Newsletter for staff of York Teaching Hospital NHS Foundation Trust, working together for the communities of York, Scarborough, Bridlington, Malton, Selby and Easingwold. April 2018 StaffMatters Making an impact with SAFER practice new approach to managing the care and A discharge of patients has seen wards across the Trust achieving improved flow and patient experience. By focussing on five elements of best practice, SAFER is aimed at providing safe, effective and patient centred care in the right place, at the right time without unnecessary delay. To ensure this, patients have a consultant review before midday where an expected The five elements of the SAFER discharge date is set. A third of patient flow bundle are: patients are discharged before S – Senior review midday and there is a weekly A – All patients will have an review of patients who have expected discharge date an extended length of stay. and clinical criteria for discharge Melanie Liley, Deputy Chief day for decisions to be made Chestnut Ward, F – Flow Operating Officer, explained: about their care, and for Scarborough Hospital E – Early discharge “As a Trust we know we have investigations to take place that R – Review patients waiting in beds every CONTINUED ON PAGE 2 Have you got a story? If you have a story for a future edition of Staff Matters, we would love to hear from you! Contact: Elaine Vinter, Media and Communications Officer: [email protected] Or email [email protected] Wear pyjamas New mental Tips for Take action to raise health service protecting your to tackle 3 awareness 6 for veterans 9 password 10 stress York Teaching Hospital NHS Foundation Trust @YorkTeachingNHS YorkTeachingNHS YorkTeachingHospital StaffMatters April 2018 2 Making an impact… CONTINUED FROM PAGE 1 make room for new admissions. access to specialist reviews are Melanie added: “It’s important influence these decisions. “While some of the waits all things within our control.” to recognise that SAFER isn’t “There are consequences to and delays patients experience The implementation and a project – more it’s ‘how we poor flow and we know that are a result of system issues interpretation of SAFER is work’ here at the Trust. Many outcomes are affected, especially outside our direct control, many being delivered at a local level. aspects of SAFER aren't new for the frail older patients who of the issues can be improved. This enables directorates and but where the best practice have extended periods in hospital “For instance discharge teams to take the principles of bundle has been incorporated beds. Emergency departments planning, daily senior review SAFER and use them to match it has already proven to reduce become crowded, and patients of all patients, quick access and improve existing good the length of stay and improve are shuffled between wards to to community units and rapid practice already in place. outcomes for our patients.” Wards and departments across the Trust have already embraced the key principles of SAFER – here’s what staff have to say: Assessment Unit/Emergency Physiotherapy Chestnut Ward Graham Ward Medicine (AMU) York Hospital Scarborough Hospital Scarborough Hospital Scarborough Hospital “The development of ‘functional “I do feel that an organised and “It is like a mini MDT for every “SAFER has changed the culture of criteria for discharge’ as part of disciplined approach to board patient: Information is gathered nursing on AMU; it has empowered SAFER has made it much easier for round as stressed by SAFER, from all the team members to nurses and doctors to communicate the MDT to identify exactly what improves patients safety and help us to prioritise our work clearly and effectively between needs to happen for our patients to experience, while promoting sensibly and tasks are delegated themselves. As a team the main benefit be able to return to their place of efficient use of time and to the relevant staff, aiming for a of SAFER has been communication, residence as quickly and safely as resources.” smoother patient flow. This creates the full team is continuously possible, once they have received Junaid Khan excellent team work and great communicating which is improving the the hospital care they need.” Trust Specialty Doctor morale on the ward.” patient journey and experience.” Chris Newbery, Therapy Team Imola Bargaoanu Victoria Anderson, Senior Sister Leader, Stroke & Neurology Care of Elderly Consultant Message from the Chair Spring is in the air Congratulations to the award As I write it is a glorious winners at Scarborough sunny morning and those Hospital! Furthermore, we ❝ In this month’s of you who, like me, were all delighted to learn love their gardens the that Hull York Medical School Board meeting ‘miracle’ which is spring is will be taking an additional happening all around us. 90 medical students each we will seek to Out of a long, hard winter, year – this is great news for agree to this astonishingly, come brave the medical school and great plants ready to flower – news for our Trust too. strategy and the analogy is clear. The Board of the Trust I have previously described is also hugely encouraged vision, which the process the Board is by the development of the positively currently undertaking to Humber Coast and Vale develop a five year strategy Health and Care Partnership. describes our for our Trust. I am pleased to We know that our future ambitions for confirm that this process is the Hull York Medical School lies in effective collaboration going well and in this month’s Teaching Excellence Awards. with our neighbouring health our Trust and Board meeting we will seek This was a very positive, partners and our progress in to agree to this strategy happy event. Students of this endeavour is positive. the care which and vision, which positively the medical school voted Spring releases new life and we provide for describes our ambitions for those teachers, tutors energy all around us, my plan for our Trust and the care and support staff who in is to make the very most of it! our patients ❞ which we provide for our their view had made the patients. Watch this space! greatest contribution to Sue Symington Earlier this week I attended their learning experience. Chair 2 3 April 2018 StaffMatters Top blogspot for Sanjay Gupta Schwartz CONGRATULATIONS to The top Rounds York Cardiology Consultant, 25 channels Sanjay Gupta, who has been were chosen reminder voted Top of the Cardiology because they AN INITIATIVE that helps reduce Youtube Channels list. are actively psychological distress for This is the most working to people working in healthcare is comprehensive list of best educate, being introduced at the Trust. Cardiology Youtube Channels inspire, Schwartz Rounds are a large on the internet, which are and empower their audience lunchtime meeting to which chosen from thousands using with frequent updates and all trust staff are invited, both search and social metrics. high-quality videos. clinical and non-clinical staff. Research has shown that staff who attend Schwartz Rounds feel less isolated and are more able to engage with patients. Wear your pyjamas The purpose of the Rounds is to talk about the emotional impact of working in a health care environment whether as a consultant, a porter, a member to raise awareness of the admin team or anyone else, and that many of us have key area of work that similar feelings and experiences links to SAFER focuses as we go about our work in the Aon the reduction and hospital and in the community. prevention of deconditioning. The first Schwartz Round This is when a period of is entitled “The patient inactivity, bedrest or sedentary I’ll never forget”. lifestyle begins to cause physical Sandwiches and a hot drink changes, particularly in are provided before the Round elderly and frail patients. It starts courtesy of the York Message from the Chair results in deterioration in Teaching Hospital Charity, and a mental and physical status, pre-arranged panel of staff talk and impacts on the ability to about their experiences with carry out normal daily activities. a patient or family member, The ‘End PJ Paralysis’ initiative and the emotional impact the aims to give patients back one encounter had on them. The million days of their precious audience get the chance to time that would otherwise be admissions for other patients.” ❝ Enabling make comments about the wasted in bed in a hospital or An NHS England national presentations and share their care home. For many, wearing initiative kicked off earlier this patients to own experiences, a process pyjamas reinforces being sick and month with a 70 day challenge to get into their that is carefully facilitated. can prevent recovery. Getting achieve one million patient days The first Scarborough people up and dressed is a vital of people up, dressed and moving own clothes session is on 14 May from step in ensuring that they do in their own clothes, rather than 12.30-1.30pm in the not spend any longer than is in hospital gowns or pyjamas. is one way of postgraduate centre, with clinically necessary in hospital. Staff are encouraged to get encouraging them refreshments from 12 midday. Vicky Mulvana-Tuohy, Head involved with the challenge by The first York session of AHP Services, explained: engaging with patients and to take greater will be on 30 May at York “Enabling patients to get into families about deconditioning Hospital postgraduate their own clothes is one way of prevention and to help get responsibility for centre from 1pm-2pm, encouraging them to take greater patients up and moving. their own health refreshments from 12.30pm. responsibility for their own health To raise awareness of the There are further dates and become active participants campaign, staff will be wearing and become active planned for York when there will in their personal health journey.