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THE smiles say it all - Mersey Care NHS Trust

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ALSO IN THIS ISSUE:<br />

New era for Windsor Clinic:<br />

PAGE 5<br />

Tackling stigma, raising awareness:<br />

PAGE 7<br />

Award double for <strong>Mersey</strong> <strong>Care</strong>:<br />

PAGE 21<br />

TV star’s praise for recovering addicts:<br />

PAGE 23<br />

P R O D U C E D B Y M E R S E Y C A R E N H S T R U S T . . .<br />

VOLUME 6 . ISSUE 4 . October/November 2010<br />

. . . F O R T H E W H O L E M E N T A L H E A L T H C O M M U N I T Y<br />

<strong>THE</strong> <strong>smiles</strong> <strong>say</strong> <strong>it</strong> <strong>all</strong>: Phil Redmond presents<br />

the Winner of Winners award to the Standing<br />

Up For My Human Rights Group at the Pos<strong>it</strong>ive<br />

Achievement Awards ceremony at the Anglican<br />

Cathedral, Liverpool, on 30 September. The<br />

group had earlier received the team award in<br />

the Give section of the compet<strong>it</strong>ion based on<br />

the five ways to wellbeing, part of 2010 Year<br />

of Health & Wellbeing.<br />

ALL <strong>THE</strong> WINNERS – 12-PAGE CENTRE SUPPLEMENT


2<br />

AGM ANd PosiTiVE ACHiEVEMENT AWArds 2010<br />

Evening of celebration<br />

and focus for the<br />

next five years…<br />

Anglican Cathedral setting for<br />

the AGM and Pos<strong>it</strong>ive<br />

Achievement Awards.<br />

AN AWARDS ceremony laced<br />

w<strong>it</strong>h music, dancing and a<br />

finale solo act that had the<br />

audience on their feet and<br />

even dancing in the aisles,<br />

added to special occasion that<br />

has now become the Pos<strong>it</strong>ive<br />

Achievement Awards.<br />

The audience was given a<br />

warm welcome to the<br />

Cathedral by Canon Anthony<br />

Hawley before introductions<br />

got under way from<br />

chairman of <strong>Mersey</strong> <strong>Care</strong><br />

beatrice Fraenkel.<br />

bbC Radio <strong>Mersey</strong>side<br />

broadcaster Roger Phillips<br />

was on hand to co-present<br />

the awards ceremony w<strong>it</strong>h<br />

Christine Hughes, the <strong>Trust</strong>’s<br />

director of corporate affairs<br />

and communications. Dramamaker<br />

and Liverpool cultural<br />

legend Phil Redmond<br />

presented the awards.<br />

Special thanks went to M<strong>it</strong>ie<br />

for <strong>it</strong>s donation to help make<br />

the event as special as <strong>it</strong> was.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

LIVERPOOL’S majestic Anglican Cathedral was the setting<br />

for <strong>Mersey</strong> <strong>Care</strong>’s biggest annual general meeting to date,<br />

followed by a pulse-raising Pos<strong>it</strong>ive Achievement Awards<br />

2010 evening that brought cheers and audience<br />

participation on an unprecedented scale.<br />

In recogn<strong>it</strong>ion of <strong>all</strong> those who attended or were<br />

nominated for a Pos<strong>it</strong>ive Achievement Award we have<br />

produced a special supplement inside this special awards<br />

ed<strong>it</strong>ion of <strong>Mersey</strong> <strong>Care</strong>s. All of the winners and highly<br />

commended are featured. And everyone who received a<br />

nomination – 100 teams and individuals in total – is listed<br />

on the back page.<br />

Human rights group take the main honours<br />

Chairman Beatrice Fraenkel:<br />

Welcome for guests at the AGM<br />

in the magnificent setting of the<br />

Anglican Cathedral.<br />

Each of 10 team and individual<br />

winners was given their<br />

trophies, awarded by an<br />

independent panel of judges.<br />

The audience voted for the<br />

Winner of Winners which went<br />

to the Standing Up for My<br />

Human Rights Group, whose<br />

work included a booklet on<br />

rights for people w<strong>it</strong>h learning<br />

difficulties produced by service<br />

users, carers and staff at<br />

<strong>Mersey</strong> <strong>Care</strong>.<br />

Patient satisfaction<br />

number one prior<strong>it</strong>y<br />

<strong>say</strong>s annual meeting<br />

WITH a track record of<br />

meeting <strong>it</strong>s financial and<br />

statutory obligations <strong>Mersey</strong><br />

<strong>Care</strong> is in a good pos<strong>it</strong>ion to<br />

face the next five years<br />

desp<strong>it</strong>e an uncertain world of<br />

<strong>NHS</strong> savings and difficult<br />

decisions ahead, the annual<br />

meeting heard.<br />

Executive director of finance<br />

and performance Neil Sm<strong>it</strong>h<br />

said the <strong>Trust</strong>’s wide range of<br />

services had done well. Local<br />

services had 45,000<br />

outpatient attendance and<br />

commun<strong>it</strong>y contacts over the<br />

past year, 18,000 day hosp<strong>it</strong>al<br />

vis<strong>it</strong>s, and there was an<br />

average of 290 in-patient<br />

admissions a month. In high<br />

secure services 247 patients<br />

had received care.


Chief executive Alan Yates:<br />

looking forward to the next<br />

five years.<br />

Commun<strong>it</strong>y services including<br />

Early Intervention, Crisis<br />

Resolution and Home<br />

Treatment, and Assertive<br />

Outreach, had <strong>all</strong> “consistently<br />

performed above the targets<br />

set by the Department of<br />

Health,” w<strong>it</strong>h good news over<br />

a reduction of delayed<br />

discharges, down from 55 in<br />

2008 to 2009, to an average of<br />

17 for 2010 to 2011.<br />

On the finance front the <strong>Trust</strong><br />

had successfully implemented<br />

cost improvements year on<br />

year thanks to the efforts of<br />

staff across the <strong>Trust</strong>, he said,<br />

w<strong>it</strong>h a target of £7 million<br />

worth of savings needed for<br />

2010 to 2011.<br />

The <strong>Trust</strong> has managed <strong>it</strong>s<br />

cash reserves well, enabling<br />

funds to be ploughed back<br />

into major cap<strong>it</strong>al projects. In<br />

2009 to 2010 over £6 million<br />

was spent on such projects,<br />

including ward<br />

refurbishments for single sex<br />

accommodation, improving IT<br />

infrastructure, a new therapy<br />

su<strong>it</strong>e at Ashworth Hosp<strong>it</strong>al,<br />

secur<strong>it</strong>y and building<br />

improvements at Scott Clinic,<br />

and others.<br />

Executive director for nursing<br />

and care Karen Wilson said the<br />

<strong>Trust</strong>’s <strong>Care</strong> Manifesto was<br />

helping embed <strong>it</strong>s comm<strong>it</strong>ment<br />

to improving the qual<strong>it</strong>y of inpatient<br />

and service user and<br />

carer experience. Patient safety<br />

was paramount and <strong>Mersey</strong><br />

<strong>Care</strong> had exceeded the<br />

national target for seven-day<br />

follow-ups under <strong>it</strong>s care<br />

planning procedures.<br />

Inspections by the Patient<br />

Environment Action Team<br />

received a rating of “good”<br />

and the <strong>Trust</strong> had an<br />

unblemished record of<br />

hosp<strong>it</strong>al-borne infections for<br />

MRSA and Clostridium Difficile.<br />

She said patient experience<br />

had improved, w<strong>it</strong>h<br />

“excellent” ratings for qual<strong>it</strong>y<br />

of food, privacy and dign<strong>it</strong>y,<br />

and 98 per cent of those<br />

surveyed stated they were<br />

listened to carefully.<br />

Chief executive Alan Yates<br />

asked key questions in his<br />

opening remarks: “What do<br />

the next five years look like?<br />

A one-way roller-coaster? Is <strong>it</strong><br />

<strong>all</strong> down hill from here? Is <strong>it</strong> a<br />

case of the bankers have<br />

spent our money and now our<br />

public services have to pay?”<br />

He added: “The statistics<br />

show we have to save a<br />

significant amount of money<br />

in the coming years and we,<br />

like <strong>all</strong> public sector<br />

organisations, have to play<br />

our part in that.<br />

“But we believe our strategy<br />

will help us to improve<br />

qual<strong>it</strong>y and increase value.<br />

We can do this through a<br />

number of ways including<br />

enhancing partnerships; we<br />

have seen the success of joint<br />

ventures w<strong>it</strong>h the Everton<br />

Foundation and The Reader<br />

Organisation.<br />

Executive director of finance<br />

Neil sm<strong>it</strong>h: <strong>Trust</strong> in a good<br />

pos<strong>it</strong>ion to face the next five<br />

years desp<strong>it</strong>e an uncertain<br />

world of NHs savings.<br />

Executive director of nursing<br />

Karen Wilson: comm<strong>it</strong>ment to<br />

improving the qual<strong>it</strong>y of care.<br />

“We also need to consolidate,<br />

develop and expand key<br />

services, and improve<br />

commun<strong>it</strong>y mental health<br />

services, enabling them to be<br />

more orientated to progress<br />

and recovery of the<br />

individual, through more<br />

commun<strong>it</strong>y provision and<br />

support, enabling fewer<br />

in-patient beds.<br />

“We see these prior<strong>it</strong>ies as<br />

including the TIME (To Improve<br />

Mental health Environments)<br />

Project, an expanded forensic<br />

service, and in high secure the<br />

development of a national<br />

neuro-cogn<strong>it</strong>ive service and a<br />

service for under-18s by 2012.”<br />

Alan responded to a<br />

question-and-answer session<br />

and then asked the audience<br />

to vote on <strong>it</strong>s prior<strong>it</strong>ies using<br />

an electronic voting system.<br />

Eighty per cent of the<br />

audience of 400 agreed<br />

patient satisfaction was the<br />

outstanding prior<strong>it</strong>y, and as a<br />

second vote <strong>it</strong> was the TIME<br />

Project (48 per cent).<br />

Alan also asked some tough<br />

questions about reducing costs<br />

over pay and staffing, as<br />

salaries and wages account for<br />

84 per cent of our costs. Nearly<br />

a third of people thought a<br />

combination of reducing staff<br />

numbers and pay could reduce<br />

costs, but more than a third<br />

did not know.<br />

■<br />

See full list of winners inside<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10


sErViCE UsErs ANd CArErs<br />

Good practice briefing for DoH team<br />

bRUCE Calderwood, director<br />

for mental health policy at<br />

the Department of Health<br />

and his deputy Stephen<br />

Waring, spent a morning w<strong>it</strong>h<br />

<strong>Mersey</strong> <strong>Care</strong> service users and<br />

carers as part of a two-day<br />

fact finding tour of the North<br />

West looking at good practice<br />

in mental health care.<br />

Director, service users and<br />

carers Lindsey Dyer said:<br />

“Bruce and Stephen are new<br />

to their posts and we<br />

welcomed the opportun<strong>it</strong>y to<br />

describe the <strong>Trust</strong>’s<br />

partnership w<strong>it</strong>h service users<br />

and carers which is<br />

recognised as one of the best<br />

things going on in mental<br />

health in the region.<br />

“We covered our unique<br />

human rights based approach<br />

to involvement. Service users<br />

and carers talked about the<br />

wide range of decision<br />

making that they get<br />

involved in, emphasising the<br />

pos<strong>it</strong>ive difference <strong>it</strong> makes<br />

in terms of their mental<br />

health and wellbeing and<br />

also to the <strong>Trust</strong>. This<br />

includes changing att<strong>it</strong>udes<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

and practices, contributing to<br />

better environments and<br />

services and changing the<br />

culture of the organisation.<br />

“Bruce and Stephen went<br />

away impressed that so many<br />

service users and carers are<br />

involved across the whole<br />

organisation and that <strong>it</strong> is not<br />

tokenistic. We showed them<br />

that involving service users<br />

and carers re<strong>all</strong>y works.”<br />

The vis<strong>it</strong> was arranged by the<br />

North West Mental Health<br />

<strong>Mersey</strong> <strong>Care</strong>’s role in getting<br />

people back to work<br />

High-tech audience participation for one of the groups in The Automatic<br />

at Liverpool innovation Park w<strong>it</strong>h supported employment specialist Colin<br />

Goodwin (centre) and the John Moores Univers<strong>it</strong>y team of Nick<br />

Medforth and Gareth Price.<br />

Improvement Programme<br />

Team and as well as meeting<br />

w<strong>it</strong>h service users and carers<br />

from <strong>Mersey</strong> <strong>Care</strong>, they<br />

vis<strong>it</strong>ed a mother and baby<br />

un<strong>it</strong> in Manchester, Anxiety<br />

UK in Manchester, the John<br />

Denmark Un<strong>it</strong> in Prestwich<br />

which is one of only three inpatient<br />

un<strong>it</strong>s in the country<br />

for people w<strong>it</strong>h mental<br />

health problems who are<br />

deaf, and the Commun<strong>it</strong>y<br />

Recovery Service in birkenhead.<br />

Bruce Calderwood (centre) w<strong>it</strong>h (from left) Lindsey dyer, stephen<br />

Waring, service users and carers representative Cath Mills who described<br />

the work of the sUrE (service User research and Evaluation) group and<br />

<strong>Trust</strong> medical director dr david Fearnley along w<strong>it</strong>h other service user<br />

and carer representatives.<br />

NETWorK EMPLoYMENT<br />

MORE than 60 members of<br />

staff attended a series of four<br />

employment days organised<br />

by Network Employment and<br />

Liverpool John Moores<br />

Univers<strong>it</strong>y to develop a vision<br />

for how <strong>Mersey</strong> <strong>Care</strong> service<br />

users can overcome the<br />

ch<strong>all</strong>enges in gaining and<br />

retaining employment.<br />

In a recorded message for the<br />

delegates, chief executive Alan<br />

Yates said: “To have a mental<br />

health problem <strong>all</strong> too often<br />

means that your chances of<br />

holding down regular


New era for Windsor Clinic<br />

AN independent review of<br />

the alcohol addiction services<br />

offered through the Windsor<br />

Clinic at Aintree has<br />

prompted a major re-think<br />

and action plan designed to<br />

sustain future services in<br />

Liverpool, Sefton, Halton and<br />

St Helens and Knowsley PCTs.<br />

A year-long review of existing<br />

services – excluding Alcohol<br />

Services Knowsley – was<br />

undertaken by a team led by<br />

Professor Colin Drummond,<br />

specialist clinical addiction<br />

network lead and a professor<br />

in addiction psychiatry at<br />

King’s College London.<br />

The team recognised the<br />

Windsor Clinic’s national<br />

reputation for service<br />

innovation, training and<br />

research, but noted these were<br />

increasingly under pressure<br />

from a mounting workload of<br />

referrals to the service which<br />

would render <strong>it</strong> unsustainable<br />

if no action was taken. The<br />

service offers in-patient<br />

detox, commun<strong>it</strong>y-services<br />

and home treatment teams.<br />

At a meeting to discuss the<br />

review’s next steps, service<br />

director bob Dale put <strong>it</strong> into<br />

perspective. He said: “When<br />

employment is severely<br />

diminished and the increased<br />

likelihood of spending a<br />

lifetime on benef<strong>it</strong>s.<br />

“Almost half of people on<br />

long-tern state benef<strong>it</strong>s have<br />

experienced a mental health<br />

issue and we know from<br />

research that their chances<br />

of getting work once they<br />

are well enough to do so are<br />

less likely.<br />

“As a leading provider of<br />

mental health services we are<br />

here to help people get<br />

better. But if we know that<br />

work is a key factor in<br />

keeping people well, what<br />

part can we play in helping<br />

the Winsor Clinic was<br />

commissioned in 1977 <strong>it</strong> saw<br />

approximately 60 patients for<br />

<strong>it</strong>s in-patient treatment in<br />

that first year. If we look at<br />

today we have 1,926 referrals<br />

over a six month period, w<strong>it</strong>h<br />

70 per cent of these coming<br />

directly from GPs. Of those<br />

we are seeing around 321 a<br />

month and natur<strong>all</strong>y we are<br />

under pressure.”<br />

One of the recommendations<br />

from the independent review<br />

was to streamline the service<br />

so only the most dependent<br />

alcoholics were seen by the<br />

appropriate services offered by<br />

the Windsor Clinic. There was<br />

AddiCTioN sErViCEs<br />

Members of the review project group at the Windsor Clinic (from left):<br />

assistant director of service development and delivery Claire ravenscroft,<br />

service user representative david Hartwell, dr Faizal Mohammed, service<br />

user Angela Howard and Bob dale.<br />

someone achieve this during<br />

their journey of recovery?<br />

“Service users repeatedly<br />

express a preference for<br />

work and <strong>Mersey</strong> <strong>Care</strong> has a<br />

responsibil<strong>it</strong>y to ensure that<br />

part of the pathway to<br />

recovery ensures that service<br />

users who wish to work get<br />

that opportun<strong>it</strong>y.”<br />

Employment partnership<br />

development manager<br />

Malcolm Kennedy said: “The<br />

sessions came up w<strong>it</strong>h a<br />

number of recommendations<br />

which will be shared w<strong>it</strong>h the<br />

senior management team<br />

and the Board of the <strong>Trust</strong>.”<br />

a need for better sign-posting<br />

to other available commun<strong>it</strong>y<br />

services provided by other<br />

agencies for those service<br />

users w<strong>it</strong>h less severe needs.<br />

A review project group which<br />

includes managers, clinicians<br />

and service users, has been<br />

meeting to discuss the<br />

options for dealing w<strong>it</strong>h the<br />

issues raised by the<br />

independent review.<br />

One step already taken has<br />

been to ensure GPs better<br />

understand the range of<br />

alcohol services available to<br />

them and that the Windsor<br />

Clinic is only appropriate for<br />

referral of the most dependent<br />

drinkers. Another option is to<br />

set up a social enterprise<br />

which could provide ongoing<br />

support for people who have<br />

had treatment but feel they<br />

may need the support of a<br />

“self-help” group to remain<br />

alcohol free.<br />

Clinical director Dr Faizal<br />

Mohammed said: “We see<br />

this as an opportun<strong>it</strong>y for us<br />

to ensure a safe and effective<br />

service so we can target the<br />

right group of people who<br />

need this specialist support<br />

and service. We would like to<br />

thank the staff and service<br />

users for their help and cooperation<br />

over the period of<br />

the review.”<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10


KirKBY CoMMUNiTY MENTAL HEALTH TEAM<br />

New base for a<br />

‘seamless service’<br />

Paul Lafferty (left) w<strong>it</strong>h rosemary Hawley, <strong>Trust</strong><br />

chairman Beatrice Fraenkel and service director<br />

Karen Lawrenson at the opening of Northwood<br />

House, the new base for Kirkby CMHT.<br />

NORTHWOOD House, the<br />

new base for the commun<strong>it</strong>y<br />

mental health team in Kirkby,<br />

was form<strong>all</strong>y opened by <strong>NHS</strong><br />

Knowsley chair Rosemary<br />

Hawley in July, marking the<br />

latest stage in developments<br />

to provide a seamless service<br />

between healthcare and<br />

social care in the area.<br />

Kirkby CMHT is one of five<br />

commun<strong>it</strong>y mental health<br />

teams in the Sefton, Kirkby<br />

and North Liverpool area and<br />

aims to promote recovery,<br />

prevent relapse and encourage<br />

social inclusion for people<br />

w<strong>it</strong>h mental health problems.<br />

E-LUNsErs<br />

AN electronic version of a<br />

system to mon<strong>it</strong>or and assess<br />

the side-effects of medication<br />

is to be introduced in <strong>Mersey</strong><br />

<strong>Care</strong> which has more than<br />

20,000 contacts w<strong>it</strong>h service<br />

users every year.<br />

The side effects rating tool<br />

LUNSERS (Liverpool Univers<strong>it</strong>y<br />

Neuroleptic Side Effect Rating<br />

Scale) will support staff in their<br />

care planning and interventions<br />

w<strong>it</strong>h service users.<br />

Executive director of nursing<br />

and care Karen Wilson said:<br />

“LUNSERS is a well validated<br />

and widely used self-rating<br />

assessment for measuring the<br />

side-effects of anti psychotic<br />

medications. The National<br />

Inst<strong>it</strong>ute for Clinical<br />

Excellence guidelines for<br />

schizophrenia suggest that<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

Team manager Paul Lafferty<br />

said: “The Kirkby team,<br />

previously based in Delfby<br />

Crescent, provides a multidisciplinary<br />

service including<br />

doctors, nurses, social<br />

workers, occupational<br />

therapists, psychologists and<br />

support workers w<strong>it</strong>h skills to<br />

cover the needs of <strong>all</strong> clients.<br />

Our philosophy is to be<br />

approachable, courteous,<br />

understanding, and able to<br />

develop pos<strong>it</strong>ive relationships<br />

w<strong>it</strong>h service users and others,<br />

founded on the basis of hope<br />

and optimism.”<br />

routine mon<strong>it</strong>oring of<br />

medication side-effects is an<br />

element of good practice<br />

when caring for people<br />

diagnosed as experiencing<br />

schizophrenia.<br />

“There is much evidence<br />

linking poor treatment<br />

outcomes, relapse and self<br />

injurious behaviour in<br />

psychosis to poor medication<br />

concordance/compliance. A<br />

key factor in improving<br />

concordance is effectively<br />

mon<strong>it</strong>oring and managing<br />

side-effects.”<br />

E-LUNSERS is a computerised<br />

version of the scale that<br />

provides accurate automatic<br />

self scoring across the seven<br />

subscales and provides rich<br />

information in the form of<br />

trend graphs that <strong>all</strong>ow<br />

Service users are seen in the<br />

outpatient clinic and care<br />

programme approach reviews<br />

are in their own homes.<br />

Assessment and support is<br />

provided by the team to<br />

people w<strong>it</strong>h mental health<br />

problems who may need<br />

support in understanding<br />

their symptoms, managing<br />

their medication, and dealing<br />

w<strong>it</strong>h a range of activ<strong>it</strong>ies such<br />

as education and social<br />

activ<strong>it</strong>y, which will help<br />

promote recovery.<br />

Measuring medication side-effects on screen<br />

careful mon<strong>it</strong>oring of the<br />

frequency and sever<strong>it</strong>y of side<br />

effects across time.<br />

Karen added: “LUNSERS is<br />

validated for use for both<br />

typical and atypical<br />

antipsychotics in particular<br />

(Clozapine and Risperidone).<br />

Although <strong>it</strong> has not been<br />

specific<strong>all</strong>y validated w<strong>it</strong>h<br />

other atypical antipsychotics,<br />

<strong>it</strong> covers their adverse effects.<br />

However, results of physical<br />

tests, such as diabetes<br />

screening and electrocardiographic<br />

changes, are<br />

not covered and should be<br />

dealt w<strong>it</strong>h separately.<br />

“Many thanks to Neil McBride<br />

in high secure services and<br />

the IT technical support team<br />

for their work undertaken<br />

w<strong>it</strong>h this implementation.”


MEMBErsHiP<br />

Left: The LBV Television camera crew focused on projects such as the imagine Your Goals commun<strong>it</strong>y footb<strong>all</strong><br />

programme run by the Everton Foundation and <strong>Mersey</strong> <strong>Care</strong> – here service user sean Bradley and Everton’s rob<br />

Thomas talk about the programme. right: A wide range of services from <strong>all</strong> of <strong>Mersey</strong> <strong>Care</strong>’s clinical business<br />

un<strong>it</strong>s are included in the promotional film – here <strong>it</strong>’s the turn of Mossley Hill Hosp<strong>it</strong>al, Liverpool.<br />

Tackling stigma, raising awareness<br />

MERSEY <strong>Care</strong> was out and<br />

about during World Mental<br />

Health Week in October as<br />

one of a number of public<br />

sector organisations taking<br />

part in major roadshows in<br />

Liverpool and Sefton.<br />

A commun<strong>it</strong>y roadshow was<br />

held at The Strand in bootle,<br />

(October 4 to10) featuring<br />

short films made by specialist<br />

film-maker LbV Television<br />

about organisations providing<br />

key local services on a bank of<br />

big screens seen by thousands<br />

of shoppers and passers-by.<br />

<strong>Mersey</strong> <strong>Care</strong>’s promotional<br />

film was used as part of a<br />

membership recru<strong>it</strong>ment<br />

campaign as the organisation<br />

works towards becoming<br />

equivalent to a Foundation <strong>Trust</strong>.<br />

The government has made <strong>it</strong><br />

clear <strong>it</strong> wants <strong>all</strong> <strong>NHS</strong> trusts to<br />

become Foundation <strong>Trust</strong>s.<br />

Corporate affairs manager<br />

Julie Crompton said: “The<br />

film not only supported our<br />

membership recru<strong>it</strong>ment but<br />

will help the wider public<br />

better understand the role of<br />

<strong>Mersey</strong> <strong>Care</strong>’s specialist<br />

services. A key message in <strong>it</strong><br />

from people who use our<br />

services was about tackling<br />

the stigma associated w<strong>it</strong>h<br />

mental health issues.”<br />

The next roadshow will be<br />

held in St John’s Precinct in<br />

the C<strong>it</strong>y Centre during the<br />

week beginning 15 November.<br />

MERSEY <strong>Care</strong> continued <strong>it</strong>s<br />

drive for more members as<br />

<strong>it</strong> works towards Foundation<br />

<strong>Trust</strong> equivalence w<strong>it</strong>h a stand<br />

at the Liverpool Pride event<br />

at the beginning of August.<br />

The recru<strong>it</strong>ing team of<br />

Debbie Clarke (below right)<br />

and Lynd<strong>say</strong> Ore are joined<br />

by equal<strong>it</strong>y and divers<strong>it</strong>y lead<br />

Meryl Cuzak and Psychiatric<br />

Intensive <strong>Care</strong> Un<strong>it</strong> clinical<br />

lead Nick Wade who were<br />

representing the <strong>Trust</strong> on<br />

the nearby Liverpool LGbT<br />

(lesbian, gay, bisexual and<br />

trans-gender) stand.<br />

Corporate affairs manager<br />

Julie Crompton, who took<br />

the pictures, said: “We’re<br />

progressing towards our<br />

target for public service<br />

user and carer members<br />

■<br />

and welcome <strong>all</strong> as we<br />

spread our message across<br />

the region.”<br />

The <strong>Trust</strong> is currently<br />

awa<strong>it</strong>ing Strategic Health<br />

Author<strong>it</strong>y approval of <strong>it</strong>s<br />

application for Foundation<br />

<strong>Trust</strong> equivalence.<br />

Preparations have included<br />

finalising the membership<br />

strategy, const<strong>it</strong>ution<br />

document and election rules<br />

and the <strong>Trust</strong>’s five-year<br />

integrated business plan.<br />

FTe deputy project manager<br />

Wendy Copeland-blair said:<br />

“We are preparing for the<br />

final stages of the<br />

application process which<br />

will include further external<br />

assessment. The application<br />

process is expected to take<br />

a further six months.”<br />

To join in and become a member, go to www.merseycare.<br />

nhs.co.uk/membership or c<strong>all</strong> 01 1 1 2 for details.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10


BrAiN iNJUrY rEHABiLiTATioN CENTrE<br />

Timely texts on the road to recovery<br />

MERSEY <strong>Care</strong> is pioneering a<br />

low cost reminder service to<br />

help people recovering from a<br />

brain injury overcome what<br />

can be a daunting experience<br />

when even the simplest of<br />

tasks like taking medication or<br />

even eating can be forgotten.<br />

A head injury was particularly<br />

traumatic for service user Ivan<br />

Jenkins who was used to<br />

running his pub, restaurant<br />

and hotel businesses w<strong>it</strong>h the<br />

help of up to 150 staff. but<br />

now, after three months as<br />

an in-patient at Mossley Hill<br />

Hosp<strong>it</strong>al, he hopes to be back<br />

in action soon, picking up his<br />

role as the boss who was<br />

never afraid of p<strong>it</strong>ching into<br />

any job that needed doing.<br />

Ivan’s new-found confidence<br />

has been boosted by the<br />

reminder service introduced<br />

by clinical lead and acting<br />

consultant psychologist Dr<br />

Paul Skirrow w<strong>it</strong>h assistant<br />

psychologist Graham<br />

Simpson-Adkins who wrote<br />

an easy to use instruction<br />

manual for service users.<br />

Paul said: “After a brain<br />

injury, many people have a<br />

great deal of trouble w<strong>it</strong>h<br />

memory, planning and<br />

organisation. As a result,<br />

they often forget to do the<br />

most basic things such as<br />

remembering to take<br />

medication, to eat or to get<br />

washed which means that<br />

they are massively disabled<br />

and require a lot of help from<br />

others such as family or<br />

support workers.<br />

“Some services do exist that<br />

provide reminders for people<br />

w<strong>it</strong>h brain injuries but these<br />

are often prohib<strong>it</strong>ively<br />

expensive, particularly for<br />

anyone on benef<strong>it</strong>s, and<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

ivan Jenkins updates his Google Calendar diary w<strong>it</strong>h Paul skirrow (left) and<br />

Graham simpson-Adkins. Below: Text message reminder on ivan’s mobile.<br />

could cost around £60 a<br />

month. But now the free<br />

on-line technology we’ve<br />

identified can help people<br />

remember their appointments,<br />

medication times and pretty<br />

much any reminder they<br />

need. We believe this is the<br />

first time the system has<br />

been used in this way.”<br />

The system is based on<br />

Google Calendar, already in<br />

regular use on office-based<br />

computers, but also available<br />

through text messages on a<br />

user’s mobile phone. The<br />

simple system means entering<br />

a customised programme of<br />

reminders on a computer online<br />

diary which are then<br />

received by the service user in<br />

the form of a text message<br />

on a mobile phone. This diary<br />

can be updated at any time.<br />

At the end of the pilot phase,<br />

Ivan Jenkins said: “It’s a<br />

fantastic system and helps put<br />

people back in control and<br />

not have to be so reliant on<br />

carers. During the trials I was<br />

sometimes even reminding<br />

staff that my medication time<br />

was imminent!<br />

“My own schedule includes<br />

reminders about washing,<br />

shaving, changing bed linen<br />

and even tidying my room as<br />

well as the more crucial<br />

things like hosp<strong>it</strong>al<br />

appointments and medication<br />

times. If you’ve never<br />

suffered a brain injury <strong>it</strong>’s<br />

hard to imagine how easy <strong>it</strong><br />

is to forget such simple<br />

things so I hope this system<br />

will help more people get to<br />

grips w<strong>it</strong>h their problems.”


GroW ANd sHoW<br />

There’s more than<br />

just fru<strong>it</strong> and veg at this<br />

event<br />

MERSEY <strong>Care</strong>’s second Grow<br />

and Show event demonstrated<br />

that there is much more to <strong>it</strong><br />

than the trad<strong>it</strong>ional rows of<br />

carrots, cabbages and bunches<br />

of flowers.<br />

More than 70 entries from<br />

service users, carers, staff,<br />

families and partner<br />

organisations invaded the<br />

<strong>Trust</strong> headquarters in<br />

Liverpool in a wide range of<br />

classes including fru<strong>it</strong>,<br />

vegetables, photography,<br />

crafts and cakes.<br />

Organiser and director for<br />

service users and carers<br />

Lindsey Dyer said: “The<br />

compet<strong>it</strong>ion was friendly and<br />

fun and <strong>it</strong> was re<strong>all</strong>y nice to<br />

see such a wide range of<br />

people taking part, including<br />

some service users who were<br />

showing produce they had<br />

grown on their <strong>all</strong>otments.<br />

“The standard of some of the<br />

entries was re<strong>all</strong>y high and the<br />

cakes were mouth watering!<br />

Lots of people came along in<br />

the afternoon to look around<br />

the show and were treated<br />

to some lovely music from<br />

Georgina Aasgaard, one of<br />

the <strong>Trust</strong>’s musicians in<br />

Karen Birch<strong>all</strong> (left), Chris Clarke, Linda Kearns, Afroza Ahmed and Laura Bingham<br />

w<strong>it</strong>h Mossley Hill service users’ winning peacock. iNsErT: on display at Mossley<br />

Hill w<strong>it</strong>h <strong>it</strong>s creators Jeffrey Evans, Edward Gray and Thomas Barron.<br />

residence, who played her<br />

cello. This was the first time<br />

she had ever played to a<br />

display of fru<strong>it</strong> and vegetables!<br />

“It looks as if Grow and<br />

Show is going to become an<br />

annual event and I hope we<br />

will get lots of entries next<br />

year and that people will be<br />

encouraged by their success<br />

to enter other local shows.”<br />

ines Kaposa and Julie Leather.<br />

Alan Yates (left) w<strong>it</strong>h early intervention pract<strong>it</strong>ioner Matt Flowers, service<br />

users danny Fearon and dean shaw and sTr worker Linda Langley.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10


10<br />

PErsoNAL HEALTH BUdGETs<br />

Cash plan for service users<br />

SOME <strong>Mersey</strong> <strong>Care</strong> service<br />

users could soon be receiving<br />

money to <strong>all</strong>ow them to<br />

select their own choice of<br />

personal healthcare to help<br />

w<strong>it</strong>h their health and<br />

wellbeing needs.<br />

The Department of Health has<br />

named <strong>Mersey</strong>side as one of the<br />

first eight areas in the country<br />

to offer direct payments for<br />

healthcare to individuals as<br />

part of a new programme<br />

that will let them decide<br />

what care is best for them.<br />

The announcement means<br />

that up to 75 service users in<br />

Sefton, Liverpool and<br />

Knowsley could get direct<br />

payments for personal health<br />

budgets. This will <strong>all</strong>ow the<br />

three primary care trusts in<br />

the area – <strong>NHS</strong> Sefton,<br />

Liverpool PCT and <strong>NHS</strong><br />

Knowsley, together w<strong>it</strong>h<br />

<strong>Mersey</strong> <strong>Care</strong> – to give a set<br />

amount of money to some<br />

service users involved in the<br />

pilot directly to them, so they<br />

can decide how, where and<br />

from whom they receive their<br />

healthcare, in partnership<br />

w<strong>it</strong>h the local <strong>NHS</strong>. The aim is<br />

to improve their experience<br />

and the effectiveness of their<br />

care and to give them more<br />

control over their healthcare.<br />

Personal health budgets can<br />

be used for a range of things<br />

to meet health and wellbeing<br />

needs such as exercise<br />

equipment or gym<br />

membership. They could also<br />

fund ongoing support<br />

packages not provided by<br />

their local <strong>NHS</strong>.<br />

In<strong>it</strong>i<strong>all</strong>y, people using mental<br />

health services in Sefton,<br />

Liverpool and Knowsley will<br />

be identified to try out the<br />

new scheme, but this could<br />

be extended to more groups<br />

of patients if <strong>it</strong> is successful.<br />

Personal health budgets have<br />

already been used successfully<br />

in social care, and <strong>it</strong> is<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

expected that the new scheme<br />

will make a real difference.<br />

<strong>NHS</strong> Sefton is leading the<br />

pilot on behalf of the three<br />

<strong>Mersey</strong>side PCTs. Sefton’s<br />

deputy director of strategy<br />

and service development Tina<br />

Wilkins, said: “Personal health<br />

budgets are a way of<br />

<strong>all</strong>owing people more control<br />

over how money is spent on<br />

their healthcare and the pilot<br />

builds on pos<strong>it</strong>ive lessons<br />

learned from direct payments<br />

and personal budgets in<br />

social care.”<br />

The new pilot also builds on<br />

successful work carried out by<br />

<strong>Mersey</strong> <strong>Care</strong> which piloted<br />

personal health budgets to help<br />

people w<strong>it</strong>h their recovery.<br />

Jenny robb: good results w<strong>it</strong>h<br />

personal health budgets.<br />

Deputy director of social care<br />

Jenny Robb said: “We already<br />

have people accessing<br />

personal health budgets on<br />

<strong>Mersey</strong>side w<strong>it</strong>h good<br />

results. It’s great news that<br />

the pilot has been extended<br />

to <strong>all</strong>ow people to access<br />

direct payments, which will<br />

give them even greater<br />

control about what they<br />

need from their healthcare to<br />

meet their health objectives.”<br />

This new scheme will be<br />

closely mon<strong>it</strong>ored. It is hoped<br />

that the learning from the<br />

pilot can be used to benef<strong>it</strong><br />

people across <strong>Mersey</strong>side in<br />

the future. As those involved<br />

in the pilot are already<br />

accessing health services,<br />

there will be no add<strong>it</strong>ional<br />

cost to the local <strong>NHS</strong>.<br />

Knowsley<br />

Support Groups<br />

KNOWSLEY people living w<strong>it</strong>h<br />

the effects of heart disease or<br />

stroke and their carers are<br />

inv<strong>it</strong>ed to join commun<strong>it</strong>y-run<br />

support groups being<br />

established across the borough.<br />

Knowsley Chest, Heart and<br />

Stroke Support Groups (CHASS)<br />

hold regular meetings w<strong>it</strong>h a<br />

range of activ<strong>it</strong>ies, giving<br />

people who have experienced<br />

heart or chest problems or a<br />

stroke and their carers the<br />

chance to socialise w<strong>it</strong>h other<br />

people w<strong>it</strong>h similar experiences.<br />

The support groups have been<br />

developed following requests to<br />

Knowsley Health & Wellbeing<br />

from local people who have<br />

been affected by heart and<br />

chest problems and strokes.<br />

support group meetings:<br />

■<br />

■<br />

■<br />

■<br />

Prescot: Every Wednesday,<br />

2pm – 4pm, at Greenwood<br />

Close Commun<strong>it</strong>y H<strong>all</strong>,<br />

Greenwood Close, Prescot,<br />

L34 2SL. Information from<br />

Jimmy Jordan on 2 0 .<br />

Huyton: First and third<br />

Thursday of the month,<br />

7pm – 9pm at Connaughton<br />

Resource Centre, Tarbock<br />

Road, Huyton, L36 5XW.<br />

Information from Isobel<br />

Mcbain on 1 02.<br />

Halewood: Second and<br />

fourth Thursday of the<br />

month, 7.30pm – 9.30pm<br />

at St Mary’s Church <strong>Care</strong><br />

Centre, Hillingden Avenue,<br />

Halewood, Liverpool L26 9TZ.<br />

More information from<br />

Pauline Dooley on 121 .<br />

Kirkby: Every Friday, 2pm –<br />

4pm at the YWCA, 101-105a<br />

Cherryfield Drive, Kirkby, L32<br />

8SA. Information from<br />

Jimmy Jordan on 2 0 .


HEALTH ANd WELLBEiNG<br />

Watch out for<br />

the health and wellbeing team<br />

<strong>THE</strong> STAFF health and wellbeing team have been ‘on the road’<br />

around the <strong>Trust</strong> and are a planning more vis<strong>it</strong>s later this year.<br />

Health and wellbeing manager Tracey Paxton said: “All the<br />

days have been very well attended – thanks to <strong>all</strong> the<br />

managers for <strong>all</strong>owing the staff time to come along.”<br />

The events, including this one at Mossley Hill Hosp<strong>it</strong>al, were arranged<br />

to help staff improve their health and wellbeing by highlighting<br />

opportun<strong>it</strong>ies to create a healthier, more engaged workforce.<br />

dental advice for diane Parkhouse, sheila Noonan and sandra Triggs.<br />

LAKEsidE LAdiEs:<br />

A team of <strong>Mersey</strong> <strong>Care</strong><br />

‘Lakeside Ladies’ finished<br />

fourth in the first Sefton<br />

Active Workforce Team<br />

Ch<strong>all</strong>enge at the new<br />

Crosby Lakeside Adventure<br />

Centre, won by ‘Team<br />

Extreme’ from Sefton<br />

Council in 1 hour 50 minutes.<br />

More than 40 people took<br />

part in the team building<br />

day w<strong>it</strong>h activ<strong>it</strong>ies such as<br />

kayaking, bell boating, w<strong>all</strong><br />

climbing, raft building and<br />

problem solving.<br />

The event was organised by<br />

the Active Workforce team in<br />

partnership w<strong>it</strong>h the water<br />

sports development team.<br />

<strong>Trust</strong> health and wellbeing<br />

manager Tracey Paxton said:<br />

“It was great to see a<br />

variety of staff taking part<br />

in this 10-event compet<strong>it</strong>ion.<br />

These activ<strong>it</strong>ies are<br />

excellent for team building<br />

and any new skills can be<br />

transferred into the<br />

working environment.<br />

All teams were very<br />

compet<strong>it</strong>ive and <strong>it</strong> was a<br />

close run thing w<strong>it</strong>h ‘Cuban<br />

Raft Riders’ from Sefton<br />

CVS finishing in second<br />

place five minutes behind<br />

the winners. ‘The Misf<strong>it</strong>s’<br />

from Shop Direct finished<br />

just ahead of our team.”<br />

■<br />

The free registration form<br />

for the Active Workforce<br />

project is available from<br />

the Active Workforce<br />

team on 01 1 2 0 or<br />

email: active.workforce@<br />

leisure.sefton.gov.uk<br />

MEN’s HEALTH WEEK:<br />

Men on Gladstone ward<br />

at Stoddart House,<br />

Aintree, enjoyed a range<br />

of health and wellbeing<br />

sessions based on choices<br />

from the Patients’ Forum.<br />

Here practice nurse Mal<br />

Dougherty puts Stan<br />

Keiller to the test w<strong>it</strong>h a<br />

breath carbon monoxide<br />

mon<strong>it</strong>or during smoking<br />

cessation learning. Other<br />

activ<strong>it</strong>ies included healthy<br />

food, physical activ<strong>it</strong>y and<br />

information on medication.<br />

Ward manager Denise<br />

<strong>Care</strong>y, occupational<br />

therapist Lisa Wh<strong>it</strong>e and<br />

Mal were joined by<br />

Sefton’s Active Lifestyles<br />

development officer Jay<br />

Claydon to discuss the<br />

ch<strong>all</strong>enges of accessing<br />

commun<strong>it</strong>y exercise<br />

programmes. A music<br />

session was held and talks<br />

were given on commun<strong>it</strong>y<br />

history, alcohol awareness,<br />

diabetes awareness and<br />

drug awareness.<br />

HEALTHY EATiNG<br />

QUALiFiCATioNs:<br />

Royal Society for Public<br />

Health Level 2 certificates<br />

in healthier foods and<br />

special diets have been<br />

awarded to Shelley<br />

Williams, Ian Stephens,<br />

Chris Price, Louise Scriven,<br />

Rebecca Cunningham,<br />

Kelly Wilson, Robert<br />

Chiocchi and Jackie Potter.<br />

Head of catering Paul<br />

Macdonald said: “Feedback<br />

has shown that this form<br />

of training is of benef<strong>it</strong> to<br />

our health and welbeing<br />

aspirations for service<br />

users and staff alike.”<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

11


12<br />

‘A’ rating for Dave’s<br />

bee group<br />

TWO hives of bees at the<br />

Crown Street Resource Centre<br />

in Liverpool are providing<br />

staff and service users w<strong>it</strong>h a<br />

new angle on relaxation –<br />

and a tasty add<strong>it</strong>ion to their<br />

morning toast.<br />

The bee colonies are the idea<br />

of resource centre worker<br />

Dave Roberts, a member of<br />

the br<strong>it</strong>ish beekeeping<br />

Association w<strong>it</strong>h three hives<br />

of his own, supported by<br />

colleagues Maureen Jackson<br />

and Gwyn Farleigh and the<br />

backing of service manager<br />

Mike Marple.<br />

“Members of the group find<br />

looking after the bees very<br />

relaxing and rewarding and<br />

have commented on the<br />

calming affects of the work.<br />

Several members of the group<br />

now want to keep bees<br />

themselves when they’re<br />

ready,” said Dave who sent<br />

the group on a one-day course<br />

w<strong>it</strong>h Manchester and District<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

beekeeping Association which<br />

is a nation<strong>all</strong>y recognised<br />

centre of excellence on good<br />

apiary practice.<br />

The Crown Street hives, which<br />

are housed in a secure<br />

courtyard which can be<br />

viewed from <strong>all</strong> sides, started<br />

w<strong>it</strong>h frames of bees<br />

containing eggs, larvae,<br />

workers and a mated queen<br />

bee. These where placed in<br />

the hives and fed w<strong>it</strong>h a<br />

sugar and water solution.<br />

“One hive is currently<br />

w<strong>it</strong>hout a queen for some<br />

unknown reason,” said Dave,<br />

“so we need to get a<br />

replacement as soon as<br />

possible but as there is a<br />

honey flow on at the<br />

moment we could end up<br />

w<strong>it</strong>h 30 to 40 pounds of<br />

honey this year.“<br />

Dave takes his beekeeping<br />

seriously and is studying for<br />

his first br<strong>it</strong>ish beekeeping<br />

Association examination, <strong>all</strong><br />

CroWN sTrEET rEsoUrCE CENTrE<br />

All k<strong>it</strong>ted out and ready to go in the Crown street bee enclosure (from left): dave roberts, Maureen Jackson,<br />

service user Peter seeclear and Gwyn Farleigh. The beekeeping group also includes service users sarah McGrath,<br />

Aileen Benn, dennis o’shea, Alan Case, Ben Holden and Vicky Lee.<br />

part of his concern for the<br />

decline in the UK bee<br />

population.<br />

“Changes in farming practices<br />

such as large farms and mono<br />

crops mean there is less<br />

forage for honey bees<br />

throughout the year. This is<br />

why <strong>it</strong> is felt that urban bees<br />

will do better as there is<br />

more variety of forage and<br />

l<strong>it</strong>tle or no pesticides or<br />

insecticides in use.<br />

“Bees are reckoned to carry<br />

out £420 million worth of<br />

pollination work a year but<br />

they are handicapped by the<br />

varroa m<strong>it</strong>e which leaves<br />

colonies vulnerable to other<br />

diseases and viruses. It’s<br />

good to think we are doing<br />

our b<strong>it</strong> to help the bee<br />

population and everybody<br />

w<strong>it</strong>h a b<strong>it</strong> of garden could<br />

help by planting bee friendly<br />

plants or adopting a bee hive by<br />

going to the association webs<strong>it</strong>e,<br />

www.br<strong>it</strong>ishbee.org.uk.”


soCiAL CArE sEMiNAr<br />

Providing the right<br />

environment for<br />

treating young people<br />

YOUNG people w<strong>it</strong>h mental<br />

health needs can feel<br />

uncomfortable if treated in<br />

an adult ward, reacting w<strong>it</strong>h<br />

comments such as ‘full of old<br />

people’, ‘did not feel safe’,<br />

and ‘the ward was dark and<br />

dull, smelling of smoke’. but<br />

experience of a young people’s<br />

ward brought comments such<br />

as ‘nice location’, ‘better<br />

having people of my own<br />

age’, and ‘felt safe’.<br />

This snapshot of comments<br />

was based on a sm<strong>all</strong> research<br />

project by consultant<br />

psychiatrist Dr Rachel Duffy<br />

and presented at the seminar,<br />

attended by 75 staff, service<br />

users, carers and partner<br />

organisations.<br />

Dr Duffy, who works w<strong>it</strong>h the<br />

16 to18 team, said: “The<br />

differences between the<br />

two environments also<br />

highlighted how staff<br />

communicated w<strong>it</strong>h parents.<br />

On the adult ward this was<br />

done over the phone<br />

but in the young people’s<br />

ward the parents were<br />

inv<strong>it</strong>ed in as well as school<br />

being involved.<br />

“The young people<br />

acknowledged the differences<br />

between the two wards and<br />

how busy the staff were on<br />

the adult wards but would<br />

not want to repeat their<br />

experience.”<br />

Dr John Stevens, a consultant<br />

psychiatrist working w<strong>it</strong>hin<br />

the early intervention central/<br />

north team, dealt w<strong>it</strong>h the<br />

details of legislation covering<br />

the care and treatment of<br />

children and young people<br />

w<strong>it</strong>h mental health needs.<br />

This included changes in the<br />

Mental Health Act, the<br />

Human Rights Act 1998,<br />

Mental Capac<strong>it</strong>y Act 2004,<br />

Children’s Act 1989 and the<br />

Un<strong>it</strong>ed Nations Convention<br />

on the Rights of Children.<br />

He said that chapter 36 of the<br />

Mental Health Act Code of<br />

Practice provides good<br />

practice guidance on care and<br />

treatment, including<br />

admission to hosp<strong>it</strong>al and<br />

detention of young people<br />

under the age of 18.<br />

“The Mental Health Act<br />

Amendments implemented<br />

on 3 November 2008 provide<br />

improved protection in a<br />

number of areas for people<br />

under the age of 18. The time<br />

lim<strong>it</strong>s for automatic referrals<br />

to the Mental Health Review<br />

Tribunal were reduced and<br />

where a person under 18 is<br />

adm<strong>it</strong>ted to hosp<strong>it</strong>al (voluntarily<br />

or detained), hosp<strong>it</strong>al managers<br />

must take particular action,”<br />

said Dr Stevens.<br />

“If a person under 18 is being<br />

considered for electroconvulsive<br />

therapy (ECT),<br />

whether detained or not,<br />

special rules apply. The<br />

treatment of those under 16<br />

subject to commun<strong>it</strong>y<br />

treatment orders is also<br />

covered by special rules.”<br />

■<br />

People under 18 are<br />

provided w<strong>it</strong>h advocacy<br />

from The National Youth<br />

Advocacy Service (contact<br />

Jenny Ness email: jenny.<br />

ness@nyas.net).<br />

HEALTH LiBrAriEs<br />

GroUP CoNFErENCE<br />

International<br />

audience<br />

for librarians’<br />

research<br />

MERSEY <strong>Care</strong> library<br />

manager Cath McCafferty<br />

and outreach librarian Clare<br />

Payne were among the<br />

speakers at the biennial<br />

Health Libraries Group<br />

Conference held at The<br />

Lowry Centre in Manchester<br />

on the theme Keeping<br />

information centre stage<br />

amid changing scenery.<br />

Cath, who covered her<br />

research on the clinical<br />

relevance of information<br />

about patients’ use of the<br />

library in high secure<br />

services, said: “Although the<br />

conference theme was<br />

chosen early in 2010, <strong>it</strong> was<br />

given added significance<br />

w<strong>it</strong>h the recent publication<br />

of the Wh<strong>it</strong>e Paper and <strong>it</strong>s<br />

emphasis on evidence<br />

based outcomes.”<br />

Clare’s presentation<br />

described working in<br />

partnership w<strong>it</strong>h the <strong>Trust</strong>’s<br />

<strong>all</strong>ied health professionals.<br />

This included their<br />

collaborative effort to<br />

support staff working across<br />

60 s<strong>it</strong>es and developing a<br />

tool to measure the impact<br />

that information provided<br />

by the library makes on<br />

their work.<br />

The keynote address at the<br />

start of the conference was<br />

by Gillian Leng, deputy<br />

chief executive at NICE and<br />

chief operating officer for<br />

<strong>NHS</strong> Evidence, who<br />

described how evidence is<br />

improving access to credible<br />

healthcare information for<br />

<strong>all</strong> who work in the <strong>NHS</strong>.<br />

Other speakers from the UK<br />

and overseas covered topics<br />

such as e-learning, external<br />

collaboration and evidence<br />

based practice.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

1


1<br />

Head of spir<strong>it</strong>ual and pastoral care Michael Crilly and Chris Clarke w<strong>it</strong>h<br />

memories of six generations of her family woven into her design.<br />

sUdLEY HoUsE ‘LisTEN’ EXHiBiTioN<br />

Listen. The silence<br />

will astound you*<br />

WHEN Ralph Killey speaks,<br />

everyone tends to listen as his<br />

rasping tones deliver a<br />

staccato of fun through the<br />

artistry of his poetry read and<br />

performed at the Liverpool<br />

CbU’s Sudley House Project.<br />

Ralph’s success is <strong>all</strong> part of<br />

the philosophy of developing<br />

confidence, self esteem and<br />

communication skills among a<br />

diverse group of service users<br />

brought together to work<br />

w<strong>it</strong>h Steve Rooney and Sue<br />

Williams from the artist group<br />

TAG, in a unique gathering at<br />

Sudley House in Liverpool.<br />

The success of the ‘Around the<br />

Table’ exhib<strong>it</strong>ion last year when<br />

the group looked at how artists<br />

had used table settings and<br />

util<strong>it</strong>y objects as a means of<br />

expressing their experiences,<br />

led to the latest approach of<br />

‘The Garment’ as a means of<br />

expression and communication<br />

in the latest project.<br />

Ralph knew the lim<strong>it</strong>ations of<br />

his drawing abil<strong>it</strong>y but when<br />

reminded by Steve Rooney<br />

that he too was an artist, he<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

was inspired to transfer his<br />

words as part of his<br />

contribution to ‘The<br />

Garment’. He also has the<br />

bonus of new outlets for his<br />

work on bbC Radio<br />

<strong>Mersey</strong>side and in the<br />

Liverpool Echo.<br />

but the results of the Sudley<br />

Project are impressive for <strong>all</strong><br />

members of the group. The<br />

impact of Chris Clarke’s<br />

representation of six<br />

generations of her family in<br />

decoration of the garment is<br />

summed up in her dedication<br />

at the opening of the<br />

exhib<strong>it</strong>ion when she said:<br />

“The group has provided a<br />

service that cannot be found<br />

anywhere else in the <strong>Trust</strong>.<br />

“Each member of the group<br />

has come in overwhelmed,<br />

unsure and asking what can I<br />

create that tells a story about<br />

me. Each member has a deep<br />

story and the garment only<br />

tells part.<br />

“Not many understand the<br />

pain, the endurance and the<br />

path that has brought each<br />

Above top: Lynne Wilkinson and her tattoo<br />

design w<strong>it</strong>h artists steve rooney and sue<br />

Williams. Above: poet ralph Killey explains<br />

the thinking behind his work to <strong>Trust</strong><br />

chairman Beatrice Fraenkel.<br />

*The first line of a poem on the<br />

w<strong>all</strong> of the exhib<strong>it</strong>ion.<br />

one to this stage. Steve<br />

and Sue are to be<br />

congratulated for the work<br />

they have produced.”<br />

The exhib<strong>it</strong>ion, which was on<br />

display at the AGM and is<br />

planned for further showing<br />

around the <strong>Trust</strong>, was form<strong>all</strong>y<br />

opened by chairman beatrice<br />

Fraenkel who paid tribute to<br />

the willingness of the service<br />

users involved to open up<br />

their inner-sense of who they<br />

were and show <strong>it</strong> to other<br />

people: “It’s a difficult and<br />

generous thing to do and<br />

coming into the exhib<strong>it</strong>ion is<br />

like entering someone’s house<br />

– <strong>it</strong>’s a qu<strong>it</strong>e extraordinary<br />

feeling of relaxation,” said<br />

beatrice. “And Ralph’s poetry<br />

might be humorous but <strong>it</strong>’s<br />

serious underneath.”<br />

■<br />

A new project, involving<br />

new service users, started<br />

in September. Further<br />

details from Margaret<br />

brown, Project Manager,<br />

Liverpool CbU, on 01 1 2<br />

0 , or email: margaret.<br />

brown2@merseycare.nhs.uk


our painting session.<br />

Where’s my depression?<br />

By Ralph Killey<br />

There’s a palace that’s<br />

c<strong>all</strong>ed Sudley H<strong>all</strong>, a<br />

monument re<strong>all</strong>y supreme.<br />

It was built by the Holts,<br />

who had hundreds of<br />

boats.<br />

And this family created a<br />

dream.<br />

The artwork is re<strong>all</strong>y<br />

sublime. All of this beauty<br />

was theirs.<br />

Then on the first floor,<br />

there’s a l<strong>it</strong>tle wh<strong>it</strong>e door,<br />

Behind which some magic<br />

occurs.<br />

An art course is run for<br />

disabled. We are people<br />

w<strong>it</strong>h mental ills.<br />

We’ve been anxious,<br />

depressed and by devils<br />

possessed,<br />

And we’ve taken the<br />

potions and pills.<br />

Sue and Steve manage the<br />

project, their techniques<br />

and skill they impart.<br />

They find out what you,<br />

have an apt<strong>it</strong>ude to.<br />

Then they help you,<br />

express this as art.<br />

The patients in there are<br />

<strong>all</strong> loving. We’ve <strong>all</strong><br />

suffered similar pain.<br />

And Stephen and Sue,<br />

know just what to do.<br />

To help people whose<br />

brain’s ‘down the drain’.<br />

But joking aside, <strong>it</strong>’s<br />

fantastic, feels so natural<br />

when we’re <strong>all</strong> together.<br />

And when the course<br />

ends, we will <strong>all</strong> be good<br />

friends.<br />

But I wish <strong>it</strong> could go on<br />

forever.<br />

AsHWorTH HosPiTAL<br />

Exercise to music is a smash h<strong>it</strong>!<br />

A 10-week Exercise to Music<br />

project in one of the wards at<br />

Ashworth Hosp<strong>it</strong>al has helped<br />

boost patient self confidence<br />

– and the desire to get f<strong>it</strong><br />

through healthy exercise.<br />

The hosp<strong>it</strong>al’s cogn<strong>it</strong>ive<br />

rehabil<strong>it</strong>ation service<br />

piloted the project on<br />

Hazl<strong>it</strong>t ward in partnership<br />

w<strong>it</strong>h The Liverpool Inst<strong>it</strong>ute<br />

for Performing Arts (LIPA)<br />

as part of the <strong>Trust</strong>’s<br />

programme of bringing<br />

creative approaches to<br />

mental health care.<br />

The project was in<strong>it</strong>iated<br />

and co-ordinated by<br />

psychiatrist Dr Mary<br />

Knowles in co-operation<br />

w<strong>it</strong>h LIPA dance instructor<br />

Penny Caffrey and physical<br />

health promotion coordinator<br />

Mick Caldwell. It<br />

ended in an award<br />

ceremony where patients<br />

gave an impressive<br />

performance of their<br />

Exercise to Music prowess.<br />

Certificates of achievement<br />

were presented to patients<br />

by assistant chief executive<br />

Dr Mandy Chivers.<br />

Lead consultant clinical<br />

neuropsychologist Ryan<br />

Aguiar said: “The Exercise<br />

to Music project is a good<br />

example of how thinking<br />

’outside the box’ can have<br />

such a powerful impact on<br />

the wellbeing and care of<br />

our patients. Often the<br />

blocks are in our own minds<br />

in not embracing such<br />

approaches more readily.<br />

“As providers of mental<br />

health services we first<br />

think of resource<br />

implications and other<br />

obstacles when <strong>it</strong> comes to<br />

creative approaches in<br />

health care. Yet when we<br />

dare to try something<br />

different the results are<br />

nothing short of amazing,<br />

as evidenced by some of<br />

the feedback we have had<br />

from the patients who<br />

participated in the project:<br />

‘It’s good for my mind’…’I<br />

feel f<strong>it</strong> and healthy’…’I’ve<br />

started going to the gym<br />

now’. The change in patients’<br />

self confidence is palpable.<br />

“Projects like this need<br />

champions and comm<strong>it</strong>ted<br />

drivers w<strong>it</strong>h a ‘can and will<br />

do’ <strong>it</strong> att<strong>it</strong>ude. But this is<br />

only the beginning… dance<br />

w<strong>it</strong>h the music still goes on!”<br />

Mary Knowles (left) w<strong>it</strong>h Mandy Chivers who presented a commemorative<br />

gift made at Ashworth Hosp<strong>it</strong>al to dance instructor Penny Caffrey to<br />

mark the end of the pilot project, w<strong>it</strong>h Mick Caldwell looking on.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

1


1<br />

iMAGiNE YoUr GoALs<br />

Partner Cup runners-up rake square<br />

Second season<br />

was a winner<br />

<strong>all</strong> round<br />

A SUCCESSFUL 2009/2010<br />

season culminated w<strong>it</strong>h a<br />

flurry of activ<strong>it</strong>y and host of<br />

medal and trophy<br />

presentations for the Imagine<br />

Your Goals commun<strong>it</strong>y<br />

footb<strong>all</strong> programme.<br />

At a presentation for service<br />

users and staff held at<br />

Goodison, Liverpool Clinical<br />

business Un<strong>it</strong> service director<br />

Carol bernard said: “This<br />

success is re<strong>all</strong>y important to<br />

the partnership working<br />

between <strong>Mersey</strong> <strong>Care</strong> and<br />

the Everton Foundation. We<br />

cannot underestimate the<br />

power of partnerships<br />

between organisations like<br />

ours in bringing about change.<br />

“I am delighted that 63 per<br />

cent of service users who<br />

responded to a survey by the<br />

Service User Evaluation and<br />

Research Group said they had<br />

felt significant health benef<strong>it</strong>s<br />

as a result of taking part in<br />

the programme, w<strong>it</strong>h 88 per<br />

cent noting an increase in<br />

their levels of concentration.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

“Now we have completed<br />

Year 2 of the programme we<br />

have to continue to work<br />

hard w<strong>it</strong>h other partners and<br />

beyond to ensure the<br />

benef<strong>it</strong>s of the programme<br />

continue into the future.”<br />

More than 160 commun<strong>it</strong>y<br />

service users who have<br />

mental health problems<br />

access the programme,<br />

attending one of six coaching<br />

sessions held at venues across<br />

the <strong>Mersey</strong> <strong>Care</strong> geographical<br />

patch each week.<br />

Matches are played in the<br />

Imagine Your Goals league<br />

once a month and last year a<br />

second league, sponsored by<br />

bibby Mar<strong>it</strong>ime, was<br />

established to meet<br />

increasing demand from<br />

new teams and players from<br />

other organisations who play<br />

guest matches.<br />

Professional project manager<br />

Matty byrne paid tribute to<br />

the comm<strong>it</strong>ment of link<br />

workers who supported<br />

Partner cup winners the Fire service<br />

service users to access and<br />

attend the programme, as<br />

well as the volunteers and<br />

coaching staff from Everton.<br />

Everton Foundation mental<br />

health co-ordinator Rob<br />

Thomas said the project was<br />

continuing to gain pace and<br />

they were looking to expand<br />

coaching sessions by a further<br />

two. He added: “We’ve now<br />

had 40 service users and<br />

members of staff gain their<br />

Level 1 coaching certificates,<br />

which is a great boost for the<br />

confidence of <strong>all</strong> those<br />

concerned and will help<br />

sustain the programme.”<br />

Among the other accolades<br />

for the project received at the<br />

end of the season were the<br />

Sports Industry Award’s best<br />

commun<strong>it</strong>y programme and<br />

the Tony Adams Award for<br />

ch<strong>all</strong>enging stigma, donated<br />

by the former Arsenal and<br />

England player turned<br />

manager after attending a<br />

‘Mad About Footb<strong>all</strong>’ event.


Here is the round-up for the teams and players for the<br />

Imagine Your Goals trophy winners season 2009/2010:<br />

League one<br />

Winners Outreach FC<br />

Runners-up Kingsway FC<br />

Golden Boot billy F<strong>it</strong>zsimmons (Crown St)<br />

Goalkeeper Darren Kelly (Kingsway FC)<br />

Fair Play Crown Street<br />

Bibby Mar<strong>it</strong>ime League<br />

Winners Early Intervention<br />

Runners-up Southport Casuals<br />

Golden Boot James brady (Early Intervention)<br />

Goalkeeper Larry Adams (Early Intervention)<br />

Fair Play Southport Casuals<br />

League Cup<br />

Winners Early Intervention<br />

Runners-Up Kingsway FC<br />

Golden Boot Tom Parker (Kingsway FC)<br />

Goalkeeper Jamie Jones (Early Intervention)<br />

Fair Play Natural Networks<br />

Partner Cup<br />

Winners Fire Service<br />

Runners-Up Rake Square<br />

Golden Boot Sam Gainer (Fire Service)<br />

Goalkeeper Darren Kelly (RT Select)<br />

Fair Play Southport Casuals<br />

individual achievements from the Partner Cup matches… best<br />

goalkeeper darren Kelly (left), while the Golden Boot award from the<br />

Partner Cup went to sam Gainer (right).<br />

League one winners outreach FC.<br />

Bibby Mar<strong>it</strong>ime winners<br />

Early intervention.<br />

League one runners-up<br />

Kingsway FC.<br />

Bibby Mar<strong>it</strong>ime League runnersup<br />

southport Casuals.<br />

Bibby Mar<strong>it</strong>ime Golden Boot<br />

winner James Brady (left),<br />

Partner Cup winner Jacob Burrill,<br />

and Fair Play southport Casuals.<br />

Terry sm<strong>it</strong>h w<strong>it</strong>h Partner Cup<br />

runner-up award for Natural<br />

Networks rake square.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

1


1<br />

EArLY iNTErVENTioN iN PsYCHosis<br />

Combining professional expertise<br />

can help speed recovery<br />

iain Wright: led <strong>Mersey</strong> <strong>Care</strong>’s work on early intervention in psychosis<br />

and passed on his expertise through a clinical manual.<br />

IAIN Wright, <strong>Mersey</strong> <strong>Care</strong>’s<br />

former clinical lead for early<br />

intervention in psychosis and<br />

now specialist pract<strong>it</strong>ioner for<br />

safeguarding, has wr<strong>it</strong>ten a<br />

chapter in a leading clinical<br />

manual – Promoting Recovery<br />

in Early Psychosis: A Practice<br />

Manual.<br />

Centred on the early<br />

psychosis declaration, the<br />

book explores the<br />

declaration’s five themes<br />

through contributions from<br />

mental health pract<strong>it</strong>ioners,<br />

service users and carers. It is<br />

designed to help those<br />

working w<strong>it</strong>h people<br />

experiencing psychosis at an<br />

early stage of illness to<br />

develop and implement<br />

effective early intervention<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

skills, enabling them to<br />

examine and refine their<br />

practice. Most importantly,<br />

the book is a practical guide<br />

to delivering early<br />

intervention strategies w<strong>it</strong>h a<br />

unique focus on recovery.<br />

Iain’s chapter, ent<strong>it</strong>led Roles<br />

of Different Professionals,<br />

examines the current drivers<br />

and influences for EIP<br />

services, and the strategies<br />

which can be used to develop<br />

productive partnerships. The<br />

chapter discusses some of the<br />

ch<strong>all</strong>enges of engaging w<strong>it</strong>h<br />

a wide range of different<br />

professionals, exploring<br />

how their unique<br />

contributions can be valued<br />

and maximised.<br />

Research has<br />

shown that<br />

there are often<br />

delays in getting<br />

help; there are<br />

a number of<br />

reasons for<br />

this… which can<br />

cause people to<br />

try to manage<br />

alone.<br />

Iain said: “I am thrilled and<br />

honoured to have been asked<br />

to contribute a chapter for<br />

this book. The ed<strong>it</strong>ors, and<br />

other contributors, are high<br />

profile academics and<br />

clinicians such as Paul French,<br />

Max Birchwood, and Grainne<br />

Fadden, whom I c<strong>it</strong>ed in my<br />

own es<strong>say</strong>s while studying<br />

for my COPE BSc (Hons)<br />

degree. It feels qu<strong>it</strong>e surreal<br />

to find my name being listed<br />

alongside theirs!”<br />

Iain said that w<strong>it</strong>h the right<br />

help, most people can recover<br />

from psychosis, and at least<br />

one in four will not<br />

experience further episodes.<br />

Research has shown that<br />

there are often delays in<br />

getting help. There are a<br />

number of reasons for this,<br />

including people not<br />

recognising that they have a<br />

problem, their symptoms<br />

getting confused w<strong>it</strong>h<br />

teenage behaviour or drug<br />

use, and stigma around<br />

mental health difficulties,<br />

which can cause people to try<br />

to manage alone.


Here is Iain’s outline guide to early intervention in psychosis:<br />

Psychosis describes a state of<br />

mind in which the individual<br />

experiences a distortion or loss<br />

of contact w<strong>it</strong>h real<strong>it</strong>y, w<strong>it</strong>hout<br />

clouding of consciousness. This<br />

mental state is characterised by<br />

the presence of unusual strongly<br />

held beliefs (sometimes c<strong>all</strong>ed<br />

delusions), unusual perceptions<br />

(sometimes c<strong>all</strong>ed h<strong>all</strong>ucinations)<br />

and/or confused thinking or<br />

communication (sometimes<br />

c<strong>all</strong>ed thought disorder).<br />

As well as these symptoms<br />

(which are sometimes referred to<br />

as pos<strong>it</strong>ive symptoms), negative<br />

symptoms such as appearing<br />

emotion<strong>all</strong>y flat and loss of<br />

motivation can sometimes occur.<br />

In add<strong>it</strong>ion, there are a number<br />

of other secondary features that<br />

can present during a psychotic<br />

episode such as depression,<br />

anxiety, sleep disturbance, social<br />

w<strong>it</strong>hdrawal and impaired role<br />

functioning. It is these features<br />

which often provide the clue to<br />

the presence of psychosis.<br />

Psychosis can be caused by a<br />

complex interaction of social,<br />

environmental, psychological<br />

and biological factors and are of<br />

major social and public health<br />

importance w<strong>it</strong>h about 2 per<br />

cent of people experiencing a<br />

psychotic episode at some stage<br />

in their life. When the impact on<br />

the individual’s family is also<br />

considered, the indirect effects<br />

and costs of these cond<strong>it</strong>ions are<br />

just as great.<br />

Experiences that may occur<br />

in psychosis include:<br />

■<br />

■<br />

■<br />

■<br />

■<br />

Having difficulty telling what<br />

is real and what is not<br />

Changes in thoughts, such as<br />

preoccupation w<strong>it</strong>h new ideas<br />

Changes in perception, such<br />

as hearing or seeing things<br />

that others cannot<br />

It can become harder to think<br />

clearly or organise activ<strong>it</strong>ies<br />

Becoming more w<strong>it</strong>hdrawn<br />

from interests, friends or family<br />

■<br />

■<br />

Changes in mood, including<br />

becoming depressed,<br />

increasingly irr<strong>it</strong>able and anxious<br />

Physical changes such as sleep<br />

disturbance and loss of energy.<br />

In order to try to understand the<br />

experience of psychosis <strong>it</strong> is useful<br />

to group together some of the<br />

more characteristic symptoms.<br />

Confused thinking:<br />

Everyday thoughts become<br />

confused or don’t join up<br />

properly. Sentences are unclear<br />

or don’t make sense. A person<br />

may have difficulty<br />

concentrating, following a<br />

conversation or remembering<br />

things. Thoughts seem to speed<br />

up or slow down.<br />

Preoccupation w<strong>it</strong>h<br />

unusual beliefs:<br />

It is common for a person<br />

experiencing a psychotic episode<br />

to become preoccupied and<br />

distressed by beliefs that don’t<br />

make sense to other people.<br />

They may appear completely<br />

convinced of their belief desp<strong>it</strong>e<br />

overwhelming evidence to the<br />

contrary. Common false beliefs<br />

may include believing that they<br />

are being watched or followed,<br />

or others want to harm them<br />

and believing that they have<br />

special abil<strong>it</strong>ies or powers.<br />

Changed perceptions:<br />

In a state of psychosis, the<br />

person may see, hear, feel, smell<br />

or taste things that are not<br />

physic<strong>all</strong>y present, but which<br />

seem extremely vivid and real to<br />

the person experiencing them.<br />

Changed feelings:<br />

How someone feels may change<br />

for no apparent reason. They<br />

may feel strange and cut off<br />

from the world w<strong>it</strong>h everything<br />

moving in slow motion. Mood<br />

swings are common and they<br />

may feel unusu<strong>all</strong>y exc<strong>it</strong>ed,<br />

anxious, upset or depressed.<br />

Changed behaviour:<br />

People experiencing psychosis<br />

often behave differently from<br />

the way they usu<strong>all</strong>y do. They<br />

may be extremely active or<br />

lethargic, laugh inappropriately<br />

or become angry or upset<br />

w<strong>it</strong>hout apparent cause. Often,<br />

changes in behaviour are<br />

associated w<strong>it</strong>h the experiences<br />

already described above.<br />

Experiences vary from<br />

person to person and may<br />

change over time:<br />

All of these can feel very<br />

frightening for the person<br />

experiencing them; lead them to<br />

act out of character or cause<br />

arguments between family<br />

members or friends. There are<br />

many different causes of<br />

psychosis and usu<strong>all</strong>y no one<br />

thing is to blame. Common<br />

factors might include stressful<br />

events, drug use, or a history of<br />

psychotic problems in the family.<br />

Who is affected?<br />

The onset and course of<br />

psychosis is determined by an<br />

underlying vulnerabil<strong>it</strong>y to<br />

psychosis coupled w<strong>it</strong>h the<br />

impact of environmental<br />

stressors which may then trigger<br />

active psychotic symptoms.<br />

Psychosis is most likely to occur<br />

in young adults.<br />

What causes psychosis?<br />

While the precise identification<br />

of individual vulnerabil<strong>it</strong>y is not<br />

possible, <strong>it</strong> is clear that certain<br />

people are at more risk of<br />

developing a psychosis than<br />

others. An estimated 80 per<br />

cent of first episodes occur<br />

between the ages of 15-30.<br />

Psychosis can affect people of <strong>all</strong><br />

national<strong>it</strong>ies, social standings<br />

and intelligence levels as well as<br />

both young males and females,<br />

although there does tend to be<br />

an earlier onset of psychosis in<br />

males than females.<br />

A number of theories have been<br />

suggested as to what causes<br />

psychosis, but there is still much<br />

research to be done.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

1


20<br />

Iain’s outline guide to early intervention in psychosis, continued:<br />

Because there are many possible<br />

factors associated w<strong>it</strong>h the<br />

development of psychosis, <strong>it</strong> is<br />

necessary for a young person<br />

who appears to be experiencing<br />

psychosis for the first time to<br />

have a thorough assessment to<br />

rule out other explanations such<br />

as medical causes. This usu<strong>all</strong>y<br />

involves medical tests as well as<br />

a detailed interview w<strong>it</strong>h a<br />

mental health specialist.<br />

The course and outcome vary<br />

from person to person. Recovery<br />

is likely, w<strong>it</strong>h most people<br />

experiencing a cessation of<br />

pos<strong>it</strong>ive symptoms w<strong>it</strong>hin 12<br />

weeks from acute onset once<br />

adequately treated.<br />

What can be done?<br />

Effective treatments are readily<br />

available to treat psychotic<br />

experiences. The earlier support<br />

is provided, the quicker and<br />

better the recovery. W<strong>it</strong>h<br />

appropriate treatment most<br />

young people who experience a<br />

psychotic illness will recover.<br />

All people experiencing<br />

psychosis should be provided<br />

w<strong>it</strong>h specialist assessment and<br />

assistance to maximise the<br />

likelihood of recovery. Treatment<br />

typic<strong>all</strong>y involves antipsychotic<br />

medication, cogn<strong>it</strong>ive<br />

behavioural therapy, family<br />

interventions, practical support,<br />

and involvement in a holistic<br />

recovery programme that<br />

focuses on helping work<br />

towards social and psychological<br />

recovery, rather than focusing on<br />

“symptoms” alone.<br />

Usu<strong>all</strong>y, early interventions aim to<br />

help people control and minimise<br />

distressing experiences and<br />

provide support w<strong>it</strong>h making<br />

sense of their experiences,<br />

overcoming the consequences of<br />

any associated traumas. They also<br />

prevent relapse through<br />

decreasing risk factors such as<br />

stress, substance abuse, family<br />

conflict and stigma.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

A targeted programme of<br />

recovery also focuses on<br />

protective factors such as: secure<br />

accommodation and income;<br />

engagement in work or study;<br />

developing coping strategies to<br />

deal w<strong>it</strong>h stress; strong social<br />

networks and family support.<br />

What can you do?<br />

Young people experiencing<br />

psychosis are not always able to<br />

understand, or willing to explain<br />

what is happening to them.<br />

Most fear they will be labelled as<br />

“mad”. Many do not seek help<br />

on their own. Professionals<br />

working w<strong>it</strong>h young people may<br />

be in a pos<strong>it</strong>ion to identify a<br />

young person experiencing<br />

psychosis and assist the young<br />

person to get the help they need.<br />

General pract<strong>it</strong>ioners can provide<br />

an in<strong>it</strong>ial assessment and<br />

possibly even start medical<br />

treatment while also assisting<br />

referral to a specialist mental<br />

health service.<br />

What is early intervention?<br />

Typic<strong>all</strong>y, people develop<br />

psychosis in late teenage years<br />

or early adult life. This can occur<br />

slightly earlier for men, usu<strong>all</strong>y<br />

between 14 and 25, than<br />

women, where <strong>it</strong> typic<strong>all</strong>y<br />

happens between ages 20 and<br />

35. It can affect people from any<br />

class, culture or background.<br />

Psychosis affects people when<br />

they are developing their own<br />

ident<strong>it</strong>y, making the trans<strong>it</strong>ion to<br />

adulthood, dealing w<strong>it</strong>h<br />

decisions, changes and stresses<br />

in relation to work, education<br />

and relationships w<strong>it</strong>h families<br />

and peers. Delays in getting help<br />

can lead to disruptions in these<br />

areas or the development of<br />

other problems such as<br />

depression, substance use or<br />

unemployment. Delays can also<br />

affect the time <strong>it</strong> takes to recover.<br />

Since the 1990s, the UK has<br />

been at the forefront of<br />

developing innovative ways of<br />

helping young people recover<br />

from psychosis and these<br />

developments have been led by<br />

grassroots. In 2001, the World<br />

Health Organisation rated<br />

psychosis as the third most<br />

serious health complaint,<br />

including physical illnesses, and<br />

argued that <strong>it</strong> needs to be given<br />

a far higher prior<strong>it</strong>y than has<br />

trad<strong>it</strong>ion<strong>all</strong>y been the case. This<br />

message was taken up by the<br />

government who developed an<br />

innovative plan to provide ‘early<br />

intervention in psychosis’ services<br />

across the whole of England.<br />

Early intervention is providing<br />

information, assessment and<br />

treatment at the earliest possible<br />

opportun<strong>it</strong>y for <strong>all</strong> young people<br />

who begin experiencing psychosis.<br />

This can also involve preventative<br />

work w<strong>it</strong>h people who are at high<br />

risk of experiencing psychosis as<br />

well as people experiencing a<br />

first episode of psychosis. Early<br />

intervention is aimed at shortening<br />

the course and decreasing the<br />

sever<strong>it</strong>y of the in<strong>it</strong>ial psychotic<br />

episode, minimising the many<br />

complications that can arise<br />

from untreated psychosis and<br />

improving the long-term prognosis.<br />

Early intervention can be<br />

provided through secondary<br />

consultation to GPs and other<br />

mental health services as well as<br />

through education to youth<br />

specific services to aid in the<br />

identification of people w<strong>it</strong>h<br />

psychotic experiences.<br />

More information from:<br />

■<br />

■<br />

■<br />

■<br />

North Liverpool early<br />

intervention team:<br />

01 1 0 1<br />

South Liverpool early<br />

intervention team:<br />

01 1 0 1<br />

South Sefton and Kirkby<br />

early intervention team:<br />

01 1 2 2<br />

Southport early<br />

intervention team:<br />

01 0 02


<strong>THE</strong> food provided at nine<br />

out of 13 <strong>Mersey</strong> <strong>Care</strong> <strong>NHS</strong><br />

<strong>Trust</strong> s<strong>it</strong>es is ‘excellent’ and<br />

the rest are ‘good’ according<br />

to the latest findings<br />

published by the National<br />

Patient Safety Agency.<br />

Top scores for food go to the<br />

Rathbone Low Secure Un<strong>it</strong>,<br />

Heys Court in Garston,<br />

Mossley Hill Hosp<strong>it</strong>al, the<br />

Kevin Wh<strong>it</strong>e Un<strong>it</strong> in Liverpool,<br />

boothroyd Un<strong>it</strong> in Southport,<br />

Windsor House in Liverpool,<br />

Rathbone Rehabil<strong>it</strong>ation<br />

Centre, Windsor Clinic on the<br />

Aintree s<strong>it</strong>e, and Scott Clinic<br />

in St Helens.<br />

All nine s<strong>it</strong>es are also classed<br />

as ‘good’ for the qual<strong>it</strong>y of<br />

the environment and privacy<br />

and dign<strong>it</strong>y along w<strong>it</strong>h the<br />

same classification for the rest<br />

of the 13 surveyed – the<br />

Hesketh Centre in Southport,<br />

Ashworth Hosp<strong>it</strong>al, Stoddart<br />

House on the Aintree s<strong>it</strong>e,<br />

and the broadoak Un<strong>it</strong> at<br />

broadgreen Hosp<strong>it</strong>al.<br />

PEAT lead Sandra Hulme said:<br />

“Our service users deserve to<br />

be treated in clean<br />

surroundings, w<strong>it</strong>h good<br />

food and w<strong>it</strong>h respect for<br />

their privacy. It’s reassuring<br />

to see that <strong>Mersey</strong> <strong>Care</strong><br />

staff continue to maintain<br />

and improve on the high<br />

standards which the <strong>Trust</strong><br />

has established by putting<br />

service users at the heart<br />

of everything we do.”<br />

■<br />

PATiENT ENViroNMENT<br />

ACTioN TEAMs<br />

Where the<br />

food is<br />

‘excellent’<br />

More information on this<br />

year’s PEAT scores is<br />

available at www.nrls.<br />

npsa.nhs.uk/patientsafety-data/peat<br />

CArE ProGrAMME APProACH AssoCiATioN<br />

CPA Association awards for John Park and<br />

Marcella Camara.<br />

MERSEY <strong>Care</strong>’s pioneering<br />

work on the application of the<br />

care programme approach to<br />

mental health care has<br />

received awards in the <strong>Care</strong><br />

Programme Approach<br />

Association’s 2010 awards.<br />

The awards went to<br />

Southport commun<strong>it</strong>y mental<br />

health team manager<br />

Marcella Camara for her<br />

team’s work on a staying well<br />

programme and CPA<br />

implementation manager<br />

John Park for the <strong>Trust</strong>’s<br />

person-centred risk<br />

assessment in<strong>it</strong>iative.<br />

John, who received the<br />

awards on behalf of the <strong>Trust</strong><br />

at an awards ceremony in<br />

Nottingham, said: ‘’The CPA<br />

Association is an affiliated<br />

network of mental health<br />

stakeholders dedicated to the<br />

ongoing delivery and<br />

development of high qual<strong>it</strong>y<br />

CPA and care co-ordination.<br />

It enables members like<br />

myself, responsible for the<br />

implementation of CPA, to<br />

share ideas and innovations<br />

so that our time is not spent<br />

in isolation trying to invent<br />

the same wheel.”<br />

Marcella’s staying well<br />

programme is delivered at a<br />

series of four weekly clinics<br />

designed to help discharge by<br />

building service users’ selfbelief<br />

that they can direct and<br />

self-manage their own care.<br />

Award<br />

double for<br />

<strong>Mersey</strong><br />

<strong>Care</strong>’s<br />

CPA work<br />

The one and a half hour<br />

sessions include input from an<br />

occupational therapist,<br />

commun<strong>it</strong>y care pract<strong>it</strong>ioners<br />

and a support worker w<strong>it</strong>h<br />

customised toolk<strong>it</strong>s providing<br />

individual guidance for<br />

service users.<br />

Marcella said: “We saw an<br />

opportun<strong>it</strong>y to promote<br />

wellness and recovery<br />

through working w<strong>it</strong>h service<br />

users in an individualised<br />

way. Giving choice and<br />

control to people who use<br />

mental health services by<br />

promoting abil<strong>it</strong>y rather than<br />

disabil<strong>it</strong>y, helps to build<br />

confidence thereby easing<br />

the return to everyday life.”<br />

The <strong>Trust</strong>’s revised personcentred<br />

risk assessment<br />

procedure takes account of<br />

safeguarding developments<br />

and involved service users on<br />

the development group.<br />

Others provided wr<strong>it</strong>ten<br />

feedback on sample<br />

documents at two CPA<br />

conferences w<strong>it</strong>h wr<strong>it</strong>ten<br />

feedback on final proposals<br />

from the service users’ forum.<br />

John said: ”The new risk<br />

assessment enables service<br />

users to explore their own<br />

concerns about risk and<br />

vulnerabil<strong>it</strong>y in discussion<br />

w<strong>it</strong>h pract<strong>it</strong>ioners in order<br />

to develop risk management<br />

plans which help them<br />

feel safer.”<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

21


22<br />

LEArNiNG disABiLiTiEs AWArENEss WEEK<br />

if <strong>it</strong>’s information you need, we’re the ones to ask – helping out on the stand at sing Plus are (from left): southport physio<br />

assistant sarah Lloyd, north sefton social worker Maggie Youngson, commun<strong>it</strong>y focus team member Tony Colenso, support<br />

worker Manny ranat, clinical psychologist Clare Punshon, southport physio Aarti Narula, commun<strong>it</strong>y focus team member<br />

Heather Eaton and Tracey Thompson.<br />

Sefton commun<strong>it</strong>y teams<br />

on show at Sing Plus<br />

SEFTON commun<strong>it</strong>y teams<br />

joined social services and<br />

other supporters for a day of<br />

displays at the Sing Plus<br />

venue in Seaforth as part of<br />

Learning Disabil<strong>it</strong>ies<br />

Awareness Week.<br />

Southport commun<strong>it</strong>y nurse<br />

Tracey Thompson said:<br />

“We represented commun<strong>it</strong>y<br />

learning disabil<strong>it</strong>y teams from<br />

Sefton to show how we work<br />

together to support service<br />

users as some people may<br />

not be aware of what we can<br />

offer. As well as staff, service<br />

users Tony Colenson and<br />

Heather Eaton helped w<strong>it</strong>h<br />

the displays and the day was<br />

a great success.”<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

service user Kevin Turner’s artistic talents were spotted when he was a<br />

young schoolboy, desp<strong>it</strong>e severe sight and hearing problems, and he<br />

has since been featured at many exhib<strong>it</strong>ions. He also likes a ch<strong>all</strong>enge<br />

and wants to go ‘sphereing’ – rolling downhill inside a giant b<strong>all</strong>!<br />

Kevin now lives in his own home supported by carers.


<strong>THE</strong> rEAdEr orGANisATioN<br />

TV star’s praise for<br />

the courage of<br />

recovering addicts<br />

AMERICAN actress Sonja Sohn, who starred as<br />

Detective Kima Greggs in <strong>all</strong> 60 episodes of the cult<br />

TV series The Wire, paid a surprise vis<strong>it</strong> to <strong>Mersey</strong><br />

<strong>Care</strong>’s Kevin Wh<strong>it</strong>e Un<strong>it</strong> where she said that<br />

recovering addicts could be brilliant, urging them to<br />

“discover the creative spark w<strong>it</strong>hin you.”<br />

Sonja was speaking to a full<br />

house of service users at the<br />

detox un<strong>it</strong> run by the <strong>Trust</strong>’s<br />

Addictions Service as part of a<br />

vis<strong>it</strong> to the UK at the<br />

inv<strong>it</strong>ation of The Reader<br />

Organisation which works<br />

w<strong>it</strong>h <strong>Mersey</strong> <strong>Care</strong> to<br />

encourage reading groups<br />

across <strong>all</strong> <strong>it</strong>s in-patient and<br />

commun<strong>it</strong>y services.<br />

Sonja’s reading from The<br />

Corner gave an insight into<br />

the struggles of a family<br />

suffering from the effects of<br />

drug addiction, one of the<br />

many topics covered by The<br />

Wire which deals w<strong>it</strong>h life in<br />

the US c<strong>it</strong>y of baltimore but<br />

she said her main aim in<br />

vis<strong>it</strong>ing the un<strong>it</strong> was “to listen<br />

to you guys and how you’ve<br />

faced your problems w<strong>it</strong>h<br />

such courage.”<br />

Speaking ahead of her public<br />

appearance at Liverpool<br />

Philharmonic H<strong>all</strong>, Sonja told<br />

the Kevin Wh<strong>it</strong>e audience:<br />

“I know what the drug scene<br />

can be like and how easy <strong>it</strong><br />

can be to get dragged back<br />

into old hab<strong>it</strong>s, especi<strong>all</strong>y if<br />

you mix w<strong>it</strong>h the wrong<br />

people. It’s so important to<br />

keep people around you who<br />

are clean and clear.<br />

“I applaud your courage in<br />

getting help at the un<strong>it</strong>, help<br />

that could cost 40,000 dollars<br />

for a similar programme in the<br />

States so just think about that!”<br />

Sonja has taken a break from<br />

acting to set up a not-forprof<strong>it</strong><br />

company, ReWired for<br />

Change, which helps at-risk<br />

young people who have been<br />

involved in criminal activ<strong>it</strong>y.<br />

The programme is run by the<br />

Maryland School of Social<br />

Work and uses episodes of<br />

The Wire as a teaching tool,<br />

encouraging the participants<br />

to examine and query their<br />

own lives and past actions.<br />

Other actors and wr<strong>it</strong>ers<br />

involved in The Wire also<br />

serve as board members.<br />

Kevin Wh<strong>it</strong>e Un<strong>it</strong> deputy<br />

manager Maggie Sherwood<br />

said: “Reaction from service<br />

users was very pos<strong>it</strong>ive such<br />

as ‘she gave me a lot of hope’<br />

and ‘very exc<strong>it</strong>ed to meet a<br />

star who has been involved<br />

in helping people’ while they<br />

enjoyed her reading.<br />

“Sonja was very inspirational,<br />

especi<strong>all</strong>y when she spoke to<br />

sonja sohn at the Kevin Wh<strong>it</strong>e<br />

Un<strong>it</strong>: she came, she read, she<br />

listened, she talked…<br />

them individu<strong>all</strong>y at the end –<br />

and signed autographs w<strong>it</strong>h a<br />

lot more than just her name.”<br />

Former service user Tracy<br />

Riley said: “I thought Sonja’s<br />

vis<strong>it</strong> to the un<strong>it</strong> brought a lot<br />

of pos<strong>it</strong>iv<strong>it</strong>y to the service<br />

users. There was a total buzz<br />

about the un<strong>it</strong> on the day.”<br />

<strong>Mersey</strong> <strong>Care</strong>’s director, service<br />

users and carers Lindsey Dyer,<br />

who has been seconded to<br />

The Reader Organisation for<br />

one day a week, said:<br />

“I am hugely grateful to<br />

Sonja for taking time out of a<br />

short vis<strong>it</strong> to the UK to pay<br />

the Kevin Wh<strong>it</strong>e Un<strong>it</strong> a vis<strong>it</strong>.<br />

She was re<strong>all</strong>y keen to meet<br />

service users and had real<br />

interest and empathy. It is not<br />

easy to go through a detox<br />

programme and Sonja<br />

recognised this and inspired<br />

us <strong>all</strong> that we can change<br />

our lives.”<br />

Kevin Wh<strong>it</strong>e Un<strong>it</strong> welcoming party (from left): Tracy riley, deputy<br />

manager Maggie sherwood, The reader organisation director Jane<br />

davis, sonja sohn, communications assistant Filian Mentizi and director,<br />

service users and carers Lindsey dyer.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

2


2<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

Round up…<br />

Treadmill marathon men (and one woman):<br />

Staff and service users in the<br />

Rathbone PICU (Psychiatric<br />

Intensive <strong>Care</strong> Un<strong>it</strong>) proved their<br />

f<strong>it</strong>ness during Men’s Health<br />

Week by completing a treadmill<br />

marathon in four and a half<br />

hours. Pictured in the recovery<br />

stage after the relay are (from<br />

left) senior clinical nurse Owen<br />

Winsland, support worker Ste<br />

Cameron and technical<br />

instructor Nick Ash<strong>all</strong> who were<br />

joined by two services users,<br />

Brook Place open day:<br />

Commun<strong>it</strong>y drugs team worker<br />

Paula Strickland (second from<br />

right) w<strong>it</strong>h colleagues and<br />

service users at the Brook Place<br />

open day held to promote<br />

health and wellbeing for service<br />

users throughout <strong>Mersey</strong> <strong>Care</strong>.<br />

The day included advice on<br />

World cup designs:<br />

support worker John Murphy,<br />

clinical service manager Nick<br />

Wade and senior clinical nurse<br />

Gemma Johnson.<br />

options for dealing w<strong>it</strong>h<br />

substance misuse along w<strong>it</strong>h<br />

information, goodies and fresh<br />

fru<strong>it</strong>! Paula said: “The open<br />

day was a great success w<strong>it</strong>h<br />

pos<strong>it</strong>ive feedback from service<br />

users, staff and external<br />

agencies who attended.”<br />

Winning T-shirt designs in a<br />

design compet<strong>it</strong>ion for patients<br />

on Keats ward, Ashworth<br />

Hosp<strong>it</strong>al, in the run-up to the<br />

World Cup w<strong>it</strong>h (from left)<br />

service manager Jay O’Looney,<br />

in-patient service director Iain<br />

Wilkie and senior occupational<br />

therapist Yuvaraj Ka<strong>it</strong>hamalai.<br />

Coast-to-coast ride:<br />

Inspired by his 63-mile fundraising<br />

bike ride around<br />

commun<strong>it</strong>y mental health team<br />

locations, Moss House nurse<br />

Alan Arnold is planning a 207mile<br />

Trans Pennine Trail ride next<br />

May to mark his 50th birthday.<br />

His ride, covered in 4 hours 18<br />

minutes, raised £260 – £100<br />

going to the Moss House service<br />

users’ Christmas party and the<br />

rest to Winston’s Wish and<br />

Walton Neuro Centre in memory<br />

of Dr Sophie Lynch.<br />

The coast-to-coast ride, from<br />

Southport to Hornsea, uses<br />

canal towpaths, disused railway<br />

lines, riverside pathways, urban<br />

cycle paths and minor roads for<br />

most of the way. Devised in<br />

1989, the route was opened<br />

offici<strong>all</strong>y in 2001 as part of the<br />

National Cycle Network.<br />

Bike leasing scheme:<br />

Closing date for <strong>Mersey</strong> <strong>Care</strong>’s<br />

trial run w<strong>it</strong>h the Bikes for the<br />

<strong>NHS</strong> cycle leasing scheme is<br />

22 October. The scheme is part<br />

of the Government’s Green Travel<br />

Plan to encourage people to<br />

cycle to work and provides the<br />

use of a new bike in return for a<br />

salary reduction over 12 months.<br />

■<br />

More information on<br />

www.nhsbike.co.uk/hci.html,<br />

email bikes@smehci.com or<br />

phone 0870 3606323.<br />

Non-executive<br />

reappointed:<br />

Liverpool solic<strong>it</strong>or and footb<strong>all</strong><br />

enthusiast Brian Lawlor has been<br />

re-appointed as a non-executive<br />

director for <strong>Mersey</strong> <strong>Care</strong>. Brian,<br />

who is a senior partner w<strong>it</strong>h a c<strong>it</strong>y<br />

centre law firm, welcomed his reappointment<br />

to the Board and will<br />

serve a further four-year term from<br />

1 June 2010 to 31 May 2014.


Mountainous trek ahead:<br />

One of <strong>Mersey</strong> <strong>Care</strong>’s suppliers is<br />

taking on the ch<strong>all</strong>enge to trek<br />

to the summ<strong>it</strong> of the mighty<br />

Kilimanjaro for char<strong>it</strong>y in October.<br />

John Robinson, who works for<br />

Dimensions Print Solutions in<br />

Toxteth, is aiming to raise money<br />

for SHAP – safe houses to help<br />

women and children escape abuse.<br />

He said: “I am funding <strong>all</strong> of<br />

my own expenses so every<br />

penny I’m sponsored will go<br />

to the char<strong>it</strong>y. The trek takes<br />

five days along the Machame<br />

Route which is tough but<br />

spectacularly rewarding.”<br />

■<br />

To sponsor John contact<br />

Dimensions on 0151 709 6375<br />

or email design@<br />

dimensions-studio.co.uk<br />

Log on at ruby’s<br />

Cyber Café:<br />

A new cyber cafe has opened at<br />

Ruby’s restaurant on the Maghull<br />

s<strong>it</strong>e, enabling staff to log on to<br />

their email accounts and internet<br />

when away from their desks and<br />

give computer access to those<br />

who do not use them regularly<br />

as part of their job.<br />

No service user information is<br />

available on the computers and<br />

staff cannot print. The facil<strong>it</strong>y is<br />

subject to <strong>all</strong> the rules, policies<br />

and procedures in the IM&T<br />

Secur<strong>it</strong>y Policy governing<br />

personal computers. For<br />

information on training contact<br />

Teresa Johnson on 0151 471 2641.<br />

Other places where staff can<br />

access computers are: <strong>Trust</strong><br />

libraries at Maghull and<br />

Rathbone; the e-café at<br />

Maghull; and The Bistro in<br />

Ashworth Hosp<strong>it</strong>al.<br />

Round up…<br />

Think family on film:<br />

The third in a series of films<br />

focusing on best practice<br />

guidance around Think Family<br />

was filmed in Liverpool for<br />

broadcast on the national web<br />

TV channel Social <strong>Care</strong> TV.<br />

Commissioned by the Social<br />

<strong>Care</strong> Inst<strong>it</strong>ute of Excellence, the<br />

video features a panel of local<br />

experts looking at issues raised<br />

in two other films in the series.<br />

Pictured from left are Paul Taylor,<br />

safeguarding lead for Bellerive<br />

Catholic College; Rose de<br />

Paeztron from Family Action<br />

facil<strong>it</strong>ating the debate; Allan<br />

O’Leary, <strong>Mersey</strong> <strong>Care</strong>’s Park<br />

Lodge commun<strong>it</strong>y mental health<br />

team manager; Ruth Haig-<br />

Ferguson from Liverpool<br />

Children’s Centres; and Louise<br />

Wardale, from Barnardo’s Action<br />

w<strong>it</strong>h Young <strong>Care</strong>rs.<br />

Social <strong>Care</strong> TV is a free online<br />

resource channel for everyone<br />

involved in the social care and<br />

social work sector.<br />

■<br />

There are also other films<br />

made in Liverpool by <strong>Mersey</strong><br />

<strong>Care</strong>’s young carers on the<br />

film resource – find the link<br />

at www.scie.org.uk<br />

Veterans information<br />

and networking:<br />

Ashworth Hosp<strong>it</strong>al and together<br />

for Mental Wellbeing hosted the<br />

first meeting of organisations<br />

delivering services for ex-service<br />

men and women. The<br />

presentation by Staff Sergeant<br />

Kevin Cornwell, trauma risk<br />

management co-ordinator w<strong>it</strong>h<br />

the regular armed forces, gave<br />

an in-depth insight into the level<br />

and type of support provided to<br />

serving personnel in the area of<br />

mental health and the<br />

associated complex issues facing<br />

serving personnel. Other<br />

presentations were given by<br />

David Quinn, from Resettlement<br />

Property Services, who described<br />

the development of a peer<br />

support network; and Chris<br />

Clarke and Rob Thomas from<br />

the Everton Foundation ‘Inside<br />

Right’ veteran’s project which is<br />

having a pos<strong>it</strong>ive impact on<br />

veterans’ self-esteem, confidence<br />

and self-worth.<br />

Activ<strong>it</strong>ies include footb<strong>all</strong><br />

training sessions, league games<br />

and the chance to take the<br />

Footb<strong>all</strong> Association Level 1<br />

coaching qualification. This has<br />

led to full-time employment as<br />

footb<strong>all</strong> coaches for some and<br />

the chance for more<br />

qualifications. The FA has<br />

adopted the work of the Everton<br />

project development team in the<br />

area of mental health along w<strong>it</strong>h<br />

Portsmouth, Colchester Un<strong>it</strong>ed,<br />

Lincoln C<strong>it</strong>y and Chelsea.<br />

The team also has an extensive<br />

disabil<strong>it</strong>ies project led by<br />

Steve Johnson.<br />

■<br />

More information from Dave<br />

Leigh, together for Mental<br />

Wellbeing, tel: 0151 472<br />

4583 or email dave.leigh@<br />

merseycare.nhs.uk<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

2


2<br />

Mad about dance:<br />

The latest in the series of dance<br />

programmes in<strong>it</strong>iated two years<br />

ago by <strong>Mersey</strong> <strong>Care</strong> in<br />

partnership w<strong>it</strong>h Liverpool<br />

Inst<strong>it</strong>ute of Performing Arts<br />

(LIPA) has just produced <strong>it</strong>s latest<br />

group of staff willing to take<br />

back the fun and f<strong>it</strong>ness activ<strong>it</strong>y<br />

to in-patient settings. The staff,<br />

from a wide range of disciplines,<br />

took part in a 10-week training<br />

programme at LIPA in the c<strong>it</strong>y<br />

centre and will help run sessions<br />

aimed at providing therapeutic<br />

dance and movement to music<br />

classes across a range of services.<br />

Graduation photoc<strong>all</strong> (back row<br />

from left): Patricia Howard, Chris<br />

Kirby, Rachael Parkinson, Rebecca<br />

Morris, Berenice Gibson, Louise<br />

Clarkson, Mary Knowles, Martha<br />

McManus, Mick Caldwell, Jayne<br />

Rafferty and Chris Clarke w<strong>it</strong>h<br />

(front row) LIPA’s Lydia Bates and<br />

Paul Win.<br />

Put your hands on your hips…<br />

the group are put through their<br />

paces in the LIPA dance studio<br />

(from left): Chris, Rachael, Mary,<br />

Jayne, Chris and Louise.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

Round up…<br />

Tree of life and wishes:<br />

Technical instructor Ann<br />

McCormick (right) w<strong>it</strong>h service<br />

users Bob Harkley and Lillian,<br />

and the papier-mache and<br />

chicken wire tree on Elm ward at<br />

Aintree. The tree is decorated<br />

w<strong>it</strong>h cards containing individual<br />

wishes ranging from good<br />

health and happiness to winning<br />

the Lottery. Ann said: “Along<br />

w<strong>it</strong>h OT staff, service users<br />

Maghull in bloom:<br />

Patients and staff at Ashworth<br />

Hosp<strong>it</strong>al have once again<br />

supported Maghull in Bloom by<br />

providing new surrounds to<br />

cover the drab and old concrete<br />

planters in the town’s central<br />

square. The illustrations were<br />

provided by children from the<br />

primary schools in Maghull,<br />

Lydiate, Aintree and Melling and<br />

the screen printing was<br />

completed by local company<br />

Caractor Graphics. Maghull in<br />

Bloom chairman George Baker<br />

(pictured left w<strong>it</strong>h compet<strong>it</strong>ion<br />

judge Malcolm Eubank) said:<br />

“The partnership w<strong>it</strong>h<br />

Ashworth started in 2008<br />

when flower-filled hanging<br />

baskets were provided for the<br />

Deyes Lane shopping parade<br />

by Harry Ryan and Gerry<br />

Hoskar’s gardening team,<br />

followed by a bench and<br />

planters last year. The bench<br />

went shopping to choose<br />

materials and made posters<br />

of poetry, pictures of trees<br />

and flowers which were<br />

displayed around the trees.<br />

One service user quoted lines<br />

from a song about trees. The<br />

exercise helped people gain<br />

confidence, self-esteem and<br />

team building skills.”<br />

and planters are<br />

now being relocated to<br />

Maghull King George V Park<br />

to help Maghull Town Council<br />

achieve a Green Flag Award<br />

for the park in 2011. Last<br />

year’s display gained mer<strong>it</strong><br />

award in the North West in


dementia roadshows:<br />

Vis<strong>it</strong>or Kathy Anderson (centre)<br />

receives a dementia update from<br />

Mossley Hill commun<strong>it</strong>y mental<br />

health team nurse Melanie<br />

Roberts (left), support worker<br />

Louise Warwick and Age<br />

Concern and primary care trust<br />

personal health trainers Diane<br />

Kennedy and Rebecca Boyce at<br />

the Royal Liverpool Hosp<strong>it</strong>al.<br />

<strong>Mersey</strong> <strong>Care</strong>’s lecturer<br />

pract<strong>it</strong>ioner in dementia Jill<br />

Pendleton said: “We were<br />

involved in roadshows at the<br />

Royal and the Asda store at<br />

Hunts Cross as part of national<br />

Dementia Week. The events<br />

were to raise awareness,<br />

answer questions and talk<br />

about our services. Many<br />

people asked about themselves<br />

or family members who they<br />

were concerned about and<br />

were given informal advice.<br />

Many people had questions<br />

about types of dementia and<br />

what the signs and symptoms<br />

were.” Other <strong>Mersey</strong> <strong>Care</strong> staff<br />

who were involved were Joe<br />

Hanna, Afroza Ahmed, Maggie<br />

Cuzak, Chris Finney, Sarah<br />

Butchard and Charlotte Priestley.<br />

Book st<strong>all</strong>:<br />

The Reader Organisation is<br />

looking for paperback and<br />

hardback fiction books to sell<br />

from <strong>it</strong>s st<strong>all</strong>s at <strong>it</strong>s Reading<br />

Revolution events around<br />

<strong>Mersey</strong>side. Books can be<br />

dropped off in the foyer at 19<br />

Abercromby Square, L69 7ZG or<br />

at any of the events detailed at<br />

www.thereader.org.uk or c<strong>all</strong><br />

0151 794 3849.<br />

Round up…<br />

spir<strong>it</strong> of <strong>Mersey</strong>side<br />

awards:<br />

The Salvation Army based in<br />

Stanley Road, Bootle, has<br />

praised the contribution by<br />

<strong>Mersey</strong> <strong>Care</strong>’s volunteer service<br />

users after winning the<br />

Prosperous Commun<strong>it</strong>y Award<br />

presented by the Commun<strong>it</strong>y<br />

Foundation of <strong>Mersey</strong>side.<br />

Wr<strong>it</strong>ing to executive director of<br />

nursing and care Karen Wilson,<br />

the Army’s co-ordinator Alan<br />

Roper said: “This is a great<br />

achievement for our centre,<br />

especi<strong>all</strong>y for the volunteers<br />

that help us every week. The<br />

contribution that the clients<br />

from <strong>Mersey</strong> <strong>Care</strong> who<br />

volunteer w<strong>it</strong>h us on a Friday<br />

is very much appreciated and<br />

we look forward to welcoming<br />

more clients in the future.”<br />

The Salvation Army’s centre is<br />

open three mornings a week for<br />

breakfast and lunch and serves<br />

between 50 and 60 people a day,<br />

<strong>all</strong> of whom are homeless, have<br />

substance abuse addiction, mental<br />

health issues or are elderly.<br />

Alzheimer office<br />

changes:<br />

Work carried out by the<br />

Liverpool and South Sefton<br />

branch of the Alzheimer’s<br />

Society out of the Liverpool<br />

office has been spl<strong>it</strong> between<br />

Liverpool and Southport.<br />

The Liverpool office is now<br />

known as Alzheimer’s Society<br />

Liverpool operating from the<br />

Neurosupport Centre, Norton<br />

Street, Liverpool L3 8LR;<br />

telephone 0151 298 2444 or<br />

email liverpool@alzheimers.<br />

org.uk. The South Sefton area<br />

is now run from the society’s<br />

Sefton and West Lancs office,<br />

previously known as the<br />

Southport Branch, located at<br />

18 Stanley Street, Southport PR9<br />

0BY; telephone 01704 539967.<br />

Those boots were<br />

made for walking:<br />

Service user and carer<br />

representative David Hartwell<br />

w<strong>it</strong>h Lee Brown and Rob<br />

Dumbell who completed a<br />

sponsored walk from the Pier<br />

Head in Liverpool to Windsor<br />

Clinic, Aintree, finishing at the<br />

clinic’s annual barbecue.<br />

Medal day at the palace:<br />

Former <strong>Mersey</strong> <strong>Care</strong> staff side<br />

chair Jean Atkinson on the steps<br />

at Buckingham Palace where she<br />

received her MBE awarded in the<br />

New Year Honours List. During<br />

most of her 28 years in the <strong>NHS</strong><br />

she has been active in the<br />

Liverpool Commun<strong>it</strong>y and<br />

Hosp<strong>it</strong>als Branch, first as a steward<br />

in NUPE and later in UNISON,<br />

becoming branch secretary until<br />

she stood down last year.<br />

■ MERSEY CARES ■ OCTObER/NOVEMbER 10<br />

2


<strong>Mersey</strong> <strong>Care</strong> is published by <strong>Mersey</strong> <strong>Care</strong> <strong>NHS</strong> <strong>Trust</strong><br />

and produced by the Communications team,<br />

<strong>Trust</strong> Offices, Parkbourn, Maghull L31 1HW<br />

Tel: 0151 471 2336 Fax: 0151 473 2863<br />

Email: communications@merseycare.nhs.uk Webs<strong>it</strong>e: www.merseycare.nhs.uk<br />

<strong>Mersey</strong> <strong>Care</strong>s is available in other formats on request. Please pass on for others to read and recycle.<br />

DEADLINE for the December 2010/January 2011 issue of <strong>Mersey</strong> <strong>Care</strong>s is Friday 29 October but please let us know as soon as<br />

possible of any likely <strong>it</strong>ems, especi<strong>all</strong>y if supporting photography might be needed. Contact the communications team<br />

on 0151 471 2336 or email communications@merseycare.nhs.uk

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