Insight - Tees, Esk and Wear Valleys NHS Foundation Trust

June 2011 issue 30
insight
trust newsletter
L-R Elaine Spybey, psychological
therapies lead; Dr Melanie Temple,
consultant psychiatrist; Dr Chris
Wells, consultant gastroenterologist
The Northern
Centre for Eating
Disorders opens
To find out more turn to page 4
Hello to
Harrogate,
Hambleton
and
Richmondshire
page 3
Working
out with the
Wii Fit
page 5
Creative
creations at
Roseberry
Park
page 8
making a
difference
together

2
Out and
about
My priority over
the last couple of
months has been
to visit as many
of our new sites
in North
Yorkshire as
possible and to
welcome staff
from Harrogate,
Hambleton and Richmondshire to the
trust. I’ve really enjoyed meeting
everyone and I am looking forward
to spending more time in this area in
the future.
I was also really pleased to be invited by
Darlington Mind to attend the official
opening of their new housing project by
HRH Prince Edward, Duke of Wessex.
One of our non-executive directors,
Andrew Lombard, went with me to the
launch of the supported living project,
which has recently undergone a major
refurbishment programme.
Another highlight for me was hosting a
visit by the chairman of North Yorkshire
and York Primary Care Trust, Kevin
McAleese, to our new development at
Cross Lane Hospital in Scarborough.
Kevin was very impressed with the new
unit for older people which is due to
open in the summer. It really is a fantastic
facility which is going to provide vastly
improved accommodation for patients
and staff. I would like to congratulate
everyone who has been involved in its
design.
New facilities and improved
accommodation have been a recurring
theme over recent weeks. I visited the
short break service for children with
learning disabilities, which has moved
from Seaham to Holly Unit at West Park
Hospital in Darlington. The facilities at
Seaham were far from ideal for the
complex needs of these young people
and I’m delighted that they can now
spend time in a modern, spacious unit.
I was also given a sneak preview of our
new centre for eating disorders at West
Park Hospital. You can read more about
this excellent new service on page four.
Jo Turnbull
Trust chairman
The chairman and non-executive
directors would welcome invitations to
events (no matter how small). if you
would like to invite them to your event
please email ann.wilson@tewv.nhs.uk
Sir John Oldham
and Dr Ruth Briel
Quality improvements
get thumbs up
The trust’s quality improvement
system has been singled out for
praise by the Department of
Health’s clinical quality and
productivity lead.
Sir John Oldham, a GP and expert
member of the National Quality Board,
paid tribute to the work that the trust
has done to improve the quality of our
services. He visited hospital sites in
Darlington and Durham to witness the
achievements first hand.
The trust’s quality improvement system
is based on a model developed by
Toyota and adapted for healthcare
settings by the Virginia Mason Medical
Centre in Seattle.
Patients at Ridgeway in Roseberry
Park, Middlesbrough have been
working hard to develop the library
there.
The patient library provides
recreation, therapeutic intervention
and formal and informal learning
opportunities for the forensic mental
health and learning disability patients
on the unit.
A partnership with Middlesbrough
Libraries has provided many of the
books and multi-media discs, as well
as professional support and a direct
link to their database. The library
benefits from the use of innovative
E-readers, and internet hubs will also
shortly be available.
Patient librarians have completed a
training programme in the procedures
and systems for running the library.
Speaking while at West Park Hospital in
Darlington Sir John said: “The visit has
been inspiring. I know of no other
organisation in the UK or Europe that is
so comprehensively implementing
kaizen (continuous improvement) in a
healthcare setting, to the obvious
benefit of patients, staff and users of
resources. The whole of the NHS needs
to follow where this trust has led.”
Dr Ruth Briel, clinical director, said:
“One of the most important elements
of our quality improvement system is
that it empowers staff to make changes.
It gives them the tools to help identify
and remove waste, streamline processes
and redesign services to add value for
our service users.”
Patient library books in
for a revamp
Ridgeway library is
proving popular
This supports their vocational
rehabilitation pathway. Some patient
librarians will be developing their
skills in literacy, language,
communication, numeracy and IT,
which will be embedded into their
role and help them to work towards
national qualifications.

Hello to Harrogate, Hambleton
and Richmondshire!
Chief Executive’s
welcome
As a specialist mental health, learning disability and
substance misuse trust, we aim to be recognised as
a centre of excellence, providing high quality
services that exceed people’s expectations. I know
this is not possible without the dedication and hard
work of our staff and the support of our service
users, carers and partner organisations.
Our trust is now responsible for
mental health, learning disability
and substance misuse services in
Harrogate, Hambleton and
Richmondshire.
Here’s the low down on where our new staff
and services are based…
Hambleton
Area: 1,311 sq k
Population: 87,300
Main towns: Northallerton, Thirsk, Stokesley,
Bedale and Easingwold
Richmondshire
Area: 1,319 sq k
Population: 52,800
Main towns: Richmond, Leyburn and Hawes
The child and adolescent mental health
team is based in Northallerton.
Four adult mental health community
teams serve the locality.
There is one adult and one older
peoples’ inpatient mental health ward at
The Friarage Hospital, Northallerton.
There are also four older peoples’
community mental health teams and a
day hospital based at The Friarage.
The substance misuse team is based at
Northallerton.
The learning disabilities community team
is in Northallerton.
Harrogate
Area: 1,308 sq k
Population: 157,900
Main towns: Harrogate, Ripon,
Knaresborough and
Boroughbridge
I am delighted to welcome our 553 new colleagues
to TEWV and I am very much looking forward to
working with them and the people of Harrogate,
Hambleton and Richmondshire to further improve
services for these communities.
With best wishes,
Martin Barkley
Chief Executive
Putting our services on the map
TEWV will also
provide learning
disability services
for Craven.
The child and adolescent mental health
services team is based in Harrogate.
The adult mental health and older
peoples’ mental health inpatient wards
are in the Briary Unit at Harrogate
District General Hospital.
The locality is served by two adult and
two older peoples’ services community
mental health teams.
The substance misuse team is based at
the Briary Unit, Harrogate District
General Hospital.
Other community services are based in
Harrogate, including the rehabilitation
inpatient unit, the early intervention
team, the crisis resolution team and the
community learning disability team.
In addition, TEWV will provide learning
disability services for Scarborough, Whitby,
Ryedale and Craven. As these services
transfer, psychologists in Scarborough will
also transfer to TEWV from the primary care
trust.
Pledge your support
We are keen to recruit as many members as possible from these new
areas. If you’re interested in joining thousands of like-minded people
who support our work, find out more about becoming a trust member
at www.tewv.nhs.uk/membership
3

4
New centre for eating disorders
Our new, regional inpatient service for
adults with eating disorders has opened
in Darlington.
Part of The Northern Centre for Eating
Disorders, Birch at West Park Hospital was
specially designed with the help of service
users and carers.
Birch has 17 beds, including two high
dependency beds, and provides highly
specialised care for women and men from
across the North East and North Cumbria
with illnesses such as anorexia and some
forms of bulimia.
All of the single, en-suite bedrooms have
access to two garden areas and each room
has its own entertainment system with a TV,
DVD and CD player. To help people keep in
touch with family and friends there are also
computers with wireless internet access and
internet phone software.
A specialist team led by a consultant
psychiatrist and including physicians, nurses,
The memory service in Northallerton
has received national accreditation
from the Royal College of
Psychiatrists.
The service, led by consultant Dr Austin
Roberts and memory nurse Maggie
Layfield, is based at The Friarage
Hospital and provides assessment,
diagnosis and ongoing treatment and
support for service users, and their
carers, who present with memory
impairment.
dieticians and therapists work closely
together to make sure patients get support
and treatment for both their physical and
mental health needs.
A dedicated chef and kitchen facilities
where patients can plan and prepare food
are also key elements of the service.
Dr Melanie Temple, consultant psychiatrist
and lead for the unit, said “Recovering from
an eating disorder is not just a matter of
gaining weight but also dealing with
experiences which have caused
preoccupation with food and body image.
There is no simple fix, but our aim is to give
people the help they need to reach a point
in their lives when they no longer need
hospital care and have a stable eating
pattern”.
Kate, one of the patients on Birch said the
new unit was “fantastic”. She added “It’s a
really positive place with lots of different
therapies and activities available, which can
be tailored for each individual’s needs.
Excellent memory services
It was rated as excellent through the
Memory Services National Accreditation
Scheme. This scheme, developed by
the Royal College of Psychiatrists,
works to assure and improve the quality
of memory services for people with
memory problems or dementia and
their carers.
Accreditation involves a comprehensive
process of self and peer review, over
six to nine months, through which good
practice and high quality care are
I really feel as if I’m going to get the support
that’s right for me.”
The children’s eating disorders inpatient
service, The Evergreen Centre, will open in
Middlesbrough in the summer.
For more information visit
www.tewv.nhs.uk/nced
Staff and visitors in
Birch dining room
Birch chef, Joanne Low,
discusses menus with
consultant Melanie Temple
recognised. Services are also supported
to identify and address areas for
improvement. The process of
accreditation is ongoing and the service
is subject to regular reviews to ensure
that standards have been maintained
and that areas highlighted for
improvement have been addressed.
Service users and carers with first hand
experience of using memory services
are encouraged to get involved in all
stages of the accreditation process.

Five star
services
Staff celebrate
their five stars
Mental health services for older people
across County Durham and Darlington
have been awarded five stars in the
Excellence in Practice Scheme (EPAS) by
the University of Teesside. EPAS allows
healthcare services to formally
demonstrate how they are providing
high quality care, and five stars is the
highest accreditation.
The teams have been recognised for using
excellent leadership, team working and
partnerships to provide an innovative, patientled
service. They were judged against six
areas including collaborative working, user
focused care, performance management and
continuous quality improvement. During the
assessment, accreditors spoke to service
users, carers, volunteers and GPs.
Using the EPAS process a number of new
initiatives have been introduced, including
setting up a local service user and carer
involvement group and using electronic visual
control boards to manage patient care on
wards and in the community.
Day treatment services have also been
improved. Dedicated staff now assess patients
in their own homes and outpatient clinics,
and refer them to relevant therapeutic groups
including relaxation, health and wellbeing,
depression management and memory
management.
Wii Fit is fit for all
The trust’s Teesside young onset
dementia team has been turning to
technology to help patients.
They’ve been trialling the use of a
Nintendo Wii Fit with service users in
Hartlepool, to promote physical exercise
and wellbeing and using technology in a
fun way.
Seven service users aged between 50 and
70 took part in the eight week trial at
Hartlepool Alzheimer’s Society’s day club.
While there is evidence that using a Wii
Fit can improve enthusiasm, physical and
cognitive abilities, strength, co-ordination,
concentration, memory and social
An insight into...
Debra Wood
Community nursery nurse
Child and adolescent mental health
services, Wessex House, Stockton on
Tees. Debra is also a Bridges to Learning
project worker and Union Learning
representative.
What is the best thing about your job?
As a nursery nurse in child and adolescent
mental health services, I find my job
rewarding and challenging. I really enjoy
working with the children and their
families.
As a Bridges to Learning project worker I
enjoy meeting staff, working alongside
the trust’s workforce development team at
Flatts Lane Centre in Middlesbrough and
travelling to different sites across the trust,
offering advice and support to staff.
interaction, there is no current research
evaluating its use with people with
dementia.
The group played bowling, boxing and go
karting on the Wii Fit. At the end of the
sessions people were more relaxed,
showed humour, were alert and chatted
more, with fewer signs of anxiety and
tension. Participants said they felt it had
been a fun group activity and had been
invigorating.
The team is now considering how to
make more use of the Wii Fit in dementia
services across the trust.
Whose picture did you have pinned on
your wall as a teenager?
Donny Osmond and David Cassidy.
What was the last film you saw?
The last film I saw was an independent
American film called Blue Valentine. I also
enjoy the classic movies from the Golden
Era.
What was the last book you read?
A Thousand Splendid Suns by Afghan
author Khaled Hosseini.
What has been your proudest moment
to date?
I am immensely proud of both of my
children, but I was particularly moved at
my son’s passing out parade in Plymouth,
following his Royal Navy training.
Where did you spend your last
holiday?
The Greek Islands, but my favourite
destination by far is Rome. I love the
atmosphere, the architecture, and of
course the Italian cuisine.
What was your first job?
I worked as a Saturday girl in Stockton
Littlewoods on the fruit counter. I had so
much fun!
What is your main ambition in life?
I don’t really have a master plan. I’m easy
going and I like to be surprised. Who
knows what the future holds…
How do you spend your leisure time?
I enjoy travelling, relaxing, socialising and
good food.
How would your friends and
colleagues describe you?
Bubbly, energetic, enthusiastic and
positive, with a cheeky personality.
Group members get to
grips with the Wii Fit
Dementia is a progressive, chronic
condition that involves a severe decline in
a person's ability to think, remember and
reason. Young onset dementia is a term
used when it affects people under the
age of 65.
5

6
Members news
Election update
Nominations have now closed and
balloting has started for our
governor election. We received 19
nominations for the vacancies on
our Council of Governors. Where
the seats are contested, ballot
papers will be issued. Make sure
you cast your vote to have a say in
who represents you.
Sharing views
Governors get involved
Your governors have been out and about
recently…
• Governors have been working with the
trust in reviewing the comments
received from the recent patient
experience and involvement strategy
consultation.
• The ‘making the most of membership’
Sub Committee agreed the
membership strategy, which focuses
on recruiting and engaging members.
• At the Council of Governors meeting
in May, governors reviewed the trust’s
business plan for 2011-14, the Quality
Account, complaints, performance
and the financial position.
• A number of governors visited the new
Northern Centre for Eating Disorders
at West Park Hospital, Darlington (see
page 4). Durham Governor Betty
Gibson (pictured here, right, with
occupational therapist Rachel
Hillerby) said “The enthusiasm of staff
and the choice of activities offered by
An election will start in July for a staff
governor in North Yorkshire. And in
September we will be seeking
nominations for public governors to
represent the trust’s new constituencies of
Hambleton and Richmond, Harrogate and
Wetherby.
Keep up to date with our election news
on our website
www.tewv.nhs.uk/membernews
Trust members in Stockton and
Hartlepool attended a positive practice
conference in May, where a number of
service users and carers talked about
their work with the trust. They also
took part in workshops about the
patient experience and involvement
strategy and the implementation of the
new ‘Triangle of Care’ guidance, which
helps NHS staff include carers in careplanning,
decision making and the
treatment of people with mental ill
health.
the occupational therapy team, which
are delivered in a comfortable and
welcoming environment, was
exceptional.”
• Mike Hill, appointing governor, visited
Mulberry House in Peterlee and
commented “There was evidence of a
high level of professionalism and
commitment to the wellbeing of the
residents.”
Membership
update
Total number of members
1
0
6
4
Event dates
Public board of directors
meeting
Roseberry Park, Middlesbrough,
Tuesday 26 July at 9.30am
Public event
Scarborough Rugby Club, Scalby
Tuesday 5 July at 10.30am
1
Annual General Meeting
Legends Lounge,
Middlesbrough Football Club
Wednesday 27 July at 6pm
Guest speaker from 4.30pm
Members will receive a personal invitation
If you wish to attend a meeting
contact us on the details below.
Keep up-to-date with members’
events and meetings on Twitter
(check out ‘TEWV’) and on facebook
(check out ‘Tees, Esk and Wear Valleys
NHS Foundation Trust’ group or visit
www.tewv.nhs.uk
Keeping in touch
If you would like more details
on any of the above, to contact
your local governor or the trust
secretary’s team telephone
01325 552314 or email
ft.membership@tewv.nhs.uk

Focal point
Focal point profiles topics that
affect the trust, written by
members of staff.
If you have a subject you feel
will be of interest to your
colleagues we would be
pleased to hear from you.
Good health is essential for
achieving independence, choice and
inclusion. However, people with
learning disabilities often have
poorer general health and can find
it difficult to access services for
health problems unrelated to their
disability. ‘Health action planning’
was originally introduced in the
Government’s 2001 White Paper,
‘Valuing People’ to maintain and
improve the health of people with a
learning disability. It’s supported by
wider changes to help link
individuals with the range of
services and support they need to
stay healthy. This is known as
‘health facilitation’.
Our health facilitation teams were
created following recommendations
from ‘Valuing People’ and are
committed to implementing the key
actions for health for all learning
disabled adults, as well as children who
are moving into adult services.
There are two health facilitation teams
in the trust; one for Durham and
Darlington and one for Teesside. Both
teams accept referrals from all
professionals, agencies, carers and
relatives and also proactively work to
identify people with learning disabilities
and offer our services to them. This is
done through promotional events, work
with GP practices, liaison with care
providers, day services, colleges, carers
groups and self advocacy services.
We work closely with local Learning
Disability Partnership Boards and their
health sub groups to develop and
implement action plans arising from the
‘annual health self assessment’.
However, much of the team’s work
focuses on four main areas: ensuring
people have meaningful person-centred
health action plans, improving access to
primary care, improving access to acute
care and delivery and signposting to
health promotional interventions.
Health action planning
People are offered comprehensive
health assessments, from which an easy
to understand action plan is developed.
These plans can help people to
understand and take control over their
health, help others to understand the
support an individual needs, give links
to services and provide education and
choice. Health action planning training
and support is also offered to care
providers, families and other health
professionals in both community and
inpatient services.
Primary care
Our health facilitation teams have
worked closely with primary care trusts
to make sure GP practices have
completed annual health checks for
people with a leaning disability. This has
included providing training sessions for
doctors, nurses and administration
staff, checking practice registers are
accurate and sharing information and
resources that can improve access to
The health facilitation team
Health facilitation team
primary care. In South Tees a dedicated
role has been developed to support
local GP practices.
Acute care
We have strong links with all our local
acute hospital trusts. Our Durham and
Darlington team have an acute liaison
nurse in the team, who works closely
with hospitals. All hospitals have action
plans to improve their care for people
with learning disabilities and our health
facilitation teams work to support
these.
Health promotion
Individual and group work is
undertaken in a variety of settings to
teach people with learning disabilities
about different health topics. Local and
regional work has also been carried out
to develop information in an accessible
format, such as putting health advice
about breast screening and cervical
screening onto DVD.
For more information about your
local health facilitation team
contact:
South Tees 01642 283458
North Tees 01642 878110
Durham 01388 424396
Darlington 01325 555940
7

8
News in brief
Showcasing
artwork
Over 60 staff, service users, family and
friends attended an exhibition of service
user artwork and a concert of Irish music,
from a band made up of people who have
direct experience of mental health issues, at
Roseberry Park, Middlesbrough in May.
Coordinated by occupational therapy teams
from Roseberry Park and West Park
Hospital, Darlington, the event was in
support of a campaign by ‘Reflections’ arts
magazine to raise funds for art in mental
health and other mental health causes.
Spotlight on safety
The trust’s work on reducing harm from falls is
highlighted as a case study in a National
Patient Safety Agency guide. Staff provided
invaluable input into ‘The How to Guide for
Reducing Harm from Falls in Mental Health
Inpatient Settings’. A special acknowledgement
to the trust also features in the publication.
John Barnard from
The Ridings, Redcar,
receives the award
Green fingered
fundraising
Staff and residents from Shildon continuing
extended care unit (CECU) and Earlston House
in Darlington donned their walking boots in
May for a five mile sponsored walk through
Hamsterley Forest in Bishop Auckland. Over
£500 was raised to help buy equipment, seeds
and compost for a residents’ fruit and
vegetable plot at Shildon CECU.
Learning
opportunities
Rose Brown,
payroll
officer gets
a massage
The trust’s
workforce
development
team held two
open days to
celebrate adult
learners'
week, in
partnership
with Bridges 2
Learn. Staff
talked to local
college representatives about learning
and development opportunities and took
part in workshops on topics including
creating a better work life balance,
mediation and acupressure massage.
Gold star for
children’s
information
Redcar and Hartlepool child and
adolescent mental health services
teams have been awarded ‘You’re
Welcome’ accreditation - a quality
mark designed to help health
services become young people
friendly. You’re Welcome aims to
improve the acceptability,
accessibility and quality of
services for young people, who
are also involved in inspecting
services. The Redcar and
Hartlepool teams have been
working regularly with local
young people to gain a better
understanding of what they
need and want from our
information and services.
Karen Buttle
from Stockton
older peoples’
service
demonstrates
the hoop
Bringing the
past to life
33 service users, carers and staff from
Stockton’s integrated mental health service
for older people visited Beamish open air
museum in May. The team is working
closely with Beamish in County Durham to
provide opportunities for service users with
dementia to reflect on and exchange
memories from the past with others in an
informative and enjoyable way. This
stimulates communication and promotes
confidence. Beamish Museum outreach
workers have delivered reminiscence
sessions to staff, service users and carers,
and will also be involved with the service’s
Dementia Awareness Week activities in
Stockton in July.
Excellent
electroconvulsive
therapy
The Ryedale electroconvulsive therapy (ECT) suite at
Roseberry Park, Middlesbrough, has been
accredited as ‘excellent’ by the Royal College of
Psychiatrists’ ECT Accreditation Service (ECTAS).
ECTAS recognises good practice and high quality
care. The 'excellent' accreditation means we have
met all required standards and also excelled in
some areas.
What’s
going on
If you or your service have
anything you would like to
publicise in insight, or the local
media, the communications team
would like to know about it.
You can either send your
information to the communications
team at West Park Hospital, give us
a call on 01325 552023 or email
jeanette.duffy@tewv.nhs.uk