work are the best they have ever been. of the Falls Prevention group.

10 www.swft.nhs.uk FUNDRAISING UPDATE

We are now reaching the final TEN MONTHS of the appeal and are delighted to have raised £705k to date. TARGET £1million The community support their local hospital come rain or shine!

Students at Stratford High School, Stratford Girls’ Grammar School, Stratford College, , and all donated £1 in support of the appeal for the opportunity to wear their own clothes or fancy dress for the day.

There are many events planned during 2016, keep up to date with news and events on our appeal website www.stratfordhospital.co.uk

The Trust encourages members of the public to get involved with fundraising for all areas of the organisation. If you would like any more information on how to get involved please contact the Trust’s Fundraising Manager on 01926 495 321 ext 8049 or email [email protected]

Beavers and Cub scouts from across Solihull have been working hard to raise money for the MacGregor Ward at Warwick Hospital.

Representatives from across the Solihull Scout County have rallied together to raise £1,400 after nominating the children’s Ward as their charity for the year. The organisation chose to support MacGregor Ward as one of their leaders has seen first-hand the fantastic care that is provided there.

Fundraising activities included a sponsored silence, carol services and performing good deeds for family and friends. Some Cub and Beaver scouts also sold Young fundraisers visit the Warwick Hospital ward they have cakes, held a sponsored walk and even took part in a been supporting with a range of activities. treasure hunt. the pulse : Spring 2016 11 #HOWMUCH The costs behind your NHS

On average an A&E visit costs the Trust £132, with the cost rising to £195 for patients attending with a diagnosis of alcohol misuse. Please use A&E for genuine accidents and emergencies and help save your NHS money.

Missed outpatient appointments cost the Trust over £1.8 Million last year alone! A single missed appointment with a Consultant costs us £103. Can’t make an appointment? Let us know and help your NHS save money.

The average cost to the Trust of an appointment with a Health Visitor is £57. Last year 1 in 12 appointments were missed. Please book a time and date that you can make and help save your NHS money.

Look out for #HowMuch on social media for ideas on how you can help your local NHS save money.