Annual Report 2011-12 - Southern Health and Social Care Trust
Annual Report 2011-12 - Southern Health and Social Care Trust
Annual Report 2011-12 - Southern Health and Social Care Trust
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<strong>2011</strong> - 20<strong>12</strong><br />
New High Dependency Unit<br />
for Daisy Hill Hospital Page 17<br />
Reablement<br />
page 22<br />
Physical Disability Community<br />
Access Service page 35<br />
Roots of Empathy<br />
page 39
southern health <strong>and</strong> social care trust<br />
Contents <strong>and</strong> contacts<br />
Contents<br />
Who’s who on the <strong>Trust</strong> Board 5<br />
Directors’ <strong>Report</strong> 6<br />
Providing safe high quality care 13<br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients 24<br />
Being a good social partner in our communities 32<br />
Making the best use of resources 36<br />
Supporting people <strong>and</strong> communities 39<br />
Being a great place to work – valuing our people 46<br />
Directors’ Remuneration <strong>2011</strong>/<strong>12</strong> 50<br />
Financial information 55<br />
Contact us<br />
<strong>Southern</strong> <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong> <strong>Trust</strong><br />
<strong>Trust</strong> Headquarters, Old College of Nursing<br />
Craigavon Area Hospital, 68 Lurgan Road, Portadown BT63 5QQ<br />
Tel: 028 3833 4444<br />
Fax: 028 3833 5496<br />
Email: Corporate.HQ@southerntrust.hscni.net<br />
www.southerntrust.hscni.net<br />
Comments<br />
If you have any comments about this report or would like extra<br />
copies please telephone 028 3861 3954.<br />
Different formats<br />
This report can be made available on request in large print, on disk,<br />
via email, in Braille, on audiocassette or in minority languages for<br />
anyone not fluent in English. Telephone: 028 3861 3954.<br />
© Crown Copyright 20<strong>12</strong><br />
The text in this document (excluding the organisation logos) may be reproduced free of charge in any<br />
format or medium providing that it is reproduced accurately <strong>and</strong> not used in a misleading context. The<br />
material must be acknowledged as Crown copyright <strong>and</strong> the title of the document specified.<br />
page 2<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Message from Chair <strong>and</strong> Chief Executive<br />
<strong>2011</strong> - 20<strong>12</strong><br />
Message from Roberta Brownlee MSc, RGN, Chair <strong>and</strong><br />
Mairead McAlinden, Chief Executive<br />
This last year has seen the start of a fundamental<br />
change in how health <strong>and</strong> social care in Northern<br />
Irel<strong>and</strong> will be provided in future. In December, <strong>Health</strong><br />
Minister, Edwin Poots, launched ‘Transforming Your<br />
<strong>Care</strong>’ his blueprint for how care will be organised,<br />
delivered <strong>and</strong> managed in years to come.<br />
There is no doubt that the many developments outlined<br />
in Transforming Your <strong>Care</strong> will be a major change,<br />
both for the how we plan <strong>and</strong> provide services, but<br />
also in changing what patients should expect from<br />
health <strong>and</strong> social care. But this is a path of change<br />
that the <strong>Southern</strong> <strong>Trust</strong> is already on, <strong>and</strong> has been<br />
successful in delivering. We are already ‘Transforming<br />
Your <strong>Care</strong>.’<br />
For instance, care should be provided as close to<br />
home as possible - for older people, for patients with<br />
long term health conditions, for clients with learning<br />
difficulties or mental health issues. Our Reablement<br />
project helps people who, through injury or illhealth,<br />
have lost the confidence or skills to manage<br />
independently <strong>and</strong> need support to do things for<br />
themselves.<br />
There will be an emphasis on preventing ill-health,<br />
keeping fit <strong>and</strong> well by making lifestyle changes<br />
that will make our population healthier in the longer<br />
term. The <strong>Southern</strong> <strong>Trust</strong> was part of the Give it a Go<br />
initiative that encouraged people across the area to<br />
be active, eat well <strong>and</strong> feel good during March.<br />
New technology will enable health expertise to<br />
be shared more widely <strong>and</strong> easily, allowing more<br />
people to benefit <strong>and</strong> to make care more accessible.<br />
Through our award winning telemonitoring project<br />
we are supporting patients with long term chronic<br />
conditions to remain at home.<br />
We welcome the changes outlined in Transforming<br />
Your <strong>Care</strong> – as you will see in this report they reflect<br />
the work already going on in the <strong>Southern</strong> <strong>Trust</strong> <strong>and</strong><br />
the priorities we want to see for our population. Our<br />
priorities reflect the valuable feedback we get from our<br />
patients <strong>and</strong> clients, <strong>and</strong> through our close working<br />
relationship with our service users, the Patient Client<br />
Council, elected representatives <strong>and</strong> the community.<br />
There is no doubt the next few years will be very<br />
challenging but it is vital to retain public confidence in<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
the quality of our services. The programme of reform<br />
is working alongside a continuing financial situation<br />
that means we must be assured that everything we<br />
do represents value for money <strong>and</strong> that we live within<br />
the funding given to us. Staff across the service are<br />
involved in how we shape <strong>and</strong> deliver services, which<br />
is why in the <strong>Southern</strong> <strong>Trust</strong>, we have a proven track<br />
record of delivering safe, high quality care while<br />
meeting our financial targets.<br />
The <strong>Trust</strong> has clear priorities which guide everything<br />
that we do. These are:-<br />
• Providing safe high quality care<br />
• Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
• Supporting people <strong>and</strong> communities to live<br />
healthy lives <strong>and</strong> improve their health <strong>and</strong><br />
wellbeing<br />
• Being a great place to work, valuing our staff<br />
• Making best use of resources<br />
• Being a good social partner within our<br />
communities.<br />
In this report you will see many examples of how<br />
we put service users first, support new initiatives,<br />
recognise our staff <strong>and</strong> ensure that our services are<br />
best practice in the UK <strong>and</strong> world-wide, while also<br />
leading the way in research <strong>and</strong> innovation. You<br />
will see how the commitment, hard work, drive <strong>and</strong><br />
determination of our staff to deliver a top class service<br />
is making a difference to our local communities.<br />
This year we have continued to work closely with the<br />
Department of <strong>Health</strong>, <strong>Social</strong> Services <strong>and</strong> Public<br />
Safety to secure significant capital investment for<br />
major developments across the <strong>Trust</strong>.<br />
Work is currently underway in upgrading theatres<br />
at Craigavon Area <strong>and</strong> Daisy Hill Hospitals;<br />
Lurgan Hospital has new lifts; the <strong>Health</strong> Minister<br />
announced a £16m investment to build the new<br />
Banbridge Heallth <strong>and</strong> <strong>Social</strong> <strong>Care</strong> Centre <strong>and</strong><br />
accommodation for outpatients at Craigavon <strong>and</strong><br />
Daisy Hill has undergone a major facelift.<br />
We have continued our drive to reduce hospital<br />
acquired infections – hosting a workshop with the<br />
Patient Client Council to gather the public’s views<br />
page 3
southern health <strong>and</strong> social care trust<br />
Message from Chair <strong>and</strong> Chief Executive<br />
Message from Roberta Brownlee MSc, RGN, Chair <strong>and</strong><br />
Mairead McAlinden, Chief Executive<br />
<strong>and</strong> to raise awareness of how the <strong>Trust</strong> is tackling<br />
this issue.<br />
As part of our drive to reduce infection rates still<br />
further, staff hosted a week long hospital visiting<br />
campaign, h<strong>and</strong>ing out leaflets <strong>and</strong> speaking to<br />
visitors about the importance of the hospital visiting<br />
policy. We have had valuable support from local<br />
elected representatives <strong>and</strong> media in communicating<br />
this information to the public.<br />
We are working to improve choice, access <strong>and</strong><br />
information for our patients <strong>and</strong> clients. A group of<br />
young care leavers produced a DVD to help support<br />
young people in care <strong>and</strong> provide advice about<br />
education, employment <strong>and</strong> training, accommodation,<br />
health <strong>and</strong> finance.<br />
Improving health <strong>and</strong> wellbeing is a key priority for us.<br />
Once again we used No Smoking Day to encourage<br />
people not to smoke near our hospital buildings, <strong>and</strong><br />
to keep the smoke free zone to stop cigarette smoke<br />
drifting into patient care areas <strong>and</strong> offices.<br />
Once again this year our staff have been overwhelmed<br />
by the generosity of the public who donate thous<strong>and</strong>s<br />
of pounds to the <strong>Trust</strong> each year. They come from<br />
individuals, community groups, families, patients,<br />
sports clubs, school businesses – from all walks of<br />
life <strong>and</strong> all areas of our <strong>Trust</strong>.<br />
This generosity of our community makes it possible<br />
for the <strong>Trust</strong> to do things that otherwise would simply<br />
not be possible – <strong>and</strong> we are extremely appreciative<br />
of all your support.<br />
We also would like to acknowledge <strong>and</strong> thank all of<br />
those who volunteer for the <strong>Trust</strong>. There are over<br />
500 volunteers working with the <strong>Trust</strong> <strong>and</strong> we greatly<br />
appreciate the work they do <strong>and</strong> the tremendous<br />
contribution they make to the health <strong>and</strong> social care<br />
needs of people living in this area. Their kindness<br />
<strong>and</strong> generosity of time has touched hundreds of<br />
people <strong>and</strong> has made a real difference to their lives.<br />
Finally we would like to thank our community, voluntary,<br />
statutory <strong>and</strong> private sector partners in care who<br />
make such an important contribution to local health<br />
<strong>and</strong> social care.<br />
Mrs Roberta Brownlee<br />
Mrs Mairead McAlinden<br />
page 4<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Who’s who in the <strong>Trust</strong> Board<br />
<strong>2011</strong> - 20<strong>12</strong><br />
Mrs Roberta Brownlee<br />
Chair<br />
Tel: 028 3861 3953<br />
Roberta.Brownlee@southerntrust.hscni.net<br />
Non Executive Directors<br />
Executive Directors<br />
Mrs Mairead McAlinden<br />
Chief Executive<br />
Tel: 028 3861 3960<br />
Mairead.McAlinden@southerntrust.hscni.net<br />
Mr Stephen McNally<br />
Director of Finance <strong>and</strong> Procurement<br />
Tel: 028 3861 3982<br />
Stephen.McNally@southerntrust.hscni.net<br />
Mr Paul Morgan<br />
Director of Children <strong>and</strong> Young People’s<br />
Services / Executive Director of <strong>Social</strong> Work<br />
Tel: 028 3839 8347<br />
Paul.Morgan@southerntrust.hscni.net<br />
Dr John Simpson<br />
Medical Director<br />
Appointed: 1 August <strong>2011</strong><br />
Tel: 028 3861 3978<br />
John.Simpson@southerntrust.hscni.net<br />
Mrs Deirdre Blakely<br />
Mrs Hester Kelly<br />
Dr Raymond Mullan<br />
Mrs Siobhan Rooney<br />
Commenced: 29 August <strong>2011</strong><br />
Mr Edwin Graham<br />
Mrs Elizabeth Mahood<br />
Mr Roger Alex<strong>and</strong>er<br />
Commenced: 29 August <strong>2011</strong><br />
Mr Francis Rice<br />
Director of Mental <strong>Health</strong> <strong>and</strong> Disability<br />
Services / Executive Director of Nursing <strong>and</strong> AHPs<br />
Tel: 028 3883 3222<br />
Francis.Rice@southerntrust.hscni.net<br />
A declaration of Board members’ interests has been<br />
completed <strong>and</strong> is available on request from the Chief<br />
Executive’s office, <strong>Trust</strong> Headquarters, College of<br />
Nursing, Craigavon Area Hospital, 68 Lurgan Road,<br />
Portadown, BT63 5QQ. Telephone 028 3861 3960.<br />
The Chief Executive has confirmed that there is no<br />
relevant audit information of which the <strong>Trust</strong>’s auditors<br />
are unaware. A full statement of internal control is<br />
available from the Chief Executive’s office.<br />
<strong>Trust</strong> Directors<br />
Mrs Paula Clarke<br />
Director of Performance <strong>and</strong> Reform<br />
Tel: 028 3861 3945<br />
Paula.Clarke@southerntrust.hscni.net<br />
Mr Kieran Donaghy<br />
Director of Human Resources <strong>and</strong> Organisational<br />
Development<br />
Tel: 028 3861 3981<br />
Kieran.Donaghy@southerntrust.hscni.net<br />
Mrs Angela McVeigh<br />
Director of Older People <strong>and</strong> Primary <strong>Care</strong><br />
Tel: 028 3861 3979<br />
Angela.McVeigh@southerntrust.hscni.net<br />
Dr Gillian Rankin<br />
Director of Acute Services<br />
Tel: 028 3861 2510<br />
Gillian.Rankin@southerntrust.hscni.net<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 5
southern health <strong>and</strong> social care trust<br />
Directors’ <strong>Report</strong><br />
The <strong>Southern</strong> <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong> <strong>Trust</strong> was<br />
formed on 1 April 2007 <strong>and</strong> is responsible for<br />
the services which were formerly delivered by<br />
four <strong>Trust</strong>s, namely Armagh <strong>and</strong> Dungannon<br />
<strong>Trust</strong>; Craigavon <strong>and</strong> Banbridge Community<br />
<strong>Trust</strong>; Craigavon Area Hospital Group <strong>Trust</strong><br />
<strong>and</strong> Newry <strong>and</strong> Mourne <strong>Trust</strong>.<br />
Location <strong>and</strong> type of facilities provided<br />
The <strong>Trust</strong> provides health <strong>and</strong> social care services to the<br />
council areas of Armagh, Banbridge, Craigavon, Dungannon<br />
<strong>and</strong> South Tyrone <strong>and</strong> Newry <strong>and</strong> Mourne.<br />
The <strong>Trust</strong> provides a wide range of hospital, community <strong>and</strong><br />
primary care services. Main in-patient hospital services are<br />
located at Craigavon Area Hospital <strong>and</strong> Daisy Hill Hospital.<br />
Working in collaboration with GPs <strong>and</strong> other agencies, staff<br />
deliver locally based services in <strong>Trust</strong> premises, in people’s<br />
own homes <strong>and</strong> in the community. The <strong>Trust</strong> purchases<br />
some services including domiciliary, residential <strong>and</strong> nursing<br />
care from independent <strong>and</strong> community/voluntary agencies.<br />
Population<br />
Age<br />
Population<br />
0-4 27,701<br />
5-17 64,461<br />
18-64 219,906<br />
65-74 26,179<br />
75+ 20,400<br />
Total Population 358,647<br />
Expenditure<br />
In <strong>2011</strong>/20<strong>12</strong> the <strong>Trust</strong> incurred expenditure of £543,906.<br />
Staff Profile<br />
The <strong>Trust</strong> employs approximately 13,300 staff with over 75.2%<br />
of staff providing direct h<strong>and</strong>s on care to patients <strong>and</strong> clients.<br />
Management costs accounted for 3.7% of income in <strong>2011</strong>/<strong>12</strong>.<br />
The sickness <strong>and</strong> absenteeism rate for the <strong>Trust</strong> is 5.06%.<br />
Our Vision<br />
To deliver safe high quality health <strong>and</strong> social care services,<br />
respecting the dignity <strong>and</strong> individuality of all who use them.<br />
Our Values<br />
We will:-<br />
• Treat people fairly <strong>and</strong> with respect<br />
• Be open <strong>and</strong> honest <strong>and</strong> act with dignity<br />
• Put patients, clients, carers <strong>and</strong> community at the heart<br />
of all we do<br />
• Value staff <strong>and</strong> support their development to<br />
improve our care<br />
• Embrace change for the better<br />
• Listen <strong>and</strong> learn.<br />
Information Governance<br />
During <strong>2011</strong>/20<strong>12</strong> the <strong>Trust</strong> continued to develop <strong>and</strong><br />
implement its Information Governance framework which<br />
includes Records Management, Data Protection <strong>and</strong> Freedom<br />
of Information. Some of the key highlights from the past year<br />
include:<br />
• Establishing an Information Governance Forum Chaired<br />
by the Medical Director.<br />
• Appointment of the Director of Performance <strong>and</strong> Reform<br />
as Senior Information Risk Owner <strong>and</strong> Heads of Service<br />
as Information Risk Owners. These roles aim to support<br />
the delivery of the DHSSPS Information Governance<br />
Framework, under which we have also established an<br />
asset register of personal <strong>and</strong> sensitive data.<br />
• Personal Data Guardians for the <strong>Trust</strong> have been approved<br />
<strong>and</strong> a process put in place to ensure all sharing of <strong>Trust</strong><br />
data is in line with Data Protection principles. The Medical<br />
Director <strong>and</strong> Director of Children <strong>and</strong> Young People’s<br />
Services are leads for ensuring compliance with the Data<br />
Protection Act 1998 <strong>and</strong> the Code of Practice on Protecting<br />
the Confidentiality of Service User Information.<br />
• Establishment of a register of electronic data sharing<br />
requests<br />
• Approved the implementation of software to detect<br />
unauthorised access to information.<br />
• A number of policies have been reviewed, approved <strong>and</strong><br />
circulated to staff including: Data Protection, ICT Security,<br />
<strong>and</strong> <strong>Social</strong> Networking.<br />
• Regional protocols implemented including the DHSSPS<br />
& HSC Protocol for Sharing Service User Information for<br />
Secondary Purposes.<br />
• Continuing to advise staff on data protection issues eg.<br />
use of Personal Mobile Phones; use of USB Memory<br />
Sticks; <strong>and</strong> Good Records Guidance.<br />
• Participating in the DHSSPS Information Governance<br />
Advisory Group <strong>and</strong> through this are participating in the<br />
review of the Records Management Controls Assurance<br />
St<strong>and</strong>ard.<br />
• Progressing projects to ensure the destruction of records<br />
in accordance with Good Management: Good Records.<br />
• Processing 590 requests for information (33% increase<br />
since the previous year).<br />
• M<strong>and</strong>atory e-learning Information Governance training<br />
programme rolled out to 671 staff.<br />
page 6<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Management commentary part one<br />
<strong>2011</strong> - 20<strong>12</strong><br />
Achievement of ministerial<br />
priorities - <strong>Trust</strong> on target<br />
All aspects of <strong>Trust</strong> business are closely<br />
monitored. This enables us to ensure that<br />
all our services are running smoothly <strong>and</strong><br />
on target. It also provides an early warning<br />
if something is not on track. Every month the<br />
<strong>Trust</strong>’s senior management team scrutinises detailed<br />
information about a wide range of areas, including<br />
those below, <strong>and</strong> will review areas on a weekly basis<br />
if we are encountering particular challenges or<br />
dem<strong>and</strong>s on our services:<br />
• Time patients wait to be seen in A&E<br />
• How long patients wait to receive their first<br />
outpatient assessment<br />
• Turnaround time for diagnostic tests<br />
• Infection rates <strong>and</strong> hospital cleanliness<br />
• Patient <strong>and</strong> clients’ views.<br />
Our performance reports also go to monthly public<br />
<strong>Trust</strong> Board meetings. Papers are published on our<br />
website www.southerntrust.hscni.net so everyone<br />
can keep a close eye on how we are doing. This level<br />
of performance management helps us to ensure that<br />
what we do is safe, that we are making best use of<br />
our resources <strong>and</strong> meeting targets which are there to<br />
benefit patients <strong>and</strong> clients.<br />
During <strong>2011</strong>/20<strong>12</strong> the <strong>Trust</strong> continued to further<br />
develop <strong>and</strong> improve many important services. Our<br />
dedicated staff also worked hard to meet targets<br />
designed to ensure better access to high quality<br />
services. Key achievements included:-<br />
• 9 out of 10 patients attending A&E<br />
departments were treated <strong>and</strong> admitted or<br />
discharged within 4 hours <strong>and</strong> virtually no one<br />
waited over <strong>12</strong> hours.<br />
• No patients waited longer than 9 weeks for an<br />
imaging diagnostic test.<br />
• 8 out of 10 patients were seen within 9 weeks for<br />
out-patient assessment.<br />
• 7 out of 10 patients were seen within 13 weeks for<br />
in-patient or day case treatment<br />
• 98% of patients who were ready to go home when<br />
their hospital treatment was complete were<br />
discharged within 48 hours.<br />
• Every older person with continuing care needs<br />
had their assessment carried out within 8 weeks.<br />
• Resettlement of long-stay adults from learning<br />
disability hospitals continued with a further 22<br />
people resettled during the year in line with the<br />
Bamford <strong>Report</strong> recommendations.<br />
<strong>Southern</strong> <strong>Trust</strong> facts <strong>and</strong><br />
figures <strong>2011</strong>/<strong>12</strong><br />
The <strong>Trust</strong> spends nearly £1.49 million per<br />
day delivering services to local people.<br />
During the past year:-<br />
• There were a total of 6021 births in the <strong>Southern</strong><br />
<strong>Trust</strong>. There were 4034 births in Craigavon Area<br />
Hospital <strong>and</strong> 1987 in Daisy Hill Hospital.<br />
• 76,709 people attended Craigavon Area<br />
Hospital Emergency Department <strong>and</strong> 40,387<br />
attended Daisy Hill Hospital Emergency<br />
Department.<br />
• A total of 29,330 people received treatment at<br />
the Minor Injuries Units across the <strong>Southern</strong><br />
<strong>Trust</strong>. Of these, 20,320 received treatment at<br />
the Minor Injuries Unit at South Tyrone Hospital,<br />
6,842 at the Minor Injuries Unit in Armagh<br />
Community Hospital <strong>and</strong> 2,168 attended the<br />
Minor Injuries Unit at Mullinure Hospital.<br />
• The <strong>Trust</strong> received 11,964 child care referrals.<br />
• The GP Out of Hours service received 1<strong>12</strong>,950<br />
telephone calls:<br />
53,303 of these calls were assessed by a GP<br />
or Nurse via telephone <strong>and</strong> provided with<br />
healthcare advice. Advice from a GP or Nurse<br />
meant that 53,303 service users did not require<br />
an appointment. In the Out of Hours centres at<br />
Daisy Hill, South Tyrone, Mullinure, Craigavon<br />
<strong>and</strong> Kilkeel 52,332 patient appointments were<br />
provided. A further 6,925 home visits were<br />
undertaken by GPs across the <strong>Trust</strong> area. Through<br />
the CAWT cross border project the <strong>Trust</strong> has an<br />
arrangement whereby patients can choose to<br />
attend the Out of Hours centre in<br />
Castleblayney. In <strong>2011</strong>/<strong>12</strong> 390 service users<br />
chose to attend Castleblayney.<br />
• The <strong>Trust</strong> provides domiciliary care to<br />
approximately 5,500 people.<br />
• The <strong>Trust</strong> facilitates the transport of 840 people<br />
each day into Day Centres (ie. 562 are on fleet<br />
buses <strong>and</strong> 278 going with a mix of private coaches,<br />
minibuses, taxis <strong>and</strong> volunteer drivers).<br />
• Total number of Outpatient Attendances - 320,750<br />
• New outpatient attendances - 103,717<br />
• Review outpatient attendances - 217,033.<br />
• Total number of inpatient admissions - 62,834<br />
• Elective - 8,205<br />
• Non-elective - 54,629.<br />
• Number of daycases - 30,081.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 7
southern health <strong>and</strong> social care trust<br />
Management commentary part two<br />
<strong>Trust</strong>’s Equality Scheme<br />
Gains Approval<br />
The Equality Commission for Northern Irel<strong>and</strong><br />
has given its approval to the <strong>Southern</strong> <strong>Health</strong><br />
<strong>and</strong> <strong>Social</strong> <strong>Care</strong> <strong>Trust</strong>’s Equality Scheme which<br />
details how the <strong>Trust</strong> will continue to promote<br />
equality of opportunity <strong>and</strong> good relations.<br />
In approving the Scheme, the Equality Commission<br />
acknowledged the considerable efforts made by the<br />
<strong>Trust</strong> to ensure the scheme not only fully complied with<br />
the Commission’s Guidelines, but also met the high<br />
st<strong>and</strong>ards of good practice. A new feature of the <strong>Trust</strong>’s<br />
Equality Scheme is the production of quarterly reports<br />
showing the outcomes from screening decisions. For<br />
full details of how the <strong>Trust</strong> is discharging its equality<br />
obligations please refer to the <strong>Trust</strong>’s Section 75 <strong>Annual</strong><br />
Progress <strong>Report</strong> for year ending 31 March 20<strong>12</strong>, which<br />
will be uploaded to the <strong>Trust</strong>’s internet later this year,<br />
as well as the <strong>Trust</strong>’s quarterly screening outcome<br />
reports which can also be accessed on the internet.<br />
Alternatively copies of these reports can be obtained<br />
from contacting the <strong>Trust</strong>’s Equality Assurance Unit on:<br />
T: 028 3741 2522/2643.<br />
Protecting the Environment<br />
The <strong>Trust</strong> set out its commitment to the<br />
environment in its Environmental Strategy<br />
2009–20<strong>12</strong>. This has been the basis for various<br />
initiatives undertaken throughout the year.<br />
This year, we participated in the 13th Arena Network<br />
Environmental Survey – Northern Irel<strong>and</strong>’s leading<br />
environmental benchmarking exercise. We were<br />
delighted to be awarded Quintile 2 status (60-79%) as<br />
the survey was targeted at a higher level encouraging<br />
participants to continually improve environmental<br />
performance.<br />
The <strong>Trust</strong> is one of 48 participants in Northern Irel<strong>and</strong><br />
of the Carbon Reduction Commitment (CRC). The<br />
CRC requires us to monitor carbon emissions for all<br />
electricity <strong>and</strong> fuels consumed <strong>and</strong> pay allowances<br />
for these. This adds significantly to energy costs <strong>and</strong><br />
therefore requires continuous improvement in energy<br />
management throughout the organisation.<br />
During the year we invested in gas boiler projects at<br />
Edenderry Centre, Brownlow <strong>Health</strong> Centre <strong>and</strong> Eden<br />
SEC/Meadows Day Centre. This investment is a key<br />
aspect of the <strong>Trust</strong> commitment to reducing carbon<br />
emissions <strong>and</strong> will help to save money in energy<br />
procurement.<br />
lighting research project <strong>and</strong> further oil to gas boiler<br />
conversion projects across <strong>Trust</strong> sites.<br />
There was also further improvement in waste<br />
management infrastructure with the new waste<br />
transfer station at Daisy Hill Hospital <strong>and</strong> new bin<br />
store at Craigavon Area Hospital. Further planned<br />
improvements include the construction of a new waste<br />
transfer station at Craigavon Area Hospital.<br />
In 20<strong>12</strong>-13 the <strong>Trust</strong> will reaffirm its commitment to<br />
promoting a sustainable environment in the launch<br />
of it Sustainability Strategy 2020. This strategy, which<br />
has its roots in the former Environmental Strategy,<br />
incorporates the key sustainability elements of the<br />
DHSSPSNI Quality Strategy 2020 <strong>and</strong> will help to<br />
promote improved performance <strong>and</strong> ensure legal<br />
compliance in waste, energy, water <strong>and</strong> other<br />
environmental management issues.<br />
Controls Assurance<br />
The <strong>Trust</strong> achieved substantive compliance in<br />
all 22 controls assurance st<strong>and</strong>ards.<br />
Clinical & <strong>Social</strong> <strong>Care</strong> Governance<br />
Clinical <strong>and</strong> social care governance is a high<br />
priority for the <strong>Southern</strong> <strong>Trust</strong>.<br />
The <strong>Trust</strong> has recently reviewed its structures to<br />
support the delivery of high quality <strong>and</strong> safe services<br />
<strong>and</strong> is striving to be one of the leading learning<br />
organisations in healthcare, reviewing its strengths<br />
<strong>and</strong> weakness in the provision of care <strong>and</strong> working to<br />
constantly improve this for all service users.<br />
Each service directorate is supported by a dedicated<br />
team who assist frontline staff in reviewing comments<br />
<strong>and</strong> complaints from service users <strong>and</strong> learning from<br />
these while proactively identifying <strong>and</strong> reducing risk<br />
throughout the organisation.<br />
Good Governance<br />
The <strong>Trust</strong>’s professional governance team is<br />
responsible for promoting safe <strong>and</strong> effective<br />
care, enhancing the quality of services <strong>and</strong><br />
training <strong>and</strong> workforce development for<br />
nurses, midwives, social work staff <strong>and</strong> Allied<br />
<strong>Health</strong> Professionals. To support this function<br />
the Assistant Directors for professional<br />
governance have structural arrangements in<br />
place to meet professional/regulatory body<br />
<strong>and</strong> <strong>Trust</strong> st<strong>and</strong>ards <strong>and</strong> guidelines.<br />
Opportunities for further improvement are currently<br />
being developed including the phased upgrade of<br />
energy infrastructure at Craigavon Area Hospital,<br />
Phase 2 of the Automatic Metering project, LED<br />
page 8<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Transforming Your <strong>Care</strong><br />
Transforming Your <strong>Care</strong> (TYC) is a review into the future of <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong> in<br />
Northern Irel<strong>and</strong>. The report, which was endorsed by the Minister in December <strong>2011</strong>,<br />
contains 99 recommendations on how care should be provided in future.<br />
The <strong>Trust</strong>, in partnership with the <strong>Southern</strong> Locality Commissioning Group, developed a local<br />
Population Plan which is our response to TYC. Our Population Plan is called ‘Changing for a<br />
Better Future’ <strong>and</strong> it sets out a three to five year plan on how our services will be developed<br />
in future.<br />
‘Changing for a Better Future’ builds on the <strong>Trust</strong>’s track record of new ways of working <strong>and</strong><br />
managing major change <strong>and</strong> shows that we are already ‘Transforming Your <strong>Care</strong>’.<br />
There are four major areas of change identified in TYC:<br />
• Prevention, early intervention<br />
• Greater choice <strong>and</strong> support for individual health <strong>and</strong> social care needs<br />
• Less dependence on facility-based care/reconfiguring hospital networks<br />
• Improved integration across all areas of the service.<br />
We have looked at how these will affect local services <strong>and</strong> what changes you should expect<br />
to see over the next five years.<br />
Early Intervention <strong>and</strong> Prevention:<br />
Our priorities will be:<br />
• Continuing our focus on prevention <strong>and</strong><br />
early intervention across all service areas<br />
• Specific focus on children <strong>and</strong> young<br />
people, older people <strong>and</strong> populations/<br />
areas of low uptake of health care<br />
- Family nurse partnership being<br />
developed<br />
- Falls prevention services being further<br />
developed through partnership with<br />
NIAS<br />
- Continuing our ‘<strong>Trust</strong> in Community’<br />
strategy<br />
• Improved access to early support <strong>and</strong><br />
advice through information hubs/single<br />
points of access<br />
- Access <strong>and</strong> information centres being<br />
established for Older People<br />
- Family support hubs in place.<br />
Which will result in:<br />
• Reducing the need for health <strong>and</strong> social<br />
care support <strong>and</strong> intervention<br />
• Improving health outcomes <strong>and</strong><br />
addressing health inequalities.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 9
southern health <strong>and</strong> social care trust<br />
Transforming Your <strong>Care</strong><br />
Enable Independent Living, Choice <strong>and</strong> <strong>Care</strong> at Home<br />
Our priorities will be:<br />
• Independent living – rolling out a<br />
reablement approach across the <strong>Trust</strong><br />
area for older people, people with mental<br />
health needs <strong>and</strong> with disabilities<br />
Which will result in:<br />
• More domiciliary care being provided by<br />
independent, voluntary <strong>and</strong> social<br />
enterprise providers<br />
• Individual care plans – increasing the<br />
numbers of people using personalised<br />
budgets <strong>and</strong> accessing a greater<br />
diversity of provision across the<br />
community <strong>and</strong> independent sectors<br />
with the specific development of social<br />
enterprises.<br />
• Reduced statutory residential care<br />
• Reduced need for statutory day care by<br />
promoting day opportunities <strong>and</strong><br />
reconfiguring remaining provision to<br />
focus on the specific need of people<br />
with dementia, challenging behaviour<br />
<strong>and</strong> high health care needs<br />
• Supported living accommodation –<br />
increasing provision <strong>and</strong> completing the<br />
resettlement of people with mental health<br />
<strong>and</strong> learning disability out of long-stay<br />
hospitals<br />
• A wider range of<br />
community based<br />
supports - including<br />
rapid response<br />
community teams<br />
<strong>and</strong> increasing<br />
support for people<br />
with dementia.<br />
• Closure of long-stay hospital based care<br />
for people with mental health problems<br />
<strong>and</strong> learning disabilities<br />
• Reduced local addiction in-patient beds<br />
(in line with the<br />
Regional Review of<br />
Addiction Services)<br />
• Opportunities for<br />
involvement in new<br />
community-based<br />
services.<br />
page 10<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Transforming Your <strong>Care</strong><br />
<strong>2011</strong> - 20<strong>12</strong><br />
Integrated Working between Primary, Community <strong>and</strong> Secondary <strong>Care</strong><br />
Our priorities will be:<br />
• Integrated care partnerships - that<br />
join up the planning <strong>and</strong> delivery of<br />
care by primary, community,<br />
independent, voluntary <strong>and</strong> acute teams<br />
for people with complex needs<br />
• Focusing on people ‘at risk’ – looking at<br />
GP practice populations <strong>and</strong> working<br />
with GPs to target support at those with<br />
greatest needs starting with those over<br />
75 <strong>and</strong> with long term conditions<br />
• Rapid response – increasing access to<br />
services across longer periods of time<br />
(in the evenings <strong>and</strong> at weekends)<br />
• Outreaching expertise – enabling<br />
specialist hospital based staff to<br />
provide more care <strong>and</strong> advice to staff<br />
<strong>and</strong> patients in the community<br />
• Improving facilities – within primary<br />
<strong>and</strong> community care <strong>and</strong> access to<br />
diagnostic services to support team<br />
working<br />
• Making effective use of technology –<br />
to allow individuals to be monitored<br />
at home <strong>and</strong> allow a shared view of all<br />
information needed to effectively plan<br />
care.<br />
Which will result in:<br />
• Less ‘unplanned hospital admissions<br />
reducing the number of inpatient beds<br />
needed<br />
• More people with palliative or end of life<br />
care needs supported to die at home<br />
• At least 2 new Community <strong>Care</strong> <strong>and</strong><br />
Treatment Centres in the area by 2015<br />
• Reduced duplication of information <strong>and</strong><br />
diagnostic tests.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 11
southern health <strong>and</strong> social care trust<br />
Transforming Your <strong>Care</strong><br />
Making Best Use of Our Hospital Network<br />
Our priorities will be:<br />
• Safe effective, personal hospital care<br />
• Re-balancing our hospital network<br />
to meet growing dem<strong>and</strong> <strong>and</strong> service<br />
developments<br />
• Improving patient pathways<br />
• Innovative solutions with increasing use<br />
of technology <strong>and</strong> the skills of clinical<br />
<strong>and</strong> professional generalist <strong>and</strong><br />
specialists<br />
• New ways of working increasing rapid<br />
access, day surgery, walk in/out care,<br />
use of virtual clinics <strong>and</strong> one-stop<br />
models<br />
<strong>and</strong> review procedures are undertaken<br />
in primary care.<br />
Which will result in:<br />
• Major acute hospital services at both<br />
CAH <strong>and</strong> DHH for at least the next five<br />
years with some movement between<br />
sites<br />
• Continuing maternity services care at<br />
both hospitals <strong>and</strong> MLU at CAH<br />
• Reducing the numbers of inpatient beds<br />
needed in our acute <strong>and</strong> non-acute<br />
hospitals to invest in community <strong>and</strong><br />
primary care<br />
• Reducing waste of resources reducing<br />
the number of appointments where<br />
service users ‘Do Not Attend’ <strong>and</strong> the<br />
incidence of cancelled operations<br />
• Better managing dem<strong>and</strong> by working<br />
with Primary <strong>Care</strong> to improve care<br />
pathways for referrals <strong>and</strong> to ensure that<br />
where appropriate diagnostic, treatment<br />
• More outpatient <strong>and</strong> diagnostic care<br />
provided outside the hospital<br />
• Further development of local access<br />
to sub-regional services such as<br />
orthopaedics, urology <strong>and</strong> cardiology<br />
• Ensuring patient/client quality <strong>and</strong> safety<br />
is maintained <strong>and</strong> the user experience<br />
<strong>and</strong> satisfaction is enhanced.<br />
Dr Paul McGarry, Dr Gillian Rankin, Director of Acute Services; Mr Erskine<br />
Holmes, Dr Cathy Daly, Dr Gareth Hampton <strong>and</strong> Mr Seamus O’Reilly,<br />
Clinical Director for Emergency Medicine.<br />
Daisy Hill Hospital staff celebrating their award as one of the top 40 acute hospital <strong>Trust</strong>s<br />
in the UK.<br />
page <strong>12</strong><br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Providing safe high quality care<br />
<strong>2011</strong> - 20<strong>12</strong><br />
<strong>Southern</strong> <strong>Trust</strong> Recognised<br />
Amongst Top in the UK<br />
The <strong>Southern</strong> <strong>Trust</strong> was recognised as one<br />
of the top 40 acute hospital <strong>Trust</strong>s in the UK<br />
at the prestigious CHKS awards in London<br />
this year. Recognising <strong>and</strong> rewarding 40 of the<br />
best performing acute <strong>Trust</strong>s across the UK, the<br />
CHKS 40 Top Awards are based on the evaluation<br />
of 23 indicators of clinical effectiveness, health<br />
outcomes, efficiency, patient experience <strong>and</strong><br />
quality of care.<br />
Extra Consultants for <strong>Trust</strong><br />
Emergency Departments<br />
The <strong>Trust</strong> has appointed five additional<br />
Consultants in Emergency Departments at<br />
Craigavon Area <strong>and</strong> Daisy Hospitals. Four<br />
of these posts were created in Craigavon’s<br />
Emergency Department.<br />
Top: Craigavon Area Hospital; Bottom: Daisy Hill Hospital - staff<br />
celebrating their award.<br />
Top: Dr Paul Mc Garry, Dr Gillian Rankin, Director of Acute Services, Mr Erskine Holmes, Dr Cathy<br />
Daly, Dr Gareth Hampton <strong>and</strong> Mr Seamus O’Reilly, Clinical Director for Emergency Medicine.<br />
Bottom: Dr Tom Young, recently appointed as Consultant in Emergency Medicine at Daisy Hill<br />
Hospital.<br />
Consultant is First in Irel<strong>and</strong> to use new Pacemaker Implant<br />
Dr David Morgan, Consultant Cardiologist has become the first cardiologist in Irel<strong>and</strong> to implant a<br />
new type of pacemaker which makes it much it easier for patients to have MRI scans. A patient in<br />
Craigavon Area Hospital was implanted with the device. Dr Ian Menown, Consultant Cardiologist<br />
<strong>and</strong> Director of Invasive Cardiology at the <strong>Trust</strong>’s Cardiac Centre, assisted in the procedure.<br />
Dr Morgan said “These devices will make it much easier for patients<br />
with pacemakers to have MRI scans. Previously there were problems<br />
with performing MRI scans on patients with pacemakers <strong>and</strong> doctors<br />
were extremely reluctant to perform these scans on patients with older<br />
pacemakers.” He added: “The pacemaker companies have been busy<br />
trying to create ‘MRI compatible’ pacemakers <strong>and</strong> this a very useful <strong>and</strong><br />
significant development especially when considering the increasing<br />
numbers of MRI scans patients now undergo.”<br />
Kathy Hart, Nurse; Dr David Morgan <strong>and</strong> Dr Ian Menown, Consultant Cardiologists, prepare to implant the new pacemaker device.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 13
southern health <strong>and</strong> social care trust<br />
Providing safe high quality care<br />
Research Studies Provide New Treatment for <strong>Trust</strong> Patients<br />
Cardiology patients in the <strong>Southern</strong><br />
<strong>Trust</strong> area are being given access to new<br />
treatments <strong>and</strong> interventions as a result of<br />
staff involvement in a range of on-going,<br />
national, international <strong>and</strong> world-wide<br />
research studies.<br />
One such study involves interventional cardiology<br />
services at Craigavon Area Hospital. This has<br />
enabled large numbers of patients to benefit from<br />
the latest technology in next-generation cardiology<br />
stents. One of those staff involved in this research,<br />
Dr Ian Menown, Consultant Cardiologist <strong>and</strong><br />
Director of the <strong>Trust</strong>’s Interventional Cardiology<br />
service, explained how this research has directly<br />
helped local patients:<br />
“Coronary artery narrowings or blockages are<br />
often treated by stretching with a balloon <strong>and</strong> then<br />
inserting a stent to help keep the artery open.<br />
Various stent types are now available enabling<br />
Cardiologists to optimise <strong>and</strong> individualise<br />
treatment for patients. On-going research studies<br />
at Craigavon have allowed local patients early<br />
access to some of the most advanced stent<br />
technologies. Most recently, our interventional<br />
Theatre Developments<br />
Work continues to upgrade Theatres 1–4 at<br />
Craigavon Area Hospital. Two modular theatres<br />
which had been used initially to provide the trauma<br />
<strong>and</strong> orthopaedic service at the <strong>Trust</strong> were upgraded<br />
in May <strong>2011</strong> then Theatre 3 <strong>and</strong> Theatre 4 relocated<br />
into this refurbished accommodation. The remainder<br />
of the scheme will be carried out in a number of<br />
phases <strong>and</strong> will deliver a further two theatres to<br />
replace Theatres 1 <strong>and</strong> 2, a 22 bed recovery ward<br />
incorporating 3 segregation rooms <strong>and</strong> pre-op/day<br />
surgery recovery beds, staff changing, storage <strong>and</strong><br />
other support accommodation. Completion of the<br />
project is planned for May 2014.<br />
Plans are also in place to improve theatre<br />
accommodation at Daisy Hill Hospital. Daisy Hill<br />
currently has three theatres <strong>and</strong> a Day Procedures<br />
Unit. A business case has been submitted to the<br />
Department of <strong>Health</strong> for approval to develop an<br />
additional theatre <strong>and</strong> replace the Day Procedures<br />
Unit. The project valued at £2million would support<br />
additional activity under the CAWT (cross border<br />
health <strong>and</strong> social care) project.<br />
cardiology team recruited the highest number of<br />
participants in the world in an international study<br />
of a class-leading stent with a bio-degradable<br />
polymer coating.”<br />
Dr Peter Sharpe, the <strong>Trust</strong>’s Associate Medical<br />
Director of Research added: “Research activity<br />
in the <strong>Trust</strong> has shown a 400 per cent increase<br />
when compared with three years ago. Last<br />
year 84 research studies were undertaken in<br />
the areas of cardiology, paediatrics, cancer,<br />
stroke, critical care, nephrology, neurology,<br />
dermatology, gastroenterology, general medicine,<br />
forensic psychology, practice education/midwifery,<br />
occupational therapy, nursing, biomedical science,<br />
dietetics <strong>and</strong> practice education/facilitation.”<br />
Dr Peter Sharpe,<br />
Associate Director of<br />
Research & Development;<br />
Mairead McAlinden,<br />
<strong>Southern</strong> <strong>Trust</strong> Chief<br />
Executive; Lee Wilson,<br />
PPI representative, R&D<br />
Research Governance<br />
Committee; Dr Ian<br />
Menown, Consultant<br />
Cardiologist; Irene Knox,<br />
Research & Development<br />
Manager.<br />
New Phone Number for<br />
Children’s Gateway Service<br />
The <strong>Trust</strong>’s Gateway Service for Children’s<br />
<strong>Social</strong> Work has introduced a new telephone<br />
number for Child <strong>Care</strong> Referrals including<br />
Child Protection.<br />
Gateway is the first point of contact for people<br />
who wish to share a concern about a child/young<br />
person who is not already known to social services.<br />
The new telephone number for all new referrals<br />
or information about the service is 028 3741 5285<br />
This replaces the three previous local numbers.<br />
In addition, the service also operates an alternative<br />
Freephone Telephone Number 0800 783 7745<br />
which is free from l<strong>and</strong>lines only.<br />
A Duty <strong>Social</strong> Worker is available to take calls:<br />
T: 028 3741 5285 Monday to Friday<br />
9am - 5pm (excluding Public Holidays).<br />
page 14<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Providing safe high quality care<br />
<strong>2011</strong> - 20<strong>12</strong><br />
If there’s Bugs About Keep them Out<br />
Last Autumn the <strong>Trust</strong> launched a new hospital<br />
visiting campaign. In a drive to help prevent <strong>and</strong><br />
control infection, hospital staff spent a week<br />
giving out leaflets <strong>and</strong> speaking to visitors to<br />
explain the importance of the <strong>Trust</strong>’s visiting<br />
policy.<br />
Visiting is restricted to the allocated times <strong>and</strong><br />
visitors are asked to follow the rules below:<br />
• Wash h<strong>and</strong>s/use the h<strong>and</strong> rub provided when<br />
entering <strong>and</strong> leaving wards.<br />
• Two visitors allowed to each patient at a time.<br />
• Do not sit on the bed, touch wounds, drips or<br />
drains.<br />
• Don’t bring unnecessary items, flowers or food<br />
into the hospital.<br />
• Do not bring hot drinks to the ward for<br />
consumption.<br />
• Please discuss with Ward Manager before<br />
bringing children or babies to visit.<br />
• Do not visit if you or someone in your household<br />
has cold, flu, vomiting or diarrhoea.<br />
Hospital Visiting Times<br />
Adult Wards<br />
3:00pm - 4:00pm<br />
6:45pm - 8:15pm<br />
Children’s Wards<br />
3:00pm - 4:00pm<br />
6:45pm - 8:15pm<br />
Parents/Gr<strong>and</strong>parents Anytime<br />
Maternity<br />
3:00pm - 4:00pm<br />
6:45pm - 8:15pm<br />
Partner/Significant Other 10:00am - 9:30pm<br />
Intensive <strong>Care</strong> Unit 2:00pm - 8:15pm<br />
High Dependency Unit<br />
Neo Natal Unit<br />
Special <strong>Care</strong> Babies Unit<br />
Parents/Gr<strong>and</strong>parents<br />
anytime<br />
Launching the hospital visiting campaign are: Clinical Director Infection Prevention <strong>and</strong><br />
Control, Dr Nizam Damani; Chief Executive, Mairead McAlinden; Hospital Volunteer,<br />
Doreen Calvert <strong>and</strong> Lead Nurse Infection Prevention <strong>and</strong> Control, Colin Clarke.<br />
Infection Prevention & Control Event at Craigavon Area Hospital<br />
The <strong>Trust</strong> <strong>and</strong> the Patient <strong>and</strong> Client Council<br />
invited people to share their views on infection<br />
prevention <strong>and</strong> control in hospitals at a<br />
workshop in Craigavon Area Hospital.<br />
The workshop was designed to gather the<br />
public’s views on a range of infection prevention<br />
<strong>and</strong> control issues, including hospital visiting <strong>and</strong><br />
effective communication.<br />
Stella Cunningham, Area Manager for the Patient<br />
Client Council (PCC) facilitated the workshop<br />
<strong>and</strong> said: “Everyone attending the workshop got<br />
to find out more about the issues involved <strong>and</strong><br />
had the opportunity to make their comments <strong>and</strong><br />
suggestions directly to <strong>Trust</strong> Senior managers.<br />
Infection prevention <strong>and</strong> control is important for all<br />
of us whether we are patients, carers or relatives.<br />
We need to work in partnership with healthcare<br />
professionals to get the best out of services.”<br />
L-R Mairead McAlinden, <strong>Southern</strong> <strong>Trust</strong> Chief Executive; Colin Clarke,<br />
<strong>Trust</strong> Lead Nurse Infection Prevention <strong>and</strong> Control; Dr Nizam Damani,<br />
Clinical Director for Infection Prevention <strong>and</strong> Control; Dermot Mooney <strong>and</strong><br />
Eileen Wright, PCC <strong>Southern</strong> Advisory Committee; Stella Cunningham,<br />
Area Manager, Patient Client Council.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 15
southern health <strong>and</strong> social care trust<br />
Providing safe high quality care<br />
<strong>Health</strong> Minister Opens New<br />
Children’s Respite Unit<br />
In January <strong>Health</strong> Minister Edwin Poots officially<br />
opened Carrickore Children’s Respite Unit in Newry.<br />
Carrickore is a £2.5million facility providing respite care for<br />
eight children <strong>and</strong> young people with a disability <strong>and</strong>/or<br />
challenging behaviour from ages four to 18 years. The <strong>Trust</strong><br />
runs the Unit in partnership with Orana Children <strong>and</strong> Family<br />
Centre.<br />
Pictured at the official opening of Carrickore Respite Unit in Newry is <strong>Health</strong> Minister<br />
Edwin Poots with Caoimhe Murphy who uses the centre <strong>and</strong> her aunt Elaine Rafferty.<br />
New Uniforms for <strong>Health</strong>care Staff<br />
A new regional uniform has been introduced at the <strong>Southern</strong> <strong>Trust</strong> to ensure easy recognition<br />
of healthcare staff by patients, users <strong>and</strong> members of the public.<br />
Registered nurses <strong>and</strong> midwives,<br />
Allied <strong>Health</strong> Professionals<br />
(Physiotherapists, Podiatrists,<br />
Speech <strong>and</strong> Language Therapists,<br />
Occupational Therapists, Dietitians,<br />
Radiographers, Orthoptists) <strong>and</strong><br />
healthcare support workers in all<br />
health <strong>and</strong> social care settings in<br />
the <strong>Southern</strong> <strong>Trust</strong> are now wearing<br />
the new regional uniform. The<br />
uniform has the designation of each<br />
staff member embroidered on the<br />
top right shoulder. Staff also wear<br />
a name badge stating their role<br />
<strong>and</strong> area of work which will make<br />
it easier for patients <strong>and</strong> visitors to<br />
identify who is in charge <strong>and</strong> who<br />
to speak to if they have a concern.<br />
Patients, carers <strong>and</strong> the general<br />
public will see health care<br />
Staff Midwife Gretta Quinn, Sister Kate Cunningham, Clinical Sister Aoibheann<br />
Hutchinson, Staff Nurse Naoimh O’Neill, Sister Siobhan Rooney <strong>and</strong> <strong>Health</strong> <strong>Care</strong><br />
Assistant Ann Craven from Daisy Hill Hospital model the new uniforms.<br />
professionals <strong>and</strong> support staff in the same st<strong>and</strong>ardised uniform across all health <strong>and</strong> social care<br />
facilities, including hospitals, private homes, day care <strong>and</strong> nursing homes.<br />
page 16<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Providing safe high quality care<br />
<strong>2011</strong> - 20<strong>12</strong><br />
New High Dependency Unit<br />
for Daisy Hill Hospital<br />
A new 10 bedded High Dependency Unit<br />
opened at Daisy Hill Hospital in March.<br />
The new unit, which has two segregation rooms,<br />
is used to treat the most acutely ill patients in<br />
the hospital <strong>and</strong> is connected to the Intensive<br />
<strong>Care</strong> Unit at Craigavon Area Hospital through a<br />
‘Telepresence’ robot.<br />
The <strong>Trust</strong> is the first in the UK to use the<br />
Telepresence robot which enables Intensive<br />
<strong>Care</strong> specialists from Craigavon to remotely<br />
assess patients. The robot allows real-time<br />
patient observation, examination <strong>and</strong> interaction<br />
between staff in different locations. It has the<br />
ability to transmit heart <strong>and</strong> breath sounds <strong>and</strong><br />
can sometimes prevent the need to transfer<br />
patients to Intensive <strong>Care</strong>.<br />
The development is part of an ongoing<br />
modernisation programme for Daisy Hill <strong>and</strong><br />
acute services within the <strong>Trust</strong>.<br />
Dr Gillian Rankin, Director of Acute Services<br />
says: “This new unit brings together specialist<br />
medical <strong>and</strong> nursing staff to ensure that the<br />
most seriously ill patients, whether they have<br />
coronary, medical or surgical problems, receive<br />
the best possible care in a dedicated area.<br />
The ‘Telepresence’ robot further enhances this<br />
service by supporting Daisy Hill <strong>and</strong> Craigavon<br />
staff to work together as an effective hospital<br />
network. This device ensures that all patients,<br />
regardless of which hospital they are in, receive<br />
the same expertise at any time, day or night.”<br />
Redevelopment of Lurgan<br />
Hospital<br />
This year saw the completion of a four phased<br />
redevelopment of Lurgan Hospital which<br />
started in 2010.<br />
The £2.6 million investment included refurbishment<br />
of wards <strong>and</strong> the dining room; environmental<br />
improvements; replacement of windows <strong>and</strong> external<br />
redecoration; a three storey extension to the entrance<br />
<strong>and</strong> a new fire evacuation bed lift <strong>and</strong>; external<br />
improvements to the site including resurfacing <strong>and</strong><br />
an additional 30 car parking spaces.<br />
Artist’s Impression of Lurgan Hospital<br />
Approved <strong>Social</strong> Worker<br />
H<strong>and</strong>book<br />
A h<strong>and</strong>book outlining the management of<br />
Mental <strong>Health</strong> <strong>Social</strong> Workers has been<br />
published. The <strong>Trust</strong> has statutory<br />
responsibilities under the Mental <strong>Health</strong> (NI)<br />
Order 1986 to manage the Approved <strong>Social</strong><br />
Work Service.<br />
Paula McKay, Sister in the new High Dependency Unit at Daisy Hill Hospital <strong>and</strong> patient<br />
William Pullins with Dr Charles McAllister operating the Telepresence Robot from<br />
Craigavon Area Hospital’s Intensive <strong>Care</strong> Unit.<br />
Members of the Approved <strong>Social</strong> Worker Forum at the launch of their<br />
h<strong>and</strong>book.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 17
southern health <strong>and</strong> social care trust<br />
Providing safe high quality care<br />
Could You Provide a Home for a Young Person?<br />
Fostering provides children who cannot live<br />
with their own families a loving, safe <strong>and</strong><br />
stable home. This could be for a short time,<br />
or longer term until the young person reaches<br />
independence.<br />
There are over 300 children living with foster<br />
carers across the area, but we need to<br />
continually recruit a wide range of carers to meet<br />
the ongoing need. You can be a foster carer;<br />
whether you are married, single or cohabiting;<br />
rent or own your home; work or receive benefits.<br />
We are looking for ordinary people who can<br />
provide a loving home <strong>and</strong> support a young<br />
person who may have been through some<br />
difficult family circumstances.<br />
Foster carers receive ongoing training, 24 hour<br />
support <strong>and</strong> financial allowances to help them<br />
with their caring role. If you care about children,<br />
are interested in fostering <strong>and</strong> would like more<br />
information, you can contact your local Family<br />
Placement Team:<br />
Armagh <strong>and</strong> Dungannon T: 028 8775 2033<br />
Craigavon <strong>and</strong> Banbridge T: 028 3833 7181<br />
Newry <strong>and</strong> Mourne T: 028 3083 2693<br />
Freephone: T: 0800 0270137<br />
or visit www.fostering.hscni.net<br />
Throughout foster care fortnight in May foster carers <strong>and</strong> social workers<br />
from the <strong>Southern</strong> <strong>Trust</strong> took part in a regional novelty fire engine<br />
campaign to emphasise how a shortage of foster carers is reaching<br />
emergency levels.<br />
<strong>Trust</strong> Welcomes Ministerial Announcement at Banbridge <strong>Health</strong> Village<br />
Work is underway on the new Banbridge <strong>Health</strong><br />
Village, £16 million investment to develop the<br />
town’s former hospital site.<br />
Mairead McAlinden, Chief Executive said: “The<br />
<strong>Trust</strong> is very grateful to the Minister for securing<br />
the funding to start this development this year. This<br />
means that within two years we will have a 21st<br />
century facility, with modern integrated ‘one stop’<br />
services. This will complete the vision for the <strong>Health</strong><br />
Village site, <strong>and</strong> I would like to thank Banbridge<br />
Council for their partnership <strong>and</strong> support in this<br />
venture.”<br />
“The Banbridge Community <strong>Care</strong> <strong>and</strong> Treatment<br />
Centre <strong>and</strong> Day Centre is the result of hard work<br />
by our staff <strong>and</strong> the commitment of public <strong>and</strong><br />
community representatives to the provision of<br />
modern, accessible facilities, which are designed<br />
around our users <strong>and</strong> provide a hub for our services<br />
in the area.”<br />
“With the enabling works due to completed by the<br />
end of July 20<strong>12</strong>, we will anticipate the project will<br />
be completed by the end of 2014. We look forward<br />
to working in partnership with local people in<br />
developing the site <strong>and</strong> creating a fantastic facility<br />
that will benefit the whole community.”<br />
Banbridge <strong>Health</strong> Village, Artist’s Impression<br />
page 18<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Providing safe high quality care<br />
<strong>2011</strong> - 20<strong>12</strong><br />
World Mental <strong>Health</strong> Day<br />
Sixteen participants from a range of organisations <strong>and</strong> groups completed Mental <strong>Health</strong> First Aid<br />
training in the Newry area to coordinate with World Mental <strong>Health</strong> Day (10 October). The <strong>12</strong> hour<br />
training course was delivered over four evenings by staff from the <strong>Trust</strong>’s Promoting Wellbeing<br />
Team.<br />
Seamus McCabe from PIPS said: “We regularly see individuals who are experiencing difficulties within<br />
their lives that impact on their mental health <strong>and</strong> well being. It is great to be able to offer training to<br />
the local community so they can spot the signs that someone is in mental distress <strong>and</strong> link them with<br />
appropriate help. We would encourage anyone who gets the opportunity to avail of this training.”<br />
Deirdre McParl<strong>and</strong>, Senior <strong>Health</strong> Promotion Officer<br />
for Mental <strong>Health</strong>, added: “One in four people will<br />
experience mental illness in their lives <strong>and</strong> the right<br />
training can help caregivers deal with many situations.<br />
Increasing public underst<strong>and</strong>ing of mental health,<br />
promoting positive self help strategies <strong>and</strong> raising<br />
awareness of the sources of help <strong>and</strong> support are<br />
priorities within the <strong>Trust</strong> <strong>and</strong> government. Mental<br />
<strong>Health</strong> First Aid is a programme that addresses<br />
these issues <strong>and</strong> also improves mental health literacy<br />
among participants.”<br />
Participants at the Mental <strong>Health</strong> First Aid training course<br />
Primary Mental <strong>Health</strong> Eating Disorder Service<br />
The eating disorder project is a part of the Co-operation <strong>and</strong> Working Together (CAWT) cross<br />
border initiative with funding from the European Union’s INTERREG IVA programme <strong>and</strong> will be<br />
available until October 2014.<br />
The project has provided three additional staff members who work specifically with patients with a mild<br />
to moderate eating disorder. Research shows the sooner a person receives treatment, the greater their<br />
chance of making a full recovery from their eating disorder. Early detection is likely to occur in primary<br />
care settings when eating disorder patients may present to GPs with physical complaints or concerns<br />
about weight loss.<br />
Treatment focuses on helping the individual to change some of their<br />
eating disorder thoughts <strong>and</strong> behaviours. The treatment provided is a<br />
cognitive behavioral approach which can help to change how a person<br />
thinks <strong>and</strong> what they do in order to improve their emotional health <strong>and</strong><br />
wellbeing.<br />
Primary Mental <strong>Health</strong> <strong>Care</strong> Eating Disorder<br />
Practitioners (L-R) Esther Irwin, Marie Coyle<br />
<strong>and</strong> Debbie Proctor<br />
Specialist staff offer assessment <strong>and</strong> treatment with the aim<br />
of early identification <strong>and</strong> intervention in an attempt to prevent<br />
the person’s eating disorder becoming more severe. Staff work<br />
alongside the existing <strong>Trust</strong> Eating Disorder Service which<br />
provides treatment to individuals with more moderate to severe<br />
Eating Disorders.<br />
The <strong>Southern</strong> <strong>Trust</strong> sends less people to Engl<strong>and</strong> for treatment than any<br />
other <strong>Trust</strong>.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 19
southern health <strong>and</strong> social care trust<br />
Providing safe high quality care<br />
Wellness Recovery Action Plan<br />
Training<br />
Rona McBrierty, a peer support specialist <strong>and</strong><br />
international Advanced WRAP Facilitator from<br />
Scotl<strong>and</strong>, delivered a five-day programme in<br />
Mental <strong>Health</strong> Recovery training. An experienced<br />
trainer in mental health awareness, Rona says that<br />
everyone can recover from the challenges resulting<br />
from mental illness <strong>and</strong> that they can find purpose<br />
by taking responsibility for the decisions they make.<br />
Official Opening of<br />
Windsor Day Centre<br />
<strong>Health</strong> Minister Edwin Poots officially opened<br />
Windsor Day Centre, a purpose-built facility for<br />
39 adults with learning disabilities, in January.<br />
‘WRAP’ is Wellness Recovery Action Planning <strong>and</strong><br />
it sets out ways to keep the individual well with or<br />
without the continuing presence of mental ill health.<br />
The five main areas of wellness are managing<br />
mental health, self belief, daily living skills, structure<br />
<strong>and</strong> activity, <strong>and</strong> taking power to ensure a holistic<br />
approach.<br />
Rona said: “Recovery focuses on a person’s right<br />
<strong>and</strong> ability to build a meaningful life for themselves<br />
<strong>and</strong> it is a unique <strong>and</strong> deeply personal process.<br />
By underst<strong>and</strong>ing <strong>and</strong> coping with their mental<br />
ill health, each individual can build strength <strong>and</strong><br />
resourcefulness, establish supportive networks<br />
<strong>and</strong> pursue dreams <strong>and</strong> goals that are important<br />
to them. Recovery involves self management with<br />
the support of family, friends <strong>and</strong> statutory <strong>and</strong><br />
voluntary mental health services.”<br />
Participants at the Training Session<br />
Micéal Crilly, Assistant Director of Disability Services; Carmel McGrath,<br />
Windsor Day Centre Manager; Mairead McAlinden, <strong>Trust</strong> Chief Executive;<br />
Edwin Poots MLA, Minister for <strong>Health</strong>, <strong>Social</strong> Services <strong>and</strong> Public Safety;<br />
Roberta Brownlee, <strong>Trust</strong> Chair; Francis Rice, Director of Mental <strong>Health</strong><br />
<strong>and</strong> Disability Services; <strong>and</strong> Dessie Cunningham, Learning Disability<br />
Supported Living Services Manager.<br />
Mr Poots said: “Improving services for those with a<br />
learning disability has been one of my top priorities<br />
since I became Minister for <strong>Health</strong>. It has been<br />
my Department’s policy for a number of years<br />
to encourage <strong>and</strong> support people with learning<br />
disabilities to live in a community setting such as<br />
provided by Windsor Day Centre. The Centre not<br />
only offers a welcome <strong>and</strong> modern environment<br />
for users <strong>and</strong> staff in the new building, it also<br />
provides a range of activities which may lead to<br />
other opportunities for users, including workforce<br />
training.”<br />
<strong>Trust</strong> Chair Roberta Brownlee added: “I am<br />
delighted that service users were involved in the<br />
design of the Centre <strong>and</strong> a vital role in the planning<br />
process. This building provides state-of-the-art<br />
facilities <strong>and</strong> has brought day care on this site into<br />
the 21st Century. This amazing building will have a<br />
powerful impact on service users <strong>and</strong> staff creating<br />
the setting for many wonderful opportunities in the<br />
future.”<br />
page 20<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Providing Safe High Quality <strong>Care</strong><br />
<strong>2011</strong> - 20<strong>12</strong><br />
<strong>Trust</strong> Home <strong>Care</strong> Services<br />
The <strong>Trust</strong>’s Domiciliary <strong>Care</strong> Service provides approximately 50,000 episodes of care each week.<br />
During the year, three service user surveys were carried out in Armagh & Dungannon, Newry<br />
& Mourne, <strong>and</strong> Craigavon & Banbridge areas. These surveys have shown that Domiciliary <strong>Care</strong><br />
Workers are respectful, courteous <strong>and</strong> helpful to service users <strong>and</strong> above all the service users are<br />
happy with the level of care being provided to them.<br />
76% Service users found it easy to access the service.<br />
93% Service users state the Domiciliary <strong>Care</strong> Workers communicate with them in a respectful way.<br />
93% Service users find the Domiciliary <strong>Care</strong> Service of a good st<strong>and</strong>ard.<br />
92% Service users are treated with dignity by all Domiciliary <strong>Care</strong> Staff.<br />
92.5% Domiciliary <strong>Care</strong> Staff underst<strong>and</strong> the cultural <strong>and</strong> communication needs of the service user.<br />
The Domiciliary <strong>Care</strong> Service received a number of compliments including.<br />
• “Each member of staff was warm, caring, patient <strong>and</strong><br />
brought comfort <strong>and</strong> joy each day. We firmly believe without their<br />
high level of excellent care our mum would not have lived so long.”<br />
• “My husb<strong>and</strong> was sent home with terminal cancer <strong>and</strong> this was my<br />
first experience of carers <strong>and</strong> those ladies tended to him so well.<br />
They gave him a sense of dignity <strong>and</strong> wellbeing until he passed<br />
away. Thank you so much for this service, it was such a support<br />
in those difficult days.”<br />
• “My sister <strong>and</strong> I would like to thank the girls who were so kind<br />
attending to my mother during her short illness. The help <strong>and</strong><br />
support to us was much appreciated.”<br />
• “No words of mine can adequately express how grateful we are<br />
for the help given to us. Without the help we would not have been<br />
able to fulfil his wishes to be at home.”<br />
Gary with his Domiciliary <strong>Care</strong> Worker, Wendy<br />
Introduction of Advanced Nurse Practitioners in GPOOH<br />
The <strong>Trust</strong> has recently recruited six Advanced<br />
Nurse Practitioners to its GP Out of Hours<br />
service. These nurses work in the GP Out of<br />
Hours service based in Daisy Hill Hospital <strong>and</strong><br />
Craigavon Out of Hours centre at weekends.<br />
Angela McVeigh, Director of Older People <strong>and</strong> Primary<br />
<strong>Care</strong> explained “the Advanced Nurse Practitioners are<br />
highly skilled nurses who have completed advanced<br />
nursing education with training in health assessment,<br />
diagnosis, health promotion <strong>and</strong> disease prevention.”<br />
Angela added “The nurses have been working to<br />
Advanced Nurse Practitioner level in primary care<br />
or emergency departments <strong>and</strong> have undertaken<br />
additional training for this new role in the out of hours<br />
service.”<br />
The Advanced Nurse Practitioner can:<br />
• Take a comprehensive patient history<br />
• Carry out physical examinations<br />
• Use their expert knowledge <strong>and</strong> clinical judgement to<br />
identify possible diagnoses<br />
• Refer patients on for investigations as necessary<br />
• Make a final diagnosis<br />
• Decide on <strong>and</strong> carry out treatment<br />
• Refer to other services as appropriate<br />
• Work independently within the GP out of hours<br />
service<br />
• Make sure the patient’s treatment <strong>and</strong> care is based<br />
on best practice.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 21
southern health <strong>and</strong> social care trust<br />
Providing safe high quality care<br />
Reablement<br />
Reablement is a new approach in homecare which is currently being developed in the <strong>Trust</strong>. It<br />
helps those individuals learn or re-gain the skills necessary for daily living which may have been<br />
lost through ill health or injury.<br />
It focuses on promoting people’s self-care skills <strong>and</strong> the confidence necessary for daily living.<br />
Reablement aims to help people “do things for themselves” rather than “having things done for them”.<br />
The service commenced in Lurgan<br />
in April <strong>2011</strong> <strong>and</strong> has extended to<br />
Portadown <strong>and</strong> Armagh. The service<br />
will be rolled out across the <strong>Trust</strong> over<br />
the next year.<br />
People can access Reablement if they<br />
live in the <strong>Southern</strong> <strong>Trust</strong> area <strong>and</strong> are<br />
over 65 years of age <strong>and</strong> need extra<br />
support because:<br />
• They are returning home after a<br />
period in hospital<br />
• They are frail <strong>and</strong> may need support<br />
to remain in their own home<br />
• They need to regain skills <strong>and</strong><br />
confidence to live independently.<br />
Following assessment by the<br />
Occupational Therapist, Reablement<br />
involves setting <strong>and</strong> working towards<br />
specific goals between the service<br />
user <strong>and</strong> the Reablement team. The<br />
Reablement service will normally last<br />
between one day <strong>and</strong> up to four weeks<br />
but this will depend on the person’s<br />
individual circumstances.<br />
Marie McAlinden along with Tracy McGibbon, Reablement Support Worker<br />
To date 511 people have benefited from the service. The outcomes for service users has been very<br />
positive, with about 59% not requiring a package of care nor an increase to their existing package<br />
following reablement.<br />
Marie McAlinden, from Lurgan, who received the service following a fall said: “I was delighted to receive<br />
this new reablement service which helped me get back on my feet. It is great to have my independence<br />
back again.”<br />
For further information contact:<br />
E: reablement.service@southerntrust.hscni.net<br />
T: 028 3831 2851<br />
page 22<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Providing Safe High Quality <strong>Care</strong><br />
<strong>2011</strong> - 20<strong>12</strong><br />
Minister Congratulates Staff<br />
<strong>Health</strong> Minister, Edwin Poots congratulated the <strong>Trust</strong> at a special celebratory event in the Long<br />
Gallery at Parliament Buildings. He said: “These awards are testament to the <strong>Southern</strong> <strong>Trust</strong>s<br />
commitment to do things differently through innovation <strong>and</strong> enterprise.<br />
The <strong>Trust</strong> received first place in the Technology Section for its pioneering remote tele-monitoring work. The<br />
Minister said: “Tele-monitoring is a new <strong>and</strong> developing area of healthcare worldwide <strong>and</strong> this pragmatic<br />
approach where we are all learning as we go, makes it all the more impressive that a Northern Irel<strong>and</strong><br />
project has won an award.”<br />
The <strong>Trust</strong> also achieved runners up in the Productive Series-International category for its ‘Releasing Time<br />
to <strong>Care</strong>’ initiative which looked at ways of improving patient experiences on busy hospital wards. The<br />
initiative has supported teams in many of our hospital wards to review their systems <strong>and</strong> processes to<br />
make a positive difference to patient care. Mrs McAlinden said: “The implementation of ‘Releasing Time<br />
to <strong>Care</strong>’ to over 60% of<br />
our wards <strong>and</strong> theatres<br />
has made cost savings<br />
by reducing waste,<br />
improving safety <strong>and</strong><br />
increasing the time<br />
staff spend on direct<br />
patient care. I look<br />
forward to the further<br />
rollout of Releasing<br />
Time to <strong>Care</strong> to all our<br />
hospital wards <strong>and</strong><br />
theatres. I would like<br />
to commend the staff<br />
involved in both these<br />
initiatives.”<br />
Staff <strong>and</strong> guests in Parliament<br />
Buildings<br />
Comments, compliments <strong>and</strong> user views<br />
The <strong>Trust</strong> is committed to providing high quality services to all of its users. You can help us<br />
improve our services by telling us about your experiences. Your views are much appreciated <strong>and</strong> will<br />
be treated in confidence. If you have a comment, compliment, suggestion or complaint about <strong>Trust</strong><br />
services we want to hear from you. Contact our Central <strong>Report</strong>ing Point on:<br />
T: 028 3861 4150 or<br />
E: Centralpoint.ST@southerntrust.hscni.net<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 23
southern health <strong>and</strong> social care trust<br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
The Choice Programme<br />
Help is now available for young people aged<br />
0-19 years <strong>and</strong> their families to manage their<br />
diabetes (Type 1) more effectively with the<br />
introduction of the CHOICE programme<br />
(carbohydrate <strong>and</strong> insulin collaborative<br />
education). The aim of the programme is to<br />
give children, young people <strong>and</strong> their families/<br />
carers, the skills <strong>and</strong> knowledge they need to<br />
manage their diabetes <strong>and</strong> to reduce the impact<br />
of the condition on daily activities <strong>and</strong> lifestyle.<br />
The programme is delivered in small groups<br />
throughout the <strong>Trust</strong> area <strong>and</strong> involves three hour<br />
teaching sessions for four consecutive weeks.<br />
The CHOICE programme is delivered by a<br />
Diabetes Specialist Nurse <strong>and</strong> a Diabetes<br />
Specialist Dietitian. GPs will receive a letter when<br />
the young person with diabetes has completed<br />
the programme.<br />
Mother of Maeve, aged five years, who attended<br />
the programme said: “I<br />
would really recommend the<br />
CHOICE course to everyone.<br />
It has provided me with the<br />
tools <strong>and</strong> knowledge to<br />
allow my daughter to lead<br />
a much more normal life,<br />
to eat a much more varied<br />
diet <strong>and</strong> has improved her<br />
overall control. She is much<br />
happier <strong>and</strong> able to live like<br />
most other five year olds.”<br />
For further information on<br />
the CHOICE programme<br />
Maeve playing in her garden<br />
please contact:<br />
Pauline Ingram, Diabetes Specialist Nurse<br />
T: 028 3839 8238<br />
E: pauline.ingram@southerntrust.hscni.net<br />
OR<br />
Lorraine Bell, Diabetes Specialist Dietician<br />
T: 028 3861 2328<br />
E: lorraine.bell@southerntrust.hscni.net<br />
The CHOICE programme <strong>and</strong> the pregnancy care clinics<br />
were funded by the EU’s INTERREG IVA programme<br />
via Co-operation <strong>and</strong> Working Together (CAWT).<br />
Diabetes -<br />
Pre-pregnancy <strong>Care</strong> Clinic<br />
Pre-pregnancy <strong>Care</strong> Clinics are running in<br />
the <strong>Trust</strong> for women of child bearing age<br />
with Diabetes Type 1, Type 2 <strong>and</strong> those with<br />
previous Gestational Diabetes. The aim of this<br />
service is to support women with diabetes to<br />
plan their pregnancy <strong>and</strong> optimise blood glucose<br />
control prior to becoming pregnant, ensuring the<br />
best possible outcomes for both mother <strong>and</strong><br />
baby. Patients attending this clinic will be seen<br />
by a Diabetes Specialist Nurse <strong>and</strong> Diabetes<br />
Specialist Dietician.<br />
In order to help promote the pre-pregnancy care<br />
clinic, leaflets <strong>and</strong> posters for the pre-pregnancy<br />
care clinic have now been sent to all GP Practices.<br />
For further information on the service <strong>and</strong> how to<br />
refer please contact:<br />
Clare Black, Diabetes Specialist Nurse<br />
T: 07525 896978<br />
E: clare.black@southerntrust.hscni.net<br />
OR<br />
Diane Cromwell, Diabetes Specialist Dietician<br />
T: 07525 298862<br />
E: diane.cromwell@southerntrust.hscni.net<br />
Insulin Pumps<br />
There are 73,500 people with diabetes in<br />
Northern Irel<strong>and</strong>.<br />
In January 20<strong>12</strong>, the <strong>Trust</strong> received funding to<br />
purchase 99 insulin pumps for children <strong>and</strong> <strong>12</strong>5<br />
insulin pumps for adults. The <strong>Trust</strong> received funding<br />
from Cooperation <strong>and</strong> Working Together (CAWT)<br />
a cross border project to purchase 27 pumps for<br />
children <strong>and</strong> a further 3 pumps for pre-pregnancy<br />
patients. The <strong>Trust</strong> will now be in a position to<br />
address the waiting times for people who require<br />
insulin pumps in a planned phased approach<br />
based on clinical need.<br />
page 24<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
Resettlement from Long Stay Hospital<br />
During the year 22 learning disability patients from long stay hospitals were resettled to<br />
community settings.<br />
All patients resettled continue to be supported by a<br />
number of <strong>Trust</strong> services, for example Epilepsy Nurse<br />
Specialist, Forensic Service, Behaviour Support<br />
Service, Community Access, Occupational Therapy,<br />
Speech <strong>and</strong> Language Therapy <strong>and</strong> Day Opportunities.<br />
Support from an Independent Advocate has also proved<br />
beneficial to the patients. The advocate was involved<br />
throughout each patient’s resettlement <strong>and</strong> their<br />
needs, wishes, the choices available <strong>and</strong> requirements<br />
were recorded. Betterment questionnaires were<br />
undertaken before discharge <strong>and</strong> are reviewed at <strong>12</strong><br />
weeks post discharge <strong>and</strong> also at the annual review.<br />
The <strong>Trust</strong> is striving to meet targets set down by<br />
government for the closure of long stay hospitals by<br />
2015 <strong>and</strong> is currently on target. Patients’ individual<br />
assessed needs are paramount in this process <strong>and</strong><br />
all placements to date prove betterment for the patient<br />
involved.<br />
Tenants <strong>and</strong> support workers at Ardaveen Manor.<br />
Patient Support Service Launched at Daisy Hill Hospital<br />
Being a patient, relative or carer can be worrying<br />
or confusing. Sometimes people need to turn<br />
to someone for help, advice or support. Patient<br />
Support can guide people through their options,<br />
working with them to try <strong>and</strong> sort out any worries or<br />
concerns they may have or seek answers to their<br />
queries.<br />
The Patient Support Office can be found on the<br />
corridor beside the shop in the main hospital foyer<br />
(first office on the left). You can contact:<br />
Edel Corr, Patient Support Manager<br />
OR<br />
Paula McAloran, Patient Support Officer<br />
T: 028 3083 5070<br />
E: patientsupport.dhh@southerntrust.hscni.net<br />
Dr Gillian Rankin, Director of Acute Services; Eileen Murray,<br />
Head of Service - Medicine <strong>and</strong> Unscheduled <strong>Care</strong>; <strong>and</strong> Paula<br />
McAloran, Patient Support Officer, <strong>Southern</strong> <strong>Health</strong> <strong>and</strong> <strong>Social</strong><br />
<strong>Care</strong> <strong>Trust</strong> with patient Eileen Weir, Staff Nurse Caroline Sloane<br />
<strong>and</strong> Ward Manager Kay Donegan from the Renal Unit at Daisy<br />
Hill Hospital.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 25
southern health <strong>and</strong> social care trust<br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
<strong>Trust</strong> makes Movies for<br />
Mums To Be<br />
Two new short films showing tours of the<br />
Maternity Department at Craigavon <strong>and</strong> Daisy<br />
Hill Hospitals have been created for pregnant<br />
women to watch in antenatal class.<br />
The films are each about 10 minutes long, showing<br />
maternity facilities <strong>and</strong> highlighting what pregnant<br />
women can expect when they arrive in Craigavon<br />
or Newry for the birth of their baby.<br />
In each film, a pregnant woman is led on a tour<br />
of the facilities by a maternity staff member who<br />
begins with practical advice on where to go <strong>and</strong><br />
what to do on arrival at the Maternity Department.<br />
The tour covers all the facilities an expectant mother<br />
might encounter including the Admission <strong>and</strong><br />
Assessment Unit <strong>and</strong> Delivery Suite. The tour ends<br />
in the Postnatal ward where approximately 6,000<br />
new babies each year come to after being born in<br />
both Hospitals.<br />
Anne McVey, <strong>Southern</strong> <strong>Trust</strong> Assistant Director of<br />
Acute Services (Integrated Maternity & Women’s<br />
<strong>Health</strong>) explains: “Before we had this film, pregnant<br />
women <strong>and</strong> their partners came on group tours<br />
of the hospital maternity department organised<br />
as part of the Antenatal Education programme.<br />
However, bringing large groups of people on<br />
tours was becoming more challenging in our busy<br />
Departments as we have to protect the dignity <strong>and</strong><br />
privacy of the women who are about to give birth<br />
here. Infection prevention is also a key priority for<br />
the <strong>Trust</strong> <strong>and</strong> the new film will reduce the risk of<br />
infection associated with large groups of people<br />
in one location. We are delighted to introduce this<br />
virtual alternative to our maternity tour <strong>and</strong> hope<br />
that pregnant women find it useful <strong>and</strong> interesting.”<br />
Both films are available on the <strong>Southern</strong> <strong>Trust</strong><br />
website <strong>and</strong> can be viewed at<br />
www.southerntrust.hscni.net/services/1785.htm<br />
Supporting Mollie to Remain in<br />
the Community<br />
Mrs Mollie Maguire celebrated her 100th<br />
birthday in September surrounded by her<br />
family <strong>and</strong> friends. Mollie has been married to<br />
John for 62 years <strong>and</strong> they live in Oakleigh Fold<br />
Supported Housing in Lurgan. In addition to the<br />
support from John <strong>and</strong> her family, Mollie also<br />
receives support to continue to live in her local<br />
community from her GP, Dr Fred McSorley <strong>and</strong><br />
from the <strong>Southern</strong> <strong>Trust</strong>’s Primary <strong>Care</strong> Services<br />
including domiciliary care support, district nursing<br />
<strong>and</strong> the specialist respiratory service.<br />
When asked what her secret was in reaching this<br />
wonderful milestone Mollie said “I have a great<br />
man who helps me a lot <strong>and</strong> we are very lucky<br />
to have each other. I really appreciate all the<br />
help I get from my GP Dr McSorley, all my home<br />
helps especially Patricia, the nurses Marguerite<br />
<strong>and</strong> Mary <strong>and</strong> also Marguerite O’Kane who visits<br />
often, does my hair <strong>and</strong> makes me look <strong>and</strong> feel<br />
10 years younger.”<br />
Angela McVeigh, Director of Older People <strong>and</strong><br />
Primary <strong>Care</strong> with the <strong>Trust</strong> said “It was a privilege<br />
to meet Mollie at her 100th birthday celebrations<br />
<strong>and</strong> see how partnership working <strong>and</strong> primary<br />
care support can contribute to supporting people<br />
to continue living in their own community.”<br />
Front Row: Dr Fred McSorley; Mrs Mollie Maguire; Marguerite McAvoy,<br />
District Nursing Sister. Back Row: Marguerite O’Kane, Volunteer <strong>and</strong> friend;<br />
Mary McGrath, Community Respiratory Nurse Specialist; Patricia Sloan,<br />
Domiciliary <strong>Care</strong> worker; Angela McVeigh, Director of Older People <strong>and</strong><br />
Primary <strong>Care</strong> <strong>and</strong> Mollie’s husb<strong>and</strong>, John Maguire.<br />
page 26<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
Volunteering<br />
For many people in our community sight loss<br />
is a daily reality but the support of volunteers<br />
can make a difference to the quality of the<br />
individual’s life. Rathfril<strong>and</strong> woman Madeline<br />
Maginn lost her sight at the age of 21 through<br />
Diabetic Retinopathy <strong>and</strong> Glaucoma.<br />
“At first I felt like my life as I had known it was<br />
over. I could not work out how I would be able<br />
to do all the things which<br />
up until then like everyone<br />
else I had taken for granted.<br />
Simple things like going to<br />
the shop or church or going<br />
to meet friends. But thank<br />
goodness I was blessed<br />
with a fantastic family <strong>and</strong> an<br />
amazing group of friends.”<br />
Madeline Maginn<br />
Volunteering to support individuals, or groups<br />
of people, who have a severe visual impairment<br />
is an excellent way of assisting other people to<br />
continue to play an active role in the community.<br />
The experience gained by the volunteer can<br />
be rewarding in so many ways, for example<br />
developing interpersonal skills while at the same<br />
time doing something which benefits others.<br />
Many of the groups supported by the <strong>Trust</strong> would<br />
not be viable without the dedicated volunteers<br />
who continue developing their own skills <strong>and</strong><br />
expertise while helping others. Volunteering<br />
could involve shopping, assisting with exercise<br />
or a pastime or some other type of activity during<br />
the day, in the evenings or at weekends.<br />
For more information on volunteering, contact:<br />
Gerardette McVeigh, Volunteer Coordinator<br />
T: 028 3831 1484<br />
OR<br />
Imelda McPolin, Volunteer Coordinator<br />
T: 028 3083 4270<br />
OR<br />
Kate Johnston, Volunteer Coordinator<br />
T: 028 3752 0557<br />
Finding Your Feet Focus Day<br />
The RNIB Sensory Engagement Programme,<br />
supported by the <strong>Trust</strong>, hosted a special<br />
day for visually impaired people to focus on<br />
‘Finding Your Feet’.<br />
The Sensory Engagement Project has received<br />
funding of £1.86 million over three years by the<br />
EU’s INTERRREG IVA Programme, managed by<br />
the Special EU Programmes Body.<br />
The project draws upon the experience of<br />
RNIB, Action on Hearing Loss, National Council<br />
for the Blind of Irel<strong>and</strong> <strong>and</strong> DeafHear working<br />
in partnership with the <strong>Southern</strong> <strong>Trust</strong>. These<br />
organisations have extensive knowledge of sight<br />
<strong>and</strong> hearing impediments to improve access to<br />
services that people without a sensory impairment<br />
take for granted. Finding Your Feet helps individuals<br />
plan for the future <strong>and</strong> fulfil their dreams.<br />
Liz Tanner, Visual Disability Services Manager<br />
at the <strong>Trust</strong>, said, “The Sensory Engagement<br />
Project aims to improve engagement levels <strong>and</strong><br />
confidence of people with sensory disabilities. The<br />
lives of around 300 people both north <strong>and</strong> south<br />
of the border with hearing <strong>and</strong> sight difficulties<br />
will be improved as a result of the exchange of<br />
expertise, information <strong>and</strong> best practice, <strong>and</strong> the<br />
training of sensory impairment staff.”<br />
Back Row: Colleen<br />
Copel<strong>and</strong>; Noleen<br />
Murphy, Volunteer;<br />
Danny McSherry, RNIB;<br />
Katrina Boyd-Haughey;<br />
Bernie Sloan; Lorraine<br />
McCadden, RNIB.<br />
Middle Row: Trevor<br />
Gibbs; Ann Devlin; Joan<br />
Treanor. Front Row:<br />
Margaret Fusco, RNIB;<br />
Lloyd Donaldson; Liz<br />
Tanner, Visual Disability<br />
Services Manager; <strong>and</strong><br />
Mary McBride.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 27
southern health <strong>and</strong> social care trust<br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
Young People give the Low Down<br />
A group of young care leavers from the <strong>Southern</strong> <strong>Trust</strong><br />
have produced a DVD to help support their peers.<br />
The 16 Plus Service User Group is a representative group<br />
for young people in care who share their views <strong>and</strong> are<br />
involved in decision making in relation to Looked After<br />
Children. The DVD aims to give young people who are<br />
moving into the 16+ service an underst<strong>and</strong>ing of what to<br />
expect. It will be used as a basis for learning on a range<br />
of issues including Education, Employment <strong>and</strong> Training, Accommodation, <strong>Health</strong> <strong>and</strong> Finance.<br />
The Group were Highly Commended in the <strong>2011</strong> Children’s Commissioner’s Participation Awards for<br />
the project. Some members have also registered as <strong>Trust</strong> Volunteers to become peer supporters for<br />
other young people as they move into the 16+ service.<br />
Celebrating the Successes of Young People<br />
The <strong>Trust</strong>’s annual awards event to celebrate the successes<br />
of young people in care took place in March. One hundred<br />
<strong>and</strong> ninety young people in foster <strong>and</strong> residential care were<br />
nominated <strong>and</strong> received awards for a range of achievements<br />
including; education, training, driving tests, Duke of Edinburgh,<br />
sports <strong>and</strong> arts.<br />
Congratulating all the young people, Chief Executive Mairead<br />
McAlinden said: “We know the many challenges that young<br />
people in care face <strong>and</strong> so it is important to celebrate when they<br />
overcome these challenges <strong>and</strong> achieve success. As parents<br />
we are proud when our children do well, <strong>and</strong> as corporate parents for the children in our care we<br />
in the <strong>Southern</strong> <strong>Trust</strong> are extremely proud of their achievements <strong>and</strong> it is right to celebrate them.”<br />
Photo: This year’s celebration <strong>and</strong> awards event for young people.<br />
Ceramic Artwork at Banbridge SEC<br />
Service users at Banbridge <strong>Social</strong> Education<br />
Centre have unveiled their latest art project at<br />
the facility. Jill McKeown, Artist-in-Residence with<br />
Craigavon <strong>and</strong> Banbridge Arts <strong>Care</strong> Committee,<br />
explained: “Service users <strong>and</strong> staff decided to<br />
make an artwork for the gable wall to provide a<br />
colourful backdrop to a new seating <strong>and</strong> relaxation<br />
area. They wanted this area to be bright <strong>and</strong><br />
welcoming as it was a dull, exposed <strong>and</strong> very<br />
windy space’.<br />
“The groups discussed possible themes <strong>and</strong><br />
because it was such a windy area they decided<br />
upon the idea of kites <strong>and</strong> balloons blowing in the<br />
wind, which provided the opportunity to use bright<br />
colours in the piece. The project involved the use<br />
of clay from its raw form, which was then moulded<br />
<strong>and</strong> drawn on to create the tiles for the finished<br />
piece. The initial tiles were dried, then ‘bisque<br />
fired’ <strong>and</strong> then returned to the group to paint<br />
with ceramic<br />
glazes before<br />
the final firing.”<br />
Members of the<br />
Artwork Group<br />
with Jill McKeown,<br />
Artist-in-Residence,<br />
<strong>and</strong> Margaret<br />
McShane, Manager of<br />
Banbridge SEC.<br />
page 28<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
<strong>Trust</strong> achieves Success at ‘Lean <strong>Health</strong>care Academy’ Awards<br />
The <strong>Trust</strong> is delighted to have received a national award for the implementation of remote<br />
telemonitoring of patients with long term chronic conditions, beating stiff competition from<br />
across the UK.<br />
Mairead McAlinden, Chief Executive,<br />
congratulated all the staff involved: “I am<br />
delighted that the <strong>Southern</strong> <strong>Trust</strong> team<br />
has been recognised nationally as a<br />
pioneer in the implementation of remote<br />
telehealth. The Heart Failure, COPD,<br />
Stroke <strong>and</strong> Diabetes teams have shown<br />
real commitment <strong>and</strong> dedication to<br />
embracing new technology <strong>and</strong> new ways<br />
of working to improve the quality of care<br />
for their patients.”<br />
Over 670 people living within the <strong>Southern</strong><br />
<strong>Trust</strong> area have benefited from telemonitoring<br />
to date. Forty four year old Waringstown<br />
resident Alan Cummings suffered a stroke<br />
in <strong>2011</strong> <strong>and</strong> had telemonitoring installed<br />
into his home during his recovery. Speaking<br />
about the benefits of the service Alan said:<br />
Christine Breen, Improvement Manager; Wendy Henning, COPD Specialist Physiotherapist; Carol<br />
Patton, Heart Failure Nurse Specialist, receiving the national award for telemonitoring from Bob<br />
Gomersall, Chairman Virtual College.<br />
“Telemonitoring has really helped me underst<strong>and</strong> a lot more about my condition. Seeing it working<br />
every day, I now know what my readings should or shouldn’t be. My GP practice is 20 miles away<br />
<strong>and</strong> so it’s great being able to take my readings at home instead of going to the doctors all the time.<br />
I know I can take my readings at any time so it doesn’t restrict me in any way, I never feel rushed or<br />
pressured. My nurse checks my readings every week so I know someone is keeping an eye on me.<br />
Also when I visit my doctor for check-ups they look at my readings from the last four weeks <strong>and</strong> make<br />
decisions about my medications based on that. I feel it has helped speed up my recovery <strong>and</strong> get<br />
the right medications for me at the right time. I would definitely recommend it.”<br />
Creative Storytelling<br />
An exciting exhibition was launched by service users who attend the<br />
Orchard Day Centre, Newry. This Centre supports 30 older people <strong>and</strong><br />
people with mental health difficulties to live in their local communities.<br />
With the support of staff <strong>and</strong> the volunteer team, service users were<br />
encouraged to develop as a creative group to produce some outst<strong>and</strong>ing<br />
pieces of textile work as an innovative art project. Members of the group<br />
enjoyed sharing their work which was based on positive life experiences.<br />
Maureen Smith, Centre Manager said “No-one can underestimate the skill<br />
<strong>and</strong> efforts reflected in these unique <strong>and</strong> interesting visual stories.”<br />
Mary Fitzpatrick (top) <strong>and</strong> Patricia Courtney<br />
(bottom) with their artwork.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 29
southern health <strong>and</strong> social care trust<br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
‘Food for Thought’ Exhibition<br />
An art exhibition involving service users at<br />
St Luke’s Hospital, Appleby <strong>Social</strong> Education<br />
Centre, Station Road Resource Centre <strong>and</strong><br />
Coalisl<strong>and</strong> Day Centre took place at the Market<br />
Place Theatre in Armagh from 9 December to<br />
7 January.<br />
Over to You Scheme<br />
The Over to You scheme is an exercise-based<br />
programme for patients with a wide range of<br />
conditions. The programme is delivered through<br />
partnership working between the <strong>Southern</strong> <strong>Trust</strong>’s<br />
Outpatient Physiotherapy Service <strong>and</strong> the Leisure<br />
Services within the Newry & Mourne Council area.<br />
Eddie Rafferty, Arts <strong>Care</strong> artist-in-residence,<br />
explored the issues affecting users through<br />
reminiscence activities. The exhibition featured 70<br />
ceramics on the ‘food for thought’ theme depicting<br />
a cross section of life experiences <strong>and</strong> they were<br />
displayed in a novel way in the gallery. A number<br />
of users in Coalisl<strong>and</strong> Day Centre produced<br />
paintings on old newspapers, drawing on their<br />
memories for inspiration. In addition, Vincent<br />
Roach displayed five large canvases of people at<br />
St Luke’s Hospital <strong>and</strong> places in Armagh.<br />
Bryce McMurray, Assistant Director of Mental <strong>Health</strong><br />
Services at the <strong>Trust</strong>, said: “The work that Eddie<br />
has undertaken with the users at our day centres<br />
<strong>and</strong> hospitals is significant for each individual. Art<br />
is a wonderful way for service users to express<br />
themselves. The involvement of users with Arts<br />
<strong>Care</strong> contributes to the healing process through<br />
recovery <strong>and</strong> support, especially in compassionate<br />
<strong>and</strong> caring environments like those created by<br />
Eddie <strong>and</strong> staff in our day centres in the area.”<br />
Visitors at the opening night of the exhibition.<br />
Mr Lilley in the gym along with Sinead Brackenbury, Physiotherapist.<br />
Sinead Brackenbury, the Physiotherapist who<br />
manages the programme said: “Patients benefiting<br />
from the Over to You scheme are people with<br />
conditions including; chronic back pain, those<br />
recovering from fractures or joint injuries such as<br />
shoulder, hip or knee injuries. Other people who<br />
benefit include those who have had a stroke or<br />
a cardiac/ heart condition <strong>and</strong> for people with<br />
a mental health diagnoses. Referral onto the<br />
programme can be through the local GP, a range<br />
of Consultants <strong>and</strong>/or other <strong>Health</strong> Professionals<br />
including Physiotherapists, <strong>Social</strong> Workers or<br />
Nurse Specialists.”<br />
Mr Lilley, following heart surgery was referred<br />
to the Over to You scheme for the next phase<br />
of his rehabilitation. Mr Lilley talking about the<br />
scheme said: “The support I received from the<br />
Physiotherapist <strong>and</strong> Gym Instructor allowed me<br />
to exercise safely within my own limitations. After<br />
completing the eight week programme, I became a<br />
member of Newry Sports Centre <strong>and</strong> I now attend<br />
regularly to maintain my own health <strong>and</strong> fitness.”<br />
page 30<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Maximising independence <strong>and</strong> choice for our<br />
patients <strong>and</strong> clients<br />
Aughnacloy Day Opportunities Project<br />
The <strong>Trust</strong> is working in partnership with charity Alliance Youth Works<br />
for Environmental Education <strong>and</strong> local l<strong>and</strong>owner Simon Bullock to<br />
provide adults with a learning disability in the Aughnacloy area with<br />
meaningful occupation. The day opportunities programme supports 200<br />
adults with a learning disability in recreational, vocational, volunteering<br />
<strong>and</strong> further education opportunities.<br />
Simon Bullock explained, “This property was purchased by my great<br />
gr<strong>and</strong>father <strong>and</strong> has been tended by our family for five generations. Our<br />
vision for the Annagh project is that it will provide accommodation for<br />
around <strong>12</strong> people <strong>and</strong> useful valuable occupation for many more. We’ve<br />
met a number of people involved in similar projects through <strong>Care</strong> Farming<br />
UK. We’ve visited the Irish Society of Autism project at Dunfirth Farm at<br />
Johnstown Bridge in north Kildare which has 70 acres <strong>and</strong> provides care to 46 people.”<br />
Local man Enda McKenna said: “I like coming to Peg’s Cottage <strong>and</strong> I’ve been helping to dig a flower bed<br />
so that we can get it ready for spring. We’re making bat <strong>and</strong> bird boxes so that bats <strong>and</strong> birds can come<br />
<strong>and</strong> live in the area. We also want to get a greenhouse to grow our own vegetables for the local market in<br />
Aughnacloy.”<br />
Giving Voice Exhibition<br />
Simon Bulloch with participants <strong>and</strong><br />
support staff involved in the project.<br />
An exhibition of art work has found that speech<br />
<strong>and</strong> language therapy has a major role in the<br />
lives of people with a learning disability.<br />
Deirdre Blakely, Non Executive Director at the <strong>Trust</strong>,<br />
said: “The Adult Learning Disability Speech <strong>and</strong><br />
Language Therapy Team ran an art competition<br />
during Learning Disability Week to find out about<br />
service users’ opinions on the benefits of Speech<br />
<strong>and</strong> Language Therapy.<br />
“Users believe Speech <strong>and</strong> Language Therapy<br />
helps them with all aspects of communication<br />
whether it is making information accessible,<br />
eating, drinking <strong>and</strong> swallowing, talking, signing,<br />
using communication aids <strong>and</strong> attending hearing<br />
screening clinics. Giving Voice has given voice to<br />
many users.”<br />
The competition coincided with the Royal College<br />
of Speech <strong>and</strong> Language Therapists ‘Giving Voice’<br />
campaign which is demonstrating how Speech<br />
<strong>and</strong> Language Therapy makes a difference <strong>and</strong><br />
is a vital service to a huge variety of people.<br />
Ryan Murray from Appleby <strong>Social</strong> Education Centre, winner<br />
in the Armagh <strong>and</strong> Dungannon area, with Deirdre Blakely,<br />
Non-Executive Director at the <strong>Trust</strong>, <strong>and</strong> Dessie Cunningham,<br />
Learning Disability Supported Living Services Manager.<br />
Newry <strong>and</strong> Mourne winner Antoinette Fitzpatrick<br />
from The Laurels.<br />
John Faulkner, winner in the Craigavon <strong>and</strong> Banbridge<br />
category, from Bannvale <strong>Social</strong> Education Centre with Deirdre<br />
Blakely <strong>and</strong> Dessie Cunningham.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 31
southern health <strong>and</strong> social care trust<br />
Being a good social partner in our communities<br />
Travelwise Week <strong>and</strong> the<br />
Workplace Travel Plan<br />
Transport Minister Danny Kennedy chose<br />
the <strong>Southern</strong> <strong>Trust</strong> to launch Northern<br />
Irel<strong>and</strong> Travelwise Week (16-22 September).<br />
Speaking at the launch of Travelwise Week <strong>and</strong><br />
the <strong>Trust</strong>’s Workplace Travel Plan, the Minister<br />
said that Travelwise Week was being hosted<br />
in support of European Mobility Week. The<br />
focus of the week was on the health benefits<br />
of sustainable travel as a means of contributing<br />
to a fitter <strong>and</strong> healthier lifestyle for all.<br />
Heather Glendinning, a Nursing Auxiliary at South<br />
Tyrone Hospital, is one staff member who has<br />
benefitted from the cycle to work scheme. “I ride<br />
from Stewartstown to Dungannon each day to<br />
my work between April <strong>and</strong> September, which<br />
is a round trip of 16 miles. Cycling to work<br />
means I get plenty of fresh air, have no need<br />
for fake tan <strong>and</strong> I save petrol! I truly love riding<br />
my bike, bought on the Cycle to Work Scheme<br />
in 2010. I began with short journeys <strong>and</strong> have<br />
built it up over time. I’d like to ask all drivers to<br />
give cyclists more consideration on the road<br />
so as to make cycling safer, <strong>and</strong> so encourage<br />
more cyclists out onto the road. The benefits<br />
are huge, so happy cycling, everyone!”<br />
<strong>Trust</strong> in Community<br />
Through ‘<strong>Trust</strong> in Community’ we are<br />
working in partnership with local community<br />
<strong>and</strong> voluntary organisations to address<br />
disadvantage.<br />
One <strong>Trust</strong> in Community success story this<br />
year was a project targeted at young people in<br />
partnership with LIVE UnLtd.<br />
This was a competition open to young people<br />
from rural communities to come up with projects<br />
targeted at their peer groups.<br />
A number of grants ranging from £500 to £3,000<br />
were awarded to successful c<strong>and</strong>idates as Paul<br />
Morgan, Director of Children <strong>and</strong> Young People,<br />
explains: “<strong>Trust</strong> in Community’ aims to pool<br />
resources of the <strong>Trust</strong> <strong>and</strong> its partners to meet<br />
the needs of people in the community. Through<br />
this project small pots of money are enabling<br />
focused projects to be delivered for young people,<br />
by young people, which are addressing health<br />
<strong>and</strong> wellbeing issues <strong>and</strong> building community<br />
relations.”<br />
Along with the grant, all award winners took part<br />
in a planning session to kick start their projects<br />
<strong>and</strong> Live UnLtd is providing an ongoing package<br />
of advice, training, mentoring <strong>and</strong> personal<br />
development support to ensure the success of<br />
their projects.<br />
Roberta Gives the Gift of Life<br />
Following a Public <strong>Health</strong> Agency appeal, <strong>Trust</strong><br />
Chair, Roberta Brownlee signed the organ<br />
donation register this year.<br />
Around 300 people in Northern Irel<strong>and</strong> are<br />
currently waiting for an organ transplant <strong>and</strong><br />
nationally, three people die every day whilst<br />
waiting for a transplant. Roberta is encouraging<br />
her health service colleagues to sign up.<br />
Heather Glendinning<br />
Organ donation saves <strong>and</strong> enhances lives. To join<br />
the NHS Organ Donor Register <strong>and</strong> give the gift<br />
of life, log on to www.org<strong>and</strong>onation.nhs.uk or<br />
call 0300 <strong>12</strong>3 <strong>12</strong>3 or text ‘save’ to 84118.<br />
page 32<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Being a good social partner in our communities<br />
<strong>2011</strong> - 20<strong>12</strong><br />
New Hospital Information Booklet Launched<br />
Dr Gillian Rankin launches new Hospital<br />
Information Booklet<br />
A stay in hospital is about to get a little bit easier for local patients<br />
following the launch of a Hospital Information Booklet by the<br />
<strong>Southern</strong> <strong>Trust</strong>. The short booklet tells people about important<br />
things they need to know before they come for a stay in Craigavon<br />
Area Hospital or Daisy Hill Hospital.<br />
Dr Gillian Rankin, <strong>Southern</strong> <strong>Trust</strong>, Director of Acute Services welcomed<br />
the new booklet saying: “I am delighted that we now have a booklet<br />
which provides patients with information they need to know before<br />
coming into hospital for a stay. The booklet begins with simple advice<br />
on preparing for a stay in our hospitals such as information on what<br />
patients should <strong>and</strong> should not bring with them into Hospital. The<br />
booklet then moves on to offer practical advice on everything from car<br />
parking, meal times, visiting times <strong>and</strong> anything else they might need<br />
to know during their stay at Craigavon Area or Daisy Hill Hospital. I<br />
really hope that people find it useful <strong>and</strong> easy to use.”<br />
The booklet is available on the <strong>Trust</strong> website: www.southerntrust.hscni.net under Our Services<br />
<strong>and</strong> this information is included in letters sent to patients being admitted to Hospitals (with hard<br />
copies made available, where required).<br />
Launch of new Luncheon Club in Middletown, Co. Armagh<br />
Around 423 older people attend 34 luncheon<br />
clubs in the <strong>Southern</strong> area. The <strong>Trust</strong> is grateful<br />
to the 59 registered volunteers who provide<br />
invaluable support to run these groups.<br />
Older people in the Middletown area will now<br />
also benefit from a new luncheon club through an<br />
initiative of the Co-operation <strong>and</strong> Working Together<br />
(CAWT) Older People’s Project.<br />
Melanie McClements, Assistant Director of<br />
Promoting Wellbeing said: “Through the CAWT<br />
Older People’s Project, the <strong>Southern</strong> <strong>Trust</strong> is<br />
delighted to be involved in supporting older<br />
people in border communities to have greater<br />
access to social support. With a small amount of<br />
EU financial support <strong>and</strong> a lot of good will <strong>and</strong><br />
volunteer assistance in the Middletown area, older<br />
people will soon be accessing this new service.<br />
We hope that the luncheon club goes from strength<br />
to strength, improving quality of life <strong>and</strong> health <strong>and</strong><br />
wellbeing for older people.”<br />
Welcoming the decision of the <strong>Southern</strong> <strong>Trust</strong>, in<br />
collaboration with CAWT to award funding for this<br />
two-year project, Chairman of Middletown <strong>and</strong><br />
District Community Development Association,<br />
Gerard Mallon said: “This initiative will enable older<br />
people in the district to maintain independence<br />
<strong>and</strong> improve wellbeing. We are grateful to the team<br />
working with CAWT <strong>and</strong> the <strong>Southern</strong> <strong>Trust</strong> for their<br />
help <strong>and</strong> support with this project. We hope the<br />
luncheon club will help to reduce social isolation<br />
<strong>and</strong> improve the nutrition of older people in rural<br />
communities. We also hope that it will contribute to<br />
bringing together, people from both communities <strong>and</strong><br />
strengthen links with our cross-border neighbours.<br />
Volunteering is an important aspect of this project<br />
<strong>and</strong> the association will shortly be seeking volunteers<br />
to help run the luncheon club which will be located<br />
in the Middletown Markethouse.”<br />
For further information please contact:<br />
Brenda Toal, CAWT Older People’s Project Worker<br />
T: 028 3741 2767 OR<br />
E: Brenda.toal@southerntrust.hscni.net<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 33
southern health <strong>and</strong> social care trust<br />
Being a good social partner in our communities<br />
Chief Executive Encourages<br />
Blood Donation<br />
Pink Day<br />
<strong>Trust</strong> Chief Executive Mairead McAlinden is<br />
encouraging people to become blood donors.<br />
Giving blood for the first time in February this year,<br />
Mairead said: “I’ve always meant to get round to<br />
donating blood <strong>and</strong> made it one of my new year’s<br />
resolutions this year. When I heard about the recent<br />
shortage of blood stocks, it made me even more<br />
determined to make time to do it. Giving blood is vitally<br />
important for proper delivery of health care, <strong>and</strong> it was<br />
very quick, easy <strong>and</strong> convenient to do.”<br />
For further information or to register:<br />
T: 0500 534 66 W: www.nibts.org OR<br />
Enrol by texting the word ‘blood’ to 60081.<br />
Long-Serving Volunteers Recognised<br />
The Acute Booking Centre organised a Pink Day on 21 October to raise money<br />
for Breast Cancer. An amazing £850 was raised by having a raffle <strong>and</strong> a coffee<br />
morning for colleagues. Several local businesses also made donations.<br />
The <strong>Trust</strong> held a ‘Volunteer Recognition Event’<br />
to acknowledge <strong>and</strong> celebrate the valuable<br />
contribution that its long serving volunteers<br />
make to the organisation <strong>and</strong> the wider<br />
community. The special “tea with the Chair“<br />
event provided an opportunity to thank these<br />
volunteers for their valued time <strong>and</strong> commitment. As a<br />
mark of appreciation, the volunteers were presented<br />
with a certificate <strong>and</strong> gift.<br />
Roberta Brownlee, Chair of the <strong>Trust</strong> thanked<br />
the volunteers <strong>and</strong> said, “It is a privilege for me<br />
to acknowledge the tremendous contribution our<br />
dedicated volunteers make to the health <strong>and</strong> social<br />
care needs of people living in this area.”<br />
Mrs Brownlee also applauded the long serving<br />
volunteers for their commitment <strong>and</strong> commended<br />
them for the selfless manner in which they give of their<br />
time <strong>and</strong> talents to enhance the quality of life of others.<br />
The <strong>Trust</strong> plans to host an annual recognition event for<br />
its volunteers. Melanie McClements Assistant Director<br />
of Promoting Wellbeing, commended the volunteers<br />
<strong>and</strong> said, “There are over 500 Volunteers working<br />
with the <strong>Southern</strong> <strong>Trust</strong> <strong>and</strong> we greatly appreciate the<br />
work they do. Your kindness <strong>and</strong> generosity of time<br />
has touched hundreds of people <strong>and</strong> has made a real<br />
difference to their lives.”<br />
<strong>Trust</strong> Volunteers come from all walks of life <strong>and</strong> provide<br />
a high quality service throughout the <strong>Trust</strong>. Staff value<br />
the contribution provided by volunteers who use their<br />
wide range of skills, knowledge <strong>and</strong> experience to<br />
provide a unique caring environment for all..<br />
If you are interested in finding out more about<br />
volunteering opportunities throughout the <strong>Southern</strong><br />
<strong>Trust</strong>, please contact:<br />
Craigavon & Banbridge<br />
Gerardette McVeigh, Volunteer Coordinator<br />
T: 028 3831 1484<br />
E: gerardette.mcveigh@southerntrust.hscni.net<br />
Armagh & Dungannon<br />
Kate Johnston, Volunteer Coordinator<br />
T: 028 3752 0557<br />
E: kate.johnston@southerntrust.hscni.net<br />
Newry & Mourne<br />
Imelda McPolin, Volunteer Coordinator<br />
T: 028 3083 4270<br />
E: imelda.mcpolin@southerntrust.hscni.net<br />
Back Row: Melanie McClements, Assistant Director for Promoting Wellbeing; Roberta Brownlee,<br />
Chairperson; Eileen Kerr, Volunteer; Gerardette McVeigh, Volunteer Coordinator; Beatrice Carson,<br />
Volunteer; Anne Herdman, Volunteer; Angela McVeigh, Director of Older People & Primary <strong>Care</strong>.<br />
Front Row: Madaleine McCrink, Volunteer Coordinator; Patricia McCann, Volunteer; Gerard Hanna,<br />
Volunteer <strong>and</strong> Orla Clarke, Administrator.<br />
page 34<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Being a good social partner in our communities<br />
<strong>2011</strong> - 20<strong>12</strong><br />
Celebrating the Physical Disability Community Access Service<br />
A celebration of the Physical Disability Community Access Service was organised by the <strong>Trust</strong><br />
to mark International Day of Persons with Disabilities.<br />
Assistant Director of Disability Services Micéal Crilly said: “Persons with disabilities make up an estimated<br />
15 per cent of the <strong>Southern</strong> <strong>Trust</strong> population <strong>and</strong> bringing their activities into the mainstream is one of<br />
our priorities. Experience shows that when persons with disabilities are empowered to participate their<br />
involvement creates opportunities for the individual <strong>and</strong> the entire community benefits. Our Community<br />
Access Officers identify the interests a person with a disability has<br />
<strong>and</strong> how these can be fulfilled through participation in a range of<br />
community activities.”<br />
The Physical Disability Community Access<br />
Service celebratory event<br />
Newry woman Gemma Brolly said: “Community Access is really making<br />
a difference to my life. I have learnt new skills that have enhanced my<br />
life <strong>and</strong> which I use in my personal, voluntary <strong>and</strong> working life. The<br />
programme has, to an extent, thwarted the deterioration of my health<br />
as I’ve been stimulated to attend the programme which I found to be<br />
flexible <strong>and</strong> tailor made to meet my needs.”<br />
Award in Community Development<br />
A young Armagh man with a learning disability<br />
completed a community development course<br />
<strong>and</strong> attended a certificate presentation at<br />
Armagh City <strong>and</strong> District Council Offices.<br />
Peter McKeown, who lives in the Ballyhonemore<br />
Road area of the city, has joined a newly established<br />
community group for East Armagh as a result<br />
of studying with Reconciliation Education <strong>and</strong><br />
Community Training.<br />
Peter lives independently but was very keen to get<br />
involved in local activities in his community. The<br />
six-week programme Open College Network Level<br />
1 Course in Community Development, hosted by<br />
Reconciliation Education And Community Training,<br />
provided Peter with a range of information about<br />
the contribution individuals can make to community.<br />
Peter said: “I enjoy going to the meetings to find<br />
out what is happening<br />
in my local area <strong>and</strong><br />
get involved in events.<br />
I’ve been helping the<br />
group to put together<br />
<strong>and</strong> distribute the first<br />
newsletter <strong>and</strong> a cleanup<br />
of the area.”<br />
Eileen Canavan, Community Access Officer at the <strong>Trust</strong>; Peter McKeown; Cllr Freda Donnelly, Mayor<br />
of Armagh City <strong>and</strong> District Council; <strong>and</strong> Anne McCusker, Community Development Officer at REACT.<br />
SafeTALK Seminar<br />
Armagh City <strong>and</strong> District Council hosted a<br />
training programme that prepares helpers to<br />
identify persons with thoughts of suicide <strong>and</strong><br />
connect them to services.<br />
The SafeTALK Seminar was attended by staff<br />
members from Armagh City & District Council <strong>and</strong><br />
Dungannon & South Tyrone District Council <strong>and</strong> an<br />
elected representative.<br />
Facilitator Roisin Tallon of Action Mental <strong>Health</strong><br />
MensSana project said, “This seminar is suicide<br />
alertness for everyone. The three-hour programme<br />
helps those attending to identify people who have<br />
thoughts of suicide, to apply the TALK steps, namely<br />
Tell, Ask, Listen <strong>and</strong> Keep safe, <strong>and</strong> to connect a<br />
person with thoughts of suicide to services that can<br />
offer support. Talking about suicide is an important<br />
first step to encourage others to seek support.”<br />
Cllr Joy Rollston (front row,<br />
second from left) with staff<br />
from Armagh City <strong>and</strong> District<br />
Council <strong>and</strong> Dungannon &<br />
South Tyrone Borough Council<br />
who recently attended SafeTALK<br />
training. Also included are<br />
facilitator Roisin Tallon <strong>and</strong><br />
<strong>Southern</strong> Area Protect Life<br />
Coordinator Nuala Quinn.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 35
southern health <strong>and</strong> social care trust<br />
Making the Best Use of Resources<br />
Taking Actions to Reduce the Number of Wasted Appointments<br />
In 2010, more than 40,000<br />
Outpatient appointments were<br />
wasted in the <strong>Southern</strong> <strong>Trust</strong><br />
because patients did not attend<br />
(11.8% of total). The cost of<br />
each appointment is estimated<br />
to be £100 which means that £4<br />
million could have been wasted<br />
in 2010 alone.<br />
In December <strong>2011</strong> the <strong>Southern</strong><br />
<strong>Trust</strong> launched a Don’t Waste<br />
Your Space communication<br />
campaign aimed at raising<br />
awareness of the scale <strong>and</strong><br />
impact of wasted appointments.<br />
100,000 flyers were printed <strong>and</strong><br />
distributed across the entire<br />
<strong>Trust</strong> area. Leaflets <strong>and</strong> posters<br />
were distributed to a wide range<br />
of <strong>Trust</strong> facilities including Outpatient Clinics/<br />
Hospitals, local GP surgeries, local Councils <strong>and</strong><br />
leisure centres.<br />
Every MP, MLA <strong>and</strong> Councillor was sent a briefing<br />
paper informing them of the scale of the wasted<br />
appointments issue <strong>and</strong> providing them with details<br />
on the campaign well in advance of the launch.<br />
The <strong>Trust</strong>’s Chief Executive brought the issue up in<br />
meetings with local Councils <strong>and</strong> political parties.<br />
The campaign has been a great success, winning<br />
a Special Recognition Award at the Craigavon<br />
Business Awards in May for raising awareness of<br />
this important issue.<br />
Figures recently released by the Department of<br />
<strong>Health</strong> have confirmed that the <strong>Southern</strong> <strong>Trust</strong> has<br />
the lowest percentage of patients not attending<br />
outpatient appointments, when compared to other<br />
<strong>Trust</strong>s in Northern Irel<strong>and</strong>.<br />
These figures can be greatly attributed to the work of<br />
the centralised Referral <strong>and</strong> Booking Centre which<br />
now offers greater flexibility for patients in choosing<br />
the most suitable date, time <strong>and</strong> sometimes location<br />
for appointments. Patients are sent a letter asking<br />
them to phone to make their appointment <strong>and</strong> to<br />
make this service more accessible, the Booking<br />
Centre has extended opening hours (from 8am –<br />
8pm Monday to Friday <strong>and</strong> 9am<br />
– 1pm Saturday). They are also<br />
significantly minimising waste<br />
of outpatient appointments<br />
by offering all cancellations,<br />
including those which are short<br />
notice to other patients.<br />
In an effort to further reduce<br />
DNAs, in January 20<strong>12</strong> the<br />
Booking Centre began a text<br />
reminder pilot where patients<br />
are asked to contact the Booking<br />
Centre if they cannot attend<br />
scheduled appointments. This<br />
trial has proved successful <strong>and</strong> is<br />
being extended throughout more<br />
specialties in the coming months.<br />
Don’t Waste Your Space Campaign Flyer<br />
Estate Rationalisation<br />
Over the past year, the <strong>Trust</strong> has been<br />
streamlining <strong>and</strong> improving the use of its<br />
accommodation. We have ceased leases on<br />
a number of rented properties <strong>and</strong> are moving<br />
more services into <strong>Trust</strong> owned premises.<br />
Under this project we are improving<br />
accommodation in the Psychiatric Intensive <strong>Care</strong><br />
Unit (PICU) <strong>and</strong> are centralising health records<br />
storage to save costs on external storage.<br />
In Armagh we have developed enhanced facilities<br />
for Children <strong>and</strong> Young People’s services,<br />
enabling reduced lease costs <strong>and</strong> disposal of<br />
surplus property by moving from Gosford Place<br />
<strong>and</strong> Dobbin Street.<br />
Over 200 staff including clinical teams, estate<br />
services, planning, porters <strong>and</strong> transport<br />
have worked through these moves with<br />
minimal disruption to patients <strong>and</strong> clients.<br />
A similar project is now underway in Newry.<br />
It is expected that Estate Rationalisation when<br />
fully completed will save the <strong>Trust</strong> approximately<br />
£350,000 each year.<br />
page 36<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Making the Best Use of Resources<br />
<strong>2011</strong> - 20<strong>12</strong><br />
New Hospital Signs Spell Out Role of Emergency Departments<br />
In November, Minister for <strong>Health</strong>, Mr Edwin Poots,<br />
unveiled new ‘Emergency Department’ signs<br />
at Craigavon Area in a drive to raise awareness<br />
that Hospital emergency departments are only<br />
for people who need immediate treatment.<br />
New signs went up at Craigavon Area Hospital<br />
<strong>and</strong> Daisy Hill Hospital in response to the high<br />
numbers of people attending its Emergency<br />
Departments who do not require urgent treatment.<br />
Mr Poots said: “I think that people do need to<br />
reflect on their use of emergency departments<br />
in hospitals <strong>and</strong> I hope that this new signage will<br />
remind people that they should only come here<br />
if they need emergency treatment. The public<br />
can play a significant role in helping to ease the<br />
burden on busy emergency departments.”<br />
The Emergency Department at Craigavon treats<br />
over 77,000 people <strong>and</strong> Daisy Hill, over 36,000<br />
each year. However an audit in <strong>2011</strong> showed<br />
that around a third of those who came to the<br />
Departments did not require this specialist care<br />
<strong>and</strong> could have been appropriately treated by<br />
their GP or other community services.<br />
Mr Seamus O’Reilly, Clinical Director for<br />
Emergency Medicine explains: “Staff in<br />
Emergency Departments are there to provide<br />
specialised treatment for people who are seriously<br />
ill or injured <strong>and</strong> need to be treated urgently. Too<br />
often, we find our time <strong>and</strong> resources taken up<br />
by people whose ailments are neither serious<br />
nor urgent. We hope that by emphasising the<br />
Emergency nature of the treatment provided, it<br />
might prompt more people with non-urgent/minor<br />
ailments to ask themselves if they really need to<br />
come here. Our aim is to provide the quickest <strong>and</strong><br />
most effective emergency treatment to those who<br />
need it most. GPs (or GP Out of Hours), Minor<br />
Injuries Units <strong>and</strong> local pharmacists all provide<br />
non-emergency treatment in the community <strong>and</strong><br />
I would urge people, where appropriate, to use<br />
those services instead.”<br />
Minister Poots launches new Emergency Department signs at Craigavon Area Hospital ,also<br />
pictured from the <strong>Southern</strong> <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong> <strong>Trust</strong>: (L-R) Mrs Elizabeth Mahood, Non-<br />
Executive Director, Dr Gillian Rankin, Director of Acute Services, Mrs Mairead McAlinden,<br />
Chief Executive <strong>and</strong> Mr Seamus O’Reilly, Clinical Director for Emergency Medicine at<br />
Craigavon Area Hospital Emergency Department.<br />
Minor Injuries Unit<br />
at South Tyrone<br />
Hospital<br />
Opening Hours:<br />
from 1 October 20<strong>12</strong><br />
Cut out <strong>and</strong> keep<br />
The Minor Injuries Unit<br />
is open 7 days a week;<br />
from 9am to 9pm Monday to Friday<br />
<strong>and</strong> 10am to 6pm Saturday to<br />
Sunday.<br />
The dedicated telephone advice line<br />
is available by calling:<br />
028 8771 3599.<br />
Cut out <strong>and</strong> keep<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 37
southern health <strong>and</strong> social care trust<br />
Making the Best Use of Resources<br />
Improvements in Outpatient Services<br />
Outpatient services at Craigavon Area Hospital<br />
have been moved to an improved location<br />
at Ward 1 in The Ramone Building. The move<br />
has created additional examination/consultation<br />
rooms <strong>and</strong> better facilities for patients.<br />
A new state-of-the-art ‘Trauma & Orthopaedic<br />
Outpatients Clinic’ has been developed in the<br />
old Outpatient Department <strong>and</strong> includes an<br />
X-Ray room, a plaster room, consultation rooms,<br />
examination rooms, offices <strong>and</strong> other patient<br />
treatment facilities.<br />
The former Maternity <strong>and</strong> Gynae Outpatients<br />
Department at Daisy Hill has undergone a<br />
£500,000 renovation to become part of the<br />
General Outpatients service.<br />
The new Outpatient consulting rooms are now<br />
providing the specialised environment needed for<br />
comprehensive ENT (Ear, Nose <strong>and</strong> Throat) <strong>and</strong><br />
Audiology Assessment <strong>and</strong> includes a new sound<br />
booth. It is also now housing two permanent<br />
clinical rooms for Pre-Operative Assessment <strong>and</strong><br />
there are an additional two consulting rooms<br />
providing much needed clinical accommodation.<br />
Sr Marilyn Mulligan, Outpatients Manager with Minister Edwin Poots in one of the audiology<br />
rooms in the new outpatients department at Daisy Hill Hospital.<br />
Dr Gillian Rankin, Director of Acute Services<br />
says: “The number of outpatients attending our<br />
hospitals has been steadily increasing over the<br />
past number of years, so there was a real need to<br />
improve the accommodation to meet this growing<br />
dem<strong>and</strong>. We are delighted to be able to upgrade<br />
the accommodation <strong>and</strong> provide much more<br />
patient friendly facilities.”<br />
Mournes Resource Centre<br />
Mournes Resource Centre, the <strong>Trust</strong>’s<br />
mental health resource centre for Newry <strong>and</strong><br />
Mourne, relocated to Dromalane Road in<br />
Newry after 20 years at Daisy Hill Hospital.<br />
At an open day for clients <strong>and</strong> visitors, Chief<br />
Executive Mairead McAlinden said: “In speaking<br />
with people who use this Centre, I have heard<br />
about the great work of the team who work here,<br />
how they are making a difference to people’s<br />
lives <strong>and</strong> how they are helping people to better<br />
manage their condition.”<br />
The way the <strong>Trust</strong> delivers mental health<br />
services <strong>and</strong> care has changed enormously<br />
over a number of years, with an increased focus<br />
on providing services to intervene as early as<br />
possible, to focus on support <strong>and</strong> recovery<br />
<strong>and</strong> keep people out of hospital by providing<br />
the right services as close as possible to<br />
local communities. These developments, as<br />
part of the <strong>Trust</strong>’s ‘Change in Mind’ strategy<br />
for mental health services, means there is an<br />
increased need for groupwork, counselling <strong>and</strong><br />
therapeutic activities.<br />
Mournes Resource Centre Staff<br />
page 38<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
Roots of Empathy<br />
Fifteen Schools in the <strong>Trust</strong> area are taking part<br />
in an innovative programme aimed at promoting<br />
social <strong>and</strong> emotional underst<strong>and</strong>ing.<br />
The ‘Roots of Empathy’ programme, was<br />
developed in Canada <strong>and</strong> centres around a parent<br />
<strong>and</strong> baby who visit the classroom throughout the<br />
year. Through an instructor, children observe<br />
the relationship between the baby <strong>and</strong> parent,<br />
following the baby’s development <strong>and</strong> celebrating<br />
milestones. The children are encouraged to learn<br />
<strong>and</strong> underst<strong>and</strong> the baby’s perspective <strong>and</strong><br />
reflect on their own feelings <strong>and</strong> those of others.<br />
Aimed at Year 5 pupils, the programme helps<br />
young people to underst<strong>and</strong> the world from a<br />
different point of view, helping them to become<br />
more caring <strong>and</strong> reduces levels of bullying <strong>and</strong><br />
aggression.<br />
The programme in Northern Irel<strong>and</strong> is supported<br />
<strong>and</strong> funded by the Public <strong>Health</strong> Agency <strong>and</strong><br />
coordinated between <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong><br />
<strong>Trust</strong>s <strong>and</strong> Education <strong>and</strong> Library Boards in<br />
local areas.<br />
Patrick Kerr, St John’s Primary School Middletown with Liliya Mallon<br />
<strong>and</strong> baby Aiobheann who take part in the Roots of Empathy Programme.<br />
Family Nurse Partnership<br />
The <strong>Trust</strong> is delighted to have been selected as a pilot site for the Family Nurse Partnership project<br />
in Northern Irel<strong>and</strong>.<br />
Family Nurse Partnership is a preventive programme for vulnerable first time young mothers. It offers<br />
intensive <strong>and</strong> structured home visiting, delivered by specially trained nurses, from early pregnancy until<br />
the child is two. The programme which was developed in the United States is currently being tested<br />
across Engl<strong>and</strong>, Scotl<strong>and</strong> <strong>and</strong> Northern Irel<strong>and</strong>.<br />
This programme is supported by the Department of <strong>Health</strong> <strong>Social</strong> Services <strong>and</strong> Public Safety <strong>and</strong> the<br />
Public <strong>Health</strong> Agency.<br />
Family Support Hubs<br />
The <strong>Trust</strong> in consultation with the voluntary <strong>and</strong><br />
community sector has established three Family<br />
Support Hubs across the area.<br />
The Hubs aim to provide families <strong>and</strong> children<br />
with effective support services at the earliest<br />
opportunity <strong>and</strong> prevent the need for a referral to<br />
statutory social work services.<br />
There is a Hub for each locality; Armagh <strong>and</strong><br />
Dungannon; Newry <strong>and</strong> Mourne; <strong>and</strong> Craigavon<br />
<strong>and</strong> Banbridge, which meets on a monthly basis<br />
to discuss the needs of referrals. Referrals can be<br />
made with the consent of the parent by any agency<br />
or professional who believes that the family would<br />
benefit from a the service preventative support<br />
service.<br />
For further information or to make a referral<br />
contact:<br />
Carol Morgan<br />
T: 028 3741 5285 or Freephone: 0800 783 7745<br />
E: carol.morgan@southerntrust.hscni.net<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 39
southern health <strong>and</strong> social care trust<br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
Watching Your Weight<br />
in Pregnancy<br />
Mums-to-be in the <strong>Southern</strong> <strong>Trust</strong> area are<br />
learning how to manage their weight thanks to a<br />
new project.<br />
The ‘Watching your Weight in Pregnancy’ project<br />
began in December <strong>2011</strong> with funding support from<br />
the Public <strong>Health</strong> Agency <strong>and</strong> aims to address the<br />
rising levels of obesity <strong>and</strong> the impact this is having<br />
on health in pregnancy <strong>and</strong> birth.<br />
The project aims to increase access to information<br />
for pregnant women with a raised Body Mass Index<br />
(BMI) about managing weight gain in pregnancy.<br />
As part of the project, a total of 10 midwives from<br />
across the <strong>Trust</strong> have been given training in healthy<br />
eating <strong>and</strong> exercise in pregnancy.<br />
Two pilot programmes for antenatal women <strong>and</strong> post<br />
natal women are underway in the Kilkeel area to help<br />
a group of women to manage their weight effectively.<br />
Evaluation <strong>and</strong> learning from the pilot programme will<br />
inform future development of support for pregnant<br />
women <strong>and</strong> possibly extension of group support,<br />
subject to future funding from the PHA.<br />
Patricia McStay, <strong>Southern</strong> <strong>Trust</strong> Head of Midwifery<br />
explained why there was a need for this project:<br />
“We are seeing increasing numbers of women who<br />
are overweight or obese at their first contact with<br />
the Midwife. We want to support these women to<br />
manage their weight gain in pregnancy to reduce<br />
the risk of experiencing health complications such<br />
as high blood pressure, <strong>and</strong> diabetes in pregnancy.”<br />
Angela McComb PHA said: “The PHA recognises<br />
that there are many health risks for women who are<br />
obese in their pregnancy. We welcome this project<br />
<strong>and</strong> the opportunity to share the learning with other<br />
<strong>Trust</strong>s about effective approaches to supporting<br />
pregnant women to manage their weight.”<br />
Women taking part<br />
in the watching your<br />
weight in pregnancy<br />
programme.<br />
Keep Smoke Out of Hospitals<br />
The <strong>Southern</strong> <strong>Trust</strong><br />
has appealed for<br />
people to help<br />
to keep hospital<br />
buildings smoke<br />
free <strong>and</strong> a smoke<br />
free zone of 10<br />
metres has been<br />
implemented<br />
around Craigavon<br />
<strong>and</strong> Daisy Hill<br />
hospital buildings.<br />
Back row: Nikki Cinnamond, <strong>Trust</strong> Smoking cessation specialist, Anne<br />
Smyth, <strong>Trust</strong> Domestic Services, Dr Gillian Rankin, Director of Acute<br />
Services, Edel Corr, Patient Support Manager, Lynne Smart, Promoting<br />
Wellbeing Lead for Acute Services. Front Row: Doreen Calvert <strong>and</strong><br />
Elizabeth Johnston – ‘Here to Help’ Volunteers<br />
Smoking close to hospital doors <strong>and</strong> windows,<br />
causes smoke to enter the hospital, potentially<br />
affecting the health of patients, visitors <strong>and</strong> staff.<br />
The <strong>Trust</strong> used No Smoking Day in March to<br />
raise awareness of the smoke free zone around<br />
the hospital buildings <strong>and</strong> to promote uptake<br />
of smoking cessation support services. As Dr<br />
Gillian Rankin, <strong>Trust</strong> Director of Acute Services<br />
explains: “We are reminding patients <strong>and</strong><br />
visitors to Craigavon <strong>and</strong> Daisy Hill Hospitals<br />
that smoking near doors <strong>and</strong> windows causes<br />
smoke to drift into areas of the hospital used<br />
for patient care <strong>and</strong> by staff. No Smoking Day<br />
is an ideal time to highlight this issue <strong>and</strong> to<br />
ask for cooperation to prevent this problem<br />
from occurring in the future.”<br />
Dr Rankin added: “There is extensive signage<br />
around Craigavon <strong>and</strong> Daisy Hill hospital sites<br />
advising that there is no smoking permitted<br />
within 10 metres of hospital entrances <strong>and</strong> for<br />
people to use designated smoking shelters <strong>and</strong><br />
bins where provided. The health <strong>and</strong> wellbeing<br />
of patients, visitors <strong>and</strong> staff is our absolute<br />
priority <strong>and</strong> I believe we can successfully tackle<br />
this problem if smokers are able to make this<br />
small change for the benefit of everyone.”<br />
page 40<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
New Breastfeeding Room in<br />
Daisy Hill Hospital<br />
Danielle Quinn <strong>and</strong> her Daughter Ava with Brenda Kelly, Lead Midwife<br />
<strong>Southern</strong> <strong>Trust</strong>, Janet Calvert, Public <strong>Health</strong> Agency <strong>and</strong> Sister Joanne<br />
McGlade, <strong>Southern</strong> <strong>Trust</strong> in the new breastfeeding room in Daisy Hill<br />
Hospital.<br />
Mellow Parenting <strong>and</strong><br />
Mellow Babies<br />
The <strong>Trust</strong> has introduced the Mellow<br />
Parenting Programme this year. Mellow<br />
Parenting is designed to support families<br />
who are experiencing relationship<br />
problems with their young children <strong>and</strong><br />
have additional health <strong>and</strong> social care<br />
needs.<br />
The fourteen week programme helps to build<br />
more positive parent-child relationships,<br />
improve the wellbeing of mothers <strong>and</strong> child<br />
behaviour <strong>and</strong> development. The <strong>Trust</strong> is also<br />
offering the Mellow Babies programme which<br />
is aimed at mothers of babies up to one year<br />
old.<br />
If you think you need this extra parenting<br />
support, please speak to your <strong>Health</strong> Visitor<br />
or <strong>Social</strong> Worker who can refer you to the<br />
Mellow Parenting Programme.<br />
‘Just Ask’ for Emotional<br />
<strong>and</strong> Mental <strong>Health</strong> Support<br />
The <strong>Trust</strong> is encouraging young people with<br />
mental wellbeing or emotional problems to ‘Just<br />
Ask’ for support.<br />
The Tier 2 Child <strong>and</strong> Adolescent Mental <strong>Health</strong><br />
Service team known as ‘Just Ask’ provides mental<br />
health services in the community for young people<br />
up to the age of 18 <strong>and</strong> their families.<br />
The service recognizes that growing up, at times<br />
can be stressful <strong>and</strong> challenging <strong>and</strong> can help<br />
young people to cope with their feelings, thoughts<br />
<strong>and</strong> behaviours through individual <strong>and</strong> family<br />
counselling or therapy.<br />
Young people can be referred to the service for<br />
a range of mild or moderate mental health <strong>and</strong><br />
emotional difficulties for example; relating to family<br />
issues; self-esteem, mood or anxiety problems;<br />
phobias, obsessional or compulsive difficulties.<br />
Referrals can be made by teachers or a number<br />
of health professionals including GPs, <strong>Social</strong><br />
Workers, <strong>Health</strong> Visitors or Paediatrician. For further<br />
information contact your local clinic:<br />
Portadown T: 028 3839 7337<br />
Newry T: 028 3083 5400<br />
Dungannon T: 028 8771 3486<br />
Raising the Alarm<br />
In partnership with its Taske Project, the <strong>Trust</strong> is<br />
giving carbon monoxide (CO) alarms to young<br />
carer leavers. Taske is a personal development<br />
programme for young care experienced adults to<br />
help them to gain skills <strong>and</strong> experience to increase<br />
their chances of<br />
employment <strong>and</strong><br />
training <strong>and</strong> to live<br />
independently.<br />
Roisin McAliskey, Taske Project Worker,<br />
Nina Daly, Accident Prevention Officer<br />
with Amy McShane <strong>and</strong> Michael<br />
Jamison, both from the 16plus Service<br />
User Group who received carbon<br />
monoxide alarms.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 41
southern health <strong>and</strong> social care trust<br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
Useful Guide for Mental <strong>Health</strong> <strong>and</strong> Emotional Wellbeing<br />
A new guide of contacts for mental <strong>and</strong><br />
emotional wellbeing in the <strong>Southern</strong> <strong>Trust</strong><br />
area was published in <strong>2011</strong>.<br />
Francis Rice, Director of Mental <strong>Health</strong> <strong>and</strong><br />
Disability Services at the <strong>Trust</strong>, said: “This guide<br />
contains 200 telephone numbers of statutory,<br />
community <strong>and</strong> voluntary organisations which<br />
offer support, counselling or advice on a<br />
range of issues. The telephone numbers have<br />
been classified under 21 categories including<br />
relationships, bereavement, abuse, addiction,<br />
benefits advice, <strong>and</strong> suicide <strong>and</strong> self harm<br />
prevention.”<br />
The Protect Life Strategy is the Government’s<br />
suicide <strong>and</strong> self harm prevention plan <strong>and</strong><br />
involves all Departments at the Assembly, <strong>and</strong><br />
a range of community <strong>and</strong> voluntary groups.<br />
The guide complements the other Protect Life<br />
information available to the general public. The<br />
campaign includes bus shelter, television <strong>and</strong><br />
radio advertisements directing those in distress<br />
or despair to the<br />
Lifeline Helpline:<br />
T: 0808 808 8000.<br />
There are six walkin<br />
resource centres:<br />
Banbridge; Kilkeel;<br />
Dungannon; Newry;<br />
Lurgan; Portadown.<br />
Each centre can<br />
signpost individuals<br />
to self-help guides<br />
<strong>and</strong> information<br />
resources.<br />
Useful Contacts Resource<br />
Don’t Let Debt Depress You<br />
Debt can lead to mental illness <strong>and</strong> mental illness can lead to debt, creating a vicious cycle.<br />
Dr Liz McMonagle, Consultant Clinical Psychologist in Adult Mental <strong>Health</strong> at Daisy Hill Hospital,<br />
explains, “There is a clear link between debt, worry <strong>and</strong> mental health problems. The psychological<br />
states associated with debt <strong>and</strong> gambling can cause a range of difficulties: relationships can break<br />
down <strong>and</strong> shame, depression, anxiety, alcohol abuse, drug misuse <strong>and</strong> suicidal states of mind can<br />
feel utterly disabling. It is important that you get advice <strong>and</strong> support as soon as you find yourself in a<br />
debt problem. It is never ever too late to seek help <strong>and</strong> advice.”<br />
The <strong>Trust</strong> supports the funding of Advice Services across the <strong>Trust</strong> area including<br />
Citizens Advice Bureaux (CAB). We also support the funding of Lurgan<br />
Independent Advice <strong>and</strong> Information service. These services offer advice<br />
on a range of issues including benefit entitlement, health <strong>and</strong> social care<br />
services, housing, employment, debt, <strong>and</strong> money management:<br />
Armagh District CAB T: 028 3752 8357 Banbridge District CAB T: 028 4062 4175<br />
Craigavon District CAB T: 028 3839 5051 Dungannon & South Tyrone District CAB T: 028 8775 3044<br />
Lurgan LIASE T: 028 3832 5764 Newry & Mourne District CAB T: 028 3026 9224<br />
CAB outreach services are currently provided at Bluestone Unit, Craigavon Area Hospital, on Tuesday<br />
afternoon; at Daisy Hill Hospital, funded by the Public <strong>Health</strong> Agency; <strong>and</strong> at the M<strong>and</strong>eville Unit, Craigavon<br />
Area Hospital, funded by Macmillan Cancer Support. The Financial Wellbeing Guide on the <strong>Trust</strong> website<br />
lists other services offering advice <strong>and</strong> help.<br />
page 42<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
Taking <strong>Care</strong> of Your <strong>Health</strong> in Tough Economic Times<br />
At least one in five of us will suffer from a mental<br />
health problem at some stage in our lives <strong>and</strong> the<br />
current economic situation that we face places<br />
extra pressure on individuals <strong>and</strong> families.<br />
In recognition of these difficulties the <strong>Trust</strong>, the<br />
Department for Employment <strong>and</strong> Learning <strong>and</strong><br />
the Public <strong>Health</strong> Agency have developed a leaflet<br />
which highlights positive ways to help individuals<br />
cope during challenging times.<br />
In addition, the Jobs & Benefits office in Armagh<br />
in partnership with the <strong>Trust</strong>’s Promoting Wellbeing<br />
Team hosted a Mental <strong>Health</strong> <strong>and</strong> Wellbeing week<br />
from 9th -13th January 20<strong>12</strong>. Melanie McClements<br />
Assistant Director of Promoting Wellbeing said “The<br />
aim of this initiative is to raise awareness among<br />
individuals of their mental health needs <strong>and</strong> to<br />
highlight the many services locally that are available<br />
to support those who are feeling overwhelmed by<br />
the impact of job loss both financially <strong>and</strong> mentally.”<br />
Front Row: Seamus McGuigan <strong>and</strong> Edel Crawley, Pathways to Work Team<br />
Back Row: Deirdre McParl<strong>and</strong>, Promoting Wellbeing Team; Mark McBride,<br />
Public <strong>Health</strong> Agency; Breige McCabe <strong>and</strong> Paul Caldwell, Pathways<br />
to Work Team; Aodan Cunningham, Manager, Jobs & Benefits Office,<br />
Armagh; Rosemary Daly Promoting Wellbeing Team.<br />
Benburb Walled Garden Restoration<br />
The <strong>Trust</strong> is working in partnership with Benburb Priory<br />
on an ambitious project to restore the historic Walled<br />
Garden <strong>and</strong> Victorian Greenhouse.<br />
As part of phase one, eight adults with a learning disability<br />
are working under the direction of Alyn Jones from Alliance<br />
Youth Works on a number of features in the garden. The<br />
project is supported by Daytime Opportunities Worker for<br />
Adult Learning Disability Tina Maguire.<br />
The day opportunities programme covers four areas of<br />
development - recreational, vocational, volunteering <strong>and</strong><br />
further education. The group has been marking out <strong>and</strong><br />
digging beds for an orchard, removing the old hedge to allow<br />
Alyn Jones <strong>and</strong> Tina Maguire with participants<br />
involved in the project.<br />
privet hedge to cultivate, <strong>and</strong> restoring the paths. There are also plans to introduce pheasants which<br />
would have been evident in a typical Victorian kitchen garden. Award-winning young architect<br />
Cathal Fearon is assisting with the restoration of the Victorian Glasshouse to its former glory.<br />
Jonathan Gallagher said: “I’ve been coming to Benburb for five months <strong>and</strong> I enjoy working with<br />
the others on the difference projects. No two days are the same. The work I’ve been doing is part<br />
of my Open College Network in Conservation course <strong>and</strong> it is great to see the garden coming<br />
along every week.”<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 43
southern health <strong>and</strong> social care trust<br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
Growing the Local Community<br />
“Not just growing vegetables but growing<br />
the community” that’s the message from<br />
residents at Callan Street, Armagh who now<br />
grow their own fruit <strong>and</strong> vegetables thanks<br />
to a new Community Food Garden set up in<br />
the local area. The Callan Street Community<br />
Garden is a social, economic <strong>and</strong> environmental<br />
project <strong>and</strong> has provided the opportunity for<br />
the local community to take ownership for<br />
transforming a former derelict green site into a<br />
biodiversity project. Donna Haughian, Community<br />
Development Officer with the <strong>Trust</strong> said: “The<br />
project was very much a partnership approach<br />
between community <strong>and</strong> statutory agencies.”<br />
Donna Haughian, <strong>Southern</strong> <strong>Trust</strong>; Mayor Freda Donnelly, Armagh City<br />
Council; Mary Black, Public <strong>Health</strong> Agency; Melanie McClements,<br />
<strong>Southern</strong> <strong>Trust</strong>; Sean Mc Gerrigan, Callan Street Community Garden;<br />
Jenney McGetrick, Conservation Volunteers NI; Roberta Brownlee, Chair,<br />
<strong>Southern</strong> <strong>Trust</strong>.<br />
Roberta Brownlee, Chair of the <strong>Trust</strong>, said, “I am<br />
very impressed with this project – the garden<br />
has given <strong>and</strong> will continue to give residents a<br />
great opportunity to work side by side, improve<br />
the community they live in as well as being able<br />
to grow their own healthy <strong>and</strong> nutritious fruit <strong>and</strong><br />
vegetables.”<br />
Memory Wall<br />
Edenderry Day Centre in Portadown launched<br />
their latest Arts <strong>Care</strong> Project. Jill McKeown,<br />
Artist-in-Residence with Craigavon <strong>and</strong> Banbridge<br />
Arts <strong>Care</strong> Committee, explained “For this project<br />
I worked people with dementia to create a wall<br />
installation artwork at the entrance to the day<br />
centre. The group was interested in telling stories<br />
about their lives when they were young <strong>and</strong> we<br />
decided to use objects based on reminiscence<br />
<strong>and</strong> memory to inspire the images for the group<br />
making their h<strong>and</strong>made individual ceramic tiles.<br />
Lynne Cairns, daughter of Bell Johnston, a<br />
service user at Edenderry Day Centre, said<br />
at the event “It is such a privilege to be invited<br />
to this launch, <strong>and</strong> the work that goes on in the<br />
Day Centre is second to none. From a relative’s<br />
perspective, I am so grateful for this facility <strong>and</strong> I<br />
would like to thank Arts <strong>Care</strong> <strong>and</strong> the staff for the<br />
time they have taken with the service users to give<br />
them a way to preserve their memories- not just<br />
a piece of paper but a permanent piece of art<br />
work. We must remember that these people were<br />
young once <strong>and</strong> had lives like you <strong>and</strong> I, <strong>and</strong> it is<br />
lovely that when they come to Edenderry they are<br />
among friends <strong>and</strong> to know that the carers don’t<br />
just look after them but really care about them.”<br />
Lynne added, “I would like to thank all the carers<br />
<strong>and</strong> also to Arts <strong>Care</strong> for helping my mother <strong>and</strong><br />
the other people who attend Edenderry make <strong>and</strong><br />
preserve memories which due to their illness they<br />
forget.”<br />
Edel Bennett, Chair of Craigavon <strong>and</strong> Banbridge Arts <strong>Care</strong> Committee; Jill McKeown, Artist<br />
in Residence; Joy Walker, Day <strong>Care</strong> Worker at Edenderry Day Centre Centre; Bell Johnston,<br />
Service User; Irene Douglas, Service User; Lynne Cairns <strong>and</strong> Charis Cairns, Mrs Johnston’s<br />
Mother <strong>and</strong> Gr<strong>and</strong>daughter.<br />
page 44<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Supporting people <strong>and</strong> communities to live healthy<br />
lives <strong>and</strong> improve their health <strong>and</strong> wellbeing<br />
Youth <strong>Health</strong> Advice Service<br />
The <strong>Trust</strong> in partnership with <strong>Southern</strong> Regional College <strong>and</strong> South West College held Youth<br />
<strong>Health</strong> Advice drop-in clinics for young people under 25 in campuses across the <strong>Southern</strong> area.<br />
Services provided in the clinics included information <strong>and</strong> advice on relationships, alcohol <strong>and</strong> drugs,<br />
nutrition, contraception, smoking cessation <strong>and</strong> promoting positive mental health. The clinics which<br />
are nurse-led also provided pregnancy testing, condoms, chlamydia testing <strong>and</strong> treatment, <strong>and</strong><br />
emergency hormonal contraception (morning after pill). All services are free <strong>and</strong> confidential.<br />
The Youth <strong>Health</strong> Advice Service is funded by the Public <strong>Health</strong> Agency <strong>and</strong> has been operating in<br />
community <strong>and</strong> college settings for over 2 years in the <strong>Southern</strong> Area.<br />
Oonagh Curran, Youth <strong>Health</strong> Advise Nurse who is one of the nurses providing the service, says: “We<br />
are happy to talk to young people about a broad range of issues <strong>and</strong> provide advice or treatment<br />
where we can. Sometimes when a young person knows that they can have a chat about a personal or<br />
sensitive issue in confidence, it is enough to put their mind at rest.”<br />
Gerard Rocks, Head of <strong>Health</strong> Improvement with the <strong>Southern</strong> <strong>Trust</strong> said: “Local <strong>and</strong> regional research<br />
has shown that young<br />
people are keen to<br />
have confidential health<br />
services tailored to<br />
their needs in settings<br />
where they are more<br />
likely to access them,<br />
like the local colleges.<br />
We have had hundreds<br />
of young people make<br />
use of this service<br />
over the past couple<br />
of years <strong>and</strong> the<br />
feedback has been<br />
extremely positive with<br />
many returning to use<br />
the service again. We<br />
were delighted that<br />
the service received<br />
an award at the <strong>Trust</strong>’s<br />
Excellence Awards”<br />
Elizabeth Mahood, Non-Executive Director; Jackie Fullerton; Minister for <strong>Health</strong>, Edwin Poots; Roberta Brownlee, Chair; Mairead McAlinden,<br />
Chief Executive. Seated: Oonagh Curran, Youth <strong>Health</strong> Advice Nurse; Gerard Rocks, Head of <strong>Health</strong> Improvement <strong>and</strong> Lyndsey McCann, Sexual<br />
<strong>Health</strong> Advisor.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 45
southern health <strong>and</strong> social care trust<br />
Being a great place to work - valuing our staff<br />
Acute Stroke Team - Overall Winners of the<br />
Staff Excellence Awards <strong>2011</strong><br />
The Acute Stroke Team, 2 South, Craigavon<br />
Area Hospital were named as Overall winners<br />
of the Staff Excellence Awards in <strong>2011</strong>.<br />
The team provides a neurovascular daily service to<br />
patients from across the <strong>Southern</strong> area suspected<br />
of high risk Transient Ischaemic Attack (TIA). The<br />
stroke nurse specialist triages all referrals to the<br />
Neurovascular service <strong>and</strong> high risk patients are<br />
now seen within 24 hours of receipt of referral<br />
<strong>and</strong> lower risk patients triaged to the weekly clinic,<br />
non-appropriate referrals are also redirected<br />
to the referral source. (Specialist Rapid Access<br />
Service is now available for appropriate Patients)<br />
To address this <strong>and</strong> provide a one stop service, a<br />
dedicated clinic environment within the Stroke Unit<br />
was built <strong>and</strong> the daily clinic began in September<br />
2010.<br />
This clinic prevents the admission of high risk<br />
patients <strong>and</strong> has reduced the length of inpatient<br />
admissions. A patient satisfaction audit for the daily<br />
neurovascular clinic revealed 100% satisfaction<br />
with this service to date.<br />
Approximately 1700 Transient Ischaemic Attacks<br />
(TIAs) occur in Northern Irel<strong>and</strong> every year.<br />
Approximately 1 in 4 people who have had a<br />
stroke report symptoms of TIA before their stroke.<br />
80% of all strokes are preventable if managed<br />
<strong>and</strong> treated effectively within the recommended<br />
time frame.<br />
The Northern Irel<strong>and</strong> Stroke Strategy<br />
recommended that 90% of all confirmed TIAs<br />
should be assessed <strong>and</strong> treated as NICE<br />
recommendations, high risk TIAs within 24hours<br />
<strong>and</strong> low risk TIAs within 7days of symptom onset.<br />
Members of the Acute Stroke Team, 2 South, Craigavon Area Hospital.<br />
PhD in Life <strong>and</strong> <strong>Health</strong> Sciences<br />
<strong>Health</strong> Visitor Team Manager Ruth Carroll graduated<br />
in July with a PhD in Life <strong>and</strong> <strong>Health</strong> Sciences. The<br />
subject of Ruth’s research was the <strong>Health</strong> Visitor’s<br />
response to family violence <strong>and</strong> abuse – a grounded<br />
theory study, <strong>and</strong> although relevant to <strong>Health</strong> Visiting<br />
practice it can be adapted by other professionals.<br />
Ruth was runner-up in the RCN Chief Nursing Officer’s<br />
Award for Patient Safety 2010. Ruth <strong>and</strong> her team were<br />
nominated for the work they carried out in identifying a<br />
number of non-English speaking clients who had been<br />
victims of domestic violence <strong>and</strong> offering them support<br />
on accessing services <strong>and</strong> developing personal safety<br />
plans.<br />
Julie McConville, Head of <strong>Health</strong> Visiting <strong>and</strong> School Nursing;<br />
Francis Rice, Executive Director of Nursing; <strong>and</strong> Ruth Carroll,<br />
<strong>Health</strong> Visitor Team Manager.<br />
page 46<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Being a great place to work - valuing our staff<br />
<strong>2011</strong> - 20<strong>12</strong><br />
Pharmacy Assistants Prescribed<br />
NVQ Qualification<br />
Seven Pharmacy Assistant Technical Officers<br />
who work in Craigavon Area Hospital recently<br />
collected their NVQ level 2 certificates after<br />
passing NVQ Edexcel Level 2 in Pharmacy<br />
Services.<br />
L-R: Paul Grimley; Dr Tracey Boyce, Director of Pharmaceutical Services;<br />
Fintan McConville; Michelle Carberry; Ruth McBride; Leanne Kelly; Nicola<br />
Devlin; Janice Steenson; Brendan Sheridan; Lisa Mulholl<strong>and</strong>; Kevin Bates.<br />
Leadership Award for<br />
Systems Manager<br />
Eight System Managers from the Systems Team<br />
in Informatics <strong>and</strong> two Managers from Learning<br />
& Development in Human Resources received<br />
the internationally recognised Institute of<br />
Leadership Management Level 4 Award in<br />
Management.<br />
The course included business improvement,<br />
contingency planning, governance, data quality<br />
<strong>and</strong> software testing.<br />
Heather Ellis, Head of Education Learning <strong>and</strong><br />
Development, said: “I was happy to support this<br />
accredited programme specifically for IT Systems<br />
Managers. It gave them the opportunity to have<br />
dedicated training <strong>and</strong> share experiences in their<br />
area of expertise. I trust that they have regarded<br />
it as a stepping<br />
stone on the route<br />
to further their<br />
development<br />
within the <strong>Trust</strong>.”<br />
Participants in the Institute of<br />
Leadership Management Level 4<br />
Award in Management.<br />
<strong>Trust</strong> Catering Services<br />
Commended<br />
<strong>Trust</strong> Chair, Roberta Brownlee has commended<br />
catering staff, who scored highly across the<br />
<strong>Trust</strong> in the National Food Hygiene Rating<br />
Scheme: “Catering services are an essential<br />
part of patient <strong>and</strong> client care. Safe, good quality,<br />
nutritious meals are a vital part of rehabilitation<br />
<strong>and</strong> recovery. The <strong>Trust</strong>’s main hospital kitchens<br />
produce around 21,000 meals each week for<br />
patients <strong>and</strong> staff. In addition we provide meals<br />
in 63 residential facilities, supported living<br />
accommodation <strong>and</strong> day centres. “<br />
Around 97% of <strong>Trust</strong> catering staff have completed<br />
Food Hygiene training <strong>and</strong> there are a range of<br />
systems in place to ensure that the service continues<br />
to meet st<strong>and</strong>ards <strong>and</strong> complies with legislation.<br />
Mrs Brownlee continued: “Our catering staff should<br />
be recognised for maintaining such high st<strong>and</strong>ards,<br />
given the quantity of food they produce.’<br />
“Catering services also play a role in implementing<br />
Nursing <strong>Care</strong> St<strong>and</strong>ards for Food in Hospital, with<br />
protected meal times introduced in all wards in<br />
the past year <strong>and</strong> the introduction of red tray mats<br />
for patients who need feeding assistance. These<br />
initiatives have greatly enhanced the nutritional<br />
care delivered to patients.”<br />
Some comments included in recent patient food<br />
satisfaction surveys included: “I find the meals<br />
are always attractive <strong>and</strong> beautiful, served by<br />
courteous <strong>and</strong> pleasant staff,” “nursing staff<br />
chose meals for dad who is incapable” <strong>and</strong> “I can<br />
find no fault with any meals.”<br />
<strong>Trust</strong> Chair Roberta Brownlee samples the food in South Tyrone Hospital Dining Room. Also<br />
pictured are Mary McKeever, Support Services Manager, Martina McRory, Cook, Aaron<br />
McSorley, Catering Assistant <strong>and</strong> Geraldine McCracken, Catering Supervisor.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 47
southern health <strong>and</strong> social care trust<br />
Being a great place to work - valuing our staff<br />
Award for <strong>Social</strong> Work<br />
Research<br />
Leadership <strong>and</strong> Management<br />
Qualifications<br />
The <strong>Trust</strong> hosted the <strong>2011</strong> Regional<br />
Research Methods in <strong>Social</strong> Work Awards<br />
in association with the University of Ulster.<br />
Eight <strong>Social</strong> Work students from across<br />
Northern Irel<strong>and</strong> received awards, two from<br />
the <strong>Southern</strong> <strong>Trust</strong> Marion Canavan <strong>and</strong> Donna<br />
Murphy.<br />
Paul Morgan, Executive Director of <strong>Social</strong> Work<br />
for the <strong>Southern</strong> <strong>Trust</strong> said: “This research<br />
programme makes a valuable contribution to the<br />
development of research skills for professional<br />
<strong>Social</strong> Workers in Northern Irel<strong>and</strong>. These<br />
c<strong>and</strong>idates should be commended for their<br />
contribution to the body of knowledge which<br />
all of social care can draw on. In addition to the<br />
projects undertaken on the programme, some<br />
award winners have already applied their skills<br />
within their work setting. It is now the challenge<br />
to organisations involved in delivering social<br />
care to promote <strong>and</strong> share such findings in<br />
their practice.”<br />
<strong>Southern</strong> <strong>Trust</strong> representatives from <strong>Social</strong> Services along with Brian<br />
Taylor, University of Ulster <strong>and</strong> Marion Canavan, <strong>Southern</strong> <strong>Trust</strong> who<br />
received an award.<br />
Pictured at the Presentation of Leadership <strong>and</strong> Management Qualifications event are Mary<br />
Crawford, District Nursing Sister; Adele Geddis, Financial Management; Brenda McGrath,<br />
Assistant Manager, Supported Living Services; <strong>and</strong> Fiona Sloan, District Nursing Sister, who<br />
achieved Level 5 Diploma in Management.<br />
MBE Award<br />
Dolores McAlinden a Domiciliary <strong>Care</strong> Worker<br />
based in the Kilkeel area was nominated to<br />
receive an MBE in<br />
recognition of her<br />
work as a carer in<br />
the community.<br />
We are delighted to<br />
report that on the<br />
15 December <strong>2011</strong><br />
Dolores attended<br />
Buckingham<br />
Palace <strong>and</strong> was<br />
presented with<br />
her award by<br />
Prince Charles the<br />
Prince of Wales.<br />
Dolores has been<br />
working for the<br />
<strong>Trust</strong> since 1986.<br />
Dolores stated “I<br />
was privileged to<br />
receive such a<br />
Dolores receiving her award<br />
highly recognised award in recognition for my work<br />
as a carer over the years. It has been a great<br />
experience.”<br />
page 48<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
Being a great place to work - valuing our staff<br />
<strong>2011</strong> - 20<strong>12</strong><br />
<strong>Trust</strong> Staff Win Awards at IHM Conference<br />
<strong>Southern</strong> <strong>Trust</strong> staff did exceptionally well at the Institute of <strong>Health</strong>care<br />
Management (IHM) Awards, Melanie McClements, Assistant Director<br />
of Promoting Wellbeing, was highly commended in the Experienced<br />
Manager category <strong>and</strong> Valerie Magowan, Domiciliary <strong>Care</strong> Locality<br />
Manager for Newry <strong>and</strong> Mourne area was runner up in the Developing<br />
Manager category. The Mental <strong>Health</strong> User <strong>and</strong> <strong>Care</strong>r Service Improvement<br />
Group won the Patient <strong>and</strong> Client Council ‘Making a Difference’ award in<br />
recognition of the work to bring about positive improvement <strong>and</strong> change for<br />
everyone who use mental health services. Ingrid Stewart, Betty Beamish,<br />
Lorna Stewart <strong>and</strong> Alan Leckey represented the Group at the awards.<br />
These awards recognise the contribution which managers make in health <strong>and</strong><br />
social care. Staff were nominated by their manager <strong>and</strong> following a rigorous<br />
assessment process including an interview they were ranked. All the award<br />
winners were presented with their certificates by the Minister for <strong>Health</strong>, Mr Edwin<br />
Poots, who spoke at the award ceremony of the importance of management<br />
<strong>and</strong> for the need for managers to continue their very high st<strong>and</strong>ard of work <strong>and</strong><br />
the important role they play in <strong>Health</strong> <strong>and</strong> <strong>Social</strong> <strong>Care</strong> services.<br />
Photo 1: Melanie McClements, Assistant Director of Promoting Wellbeing receiving her awards from <strong>Health</strong> Minister, Edwin Poots.<br />
Photo 2: Valerie Magowan, Domiciliary <strong>Care</strong> Locality Manager for Newry <strong>and</strong> Mourne receiving her award from the Minister of <strong>Health</strong>, Edwin Poots.<br />
Photo 3: Minister of <strong>Health</strong> Edwin Poots with Ingrid Stewart, Betty Beamish, Lorna Stewart <strong>and</strong> Alan Leckey, representing the Mental <strong>Health</strong> User<br />
<strong>and</strong> <strong>Care</strong>r Service Improvement Group which won the Patient <strong>and</strong> Client Council ‘Making a Difference’ award.<br />
1<br />
2<br />
3<br />
Royal College of Nursing Awards<br />
Kay Donegan <strong>and</strong> Joan O’Hagan, from the Renal Unit at Daisy Hill Hospital, won the Chief Nursing<br />
Officer’s Award at the Royal College of Nursing Northern Irel<strong>and</strong> Nurse of the Year Awards.<br />
Vera Kelso, Lead Midwife in Community Midwifery Services, won the Public <strong>Health</strong> Award for<br />
promoting the vaccination of pregnant women against H1N1 (swine flu) <strong>and</strong> seasonal flu. Joint<br />
Runner-up of the Patient’s Choice Award was Community Mental <strong>Health</strong> Nurse Mary McNicholl,<br />
who was nominated by the wife of a patient who was suffering anxiety <strong>and</strong> depression.<br />
Martin Bradley, Chief Nursing Officer, DHSSPS; Kay Donegan,<br />
Joan O’Hagan <strong>and</strong> Janice Smyth, RCN.<br />
Eddie Rooney, Vera Kelso <strong>and</strong> Janice Smyth, RCN<br />
Frances Barrett, Mary McNicholl, Pauline Haslett <strong>and</strong><br />
Janice Smyth<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 49
southern health <strong>and</strong> social care trust<br />
Directors’ remuneration <strong>2011</strong>/<strong>12</strong><br />
Fees <strong>and</strong> allowances paid to the Chairman <strong>and</strong><br />
other Non-Executive Directors are as prescribed<br />
by the Department of <strong>Health</strong> <strong>and</strong> <strong>Social</strong> Services<br />
<strong>and</strong> Public Safety.<br />
The remuneration <strong>and</strong> other terms <strong>and</strong> conditions<br />
of Executive Directors are approved by the<br />
Remuneration <strong>and</strong> Terms of Service Committee.<br />
Its membership includes the Chair <strong>and</strong> all Non-<br />
Executive Directors. The terms of reference of the<br />
Committee are based on Circular HSS (PDD) 8/94<br />
Section B.<br />
For the purposes of this report the pay policy<br />
refers to Senior Executives, defined as Chief<br />
Executive, Executive Director <strong>and</strong> Functional<br />
Director <strong>and</strong> is based on the guidance issued by<br />
the Department of <strong>Health</strong> <strong>and</strong> <strong>Social</strong> Services<br />
<strong>and</strong> Public Safety on job evaluation, grades, rate<br />
for the job, pay progression, pay ranges <strong>and</strong><br />
contracts.<br />
Pay progression is determined by an<br />
annual assessment of performance. It is the<br />
responsibility of the Remuneration <strong>and</strong> Terms of<br />
Service Committee to monitor <strong>and</strong> evaluate the<br />
performance of the Chief Executive ensuring<br />
that any discretionary awards in terms of<br />
performance related pay are justifiable in light<br />
of the <strong>Trust</strong>’s overall performance against the<br />
annual <strong>Trust</strong> Delivery Plan. During <strong>2011</strong>/<strong>12</strong>,<br />
emphasis continued to be on patient safety,<br />
ministerial targets <strong>and</strong> financial balance. The<br />
Chief Executive in turn is responsible for the<br />
assessment of performance of the Senior<br />
Executives based on the attainment of individual<br />
objectives established at the outset of the year,<br />
<strong>and</strong> for the submission of recommendations<br />
to the Remuneration <strong>and</strong> Terms of Service<br />
Committee for its annual review of salaries which<br />
are conducted in accordance with the relevant<br />
circulars issued by the Department of <strong>Health</strong>,<br />
<strong>Social</strong> Services <strong>and</strong> Public Safety.<br />
In July 2010, the Northern Irel<strong>and</strong> Executive<br />
agreed that a 2 year pay freeze would operate<br />
on public sector pay. For <strong>Health</strong> <strong>and</strong> <strong>Social</strong><br />
<strong>Care</strong> Senior Executive staff the freeze came<br />
into effect from April 2010 <strong>and</strong> ended in March<br />
20<strong>12</strong>. Throughout the period of the pay freeze<br />
the minimum <strong>and</strong> maximum of each of the Senior<br />
Executive pay b<strong>and</strong>s has not changed. Staff on<br />
contracts entered into before 23 December 2008<br />
have had a continued contractual entitlement<br />
to progression based on performance. Staff on<br />
contracts entered into after 23 December 2008 are<br />
bound by the Executive’s pay policy <strong>and</strong> did not<br />
have a contractual right to performance payments<br />
during the period of the pay freeze. The levels of<br />
performance pay permitted to be applied by the<br />
Remuneration <strong>and</strong> Terms of Service Committee<br />
are prescribed by Department of <strong>Health</strong> <strong>and</strong><br />
<strong>Social</strong> Services <strong>and</strong> Public Safety. No award is<br />
made for unsatisfactory performance.<br />
During <strong>2011</strong>/<strong>12</strong>, all contracts were permanent<br />
<strong>and</strong> provide for three month’s notice for both<br />
parties.<br />
As far as all Senior Executives are concerned, the<br />
provisions for compensation for early termination<br />
of contract are in accordance with the appropriate<br />
Departmental guidance.<br />
During <strong>2011</strong>/<strong>12</strong> there were a number of changes to<br />
Senior Executive staffing:<br />
Dr Patrick Loughran retired from the post of Medical<br />
Director on 31 July <strong>2011</strong>. CETVs are not reported for<br />
retirees.<br />
Dr John Simpson took up the permanent position of<br />
Medical Director on 1 August <strong>2011</strong>.<br />
Mr A Joynes resigned as Non-Executive Director on<br />
19 June <strong>2011</strong>.<br />
Mrs S Rooney <strong>and</strong> Mr R Alex<strong>and</strong>er were appointed<br />
Non-Executive Directors on 29 August <strong>2011</strong>.<br />
Mr B Dornan retired from the post of Director of<br />
Children & Young People’s Service on the 30 April<br />
<strong>2011</strong>.<br />
Mr P Morgan was appointed to the post of Director of<br />
Children & Young People’s Service on 1 March <strong>2011</strong>.<br />
Signed: ................................................................<br />
(Chief Executive)<br />
Date: 14 June 20<strong>12</strong><br />
page 50<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Senior Employees’ Remuneration (Audited)<br />
The salary, pension entitlements <strong>and</strong> the value of any taxable benefits in kind of the most<br />
senior members of the <strong>Southern</strong> HSC <strong>Trust</strong> were as follows:<br />
Name<br />
Non-Executive Members<br />
Salary,<br />
including<br />
Performance<br />
Pay £000s<br />
Benefits in Kind<br />
(rounded to<br />
nearest £100)<br />
Salary,<br />
including<br />
Performance<br />
Pay £000s<br />
Benefits in Kind<br />
(rounded to<br />
nearest £100)<br />
Mrs R Brownlee 30-35 0<br />
5-10<br />
(25-30 full year<br />
0<br />
equivalent)<br />
Mrs E Mahood 5-10 0<br />
5-10<br />
(25-30 full year<br />
0<br />
equivalent)<br />
Mrs D Blakely 5-10 0 5-10 0<br />
Mr E Graham 5-10 0 5-10 0<br />
Mr A Joynes<br />
(resigned as Non-executive Director on 19 June <strong>2011</strong>)<br />
0-5<br />
(5-10 full year<br />
equivalent)<br />
0 5-10 0<br />
Mrs H Kelly 5-10 0 5-10 0<br />
Dr R Mullan 5-10 0 5-10 0<br />
Mr R Alex<strong>and</strong>er<br />
(appointed Non-executive Director from 29 August <strong>2011</strong>)<br />
Mrs S Rooney<br />
(appointed Non-executive Director from 29 August <strong>2011</strong>)<br />
0-5<br />
(5-10 full year<br />
equivalent)<br />
0-5<br />
(5-10 full year<br />
equivalent)<br />
0 N/A N/A<br />
0 N/A N/A<br />
Executive Members<br />
Mrs M McAlinden - Chief Executive 95-100 0 95-100 0<br />
Mr S McNally - Director of Finance & Procurement 85-90 0 90-95 0<br />
Dr P Loughran - Medical Director<br />
(until his retirement on 31 July <strong>2011</strong>)<br />
Dr J Simpson - Medical Director<br />
(from 1 August <strong>2011</strong>)<br />
Mr B Dornan - Director of Children & Young People’s<br />
Services (until his retirement on 30 April <strong>2011</strong>)<br />
Mr P Morgan - Director of Children & Young People’s<br />
Services<br />
65-70<br />
(195-200 full year<br />
equivalent)<br />
95-100<br />
(145-150 full year<br />
equivalent)<br />
10-15<br />
(95-100 full year<br />
equivalent)<br />
<strong>2011</strong>/20<strong>12</strong> 2010/<strong>2011</strong><br />
70-75 0<br />
0 195-200 0<br />
0 N/A N/A<br />
0 100-105 0<br />
5-10<br />
(70-75 full year<br />
equivalent)<br />
Mr F Rice - Director of Mental <strong>Health</strong> & Disability 90-95 0 90-95 0<br />
Other Members<br />
Mrs P Clarke - Director of Performance & Reform 70-75 0 75-80 0<br />
Dr G Rankin - Director of Acute Services 90-95 0 95-100 0<br />
Mr K Donaghy - Director Human Resources &<br />
Organisational Development<br />
80-85 0 80-85 0<br />
Mrs A McVeigh - Director of Older People & Primary <strong>Care</strong> 75-80 0 85-90 0<br />
B<strong>and</strong> of Highest Paid Director’s Total<br />
Remuneration (£’000s)<br />
145-150 195-200<br />
Median Total Remuneration £26,029 £25,333<br />
Ratio 5.7 7.8<br />
0<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 51
southern health <strong>and</strong> social care trust<br />
Narrative on Pay Multiples<br />
<strong>Report</strong>ing entities are required to disclose the relationship<br />
between the remuneration of the highest paid director in<br />
their organisation <strong>and</strong> the median remuneration of the<br />
organisation’s workforce.<br />
The b<strong>and</strong>ed remuneration of the highest paid director<br />
in the <strong>Southern</strong> HSC <strong>Trust</strong> in the financial year <strong>2011</strong>-<strong>12</strong><br />
was £145k-£150k (2010-11, £195k- £200k). This was 5.7<br />
times (2010-11, 7.8 times) the median remuneration of<br />
the workforce, which was £26,029 (2010-11, £25,333).<br />
In <strong>2011</strong>-<strong>12</strong>, 41 (2010-11, 5) employees received<br />
remuneration in excess of the highest paid director.<br />
Remuneration ranged from £145k to £200k (2010-11<br />
£195k to £235k). All of these employees were clinicians.<br />
Total remuneration includes salary, non-consolidated<br />
performance-related pay, benefits-in-kind as well as<br />
severance payments. It does not include employer<br />
pension contributions <strong>and</strong> the cash equivalent transfer<br />
value of pensions.<br />
In <strong>2011</strong>-<strong>12</strong> <strong>and</strong> 2010-11 the most highly paid director was<br />
the medical director. The postholder in 2010-11 retired<br />
on 31st July <strong>2011</strong> <strong>and</strong> a new appointment was made.<br />
The impact of the differential in remuneration for these<br />
postholders was that the pay multiple decreased from 7.8<br />
to 5.7 times the median remuneration of the workforce.<br />
Senior Employees’ Remuneration (Audited)<br />
The salary, pension entitlements <strong>and</strong> the value of any taxable benefits in find of the most<br />
senior members of the <strong>Southern</strong> HSC <strong>Trust</strong> were as follows:<br />
Name<br />
Non-Executive Members<br />
Real Increase in<br />
pension <strong>and</strong><br />
related lump sum<br />
at age 60 £000s<br />
Total Accrued<br />
pension at age<br />
60 <strong>and</strong> related<br />
lump sum £000s<br />
CETV at<br />
31/03/11<br />
£000s<br />
CETV at<br />
31/03/<strong>12</strong><br />
£000s<br />
Real<br />
Increase<br />
in CETV<br />
£000s<br />
Mrs R Brownlee N/A N/A N/A N/A N/A<br />
Mrs E Mahood N/A N/A N/A N/A N/A<br />
Mrs D Blakely N/A N/A N/A N/A N/A<br />
Mr E Graham N/A N/A N/A N/A N/A<br />
Mr A Joynes<br />
(resigned as Non-executive Director on 19 June <strong>2011</strong>)<br />
N/A N/A N/A N/A N/A<br />
Mrs H Kelly N/A N/A N/A N/A N/A<br />
Dr R Mullan N/A N/A N/A N/A N/A<br />
Mr R Alex<strong>and</strong>er<br />
(appointed Non-executive Director from 29 August <strong>2011</strong>)<br />
N/A N/A N/A N/A N/A<br />
Mrs S Rooney<br />
(appointed Non-executive Director from 29 August <strong>2011</strong>)<br />
N/A N/A N/A N/A N/A<br />
Executive Members<br />
Mrs M McAlinden - Chief Executive<br />
Mr S McNally - Director of Finance & Procurement<br />
Dr P Loughran - Medical Director<br />
(until his retirement on 31 July <strong>2011</strong>)<br />
Dr J Simpson - (Medical Director from 1 August <strong>2011</strong>)<br />
Mr B Dornan - Director of Children & Young People’s<br />
Services (retired on 30 April <strong>2011</strong>)<br />
Mr P Morgan - Director of Children & Young People’s<br />
Services<br />
Mr F Rice - Director of Mental <strong>Health</strong> & Disability<br />
(0-2.5) loss plus<br />
(0-2.5) lump sum<br />
(0-2.5) loss plus<br />
(0-2.5) lump sum<br />
35-40 plus<br />
110-115 lump sum<br />
35-40 plus<br />
105-110 lump sum<br />
542 631 89<br />
718 770 52<br />
N/A N/A N/A N/A N/A<br />
0-2.5 plus<br />
(2.5-5) lump sum<br />
50-55 plus<br />
150-155 lump sum<br />
938 1,045 107<br />
N/A N/A N/A N/A N/A<br />
(0-2.5) loss plus<br />
(0-2.5) lump sum<br />
0-2.5 plus<br />
0-2.5 lump sum<br />
<strong>2011</strong>/20<strong>12</strong><br />
20-25 plus<br />
70-75 lump sum<br />
30-35 plus<br />
90-95 lump sum<br />
467 505 38<br />
430 510 80<br />
page 52<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Other Members<br />
Mrs P Clarke - Director of Performance & Reform<br />
0-2.5 plus<br />
0-2.5 lump sum<br />
(0-2.5) loss plus<br />
(0-2.5) lump sum<br />
(0-2.5) loss plus<br />
(2.5-5) lump sum<br />
(0-2.5) loss plus<br />
(0-2.5) lump sum<br />
15-20 plus<br />
55-60 lump sum<br />
40-45 plus<br />
<strong>12</strong>0-<strong>12</strong>5 lump sum<br />
30-35 plus<br />
95-100 lump sum<br />
30-35 plus<br />
90-95 lump sum<br />
248 301 53<br />
Dr G Rankin - Director of Acute Services<br />
864 9<strong>12</strong> 48<br />
Mr K Donaghy - Director of Human Resources &<br />
Organisational Development<br />
685 713 28<br />
Mrs A McVeigh - Director of Older People &<br />
Primary <strong>Care</strong><br />
550 607 58<br />
As Non-executive members do not receive pensionable remuneration, there will be no entries in respect of Pensions<br />
for Non-executive members.<br />
A Cash Equivalent Transfer Value (CETV) is the actuarially<br />
assessed capital value of the pension scheme benefits<br />
accrued by a member at a particular point in time. The<br />
benefits valued are the member’s accrued benefits<br />
<strong>and</strong> any contingent spouse’s pension payable from the<br />
scheme. A CETV is a payment made by a pension scheme,<br />
or arrangement to secure pension benefits in another<br />
pension scheme or arrangement when the member leaves<br />
a scheme <strong>and</strong> chooses to transfer the benefits accrued<br />
in their former scheme. The pension figures shown<br />
relate to the benefits that the individual has accrued as<br />
a consequence of their total membership of the pension<br />
scheme, not just their service in a senior capacity to which<br />
the disclosure applies. The CETV figures <strong>and</strong> the other<br />
pension details, include the value of any pension benefits<br />
in another scheme or arrangement which the individual<br />
has transferred to the HSC pension scheme. They also<br />
include any additional pension benefit accrued to the<br />
member as a result of their purchasing additional years of<br />
pension service in the scheme at their own cost.<br />
CETVs are calculated within the guidelines prescribed by<br />
the Institute <strong>and</strong> Faculty of Actuaries.<br />
Real Increase in CETV - This reflects the increase in CETV<br />
effectively funded by the employer. It takes account of the<br />
increase in accrued pension due to inflation, contributions<br />
paid by the employee (Including the value of any benefits<br />
transferred from another pension scheme or arrangement)<br />
<strong>and</strong> uses common market valuation factors for the start<br />
<strong>and</strong> end of the period.<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 53
southern health <strong>and</strong> social care trust<br />
<strong>Report</strong>ing of early retirement <strong>and</strong> other compensation<br />
scheme - exit packages (Audited)<br />
Exit Package<br />
Cost B<strong>and</strong><br />
Number of<br />
Compulsory<br />
Redundancies<br />
Number of other<br />
Departures Agreed<br />
Total Number of Exit<br />
Packages by Cost B<strong>and</strong><br />
<strong>2011</strong>/<strong>12</strong> 2010/11 <strong>2011</strong>/<strong>12</strong> 2010/11 <strong>2011</strong>/<strong>12</strong> 2010/11<br />
southern health <strong>and</strong> social care trust<br />
Financial Information<br />
<strong>2011</strong> - 20<strong>12</strong><br />
FINANCIAL COMMENTARY ON <strong>2011</strong>/<strong>12</strong> OUTTURN<br />
The <strong>2011</strong>/<strong>12</strong> year presented significant financial<br />
challenge arising from two main sources. The first<br />
related to the requirement that the <strong>Trust</strong> consolidated<br />
on a recurring <strong>and</strong> sustainable basis all actions to<br />
deliver the £36m per annum cash <strong>and</strong> efficiency<br />
targets set for the CSR period ending on 31 March<br />
20<strong>12</strong>. The second was to prepare for the even<br />
larger cash <strong>and</strong> efficiency savings associated with<br />
the new CSR period commencing 1 April 20<strong>12</strong>. The<br />
<strong>Trust</strong> became aware that during the course of the<br />
year that these new requirements for cash saving<br />
<strong>and</strong> efficiency gains for the <strong>2011</strong>/<strong>12</strong> financial year<br />
amounted to £11m <strong>and</strong> £5m respectively.<br />
The combined effect of these CSR requirements<br />
sees the <strong>Trust</strong> on a continuous 6 year period<br />
of identifying, implementing <strong>and</strong> managing the<br />
release of substantial amounts of resource while<br />
also seeking to improve the range, quality <strong>and</strong><br />
quantity of health <strong>and</strong> social services delivered to<br />
the southern area population. The outturn position<br />
for <strong>2011</strong>/<strong>12</strong> of a small surplus of £131,000, when<br />
considered alongside the high levels of operational<br />
performance in all aspects of service delivery,<br />
is a credit to the efforts of all staff members to<br />
continuously improve the services offered to our<br />
patients <strong>and</strong> clients, despite the bleakness of the<br />
economic environment.<br />
The <strong>Trust</strong> is confident that it has secured the ongoing<br />
delivery of the £36m required to date <strong>and</strong> is actively<br />
working with local <strong>and</strong> regional commissioning<br />
colleagues to address the new challenge in the<br />
context of the recently published “Transforming<br />
Your <strong>Care</strong>” strategy document.<br />
Summary Financial Performance for <strong>2011</strong>/20<strong>12</strong><br />
Revenue Resource Limit (RRL)<br />
The <strong>Trust</strong> kept within the RRL of £507.534m by £131k.<br />
Capital Resource Limit (CRL)<br />
The <strong>Trust</strong> kept within the CRL of £20.65m by £167k.<br />
Public Sector Payment Policy<br />
The Department requires that <strong>Trust</strong>s pay their Non HSC trade creditors in accordance with the Better Payments<br />
Practice Code <strong>and</strong> Government Accounting Rules. The <strong>Trust</strong>’s payment policy (a copy of which can be obtained from<br />
the Director of Finance) is consistent with the Better Payments Practice Code <strong>and</strong> Government Accounting Rules <strong>and</strong><br />
its measure of compliance is as follows:<br />
20<strong>12</strong> 20<strong>12</strong> <strong>2011</strong> <strong>2011</strong><br />
Number Value Number Value<br />
£000 £000<br />
Total bills paid in year 114,327 180,118 180,591 177,022<br />
Total bills paid within 30 days or 104,281 172,195 98,136 169,304<br />
under agreed payment terms<br />
Percentage of bills paid within 30 91.2% 95.6% 90.4% 95.6%<br />
days or under agreed payment terms<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 55
southern health <strong>and</strong> social care trust<br />
Summary Financial Performance for <strong>2011</strong>/20<strong>12</strong><br />
Related Party Transactions<br />
The <strong>Southern</strong> HSC <strong>Trust</strong> is an arms length body of the Department of <strong>Health</strong>, <strong>Social</strong> Services <strong>and</strong> Public Safety <strong>and</strong><br />
as such the Department is a related Party with which the <strong>Southern</strong> HSC <strong>Trust</strong> has had various material transactions<br />
during the year<br />
• Funding – Revenue resource limit £507,534k of which Non Cash Revenue resource limit £33,829k.<br />
In addition to the above, during the year the <strong>Southern</strong> HSC <strong>Trust</strong> entered into transactions with the following related<br />
parties (as defined by IAS 24), in which organisations several Directors disclosed interests:<br />
Ann’s Homecare Domiciliary <strong>Care</strong> Agency<br />
Enable NI<br />
Edward Street Hostel Ltd.<br />
RPS Consultancy Engineers<br />
Motor Neuron Disease Association NI<br />
MacFarlane Environmental<br />
Total Value of the Transactions<br />
£<br />
3,310,559<br />
190,<strong>12</strong>1<br />
19,020<br />
38,547<br />
420<br />
173<br />
Balance Outst<strong>and</strong>ing at Year End<br />
£<br />
248,1<strong>12</strong><br />
0<br />
210<br />
0<br />
0<br />
0<br />
Post Balance Sheet Events<br />
There are no post balance sheet events having a material effect on the accounts.<br />
External Auditor<br />
The <strong>Trust</strong>’s statutory audit was carried out by the Northern Irel<strong>and</strong> Audit Office. The notional cost of the audit for the<br />
year ended 31 March 20<strong>12</strong> which pertained solely to the audit of the accounts was £48,690.<br />
Relevant Audit Information<br />
Each Director has taken all the steps that he ought to have taken as a Director to make himself aware of any relevant<br />
audit information <strong>and</strong> to establish that the <strong>Trust</strong>’s auditor is aware of that information.<br />
So far as each Director is aware, there is no relevant audit information of which the external auditor is unaware.<br />
Pension Liabilities<br />
The accounting treatment of pension liabilities is explained in Note 1.20 of the annual accounts.<br />
The summary financial statements which follow do not contain sufficient information for a full underst<strong>and</strong>ing of the<br />
activities <strong>and</strong> performance of the <strong>Trust</strong>. For further information, the full Accounts, <strong>Annual</strong> <strong>Report</strong> <strong>and</strong> Comptroller <strong>and</strong><br />
Auditor General’s <strong>Report</strong>s for the year ended 31 March 20<strong>12</strong> should be consulted.<br />
These can be obtained from:<br />
Mr Stephen McNally, Director of Finance,<br />
<strong>Southern</strong> <strong>Trust</strong> Headquarters,<br />
Craigavon Area Hospital,<br />
68 Lurgan Road,<br />
Portadown, BT63 5QQ,<br />
Tel: 028 3861 3982<br />
page 56<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
Summary Financial Statements for<br />
the Year Ended 31 March 20<strong>12</strong><br />
STATEMENT OF COMPREHENSIVE NET EXPENDITURE<br />
FOR THE YEAR ENDED 31 MARCH 20<strong>12</strong><br />
20<strong>12</strong><br />
£000s<br />
Restated<br />
<strong>2011</strong><br />
£000s<br />
Expenditure<br />
Staff costs<br />
Depreciation<br />
Other Expenditure<br />
Income<br />
Income from activities<br />
Other Income<br />
Net Expenditure<br />
Revenue Resource Limit (RRL)<br />
Surplus against RRL<br />
(315,184)<br />
(<strong>12</strong>,958)<br />
(215,764)<br />
(543,906)<br />
23,562<br />
<strong>12</strong>,941<br />
36,503<br />
(507,403)<br />
507,534<br />
131<br />
(316,207)<br />
(11,516)<br />
(194,053)<br />
(521,776)<br />
22,570<br />
9,753<br />
32,323<br />
(489,453)<br />
489,622<br />
169<br />
OTHER COMPREHENSIVE EXPENDITURE<br />
Net Gain on revaluation of Property, Plant <strong>and</strong><br />
Equipment<br />
TOTAL COMPREHENSIVE EXPENDITURE<br />
for the year ended 31 March 20<strong>12</strong><br />
6,715<br />
(500,688)<br />
9<br />
(489,444)<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
page 57
southern health <strong>and</strong> social care trust<br />
Summary Financial Statements for<br />
the Year Ended 31 March 20<strong>12</strong><br />
STATEMENT OF FINANCIAL POSITION AS AT 31 MARCH 20<strong>12</strong><br />
Non Current Assets<br />
Property, Plant <strong>and</strong> Equipment<br />
Intangible Assets<br />
Trade <strong>and</strong> other Receivables<br />
Restated<br />
Restated<br />
20<strong>12</strong> <strong>2011</strong> 2010<br />
£000s £000s £000s £000s £000s £000s<br />
261,507<br />
535<br />
0<br />
3,119<br />
18,748<br />
491<br />
(593)<br />
265,321<br />
285<br />
0<br />
3,417<br />
17,368<br />
431<br />
514<br />
250,678<br />
288<br />
865<br />
Total Non Current Assets 262,042 265,606 251,831<br />
Current Assets<br />
Inventories<br />
Trade <strong>and</strong> other Receivables<br />
Other Current Assets<br />
Cash <strong>and</strong> cash equivalents<br />
3,493<br />
15,883<br />
5,160<br />
626<br />
Total Current Assets 21,765 21,730 25,162<br />
Total Assets 283,807 287,336 276,993<br />
Current Liabilities<br />
Trade <strong>and</strong> other Payables (67,517) (61,820) (47,724)<br />
Provisions (14,132) (19,707) (13,405)<br />
Total Current Liabilities (81,649) (81,527) (61,<strong>12</strong>9)<br />
Non Current Assets less Net Current Liabilities 202,158 205,809 215,864<br />
Non Current Liabilities<br />
Provisions (7,532) (7,044) (6,739)<br />
Total Non Current Liabilities (7,532) (7,044) (6,739)<br />
Assets less Liabilities 194,626 198,765 209,<strong>12</strong>5<br />
Taxpayers’ equity<br />
Revaluation Reserve 30,543 23,991 20,105<br />
State of Comprehensive Net<br />
Expenditure Reserve 164,083 174,774 189,020<br />
194,626 198,765 209,<strong>12</strong>5<br />
I certify that the Summary Financial Statements were approved by the Board on 14 June 20<strong>12</strong> <strong>and</strong> were signed on its<br />
behalf by:<br />
Signed…………….…………...……….……………….(Chairman) Date: 14 June 20<strong>12</strong><br />
Signed…………….…………...……….……………….(Chief Executive) Date: 14 June 20<strong>12</strong><br />
page 58<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong>
<strong>2011</strong> - 20<strong>12</strong><br />
to 58.<br />
55<br />
<strong>Southern</strong> <strong>Trust</strong> is Transforming Your <strong>Care</strong><br />
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