GP & Partner Bulletin - January 2018

Pulse 2

 

January 2018

Welcome to the January issue of Pulse The Pennine Acute Hospitals NHS Trust's GP and partner bulletin. Each issue will round up the latest news from inside the Trust and present it in this e-newsletter. If you would like to make any comments about this issue or if you have any suggestions for future content then please email the editor

HEADLINE NEWS

Winter Pressures – still increased demand on our services

Like the rest of the NHS across the country, our hospital sites/Care Organisations – Oldham, Bury, Rochdale and North Manchester - across our Northern Care Alliance NHS Group are still experiencing severe pressure and increased demand on our services than in previous years. This is due to a combination of:

  • increased A&E attendances & high acuity patients brought by ambulance; delays in ambulance handovers;
  • more patients needing to be admitted;
  • our hospital bed occupancy; and demand on our critical care beds;
  • delayed discharge and transfers of care out of hospital;
  • increasing number of seriously ill patients being admitted with Flu.

We know that this pressure is still likely to continue over the coming weeks. The weather has not yet been at its seasonal worst and we are also seeing an increase in highly contagious viruses (e.g. Flu and Norovirus). The Alliance is supporting the senior leadership teams in each of our Care Organisations and enabling mutual aid and support across the Alliance. All of our winter plans and measures have been put into action over the last few months, enabling us to open 100+ additional beds across our group of hospitals and work continues with our local health and social care partners to speed up discharge arrangements.

NHS England and NHS Improvement issued national guidance on 2nd January to help hospitals manage winter pressures. This included a recommendation for Trusts to consider deferring some non-urgent inpatient elective care until 31st January. Each local Trust, including our Care Organisations, are working through the implications of this guidance with local CCGs and drawing up operational plans to free up bed capacity and improve patient flow.

A number of non-urgent operations and appointments have been rescheduled – patients have been contacted directly. Our Care Organisation leadership teams, along with the Group Execs and Board, would like to thank all staff for the hard work and dedication being shown during what is a challenging time.

New cone beam CT scanner installed at The Royal Oldham Hospital

Patients requiring complex dental imaging as part of their hospital treatment are set to benefit from a new cone beam CT scanner, which has been installed at The Royal Oldham Hospital.

An investment of £65k in the specialist radiology equipment will see patients from across the Greater Manchester area utilise the equipment which is situated within the radiology department at the hospital.

Read more

Samantha’s sponsored silence shouts out the message about living with communication difficulties

A speech and language therapy assistant at Fairfield General Hospital has given a voice to patients who have communication difficulties as a result of having a stroke.

Samantha Thinnesen who works on the stroke unit at Fairfield decided to undertake a 24 hour sponsored silence to raise funds for communication therapy aids on the ward, plus at the same time increase awareness of the difficulties that people can experience if they are unable to talk.

Read more

Kind hearted staff at Rochdale Infirmary host event for homeless community

Kind-hearted staff at Rochdale Infirmary hosted their annual festive homeless event in December.

They were joined by the Mayor and Mayoress of Rochdale who attended the outpatient department to help draw a raffle and enjoy coffee and mince pies to celebrate all the hard work which had been undertaken in raising money for the event and gathering donations.

Read more

Rochdale Urgent Care Centre asks public to think carefully and Choose Well this winter

DOCTORS and nurses from Rochdale Infirmary are asking people to think carefully and to consider which health service to use this winter as the number of people attending the Urgent Care Centre (UCC) is increasing significantly due to the cold weather and many people could instead self-care or get advice from their local pharmacy.

By choosing the right service, patients will get the best treatment in the shortest possible time, whilst keeping the Urgent Care Centre and neighbouring A&E departments free to treat patients with the most serious conditions who need urgent care.

Read more

Staff Flu Campaign – Medical Directors appeal for staff to get vaccinated

Flu admissions are increasing at all of our hospitals so we are appealing for staff to be vaccinated to prevent the virus from spreading further. All staff who have not yet been vaccinated against flu are asked to either call Occupational Health and arrange to have this done or go to a drop-in session advertised on the staff intranet. Managers and senior clinical leads across our Care Organisations should encourage staff to get vaccinated for Flu in order to help protect their staff and the vulnerable patients they treat.

An example of how severe the flu virus can be this year is shown in this sad case which made the Manchester Evening News. On 16 January a 51 year old lady with a past history of asthma suffered an ‘out of hospital’ cardiac arrest in the early hours. She had been suffering from a flu like illness for a few days prior to this and when she arrived at NMGH A&E and was certified dead just 20mins later.

So far 72% of our staff at the Trust have been vaccinated, but there is still more work to be done. We are asking for an extra push now to boost uptake of the flu jab among all staff groups. 

Prof Matt Makin, Mr Jawad Husain and Dr Shona McCallum

Medical Directors – North Manchester, Oldham, Bury/Rochdale Care Organisations

IMT Roadmap – Improvements

The IMT improvements ‘roadmap’ showcases the organisation’s ambitions to improve the IMT and Digital systems used at North Manchester, Oldham, Bury and Rochdale Care Organisations. It is recognised that these systems have not had any significant investment for a number of years but IMT / Digital colleagues are now working to an exciting ‘roadmap’ of improvements over the next few months and further into the future.

Some of the shorter term ‘destinations’ are:

  • By the end of February 2018 – We will have enhanced the Wide Area Network (WAN) so that staff can experience better internet connections and access across the Care Organisation site
  • By the end of March 2018 – Prioritising clinics, we will have invested money in replacing old equipment, including computers on wheels, wrist band printers and laptops
  • By the end of May 2018 – Users will experience improved Healthviews performance, ie, more reliability when accessing records such as casenotes and discharge information
  • By the end of July 2018 – Via Healthviews, clinicians will be able to access their patients’ primary care records to gain a fuller picture of their medical history.

Nursing and Accreditation System (NAAS) Update

Good progress has been made with the Nursing and Accreditation System (NAAS) at Pennine Acute which is showing considerable improvement over the last 18 months. The data shows that there are wards within the North East Sector now approaching Safe, Clean and Personal (SCaPE) status within the next 12 months. These include Ward J6 at North Manchester Care Organisation and Ward 1 and Ward 2 at Fairfield General Hospital in Bury. 

End PJ Paralysis Learning Collaborative Update

The Northern Care Alliance (Salford Royal and Pennine Acute Trusts) has surpassed it target to get 95 percent of areas engaged in the Last 1000 days/End PJ Paralysis campaign by December 2017. In total 98.9 percent of areas are now involved in this campaign, which aims to to reduce the use of pyjamas as a patient ‘uniform’ within care settings, encouraging faster enablement and encouraging patients to return to their normal routines for discharge. It is part of a worldwide campaign initiated by Professor Brian Dolan. The risk of keeping patients in bed for long durations of time has been documented in a number of journals, which have highlighted the danger to patients. By spending 10 days of bed rest, a patient can experience up to 10 years of muscle ageing and muscle function.

Oldham Children’s Unit team pledges to improve patient care

Staff from the Children’s Unit at The Royal Oldham Hospital have dedicated their New Year’s resolutions to improving patient care, patient safety and patient experience.

  • Staff Nurse Jill Mundy is aiming to provide a Paediatric Advanced Care Plan update to all staff over the first ten months of the year.
  • Play Assistant Sarah Ogden has made plans to create a new signage system to guide children, families and visitors around the Unit.
  • Advanced Paediatric Nurse Practitioner Simone Gorman has committed to teaching all Band 6 staff to manage port-a-caths by the end of April 2018.

The response to the campaign has been very positive with staff identifying improvements they have the ability to deliver. Kathryn Krinks, Divisional Director of Nursing for Paediatrics and Neonates said: “We hope that the children and families we care for will experience the benefits of these small changes over the coming months.”

Wound care passport introduced

A scheme designed to avoid the duplication of wound reporting and which gives patients more ownership of their wound care has been introduced across the Trust.

The tissue viability service has launched a wound care passport which is given to patients when a chronic wound has been identified.  The passport is designed to fold to a credit card size so that patients can carry it with them in their purse or wallet, and includes details of their wound aetiology, the current treatment that they are receiving, whether the patient has appropriate equipment at home and in the case of a pressure ulcer, if it has been incident reported.

The passport can be used by both community and acute staff and can be ordered using the following code: WRJ837. 

SAS conference - Celebrating success 2017 

The annual Trust SAS Conference was held on 29 November 2017 at Fairfield General Hospital, with the overall purpose of engaging SAS doctors with education and development, and to celebrate the successes and contributions that SAS doctors consistently make across our Care Organisations.

Speakers included Professor Simon Carley (Decisions and dilemmas), Dr Anupama Shrotri (Journey as an SAS doctor), Dr Jayparakash Patel (Developing paediatric ophthalmology services in the Morecambe Bay Trust), Dr Madapura Krishnamurthy Shashidhara (Use of Twitter) and Professor Matthew Makin (Leading at a time of change).

There were also three workshops led by Mrs Sharon Taylor (Managing change), Dr Gopal Madhavan (Appraisal and revalidation) and Dr Iain Lawrie (Our role as educators).

There was great enthusiasm among all those that attended and the day was a great success. Mr Basharat Hussain, SAS tutor and associate specialist in urology, organised the conference with the help of Dr Anton Sinniah, Dr Fayeza Muktadir, Sharon Taylor, Jane Mitchell and Victoria Butterworth.

 

EVENTS FOR YOUR DIARY

Maggies Centre, Talk & Tour

31 January 2018 from 14:00 to 16:00  

Location

Oldham

Venue

Maggies Centre, TROH

Category

Foundation Trust Events

Description

An opportunity to look round the Maggie's Centre, in the grounds of the Royal Oldham Hospital.  The Centre opened in June last year in in partnership with Pennine Acute Hospitals NHS Trust to enhance the cancer care and support already on offer. 

Contact

Angela Greenwood

Phone

01706 517302

Email

angela.greenwood@pat.nhs.uk

A free talk on the End PJ paralysis movement

13 February 2018 from 14:30 to 15:30  

Venue

Education Centre, Rochdale Infirmary, OL12 0NB

Category

Foundation Trust Events

Description

A free talk on the End PJ paralysis movement, which goes hand in hand with the last 1000 days by challenging the historic culture that once a patient arrives in hospital they should be in their pyjamas in a hospital bed.  

Contact

Angela Greenwood

Phone

01706 517302

Email

angela.greenwood@pat.nhs.uk

Crumpsall Vale Intermediate care Unit - Talk & Tour

20 February 2018 from 14:00 to 15:00  

Venue

Crumpsall Vale, Intermediate Care Unit, NMGH

Category

Foundation Trust Events

Description

An opportunity to view the new Crumpsall Vale Intermediate Care Unit at North Manchester General Hospital.

Contact

Angela Greenwood

Phone

01706 517302

Email

angela.greenwood@pat.nhs.uk

Sepsis Talk

22 March 2018 from 14:00 to 15:00  

Venue       

Education Centre, The Royal Oldham Hospital, OL1 2

Description

A free talk to learn more about Sepsis, a life threatening condition that causes more deaths in adults per year that prostate cancer, HIV and breast cancer combined.

Contact

Angela Greenwood

Phone

01706 517302

Email

angela.greenwood@pat.nhs.uk

 
 

Have you read the latest issue of Pennine News, the Trust's monthly magazine for staff and stakeholders?