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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