MHM November 2010 - West London Mental Health Trust

Mental Health
www.wlmht.nhs.uk
Matters November 2010
World Mental
Health Day
Quality Award Winners
Cubbon’s
corner
Peter Cubbon.
I’ve been here at West
London Mental Health Trust
for just over a year now.
Managing large scale change
in any complex organisation
is challenging but thanks to
strong teamwork and the
support of many talented
individuals, we’re beginning
to hear that improvements
are clearly evident to those
outside our organisation.
We’ve heard from NHS
London and the Care Quality
Commission (CQC), whose
views are informed by people
using our services, that we’ve
started to listen, that we’re
embracing change and moving
in the right direction.
On the back of their most
recent visit to the Trust, the
Care Quality Commission
described services in Lakeside
as: “…impressive in many
ways, offering high standards
of professional care in great
facilities.” This news is very
welcome and is evidence
that people have risen to the
challenges of the CQC action
plan. Our emphasis now needs
to be on making sure all of
our people are fully engaged
in what they’re doing, so
that patients and carers
see standards of excellence
everywhere.
The CQC told us that they
were impressed with the
positive attitude to patient
engagement in The Orchard.
We need to keep pushing,
so that levels of meaningful
patient engagement and
involvement are visible in
all areas of our service, and
this includes management
decision-making.
NHS London have shared with
us their sense that staff are more
engaged and knowledgeable
about what they’re aiming for
than in the past. They’re seeing
senior staff more visible on wards,
more staff are reporting that they
have access to supervision and
that sharing of lessons learnt is
actually happening.
I’m glad to be able to share this
good news with you, but need
to emphasise that we still have a
long way to go. There are many
challenges ahead for us in today’s
NHS environment, not least the
reconfiguration of our services
and the work we need to do to
become a Foundation Trust. It’s
crucial that we stay focused, keep
up the good work and sustain the
progress we’ve made.
I’d like to end by congratulating
all of our Quality Award winners
whom you can read about later in
the magazine. These individuals
and teams have been singled out
for ‘living our values.’ It’s people
like our award winners and many
other unsung members of staff
who model the values in their
daily work who I believe will help
us achieve the excellent services
our patients desire and deserve.
Peter
chief-executive@wlmht.nhs.uk
Trust News
Celebrity visit
Benjamin Zephaniah (BZ) came to visit us this month.
BZ’s parents were from the Caribbean, but he grew up
in Birmingham, where he and his twin sister were the
only black children at their school. He began writing
poetry at the age of eight. During his teens he went
through a phase of misbehaviour, and had a short spell
in prison. There, he realised he had the ability to turn
things around.
He started performing poetry and became well known.
He supported various charities with a particular interest
in mental health. He came to St Bernard’s in the
eighties and immediately bonded with service users. As
a result a ward in Ealing was named after him.
Derek Barnes from the chaplaincy team said: “The visit
was arranged to help celebrate the re-opening of the
chapel on the St Bernard’s site, which has been closed
while essential repairs were carried out. First Ben played
football with BZ ward patients and performed his
poetry in the chapel, before answering questions from
service users and signing lots of autographs!”
O little town of Bethlehem...
Editorial team
Mental Health Matters is written by the Communications
Team. We’d love to hear from you with your news or views.
Tara Ferguson Jones: tara.ferguson-jones@wlmht.nhs.uk
Ali Nunan: alison.nunan@wlmht.nhs.uk
Telephone: 020 8483 2283
Ali (left), Tara and Megan.
2 Mental Health Matters
Congratulations
to Patricia Ball,
winner of the 2010
Christmas card
competition for
service users, present
and past. Her design
will appear on the
Trust’s Christmas
card which will be on sale, in packs of ten, in various
locations around the Trust. All proceeds from the sale of
the cards will be donated to the West London Mental
Health Trust, Challenging Stigma Fund. If you want to
know more call communications on 020 8483 2283.
Winning Christmas card 2010.indd 1
Megan Singleton: megan.singleton@wlmht.nhs.uk
Check it out!
We’ve re-launched the Trust’s website! We hope
you’ll agree that the new site is comprehensive and
easy to navigate, with descriptive, logical menus
so you always know where you are within the site.
Check it out at www.wlmht.nhs.uk.
Welcome
Caroline Sweeney and Angela Middleton have
joined us as Incident Review Facilitators. Their
appointments follow the CQC challenge to us
to improve our learning from serious incidents.
Caroline and Angela will oversee our incident
reporting and learning work trust wide.
They will work with Alena Buttivant (SI Systems
Manager) and Caroline Elliott (SI Review
Administrator) to ensure staff are supported in
achieving serious incident reviews on time and to a
high standard. They’ll also report to the Board on a
quarterly basis on the progress made on reviews
and learning action implementation.
15/11/2010 11:10:25
Peter Cubbon with Caroline Sweeney and Angela Middleton.
Mental Health Matters 3
Quality Awards 2010
Values into action
We received almost 200 nominations
for this year’s Quality Awards. We run
the awards to give us an opportunity to
recognise exceptional staff and service
users for their contribution to the
organisation and its services, as well as
for living the Trust’s values.
This year the awards were judged by panels
including staff, service users and carers. All
those shortlisted for an award attended a
celebratory event in the Twickenham Marriott
on Thursday 25 November. Winners of the
Trust’s Employee of the Month scheme were
also invited to the event to celebrate their
exceptional services at the Trust.
Togetherness through involvement award
For a service user or carer who has made a significant contribution to the work of the Trust.
Winner: Ahmed,
Service User, Café
on the Hill, Work
Rehabilitation.
“Ahmed works in the
Café on the Hill which
is used by staff and
service users. Everyone
who goes to the café is
always sure of a warm
welcome when they
meet Ahmed. He takes
a great deal of pride in his work and carries out his
duties as if he were a paid member of staff. He is
a valuable member of the team and is supportive
of other workers, helping out where needed,
often taking the lead in the smooth running of
the café. Ahmed shows a great deal patience and
understanding in everything he does.’”
Runners-up
Armond, Service User, Picture Framing Unit,
Work Rehabilitation.
Men’s Service User Forum, West London
Forensic.
Responsibility – clinical
And the winners are…
Togetherness
For a team which works effectively, and demonstrates mutual respect in all they do.
Winner: Epsom Ward,
Broadmoor Hospital.
“Epsom Ward is a high
intensity ward, managing
patients with complex and
challenging personality
disorders. The team has
worked really hard to
make changes in how they
work together and engage
patients in their treatment,
despite being faced with
many challenges.
A therapeutic space on the
ward has been set aside,
From left: Offered Muchedzi, Knowledge Nyamardzo, Babu Sengwayo, Thamsanqa Zindela,
Cara
Riseborough, Portia Sishuta, Jodie Wells, Alice Foyle, Jeremiah Kasoka and Nathan Bibey.
so that patients who have
historically not engaged in
activities and find it difficult
have moved to other wards and are engaging
to cope in the ward environment now have the
option of a safe area to discuss their difficulties and positively in treatment.”
examine their motivation in the change process.
Runners-up
This change has resulted in a significant
Dove Ward, Lakeside, Hounslow.
reduction in incidents and several patients
Infection Control Nurses, Lakeside, Hounslow.
4 Mental Health Matters
For an individual, in a clinical role, whose work makes a real difference to the lives of service users.
Winner: Jude
Moore, Occupational
Therapist, Avonmore
Ward, Hammersmith
& Fulham.
“Jude is the lead
Occupational Therapist
for the new admissions
ward in H&F. She takes
responsibility for ensuring there is a balanced activity
programme to meets the needs of patients in
different stages of their recovery. Jude also supports
the function of the new team by assessing the skills
of patients in day to day living activities.
She has helped push forward the physical
healthcare programme for inpatients linking this
work with other healthcare pathways. The unit
now has an on-site gym and this result is down to
Jude’s determination and her ‘can do’ attitude. She
is an extremely highly valued member of the multi
disciplinary team.”
Runners-up
Kwame Boateng, Health Care Assistant, Lillie
Ward, Hammersmith & Fulham.
Karen Chambers, Clinical Nurse Specialist, Rollo
May Ward, West London Forensic Services.
Responsibility – non clinical
For an individual, in a non-clinical role, whose work makes a real difference at the Trust.
Winner: Catherina
Clarke, Deputy
Administration Manager/
Performance Lead, John
Conolly Wing, Ealing.
“Catherina provides support
to all administration team
leaders in the community
sites for Ealing SDU. Her knowledge of Trust
systems and processes is exemplary. She takes
responsibility for ensuring all ward and inpatient
data is up to date, supporting ward managers
with the process. No task is too great or small
for Catherina, she approaches challenges with
a positive outlook, continually developing her
skills, passing on her knowledge to help others.
Catherina is known as a warm and caring person
with a great sense of fun. She was one of the first
winners of employee of the month in 2006 and
has set the standard for others to follow.”
Runners-up
Daisy Day, Mental Health Act Administrator,
Hammersmith & Fulham.
Inder Itlas, Rio Support Co-ordinator, West
London Forensic Services.
Mental Health Matters 5
Excellence in innovation
Excellence in change management
Award for an innovation, whether big or small, which has improved the experiences of service
users or others.
For a team or individual who has managed change in a consultative way, resulting in positive
outcomes for service users or staff.
Winner: The Allotment Group,
Lakeside, Hounslow.
“The allotment group ‘Sowing Seeds
Project’ is an innovative collaboration
between the Hounslow OT Department,
Groundwork the charity and the Hounslow
Refugee Council. The project was originally
set up for asylum seekers in the Hounslow
area. WLMHT received funding from the
Big Lottery Fund to join the project and
provide gardening classes for service users
to learn how to grown their own fruit
and vegetables.
Winner: Adult Management Team,
Hammersmith & Fulham.
“The team came together to work
on a significant change process
within adult services, which involved
the reconfiguration of wards and
dismantling four community mental
health teams to meet cost improvement
plans in a short space of time. They
embraced the responsibility by using
the principles of support, good
communications and systematic
thinking, carefully identifying risks
with plans to manage those risks. The
whole process was about togetherness,
obtaining ideas from clinicians, ensuring
everyone was included.
The work of the group enables service
users to integrate and become part of a
community as well as improving physical
and mental health. This project focussed
around growing food has cut across social
and cultural differences, bringing together
a unique set of people working on one
project for the benefit of everyone involved.
Some of those involved have gained the
confidence to go on to do further training
or work.”
From the left: Barry Watson from Groundwork, Occupational
Therapist, Arnold Perez, Farida Stanikzai from Refugee Council,
Natalie Waterfield, Head of Occupational Therapy, Alison
Hoble, Social Inclusion Lead and Volunteer, Rachael Fernandes.
Runners-up
Service User and Carer Co-ordinators,
West London Forensic Services.
Dr Pradip Ghosh, Consultant Psychiatrist
& Olu Odukale, Business Manager,
Lakeside, Hounslow.
Improvements have been made in bed
capacity, length of stay and delayed
discharges. Patients in the community
are offered a first appointment for
assessment within three weeks and this
is all down to the work of this team.”
From the left: Navin Ramgolam, Melvin Jambawo,
Dr Christopher Bench, Linda Stradins and Sandra Bailey.
Runners-up
Service User and Carer
Co-ordinators, West London
Forensic Services.
Dr Christopher Bench.
Dr Sujoy Mukherjee, Consultant
& Clinical Lead for Older
People’s Services, Ealing.
Excellence in leadership
Excellence through learning
For a leader who inspires others.
For a team or individual who has put learning through training or audit into action,
leading to a demonstrable improvement.
Winner: Emma
Wadey, Nurse
Consultant,
The Paddock,
Broadmoor.
“Emma is an
excellent role
model. She’s never
afraid to speak her
mind in support
and for the benefit
of service users.
She’s an extremely
dedicated and tenacious leader for the nursing
staff in the Paddock, raising the profile of nursing
and ensuring they contribute towards a valuable
6 Mental Health Matters
and meaningful experience for service users.
Emma has taken responsibility by improving
the quality of care planning, incorporating
standardised reviews, so there is a greater sense
of working together for both service users and
staff. She has provided an excellent new method
of learning using different mediums to provoke
thought and learning, in areas such as boundaries,
suicide, self harm, personality disorder and
psycho-education programmes.”
Runners-up
Maggie Wilson, Head of Administration,
John Conolly Wing, Ealing.
Mike Anjoyeb, Lead Nurse for Older
People’s Service, Ealing.
Winner: Mike
Anjoyeb, Lead
Nurse for
Older People’s
Services, Ealing.
“As lead nurse for
the older people’s
service Mike is
responsible for
supporting the
nursing staff
and making sure
patient care is
of an excellent
standard. He has encouraged staff to maximise
their potential by undertaking training in
education, mentoring them through to degree
and post graduate levels.
Mike inspires people to work together in
the pursuit of a common goal and he is an
inspiration to everyone he works with.”
Runners-up
Carol Plows, NVQ Manager, Learning &
Development.
‘ICE’ Team, Hounslow.
Mental Health Matters 7
Caring
Nominated by a service user or carer, this award is for a member of staff who shows
caring through compassion for others, a can-do attitude, and a commitment to providing
the highest quality of care.
Winner: Dione
Simpson, Activity
Co-ordinator,
West London
Forensic Services.
“Dione brings the
sunshine and lights
up the ward as
if she is Florence
Nightingale. She
touches our hearts with warmth and kindness.
Dione spends time listening to service users
and explains any Trust changes in a way they
understand. She encourages patients to look
after their physical health through healthy eating,
cooking sessions and exercise. She shows us
through her actions how much she cares and
always listens to what we have to say.”
Runners-up
Sharon Mahmoud, Administrator,
Ravenscourt Ward, Hammersmith & Fulham.
Samantha Dillingham, Health Care Assistant,
Sandown Ward, Broadmoor.
Chairman’s award
Making the difference over the years
World Mental
Health Day 2010
To celebrate World Mental Health Day, an array of events were held giving us an opportunity to
talk about care planning. Staff were reminded how important it is that patients are meaningfully
involved in all stages of care planning. And patients were reminded of their right to be involved
and to have a copy of their care plan. Here’s a taste of some of the events we ran.
Ealing CAMHS
“We’re all part of
the plan,” say the
Ealing CAMHS
team. From the
left: Beverley Okun,
William Benyure and
Marion Babbage.
West London
Forensic Services
Vushe Hove and
Margaret Rioja,
raise the profile
of meaningful
engagement in
care planning
in West London
Forensic Services.
Hammersmith & Fulham
An award made by the Trust’s Chairman for an outstanding, long-term contribution at
the Trust to someone who is loyal and a shining example to others.
Winner: Norma
Stewart, Health Care
Assistant, Kestrel
Ward, Lakeside,
Hounslow.
“Norma has provided
an outstanding
contribution of 42
years to the NHS and
continues to work as a
Health Care Assistant.
She is renowned for going the extra mile,
providing comfort and care to those suffering
from mental illness. She always takes the time
to have a friendly chat and ask how you are. An
example of Norma’s dedication is supporting a
service user who hadn’t spoken for a very long
time. She would regularly go for a walk with him
around the grounds of Lakeside which meant a
great deal to him.”
“Nurses are known as angels and she is certainly
one” says service user, Ian, who nominated
Norma for this award.
Runner-up
Graham Slipper, Gardener, Estates & Facilities.
Thanks to all of our sponsors for supporting us in our 2010 Quality Awards.
8 Mental Health Matters
The Limes
At the Limes, a new group
for carers, Friends of the
Limes, was launched.
Relatives and carers are
invited to come along to
a dedicated session, once
a month, to meet others and learn about caring
for or visiting a loved one with dementia.
The team in Hammersmith & Fulham had a lot
to sing about on World Mental Health Day. From
the left: Ebenezer Aka, Kadiatu Savage, Kwame
Brobbey, Sandra Bailey, Curtis De Leon, Abi Jalloh
and Florence Freeman.
The Wells Unit
Juliette Noske,
Tutor and
Martin Kimani,
Healthcare
Assistant show
off the results
of their creative
labours with
patients in the
Wells Unit.
Watermans
Hounslow User Involvement
Team ‘ART4Us’ exhibition
at Watermans, Brentford.
Rin Roche, Project Worker
views a stone carving
representing ‘Serenity’ by
project member Daniel.
(www.cathja.org)
Mott House
Bola Aderogba
and Mary
Elsabahy celebrate
with service users
in Mott House,
Ealing.
Mental Health Matters 9
Hammersmith
and Fulham
Nursing
Conference
From the left: Nicola Long, Andrew Simmons, Rebecca Jones and Rebecca Clark.
Living the
in West London
Values Forensic Services
The Rollo May team.
Hammersmith & Fulham nurses got together last
month for their first ever nursing conference.
Head of Nursing for the SDU, Sandra Bailey said:
It was a great day which was instrumental in
bringing together a large number of nurses, HCAs
and student nurses to share information and
expertise and to get to know each other better.
Helen Mangan, Director, opened the event,
and spoke passionately about the opportunities
for nurses at WLMHT. She urged all nurses
to familiarise themselves with our three year
strategy for nursing, copies of which were
available on the day.
The speakers included a mixture of senior clinical
nurses and staff nurses. We heard from a range
of services and presentations were professionally
delivered by Belen Duran (FIRST), Jon Luff and
Emma Valentine (Psychiatric Liaison Service),
Marlene Maraj (Recovery North CMHT), Karen
Magorrian (Older People’s Service ), Siobhan
Dineen, Matthew Murphy and Rececca Clark
(Assessment Service) , Susan Ajayi and Tariro Masaki
(Ravenscourt Ward) and Fidelis Chibwe (CAMHS).
The conference ended on a high note as Helen
Mangan presented the H&F Nurse of the Year Award
to Rebecca Clark (runner-up Nicola Long) and the
H&F Health Care Assistant of the Year Award to
Andrew Simmons (runner-up Rebecca Jones.) Thanks
to everyone who made this day a great success.
Patients tell us what therapeutic
engagement really means
“Therapeutic engagement is a key theme in our nursing
strategy,” explains Anne Aiyegbusi, Head of Nursing for
West London Forensic Services. “We held a conference
to give our ward managers and users time out to explore
opportunities to develop practice. We know from incidents
and user feedback that we have work to do in this area.”
One of the users who spoke at the conference described
good therapeutic engagement as: “Having people
around me who I can talk to, who really care about me
and who I can trust. No amount of treatment works if it’s
done without care.”
Margaret Rioja and Vushe Hove,
Service User and Carer Co-ordinators.
10 Mental Health Matters
Ward Manager, Bola Aderogba said: “The conference
was thought-provoking and has pushed us to think
about our attitudes at work and the impact it can have
on patients and their recovery.”
The multi-disciplinary team on Rollo May ward received a thank you letter from a former
patient. In his letter, John* recognises that thanks to our staff ‘living the values’ he has
been able to get back to a good quality of life in his own country of Africa, as an outpatient.
Togetherness
Excellence
David Griffiths, social worker for Rollo May says:
“When John was admitted it was impossible to get
him to engage. No matter how hard we tried, he
just did not want to know. He brought his attitude
with him, saying he did not need us and would
make his own decisions. After some time, thanks
to the efforts of the whole team, there was a
change in his willingness to engage. The key to his
change seemed to be holding a consistent line and
always giving him the same message. Eventually
that message appeared to get through and John
made progress. His mother supported our efforts
and encouraged John to listen to good advice. A
year after he began to change, his situation was
so improved that it was possible to recommend
to a Mental Health Review Tribunal that he be
conditionally discharged from hospital.”
John sent a letter to the Rollo May Team
thanking them for persevering with him and
helping him to recover. He praised the team
for the consistency of excellent care they
delivered. He said to other service users: “Trust
the doctors because they are here to help you.
Do that and I promise you everything will work
out for you and you can look forward to leaving
hospital and to a better life ahead of you.”
Responsibility
As a restricted patient, there were conditions on
John’s discharge and he could not leave the UK
without special legal consent. The care team took
responsibility for sorting out John’s legal situation
so that he could return home to Africa. In doing
so they had to reassure the Tribunal that he could
safely leave the country and receive the on-going
care that he would need in Africa. The Rollo May
doctors identified a psychiatrist in John’s home
country and made a referral to that doctor. In
due course John took up her offer of outpatient
treatment. The whole team took responsibility for
making all of this happen.
Caring
David says: “The good outcome in this case was
a result of the whole team working together
with a caring attitude towards the patient and
a willingness to stay positive for the sake of his
progress. As we know, John was difficult at
first, but with everyone’s persistence our efforts
paid off. People rarely take time to say thank
you for the work we do in forensic services, so
for the whole team we should celebrate this
positive outcome.”
* We’ve changed the patient’s name
for the purposes of this article.
Mental Health Matters 11
All change
at the
Lammas Centre
Delia’s
story
Delia Siedle.
“A couple of years ago, due to
anxiety and severe depression, I felt
a great deal older than my 58
years and really wasn’t functioning
well at all. Neither the medications
nor the therapies seemed to
make a difference. Everyone kept
assuring me that I would eventually
feel better, and that I just had to
“...hang in there.”
After months of being unable to
work or even get out of bed some
days, I really began to lose hope
that I would ever feel well again.
Eventually, however, a mix of the
right medications, talking therapy,
support from my care co-ordinator
and friends who didn’t give up on
me, coupled with healthy eating,
exercise and plenty of sleep helped
me to begin to recover.
I was very fortunate in being able
to return to work at the same
organisation where I had worked
for over 30 years, but now as a
part-timer in a much less stressful
role. Since April 2010 I’ve also been
a volunteer at the Lammas Centre
in the hope that I can assist others
who are going through a bad time.
As a volunteer, I attend the weekly
drop in tea-group where I try to get
feedback from participants about
Lammas notice-board
“I am extremely happy with the service at
the Lammas. The medical staff are helpful,
kind and patient. The reception staff are
also very friendly and efficient. If it had
not been for the Lammas Centre and the
service provided, my life would have been
much more difficult, isolated and traumatic.
THANK YOU TO ALL OF YOU!!!”
Patient
12 Mental Health Matters
the care they’re receiving so we
can make improvements. Thanks
to freecycle (www.freecycle.org),
the poorly-functioning TV in the
waiting room has been replaced
and a good supply of magazines
provided for the use of patients
and carers.
Through posters displayed on
the notice boards, I have tried to
encourage patients and carers to
post ideas into our suggestion
box; and in turn we are also
displaying a representative sample
of the comments received and
what is being done to address
issues raised.“
“I’m writing about my eldest son who has had
mental health and behavioural problems for
over 15 years. He was referred to the Lammas
last year and since then his condition has
gradually improved. His social worker, Jenny
Symons, has clearly worked a miracle with
him and he has participated in psychiatric,
medication and substance abuse programmes.
I have the highest regard for Jenny who has
kept me well informed and I’d like to put on
record my thanks to her and all the staff at the
centre who continue to contribute to my son’s
much improved quality of life.”
Carer
From the left: Ope Martin, Social Worker Team Lead, Georgi Lask, CPN,
Martin McDade CPN Team Lead, Pamela Stocker, Social Worker, Ann Bessel,
Social Worker, Maureen Smith, Team Administrator and Keith Pemhiwa, CPN.
A positive attitude to change at the
Lammas Centre has resulted in better
relationships with GPs in Ealing and
better outcomes for patients.
Lammas Centre manager, Sophia Ploumaki says:
“Upon talking to local GPs it was clear that there
was a gap in their understanding of mental
illness and our services. We decided it was time
to work harder on relationships with colleagues
in primary care.
“Based on the conversations and feedback from
GPs we’ve significantly overhauled our processes
at the Lammas to help us meet stakeholder
expectations.
“We’ve created an intake assessment team and
in doing so worked hard to identify the staff
best suited to this externally focused area of
work. We shifted the focus of the rest of the
team to provide on going case management for
patients. We changed the culture of our team by
empowering all staff to take ownership and help
us change the service.
“A year ago we began by setting up a
multidisciplinary assessment group which
included a willing, local GP. Meeting on a weekly
basis, we looked closely at every single referral
which came our way. The role of our local GP
was twofold. One, to take on and return the
‘unsuitable’ referrals back to primary care with
an explanation why this is the outcome of the
assessment and the second function was to raise
in the group the issues that the GPs are facing
and enhance a culture of understanding between
primary and secondary care services.
“What we found was that a proportion of the
referrals could have been dealt with in primary
care. Working with our GP colleagues we sent
those referrals back and supported them to
deliver care. Having persisted with this for a
year, we’re now seeing far fewer inappropriate
referrals coming to us and our GP colleagues
have told us that they’re grateful for the increased
understanding of mental illness they now have
through closer working.
We’ve also instigated a dedicated telephone line
for GPs should they need advice. We extended this
offer to include issues of medication change and
management that in the past would have resulted
in unnecessary delays as the patient would have
to come in to be seen for ten minutes by a doctor.
We now provide this aspect of the service more
consistently and safely over the phone minimising
delays and unnecessary repetition. If there is a
need to send a mental health professional to the
GP surgery this is something we can help with too.
And so at the Lammas we now have a two tier
service. The first part of the service is managing
referrals in and out of our services. The other is
the ongoing rehab and recovery team which treats
people with ongoing mental health problems
in the community. And it’s now a service we’re
extremely proud of!”
Dr Chen Wickrama-Sekera, Ealing GP,
says: “Thanks again for Lammas Centre’s
excellent care for our patients here at
Ealing Park. We haven’t had any problems
for a while with any psychiatric referrals.”
Mental Health Matters 13
What is sustainable development?
It’s about using resources sensibly so there’s enough
left for others in the world today and for future
generations. With the world’s population growing
from 3 billion in 1960 to 6.8 billion now and expected
to reach up to 10.5 billion by 2050, it’s essential we
achieve a balance as we develop.
Why’s this important?
For any big organisation there’s a moral imperative to
look after the planet.
There’s an expectation from our stakeholders that
we reduce our impacts and there’s increasingly large
amounts of legislation requiring us to do this, or face
fines and risks to our reputation. There’s also direct
financial benefits associated with reducing our impacts
(less waste disposal costs, lower energy bills, reduced
travel costs) - leaving more money for patient care.
What would you do if you won the lottery?
As I live on a boat, I’d buy some land on the canal and
build an “eco shed” to store all my “stuff”, and have
an allotment. I miss my home grown veggies!
Tell us an interesting fact about you?
I spent six months working for the Vietnamese Forestry
Commission living in a tent in the rainforests in Vietnam
looking at biodiversity.
Best piece of advice you’ve been given.
Don’t forget to breathe when giving presentations!
Green champions
Are you passionate about
recycling, energy efficiency and all
things green? Lucy will be setting
up a network of green champions
throughout the Trust. Email her if
you’re interested in helping:
lucy.smith@wlmht.nhs.uk
E
HELPING
CREATE
14 Mental Health Matters
Each of our six workstreams has an
executive sponsor, and programme
managers are leading on the care pathway
work. A number of staff have put
themselves forward to get involved. If you
want to know more about any of these
programmes please contact the Programme
Management Office (PMO). You can email
either gemma.stanion@wlmht.nhs.uk or
pamela.scott@wlmht.nhs.uk.
Previous job?
At the Environment Agency, looking after their
environmental impacts and legal compliance. The
Environment Agency enforces most environmental
legislation (but does not write it) and has to be whiter
than white, or should I say greener than green!
TO
One of the outputs of this work will be
improved models of care for London
services and high secure services. You may
have participated in the recent consultation
on future management structure of
the Trust. When the new management
structure has been finalised it will then
join up with the care pathways work, to
support the new models of care arrived at
through the workstream Improving Service
Delivery London (above.)
Quite a task, I’d have thought. Where are you
going to start?
So far, I’ve identified these priority areas:
• Make sure we comply with legislation relating
to waste management, carbon emissions and
energy use.
• Develop a Sustainable Development Strategy looking
at all areas from paper use to procurement and from
energy use to education.
• Look at existing infrastructure (lighting, heating and
insulation) to improve energy efficiency and look
at our redevelopment proposals to make sure we
build the best, most energy efficient and sustainable
buildings we can from the start.
• Develop and update green travel plans for sites to
improve staff, patient and visitor travel choices (e.g.
better cycle facilities, more information on public
transport or walking routes, shuttle bus options
between sites etc.)
• Look at the goods we purchase to see if this can be
done in a more environmentally friendly way.
E FUTUR
Your role?
To embed sustainable development principles into our
policies, plans, operations and behaviours, both clinical
and non-clinical.
BL
And so our firm focus is on timely delivery of our six strategic workstreams which we need
to deliver if we’re to succeed in our bid to become a Foundation Trust (FT). If we deliver on
these workstreams we’ll improve our patients’ experiences of care, we’ll develop a consistently
engaged workforce and meet the efficiency challenges and targets we face.
Development
Manager
T
SUS AI NA
We’ve heard from people using our services, the CQC and NHS London that we’re moving in
the right direction. We’ve made changes and stakeholders are noticing a positive difference. In
light of this, as an organisation, it’s crucial that we have clear goals and plans for our future,
if we’re to survive in today’s public sector. This will require all of us to be innovative and think
differently, rather than just doing things they way they’ve always been done.
A
Moving in
the right direction
My working
Lucy Smith
life Sustainable
Mental Health Matters 15
Out & about
Learning together
West London FC
Our service user football team triumphed
in a World Mental Health Day Football
Tournament at Leyton Orient Football Club
where they competed against teams from
all over the UK. After a close fought final
match, the team showed great spirit, skill
and determination and battled to victory
winning the final match 2-0. West London
FC are working to build on this success in
the forthcoming season. Well done!
From the left: Jan Pickles OBE, Sharon Stratton, Richard
Church SpR, Dr Tony Maden Consultant Psychologist
and Dr Mrigendra Das, Clinical Lead Consultant.
Broadmoor Hospital and Imperial College teamed
up to run an educational seminar on “Intrafamilial
Offending.” Speakers included Jan Pickles OBE
from the Welsh Assembly Government and Sharon
Stratton from the Metropolitan Police. Further
talks were delivered by Broadmoor staff including
Dr Mrigendra Das, Dr Girija Kottalgi, Emily
Glorney, Sarah Gladden, Natasha Phillips, Frances
Kenworthy and Carol Frost.
The seminar was made possible by first-class
organisational and administration support – a big
thank you from all of us to Andrea Wylie!
Service user football team,
West London Football Club
Green travel plan
for Broadmoor
A group of staff (including staffside) is
working on developing a green travel
plan for Broadmoor Hospital. To inform
this we’ve distributed a survey for staff
at the hospital. Having a green travel
plan is essential if we’re to achieve
planning consent to redevelop the
hospital and as a Trust it will help us to
achieve our sustainability objectives. All
staff at Broadmoor are urged to fill in
the survey which has been posted in the
Staff Room area of the Exchange.
16 Mental Health Matters
Values in action in H&F
Pictured are members of the Hammersmith
& Fulham, Older People’s Community Mental
Health Team, signing their values pledge. Diana
Wiggins, Team Manager says: “We found
agreeing the pledge a useful exercise and
having it on show every day reminds us why
we’re here and what we need to do to deliver
excellent services, every day. We’ve even put a
copy of it in the lift for patients to see so they
know what standard of care they can expect
when they come to see us.”
Liaison
Psychiatry
Excellence
From the left: Emma Valentine, Dr Abrar Hussain, Julie Pearse, Dr Angharad Ruttley,
Jon Luff, Dr Amrit Sachar, Dr Anupam Verma, Betty Williams and Nicola Long.
Our Hammersmith & Fulham Liaison Psychiatry
Team, which provides a service at Charing
Cross, Hammersmith and Queen Charlotte’s &
Chelsea Hospitals, has had much to celebrate.
The team specialises in the interface between
mental and physical ill health and provides
psychiatric assessment and treatment to patients
experiencing mental health problems in a general
hospital. There’s a lot of evidence that medical
patients have a high rate of psychiatric disorder
which, when detected (with help from a liaison
team), responds positively to a range of psychiatric
interventions which improve patient outcomes.
The service has been in existence for five years
this month!
Accreditation
for excellence
For the past 18 months, the team has been
participating in PLAN (Psychiatric Liaison
Accreditation Network). This has been a
comprehensive process of review, engaging the
team, stakeholders and service users to recognise
the team’s good practice and high quality care and
also offer support to identify and address areas for
future development.
The team were recently successful in being
accredited. This is valid for two years, subject to a self
review in 2011 and a peer review in 2012.
Consultant Psychiatrist within the team, Dr Amrit
Sachar says: “This is excellent news and evidence
of the leading and professional service we provide.
We’re an innovative, can-do, energetic and caring
team and it’s great to have external recognition for
what we do.”
Service
to expand
The team has been successful in its bid for
funding of an expanded service in the area of
perinatal psychiatry. The team will be providing a
more extensive and specialist service for women
receiving maternity care at Queen Charlotte’s &
Chelsea Hospital.
Acting Team Manager, Nicky Long says: “We’re
thrilled at the news that we’re going to be funded
to provide this vital service to women in Queen
Charlotte’s. Funding has been agreed for 15 months
initially from the PCT Maternity Matters funds
and from the Imperial College Healthcare Charity.
Although this is non-recurrent funding, we are
hopeful that the staff appointed will be able to help
secure future funding during their time in post.”
Mental Health Matters 17
New service
to help you
manage borderline
personality disorder
We are the
champions
The team (from the left). Monica Doran, Dr Kingsley Norton and Dr Lucinda Shoolbred.
(from left): Mary Aduda, Luke Goto, Juliet Weeks, Joseph Conteh, Brenda Mavata and William Morris.
Dual Diagnosis Champions have been introduced
in our organisation and the Hounslow champions
based in Lakeside have embraced the responsibility.
The Dual Diagnosis Champions program is trust-wide
and champions across the trust come together four
times a year to share experiences, learn from each
other, discuss obstacles and increase their skills.
Dual Diagnosis is where a patient is found to have
more than one mental health problem, and this team
has been put in place to increase knowledge and
lead good practice in their area.
All change for
Lakeside OT team
As a Trust we’re working towards recovery based
teams and socially inclusive practise, and the
Occupational Therapy (OT) team at Lakeside
Mental Health unit has been redesigned to
further support this work.
The team works with service users on their
recovery journey to identify their goals, enabling
them to have a greater contact with the local
resources in Hounslow, easing their transition
from ward-based living to living in the community.
18 Mental Health Matters
The Champions have either finished, or are
currently studying, a Bachelor of Science in
substance misuse. Their role includes helping
colleagues with dual diagnosis assessments and
making referrals, giving advice and educating
others by role modelling good practice.
Members of the Hounslow team say that they now
have “…a greater understanding and appreciation of
dual diagnosis relating to substance misuse, as well
as more patience when working with patients and
helping colleagues.”
The process begins on admission to the acute
inpatient wards but the team also offers a
post discharge service for those who would
benefit from further OT intervention to develop
productive routines and to manage the transition
from the ward to the community.
Natalie Waterfield, Head of OT at Lakeside said:
“We are embedding the principles of recovery
into every aspect of practise, and are planning
to use Wellness Recovery Action Plans (WRAPs)
and the inclusion web, in addition to the specific
OT assessment, to explore what occupations
our service users perceive as meaningful and
satisfying, all of which will support their recovery.”
A specialist service - Managed Clinical
Network (MCN) - has been set up to
give staff the help they need to manage
the complex needs of Borderline
Personality Disorder (BPD) patients.
Steve Trenchard, Director of Nursing and
Patient Experience, says: “It’s excellent
news for patients that this service is
now up and running. The experience
for people diagnosed with a borderline
personality disorder using our services
can often feel less than positive. A key
aim of this new service is to support
staff to develop better relationships
and help provide more consistent and
therapeutic responses.”
Dr Kingsley Norton, who leads the
new development, says: “People with
BPD experience dramatic shifts in their
mood, often without warning. Their
thoughts may feel out of control and
their behaviour can be impulsive including self-harm. Consequently their
relationships are unstable.”
Kingsley says: “The MCN will provide
information and consultation to help
clinical staff recognise BPD, guide them
in how to engage patients in treatment
and suggest evidence-based ways of
working with patients to reduce their
reliance on services, avoiding admission
to hospital.
“The MCN will also forge links with
health professionals in the primary and
voluntary sector to help build patient
pathways to help break the cycle of
failed engagements and ‘revolving door’
admissions to in-patient services.
“The team will involve service
user collaboration to help support
professionals who care for people
with a personality disorder to improve
the quality of service user experience,
by providing practical advice and
enhancing skills. We’ll also foster links
with organisations such as Emergence,
who support all people affected by
personality disorders including their
carers.”
If you’d like to get more information
about the service, you can contact
Monica (on 020 8354 8013) or Lucinda
(020 8354 8173) who are spearheading
this exciting new service development.
Mental Health Matters 19
Outside In
It’s a wrap
at Broadmoor’s
Service User
Recovery Conference
I’m definitely with the Greeks when they
say: ‘The way to gain a good reputation
is to endeavour to be what you desire
to appear’. Our reputation as a Trust has
been poor because our service has been of
variable standard. As our services improve,
our reputation takes a while to follow and
needs a little helping along.
From the left: John Carthy, Forensic Nurse Consultant, Caroline Hampshire, Secretary
for OT & Arts Therapies, Joe Ayres, Head of OT & Arts Therapies, Terry Fegan,
Practice Development Nurse, Rachel Perkins and Marion Janner, external speakers.
The first service user conference ever held at
Broadmoor Hospital took place on 13 October to
celebrate World Mental Health Day 2010. Patients
from all wards attended.
Jimmy Noak, Deputy Director of Nursing, opened
the event and set the theme for the day. He said:
“We were fortunate to have two renowned external
speakers in Marion Janner, Director of Star Wards
(accompanied by her assistance dog, Buddy), and
Rachel Perkins, Mind Champion of the Year 2010.
Both are service users and pioneers of the recovery
approach to mental health care.”
Marion spoke about her own experience of inpatient
services and how she developed the Star Wards
initiative. Rachel spoke about making recovery a
reality and how story telling is a powerful way of
offering peer support. She also introduced us to
‘Wellness Recovery Action Plans (WRAPs). Both these
sessions were interactive with several users sharing
their views and experience.
The Wellness Recovery Action Plan (WRAPs) prompts
service users with various questions which help them
reflect on their mental health and wellbeing, and how
to take an active part in preserving or restoring it. It
also helps ensure their wishes sit at the centre of the
care planning process. Joe Ayres, Chair of Recovery
& Social Inclusion Group, and Terry Fegan, Practice
Development Nurse presented the Hospital’s WRAP,
and a number of service users agreed to take part in
focus groups and become WRAP Ward Champions.
20 Mental Health Matters
Director of Communications
Lucy McGee
The plan is to roll this out across the hospital in
December.
An update from Vivienne Mowatt and David Phillips
on the Hospital’s plans for redevelopment was
followed by songs from the service user and staff
Hospital Vocal Group, with which everyone, by then
in celebratory mood, joined in.
The conference ended with a lively discussion around
the theme of recovery and the introduction of the
WRAP. Feedback on the day from service users was
extremely positive and many asked for a re-run for
those who were unable to attend this first event.
Rachel Perkins said in a follow-up letter to Joe: ‘It was
an impressive and inspiring event and I felt privileged
to be there. I would appreciate it if you could pass
on my thanks and congratulations to all the staff
and service users involved. As I said at the time, I
am extremely impressed with all that you have done.
Thank you and well done all of you!’
Such work brings great credit to the Hospital.
Thanks to everyone involved, especially to Joe,
John and Caroline for the work they put in to
organise this event.
Relations with the press can help us rebuild and protect a positive reputation. We
all know that the media can be friends or
foe and by and large, they’re more likely
to be friendly if we’re open with them.
This month saw us opening the doors of
Broadmoor L&D Centre wide to welcome
the BBC, The Wellcome Trust and around
140 visitors.
They came to listen to Dr Gwen Adshead
talk about the work of the Hospital and
the ethical issues surrounding mental
health and violence. Her discussion with
the philosopher A C Grayling and members
of the audience focused on the treatment
and care we provide, our remarkable staff
and the recovery we work with our patients
to achieve. When it’s broadcast on BBC
World Service it will reach up to 40 million
listeners across the globe – hopefully
changing some peoples’ perceptions of the
word ‘Broadmoor’ for the better.
The Science Media Centre (SMC) make
staying close to the press their life’s work.
Their mission? To make science accessible
and interesting to those of us who gave
up physics before GCSE. Many months’
dialogue with them bore fruit this month
when we jointly ran a press briefing aimed
at educating the press about secure mental
health services, and how we work.
Dr Aideen O’Halloran, Jimmy Noak, Dr
Mrigendra Das and Dr Nick Broughton made
up a panel of experts who took questions
from ten national journalists representing
New Scientist, the BMJ, the Times and the
Today Programme, among others. The
feedback was that it was one of the best
attended, most engaging briefings that the
SMC had run, and that our team impressed.
Aideen, Jimmy, Mrigendra and Nick.
We look forward to seeing more informed
and humane coverage and debate in the
media of secure mental health care, as a
result. This gives our patients a voice as well
as promoting the strengths of the Trust. And
if you can see the work you do portrayed
positively, it should help us all continue to be
what we desire to appear.
Lucy McGee
lucy.mcgee@wlmht.nhs.uk
Mental Health Matters 21
Moving on up
Starters
Richard Simmonds
has joined the Trust
as the lead nurse for
Ealing CAMHS. Richard
says: “I find the passion
and interest of young
people really energising.
The scope for dynamic
change is always there
in young peoples’ lives.
This means that the job involves a lot of positive
outcomes and feedback as well as dealing with
the usual distress of mental health work.” Richard
is hoping to promote and expand the profile of
CAMHS nurses within the Trust, using new ways
of working and bolstering generic clinical skills by
using specialists in the service.
Welcome to Ian James, Fire
Security Manager. Having
originally worked for the
RAF Fire Service, Ian joined
the NHS in 2004. Since then
he has worked for the Welsh
Health Estates where he was
fire safety advisor acting as
the link between The Welsh
Assembly, NHS Wales and
the Fire Authorities. Ian is responsible for reducing
risk through co-ordination of the Trust’s fire safety
function. He says: “The most common fire issue
within the NHS is incorrect procedures taken in the
event of fire alarm activation which could prove to
have a devastating effect.” Ian will be working to
enhance risk assessment and training compliance,
promoting fire safety through increased awareness
of managerial and staff responsibilities.
Leavers
Mrs Rai (left) and Mrs Gill have retired from their
role as domestics within the Tony Hillis wing, having
worked for the Trust for over 30 years each. In their
leaving speech, they said: “We have had a great
time working here at the Trust and would like to
say thank you to everyone we have worked with
for making it such an enjoyable experience.”
22 Mental Health Matters
Having joined the Trust in 1996 as a HCA working at
The Limes, Ashif Ibrahim, has left to begin studying a
full-time nursing degree. His colleagues describe him as
a hardworking and committed colleague who would
come to work anytime if needed. They say he works
well with sometimes difficult patients and has the
necessary skills to promote recovery.
Janet Chamberlain, Clinical
Nurse Manager for the family
service at The Cassel, is retiring
after 27 years. Starting at
The Cassel in a position that
provided her with both work
and study, Janet has seen The
Cassel grow and develop. Janet
says: “The Cassel provides a
reflective service. We have a very strong model here
that the whole team sign up to. We look at our patients
holistically, involve them in their care, listen to and
empower them. I have seen adults, young people and
families who have turned their lives around because of
our service here – it’s been an extremely rewarding job.”
Congratulations
We, along with our consultants, Civil Contingencies Advisors
Ltd have been announced the winners of the International
Association of Emergency Managers Europa 2010 Partners in
Preparedness Award.
Mike Humphrey, Head of Security at Broadmoor Hospital said:
“We’re pleased that independent assessors can now see that
we have comprehensive emergency planning processes in place
for the whole Trust which are really excellent. This success is
part of the transformation programme at our Trust in response
to the CQC recommendations of last year.”
Nigel Blackie and Mike Humphrey (right).
Rose Caton
started
working with
the Trust 35
years ago
and since
then has
worked in
many of the
wards. Ending her time here in Elm Lodge, she
was one of the first activity co-ordinators at Penny
Sangam when it first opened in November 1991.
Lynne Read says: “Rose is a pleasure to work with.
She is pro-active and flexible in her approach to
both colleagues and service users and nothing is
ever too much trouble. She is known for always
being ready to take on what is asked of her and
her good humour will be missed by us all.”
Mahbub Khan, Carers
Support Worker for Ealing
SDU has been appointed
as the first London mental
health lead representative
for the Mayor’s London
Carers Advisory Group
(CAG). Mahbub says “I’m proud to be chosen for
this role. I’ve been an advocate for carers for around
12 years, so I have a good understanding of the issues
that carers can face. During my time here at WLMHT
I’ve set up carers support groups, provided training for
consultants and worked closely with our stakeholders.
I’m also a member of the Department of Health
Carers Advisory Group.” The CAG will advise the
Mayor on the development of policies addressing the
needs of London carers, encourage liaison between
voluntary and statutory sectors and share expertise to
look at current issues and new approaches in working
with carers’ issues.”
Katie
Whitewood
from the
Memory Clinic
in Hammersmith
& Fulham has
completed the
non-medical
prescribing
course at Thames
Valley University. Team Manager, Diana Wiggins
says: “Congratulations Katie! This is great news
for our team as we now have two people skilled in
prescribing. This is particularly important at a time
when our workload is increasing and with the change
in the NICE guidelines which means that more people
than before are eligible for anti-dementia treatment.”
Mental Health Matters 23
Every picture
tells a story
On display
Interactive
workshop
From the left: Nisha Soocheta,
Elizabeth Kamau and Wanjit Bagal.
Works of art from our service user art competition
have been received for display in patient areas. In
Ealing, members of the Mary Seacole ward team
were delighted to accept one of the winning works.
End of summer in
West London Forensic
MHM
around
the world
Sioban Galvin, Activity Co-ordinator
from Tom Main ward gets into
the party spirit during an end of
summer party for service users in
West London Forensic.
24 Mental Health Matters
Clinical staff from across the Trust joined an
interactive and experiential workshop on
Acceptance and Commitment Therapy (ACT)
and Mindfulness, run by leading expert, Dr
Lance McCracken. The session was facilitated
by the Clinical Psychology Acute service in
Ealing, and attendees were introduced to ACT
and Mindfulness and learnt how to apply
this form of Cognitive Behavioural Therapy
(CBT) in the treatment of anxiety disorders,
depression and psychosis.
Medical Director, Dr Nick Broughton raised over
£2,500 in running the Berlin Marathon. He says: “I
ran the marathon to support the young people at
Dame Hannah Rogers School where my god-daughter
is a pupil. She was born with Ohtahara Syndrome
and was not expected to survive past infancy. Now
aged 23, Sarah remains severely handicapped both
physically and mentally. She could not have succeeded
in the way she has without the support, love and
encouragement of her family, doctors and her school,
Dame Hannah Rogers School - a very special place.”
MHM is produced by the Trust’s Communications Team. Call us on 020 8483 2283.
Mental Health Matters is printed on recycled paper