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You and Your Care FEBRUARY 2012 HAPPY BIRTHDAY! Primary Care Mental Health celebrates its tenth year - p16 & 17 MAKING A DIFFERENCE We catch up with one of our hard- working volunteers - p8 & 9 BOOSTING CONFIDENCE Find out how creative sessions are helping service users - p24 & 35

Connections Magazine Febuary 2012

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Connections magazine shares good news with staff, service users and carers.

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Page 1: Connections Magazine Febuary 2012

You and Your Care

February 2012

HAPPY BIRTHDAY!Primary Care Mental Health celebrates its tenth year - p16 & 17

MAKING A DIFFERENCEWe catch up with one of our hard-working volunteers - p8 & 9

BOOSTING CONFIDENCEFind out how creative sessions are helping

service users - p24 & 35

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Welcome to the first edition of 2012! Aside from the year ahead, here’s what else you’ve got to look forward to this month…To mark the launch of our first ever volunteering policy, we catch up with one of our hard working volunteers on pages 6&7.

On pages 8&9 we drop in on our long service ceremony to find out who’s been recognised for 25 and 40 years service, and as our City Primary Care Mental Health team marks its tenth year, our Communications Assistant takes a trip to their hide-out to try and uncover the secrets to a successful service.

We also find out what support people in Low Secure Services get as they prepare for life back in the community on page 11, and we stop by at a creative writing group to find out how it’s helping service users build confidence and self-esteem. Flick to pages 24&25 to see some of the group’s expressive work.

Also coming up on the calendar is our annual staff awards ceremony; ‘You’re a Star Awards 2012’. We’re gearing up for the Trust event of the year - are you joining us on Monday 26 March at the National Media Museum? It’s set to be a great night as our short-listed nominees (see who they are on page 4!) see themselves on the big screen and find out who will be revealed as the winners of each category! We can’t wait, and look forward to seeing many of you there.

And finally, in the last edition we told you about our Communications Manager’s temporary departure for motherhood… we have news! Determined not to miss the Christmas festivities,

little Frankie Joseph George made his way into the world two weeks early on 25 December - a healthy 7lb 3oz Christmas present for mum Sam and dad Michael. And he wasn’t the only one to join us - we’ve had a Comms baby boom! Our Designer, Ben Cullimore, and his wife Laura, welcomed Sebastian James Cullimore, 8lb 11oz, just a few weeks later on 15 January! We can’t wait to meet the new mini-members of our team!

Happy New Year to all our colleagues and readers,

Communications TeamIf you require this document in a larger text format please contact the Communications Team.

In this Issue

Image CaptIon top: Frankie Joseph george born 25 December 2011

Image CaptIon: (Left to right) Linzi, Jayne, Ben, Charlotte and mathew.

Image CaptIon Bottom: Sebastian James born 15 January 2012

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p8 Long Serving Staff

p10 Keeping Care Local in CAMHS

p12 Changing Services with Past Experiences

p14 Building relationships with Eastern European Families

p16 Happy Birthday City Primary Care Mental Health

p24 Creative Writing Boosts Confidence

What’s Inside?

p8

p16

p24

p14

to ‘Like’ our facebook page, search: Bradford District Care Trust

Follow us on twitter for the latest news: @Bradford_DCT

Have you Got News for us?Don’t forget we are always on the look out for great gossip, exciting events and touching tales - if you have something to shout about please let us know!

Jayne murphySenior Comms Managertel: 01274 363551email: [email protected]

Charlotte garrityActing Comms Managertel: 01274 228174 email: [email protected]

Linzi ClarkComms Assistanttel: 01274 228351email: [email protected]

Ben CullimoreMulti-Media Designertel: 01274 228173email: [email protected]

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AnnuAl HeAltH CHeCksfor PAtients witHleArning DisAbilitiesOur Health Facilitation Team is working with GPs to improve the health and well-being of people with learning disabilities (LD). Krystal Hemmingway and her team have been training local GPs to ensure service users are getting the best possible service and their needs are being met.

She said: “We talk to GPs about the reasons why people with learning disabilities are more likely to die early and the types of illnesses they are prone to. We also advise them how to carry out annual health checks.”

This includes basic checks like measuring blood pressure, height and weight, and more specific checks around things like diabetes, chronic heart disease and epilepsy.

The team is determined to make sure people with learning disabilities are not missing out on general health promotion campaigns by encouraging GPs to discuss issues like smoking and drinking at the yearly check-up.

Finally after identifying that there are no local sexual health services for people with learning disabilities, the team is planning to hold sessions with service users on things like body awareness and consent.

stAr AwArDssHortlistAnnounCeD Thank you to everyone who entered ‘you’re a Star awards 2012’ - we had over 80 nominations, all of which highlighted the fantastic work ongoing across our organisation.Congratulations to everyone who was nominated, and well done to those short-listed:

Respect

• Steven Jolly, Training Conference Centre Co-ordinator (Corporate Services)

• Wez Mirza, Health Care Assistant (Low Secure Services)

• Bradford Working Women’s Service (Specialist Services)

openness

• Jane Norton, Principle Speech and Language Therapist (Allied Health Professionals)

• Learning Disabilities Transitions Team (Learning Disability Services)

• Voice4U, Exciting Futures Project (CAMHS)

Improvement

• Assessment and Treatment Unit (Learning Disability Services)

• Psychology Team at Moorlands View (Low Secure Services)

• Well-being Services (Adult Mental Health)

excellence

• Mum’s Well-Being Project (City Primary Care Mental Health - Adult Mental Health)

• Clinical Liaison Team (Learning Disability Services)

• Shagufta Balquis, Mental Health Therapist (Adult Mental Health)

together

• Bevan House Health Visiting Team (Children and Family Services)

• Older People’s Opera North Project (Older People’s Mental Health Services)

• Seniors Show the Way (Specialist Services)

The winners of each award will be announced at an exclusive evening ceremony on Monday 26 March 2012 at the National Media Museum in Bradford. Call 01274 228351 for more information about how to get your tickets.

news in Brief

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well-beingeventCelebrAtesDiversity The beginning of December saw our Community engagement Team host an older people’s well-being event. Organised in partnership with South Asian and European Cafés, the event aimed to celebrate the diversity of South Asian, Eastern and Central European communities.

Over 100 people, including more than 80 service users, from the different communities attended the event, which saw people take part in a number of different activities. These ranged from aromatherapy massages and manicures to bingo. Attendees were also invited to browse health and well-being information stalls, which featured among others, our health trainers and podiatry teams.

one attendee said: “The event had a lively party atmosphere.”

Feedback received afterwards suggested everybody in attendance enjoyed all of the day’s stalls and activities and looked forward to the next event.

big CHAllenge, big suCCessPeople from all walks of life came together to compete in bradford’s big Challenge 2011. Staff and service users from Oakvale Supported Housing, along with members of the public, took part in 2011’s Big Challenge. Organised by Bradford Council, the event which aimed to form stronger communities, saw five teams of eight go head-to-head in five half-hour outdoor challenges.

The teams were randomly assigned making it a great opportunity to bring people together from varying backgrounds, ages and experiences to learn something different and to make new friends.

An excellent competition was topped off by a team with a member of our staff and a service user reaching the finals. Although this was a great achievement for the individual members of that team, the real success was the impact we had on the event organisers. They have personally asked us to get involved again this year after being impressed with the positive image of mental health we presented.

Congratulations to everyone who took part. We hope to have more staff and service users involved in this year’s event to try and make the Big Challenge 2012 even more of a success.

CoulD your serviCe benefitfrom CHAritAble funDs?Did you know that you can access charitable funds? Charitable funds can be used in a variety of ways to benefit service users, from buying equipment to arranging outings.

Our Exciting Futures II Team put the charitable funds to great use when they successfully received over £6000. The money enabled them to hold a number of events that showcased the creative talents of service users from our Adult Mental Health services including the ‘Answersonapostcard’ exhibition featured in our last edition of Connections.

tamara goldschmidt, Data Warehouse manager, said: “Without the support of this Fund our Exciting Futures Team would not have been able to host the series of art workshops and exhibition for World Mental Health Day.”

If you want to follow in the footsteps of our Exciting Futures Team and see how you can benefit from our charitable funds contact Jill Brough, Head of Financial Services on 01274 228379.

Image CaptIon: Ian maher, Jason o’Driscoll, and Robin pratt all took part.

Image CaptIon: one attendee joins in by getting her nails done.

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CoRpoRate SeRVICeS

Image CaptIon: Will and Farzana with a service user enjoying coffee morning.

Volunteering- Making a Difference to Service Users and Staff

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CoRpoRate SeRVICeS

Meet Will. He helps out at Lynfield Mount Hospital twice a week, spending between two and five hours a day there on a Wednesday and Friday.

Today Will is in the Visitor Centre running the coffee morning. There’s music playing, and it’s a relaxed atmosphere. Will is playing games with and chatting to service users while serving them hot drinks and biscuits.

Will enjoys working alongside the other volunteers but says the best thing about volunteering is seeing service users socialising and enjoying themselves.

He said: “I’ve been in their situation myself so I know how boring it can be on the wards. It’s great to see them socialising with people from other wards and enjoying themselves in a friendly environment.”

Staff rely on volunteers to provide this service and say it makes a real difference to those who attend.

Farzana Younis, Service User Development Worker, said: “People are always asking when the next coffee morning is, it’s become part of their regular routine. We get fantastic feedback from service users.”

On a Friday, Will organises activities in the recreational hall like badminton, table tennis and pool. Another volunteer supports service users to go swimming on a weekly basis along with a support worker from the wards. This is very much appreciated by service users who might not be able to go without that support.

allison Harrison, paLS officer, said: “Volunteers don’t just make tea and coffee, they really help build confidence among service users; by socialising with them and doing activities with them. We rely heavily on their commitment and loyalty as sessions would not run if it weren’t for our small but extremely good volunteer group.”

Volunteering not only benefits patients and staff, it can also open the door for service users and carers to get back into employment. Will has been volunteering for nearly six years now and is hoping the experience will help him secure a job. Previous volunteers at Lynfield are now working with us full-time.

Allison added that Will himself is inspiring service users.

She said: “It gives them something to aspire to. I have a long list of people who are willing to volunteer in the future, should a suitable project come up. I often give advice and information

regarding other volunteering opportunities outside our organisation.”

Will is just one of a wide ranging group of volunteers who give up their time to make a difference to service users and staff.

Because we want to recruit more people like Will and we need to make sure that volunteers and staff are supported and kept safe, we’ve developed a Volunteering Policy.

It looks at what you need to do when recruiting, managing and supporting volunteers and identifies good practice

and gives guidance on things like interviewing, obtaining references and terminating contracts.

It also includes useful templates for letters, application forms and volunteer agreements. The policy will soon be available on our website: www.bdct.nhs.uk

There’s also a volunteering handbook with an induction checklist and hints and tips for how to get the most out of volunteering.

please note: the use of volunteers should always complement and not be a substitute for paid staff. they should add value to the quality of service not compensate for a shortfall in supply.

The launch of our first ever volunteering policy seemed like the perfect opportunity to meet one of our hard-working volunteers.

It’s great to see them socialising with people from other wards and enjoying themselves.

Volunteers help us in a number of ways:

- Supporting activities or outings - Helping out in day services or on a ward - Getting involved in research - Offering support to visitors - Driving service users or carers to appointments or visits - Training as a volunteer chaplain - Breastfeeding Support - Expert Patient Dignity Champions

Page 8: Connections Magazine Febuary 2012

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CoRpoRate SeRVICeS

The group, made up of staff from a wide range of our services including mental health, podiatry and district nursing, were recognised for 25 and 40 years service to our organisation.

Lynne ash, Well-being Services manager, is one member of staff who has reached the 25 year mark. She said: “I can’t quite believe I’ve reached such a milestone! I guess I’ve always found my work very rewarding though, and enjoyable, so it’s easy to see how the years have stacked up.”

Having started out working just two hours a week, Lynne has worked her way up the ranks and is now manager of our Adult Mental Health Well-being Services.

“I think the key to achieving 25 years is being prepared for change,” Lynne explained, “I learnt quite quickly that the NHS is one of the most rapid moving organisations. Instead of waiting for change, it’s

important to be proactive and look at ways of moving forward with the times so you don’t fall behind.”

pamela Chapman, Support Worker, has racked up 40 years service in our Learning Disability

Services. She said: “I retired four years ago but came back as I still feel young enough to work! More importantly I still enjoy my work; the people I work with are like a second family and I don’t want to leave. I intend to stay on as long as my health will let me.”

To mark the occasion, each of the long serving staff, who have clocked up 980 years

between them, received certificates and a badge at the ceremony, which was held at the Mercure Hotel, Bingley.

Sandra Knight, Director of Human Resources and organisational Development, said: “All these members of staff have shown a fantastic commitment to our Trust, and I would like to thank and congratulate every single one of them for their loyal service.”

after clocking up nearly a thousand years service between them, 38 long serving members of staff were guests of honour at a celebration event.

I can’t quite believe I’ve reached such a milestone!

Long Serving Staff Count the Years!

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CoRpoRate SeRVICeS

Image CaptIon: (top to bottom) our long serving stars. pamela Chapman collects her 40 year achievement from Chair, Barry Seal and Director of Human Resources, Sandra Knight. Lynne ash reached 25 years service.

Our Long Serving Stars

25 yearsMarion Allen, Health Visitor Vivienne Anderton, Community Support Worker Lynne Ash, Well-being Services Manager Elaine Austin, School Nurse Team Leader Karen Baguley, Speech and Language Therapy Team Leader Lesley Booth, Service Manager Martin Booth, Assistant Ward Manager Jennifer Causier, Hotel Services Assistant Brian Charles, Senior Community Support Worker Nicholas Cheshire, Community Mental Health Nurse Carol Coulson, Pensions Manager Susan Craig, Speech and Language Therapy Team Leader Deborah Crossland, Long Term Care Manager Linda Lambert Cundall, Support Worker Alice Daggett, Community Matron Christopher D’Arcy, Podiatry Manager Anne D’Arcy, Podiatry Team Leader Julie Dilger, Food Services Assistant Jacqueline Fabbroni, Staff Nurse John Fleming, Health Care Support Worker Louise Holbeck, School Nurse Mavis Holmes, Staff Nurse Anna-Maria Kennedy, Adult Services Manager Karen Kerpen, Community Mental Health Nurse Suzanne Kirk, Support Worker Joanne Lawrence, District Nurse Gerard McDermott, Staff Nurse Vanessa McPhail, Workforce Development Manager Cath Mitton, Service Governance Lead Michael Naylor, Network Manager Lorraine Oxborough, Tissue Viability and Vulnerable Adults Manager Cheryl Riley, District Nurse Gillian Ross, Community Staff Nurse Tasneem Sabir, Bi-Lingual Health Care Support Worker Joanne Sheldon, Community Matron Surjit Singh, Community Support Worker Katherine Skinner, Care Assistant Carolyn Stafford, Service Governance Lead Ann Toorish, Staff Nurse Barbara Townsend, Health Visitor Tracey West, Night Care Assistant

40 yearsPamela Chapman, Support Worker Charles Marshall, Chef

Page 10: Connections Magazine Febuary 2012

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CHILD & aDoLeSCent mentaL HeaLtH SeRVICeS

The Specialist Eating Disorder and Intensive Home Treatment Service (SPEEDIHT), part of our Child and Adolescent Mental Health Services (CAMHS), now means we can help young people and their families get the treatment they need in their own home instead of travelling hundreds of miles.

As there are limited in-patient facilities locally, in the past children and young people with mental health problems and eating disorders had to travel as far away as Lancashire or London, often for periods of six months or more. Now, thanks to our dedicated team of psychologists, psychiatrists, therapists, support workers and nursing staff, we can actually give them the care and support they need right here in Bradford and Airedale.

mark Vaughan, Head of operations CamHS, explains:

“If a young person has to be treated out-of-area it means they are taken away from their family, which can interrupt their developmental years as a teenager and it can disrupt continuity of care at a critical time.

“Being able to provide locally based care in familiar surroundings means we are reducing the potential

stress brought about by an unfamiliar environment. We believe that having a service locally, close to family and friends improves the overall emotional health and well-being of those needing this level of support.”

Despite only being launched in August last year, SPEEDIHT has already seen encouraging results. A 58 per cent reduction in out-of-area occupied bed days highlights the positive effects the extension of a locally based service can bring.

While the seven day a week service means an increased number of young people can now be treated at home, for those who do still need the specialist care and treatment of an in-patient unit, this can still be accessed with support from the service before, during and after admission.

“The team offers an extension of care to a greater number of young people,” mark continues, “those who may have

faced hospital admission in the past, can now choose an intensive home treatment package instead. I’m confident the service will continue to strengthen the options available to young people and their families and where possible we can help to keep care in Bradford.”

a new service committed to improving the lives of young people with eating disorders is seeing great results after just three months.

…having a service

locally, close to family and friends improves the overall emotional health and well-being of those needing this level of support.

Keeping CareLocal in CAMHS

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LoW SeCURe SeRVICeS

Preparing for Life back in the Community

Imagine you’ve spent time in our Low Secure Services and are ready to be discharged; you could have been in hospital for anything from six months to 20 years. It must be incredibly daunting moving back into society, but this is where our Adult Community Team steps in to offer support.

There are seven members in the team, including social workers, community psychiatric nurses (CPN) and support workers, working on a caseload of around 60 patients at any given time.

Claire Harper, Social Worker, said: “Life in the community can be very difficult and for those who have been in hospital for a long time, they can find that family and friends have moved on, it can be very lonely.”

The team helps to reintegrate people back into society by helping with things like finding accommodation, registering with a GP, going back to college and accessing any welfare benefits and entitlements.

After they leave hospital the team helps service users resettle into the area acting as a point of contact, available on the phone if they have any anxieties or problems. From here on in the focus is to keep them safe in the community and to help them stay well.

Helen poulter, Cpn, said: “We try and identify things that are interesting and useful to them, to improve their life and their opportunities. It’s about putting positive things in their life.”

This can be anything from physical activities like walking and swimming to joining community groups such as Sharing Voices.

“It’s about social inclusion and breaking down the barriers”, Claire adds, “helping people do the things we all do, things we take for granted like joining the gym or getting a flu jab.”

Helen added: “We have a lot of success stories in the service, for instance one patient is back in work after qualifying as an interpreter, another is attending the Jamie Oliver Ministry of Food course.”

One service user who’s now back in paid employment said: “The support from the team was instrumental in getting me back on the right track.”

Claire said: “It just goes to show there is life after mental health services, you can exist in the community and you don’t have to be defined by your mental health problem.”

Last edition we introduced you to our Criminal Justice Liaison Team in Low Secure Services. We’ve been back to Moorlands View to meet the team working alongside them, helping service users prepare for life back in the community.

The support from the team was instrumental in getting me back on the right track.

Image CaptIon: Left to right, Consultant Dr paul Beavan, Claire Harper, Helen Siewruk-Barnes, Helen poulter and adrian Hill.

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aDULt mentaL HeaLtH SeRVICeS

“I am a Service User Development Worker in the Early Intervention Team. The person in the case history is me. What I can now add to that earlier life history is the answer - yes, you can turn things into positives and make a difference. I did.

Just because I’ve had experiences of seeing mental health workers doesn’t mean I know exactly how a service user feels - but I know how I felt meeting one for the first time.

Just because I’ve been an in-patient doesn’t mean I know exactly how a service user feels – but I know how I felt when I was admitted to a ward and was scared.

Just because I’ve had to take medication doesn’t mean I know exactly how a service user feels – but I know how I felt when I had side effects.

Changing Services with Past ExperiencesWritten by Emily Smith*

Consider the case history on the right-hand side of the page; by the time this service user is well enough to leave services she has no friends, no family, no job, no money, no home - her future looks pretty bleak. Is it really possible for someone to overcome their experiences and turn it all in to a positive? Here, emily, explains…

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aDULt mentaL HeaLtH SeRVICeS

Just because I’ve had mental health problems doesn’t mean I know exactly how a service user feels – but I know how I felt when I was called ‘mad’.

But because I’ve had mental health problems I can share common experiences with service users and have a deeper understanding into how they may feel.

Because I’ve had mental health problems I can hopefully demonstrate to service users that life can and does improve – things do change and aspirations can become reality.

And because of my experiences I can work within Early Intervention and be part of ensuring that a service users experience of a mental health service is a positive one.

Recovery means so many different things for so many different people – everybody has an opinion on it. For me it means feeling valued, that my opinion counts, feeling a sense of satisfaction and having a purpose in life – something that I hope is passed on to all service users in our service.

Having open and frank conversations with service users helps us shape Early Intervention – it enables us to be able to provide what service users want and not what we think they may want. Service users contributing to the information that we provide makes a huge difference to our own understanding as workers, those reading it and most importantly the service users who have contributed who know that their opinion and ideas count.”

To read more about our Early Intervention Team and service user development workers please visit: www.bdct.nhs.uk/ei/

*Emily is not her real name; it has been changed to protect her identity.

Case History

A 15 year old girl is referred to mental health services and soon after admitted as an in-patient. The following 17 years are filled with over 25 psychiatric in-patient admissions. Add to that A&E admissions, day care, home treatment and an eight month stay in a specialist unit - things aren ’t looking hopeful.A quick glance of care plans, risk assessments and reports written over the years reveal high need, high risk and low future prospects.

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aLLIeD HeaLtH pRoFeSSIonaLS & pLanneD CaRe SeRVICeS

Louise McChrystal, Consultant Speech and Language Therapist, and the SLT team have taken a number of steps to make sure children and their families from Czech Republic and Slovakia get the same quality of service as more established communities in the area.

The team looks carefully at the types of referrals they receive and closely monitors backgrounds of families accessing their service so they can continue to develop resources to meet their needs.

Patients can now receive appointment letters in their own language as well as English and have access to a range of materials including leaflets and CDs on topics like helping your child to speak. At the initial appointment there’s always a professionally trained interpreter present and

staff try to book the same interpreter each time as it builds up good relationships with the family.

Louise said: “We really believe in empowering families to use their home language and we support them to do that. It helps children to pick up English quicker when they start school when they have already developed their home language well.”

It’s not just about communicating with patients in their first language, the team go the extra mile to make sure children and their families are getting a first class service too.

Staff have been equipped with the tools they need through cultural competency sessions where they are taught about different cultures and religions and the challenges faced by these communities.

Our Speech and Language Therapy team is improving links with eastern european families, giving them better access to services.

...everyone should be able to access advice on how to help their child to talk...

BuildingRelationships with EasternEuropean Families

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Louise has also created various screening assessment tools, as she explains: “You need to screen a child’s understanding, expression and speech in their own language, and not just assess in English, to get the full picture. We choose materials that are relevant and meaningful for each language/cultural group.”

The service has teamed up with Bradford Council’s Children’s Services to go out to schools to meet families to introduce them to the service and find out about their needs. Two PALS officers are also on hand at the sessions to offer general advice such as how to register with a dentist.

Louise said: “Not everyone will need to access speech and language therapy but everyone should be able to access advice on how to help their child to talk; this is about getting good information out there that’s accessible.

“This started out as a way to let people know who we are and what we do, but it’s been so successful that other services have got involved including dental and health visiting. It’s more of a health promotion project now.”

She also thanked paul Johnson from Bradford Council’s Children’s Services ‘New Communities and Travellers’ team: “Paul has been fantastic; he has helped us facilitate workshops with parents in schools. He also came to meet our team to talk to us about families needs.”

Louise says the development work to date has been very successful: “We are really starting to build up relationships with families”.

For advice or training, Louise can be contacted at: [email protected]

aLLIeD HeaLtH pRoFeSSIonaLS & pLanneD CaRe SeRVICeS

Image CaptIon: Louise and some of the leaflets created by the team.

You and Your Care

Allied Health Professionals

& Planned Care

Co robíme?

● Zhodnotíme stav klienta, jeho silné

stránky a t’ažkosti.

● Vysvetlíme, co sa deje a navrhneme, co

môže pomôct’.

Potom môžeme:

● Ponúknut’ vhodnú terapiu s terapeutom.

● Môže íst’ o individuálne ci skupinové

sedenia.

● Odporucit’ vhodné cvicenia/terapeutické

aktivity na doma/do práce/ do školy

● Pomôct’ klientovi nájst’ lepšiu formu

komunikácie ci prehl’tania

● Ponúknut’ klientovi a jeho príbuzným

podporu a radu

Ako to robíme?

● Úzko spolupracujeme s klientom a jeho

opatrovníkmi.

● Pomáhame im so stanovením si ciel’ov

terapie.

● S ich súhlasom môžeme tiež oslovit’

d’alších odborníkov, ktorí im môžu

pomôct’ v ich t’ažkostiach s recou/

prehl’taním

● U detí, so súhlasom, úzko

spolupracujeme s opatrovníkmi, jaslami

a školami, aby sme podporili proces

ucenia diet’at’a

Vašu miestnu recovú a jazykovú liecebnú

službu môžete kontaktovat’ na:

Speech and language therapy service

1st Floor

Undercliffe Health Care Centre

17 Lowther Street

Bradford

BD2 4RA

Tel: 01274 770397

Fax:01274 783188

Published: October 2011

Review Date: October 2013

Pin Number: 00281 version 1

Co je terapia reci a

jazyka?

You and Your Care

Slovakian version

Page 16: Connections Magazine Febuary 2012

aDULt mentaL HeaLtH SeRVICeS

Happy Birthday City Primary Care Mental Health!

16

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aDULt mentaL HeaLtH SeRVICeS

Speaking to members of staff in our City Primary Care Mental Health (PCMH) team, it didn’t take long to notice their drive and determination to improve.

Whether it’s pioneering a unique project or piloting a new therapy, the team are up there with the best for innovative ways of working.

“I think we’re always on the look out for gaps in service,” said Khalida Sheikh, team manager, “If we find there is a demand from our clients, we’ll look to fill it so they get the service they require.”

Lisa Milnes, Maternal Mental Health Lead, is just one of many members in the team to have been supported by team managers Khalida and Alan Brown to set up beneficial new projects.

She said: “I recognised quite early on that there was a need for mothers to receive support for their mental well-being.

“As the service has grown though we’ve looked at innovative ways of developing it, and now, although we’re an adult mental health service we encourage mothers to bring their infants along to sessions so we can look at the whole situation. So far it seems to be having very positive results.”

On the hunt for more examples of their forward-thinking ways of working, I also spoke to Margaret Trivasse, Primary Care Councillor. She explained how the introduction of interpreters has made the service more accessible for a number of clients.

margaret said: “It’s important that clients from different cultures are able to express themselves in their own language, and that they are understood and listened to. Some of the people we see have been traumatised going through the country’s systems, so we need to be accessible and effective in their time of need. Using trusted interpreters helps us do this.”

Pleasantly surprised to learn many staff from the PCMH team have been there from the start, I tried my best to find out what it was that kept them coming back to work wearing a smile day in, day out.

Kate Huby, primary Care Councillor, said: “It’s an enormous privilege to work in this team. I have great respect for all my colleagues, but also for those who use our service.

“We’re all working towards the same goal here - finding out what’s best for the clients and working with them.”

alan agreed: “I think for many of us, coming to work is a joy. We have a lot of respect for the clients who seek our help to try and tackle whatever mental health problems they may be experiencing.”

It’s this respect, combined with passion, a sense of humour and a shared understanding and vision that I believe are the key ingredients to this team’s recipe for success.

at the start of the millennium, a team committed to delivering excellence was born. a decade on, Linzi Clark, Communications assistant, paid them a visit at their bradford city centre base to try and uncover the secrets of a successful service…

If we find there is a demand from our clients, we’ll look to fill it so they get the service they require.

Image CaptIon: the team celebrated reaching 10 years.

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In a bid to increase face-to-face contact with clients and improve the quality and safety of care provided, 119 teams are working their way through the Productive Community Services: Releasing Time to Care modules.

Working with the same principles as the Productive Ward programme, it aims to reduce costs, waste and inefficiencies by streamlining work environments and processes. This is done by working through a series of nine modules, including: well-organised working environment, patient status at a glance, managing caseload and staffing, planning our workload and standard care procedures.

phil Hubbard, Head of Quality and Service Improvement, said: “The teams and services that are on with the programme are doing really well.

“We’re aware the initial stages of the project can be time consuming, but people soon realise the benefits and everything starts coming together; this then gives them the boost to push on. At the end of the day we’re all here to improve patient care, this is a tool to help us to do that.”

Sarah Brownlow, District Nurse, is one member of staff who can relate to the challenges faced initially. Leading the Ilkley, Wharfe and Burley District Nursing Team through the programme, Sarah said: “The early stages are difficult, there’s no denying that. Team morale might be low, it may feel like there isn’t enough time in the day and you might start to wonder if it’s worth it. It is.”

Sarah, whose team is half way through the series, continued: “You soon see the benefits. We’ve really noticed a difference recently; we have quicker and more productive handovers, staff well-being and morale has really improved and our working environment has been transformed.”

It’s not only our District Nursing team that’s taking part. Teams including our dental, podiatry and community mental health services are also following the modules.

Early results appear to show long-term success is just around the corner. So far as an example in Sarah’s team alone, direct face-to-face monthly contact has increased by 8.5% and the time taken to hold team meetings has reduced by 20%.

Krishnakumar nair, project Lead, said: “The roll out of the programme in our Community Health Services has been going really well and the initial results are very promising.

”Patient experiences are reported to have improved, we’re using less resources, and ultimately direct care time has increased.”

For more information about the productive programmes currently being run across our services, please contact Krishnakumar on 01274 363871.

Hot on the heels of a successful roll-out of the Productive Ward programme, another strand of the same series is now establishing itself in our Community Health Services.

Productive Series Hits our Community Services

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Image CaptIon: Krishnakumar nair, project Lead.

aDULt mentaL HeaLtH SeRVICeS

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Helping patients learn how to better manage their type 2 diabetes, this one year pilot project sees health trainers, community health champions and primary care practitioners working together.

So far more than 120 patients have been helped by the team of five health trainers and 15 community health champions.

Working with five GP practices, they offer support and advice to people who may be struggling to manage their diabetes, need help with weight management or lowering their blood glucose levels.

The GP, practice nurse or diabetic specialist nurse sets the patient a goal to achieve, the health trainer provides support and motivation to reach the goal, and the community health champion offers practical support in achieving it.

nurjahan ali arobi, manager of Health trainer and Social prescribing Service, says it’s a great example of effective team working: “If a patient is given a weight loss goal by their GP, the health trainer identifies any barriers that could get in the way of achieving the goal; they might create an exercise plan with the client or suggest food swaps. The community health champion then offers

community based support in the form of a walking group or a free ‘cook and eat’ session, where the patient learns how to prepare fresh food.”

Also popular are supermarket tours where patients learn about food labels and levels of carbohydrates and fats in food. The community health champion translates the information into the patient’s first language and uses their training to address any

concerns or myths about food and diabetes.

The project has received positive feedback from patients who say they value being seen in their local GP practice by people who speak the same language as them and come from similar backgrounds.

one patient commented: “I understand diabetes a lot more now but know that the more knowledge I have of it the better I can control it. I was so upset when I was first diagnosed with diabetes that I found it hard to take the information in, but with the help of the team I have found it easier to deal with.”

Altogether Better Diabetes is currently being evaluated by Leeds Metropolitan University. It’s hoped the project, which ends in June, will be commissioned due to its success.

Our unique project, altogether better Diabetes, has been recognised as a national example of good practice and innovation.

Better Outcomes for Diabetes Patients

...with the help of the team I have found it easier to deal with.

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New Roles Enhance Service

Working alongside one of our clinical psychologists, Helena Brennan, Mariam Bibi and Sandeep Manku are transforming care at Moorlands View.

As assistant practitioners, they have a certain level of knowledge and skills that go beyond that of the traditional health care assistant, particularly in the area of psychological interventions. These skills and knowledge have been developed through a range of training and development activities.

Providing an increased level of psychological support and input on all three wards; Baildon, Ilkley and Thornton, this newly formed team are eager to make their mark, getting involved in all aspects of service user care. Whether that’s providing updates at clinical reviews or developing ideas on how to work more effectively with service users, the assistant practitioners are meeting needs like never before.

Dr Sarah Richards, Clinical psychologist in Low Secure, explains: “We considered how service users’ needs could be best met, and highlighted some areas for improvement in service provision; this work resulted in the creation of the three new roles.

“The quality and quantity of psychological work which is filtering through so many aspects of patient care has made a dramatic difference to the culture and ethos of our unit.”

Since their introduction nearly a year ago, the team has enhanced and promoted the use of a recovery tool, the Wellness Recovery Action Plan (WRAP), developed relaxation groups, introduced new assessments and kick-started a whole host of new psycho-education sessions focussing on topics including anxiety, self-esteem and drug and alcohol use.

Speaking on behalf of the team, Sandeep said: “We’re really pleased with how our roles are going on the wards and feel like we’re valued by the wider team and service. We’re determined to continue helping both service users and colleagues, and hope we keep seeing positive results.”

Not only do the roles offer fresh support to service users and reduce waiting times to get involved in sessions, they also work in harmony with the clinical psychologist; freeing up some of her time to spend on more complex cases.

One service user told Connections how he had benefitted from the team.

He said: “I like attending the classes they do because it teaches me new things. I could never sleep for example, but now that I go to the relaxation classes I learn new techniques and practise them when I go to bed. It has really helped.”

The creation of a team of assistant practitioners in our Low Secure Service is going the extra mile to meet service users’ needs.

We’re determined to continue helping both service users and colleagues, and hope we keep seeing positive results.

Image CaptIon: assistant practitioners (l-r) Helena, Sandeep and mariam.

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Dr Padmaja Kasireddi, from our Learning Disability (LD) services, is based at the Assessment and Treatment Unit at Lynfield Mount Hospital. She works with both in-patient services and community teams. Her working week includes ten sessions from in-patient work, ward rounds, multi-disciplinary team meetings, outpatient clinics and home visits.

She sees patients aged 18 and above, with different levels of disability, and treats a range of mental health conditions including dementia, aspergers and autism. She is responsible for cases in her speciality and currently has a caseload of around 85 patients.

She said: “It’s a challenging job as I’d never worked in Learning Disabilities before, but I’m enjoying it very much. It has all aspects of mental health and physical health to deal with. It’s a very good supportive multi-disciplinary team I work with.”

Being a speciality doctor also gives her the opportunity to improve her knowledge and skills, with training sessions held once a week.

padmaja explains: “The beauty of the job is that you can still do your sessions like a trainee, attend teaching sessions, prepare for your exams and achieve your goals. I think the changes to teaching sessions brought in by Mahmood Khan* are brilliant.”

But it is the stability the post provides that keeps her in the job. With two children under the age of three she has a good work/life balance as she works from 9am - 5pm and doesn’t work on-call.

When we heard about two SaS (staff grade and associate specialist) doctors choosing to remain at middle grade rather than move to consultant level, we went to meet them to find out more about the role and why they enjoy it.

-The Doctor balancing family life with work

I enjoy the stability it

provides, for me and my family but also for the patients.

Meet theSAS Doctors

Image CaptIon: Dr Kasireddi.

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* Dr Mahmood Khan is a Consultant Psychiatrist and Associate Medical Director. He has over 20 years experience within the NHS and has won awards for his work in improving medical education both locally and regionally.

Image CaptIon: Dr Venkat.

She said: “I enjoy the stability it provides, for me and my family but also for the patients. You can form good therapeutic relationships with service users and you can form a professional bond with the team you work with.”

-The Doctor who believes teamwork is the key to successDr Peddadda Venkat works in our Airewharfe Community Mental Health Team at Meridian House. His days are extremely varied with visits to patients at their homes, nursing residential homes and at Airedale Hospital. He also holds outpatient clinics at GP surgeries.

Many patients he sees have chronic health problems and he treats a variety of conditions from anxiety and depression to dementia, and psychosis.

He assesses both the physical and mental health of his patients, something which Dr Venkat describes as a holistic approach:

“You have to take into consideration both the physical and mental health and social problems; unless you balance them together it is not possible to treat them.”

As an SAS doctor he says his advice is sought after and he frequently liaises with GPs looking for advice on both physical and psychological issues. Part of his role is making complex adjustments to medication, as the types of patients he treats tend to take a lot of different medications.

When the consultants in his team are not around he takes charge of the trainee doctors, and says his role is very similar to that of a consultant but he doesn’t give legal advice.

He’s a great believer in respecting individuality and describes his team as an ‘enviable, healthy and happy team’ where everybody’s approach is unique.

He said: “We are a knowledgeable, diverse and pleasant team and often consult with each other on things. Dr Finlaysyn and Dr Kumar are always there for me in times of need, for legal or treatment advice, and the secretaries are the backbone of the team.”

You have to take into

consideration both the physical and mental health and social problems; unless you balance them together it is not possible to treat them.

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Creative WritingBoosts Confidence

Our Creative expressions Writing Group in adult Mental Health Services is helping service users build confidence and self esteem. We stopped by on week seven of this 10 week course to see how they were getting on…Set up in partnership with Kala Sangam and based at Sharing Voices Bradford, the group meets every Thursday evening. It was created with black and minority ethnic groups in mind, but no-one is turned away and it’s a very diverse group.

Paulette Morris is the Group Leader, she’s very supportive and it’s clear that the group really relate to her. She takes a one-on-one approach with the group, talking through their ideas and helping to get their feelings and experiences down on paper.

paulette says she encourages them to be honest about their life: “I believe that everybody

has a story inside them and everyone’s is equally important. There’s been some amazing and fascinating work in this group.”

The idea behind the group was that some people find it easier to express themselves through writing rather than verbally.

group member atif Zain mirza describes the feeling of relief he gets at the sessions: “When you share your work and people respond to it, you feel like you are doing something positive.”

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He says everyone in the group respects each other, whereas health professionals can sometimes be dismissive of their feelings.

He said: “We want to work with them not against them; we want to have an emotional connection with the people who are treating us. I have an appointment soon and I’m worried about whether they will they be able to help me express my feelings.”

For some members, like Atif, getting their feelings across and their opinions heard is what they enjoy about the group. Others, like Kris Walker, find it therapeutic.

He said: “You look back at your childhood, where you have come from and it also gives you a chance to address mental health issues.”

Joanne Robinson says it helps her to feel herself: “I feel like in the mental health system, particularly hospitals, they take a snapshot of your personality. They don’t take the time to sit down and get the full story; they cast aspersions on your personality. Writing down things helps me reclaim my truth.”

Usually the group would be chatting about ideas for their work and writing things down but today they are putting the finishing touches on some of their submissions for their book which is being published, and are typing up their completed work.

Ishtiaq ahmed, from Sharing Voices, says he’s seen the group transform during the course:

“They’ve really come out of their shells over the seven weeks. You can see that their confidence has increased.” When the course started the group

would remain seated around the table for the whole session, now they take it in turns to go to the front of the room and read their work aloud to the rest of the group.

Ishtiaq added: “I’ve been really surprised by the level of talent. It’s very deep stuff.”

Iftikhar Khan led the initiative on behalf of our trust. He said: “I have been really impressed by the way this group has progressed and developed. It was a great opportunity for the participants to express their feelings in a very positive way. It was so heartening to see individuals up on the stage sharing their writings with the group with great confidence.”

Writing down things helps me reclaim my truth.

Image CaptIon LeFt: the group at one of their sessions.

The group went on to perform their work in January in front of family and friends and have published a collection of their work. After the success of the group, another 10 week course is planned.

Update

Baby Joy by atif Zain mirza

Life can really make you wonder, it can fill you up with joy, like a young baby playing with its first toy, What a beautiful thing, without any worry, playing with toys and finding it funny, What an enjoyable day, life must be grand, learning the best way to grow and learn how to take a stand.

Diagnosis by atif Zain mirza

What can I do, how can this be, things are getting hard to see, What can I do, what can help, how can one help, I need to break this cycle, How do I hold on, how can this be, I need help to support me, how can this be, I need some support, who’s gonna come? Who’s gonna appear? I can’t see clear, What a journey to be on, what’s left in this place? What am I gonna do? I’m starting to shake.

Image CaptIon RIgHt: paulette offers one-on-one support to a group member.

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nurses tHAnksovereign Nurses and support staff were all smiles when Sovereign Health Care dropped by our assessment and Treatment unit with a healthy cheque.The Chief Executive of the Bradford based health care cash plan provider, Russ Piper, presented us with an £8,000 donation to go towards innovative nurse training.

nicola Lees, Director of operations and nursing said: “Once again we are delighted to receive such a generous donation from Sovereign. The money has been put to great use in the past, and I am pleased this year we will be able to develop even more nurse training opportunities that will enhance our services even further.”

Last year’s same donation went towards the roll-out of the Productive Ward Programme which aims to improve the amount of direct care time staff spend with patients. Staff who have been involved in this programme showed Russ where improvements had been made as part of his visit.

Russ said: “We are committed to supporting the vital services provided by our regional hospitals and the excellent work of nurses.

“I am thrilled that we are once again able to make these grants to further your good work.”

Dr mADe obe innew yeAr’s Honours One of our former members of staff has been recognised in the Queen’s New year’s Honours list.Dr Lesley Hewson, Clinical Director of Child and Adolescent Mental Health Services (CAMHS) from 1995 to 2009, was awarded an OBE for services to children.

Dr Hewson was instrumental in developing specialist child and adolescent mental health services across Bradford.

our Chief executive, Simon Large said: “She was at the forefront of developing our Intensive Home Treatment service for children and adolescents, which provides an alternative to hospital care for young people experiencing a range of mental health difficulties.

“As a result of her original concept we have now begun to extend the successful service across Bradford to include a range of specialist support for children and young people. Her work in this field has been invaluable.”

Dr Hewson retired as Clinical Director of CAMHS in March 2009, a post she had held since January 1995. Prior to this she worked from 1988, as a Consultant Child and Adolescent Psychiatrist in Bradford.

CoRpoRate SeRVICeS

and Finally...

Dr Lesley Hewson

Staff receive cheque from Sovereign

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Coffee BreakHAve you mADe A new yeAr resolution to get fit? Are you on tHe wAy to ACHieving your goAl? woulD you like A HelPing HAnD witH A montHs free gym membersHiP?

Thanks to Clubactive, you have the chance to win one month’s Free all-inclusive membership. Simply find the missing word in our New year word search.Words can be up, down, forwards, backwards or diagonal. When you have found the missing word, send it to us at [email protected] no later than Wednesday 14 March 2012. The winner will be chosen at random and notified after the closing date. Please remember to leave a contact number so we can let you know if you’ve been successful.

Good luck!

a S U R p R I S e B a m n Q F W Z

W D a H n S D t I R e t X K a F e

Z K J J K Y C L Y t R a p C m n LQ C L n o a g U Z a o o L a I H aB H e C e n o V W Y J t a B L S n

L a H t R W I I H R I D n o Y m n

a n a R F X Y R o a K o S I n V R

m g p L K U a e X C I t e m e n t

n e p J Y F L S a L e F Q D J U g

W R I V S R W o Y R H J a t Y S n

K F n e S B a L W Y Z S o o W L I

Y L e U J t D U Q m g t W o C S n

J g S D I Q g t n n I H R I J R n

t X S W H K o I o a K K W e C a I

e B K n m U a o e L J S D n o F g

F U R n R e R n o L L R L S K R e

H o L I D a Y S m t a C F H W R B

Q a Z V a Y o W V U o t B X V n g

m S L e B D Y R a U R B e F K a L

1. New Year 2. Beginning 3. Hope 4. Excitement 5. January

6. Resolutions 7. Party 8. Plans 9. Change 10. February

11. Holidays 12. Work 13. Family 14. Surprise 15. Happiness

Aside from the lucky winner, all our staff can take advantage of Clubactive’s corporate membership at £29.95 a month, which includes the opportunity to work out at places including:

- The Leisure Centre in Keighley; and

- Richard Dunn Sports Centre and Thornton Recreation Centre in Bradford.

For more information on this fantastic offer, available for a limited time only, contact 01274 438790 or email: [email protected]

DeCember’s winner!Well done to Karen Ayers, Continence Nurse Specialist at Eccleshill Clinic. Karen was randomly chosen as the winner after correctly spotting the missing word of ‘holly’ in our festive word search. Thank you to everyone who entered.

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A spectacular event not to be missed.Monday 26 March (Evening Ceremony)National Media Museum, Bradford

See the winners unveiled live on the big screen, show support for your colleagues and be in with a chance of winning a luxury holiday for two to Marbella!*

Call 01274 228351 to reserve your tickets!

* All ticket holders MUST be in attendance at the ceremony to have a chance of winning the holiday. The prize has kindly been donated by Medic Care Ltd.

YOU’RE A STARAWARDS2012

You and Your Care

Main Event Sponsor