Mental Health - West London Mental Health Trust

Mental Health
www.wlmht.nhs.uk
Matters January 2012
Train crash trauma
– how involvement
helps Kevin
How was it for you?
Best pictures of 2011
Cubbon’s
corner
Peter Cubbon, Chief Executive
I’d like to begin by wishing
readers all a happy New Year
and by thanking you all – staff,
service users and carers – for your
tremendous work in 2011.
As many of you’ll know by now, I’ll
be leaving the Trust in the Spring.
It’s therefore timely to mark some
of your achievements over the last
year and to set out some of the
challenges that lie ahead in 2012.
In 2011 I had the opportunity to
meet many of you at events across
the Trust – from our Staff Forum
and Quality Awards to the Annual
General Meeting and consultation
events. It’s always good to meet
staff, service users and carers who
care so deeply about what we do.
So what were our achievements of
2011? I’ve paid tribute elsewhere
to Broadmoor Hospital staff who
faced some testing challenges
during the year. So I was delighted
that we received the excellent
news before Christmas of £9m
extra funding to pay for essential
enabling works ahead of the
Hospital’s proposed modernising
redevelopment in 2013.
Meantime, at St Bernard’s
Hospital we moved steadily
forward with our proposals to
create the modern buildings we
all want for our medium secure
and local services.
The autumn’s consultation events
with staff, service users, carers
and residents provided us with
positive feedback and some strong
ideas which we’re still considering.
Thank you and I’m hoping to be
able to report a final decision by
the Board soon giving the future
certainty we want.
There’s one other highlight I’d like
to touch on. The 500 staff and
service users who took part in
training designed to help service
users to use our new “personal
recovery plan” booklet. It was one
of dozens of initiatives last year
helping to embed the principles
of recovery across the Trust – a
tangible sign of the real progress
we are making.
So what are our challenges in the
Olympic year ahead? Like all Trusts,
of course, we will need to sustain
our drive for value for money in a
fast-changing NHS environment.
Yet, equally importantly, we must
strive to continue to raise quality
in every area and put the best of
what we’ve achieved so far into
effect right across the Trust.
We must build on last August’s
Quality Strategy, our five-year plan
to improve clinical services.
We must ensure consistency of
service quality in all areas.
And we must continue our efforts
to become a Foundation Trust
so the needs of service users
and carers are at the heart of
everything we do.
I’ve got every confidence in the
Trust’s future and every confidence
that, by the end of the coming
year, it will be well on the way to
achieving these goals.
Peter
chief-executive@wlmht.nhs.uk
Mental Health Matters is written by the
Communications Team for staff of West
London Mental Health Trust and for its
service users and carers.
Please get in touch with your news
and views.
Editor: Paul Wastell
paul.wastell@wlmht.nhs.uk
On the cover:
Editorial assistant: Candy Day
candy.day@wlmht.nhs.uk
2 Mental Health Matters
Broadmoor Hospital’s
£9m boost
The Department of Health (DH) has confirmed it
will provide a further £9 million of funding this
financial year for the proposed Broadmoor Hospital
redevelopment project.
It will enable the Trust to continue with the essential
enabling works, in preparation for the main
redevelopment, scheduled to begin in 2013.
The works will be carried out across the site and
include the reconfiguration of the Learning and
Development Centre to accommodate services
currently housed in buildings that we’re expecting
to demolish later on. We will also begin the work
to move some of the protected species, notably
adders, which inhabit areas close to the Hospital
and can only be moved at certain times of the year.
The DH is also reviewing the Trust’s Outline Business
Case (OBC) for the proposed redevelopment, which
was approved by NHS London in October 2010.
The planning application has been submitted and
further news is expected in the spring.
Paul Wastell and Candy Day
Paddington train trauma
– how involvement
helps Kevin, pages 14
and 15.
Adders will be protected
Broadmoor Hospital – £9m for enabling works
Salima’s friends pay their last respects
Staff, service users, family and
friends have paid their respects to
Salima Mohammed, Clinical Team
Leader at Elm Lodge, who sadly
died in December after becoming
critically ill on holiday abroad.
Editorial team
Telephone: 020 8483 2283
Trust News
The service at Elm Lodge, was led
by Reverend Deborah Chapman
of St Hugh’s church, in Northolt
and attended by a large number
of former colleagues, together
with family, friends and her
partner Rob White, Occupational
Therapist at The Limes.
Salima’s manager, Tracey
Linnane, said: “It was a beautiful
but poignant service where
everyone got the opportunity
to say goodbye and also a
chance to speak about their
memories of Salima. Staff and
service users contributed to the
service. There were refreshments
after with a lot of laughter as
we remembered the Salima we
knew and loved.”
Salima was a highly thought-of
member of staff, described by
colleagues as an “excellent and
hard working clinician.” She
joined the Trust in 2000 as a
Nurse on Coniston ward, in the
John Conolly Wing. She will be
greatly missed.
Salima Mohammed – greatly missed
Mental Health Matters 3
Trust News
St Bernard’s
Redevelopment update
Twenty staff have scooped £50 prizes for taking
part in last year’s NHS staff survey.
Time for Change
campaign boost
They were among over 2,000 Trust staff who
completed the nationwide survey last year, more
than ever before.
The Trust’s membership and anti-stigma campaign is going
great guns. We’ve recruited over 7,300 new members, including
service users, carers, friends and family as well as staff. Among our
latest new members are football fans at Brentford FC.
The 54 per cent response rate from staff was 10
per cent higher than the previous year – a great
achievement that shows staff want to change
their working environment and the quality of the
services we provide.
Megan Singleton who manages membership said: “We had a very
successful afternoon at the club in November to recruit fans as they
attended a home match. They showed real interest in our work
and we’re very pleased with the response we got. It shows how
we can reach out to new audiences in the community. “
As part of the Open Minds campaign, we’ve pledged the Trust’s
support to Time for Change, the national anti-stigma campaign.
Trust CEO Peter Cubbon
and Chair Nigel McCorkell
are pictured with Time
for Change Director, Sue
Baker, signing the pledge
card at our Annual
General Meeting.
Time for Change – national Director, Sue
Baker, with Trust Chairman, Nigel McCorkell
(right) and Chief Executive, Peter Cubbon
Sue Baker told the
AGM: “We are making
a difference and we are
starting to change people’s
attitudes to mental illness.”
A room of one’s own!
Local residents at the consultation event in St Bernard’s chapel
Following the consultation on the
redevelopment of the St Bernard’s Hospital
site last November, the Trust has been
considering the feedback from local
people, staff, service users and carers who
attended a series of special events.
Programme Director, Vickie Holcroft, said:
“We’ve been delighted to get so much
interest and positive feedback on our
plans for the site. There have been lots
of good ideas and we’re looking forward
to finalising the plans for the Board to
consider in the near future.”
The new room, opened in December, will serve
around 70 staff at St Bernard’s.
Emma Brookes, Facilities Service Manager, said:
“It’s a recognition of all the great work carried out
by our ‘soft’ services staff over many years – the
people who keep our site, wards and buildings
clean, make the letters arrive, organise deliveries
and transport goods across the Trust.
Lap of luxury – staff at the official opening of their new room
Domestics and porters have begun using a new
staffroom designed to give them a place to meet,
eat, relax and access the Trust’s IT system through
two dedicated desktop pcs.
4 Mental Health Matters
Staff Survey £50 winners
announced – best response ever
“It’s the first time they’ve had a dedicated area
and the first time they’ve had computers to access
e-learning and stay connected with Trust business.”
Domestic Assistant Lidia Mysliwiec said:
“I’m speechless – it’s so great and it’s for us!”
The winners included:
Lucy Emms
Clinical Nurse Specialist, Heart of Hounslow
Julia Bickley
Medical Secretary, St Bernard’s
Amir Zamani
Physical Activity Advisor, St Bernard’s
Janet Holding
PA to Nurse Consultants, Broadmoor Hospital
Christopher Carew
Lead Nurse Modern Matron, Ealing
Nicola Thomas
Senior Clinical Psychologist, Broadmoor Hospital
Corporate Medical topped the returns with an
impressive 100% response, closely followed by
Corporate Finance and IM&T with 83% and
Capital Services with 76%.
Lucy McGee
Communications Director, St Bernard’s
Among clinical teams, the top response was
from the Gender Identity Service with 73% and
Inpatient Care Services in Hounslow with 69%.
Peterson Senfenga
Staff Nurse, Broadmoor Hospital
Julia Bickley (left) and Vivian Earley
– among 20 staff who won £50
Congratulations to
the twenty lucky
members of staff who
won £50 Marks and
Spencers vouchers
earlier this month.
The prize draw was
organised by Quality
Health, who run the
confidential survey on
behalf of the NHS.
Vivian Earley
System Admin Manager, St Bernard’s
Ruth Lewis, Director of Organisation
Development and Workforce said: “I’m really
delighted that so many colleagues have
responded to the survey this year. Giving their
time, effort and views is evidence of their
dedication, and will help us focus on future
improvements. We’re looking forward to
receiving the results of the survey so we can start
building on what’s good, and making plans to
address the things that might be better. We’ll let
all staff know the results as soon as we can.”
Wonderful Windemere!
Windemere ward in the John Conolly Wing
has won the inaugural St Bernard’s Cleanest
Ward of the Year competition. As part of a
Trust-wide initiative to promote the ongoing
cleanliness of wards, Windemere was
recognised for achieving an average score of
96.3%, for the year and was presented with a
winners cake just before Christmas.
Sandra Vernal, Ward Manager, said: ”It’s great
that the hard work to keep our ward clean is
being recognised and rewarded!”
From left: Alison Piper, Domestic Supervisor; Sandy Hensby-Peck, Facilities
Support Coordinator; Finder Jeffrey, Domestic Assistant; Sandra Vernal,
Ward Manager; Laureen Dalrymple, Clinical Team Leader; Emma Brookes,
Facilities Service Manager, WLFS and Ealing; Sattu Lansana, Staff Nurse
Mental Health Matters 5
Broadmoor Hospital hosts
6th Annual Psychologists’
top professor Conference draws UK experts
A Q&A with Professor Robert
‘Bob’ Hare – author of the
Psychopathy Checklist (PCL-R)
6th Annual Psychologists’ Conference
The country’s leading psychologists packed
Broadmoor Hospital’s Oxford Room to
hear Professor Robert Hare, author of
the global “gold standard” in measuring
psychopathic personality disorder – the
Psychopathy Checklist (PCL-R) – at his first,
UK appearance in nearly a decade.
Lucy McGee, Communications Director, was
there... and spoke to Professor Hare.
The Oxford Room at Broadmoor Hospital’s Learning
and Development Centre has rarely been so
buzzing with excitement – or so packed. Some 150
psychologists from WLMHT, private sector forensic
services, the prison service and academic institutions
attended the all day event in December.
The conference, led by Professor Derek Perkins, Head of
Forensic Psychology and organised by Victoria Gombya,
Psychology Administrator and John Lumsden, Head
of Clinical Neruophysiology, was a landmark event for
the Trust, with a compelling line-up of speakers. They
presented studies carried out by Broadmoor Hospital
staff and trainees, and our partners at Sussex University
and King’s College, London, including posters on
studies completed as part of students’ training.
Professor Hare’s keynote address on issues and
controversies relating to psychopathy and its
assessment concluded with questions from
practitioners in the room keen to learn from the
author of the PCL–R.
After lunch, sessions from psychologists Dr Simon
Draycott, Roxy Short and Prof Derek Perkins featured
research on personality disorder. Dr Victoria Valentine
and James Tapp, Research Assistant Psychologist,
rounded off the day with presentations on
institutional issues.
Prof Perkins said: “We can be proud of the
contribution psychology is making to advances in
the treatment of forensic patients and of those
with personality disorders in particular. Better
measurement techniques are key to reducing the risk
such patients present and at Broadmoor we’re in the
forefront of this research. I’m delighted that so many
colleagues from all areas of practice could join us
today – my warm thanks to all the speakers and, of
course, to Professor Hare for their insights.”
Are psychopaths
inherently “bad people”?
My life’s work’s been most informed by my
wife of 40 years, April, and my daughter
Cheryl, whom we lost to MS 4 years ago.
Cheryl was very ill as a child, so I gave up
a PhD opportunity to work in a maximum
security jail in Vancouver. I was the only
psychologist for 500 inmates. I became
fascinated in why people do things in spite of
the threat of punishment.
I’m not sure psychopathy is a pathology as
such – it’s not simply a deficit. I prefer to think
about it from an evolutionary perspective:
“What’s the purpose? What are the conditions
where this could be an advantage?” It’s not
that psychopaths are predators and the rest of
us are prey. It’s more a question of learning to
make use of what they have, and not trying to
create replicas of “us” – you wouldn’t want to
make rottweilers into collies, would you?
When I got funding for my PhD at the
University of Western Ontario, we drove
across Canada in my Morris Minor. I wanted
to fuse my experimental psychology training
with emerging thinking on behaviourism to
bring order to the field. Heavily influenced by
Lykken’s writings* and Cleckley’s ‘The Mask
of Sanity’ and his ideas on learning theory,
I felt measurement of psychopathy had to
address behaviour, cognition and biology at
the same time.
When was the Psychopathy
Checklist (PCL-R) first born?
In 1980 I released the preliminary version
with 22 items, but it wasn’t till 1991 that the
final version was published, under-pinned
by a 2-factor model. Then in 2003 following
various collaborations, we released a revised
version based on a 4-factor model. This is still
the ‘gold standard’ assessment.
In the morning, Forensic Psychologist, John
Cordwell, and Clinical Scientists Dr Daz Bishopp
and Kevin Kerr presented their research on sexual
offending. They covered the latest behavioural and
motivational measurement techniques and
discussed service developments.
Top draw – Prof Robert Hare addresses the conference
6 Mental Health Matters
What drew you to the
study of psychopathy?
* David T Lykken, Professor of psychology and psychiatry at Minnesota
University and pioneer in the field of psychophysiology.
When, ideally, would you intervene
to help people with this disorder?
I believe you’d have to intervene right
after birth, or as early as ethically possible.
Behavioural genetics research suggests that
callous emotional traits are pretty hard-wired
– changing them is like trying to alter the path
of an asteroid.
Do you think psychopathy is treatable?
The key thing is to reduce the severity of the
negative impact, rather than trying to change
Saul into Paul. When adolescents who score high
in a youth version of the PCL have treatment
– aged 8 or 9 – they are taught to manage
behaviours through enlightened self-interest, and
to play to their strengths. Lots of these kids have
ADHD too. Along with advances in neurology,
I’m optimistic about lower diagnostic thresholds
enabling earlier intervention.
Mental Health Matters 7
Being culturally
competent
Want to know about
different cultures, find out
the date of a festival, or
more seriously, find advice
on honour-based violence
against women?
The Trust’s Cultural Competency
Toolkit has been overhauled
to include masses of new
information since its first
publication in 2007, when it won
national awards and acclaim in
the Health Service Journal.
Since last summer, Diversity
Consultant Maggie MorganValentine has updated the
guide to reflect changes in the
Trust’s local population and
service users and uses learning
from serious incidents.
There are new sections on Polish
and Roma Traveller communities,
lists of support groups that work
with local ethnic communities
and much more.
The guide includes a special
feature on honour-based
violence – the practice of
violence against women by
their families, husbands and
partners, justified in the name
of culture or religion.
It includes threatening and
violent behaviour and abuse,
forced marriages and female
circumcision. Women from
South-East Asia, Somalia, parts
of West Africa and the Middle
East are particularly vulnerable.
Maggie Morgan-Valentine
said: “Research shows that
Asian women aged 15-34
are three times more likely to
commit suicide than women
in the general population, as
a result of abusive practices
in the family. It could be a
contributory factor in the
mental illness of many of the
women we treat at the Trust.
We have a legal duty to carry
out our safeguarding role with
these very vulnerable adults.”
The Cultural Competence
Checklist contains best practice
on what to consider if you
encounter a patient or colleague
who you believe may be the
victim of honour based violence.
You can get a copy on
the Trust’s intranet, under
Organisational Development
>Diversity. It’s also available
on the Trust’s website.
Green news
New Year, new resolutions? Most of us want to save the planet and reduce
global warming but wonder what makes a difference and how much it does.
So, with help from the Trust’s Green Team, we’ve created for MHM readers
only, a special six step, cuppa tea guide – measured in the energy it takes
to make a single cup of tea (that’s 0.03 kilowatt hours to be precise).
Step 1
Don’t overfill the
kettle! Where better
to start the cuppa
tea guide than with
boiling a kettle? To
make one hot drink
1,000
you need only cover
the kettle’s element –
boiling this amount
of water gives our one cuppa measurement of
energy. By boiling only the water you need you
can save up to 1,000 cuppas of energy a year.
Maggie Morgan-Valentine, Diversity Consultant,
with an online Cultural Competency Toolkit
If you require further
information, please contact
Maggie on 020 8354 8638 or
by email margaret.morganvalentine@wlmht.nhs.uk
Step 2
Switch off phone
chargers in between
charging, as they
continue to use
electricity as long
as they are plugged
in and switched on,
saving 146 cuppas
of energy a year.
Step 3
Switch off a
photocopier at night
and at weekends
– don’t leave it on
standby! It can save
an amazing 11,000
cuppas a year.
146
11,000
Want to be a Green Champion?
Contact Lucy Smith, Sustainable
Energy Manager on 020 8483 2306
8 Mental Health Matters
Your cuppa tea guide
to saving energy
Step 4:
Use the stairs – it
keeps you fit and saves
energy on lifts. In a
typical Trust building
with lifts, if we all
walked it would save
a whopping 250,000
cuppas a year!
Step 5:
Turn off the
lights when you
leave a room.
It saves 27,500
cuppas a year.
Cuppas
saved per
year
250,000
27,500
Step 6:
Put on a jumper. It’s
the big one because
wearing a wooly
increases our body
temperature by about
3°C. Turning down
406m
the thermostat by a
degree saves around
10% of all the heating
energy we use. So if we all wear them and
turn down the heating by just 1°C for a year
we save so many millions of cuppas we could
water the nation - 406 million cuppas a year.
If we all help with these things we can
hit the Trust’s target of reducing carbon
emissions by 15% by 2015.
Together we can do it!
Mental Health Matters 9
Your successes in 2011
In this, our first magazine of 2012, we want to
mark and celebrate some of the best moments of
the past year.
As ever, staff across the Trust have shown
exceptional dedication and commitment and
below we celebrate the success of our staff who
became our 12 Employees of the Month (EoM)
and the runners-up.
Highlights of 2011
The standard this year was “exceptional”, said service
user Anna Larter, who sat on the judging panel (see
story on p22). “It’s very difficult to make decisions
with so many great staff. It warms my heart to know
such good people are at the Trust.”
With so many fantastic events across 2011, picking our favourites was no easy task!
Here’s our light-hearted selection of highlights:
The winners received a £25 gift voucher, a framed
certificate presented by Chief Executive, Peter
Cubbon, and recognition at the annual staff awards.
Here are our 2011 EoM winners of whom we’re proud and don’t forget to nominate your colleagues in 2012!
January
February
March
April
Selomon Andu, Information
and Systems manager, St.
Bernard’s – “Extremely valued
member of the team”
Monica Ackom Mensah, Team
Leader, The Orchard – “Calm,
thoughtful, articulate, clever”
Stella Zengwa, Staff Nurse,
Broadmoor Hospital – “Well
rounded, excellent nurse”
Siobhan Wells, Occupational
Therapist, Broadmoor Hospital
– “Approachable, professional,
enthusiastic”
May
June
July
August
Florence Mujuru, Team
Leader, Broadmoor Hospital –
“Empowers nurses”
Johan Redelinghuys, Consultant
Psychiatrist, Ealing CAMHS –
“Razor-sharp problem solving”
Krystyna Szablowska,
Healthcare Assistant at the PICU –
“One of PICU’s exceptional people”
Tanaka Mapfumo, Clinical
Team Leader, The Orchard –
“Highly thought of”
September
October
November
December
Jon Luff, Senior Liaison
Psychiatry Nurse Specialist,
Hammersmith & Fulham –
“Dynamic and enthusiastic”
Collins Munetsi, Clinical Nurse
Manager, Broadmoor Hospital –
“A strong and visible leader”
Siobhan Dineen, Senior
Practitioner at Hammersmith
& Fulham – “Fantastic nursing
role model”
Ken Mendoza, Healthcare
Assistant, Broadmoor Hospital –
“Upholds all Trust values”
And congratulations to last year’s worthy runners up:
February – Patricia Clark, March – Ania Becla, April – Jacqueline La Cumber and Jonathan Souray,
May – Johan Redelinghuys, June – Krystyna Szablowska, July – Nimalie Perera, August – Nimalie Perera,
September – Alice Foyle, October – Siobhan Dineen, November and December – Sharon Shafiq
10 Mental Health Matters
QA Awards
Graham Slipper, former Head
Gardener at St Bernard’s, was
honoured at the 2011 Quality Awards
for his 50 years of service at the Trust.
CEO Peter Cubbon said: “It’s a truly
remarkable achievement.”
Easter at Mott House
Activity Co-ordinator, Mary
Elsabahy, shows off her bonnet at
Mott House, St Bernard’s, where
patients and staff were treated to
an Easter tea party.
Pardip runs the marathon
Ealing service user, Pardip
Minhas, successfully ran his 8th
London Marathon in 4 hours
36 minutes raising over £1,000
for the Ealing branch of MIND.
Storey competition winner
Local school girl, Alina Khakoo, won a
competition to design the artwork for
local group Storey’s single “Wander
Free”. The track was written to help
raise awareness and all profits went
to our anti-stigma fund.
We won the cup
Service users from St Bernard’s
won the Mental Health Football
Cup after a fiercely fought
competition. Trainers Emma
McIntosh and James Fishlock
proudly display the team’s award.
Lip smacking tasty
Catering team, Giuseppe
Dispinzeri and Jad Haboush
celebrate the summer by
hosting a BBQ for patients
on John Conolly Wing,
St Bernard’s.
Winter Wonderland
Broadmoor Hospital – The cold spell early in the year
saw the Trust turned into a “winter wonderland”.
AGM
Carer Remo Marcangelo, jointly chaired the Trust’s
Annual General Meeting in September, sharing his
story with guests.
Mental Health Matters 11
We’re the Lakeside
children’s champions!
information about mental illness, discusses their
feelings, provides helpful explanations about
medication and who does what and useful
contacts for getting more help outside the unit.
invaluable for young people like her. She said:
“It can be terrifying for children of my age when
a parent goes into hospital. I’m lucky – I know
he’s coming back – but you may not.”
The booklet was devised by Nicole Douglas
(previously a children’s champion who has now
left the Trust) and the champions with the help
of the Hounslow Young Carers.
She added: “I can try to talk to my friends
about my dad’s illness but mainly they don’t
understand unless it’s happened to them. It can
make me feel very alone but I share it with my
mum and that helps.”
Says Suzanne said, “It helps break the ice. It’s
incredibly useful because we can talk to our
patients about their children and use the booklet
as a tool to do that. And we can give the
children copies too so that they have something
to look at in their own time and space.”
17-year-old Ellie, who’s father was a patient at
Lakeside last year, said the new guide will be
Her dad Daniel said: “I can see the tears in my
youngest daughter’s eyes. She’s three and half
and I can see the sadness in her. I’m lucky her
mother is looking after her. It’s gut wrenching
when she comes to visit and we have to say
goodbye. The visits are helpful for her and
for me.”
The children’s champions…
Lakeside children’s champions – (from left) Registered Nurses Ruth Slevin, Tariq Khan, Leigh-Ann Ketterick and Kiara Smith
Children whose parents have suffered
serious mental illness are getting extra help
and support from nurses who have taken on
a new role as children’s champions.
The Champions scheme, brainchild of Lakeside
Mental Health Unit in Hounslow, aims to help
children under 18 to deal with their parent’s
illness while they are in hospital, to maintain
good relationships wherever possible and ensure
any safeguarding issues are properly dealt with.
It’s estimated that around half the inpatients on
Lakeside have children under 18.
For many children, coming to terms with a parent’s
or carer’s illness which leaves them hospitalised can
be traumatic, especially if events leading up to the
hospitalisation were sudden or were shrouded in
family secrecy.
12 Mental Health Matters
Not only has the child lost a parent but some will
have to be placed in local authority care if their
single parent is hospitalised. It’s at this stage that
many children come to terms with their parent’s
illness for the first time in their life.
Inpatient Senior Nurse Manager, Suzanne
McMillan, said: “If mum or dad has gone
into hospital, children often don’t know or
understand why this has happened. It can be
a time of enormous anxiety and distress for
children. It’s our job to try to keep the family
link going and try to maintain the connections if
that’s what everyone wants.”
Lakeside’s children’s champions have devised
a Young Person’s Guide to Lakeside, “Count
Me In”, which offers information, support and
advice to children and teenagers. It provides
Kiara Smith, Registered
Nurse, said: “We worked
with the Hounslow
Young Carers’ group
and what I learned was
that young children may
not always understand
what’s happening to
them. The children say
they often feel invisible.”
”I work on a recovery
ward so there is more
intervention with the
family and it’s really
important for me to
be able to work closely
with the children’s
social workers.”
Tariq Khan,
Registered Nurse at
Lakeside, said: “This
is my first role and
being aware of
the patient’s children
and family is the key
from the point of
admission. It’s really
important that the
children aren’t left
out in the cold.”
Ruth Slevin, Registered
Nurse, for 14 months
said: “We’re helping
to support staff with
complex cases to
feel more confident,
particularly with child
protection plans. We
might attend a child
protection conference
with the mother who
is a patient and it’s very
important to be able to
support her.
Leigh-Ann Ketterick,
Registered Nurse,
said: “The best thing
having worked with
kids to produce this
guide is that it helps
staff on the ward to
discuss safeguarding
children. People come
to us for advice.”
“I have learnt a lot
about myself and about
the team and about
supporting patients.”
Mental Health Matters 13
The trauma changed his life.
He developed epilepsy, suffered
severe panic attacks and began to
experience “dissociation” – where
triggers like police sirens make him
panic and act as if his body is not
his own. He became depressed,
unemployed and has since spent
several periods as a Trust inpatient.
Two years ago, Kevin began to explore
how he might get involved with other
Trust service users.
Easing the pain
– through involvement
When 43-year-old Kevin describes
the fateful day in October 1999
when his life changed for ever,
you can feel his focus shifting.
He’s still there in body – but the words
he uses to describe what he saw and
did on that fateful day – 5 October
1999 – are so shocking they sound like
scenes from a horror film.
And that’s exactly how Kevin
remembers it. As a terrible, shocking
movie in which he was one of the
unwitting actors – a bystander on the
track less than 50 yards from where the
6.03 First Great Western express from
Cheltenham collided at a combined
speed of 135mph with the Thames
turbo to Newbury.
The Paddington train crash, as it’s
now known, killed a driver and 30
passengers and left dozens more
Kevin, a service user: talking helps
seriously injured as the Thames train
was sliced in half and both trains burst
into flames.
“I heard a thud,” said Kevin, “and
then there was a smell of diesel and I
started running towards the trains and
I saw them both on fire and a woman
struggling to get out. I tried to help her
but the heat was terrible. My colleagues
had to pull me back or I would have
died too.“
And you can feel Kevin drifting slightly
as he recalls the memory. He too was
a train driver, and when the accident
happened at 8.10am he just happened
to be there – walking along sidings on
his way to a depot further along the
track – a man in the wrong place, at
the wrong time, who shouldn’t, as his
doctor subsequently said, have seen the
terrible things he did.
He said: “When I first thought about
getting involved and talking about
my experiences, I got scared and I just
thought ‘I have got to get out of here.’
But the Trust organiser (Pat McGrath
who manages involvement) persuaded
me to come to a group of service users
and so I sat through a session to see
what it’s all about. And I thought, ‘Yes
I can do something. I can get involved,
I can change things.’”
Kevin has since begun giving talks to
service users and induction talks to
staff about his experiences.
He said: “It’s really helped me to get
back some confidence. It’s hard but
I’ve learned I can talk about these
things without going to pieces. It’s
the best therapy I can have. I tell
“
I heard a thud,” said
Kevin, “and then there
was a smell of diesel
and I started running
towards the trains
and I saw them both
on fire and a woman
struggling to get out.
I tried to help her but
the heat was terrible.
“
I feel that I’m giving something
back for all the work and help the
nurses and doctors have given me.
And that’s helping me to rebuild
my self-belief and strength.
“
Twelve years on, Kevin’s starting to
come terms with the past, piece by
piece, conversation by conversation.
the doctors and the nurses about a
time when the police handcuffed me
and took me away. I was so scared. I
describe to staff how I felt. I tell them
not to try to stop someone when
they are as scared as this, because
they might get hurt. I think they
appreciated that.
“I feel that I’m giving something
back for all the work and help the
nurses and doctors have given me.
And that’s helping me to rebuild my
self-belief and strength.”
Involvement has also given Kevin
understanding of how the Trust
works, something he finds particularly
helpful. He said: “Involvement helps
me feel like I’m part of a family and
that makes me feel more comfortable
about who I am.
“What I really appreciate is
understanding more about what goes
on behind the scenes at the Trust.
“I can imagine”, he says. “Being on a
ward as a patient, and the staff seeing
me and one of them remembering me
and saying, ‘that’s Kevin – he talked
to us.’ And that idea gives me a great
deal of comfort.”
“
14 Mental Health Matters
Mental Health Matters 15
Help for carers
Learning
lessons
Carers have been telling us they need
more support, so we’ve developed a
carers’ toolkit in conjunction with carers,
service users and staff, as part of the
Patient Information Group.
Five top tips for
incident recording
The comprehensive guide is a one-stop shop for
guidance, support and information for carers. It
has three sections:
In this month’s regular feature,
we’re focussing on the quality
of incident recording which all
staff need to achieve so we can
fully learn the lessons and meet
our legal duties.
All about you as a carer: This introductory
section defines a “carer” and gives information
about the support available. It explains carer
assessments and what to do in a crisis.
Any incident must be carefully
recorded and the Trust must,
as far as possible, establish the
causes and contributing factors,
show how we have remedied
problems identified and make
recommendations so we can
prevent similar things happening.
Your loved one’s care: Including information
about recovery, the care programme approach
(CPA) and care plans, this section is aimed at
educating and supporting carers with their loved
one’s care. It also explains staff roles, restrictions
around sharing information and gives helpful
questions to ask the care team. We’ve included
descriptions of mental illnesses and treatments,
and also explain what happens when a person
is admitted to hospital, or if they’re admitted
under the Mental Health Act.
Other important information: Carers have
asked us for information on where they can go
for support, so we’ve finished the toolkit with a
directory of local and national support services
for carers. We’ve added a jargon buster to help
you through the minefield of official terms.
“
When carers are
strong, supported and
trained, they are an
asset to mental health
professionals and can
help them in their
work. They will help
prevent relapse.
“
Paulette Ranaraja, Carer
16 Mental Health Matters
Carl Dorey, Systems and
Information Manager,
explains: “The quality of
what we can all learn is only
as good as the quality of the
Carl is on 01344 754126 e:carl.dorey@wlmht.nhs.uk
Here are five top tips
for you and your staff:
The carers’ toolkit – information and support
Chun Lo, Carer’s Support Worker, said: “It’s an
invaluable tool for carers. It’s a comprehensive
guide and will really help them to feel
supported.”
We’ve also developed a separate brochure for
carers about what to do in a crisis. We will be
sending both publications to teams around the
Trust shortly to distribute to carers.
If you’re a carer and would like a copy, please
ask a member of staff at your service or contact:
communications@wlmht.nhs.uk or call
020 8354 8737.
1
Is the descriptive text complete?
Managers must ensure that they take
time to read the descriptive text on the
online reporting form, ensuring that
all patients and staff referred to by initials are
then added fully to the incident in section
3 of the incident form, together with any
associated harm.
2
data staff put into the incident
system. Everyone needs to
record them accurately so
we can learn the lessons and
improve patient safety.”
Has a member of staff been injured?
If so, it must be recorded and the
manager must click the box to
resolve the questions around the
injury. The incident may be a RIDDOR,
(Reporting of Injuries Diseases and
Dangerous Occurrences Regulations) which
we must report to the Health & Safety
Executive. Full details include: the staff
member’s address, date of birth and contact
number, together with the number of days
of absence.
3
4
How serious is the incident?
Managers need to be aware of the
seriousness of the incident – see
Trust policy I8 Incident Reporting and
Management Policy which sets out the levels. If
a 24-hour report is required, ensure the box has
been completed and ticked before approving it.
How accurate and full is
the description?
If the manager feels that the form
has not been entered correctly or if
people mentioned in the description are not
added to the incident, then the IR1 reporting
system needs to be returned to the originator
with a note explaining why.
5
Want help, training or support?
Ask Carl Dorey in the Governance Team
for help including familiarisation training
on the IR1 system, examples of good
practice and guidance on how to interpret
trends in your area.
Mental Health Matters 17
Research and
Development
The Trust’s Research and Development
Department is undertaking major research
projects into mental illness and cognitive
disorders, like dementia.
Our help for
Alzheimer’s research
Here we tell the story of Francis and
Brenda Moore, who have supported the
Trust’s latest research into dementia.
The meeting lasted an hour and
a half. Said Francis: “It was really
rather good fun. I got quite
involved doing the trail and it
was quite easy at the start but
got more difficult as it went
along. I did pretty well.”
Said Brenda: “They are so
friendly and considerate and
When 80-year-old Francis
Moore was diagnosed with
early stage Alzheimer’s
disease in 2010, it was
something of a shock to
both him and his wife.
When the diagnosis arrived,
both Brenda and Francis were
determined to do whatever they
could to beat the disease. They
quickly joined the dementia
research register (Dem Reg)
at Brentford Lodge and when
the chance to take part in a
research study into possible
links between dementia and
Attention Deficit Hyperactivity
18 Mental Health Matters
Researcher Sonia
Marquardt began
her research into the
possible links between
symptoms of Attention
Deficit Hyperactivity
Disorder (ADHD) and
dementia after she and
colleagues at Brentford
Lodge, where she
works as an Assistant
Psychologist, were struck
by similarities between
the two disorders.
Traits recognised in ADHD – inattentiveness,
hyperactivity and impulsivity – were similar to
those noticed in dementia patients but described
in different terms such as lack of concentration,
wandering and disinhibition.
Disorder (ADHD) arose, they
jumped at the chance.
Said Francis: “I wanted to take
part because I thought it was
possible the research might
help me and, even if it didn’t,
it could help someone else in
the future. So I would be doing
something useful.”
“
It was really rather
good fun. I got
quite involved
doing the trail and
it was quite easy
at the start.
“
But after finally persuading
Frances, a former marketer,
to get checked by his GP, he
underwent neurological tests
and a brain scan at Charing
Cross Hospital.
Sonia Marquadt, Brentford Lodge
Researcher – arrives by bike
Brenda and Francis Moore – happy to support dementia research
Brentford Lodge researcher,
Sonia Marquardt, an Assistant
Psychologist, needed 64
volunteers with different types
of dementia.
Within days of Francis and
Brenda giving their written
consent, Sonia visited their
Hammersmith home. She
undertook a short interview
with the couple to establish
Francis’ level of dementia and
she set Francis a series of tests –
including drawing a dot-to-dot
style trail, in which he joined
letters and numbers.
Francis’ trail-making test
The researcher
Dot-to-dot
A former primary school
headmistress, Brenda, 76,
had put Francis’ more-thanoccasional lapse of memory
and mood swings down to the
“male habit” of not listening.
“I’ve been a schoolteacher all my
life”, she said, “so I was used to
having to say things twice.”
supportive at Brentford
Lodge and it has been a real
pleasure to meet Sonia and
help her research. We’re
really looking forward to
hearing about the results. It’s
a real help to us to be able to
do something positive rather
than just sit back and wait.”
Sonia, who was undertaking a Masters degree
in applied psychological research at Roehampton
University, wanted to see if the clinical observations
could be established in a research study.
With the help of DemReg – the Dementia Register
– she recruited 64 participants across West London
to take part in her study. Last summer she spent
two months conducting interviews in participants’
homes or at Brentford Lodge, usually arriving by
bike (pictured).
The research involved four simple tests for
participants: a Mini Mental State Examination to
establish the degree to which the participants were
affected by dementia, a letter recognition test to
establish levels of concentration, a trail-making test
(as pictured at top), and a self-scored questionnaire
for ADHD symptoms. Carers completed two
questionnaires about the participant’s level of
agitation and ADHD-type symptoms.
Initial results look promising:
two out of three of the behaviour traits of
ADHD, inattention and impulsivity – showed a
strong correlation with dementia symptoms.
If borne out, as well as increasing understanding
of the links, the research could lead to advances
in treatment for dementia – for example,
adapting psychosocial interventions which are
proven to be effective in ADHD and seeing if
drugs used to treat ADHD could be beneficial to
treat dementia Further research would be needed
to establish this.
Said Sonia: “Although it’s not a surprise to know
that there are similarities in behaviour traits
between these diseases, the research will help to
establish peer reviewed, scientific evidence.
“I love research because I get to meet so many
people like Francis and Brenda (see p18) and
what I discover could result in some radical
changes in the care of people with dementia
which could really help. That’s why I do it.”
The results of Sonia’s research is being
submitted for publication in “International
Psychogeriatrics”, an academic science journal,
later this year. It will be peer reviewed and
following this, Sonia hopes the pilot study will
be replicated on a larger scale to map behaviour
traits of a wider range of dementia types,
including Alzheimer’s.
To find out more about other studies
open to patients, please contact the
R&D CRaFT team on 020 8483 1833
or lisa.curry@wlmht.nhs.uk
Mental Health Matters 19
Festive cheer!
Staff and service users celebrated Christmas with a
host of great decorations, card-making and cookery.
There were competitions across the Trust for the
best decorated wards and a spirit of festive fun and
camaraderie for service users, visitors and staff.
Andy Weir, Director of Specialist and Forensic
Services and one of the judges commented:
“It’s a great time when everyone makes a special
effort to make our patients and their families
feel they’re at home.”
Yummy! Avebury ward’s
staff and service users
got tucked in on Tony
Hillis Wing.
Here are some of the best…snapped by us and by
you. Thank you!
Hats off! Staff with snowman on the
Orchard’s Aurora ward.
… and Glyn ward’s patients made
Christmas cards.
20 Mental Health Matters
Grotto spotto! Staff and carers on Tony
Hillis Wing’s Glyn ward win a top place
in the Christmas decoration competition.
Tagore ward’s staff won a festive hamper
for the RSU’s “best decorations”.
Cake-over! Action Man’s
new Santa outfit on Glyn
ward, Tony Hillis Wing.
Nice beard! Special guests Father
Christmas, aka Terry Riley, and Mrs Claus,
aka Mary Elsabahy, Activity Coordinators
from Tony Hillis Wing’s Mott House.
Snow party – by patients on Isis ward,
Broadmoor Hospital.
Creative flair – patients’
mural on Banbury ward at
Broadmoor Hospital.
Take off – Rudolf and co in artwork from
Derby ward, Tony Hillis Wing.
Christmas ahoy! Nick Burns, Healthcare
Assistant (left) and Pat Clark, Activity
Coordinators, treasure their booty on
Leeds ward, Broadmoor Hospital.
Mental Health Matters 21
Moving on up
Outside In
Congratulations...
Chief Pharmacist,
Michele Sie
…to Michele
Sie who
has been
promoted
from
Consultant
Pharmacist
to the
Trust’s Chief
Pharmacist.
After 10 years at the Trust, Michele
has worked closely with clinical
teams in the women’s Forensic
Service and at Hammersmith &
Fulham’s Mental Health Unit,
particularly the community teams.
She said: “I want to ensure patients
get the right information and are
able to meet pharmacists to discuss
their medication. It’s one of the ways
we can improve the quality of our
services to them and be focussed on
supporting their recovery.
“Medicines are the most
common intervention we use
within our organisation and
pharmacy has a fundamental
role in their management.”
Welcome to…
QUASIC training, was
successfully launched at
Broadmoor Hospital in 2010. It’s
now being rolled out across the
Trust to strengthen leadership
skills among all managers.
Quasic graduates
…And to Bernadette Hennigan,
who has been confirmed as
the Head of Inpatient Care/
Deputy Director of Nursing
after a rigorous, national
recruitment process.
Bernadette
can be
contacted
through her
PA Linda
Akum on
020 8354 8031
or via e-mail:
bernadette.
Bernadette Hennigan,
hennigan@
Head of Inpatient Care and
wlmht.nhs.uk Deputy Director of Nursing
Publicity about the Broadmoor Hospital
redevelopment always has to be carefully
managed. Each step of the way, our contractors
and consultants want to shout about their work,
the media are champing for an exclusive, local
residents and stakeholders want the latest on any
rumour and we want to ensure our staff hear news
before anyone else.
The redevelopment team, supported by comms,
holds regular meetings with local stakeholders
and listens carefully to what they say, even if it’s
not always easy to accommodate their views.
So when local press quoted a Crowthorne
residents’ spokesperson saying how pleased he
was with the way the consultation was being
handled, and followed it with headlines saying
“Visitors ‘impressed’ by Broadmoor plans”, it was
particularly welcome.
As I leave the Trust after two-and-a-half years,
I’m particularly delighted to see the film we’ve
made about Broadmoor Hospital launched on
the Trust’s website. I hope that it’ll be a lasting
sign of the increased openness and transparency
about the Hospital and the great work Leeanne
McGee, Director, and her management team have
been keen to promote. Anyone curious about the
Hospital can now see inside the walls, hear about
who we treat and how, and maybe feel a moment’s
empathy with patients and carers. One more blow
to the myths and prejudices about mental health,
let’s hope. You can take a look at the video here:
www.wlmht.nhs.uk/bm/broadmoor-hospital/aboutbroadmoor-hospital-video/
Lucy McGee
lucy.mcgee@wlmht.nhs.uk
Farewell to Lucy
...Vicki Harvey-Piper, our new
interim Head of Communications
and Involvement, who joined the
Trust in January.
Vicki was previously Associate
Director of Communications,
Engagement and Marketing
at NHS Richmond where,
among many achievements, she
managed a major programme
of local debate on health service
redevelopment, attracting a
huge response.
She also led communications
through a process of major
22 Mental Health Matters
I’m sure you’ve heard the saying “any publicity
is good publicity”. This job has certainly taught
me that it isn’t true! So it’s a bonus when good
coverage of the Trust comes from another source,
especially an unlikely one.
…to all 20 nurses from St
Bernard’s Hospital who have
completed their QUASIC
management skills training
course, following months
of hard work.
Their graduation ceremony in
December was attended by Chief
Executive Peter Cubbon; Ruth
Lewis, Director of Organisation
Development and Workforce;
Andy Weir, Director of Forensic
and Specialist Services; Jean
George, Director of Local Services;
Bernadette Hennigen, Head of
Inpatient Care / Deputy Director
of Nursing; and Andy Wells, Head
of Learning and Development.
They congratulated participants
on their successful completion of
the course and wished the latest
trainees good luck.
Lucy McGee
Director of Communications
organisational change and
chaired a local community
involvement committee to
improve community engagement
in health and social care.
We’re really sad to be saying goodbye
to Lucy McGee, our fabulous Director of
Communications. This Outside In is Lucy’s
last as she’s leaving us next month to take
up a new role in the private sector.
Vicki has worked extensively
across the public and private
sectors, including the Financial
Times Group and the Millennium
Bridge Trust where she managed
the “wobbly bridge” crisis.
Lucy has been with the Trust for over
two years and, with her team, has
professionalised Trust communications.
We give her a warm welcome.
Vicki succeeds Lucy McGee
– see Outside In on page 23.
She established the Trust’s branding – the
logo, look and feel of all printed materials
– implemented our new corporate values –
togetherness, responsibility, excellence and
caring – and launched our successful Trust
website at www.wlmht.nhs.uk
As you’ve read above, she’s helped transform
the media image of Broadmoor Hospital, by
persuading journalists to write about more
than just sensation.
If you asked Lucy for her greatest achievement,
she would say, with a smile, that it’s her work
with service users and carers that has mattered
most. With her team, she’s helped ensure they are
more involved and engaged in the Trust’s work.
Farewell and thanks, and a warm welcome to
our new Interim Head of Communications,
Vicki Harvey-Piper who joined us this month.
Paul Wastell, Editor, Mental Health Matters
Mental Health Matters 23
Every picture
tells a story
Free training
for staff
Staff kindness recognised
Hospital staff have received a donation of £250 to
thank them for their kindness towards a former patient.
Arvind Chotaiwas, was a service user on Coniston ward
in the John Conolly Wing for five months last year while
undergoing treatment and investigation for dementia.
He subsequently died of an unrelated health condition.
His son, Raju, said his father had been “closer to his
normal self” when he left the hospital, “the best he
had been in two or three years.”
He praised ward staff for their patience with his father
– they had treated him “like a friend”, he said. The
money was raised by family and friends.
From left: Phil Rose, Full Time Officer for Unite, Marie
O’Brien, Convenor/ Branch Secretary for RCN, Lisa Maw,
Staffside representative, Gavin Ryan, Convenor for Unison
and Ruth Lewis, Director of Organisation Development/
Workforce signing the new Learning Agreement last month.
The agreement means staff of any age can receive training,
regardless of whether or not they are a union member.
We’re offering free training in literacy
and numeracy, thanks to an agreement
between the Trust and staffside.
Sandra Vernal, Staff Nurse Manager, thanks
Raju Chotaiwas for his generous donation
And farewell…
Anna Larter, Service User, receives
flowers from CEO, Peter Cubbon.
24 Mental Health Matters
The trade union, Unite, have generously
offered the services of their fully qualified
tutors who will work one-to-one with staff
who need help. The training is nationally
accredited and designed to provide a
stepping stone to further education
development and career progression.
...to Anna Larter who has retired
after a year as the service user
representative on the Employee of
the Month (EoM) panel.
Anna began volunteering for
the Trust five years ago, working
a few hours each month to
support patients and staff.
She’s fulfilled a range of roles
– from talking at the induction
programme to her most recent
on the EoM panel.
Anna said: “I learned about the
good work that staff do and it’s
a shame we don’t always know
about it. To read about the staff
nominated is just amazing – and
I believe that the quality’s going
steadily up!’’
Peter Cubbon, Chief Executive,
said: “I’ve looked forward to
every judging panel with Anna’s
involvement. She’s a pleasure to
work with. Thank you, Anna.”
MHM is produced by the Trust’s Communications Team. Call us on 020 8483 2283.
Mental Health Matters is printed on recycled paper