21.11.2014 Views

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

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<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 />

page 59

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!