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Heartbeat July 2018

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Putting our waste to good use<br />

waste stock have even gone to help projects<br />

abroad in Sri Lanka, Syria and Yemen.<br />

CORPORATE & GENERAL NEWS<br />

Eighteen months ago, Justin<br />

Mitchell, Assistant Director of<br />

Procurement, was looking for ways<br />

to recycle products that pile up<br />

across our Trust in tonnes. Rather<br />

than pay for a company to collect<br />

it and dump it in landfill, the aim<br />

was to process the waste in an<br />

environmentally friendly manner at<br />

zero cost.<br />

Justin was then introduced to Tom<br />

O’Brien, from Trust-Reclaim Ltd who<br />

specialises in reducing NHS disposal<br />

costs through recycling and giving<br />

to communities. Justin liked the idea<br />

of squeezing out residue value from<br />

condemned stock and adding to<br />

people’s lives. This started an agreement<br />

with Trust-Reclaim Ltd initially just<br />

dealing with stock from scrap items held<br />

in the old laundry, but since then has<br />

grown into other projects.<br />

Over the past year, Trust-Reclaim Ltd has<br />

collected over 200 tonnes of waste from<br />

our sites. By carrying out an up-cycling<br />

Some examples of the waste recycled through<br />

Trust-Reclaim Ltd<br />

process which is sustainable and ethical -<br />

the Trust has made an income of £8k in the<br />

process.<br />

“The process of working with a social<br />

enterprise to recycle our waste is a no<br />

brainer,” said Justin. “Not only are we<br />

helping the environment, the proceeds are<br />

going to good causes and we are also able<br />

to make this process as an income stream<br />

for the groups just by recycling in an ethical<br />

way.”<br />

Good causes that have benefitted from<br />

our work with Trust-Reclaim Ltd include<br />

providing furniture to homeless people<br />

that are in the process of being rehoused,<br />

through charities such as the ‘Ladywood<br />

Furniture Project’ and ‘Langar Aid’. Proving<br />

this way of working is really adding social<br />

value at street level. Some containers, full of<br />

Justin said: “Recycling our scrap is just the<br />

tip of iceberg. As a large organisation we<br />

generate 1,000s of tonnes of waste every<br />

year. The procurement team are now working<br />

with teams across the Trust to help them<br />

realise the benefits that could be had by<br />

recycling ethically.”<br />

Tom added: “We are able to provide<br />

recycling at zero cost as Sandwell and<br />

West Birmingham Hospitals has given us<br />

the opportunity to carry out a variety of<br />

recycling work. It’s great that the Trust is<br />

really beginning to embrace ethical recycling.<br />

There are so many opportunities that could<br />

help save the environment and help provide<br />

potential employment for local communities.<br />

Partnerships can be developed to help grow<br />

the Trust with other social enterprises that<br />

will help meet the organisation’s goal of<br />

becoming truly sustainable.”<br />

The procurement team manages the<br />

governance and has an audit trail of all the<br />

waste that is taken off site by Trust-Reclaim<br />

Ltd including indemnity. Any profit made is<br />

paid directly to the cost centre code for that<br />

particular area.<br />

To find out how your area can<br />

get involved please email Justin<br />

justin.mitchell@nhs.net<br />

Deprivation of Liberty Safeguards –<br />

know how to follow the process<br />

From time to time we come across<br />

patients who may not have the<br />

capacity to make decisions about<br />

their care.<br />

In order to find out if a patient has<br />

capacity, we are required to carry out a<br />

Deprivation of Liberty Standards (DoLS)<br />

assessment. DoLS are an amendment to<br />

the Mental Capacity Act 2005 (MCA)<br />

and were put in place as an extra<br />

safeguard.<br />

The MCA states that we can use<br />

restrictions on patients if it is in their<br />

best interest to do so because they lack<br />

capacity to make informed decisions.<br />

Sabina Price-Hckman is the adult<br />

safeguarding nurse, she explained more.<br />

“If a patient does not have capacity<br />

we then need to ask ourselves the acid<br />

test questions. Is the patient subject to<br />

constant control and supervision and are<br />

they free to leave?”<br />

Sabina continued: “If the patient<br />

does not have capacity, is subject to<br />

supervision and restraints and is not free<br />

to leave then it is likely you are depriving<br />

them of their liberty.”<br />

A poster with questions and answers<br />

to assist you in the process of making<br />

a decision has been designed by the<br />

safeguarding team.<br />

Always send the referral to the local<br />

authority based on the patient’s post<br />

code. Also send a copy to the adult<br />

safeguarding team<br />

SWBH-Alert-AdultSafeguarding<br />

Ensure the dates are correct - a DoLS<br />

starts on the day you are referring.<br />

Complete ALL sections of the form.<br />

A Form 10 should be completed for any<br />

patient who is discharged, transferred or<br />

regains capacity. The form must be sent<br />

to the relevant local authority and to the<br />

adult safeguarding team. If a patient<br />

“The poster which includes a list of<br />

restraints and restrictions that would<br />

require a DoLS, have been delivered to<br />

all wards,” said Sabina. “I would urge<br />

colleagues to ensure they follow the<br />

process carefully as mistakes on the<br />

referral forms lead to delays in the local<br />

authority sending out a best interest<br />

assessor.”<br />

Top tips to ensure the DoLS referral is processed quickly<br />

dies whilst under a DoLS, a Form 12<br />

must be completed following the above<br />

process.<br />

All forms can be found on Connect.<br />

For further information contact the<br />

adult safeguarding team:<br />

• Sabina Price-Hickman<br />

sabina.price@nhs.net<br />

Tel: 07966625176<br />

• Clare Cotterill<br />

clarecotterill@nhs.net<br />

Tel:07970244138<br />

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