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MHM March 2006 - West London Mental Health NHS Trust

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mental health matters<br />

<strong>March</strong> <strong>2006</strong> Issue 21<br />

the newsletter from <strong>West</strong> <strong>London</strong> <strong>Mental</strong> <strong>Health</strong><br />

<strong>NHS</strong> <strong>Trust</strong><br />

trustwide<br />

news<br />

foundation<br />

trust<br />

going<br />

smoke<br />

free?<br />

my working life<br />

Full story on page 13


in brief...<br />

a full house<br />

The most recent meeting of the trust’s<br />

service user involvement forum was again<br />

well attended providing further evidence of<br />

the value and importance of this type of<br />

communication.<br />

This bi-monthly forum gives service users<br />

the opportunity to bring issues affecting<br />

them to the attention of the trust’s<br />

management. The meetings are chaired by<br />

chief executive, Simon Crawford with user<br />

representation from each service. The<br />

messages from service users are getting<br />

right to the top of the organisation and the<br />

minutes are shared with managers and<br />

clinicians across the trust.<br />

Patrick Nyarumbu<br />

who co-ordinates<br />

user representation<br />

at the forum says,<br />

“It is good news for<br />

those using the<br />

trust’s services that<br />

the forums have<br />

proven so successful.<br />

At the last meeting Patrick Nyarumbu<br />

there was discussion<br />

on changes to benefits which will affect<br />

many patients and the setting up of a<br />

smoking review group. It is crucial for<br />

service users and their carers and for the<br />

development of the trust and its services<br />

that information sharing of this kind<br />

continues to thrive as it has been through<br />

the user forum meetings.”<br />

opening up<br />

to learning<br />

In January and February the Broadmoor Hospital<br />

and Ealing sites each hosted open days<br />

promoting the training, learning and<br />

development opportunities available to staff.<br />

As well as being given an overview of the wide<br />

range of training on offer, visitors were able to<br />

discuss ways of using the individual learning<br />

account funding available from the <strong>NHS</strong> for all<br />

staff who do not hold professional work related<br />

qualifications.<br />

One of the most popular stands at the<br />

Broadmoor open day was manned by staff from<br />

Newbury College and PI Marketing who provide<br />

a range of distance learning courses. Martyn<br />

Marsh from the social work department, who<br />

has recently completed the drugs awareness<br />

course, said “It was an excellent course for<br />

great self awareness about the whole issue of<br />

drugs. The course itself was very good, the<br />

materials were excellent and I really enjoyed<br />

the distance learning method and am going to<br />

start on the business practices course next.”<br />

Wendy Hiley with the computer training team<br />

literacy training. “I don’t want to sit idly while<br />

I wait for a nursing secondment to come up,”<br />

she said. “It’s better to add anything to your<br />

skills that’s useful.”<br />

Wendy Hiley, learning and development centre<br />

manager at <strong>Trust</strong> HQ, was pleased with the day.<br />

“The majority of visitors here were interested in<br />

the European computer driving licence (ECDL)<br />

and the NVQ in health & care. We had a good<br />

turnout considering how difficult it is for<br />

community based staff to get here.”<br />

After the Broadmoor open day Ali Webster,<br />

training centre manager, said “We were really<br />

pleased with the attendance as it shows that<br />

staff are genuinely committed to development.<br />

As a result of the information we received<br />

we’ve been able to set up a number of new<br />

training initiatives for staff which meet<br />

individual’s learning needs.”<br />

2<br />

Sue Cumming, head of patient and public<br />

involvement for the trust is thrilled that the<br />

forum is making a real difference for<br />

service users and has a strong and powerful<br />

voice that is respected and really heard.<br />

electronic<br />

staff record<br />

system (ESR)<br />

The trust is preparing for the arrival of the<br />

national electronic staff record system (ESR).<br />

This will replace 29 payroll systems and 38<br />

HR systems with a single system which will<br />

be used by all <strong>NHS</strong> organisations. Within the<br />

trust it will record and manage payroll to all<br />

4000 staff from September <strong>2006</strong>.<br />

Payroll and HR data will be held<br />

electronically, and access to information will<br />

only be available to authorised users. In the<br />

longer term, it may be possible for individual<br />

managers to input and update staff<br />

information about sickness and absence,<br />

appraisal, training, and employment status.<br />

Brinda Sehdev (centre) investigates Skills for Life at the Quantica<br />

training stand<br />

Brinda Sehdev, a bi-lingual healthcare<br />

assistant with older people’s services at Ealing,<br />

has achieved NVQ level 3 and is now hoping<br />

for a secondment to train as a nurse. “<strong>Health</strong><br />

care assistants have a great deal of experience<br />

of working closely with patients and would<br />

make good nurses”, says Brinda. At the Ealing<br />

open day she found the course she wants and<br />

then went on to sign up for numeracy and<br />

Broadmoor staff check out training options<br />

Ali Webster talks staff through a training programme


editor’s letter<br />

Welcome to the <strong>March</strong> edition of <strong>Mental</strong> <strong>Health</strong> Matters.<br />

I joined the trust’s communications team last month as head of<br />

internal communications and I am thrilled to be taking over as<br />

editor of <strong>Mental</strong> <strong>Health</strong> Matters. I look forward to hearing about<br />

your news and events and sharing them with colleagues around<br />

the trust. You can read more on this page about the new<br />

communications team and what we plan to do.<br />

I spent the last five years of my working life at the Hammersmith<br />

Hospitals <strong>Trust</strong> where I led on internal communications, running<br />

a popular staff magazine and the staff intranet. I hope to<br />

encourage staff communications here at <strong>West</strong> <strong>London</strong> <strong>Mental</strong><br />

<strong>Health</strong> <strong>Trust</strong>, beginning with updating existing material and<br />

launching a new intranet later in the year (I will update you on<br />

this through <strong>Mental</strong> <strong>Health</strong> Matters and Monday Matters.)<br />

And so, your staff magazine is changing. To make sure it really<br />

belongs to you, I would urge you to get in touch and let me know<br />

your news. Perhaps you work with an exceptional member of<br />

staff, or your team has achieved something you think is worth a<br />

mention. If that is the case – I want to know!<br />

Drop me a mail to tara.ferguson-jones@wlhmt.nhs.uk or call me<br />

on 020 8354 8737<br />

Tara Ferguson Jones<br />

getting our message across<br />

One of the big challenges facing our trust is<br />

good communications. It’s not always easy<br />

letting the world outside know what we’re up<br />

to and it’s a demanding task keeping staff<br />

and service users fully informed of what’s<br />

going on. However, the trust’s new<br />

communications team is ready to rise<br />

to the challenge.<br />

Under director of communications Nuala<br />

O’Brien, who arrived last year, the team<br />

promotes the work of the trust both<br />

internally and externally. Many of you may<br />

already know communications manager<br />

Cecilia Coleshaw, and a further two staff<br />

have now joined.<br />

external communications<br />

The external role of the team is to respond<br />

to media queries, promote the work of the<br />

trust to a range of press and media and<br />

work with members of the public,<br />

stakeholders, local and national<br />

organisations to raise the profile of some<br />

of the excellent work being done here.<br />

This will include developing a schools<br />

programme, hosting open days and other<br />

events. Rory Hegarty has been appointed<br />

as head of external relations and will be<br />

mainly responsible for this area of work.<br />

Another of his tasks will be to organise the<br />

communications required around the<br />

trust’s bid for foundation status.<br />

internal communications<br />

As head of internal communications, Tara<br />

Ferguson Jones is editor of <strong>Mental</strong> <strong>Health</strong><br />

Matters, and will oversee the running of<br />

existing staff publications including<br />

Monday Matters. She will be working with<br />

others around the trust to set up an<br />

intranet site to further improve electronic<br />

staff communications and on the back of<br />

this the trust’s internet site will be<br />

enhanced to help with external<br />

communications.<br />

Nuala says, “This is a large and relatively<br />

new trust facing lots of change. Good<br />

communications are key to our success. We<br />

will be working to ensure that staff on all<br />

our sites get access to good quality<br />

information about what is going on.”<br />

talk to us<br />

The communications team handles all<br />

media enquiries and requests for<br />

information from journalists. Enquiries<br />

received by doctors or other staff members<br />

are channelled through communications to<br />

enable us to protect the privacy of our<br />

patients and their families; and to make<br />

sure that any statements given to the media<br />

or general public are both accurate<br />

and consistent.<br />

If there is something you think we need to<br />

know about or could help you to publicise -<br />

within or outside the trust - feel free to<br />

contact us at any time. We operate an open<br />

door policy and are happy to help.<br />

Call us on 020 8354 8737 or email any of<br />

us via GroupWise.<br />

Out of hours press calls<br />

are dealt with<br />

by Nexus<br />

Communications,<br />

which handles<br />

media calls for a<br />

number of <strong>NHS</strong><br />

trusts. They<br />

can be<br />

contacted by<br />

pager on<br />

07659<br />

125409.<br />

Cecilia, Nuala,<br />

Tara and Rory.<br />

3


going smoke free?<br />

The Department of <strong>Health</strong> has set the <strong>NHS</strong> a<br />

target to be smoke free by December <strong>2006</strong>.<br />

This means that smoking would not be<br />

allowed by staff or patients in trust buildings<br />

or surroundings. We are a large trust with<br />

many sites and complexities; we need to<br />

ensure that the human rights of the passivesmoker<br />

and service users who choose to<br />

smoke are both protected. We<br />

need to come up with a smoke<br />

free policy which is right for<br />

our trust.<br />

What have we done so far?<br />

The review of our smoking<br />

policy is being led clinically by<br />

medical director, Dr Liz<br />

Fellow-Smith. The chief<br />

executive has set up a<br />

smoking review committee<br />

which is chaired by one of the<br />

trust’s non-executive directors,<br />

Ann Chapman.<br />

This new committee has been<br />

involving staff side and the service users’<br />

forum in their review, as well as researching<br />

the new legislation and progress of other<br />

mental health trusts.<br />

What are the next steps?<br />

The committee has prepared a draft policy<br />

which the trust board will review at the<br />

<strong>March</strong> board meeting. We need to have a<br />

smoke free policy but how we implement<br />

the policy needs to be thoroughly planned<br />

with local input. We aim to have a plan<br />

completed by June <strong>2006</strong> to<br />

ensure we meet the national<br />

target of being smoke free by<br />

December <strong>2006</strong>.<br />

How can I feed in my views?<br />

You can communicate your<br />

views to the review committee<br />

via your staff side rep or service<br />

user forum.<br />

When will the details be<br />

available?<br />

Assuming the draft policy is<br />

signed off at the <strong>March</strong> board it<br />

will be published in the policies<br />

folder of the N-drive. We’ll<br />

ensure you’re kept up to date via Monday<br />

Matters and the next edition of <strong>Mental</strong><br />

<strong>Health</strong> Matters.<br />

Where can I get more information?<br />

The best website is<br />

www.smokefreelondon.com.<br />

This provides information on legislation,<br />

advice on how to quit and more!<br />

Recommended reading for mental health<br />

are the presentation slides and resource<br />

references from the 13 October 2005<br />

Smoke Free Conference for <strong>Mental</strong> <strong>Health</strong><br />

available on the website under Going<br />

Smoke Free.<br />

Where can I get support to quit?<br />

Occupational health offers smoking cessation<br />

(or tobacco control) support for staff. You<br />

can contact the occupational health team on<br />

Ealing ext. 8919 or Broadmoor ext. 4310 to<br />

schedule an appointment. The support<br />

includes nicotine replacement therapy (any<br />

costs re-imbursed through OH for a six week<br />

programme) and relevant counselling/support<br />

from an OH advisor.<br />

There is also the national QUIT line on<br />

0800 002200.<br />

Alternatively you can contact your PCT or<br />

GP where you live.<br />

nhs graduates<br />

4<br />

The <strong>NHS</strong> graduate schemes programme has<br />

been designed to produce the <strong>NHS</strong> directors<br />

and chief executives of the future.<br />

Competition is fierce for places on the three<br />

training schemes, in human resources,<br />

finance and general management.<br />

Successful candidates are employed by the<br />

<strong>NHS</strong> and assigned to a variety of<br />

organisations. This gives them an overview of<br />

<strong>NHS</strong> activities, while allowing them to<br />

attend college on day release and study for a<br />

relevant qualification.<br />

Stacey Greenwood, finance<br />

trainee, currently at<br />

Broadmoor Hospital<br />

WLMHT is Stacey’s first<br />

placement. “You start off<br />

doing the basics, seeing how<br />

different departments work.<br />

That way as you progress<br />

further, you’ll have a better<br />

understanding of where<br />

Stacey Greenwood<br />

everything’s coming from.”<br />

Stacey appreciates the opportunity to move<br />

between organisations. “This means we can<br />

see what works well in one area that could<br />

then perhaps be applied somewhere else.<br />

<strong>NHS</strong> graduates are selected as<br />

people who are willing to<br />

question things.”<br />

Mark Keilthy, financial<br />

management trainee, currently<br />

in management accounts at<br />

trust HQ.<br />

Mark points out that versions of<br />

these training schemes have<br />

been around in the <strong>NHS</strong> for Mark Keilthy<br />

decades. “I think the<br />

reason such schemes are still here<br />

is a recognition that the <strong>NHS</strong> wants<br />

to get young graduates in who they<br />

can open up to the ideas and<br />

culture of the <strong>NHS</strong>.” Along with his<br />

fellow trainees, Mark is aware of<br />

how fortunate he is to be on the<br />

scheme. “I get a high amount of<br />

exposure to people in more senior<br />

positions, which is great; it allows<br />

you to cross boundaries and people<br />

know you’re keen to learn and are<br />

quite forthcoming. But I have to focus on<br />

becoming technically competent as well.”<br />

Nicola Wise, currently assistant service<br />

manager, men’s south of England<br />

directorate at Broadmoor<br />

Hospital.<br />

Nicola was pleased to have been<br />

given some responsibility as<br />

soon as she started. “I’m doing<br />

new things every day that I<br />

haven’t done before and that’s<br />

fantastic.” She is studying for<br />

an MSc in healthcare<br />

management and leadership and<br />

must present a dissertation after<br />

completing the scheme. Trainees<br />

are stringently assessed throughout. “We<br />

are providing a<br />

management<br />

resource to our<br />

employers and at<br />

the same time<br />

we’re on a steep<br />

learning curve.<br />

There’s a lot<br />

expected of us.”<br />

Nicola knows she’s<br />

privileged to be on<br />

the scheme, but Nicola Wise<br />

there’s no danger of it going to her head.<br />

“The more I learn, the more I realise I<br />

don’t know. That keeps me grounded!”


oard talk<br />

In this new feature, <strong>Mental</strong> <strong>Health</strong> Matters will introduce you<br />

to members of the trust board, beginning with the trust’s<br />

executive directors. We launch with Simon Crawford, the<br />

chief executive.<br />

what does the chief<br />

executive do?<br />

I lead the executive team of the<br />

organisation. I am the accountable officer<br />

for public funds and responsible for<br />

making sure the organisation has a<br />

strategy for its services, high clinical<br />

standards and manages its resources<br />

effectively.<br />

what was your first job?<br />

I joined the civil service as an executive<br />

officer with responsibility for audit of the<br />

<strong>NHS</strong> in Wales. I trained to be an<br />

accountant at that time.<br />

how did you get to be a chief<br />

executive?<br />

As a qualified accountant I worked for<br />

seven years at Gwent Community <strong>Mental</strong><br />

<strong>Health</strong> <strong>NHS</strong> <strong>Trust</strong> before joining<br />

Broadmoor Hospital in August 1997 as<br />

director of finance. One thing in my<br />

career I am particularly proud of is that I<br />

have worked my way around all of the key<br />

positions in finance. When the <strong>West</strong><br />

<strong>London</strong> <strong>Mental</strong> <strong>Health</strong> <strong>NHS</strong> <strong>Trust</strong> was<br />

formed in 2001 I became deputy chief<br />

executive and was appointed chief<br />

executive two years ago.<br />

describe yourself in four words?<br />

Resilient, focused, committed,<br />

approachable<br />

what do you think makes the<br />

<strong>West</strong> <strong>London</strong> <strong>Mental</strong> <strong>Health</strong> <strong>NHS</strong><br />

<strong>Trust</strong> an attractive employer?<br />

The fact that the trust provides the whole<br />

spectrum of mental health services from<br />

local psychiatric services to low, medium<br />

and high secure services as well as<br />

specialist services such as the gender<br />

identity unit and the Cassel Hospital.<br />

My least favourite part of the job is the<br />

bureaucracy I come across from time to<br />

time which can get in the way of progress<br />

being made.<br />

if you were <strong>Health</strong> Secretary for a<br />

day, what would you do?<br />

Not a chance! I would never be and<br />

wouldn’t ever want to be the <strong>Health</strong><br />

Secretary.<br />

what is your leadership style?<br />

Facilitative, but I have strong views<br />

on the standards we must strive to<br />

achieve. I am not prepared to<br />

negotiate on driving up standards<br />

but I am prepared to negotiate on<br />

timescales and resources required.<br />

what was the first album<br />

you bought?<br />

Beach Boys greatest hits.<br />

what do you like doing when<br />

you are not at work?<br />

Spending time with my family.<br />

what’s the best piece of advice<br />

you’ve ever been given?<br />

I have been given two pieces of good<br />

advice which are linked. It’s better to<br />

make a decision than to make no<br />

decision at all. But don’t act in haste<br />

as it’s never as urgent as people might<br />

have you believe.<br />

what is your favourite and least<br />

favourite part of the job?<br />

I enjoy getting out and about meeting<br />

staff and patients and seeing the<br />

difference our staff make to<br />

people’s lives.<br />

5


moving on up<br />

In this new regular feature we will include photos and write-ups on new members of trust<br />

staff, leavers and staff who have made a move within the trust. We would also like to<br />

feature award winners. So if you know of anyone worth a mention here send an email to<br />

tara.ferguson-jones@wlmht.nhs.uk, or call the communications team on 020 8354 8737<br />

joiners<br />

The Wells Unit, the new pilot adolescent forensic unit based in the Three Bridges regional secure unit at Ealing, welcomed its first<br />

intake of staff at the end of February. The Wells Unit is part of a small national <strong>NHS</strong> service funded by NSCAG (National Specialist<br />

Commissioning Advisory Group) to provide secure care for young offenders with significant mental health needs. The ten-bedded unit<br />

will open in early May.<br />

MAGGIE QUILL formerly a GCSE and A-level teacher of history and philosophy has career changed and joined Lakeside <strong>Mental</strong> <strong>Health</strong><br />

Unit as an occupational therapist. Maggie is delighted to be working on Kestrel ward.<br />

ALAN WISHART is the trust’s new<br />

associate director of human resources<br />

with responsibility for the medical<br />

workforce. Alan is already familiar<br />

with the trust as he joins from the<br />

North <strong>West</strong> <strong>London</strong> Strategic <strong>Health</strong><br />

Authority. He also had dealings with<br />

the trust in an earlier role as an<br />

industrial relations officer at the<br />

British Medical Association.<br />

DAWN MILLER has joined the trust as research<br />

governance co-ordinator for the research and<br />

development department (job sharing with Maria<br />

Tsappis.) She comes to the trust from Hillingdon<br />

PCT where she was a research assistant.<br />

As associate director of HR he will<br />

lead the trust’s medical staffing team<br />

in dealing with issues such as<br />

recruitment, pay and contractual<br />

matters. He will also be responsible<br />

for organisational development which<br />

will mean working with the medical<br />

director to ensure the benefits of the<br />

new consultant contract link into the<br />

trust’s modernisation agenda and<br />

service delivery strategy.<br />

6


movers<br />

DIANA WIGGINS has moved from her<br />

role as head of occupational therapy<br />

(OT) and manager of the Tamworth<br />

Day Centre in Hammersmith &<br />

Fulham to become the trust’s head of<br />

leadership and professional<br />

development. Diana started with the<br />

trust in 2000 as a senior OT based in<br />

the Hammersmith & Fulham<br />

community mental health team.<br />

Diana has always had an interest in<br />

training and development and sees<br />

this as continuing to utilise her OT<br />

skills in as much as OT is about helping individuals to reach their<br />

maximum potential as is learning and development.<br />

WENDY HILEY has been promoted from her role as PA to<br />

the director of finance to learning and development<br />

centre manager.<br />

UZMA BHATTI has been appointed as a mental health<br />

worker in the home treatment team. Uzma has been<br />

working at the trust in various roles since 2001 when<br />

she joined as a health care assistant. She says, “I am<br />

delighted to be appointed as a permanent member of<br />

the team as I have very much enjoyed working at the<br />

trust. My role is challenging, every day is different, the<br />

team is excellent and the management are supportive. I<br />

am learning so much working in this environment and I<br />

appreciate the fact that professional development is<br />

encouraged.”<br />

NEW TREATMENT FOSTER CARE (TFC) SERVICE IN HAMMERSMITH & FULHAM<br />

Special congratulations to Hammersmith & Fulham CAMHS staff MÁIRE STEDMAN, family therapist and DR CHRIS ROBERTS,<br />

consultant child and adolescent psychiatrist, who will be seconded into this new service initially for 18 months. The service is the<br />

result of a joint bid made together with H&F CAMHS and the Children’s <strong>Trust</strong> for a local grant with the Department for Education &<br />

Skills (DfES), to support the initiation and development of treatment foster care within the borough.<br />

leavers<br />

ALF BOWERS, clinical nurse<br />

specialist working with families in<br />

the community retires from the<br />

Cassel Hospital at the end of<br />

April having given 25 years of<br />

service. Alf came to the Cassel<br />

and trained in the practice of<br />

psychosocial nursing. He has<br />

gone on to make many<br />

contributions to the practice of<br />

enabling patients to develop their<br />

strengths whilst working in<br />

partnership with their nurses.<br />

Alf is also a named nurse for<br />

Child Protection for the <strong>Trust</strong>.<br />

Lead nurse, Rebecca Neeld says,<br />

“Alf, being a man of many<br />

talents, has been the programme<br />

leader for the Cassel’s<br />

psychosocial nursing courses.<br />

This training has developed from<br />

a certificate to a masters level<br />

training and around one hundred<br />

students have benefited from<br />

Alf’s care, attention and interest.<br />

A recent graduate from the<br />

diploma course told me that it is<br />

Alf’s very particular brand of<br />

teaching that has enabled her to<br />

master the academic work and<br />

link it to practice, in such a way<br />

that this facilitates being able to<br />

do it for the patients. Alf retires<br />

while still young (thanks to<br />

mental health officer status) in<br />

body, and in spirit. It is hard to<br />

let him go and he will be<br />

sorely missed.”<br />

JOHN CATTERMOLE, modern matron and practice development nurse has left the trust after<br />

17 years. He joined Broadmoor Hospital in 1989, where he worked as a staff nurse team<br />

leader, and clinical nurse manager on Luton Ward. For the past few years John has worked<br />

as practice development nurse, modern matron within the nursing and <strong>London</strong> directorates.<br />

John will be remembered for his patience and<br />

commitment to staff and patients. Throughout his<br />

career he showed his dedication to ensuring staff<br />

received appropriate and meaningful professional<br />

development. Many staff will remember John for<br />

his work with NVQ’s and always having time for<br />

people, but also for his rather loud ties and<br />

waistcoats…<br />

At his leaving lunch, both Grant Macdonald,<br />

director of nursing and Jimmy Noak, deputy<br />

director of nursing, thanked John for his<br />

dedication, loyalty and commitment, particularly in<br />

relation to his work in the personal development of<br />

nurses at Broadmoor Hospital.<br />

As one staff nurse said “If it were not for John’s<br />

help and support, I would never have undertaken<br />

my training. He gave me encouragement and<br />

practical help to achieve my goals. Thanks John.”<br />

JESSICA WILLIAMS, one of the executive team,<br />

has left the trust to take up the post of director<br />

of services at Maidstone and Tunbridge Wells<br />

<strong>NHS</strong> <strong>Trust</strong>. Professor Louis Smidt, chairman of<br />

the trust says, “Jessica worked on the DSPD<br />

unit development at the trust which was<br />

scrutinised by the Department of <strong>Health</strong> and<br />

Home Office constantly. She brought to the<br />

project an attention to detail and an<br />

unwavering focus. She delivered the project on<br />

time, within budget and to a high standard. We<br />

couldn’t have had anyone better to run this<br />

high profile project.”<br />

7


future of<br />

firm foundations<br />

The trust has been invited to apply for<br />

foundation trust status. Having considered<br />

the benefits for service users, staff and<br />

partners, the trust board has agreed to<br />

apply. Chief executive Simon Crawford says,<br />

“I believe that becoming a foundation trust<br />

will enable us to make our services even<br />

better than they are now. We will have the<br />

freedom to work with partners to develop<br />

fully comprehensive services that local<br />

people want. We will also be in a better<br />

position to support service users and their<br />

families to participate fully in their family<br />

and work life.”<br />

strategy<br />

The first step towards foundation status is<br />

to develop a new vision and strategy for the<br />

trust and this process has begun under the<br />

leadership of Lesley Stephen, director of<br />

strategy, performance and corporate<br />

development and Samantha Knollys,<br />

corporate strategy manager.<br />

Lesley says, “We are asking a<br />

representative group of staff, service users,<br />

carers, partners and the local community<br />

some key questions about the future of the<br />

trust – questions such as:<br />

what would you like the trust<br />

to look like in 10 years time?<br />

What service would you, your family or a<br />

friend want to receive from WLMHT in<br />

2015 if you needed care?<br />

The answers to these and other questions<br />

will shape the strategy, which will in turn<br />

shape the future of the trust.”<br />

why do we need a strategy?<br />

“In having a strategy we will be able to set<br />

ourselves clear priorities so we are not<br />

blown off course by the latest government<br />

initiative or crisis we need to manage. It<br />

will be good for staff and patients to know<br />

the direction in which the trust is going,”<br />

says Lesley.<br />

what is a foundation trust?<br />

While they remain fully part of the <strong>NHS</strong>,<br />

foundation trusts are free from central<br />

government control and are not overseen by<br />

strategic health authorities. They are<br />

directly accountable to local people, who<br />

can become members and elected<br />

governors.<br />

what are the benefits for<br />

service users and staff?<br />

Service users and staff who are members of<br />

the foundation trust can put themselves<br />

forward for election to its board of<br />

governors, giving them a real say in<br />

decision-making and greater access to<br />

information.<br />

Foundation trusts are free to set their own<br />

strategy, to borrow commercially and to<br />

invest in new patient care facilities. This<br />

gives them greater scope for investing in<br />

new services, setting local targets and<br />

developing partnerships with for example<br />

primary care and local authorities. For<br />

instance working with local authorities to<br />

develop housing for service users such as<br />

short stay hostels.<br />

Lesley (left) and Samantha<br />

8


the trust<br />

can foundation trusts do as<br />

they please, without any<br />

checks or balances?<br />

Absolutely not. They are part of the <strong>NHS</strong><br />

and subject to <strong>NHS</strong> standards, procedures<br />

and systems of inspection. They are legally<br />

required to provide <strong>NHS</strong> care to <strong>NHS</strong><br />

patients, according to <strong>NHS</strong> standards and<br />

principles – free care based on the needs of<br />

local people. They are accountable to their<br />

members, their commissioners (such as<br />

primary care trusts) and to Monitor, the<br />

independent regulator for <strong>NHS</strong><br />

foundation trusts.<br />

will this lead to privatisation?<br />

No. Foundation trusts have been<br />

described as a new form of social<br />

ownership. They exist solely to provide<br />

<strong>NHS</strong> services to <strong>NHS</strong> patients: there are<br />

no shareholders, no dividends and they<br />

are prevented by law from being sold or<br />

taken out of the <strong>NHS</strong>.<br />

who can become a member?<br />

Members are drawn from three categories:<br />

1. People who live locally or have been a<br />

patient in the last three years –<br />

including carers or parents/guardians<br />

2. <strong>Trust</strong> staff<br />

3. Representatives from partner<br />

organisations<br />

The system is similar to the mutuality of<br />

building societies. Members elect the board<br />

of governors and are able to stand for<br />

election as governors.<br />

what do the governors do?<br />

The governors will take over the role of<br />

the Secretary of State in ensuring the<br />

trust is run in the public interest. Their<br />

duties include advising the management<br />

board on the needs of the local<br />

community and electing the chair and<br />

non-executive directors to the<br />

management board.<br />

will I automatically become a<br />

member if I work for<br />

WLMHT?<br />

The trust board will shortly propose<br />

eligibility criteria for membership. This will<br />

include whether staff should be automatic<br />

members with the choice to opt out, or<br />

whether they should decide individually if<br />

they want to join. The criteria will be<br />

subject to consultation with staff, service<br />

users, partners and members of the public.<br />

more information?<br />

Briefings for staff on foundation status have<br />

been run by the chief executive at various<br />

trust sites over the past month.<br />

If you would like to know more you can visit<br />

the Department of <strong>Health</strong> website<br />

www.dh.gov.uk/foundationtrusts<br />

Website for the regulator, Monitor -<br />

www.regulator-nhsft.gov.uk<br />

Or send queries to: ft@wlmht.nhs.uk or<br />

020 8483 2179<br />

you said . . .<br />

<strong>Mental</strong> <strong>Health</strong> Matters went along to one of the staff<br />

briefings on foundation trust status and asked staff:<br />

“What would you like the trust to look like in 10<br />

years’ time?”<br />

“I’d like to see a trust that<br />

uses its resources – users,<br />

staff and assets – creatively in<br />

order to provide a truly needsled<br />

and innovative service.”<br />

Victoria Wasteney,<br />

occupational therapist<br />

“Modern, easily accessible<br />

and out there in the<br />

community. I would like it to<br />

be a service which puts<br />

patients and the public truly<br />

at the centre of it.”<br />

Andrew Barton, chair of the<br />

trust’s patient and public<br />

involvement forum<br />

“I would be interested in<br />

seeing parishes and faith<br />

communities being involved<br />

in a way that would really<br />

influence how the trust is<br />

run. We don’t have that<br />

direct input at the<br />

moment.”<br />

Rev Derek Barnes,<br />

St Bernard’s chaplain<br />

“I would like to see the trust<br />

as the flagship for excellence<br />

in mental health services,<br />

with a reputation for quality<br />

across all its services that is<br />

reflected by service users,<br />

partner organisations and the<br />

communities in which those<br />

services are provided. The<br />

trust should be acknowledged<br />

as an employer of choice,<br />

with a similar reputation for<br />

its high quality employees and exemplary support<br />

and development arrangements for staff.”<br />

Matt Hawkins, senior occupational health advisor<br />

9


trustwide<br />

In this section of the magazine we would like you to tell us about anything of interest happening in<br />

your part of the trust. Please email tara.ferguson-jones@wlmht.nhs.uk or call the communications<br />

team on 020 8354 8737.<br />

<strong>Health</strong>care Commission<br />

visit to the Cassel Hospital<br />

Staff at the Cassel received great praise<br />

from Anna Walker, chief executive of the<br />

<strong>Health</strong>care Commission, who paid a very<br />

positive visit to the hospital last month.<br />

The <strong>Health</strong>care Commission promotes<br />

improvement in the quality of the <strong>NHS</strong>.<br />

They do this by assessing the performance<br />

of healthcare organisations through the<br />

annual system of performance ratings but<br />

also by personal visits such as this one.<br />

During the visit, Anna and her team looked<br />

closely at patient care and the particular<br />

treatment approach at the Cassel, by<br />

talking to patients, attending unit meetings<br />

with staff and speaking to the hospital's<br />

management team. They were particularly<br />

impressed with the unique opportunity that<br />

traumatised children, adolescents and<br />

adults receive for their lives and felt that<br />

more should benefit from that. They<br />

remarked on the unusual degree of<br />

responsibility that patients are given in<br />

their treatment and the way this fosters<br />

their strengths. In the discussion with<br />

senior managers Anna Walker appreciated<br />

the important role in the <strong>NHS</strong> of national<br />

specialist services such as the Cassel. In a<br />

thank-you letter to staff after the visit, Anna<br />

wrote, “Your work seemed to me to be in<br />

line with what is increasingly being looked<br />

for from our healthcare systems, with the<br />

emphasis on partnership working with<br />

others and care in the community.”<br />

opportunities at the Orchard<br />

Women’s services currently operate five women<br />

only wards across Broadmoor and Ealing sites.<br />

An important aspect in the preparation for the<br />

opening of the Orchard unit is integration of<br />

services, ideas and staff across both sites. As a<br />

result staff currently employed in women’s<br />

services who are committed to working in the<br />

Orchard, or those who remain undecided as to<br />

whether to work there are being offered the<br />

chance to work across sites. Senior nurse Jo<br />

Bunton says, “This opportunity is intended to<br />

help staff with the decision making process<br />

which may be around distance of travel, time to<br />

travel, anxieties in working in an unfamiliar<br />

area. It will give staff the opportunity to start to<br />

work collaboratively and understand practices<br />

which occur within other areas of women’s<br />

services. A number of staff have shown an<br />

interest in the secondment opportunities<br />

which will be individually tailored around the<br />

staff involved.”<br />

Senior nurse, Jo Bunton<br />

10


a bit of a racquet at St Bernard’s<br />

Staff and service user gym members joined<br />

forces in February to take part in the third St<br />

Bernard’s gym mixed doubles badminton<br />

tournament, organised by Rashidat Bello of<br />

the physical activity team.<br />

Eight pairs competed in a hotly contested<br />

knockout, but there was never any doubt<br />

that the top seeds would triumph. “No<br />

other team we played got within five points<br />

of us,” said Jatinder from Campion ward.<br />

His doubles partner Bali is an outpatient<br />

who regularly returns to the gym to<br />

practice. “The exercise is good and I enjoy<br />

it,” he explained.<br />

One of the women players only joined the<br />

badminton class a few weeks earlier, but<br />

proved a keen competitor. “It was a real<br />

occasion,” she said. “The level of<br />

competition was very high – in fact it was<br />

quite nerve wracking!”<br />

The tournament competitors with their prizes<br />

The winners were presented with a cup and<br />

a T shirt by Karen Chambers, clinical nurse<br />

specialist on Rollo May ward, and all the<br />

competitors received a well-deserved<br />

medal.<br />

building bridges<br />

at Broadmoor Hospital<br />

machine shop<br />

Mike Chard from the machine shop has started working on<br />

a new project with patients for this year’s Koestler Awards<br />

annual arts competition.<br />

Last year the machine shop entered six pieces and won<br />

prizes for all six which included third prize for a chair<br />

made from horse shoes.<br />

This year the team is hoping to do even better with<br />

their replica of the Royal Albert bridge built by<br />

Isambard Kingdom Brunel. Mick Chard, technical<br />

instructor told <strong>Mental</strong> <strong>Health</strong> Matters “I received a tea<br />

cloth with a picture of Brunel in front of the bridge as<br />

a Christmas gift from a friend, which got me thinking.<br />

I took the idea of the replica bridge back to the<br />

patients who were equally as enthused and so the<br />

project began.”<br />

The single track rail bridge, which joins Devon and<br />

Cornwall, is over 2,200ft in length and even the replica<br />

will stretch to 2m taking up half of the machine shop.<br />

In addition to building the replica one of the patients<br />

is also in the process of producing a portfolio to<br />

support the replica in its bid for a Koestler prize – so<br />

watch this space!<br />

11


BME network talent<br />

event is a winner<br />

Bernie Collins<br />

introduces<br />

the event<br />

Readers of Monday Matters will have seen<br />

the ads for the talent event mounted in<br />

February by the Ealing black and minority<br />

ethnic (BME) <strong>NHS</strong> staff network. The show<br />

was a colossal success, with 11 competitors<br />

taking to the stage at Ealing town hall to<br />

deliver over two hours of non-stop<br />

entertainment in front of a large audience.<br />

St Bernard’s chaplain Derek Barnes had<br />

taken up the challenge of compering the<br />

evening and combined a droll line in patter<br />

with gentle marshalling of the performers.<br />

Competitors of all ages presented a<br />

dazzling array of solo songs, poetry,<br />

Bollywood dance and jazzed-up Mozart. A<br />

10 year old girl in the audience was so<br />

inspired she asked if she could be a lastminute<br />

competitor and promptly performed<br />

an expert piece on the piano.<br />

Tasmia Darr, runner up, adult<br />

here has made it all worthwhile. It’s better<br />

than medicine. It’s cleansed my soul!”<br />

The winners were chosen using the<br />

‘clapometer’ method: the audience<br />

applauded, cheered, banged on tables –<br />

even shrieked – to indicate their<br />

preference. This resulted in a winner and a<br />

runner up each in the adult and child<br />

categories, with the winners receiving a<br />

portable DVD player.<br />

Winner, adult: Ginelle Joseph, cool and sweet<br />

sounding, surely a singing star in the making.<br />

Winner, child: Joel Noel, 14 year old son of<br />

an Ealing PCT employee, who sang Luther<br />

Vandross’ ‘Dance with my Father’ with<br />

sensitivity and maturity.<br />

Runner up, adult: Tasmia Darr, receptionist at<br />

Ealing PCT, rivalled Whitney Houston’s<br />

original with her rendition of ‘One Moment<br />

in Time’.<br />

Onysha Collins, runner up, child<br />

Ginelle Joseph, winner, adult<br />

Non competing guest performers were the<br />

Chiswick SDA gospel choir, who raised the<br />

temperature with two vibrant performances.<br />

Amongst the audience was Arvind Sharma,<br />

the new director of the Ealing race equality<br />

council, who had come straight from work.<br />

“I do a stressful job,” he said, “but coming<br />

Joel Noel, winner, child<br />

Runner up, child: 15 year old Onysha Collins,<br />

daughter of the trust’s own Bernie Collins,<br />

who gave an intelligent and impassioned<br />

performance of a monologue written herself<br />

about Hurricane Katrina, ‘Will You<br />

Remember Me?’<br />

Onysha was sanguine about coming second:<br />

“I just wanted to get the message across<br />

and I didn’t care if I didn’t win,” she said.<br />

Indeed the whole evening was about taking<br />

part and the BME network looks forward to<br />

an even bigger and better contest next year.<br />

Compere Derek Barnes Singer Scorpio The Chiswick SDA Gospel Choir<br />

Bollywood dancer Yasmin<br />

12


cover story<br />

my working life<br />

<strong>Mental</strong> <strong>Health</strong> Matters spoke to Thubalakhe Quthu about his<br />

working life at Feltham Young Offenders Institute.<br />

Job title:<br />

Senior staff nurse<br />

Your working life:<br />

We run what you could call a triage service here at Feltham in that<br />

we are called upon to assess a number of the young people coming<br />

into Feltham who, it is thought, may have a mental health<br />

condition. We run an inpatients unit and as senior staff nurse I am<br />

the named nurse for a group of patients responsible for their care<br />

planning and assessment. In communicating with other members of<br />

the multi-disciplinary team we assess each patient and decide what<br />

follow on support they require – or for some we refer them to health<br />

services outside for admission under the <strong>Mental</strong> <strong>Health</strong> Act 1983.<br />

Why did you decide to be a mental health nurse?<br />

I find working with mental health patients extremely interesting and<br />

therefore motivating. (I’m a general nurse also.) In my experience I<br />

have found that mental health is an area that tends to be forgotten<br />

and stigmatised, so it made me keen to work with these patients<br />

and positively change their lives.<br />

Multidisciplinary team?<br />

The team is made up of nurses, doctors, psychiatrists, occupational<br />

therapists, art therapists, music therapists, drama therapists and<br />

prison officers.<br />

How long have you been at the trust?<br />

I’ve been in the <strong>NHS</strong> for five years and here at <strong>West</strong> <strong>London</strong> <strong>Mental</strong><br />

<strong>Health</strong> for three and a half years.<br />

High points of the job:<br />

In a way it is like working in an<br />

accident and emergency<br />

department in that you don’t know<br />

what is going to happen on a day to<br />

day basis. There is a high turnover<br />

of patients which keeps it<br />

interesting and I’m motivated by<br />

the fact that I can help those who<br />

may have slipped through the net.<br />

What did you have for<br />

breakfast today?<br />

Cornflakes this morning and a few cups of coffee throughout the<br />

morning as my shift started at 1.30pm.<br />

What would you do if you won the National Lottery?<br />

I would get a new and bigger place in which to live and I would<br />

open a clinic for mental health patients, attached to a GP practice<br />

to make it as accessible as possible. It would be run so that I could<br />

pop in and work on the days of my choice.<br />

How do you travel to work?<br />

Public transport. I travel by train and by bus.<br />

How do you relax at the end of the day?<br />

I listen to music, have a shower, have a cup of coffee,<br />

talk to friends…<br />

songs from the musicals<br />

One Saturday in February, singing ensemble Take Twenty performed to a full<br />

house of patients in the Tony Hillis lecture theatre, Ealing.<br />

Having previously been invited in December to perform their Christmas<br />

repertoire, this time they presented songs from the shows from the ’50s,<br />

’60s and ’70s.<br />

13


women’s forensic<br />

service prepares<br />

for future<br />

The felling in January of the 110ft boiler<br />

house chimney, which formed part of the old<br />

laundry works for St Bernard’s Hospital,<br />

marked the start of significant building work<br />

for the Orchard.<br />

Although enabling work on the site started<br />

last year the demolition of the chimney is<br />

the most dramatic sign so far that the<br />

redevelopment is fully underway.<br />

With the Orchard scheduled to open in<br />

2007, women’s services are planning the<br />

shape of their Broadmoor service during<br />

the interim period. This will see the three<br />

wards in York House realigned to two new<br />

patient communities which will occupy the<br />

ground and middle floor wards. These<br />

changes are being made in light of falling<br />

patient numbers and to prepare patients<br />

and staff for the new service provision.<br />

Debbie Richards, service director<br />

explained: “Two new nursing teams and<br />

two new clinical teams will be created<br />

from the current nursing workforce and<br />

existing clinical teams. This will mean a<br />

change in responsible medical officer<br />

(RMO) for some patients, but clinicians<br />

and managers have been giving a lot of<br />

thought to which patients should be<br />

placed on the two new wards and have<br />

taken into account a broad range of<br />

clinical issues.<br />

“Information from the workforce survey<br />

has also been taken into account and has<br />

enabled some staff who have requested<br />

transfers out of the directorate to relocate<br />

to other services.”<br />

A crane ‘munches’<br />

down the chimney<br />

The site before<br />

demolition<br />

14


a day in the life of . . .<br />

<strong>Mental</strong> <strong>Health</strong> Matters spent a working day<br />

in the life of Caroline Garrard, ICT call centre<br />

supervisor. Based at Broadmoor but providing<br />

a service for the whole of the trust, Caroline<br />

heads up the team of three in the IT call<br />

centre and describes her working day as<br />

“non-stop.”<br />

The call centre team is the first port of call<br />

for staff with IT problems. Caroline and team<br />

are able to sort out some calls on the spot,<br />

but others have to be referred on to<br />

engineers in the IT team for resolution. The<br />

call centre is open from 8.30am – 5.30pm<br />

and there is an answer phone for calls<br />

outside of the open hours.<br />

9am<br />

When Caroline arrives in the office,<br />

colleagues Jane and Camelia are<br />

both on the phone – problemsolving.<br />

The first task of the day in the call<br />

centre is to remove and log the<br />

answer phone messages which have<br />

come in overnight and in the early<br />

hours. “There are usually around<br />

twenty but we have been having<br />

problems with our servers and so<br />

there has unfortunately been a<br />

surge of calls in recent days,” says<br />

Caroline. The team deals with the<br />

morning phone messages as quickly<br />

as possible. “Very often the<br />

messages alert us to a more general<br />

problem which we immediately get<br />

on to the engineers about,” says<br />

Caroline.<br />

9.30am<br />

Someone just back from a three<br />

week holiday abroad calls to find<br />

out what their password is. Too<br />

much exposure to the sun has<br />

obviously made them forgetful!<br />

10am<br />

The phones ring constantly in the<br />

call-centre. A doctor can’t get onto<br />

the internet. Caroline talks him<br />

through what needs to be done to<br />

get the access he requires. The caller<br />

is grateful for her help. Asked what<br />

she likes about the job, Caroline<br />

talks about her team and the close<br />

working relationships they have with<br />

the engineers who go out and fix<br />

many of the problems. “We need to<br />

have good working relationships, as<br />

we are such a pressurised<br />

department,” she says. When asked<br />

what she dislikes about the job,<br />

Caroline talks about members of<br />

staff who are rude to call centre<br />

staff. She also dislikes the telephone<br />

ringback function.<br />

11am<br />

People not only contact the call<br />

centre by phone but they also email<br />

their queries too. Throughout the<br />

day Caroline checks the account and<br />

emails out responses. A request has<br />

come in for a GroupWise account to<br />

be set up for a team of users, and<br />

another has come in for help with<br />

GroupWise archiving. Caroline<br />

phones the user back and explains.<br />

12 noon<br />

A member of staff comes<br />

on the phone in floods of<br />

tears. She has managed<br />

to delete a file she has<br />

spent all morning<br />

working on. Nine times<br />

out of ten this is a<br />

problem the team can<br />

solve... and fortunately<br />

for the caller Caroline finds the<br />

missing file. Another grateful caller.<br />

The phones continue to ring with<br />

calls coming in on everything from<br />

problems with GroupWise to<br />

someone who keeps getting internet<br />

pop-ups on their screen. A number<br />

of people report printer problems<br />

and Caroline logs a number of calls<br />

with the engineers. “Throughout the<br />

day I check progress on the jobs I<br />

have handed over to the engineers<br />

to ensure that problems are being<br />

sorted out. If the engineers don’t<br />

deal with things quickly we are on<br />

the receiving end of the backlash<br />

from users,” says Caroline.<br />

2.15pm<br />

Caroline tends to leave the building<br />

for lunch most days to get a break<br />

from the phones. “Although many of<br />

the calls we get are repetitive the<br />

job is kept interesting by constant<br />

changes in IT technology at the<br />

trust. As we are the first line of<br />

support for around 3,000 computer<br />

users, it’s important that as a team<br />

we keep abreast of changes in the<br />

trust’s IT provision,” she says.<br />

We discuss what makes a good call<br />

centre operator and agree that a<br />

cool head, a strong desire to help<br />

people and good manners are<br />

essential. People are easily<br />

frustrated by IT problems and with<br />

over 3,000 calls a month to deal<br />

with the team is kept busy and on<br />

their toes.<br />

4pm<br />

The frequency of calls slows down a<br />

little during the last part of the day.<br />

This gives Caroline time to tackle<br />

some paperwork. The team is<br />

responsible for all administration<br />

relating to IT in the trust. For<br />

example they sort out access rights<br />

to use the IT network to new<br />

members of staff and they are also<br />

responsible for deleting departing<br />

members of staff from the IT<br />

network.<br />

You can contact Caroline and her<br />

helpdesk colleagues on (01344 75)<br />

4600 or (020 8354) 8063.<br />

The IT support team<br />

15


every picture tells a story<br />

Matters around the world<br />

Director of communications Nuala O’Brien is pictured with her copy<br />

of <strong>Mental</strong> <strong>Health</strong> Matters at Diyaluma Falls in Sri Lanka. Send your<br />

holiday snaps (holding <strong>Mental</strong> <strong>Health</strong> Matters on location) to the<br />

communications team for publication.<br />

The education centre at Broadmoor Hospital accepted delivery of a new<br />

piano thanks to a donation from the Friends of the hospital. Pictured<br />

during music week at the education centre is (from the left) Tricia<br />

Boynton singing and piano tutor, Tony Roche music director, Gordon<br />

Carter from the Friends, Les Martin head of education, Fred Watson,<br />

drum tutor and Eric Hopkins from the Friends. “We are thrilled to<br />

receive a new piano,” says Les. “The old one had served us for<br />

decades and had become quite dilapidated. I’m sure the new<br />

instrument will be greatly used for many years to come.”<br />

For some people the run-up to Christmas provides an excuse to eat,<br />

drink and be merry. Others – for instance some members of St<br />

Bernard’s gym – take it as an opportunity to spend more time on the<br />

treadmill, rower and bike.<br />

The gym’s annual Christmas triathlon invites members to accumulate<br />

as many kilometres as they can during the month of December, with an<br />

Mp3 player as the reward for the toughest competitor. The 2005<br />

winner was Roger Lett, information officer on Tony Hillis reception<br />

at Ealing.<br />

<strong>Trust</strong> chief executive Simon Crawford hosted a well attended foundation<br />

trust roadshow at Lakeside <strong>Mental</strong> <strong>Health</strong> Unit in Isleworth. A number<br />

of roadshows have been held for staff to find out more about what<br />

being a foundation trust means. If you haven’t managed to get to a<br />

roadshow, a leaflet outlining the main points has been sent to all sites<br />

or can be ordered from public-relations@wlmht.nhs.uk.<br />

Roger is pictured (centre) with members of the Ealing physical<br />

activity team.<br />

16

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