Issue 58 . November 2011

Inside:

. Contact us at: member ship@smhp.nhs.uk . online: www.smhp.nhs.uk/trustmatters

Welcome to the last ever edition of Trust

Matters, the magazine for

Suffolk Mental Health staff!

The merger, which has

received final approval, will

signal the start of a new era,

and an exciting new combined

magazine for both Suffolk and

Norfolk.

Altogether, there have been an

incredible 58 editions of Trust

Matters, documenting the

achievements and challenges that

the Trust has faced over the last

eight years.

In May this year, the newsletter was

expanded into the weekly e-bulletin Trust

Update, which complements Trust

Matters. Trust Update is a brilliant

communications vehicle and I am excited

to say that it will

be taken forward

into Norfolk and

Suffolk NHS

Foundation Trust.

Trust Update,

and of course

the long-

standing Trust

Matters, have

both laid great

foundations for

timely and

accessible communications.

Ahead of this farewell issue of Trust

Matters, I have been taking a look at

some of the back copies, and

am delighted to see how far

we have come on projects

such as productive mental

health wards and

community teams, the

anti-stigma campaign

work, the launch of new

services and the

reprovision of residential

learning disability

services - to name but

a few!

I was particularly

interested to read about the

launch of the business case for building

Foxhall House and Woodlands all those

years ago. It is fitting that this final edition

rightly heralds the official opening of

Woodlands by the Countess of Wessex.

It’s thanks to our

clinical and project

teams that we have

mental health wards

which are among the

best in the country.

And, of course,

seeing the

numerous letters of

thanks which

service users have

sent in to our teams

remind us all of

why we are here – the Suffolk strapline of

‘helping people make the most of their

lives’ being particularly appropriate. This

positivity and

continual

thanks to the

wonderful staff

across Suffolk

and Norfolk will

continue in the

new magazine

and in Trust

Update.

We have now

been given the

go-ahead for the merger to happen – it

will definitely take place! The Trust

executive teams and senior management

teams in both counties are starting to

work together and we are starting to align

our various projects, such as the clinician-

led Radical Pathway Redesign project, in

order to achieve the benefits we set out in

our business plan.

I think that Suffolk staff should be very

proud of how far they have come and

all the great successes they have been

responsible for. The achievements are

yours and I’ve been pleased to have

been a part of that over the last eight

months.

My next newsletter message will be as

chief executive of the new Norfolk and

Suffolk NHS Foundation Trust, where I

look forward to working with colleagues

both sides of the border as we continue

to develop excellent services for the

people of both counties.

Aidan Thomas, Chief Executive

Issue 43 May 2009

Contact us at: membership@smhp.nhs.uk online: www.smhp.nhs.uk/trustmatters

INSIDE:

! Trust objectives

! School children learn

about mental health

! Brain training

! Equality for carers

! Campaign updates

! Suffolk Business

Minded

! Respect for dementia

! Centrepiece

! Section 136 suite

! Q&A on whistleblowing

! National insurance

! Childcare vouchers

! CAMHS/LD unit

! Mentor register

! Football fun

! Retirement

! Red Nose Day

This month signals the start of

a new era for Suffolk Mental

Health as building work began

on new in-patient facilities in

Ipswich on May 5th.

The Trust aims to construct the

best mental health wards in the

country so that the staff can

provide their expert care in an

environment that is modern,

inspiring and supportive.

The plans are a culmination of

over a decade of hard work by

clinicians, managers, service

users and family carers, who

have worked together to

improve in-patient areas.

The projects will also help

SMHP to achieve some of its

five year objectives: to

modernise its services, become

a model employer, and to

promote a positive image of

mental health.

It will cost £23 million and

received approval from the East

of England Strategic Health

Authority Board in March.

As you can see from the

pictures, St Clements will be

home to a brand new 11 bed

low secure unit. This will be

built adjacent to the single story

part of Sampson House.

The Heath Road site will have

a larger facility with a secure

Psychiatric Intensive Care Unit

(PICU) and three new 21-bed

wards (one of which will include

a purpose built dementia

assessment unit).

The project focuses on applying

the principles of Towards the

Best together – East of

England’s pledges for mental

health services in this area.

Services will therefore become

more accessible and better

integrated, and will deliver

better quality of life and patient

experiences.

The building work will also

comply with environmental

sustainability standards to

create innovative yet functional

spaces.

The Wedgwood Unit in Bury St

Edmunds is also due for

building work in the near future.

Plans are agreed which will

refurbish the original wards to

give inpatients more flexible

and personal space during their

treatment.

The submission date of these

plans will be confirmed very

soon.

You can find out more about

the modernisation project via

the external website

www.smhp.nhs.uk. Go to

‘recent and current

consultations’ under the ‘we’re

listening’ section and then

choose ‘modernisation’.

Building work starts for tomorrow’s wards

A word from the chairman

The plans... The Heath Road site, left, and the new building at St Clements

In the last issue of Trust

Matters I was kindly

welcomed to Suffolk Mental

Health. I would therefore like

to take the opportunity to

formally introduce myself to

you all.

Although I have only been

chairman of the Trust for a

matter of weeks I already feel

very positive about it. From

my conversations with the

staff who I have met I can tell

that people here have a

passion for providing the best

services they can to local

people. The Trust has clearly

taken significant steps

forward in recent years to

improve the quality of care

that it provides to service

users and family carers, and

this has been borne out by

the most recent HCC

assessment of our services.

As you may know I am a life

member of the House of

Lords and have also held the

role of chairman in other

NHS Trusts, most recently

the Royal Brompton and

Harefield NHS Trust, and

prior to that, North East

Essex Mental Health Trust.

I am pleased to have the

opportunity to use that

experience in the service of

SMHP as we work towards

Foundation Trust status later

this year.

I look forward to meeting

many of you in the coming

months.

Lord Newton of Braintree

- Farewell to Trust Matters

- Woodlands official opening

- Latest merger news

- SharePoint is coming

- CQC praises Airey Close

- Suffolk Health and Wellbeing Month:

- Mental health information stand

- Singing flash mob

- Sudbury VASP events

- Radical Pathway Redesign

- Improved clinical supervision

- Personality disorder strategy

- Patient safety review

- Letters and compliments

FAREWELL ISSUE

On behalf of the Executive teams, I am can

confirm that the Norfolk and Waveney Board has

formally approved the merger with the Trust. I am sure

you will agree that is excellent news!

The Board has agreed to Monitor’s proposed remedies

and accepted its financial and governance risk ratings.

The past 12 to 18 months have been very busy for the

Trusts as we have worked to bring the merger to fruition.

. Contact usat: membe

rship@smhp.nhs.uk

. online: www.smhp.nh

s.uk/trustmatters

Issue 45. Septembe

r 2009RUST TsrettaMsrettaM

INSIDE:

. NHS Number

. Equality and diversi

ty

- Breaking Through

- LGBT Survey

. Buckingham Palace

Garden Party

. Campaignupdates

- Suffolk Business Minded

- Respect for Dementi

a

. CENTREPIECE

. Garden project

. Saving lives!

. Orwell Walk

- Rocket team

- Alzheimer’s Society

. Library service

. User and carer refere

nce

group

. ProtectedTime

. Childcarevouchers

. Stop smoking service

. NHS247.com

The Suffolk Support

Services Mental

Health Informatics T

eam is taking on a

new project which will he

lp improve

patient safety.

The National Patient

Safety Agency

(NPSA) has issued a

“Safer Practice

Notice” toall NHS or

ganisations in

England and Wales which

recommends

the use ofthe NHS N

umber as the

unique patient ident

ifier.

Led by Evelyn Walters (pict

ured) the

informatics team has comm

enced a

Trust-wideNHS Numb

er and

Information Governa

nce Project.

All staff are kindly as

ked to take these

three initial steps:

1. Raise your awaren

ess – Do you

know what the NHS Numbe

r is?

Find out now on: http://

www.

connectingforhealth.

nhs.uk/systems

andservices/nhsnumb

er

2. Reviewyour local

systems –Do

you hold patient iden

tifiable

information on a spr

eadsheet,

database,or any syst

em that is not

ePEX, ILLY, or PC-MIS? If you d

o,

please contact the M

ental Health

Informatics Team on: 01473

329270

3. Prepare– impleme

ntation over the

coming months will

lead to all

patient records and

communication carry

ing the NHS

Number! Make sure y

ou are ready!

More advicewill follow

over the

coming months.

The “SaferPractice N

otice” wasissued

to supportthe Conne

cting for Health

(CfH) NHSNumber P

rogramme. This is

working towards a co

mplete adoption

of the NHSnumber to

improve patient

care across the NHS.

The key drivers for th

is programme are

patient safety, patie

nt choice,the

NHS Operating Frame

work, financial

implications (e.g. pa

yment byresults),

security and confiden

tiality.

The NHS Number and

Information

Governance Project it

self will look into:

. Base liningthe curren

t usage of

the NHS Number wit

hin the Trust,

by Staff, ITsystems, o

n paper

records and informa

tion flows.

. Creating aconforman

ce plan for

requirements set by

NPSA

. Implementing chang

e into the

trust’s ways of worki

ng, to comply

with requirements se

t.

If you feelthat you w

ould like to get

involved, have a posi

tive contribution

to make, or, would li

ke to raiseany

concerns regarding c

omplications you

foresee, please cont

act, Project

Manager, Evelyn Walters on:

evelyn.walters@smh

p.nhs.uk.

Evelyn said: “I have really enjoyed working on this project so far. We want to help

people in whatever way we can to ensure that this is a straightforward process.”

“The NHSNumber –

it’s all about patient

safety”

Suffolk Mental HealthPartnership NHS Trust

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Issue 44 July 2009 Contact us at: membership@smhp.nhs.uk online: www.smhp.nhs.uk/trustmatters

INSIDE:

! Staff recognition awards! Medicine record card

! Campaign updates - Respect for dementia

- Suffolk Business Minded

! Centrepiece

! Tales from the Trust

– A success story

! What's in a brand?

! Complaints procedure

! Fraud awareness Q&A

! Chief executive

surgeries

! Falls awareness article

! Thumbs up!

It is the time of year when we ask ourstaff to have a think about those peoplewho have made a difference in the Trust.This year’s awards follow on from thesuccess of the fantastic awardceremonies in 2007 and 2008. Perhaps you want to acknowledge theinnovations or achievements of acolleague.Maybe you have a dedicated andmotivating team manager that you wantto see rewarded.

Whatever the reason, make sure you getyour nominations in by July 24th!There are 12 awards this year in fourdifferent categories:

! quality! making a difference! partnership working ! team leader/manager of the year. There is a full criteria list on page 2.The quality and making a differenceawards are for all employees andvolunteers – not just clinical orpractitioner staff.

This includes social care staff working inour services.The partnership working award is for allemployees, but also any individual ororganisation outside the Trust who hashelped us in our mission of ‘helpingpeople make the most of their lives’.

The team leader/manager award is foranyone who has shown good leadershipin the Trust. Nominations for the makinga difference award are for individualsonly but all the other categories can befor a team or an individual. It is easy to nominate this year. You cansimply complete an online form by goingto www.smhp.nhs.uk and clicking onStaff Recognition Awards 2009 whichcan be found under the news sections.Alternatively you can download a formfrom the same page and post it if youprefer. There is also a list of thecomplete rules and process.Don’t delay, nominate today!

Staff recognition awards 2009:who will you nominate?

All the winners at the Staff Recognition Awards 2008. Turn to page 2 for more

photos from last year’s fantastic event

Onwards and upwards!

Read more on page 3!

CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 1

HRH Countess of Wessex GCVO officially

opened the new, state-of-the-art mental

health inpatient facility in Ipswich on

Thursday 20 October 2011.

The facility, called Woodlands, replaces

the out-dated wards at St Clement’s

Hospital.

The Countess was taken on a tour of

Woodlands by locality manager Margaret

Little. She was welcomed by staff inside

the facility who chatted about things such

as the gym, the ECT suite and user and

carer involvement.

After the tour, the Countess officially

opened the building by unveiling a special

plaque, and gave a speech. “I’d just like

to say on behalf of all of all the very

vulnerable people that you care for an

enormous thank you,” she said.

“The facility that you have provided for

them is fabulous. The care, it goes

without saying, is fabulous but you now

have an even better place to do it in. I

wish you all the best in your new facility.

“We can’t put too high a price on caring

for people when they need help.

“It is a great pleasure for me to be able to

come here and formally declare the

building open.”

The general

atmosphere at the

event was one of

excitement and it

was obvious how

pleased all the

staff and guests

were with what

has been

achieved.

Lord Newton of

Braintree, Trust

chair, summed

these feelings up

through his

welcoming words

to the Countess.

“This is a terrific day

for us,” he said. “It

was back in the 19th century that new

mental health facilities on this scale

were provided in Ipswich. We are

effectively replacing St Clement’s with

modern, state-of-the-art provision.

“It comes at the end of a year when we

have all but jumped the last hurdle of a

new administrative arrangement - boring

though that sounds! – to create a new

Trust. We’re getting together with our

friends in Norfolk to create one that

covers the core of East Anglia, which

will be good for patients, staff and

everyone interested in mental health.”

After the official opening, staff enjoyed

an informal party to celebrate the Trust’s

success. Attendees had a chance to

enjoy music provided by Gill Burgoyne’s

(community eating disorders service

manager) jazz band, and a delicious

cake – with a miniature Woodlands made

out of icing - made by mental health

nurse Sue Mannion.

The building, which is based on the

Ipswich Hospital site cost £19.6 million

and represents over 10 years hard work.

Sandra Cowie, director of mental health

and social

care, said:

“After many

years of

project groups

and countless

debates about

building plans

it was

absolutely

fantastic to

see the

opening of

Woodlands.

“I am very

proud to see

this new unit open and functioning with an

excellent environment fit for purpose for

both patients and staff. I would like to

extend my personal thanks to the clinical

managers involved, particularly Margaret

Little, who juggled many responsibilities

to lead this, along with our very able

modern matrons, Jane Coates and Tim

Smith.

“I would also like to say a thank you to

David Leckie and his project team. It is a

significant event for Suffolk to have 21st

century inpatient wards in which to further

develop standards of care and modernise

practice.”

The facility comprises four modern

inpatient wards including a later life ward

and dementia assessment unit, and a

psychiatric intensive care unit.

The crisis resolution home treatment

teams, psychiatric liaison service for older

adults and a base for approved mental

health practitioners (social workers) are

also housed in the building.

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The Countess meets a service user who was

receiving a therapy treament from Karen

Hemmingway, complementary therapist.

HRH Countess of Wessex GCVO

officially opens Woodlands

HRH Countess of Wessex GCVO officially opens Woodlands

Aidan Thomas introduces the Countess to Lord

Newton of Braintree, Sandra Cowie, David Leckie

and Margaret Little before her tour of Woodlands.

During the day, Mark

Graves, senior project

manager for building

contractors Kier Eastern,

presented a beautiful

wooden carving to modern

matrons Tim Smith and

Jane Coates (pictured right).

The carving was handmade

by one of the people that

worked on the building as

an expression of their

gratitude for being part of

Woodlands.

CET1110_TrustMatters_last_issue:pages 11/11/2011 11:22 Page 2

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HRH Countess of Wessex GCVO officially opens Woodlands

The Norfolk and Waveney Mental Health

Trust is now waiting on the Department of

Health to set a date for the Trust to merge

with neighbouring Suffolk.

The merger has been approved by all

relevant organisations and now needs

sign-off by the Department of

Health and Secretary of State.

The merger will be finalised once it

is officially signed by the

Department of Health and

Secretary of State.

The date that the merger occurs is

dependent on when the sign-off

takes place.

One of the key organisations

involved in the process, Monitor,

said integrating the two Trusts

would be in patients’ interests.

Chief Executive Aidan Thomas

thanked all involved for their work

in the lengthy process.

Norfolk and

Suffolk Trusts

began

discussions

around a merger

in early 2010. The

project began

with a scoping

meeting between the heads of services at

both Trusts and the Norfolk Board of

Directors. The Trusts developed a

business case in autumn 2010 which was

assessed by the Strategic Health

Authority (SHA), the Co-operation and

Competition Panel (CCP) and Monitor.

The approvals

process has

taken longer

than expected

(currently 14

months), with

changes to

external

timeframes

causing a

number of

revisions to

anticipated

merger dates.

During the

approval

process, Suffolk

instigated an independent review of

patient safety which found some

weaknesses in the Trust. This had a

significant impact on the merger, leading

to the revision of the planning documents

and the bringing forward of some planned

activities. One of these changes was the

appointment of Aidan Thomas as Acting

Chief Executive in Suffolk at the request

of the SHA and commissioners.

The SHA provided its official support for

the merger in early 2011. However, the

CCP concluded it could not recommend

the merger due to its potential negative

impact on competition. The CCP decision

raised concerns that the geographical

location of both Trusts (i.e. bordered by

sea) prohibited competition, particularly in

Great Yarmouth and

Waveney.

As a result, Monitor,

the final

organisation to

provide a

recommendation,

took additional time

to further consider

the competition

issues. The

organisation was

asked to take into

account the

outcomes of the

patient safety

review in its

assessment: information which had not

been available to the CCP at the time of

its assessment.

In October, the Monitor Board announced

its support for the merger, acknowledging

it was in patient’s interests. To offset any

concerns about competition, Monitor

proposed a package of remedies that

involved retendering of services, provision

of facilities to external service providers,

and information-sharing.

The final stage of the merger will be sign-

off by the Department of Health and

Secretary of State, which will determine

the date that the merger takes place.

With the merger approaching, Norfolk and

Suffolk have been working together to

design a new intranet that allows more

efficient information sharing and effective

communication. When first launched, the

intranet, which uses a program called

Microsoft SharePoint, will exist alongside

the Intranet and LINX (Norfolk’s intranet

system). Staff will still be able to search

and locate information and documents in

their current location, using SharePoint’s

advanced search function. ‘Power users’

from each team have been trained to use

SharePoint and are busy developing their

pages, ready for launch when the Trusts

merge. In addition, SharePoint has a

section called MySite, which acts as an

internal professional networking website.

Staff will be able to add their colleagues,

tag themselves in relevant policies and

offer their advice and expertise.

SharePoint has the ability to hold a vast

amount of information and a large number

of documents. Eventually, each team will

have their own document libraries where

policies, project plans and supporting

documents will be stored. In the long

term, the plan is for SharePoint, which

hosts automatic version control systems,

to replace shared drives. Staff will be able

to access support for SharePoint from

several places. Power users will be able

to help in the first instance, but there are

also help guides and FAQs, which guide

users through ‘how to’ examples step-by-

step. As always, Service Desk will be able

to help with more complicated enquiries.

For more information please emailhelen.abbott@smhp.nhs.uk.

SharePoint is coming - get ready for a fantastic new staff intranet!

The Trust’s Airey Close in Oulton, which

houses rehabilitation services for people

with learning disabilities, held an open

day this month following an extensive

refurbishment.

The team provides rehabilitation and

recovery services for adult men with a

learning disability who may also have

another condition such as a mental health

problem. The team works with each

person to help them prepare for everyday

living, such as looking at living

accommodation, community facilities and

budgeting.

The open day followed an unannounced

visit from the independent regulator, the

Care Quality Commission, concluded that

the services at the unit were good.

The assessment team spent two days at

the Airey Close bunglaows, talking to

staff, service users and families.

Unit manager Sue Medley, said: “They

were impressed with our staff and the

relaxed atmosphere among them and our

service users. We are really pleased with

the feedback.”

The assessors praised the Trust’s

incident reporting processes, the

extensive training in safeguarding issues,

the person-centred care approach and

the way the staff involved service users

and family carers in the running of the

unit.

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Contibuted by Alun Hughes, Suffolk

User Forum.

First we would like to thank the

Woodbridge Library staff for all their help

in setting up the foyer for our exhibition of

leaflets and write-ups on mental health

topics.

Most people who came to the library

acknowledged our presence and quite a

number showed enough interest to

become involved in a chat about the

services that the Trust has to offer and

were pleasantly surprised to learn how

wide-ranging the services are.

A recurring topic of interest was about bi-

polar depression and its implications.

Although there were few other specific

topics asked about, the general feeling in

the day was one of success and the

number of Trust staff present felt that their

contribution had been significant in a day

of ‘help and enlightenment’.

It was interesting too, for the number of

people who found that they could help

someone by sharing their own

experiences in solving such problems as

bereavement and isolation. A significant

number told us of the help they had

received from social services, and many

asked about the learning difficulty

services available.

The team on the day was led by

Deogracias Lapena, community mental

health nurse, Later Life Community East

Team. His assistants were mostly in their

third year of training in various disciplines:

Beth Manning, student mental health

nurse; Antoinetta D’Alessandro and Jack

Nkala, social work students; Dianne

Szulc, social worker, and Kate Woollard,

occupational therapist. Also in

attendance, contributing their many years

experience, were team leader Jackie

Carman, CMHT manager Glen Pooley

and Leslie Bradshaw. It is always difficult

to quantify the undoubted success of the

day and although we were in a warm and

comfortable location it was noted that a

larger number of people had been

engaged in the day last year when the

exhibition had been held in the open air

on Woodbridge Thoroughfare.

Mental health

information in

Woodbridge!

From left: Alun Hughes, Deo Lapena and Jackie Carman get ready to chat with library visitors

Left: A day of

singing in

Beccles

Right: Kids at

Gt Cornard

Upper School

talk to a ‘human

library’

Left: Walkers

enjoy the fresh

air at a walk in

Halesworth

Right:

Endeavour

House plays

host to health

information

event

CET1110_TrustMatters_last_issue:pages 11/11/2011 11:23 Page 4

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Contributed by Garrie Parker,

Chairperson Sudbury VASP and Anne

Hopkins, Sudbury CMHT admin

coordinator.

Sudbury VASP members held an event

on market day in Sudbury outside the

Town Hall on 6 October by manning an

information stand. Although a very

blustery day it proved rewarding and

attracted many members of the public

who benefited from supportive

information supplied by local VASP

organisations and, in some cases,

proved to be a good listening ear to a

few needing to off-load who went away

saying they felt uplifted. We received

some very positive feedback, many

confirming VASP should carry on with the

good work we are undertaking and are

very much appreciated. Staff from CSV

(Community Service Volunteers)

attended with a Smoothie bike to inspire

the public to cycle for a few minutes in

order to make their own Smoothie. This

encouraged us all to realise the

importance that exercise and your five-a-

day fruit and veggies make towards you

feeling healthier, and how physical

wellbeing is linked to mental wellbeing.

We even persuaded one of the local

community police officers to have a go! A

member of staff from the local Kingfisher

Sports Centre once again offered his

support. It was a good example of an

effective multi-agency event. Much work

had taken place in the planning and

preparation, thanks to the many

members contributing.

Everyone available on the day was keen

to take part and we had a clear, simple

objective which we all understood and

worked jointly to achieve.

A singing flash-mob surprised book lovers at Ipswich

Library on World Mental Health Day, 10 October to

promote health and wellbeing in Suffolk.

The flash mob was organised by Music in Mind, a

community singing group with support from the Trust,

Suffolk County Council and The Mind Sanctuary.

People keen to take part met in the lecture room at the

library at 2pm to learn the chosen song, Down by the

Riverside. Tracy Sharp, who helps run the group, said:

“It is the perfect song to get our message across, as it

is about overcoming struggles and triumphing over

adversity.”

The singers then went down to the library to perform the

song amongst the book lovers and library staff.

Music in Mind began in January after the InsideOut

Community Arts in mental health project recognised

the impact of singing on wellbeing. The group, which

is now Lottery funded, meets fortnightly in the library

on Monday afternoons and is open to all.

Tracy added: “The aim of Music in Mind is to promote

recovery and wellbeing through singing. Opening out

the group to everyone who wants to get involved is

our way of bringing people together - acknowledging

that we all have times when we experience isolation,

anxiety, grief and depression and that together we can

lift one another’s spirits in song.”

You can watch a video of the flash mob at

http://www.youtube.com/bewellsuffolk.

Singing flash-mob descends on Ipswich

Working together at Sudbury VASP!

Left: mental health

display in Eye.

Right: mental health

information stand at

Stowmarket Library.

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The Trust has started to look at a radical

redesign of services, led by clinical

opinion, that builds on service redesign

work that has already taken place.

The process, called Radical Pathway

Redesign, aims to ensure improved

quality of clinical care within the finances

available to them, and to create more

effective and robust services over the

next four years. Radical Pathway

Redesign will allow clinicians to work out

how best to meet clients’ needs, to

deliver services that produce good

clinical outcomes, and that are cost

effective and cost efficient. The project

builds on the recent service redesign

consultation and is aligned with the

Payment by Results requirements.

Each clinical lead will redesign their care

pathway and propose a business case

using input from colleagues. The Trust’s

four clinical leads are Anna Vizor

(consultant clinical psychologist), Siri

Robling (consultant adult psychiatrist),

Heather Balleny (consultant clinical

psychologist) and Vivien Peeler

(psychiatrist). Dr Siri-Ann Robling said:

“This is wonderful opportunity for

clinicians to influence the development of

clinical services for the future such that

they are sustainable and put the patient’s

needs centre stage. Never in my

experience as a consultant psychiatrist

has there been such explicit backing for

genuine clinical leadership of service

redesign. This is potentially a ‘once in a

career’ opportunity.” Along with other

senior clinicians and managers, the

clinical leads have attended a number of

workshops in Norfolk, where the process

is a little further along. They have since

conducted two redesign workshops in

Suffolk that were well attended and well

received by the Trust’s clinical workforce.

The next stage is to establish working

groups who will first decide what clinical

pathways should be established (i.e.

what services we should have and who

they deliver to), and then what care

packages (treatment packages) should

be developed for staff to deliver to

patients. In Norfolk, they have already

designed their pathways, and some of

their packages. In Suffolk, the clinical

leads have asked for volunteers to work

on pathways and packages and have so

far received at least 50 expressions of

interest. If you are interested pleaseemail janet.crewe@smhp.nhs.uk.

Radical

pathway

redesign A survey asking for opinions on clinical

supervision has already had a fantastic

response rate of about 55%. The survey,

which is still open, is helping shape the

Trust’s new model for clinical supervision,

which is regarded as leading-edge by

professionals external to the Trust.

Clinical supervision is an opportunity for

all clinical staff to discuss their work in

order to learn from what goes well and

what gets in the way of clinical practice. It

should feel supportive, giving staff space

to think, and should lead to improvements

in the conditions under which we work

and improvements in what we offer to

users of services.

All clinical staff should receive

supervision. Whilst there are many

services within the Trust that have had

useful supervision for a long while, the

Trust did not have a standard set of

supervisory practices, nor a system to

support the supervisors.

In addition, there was governance so the

Trust did not know whether its staff were

receiving supervision, what was needed

for it to be useful and enjoyable, or what

to do to help supervisors develop their

practices.

The new model is a standardised way of

thinking about what happens during

supervision so that staff gain the

maximum benefit whilst also achieving

the objective to provide good care. It was

developed by groups of supervisors and

supervisees, and has been evaluated

within clinical therapy services. It consists

of four levels: what is brought to

supervision, how to manage what is

brought, what to do in each moment of

supervision, and how to use material to

learn.

The model is not specific to any therapy

or any theoretical orientation. It is

considered useful for helping all staff

think about their work, regardless of their

professional backgrounds. The model is

available on the Intranet, and is included

in the statutory and mandatory

introduction to clinical supervision

session.

Mark Freeston, Director of R&D,

Newcastle Cognitive Therapy Centre,

Northumberland, Tyne and Wear NHS

Foundation Trust said: “Having

supervision that is owned by the

organisation provides an opportunity for

real communication about clinical issues

that affect front line staff within a properly

joined up supervision system. This is

good for people who receive care, the

staff who provide care, the people who

lead services, and the organisation as a

whole.

“It has been impressive to see the

momentum grow, notwithstanding the

challenges the Trust faces with a project

of this scale. It is rare to find clinical

supervision so much at the heart of

organisational change.”

The new system is designed to:

1. Provide a standard way of thinking

about supervision so that everybody

knows what it should provide.

2. Increase the numbers of staff receiving

good quality supervision.

3. Evaluate supervision.

4. Support supervisors.

5. Feedback information about clinical

services that are being discussed in

supervision and that need to go to the

executive (for example, where staff

discuss problems with delivering services

due to insufficient resources.)

The survey that is being conducted, asks

whether the majority of staff receive

clinical supervision, what their experience

of it is and, if they don’t have it, would

they like it. The responses have so far

been very positive, 72% of clinical staff

saying they already receive clinical

supervision and of those who aren’t, 88%

say they would like to receive it.

Below are a selection of the hundreds of

responses to the question ‘What are your

thoughts of clinical supervision from what

you have heard or from your own

experience?’:

- “It is very important to both give and

receive clinical supervision with a peer. It

helps your continued development and its

safe environment; it gives you a forum to

discuss ideas that concern you that you

might not feel like discussing in other

settings.”

- “If it is too prescriptive or is led by

management agenda it will not be

effective.”

- “Challenging but in a supportive way.”

- “It tends to be very ad-hoc, and often

when it is needed due to high ward

pressures it cannot be facilitated.”

- “It promotes staff wellbeing, effective

and reflective practice, not only when

difficulties arise, but when successes

occur.”

- “It is helpful to have that individual time

in the context of a trusting relationship

where concerns regarding clients can be

voiced. Group supervision, I believe, will

increase the potential of practitioners

being more guarded in their disclosures.”

If you would like to give your ownopinions, please visitwww.surveymonkey.com/s/LSZGT8Yor contact anna.vizor@smhp.nhs.uk.

Improved clinical

supervision on way

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I am pleased to tell staff that a five-month

update on the progress of the critical Rae

Report has shown positive results. The

report shows that every single one of the

recommendations has either been

completed or that remedial actions are in

progress.

As you are aware, our first concerns are

those of patient safety and quality of

service. The Rae Report was rightly

critical of the governance of the Trust at

the time, but since then, we have made

considerable progress on each and every

action and are pleased that we are now

on the right path.

All this has been thanks to the hard work

and professionalism of everyone at the

Trust who have been determined to work

together to make this happen. Thanks to

you, we have new reporting structures,

new models for clinical supervision, better

alert systems and a clinical workforce that

is truly engaged in the management of

the Trust. And that’s just to cite a few

examples!

I want to be quite clear to our staff and to

the public that our clinical services

themselves are as good as you would find

anywhere in the country. We are, and

remain, proud of what you all do for our

service users.

Contributed by Barbara McLean,Director of Nursing and Quality,pictured right.

Patient safety review progress

report: five months on

A reference group is being set up to look

at the care given to people with

personality disorders. Sue Howlett,

Modern Matron at Wedgwood House, is

leading on the development of a

personality disorder strategy for the Trust,

linking in with colleagues in Suffolk and

Norfolk. People with personality disorders

have a particular set of needs which, if

not met, can lead to them becoming

detached and feeling isolated – in turn,

this can lead to mental ill-health, social

problems and offending, impacting on

both the person and the services which

they come into contact with. The new

reference group seeks to work alongside

colleagues in A&E, the police, primary

care and Norfolk and Waveney Mental

Health NHS Foundation Trust. The new

model of care will be one of a hub and

spoke, with senior experienced clinicians

providing supervision to colleagues.

Will the hub include management sothey can make the decisions?The hub will include senior and

experienced clinicians who can provide

consultation to staff about appropriate

clinical strategies. It is likely that in order

to carry out effective clinical strategies

some policies and practices will need to

be reviewed and the operational impact

will be discussed with managers.

Will we be supported to make positivedecisions about risk?Where staff understand that it is likely in

the long term to reduce risk if they make

decisions not to respond to the short term

risk now (positive risk taking) they will be

supported to do so, by helping them to

write care plans and receive supervision

to maintain and develop confidence in

their assessment and decision making

processes.

How will it make a difference to theway I work?Awareness training is designed to help

staff to understand the origins of

difficulties, and the ways in which to

communicate with these client groups.

The hub of experts will help staff to find

the types of advice they need.

Will this stop the current level ofadmissions?There are not necessarily going to be any

quick wins. However using crisis

admissions and supporting out of hours

services (including the police, etc.) with

training as a priority will make a

difference. As the longer term plan to

develop appropriate support systems in

the community unfolds, a more

permanent change is likely to be seen.

What is Norfolk doing?Our understanding is that the approach

Norfolk is taking complements our own.

Our focus has been upon how to develop

all staff’s competence, whereas Norfolk

have focused upon the development of

their psychological therapy staff.

How will be the personality disorderexperts be chosen?The hub of experts that already exist will

be identified through recommendation.

The development of expertise within

teams will be across all staff, with some

“champions” working within teams being

identified through training, consultation

and more effective communication.

Does this fit in with the costimprovement programme?The strategy will rely on those ‘expert’

clinicians already within the Trust. The

main expense will be the training which

has longer term saving with reduction in

current admissions and specialist bed

usage.

How will this fit in the care pathways?Care packages will be developed to

reflect what staff and national guidelines

consider to be the most appropriate

services for particular conditions. The

strategy is in line with national guidelines.

We already have a personality disorderexpert and she provides team work -will this change?These decisions will be decided within

individual teams, but it is possible that in

order to disseminate expertise more

widely we will use the current experts we

have as consultants to teams who do not

have any expertise.

What about CAMHS/ED/learningdisability/older adults/forensicservices?There will representation from all of these

services in the reference group. Any

specific needs can be reflected within the

strategy.

If anyone would like to discuss the

new personality disorder strategy, they

are welcome to contact Sue Howlett by

emailing sue.howlett@smhp.nhs.uk.

Support for those with personality disorders

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EDITORIAL: If you would like to contribute an article (and accompanying photo) for inclusion in the brand new staff magazine

please email it to helen.abbott@smhp.nhs.uk. If you want to discuss ideas about potential features or make a suggestion about

improving the newsletter you can also email the above address or call Helen Abbott on 01473 329700.

.

If you have a letter you would like to share, please email nicola.brown@smhp.nhs.uk. Letters may be edited and will be anonymised

to protect service users’ identities.

Letters and complimentsTo Karen Frost, Nursing Assistant,Northgate WardThank you so very much for the loan of

your books. They are keeping me

entertained. Today has been more

difficult than I was comfortable to

express, and I just wanted to thank you

for snapping me out of it and giving me a

ray of hope. I’m finding it tough at the

minute and you are proving to be the

sunshine on my cloudy days. You are a

very special person with qualities rarely

afforded. Thank you for helping me see

light at the end of the tunnel!

To all staff on Northgate WardThank you so much for everything you

have done for S, I am truly grateful for all

the support, ears and care you have

provided for her. You are all HEROES!

You are inspirational people and so very

good at your jobs. You touch so many

lives, not only your patients but those of

family and friends of your patients.

I am writing to say thank you for all the

help and hard work behind the scenes

helping me to get the spring back in my

step. You will always be a part of my life

which I hold close to me. Keep well, keep

safe. Thank you - I can not say the word

enough. Give the whole ward a cuddle

from me. Thank you thank you I will miss

you loads.

To everyone who took part in my care: it’s

been a long old journey and many ups

and downs along the way. But finally I

have found the real me again and I

couldn’t have done it without all your kind

support. I am very grateful to you all and

would like to wish you all of you the very

best for the future, whereever that may

take you.

Simply saying the words ‘thank you’ does

not do justice for the incredible amount of

time, care, support, enthusiasm and

dedication that you have all so powerfully

displayed to me over the past 5 weeks.

Your kindness and ability to comfort at

times of distress and unbearable

moments of existence have humbled me.

You are unsung heroes that do an

incredible job and one which I will never

forget. I do not know what the future

holds for me, but one thing is certain,

none of you will be forgotten. I simply

cannot thank you all enough.

To all the staff and patients atWedgwood HouseThank you so much for all your help and

support for me and my family. I really

appreciate the kindness you have given

me and how welcome you have made

me feel. I was not too sure at first but I

have loved every moment of it. I would

happily come again. I’ve met some lovely

people and staff who I hope I can keep in

touch with. You must be very proud of

this place as it’s not boring at all there’s

always something fun to do, or someone

nice to talk to. Thanks for all your help I

will never forget anyone here.

Viktoria Cestaro, Primary MentalHealth Worker, CAMHSEvery time I go to start this note I well up

with tears, even now sitting in the waiting

room. However much I try and think on

the positive and see how far C has grown

I still can’t stop thinking what if she had

never got referred to you?

I can’t thank you enough for looking after

my special baby and bringing her back to

me – I’m welling up again – I don’t know

how you do your job but you are

absolutely brilliant at it, you are a very

unique and special lady who I am

eternally grateful to.

Without you I wouldn’t be where I am

today and I hope you realise how grateful

I am! You’re amazing.

To Dr Tucker, Dr Sherry, Beth Clayton,Kathryn Barrow and all the ECT suitestaffThank you so much for the excellent care

given to my much loved dad. You are all

wonderful and very special people.

Thank you again.

Emily Baker, Clinical Psychologist,CAMHSThank you for all your help in the past

two years. All of you that helped at

CAMHS to get me back on the right track

really did save me! I have realised what’s

important in life and that anorexia doesn’t

need to control me! It’s been a tough and

long rocky road but with your help, I’m

now living a much happier life!

Just to say thank you so much for all

your help and support over the last two

years, we would never have done this

without you!

I found that when I missed an

appointment that you would ring me and

be very helpful. I learnt to trust you that

also helped. Thank you for all your help

and support.

This comes to say thank you for

everything you’ve done, your kindness

will always be appreciated. Thank you

Mark Jolly, Primary Mental HealthWorker, CAMHSI now sleep in my own bed every night. I

am very happy.

All is well now! Thank you so much for

your advice.

Just a quick note to say thank you for the

many hours of CBT you gave J. I never

thought I would see the day when she

didn’t run away from a dog, let alone hold

one! J and a friend got the bus on their

own, to watch a film, which is fantastic.

She still won’t answer the phone when it

rings, but we will work on it. I can’t thank

you enough - she couldn’t have done it

without you.

Imren Sterno, Trainee ClinicalPsychologist, CAMHSI’d like to thank you very much for giving

me support through this difficult time. You

have been like a friend to me for the last

few months, someone I can open up to

and share all my thoughts with. Good

luck and best wishes for the future.

Thank you for everything. I know that you

would say it’s your job and what you are

here for, but I have never been able to

talk to someone like I can with you. I am

really sad to see you go, but I am happy

that other people who need help will

meet you. I hope you realise how much

of a difference you have made for me

and I hope that one day I will be set free

from my vampire.

Don’t worry, you know I will never give up

and you have encouraged me to look to

the future. I am so glad I met you and

found someone I could be completely

honest with. You understand how I might

be thinking and that is a real gift. I wish

you loads of luck in the future, although

I’m sure you won’t need it. I am very

lucky to have had my sessions with you. I

will never forget you.

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