Table 1.
Title of Partnership: LPT Preceptorship Task & Finish Group
Lead and other representatives:
Lesley Tooley - CHS Clinical Education Lead & LPT Preceptorship Lead,
Louise Short - Clinical Trainer Practice Development Facilitator,
Laura Smith - Clinical Trainer Practice Development Facilitator,
Lynne Moore – Practice Development Nurse [LD]
Tracey Finnamore – Practice Development Nurse [LD]
Anita Patel - Team Administrator for Di Postle.
Contact details – mobile number preferred please. Lesley Tooley - 07831353696
Brief:
The LPT Preceptorship Group have been meeting for approximately 10 months, prior to this the team had not worked together and barely knew each other.
Together we have put together the LPT Preceptorship Package which gives a standardised approach to Preceptorship, now newly qualified nurses have the same documentation, competencies and a standardised approach to drug assessment. This is all supported by 6 Development Days which give opportunity for reflection, learning & support.
Meeting with the preceptees every month means the group are keeping a close eye on Preceptee progress & mood, and have been able to escalate problems quickly using our circle of influence.
Table 2.
Title: Sexual Abuse Clinical Forum
Lead: Tracey Alexander
Contact Details:
Brief:
The first meeting of the SACF was held in July 2003. It attracted widespread interest from clinicians, both within the Trust and from Primary Care, Social Services and the voluntary sector. Over fifty clinicians attending the meeting, although it was not possible to allocate placed to a further 70 who had applied.
The idea of the Forum grew out of the experience Tracey Alexander (Principal Psychotherapist / Sexual Abuse Lead) had of running highly successful seminars on sexual abuse. The main objective of the Forum is to bring together practitioners from a wide range of agencies in order to share good practice in this area aiming to provide support for clinicians wrestling with the difficulties and dilemmas that the problem of sexual abuse presents in the clinical setting.
The Forum meets 3x a year for a full afternoon meeting.
The central aims of the Forum remain;
a)Enhancing clinical practice;
b)Liaison and collaboration with other agencies;
c)Incorporating child protection policies and relevant Trust policies and procedures into safe and effective clinical practice.
Table 3.
Title:Neighbourhood Partnership with the Local Authority
Lead and Representatives: Tracey Jackman (Neighbourhood Lead), Jane Sansom (Locality Manager), Keith Aubrey (Strategic Director Melton Borough Council), Bea Perez-Moreno (CAF co-ordinator Rutland County Council)
Contact Details: Tracey Jackman – 01664 800264
Brief:
During the last 18 months, as staff from Health and Local Authority we have been working increasingly closely together within the neighbourhood model. Through our conversations together it has become clear that while our organisations may be facing similar local and national pressures we also have many shared values and aspirations for our local communities.
We have also identified the opportunity to reduce duplication and maximise efficiency and relevance through working together. So far, this has involved initial networking and growing in our mutual understanding of each other’s organisations, services and priorities but more recently, as organisational trust and understanding has grown, we have been working together on specific aspects of project development and service integration.
The current areas of work we are focussing on are
1)Developing a mutually shared neighbourhood approach to building community capacity. We want asset based community design to be fundamental to our shared involvement in the Melton community. We have planned a large scale ABCD practitioner workshop and we are considering how funds, staff and resources will be allocated to embedding the culture of an asset based approach in Melton.
2)Re-designing the navigating processes for the children, young people and families in Rutland. During the initial phase of neighbourhood working we became aware of the opportunity to co-design shared and integrated processes of navigation to maximise the efficiency and appropriateness of our provision and response to support families’ needs. We have carried out a practitioner consultation event and will be facilitating a management consultation in March.
Although these are two key areas of focus at the moment, there is huge potential to continue building partnership working, collective leadership and integration of organisational provision between Health and Local Authority. We have learnt together already and this kind of mutual reflection and learning will enrich our plans and provision for our local communities together.
Table 4
Title of Partnership: Communication network for people with learning disabilities
Lead: Jane Parr
Contact Details: Jane Parr – 01162255205
Brief:
Ensuring the communication needs of people with learning disabilities are addressed is essential if we are going to reduce the risks associated with communication breakdown. These risks include preventable illness and inpatient admission, breakdown in placements, increased vulnerability in mental well-being, increased vulnerability and safeguarding issues, exclusion, increase in behaviours that challenge services and failure to meet legal requirements.
In order to address communication needs there has to be changes made across services and all of the main communication partners. The speech and language therapists have worked with a range of partners including people with learning disabilities, carers, social care, education and voluntary sector to set up this network so that we can work together to improve communication.
As part of Transforming Care (response to Winterbourne View) Five Good Communication Standards have been developed and the network is using these as the basis of their approach.
Table 5.
Title: Smoking in Residential homes for Looked after Children
Lead: Louise Ross
Contact Details: Louise Ross – 01162954141
Brief
WHO?- Looked after Nurses Team and Designated LAC Nurse, Smoking Cessation – including smoking cessation worker who has worked with Looked after Young People, Public Health –tobacco control lead, Leicestershire Fire and Rescue Service, University of Loughborough, Trading Standards, Residential Care Managers from City and County
In the future; - Looked after Young People, The Virtual School Service for LAC, Commissioners, Public health rep from the City, Drug and alcohol services
In 2013 a report into Smoking in Residential Homes funded by LPT was shared with City, County and Rutland local authorities to highlight the difficulties that care home staff face in providing smoke free environments for Looked After Children.
Around 10% of LAC live in Care Homes. Children residing in residential have come into care at an older age, often experiencing previous breakdown of placements or complex problems. Their rate of smoking is much higher than their peers and other LAC and in May 2014 a check of the 39 residential homes across LLR revealed that an average of 70% LAC were smoking. This leaves these vulnerable young people more exposed to long term chronic health problems and associated safety risks including the use of tobacco as a possible grooming tool in Child Sexual Exploitation. In addition there was evidence of tobacco being used as a vehicle for cannabis use and in bullying.
WHY? - It was felt that this was a wide ranging problem requiring a range of organisations to address the issues, Fire and Rescue – due to the dangers related to fire and disabling smoke alarms and smoking in bedrooms, Smoking cessation services – these were initiated in the local authority homes but most children were in private homes all LAC needed the smoking cessation service. Public Health – there was a clear public health and inequality in health issue. Trading Standards – the report and talking to LAC and staff in homes showed that there were links to illegal sales to minors and “Fag Houses”. Residential Home Managers and staff – the staff needed support and resources to assist smoking cessation and try to reduce smoking and stop new residents starting to smoke. LAC Service – The nurses wanted to work to reduce smoking for all their young people. Young People – the LAC across LLR deserve the best health possible reducing smoking for this group would have lifelong health benefits. University – both Loughborough and Nottingham Universities have linked with the project from a design and public health perspective. CSE/LSCB – the links between tobacco and grooming and CSE were a risk factor and there needed to be strong links to the CSE sub group across LLR.
Table 6.
Title: Health and Social care local offer
Leads: Lisa Farmer Ward Manager Dalgleish Ward, L.P.T & Sheila Bobe, Locality Manager, Adult Social Care, Leicestershire County Council.
Contact Details: Lisa Farmer – 07919396252, Sheila Bobe – 07769881271
Brief:
The common goals are to improve the outcomes and experience for the patient/service user.
Lisa Farmer and Sheila Bobe have known each other since 2011. Both have carried out the responsibilities within their own posts and had the occasional discussion on the telephone should they needed to.
As the demand on both of their services had increased dramatically Lisa and Sheila recognised that they needed to take action and agree how they would jointly manage the impact that this was having on their respective services.
Following an initial discussion, it was agreed that they would meet to look at the blocks and potential glitches in processes within their respective organisations.
Table 7
Title: REACH project residential reablement
Leads: Julie Peach - Therapy Operational Lead and Jennie Goode - Nursing Operational Lead
Contact details: Julie Peach 07876212047 and Jennie Goode 07824460784.
Brief:
People want services that feel joined up, and it can be a source of great frustration when that does not happen. Integration means different things to different people but at its heart is building services around individuals, not institutions. The Government is clear that joint, integrated working is vital to developing a personalised health and care system that reflects people’s health and care needs.
(Department of Health/Department of Communities and Local Government 2010)
In Community Health Services we have relished the opportunity to work more closely with our Social Care colleagues. Through a number of different initiatives, in both Leicestershire and Rutland, we are aiming to ensure a more efficient use of existing resources by avoiding duplication and ensuring peoplereceive the right care, in the right place, at the right time.
We have the pleasure of discussing with you our “joined up approach” to;
- Integrated working with Leicestershire and Rutland Social Care Community Reablement teams,
- Residential Reablement pilot at Catherine Dalley House in Melton Mowbray.
Table 8.
Title: FYPC linking with Adult Mental Health Services Enabling the THINK family approach
Leads: Alpana Marwaha, Neighbourhood Lead FYPC, Parminder Parmar, Senior Primary Mental Health Worker FYPC, Avinash Hiremath Consultant Psychiatrist AMH,
Representatives: Denise Roberts Health Visitor FYPC, Fabida Noushad AMH Consultant Psychiatrist
Contact Details - Alpana Marwaha – 07879627829, Parminder Parmar 2955050 Denise Roberts 2924500, Fabida Noushad 2953090, Avinash Hiremath 2255275
Brief:
This project was developed to think about innovative ways in which Adult Mental Health Practitioners can link with children’s services so that we can fully employ the THINK family whole family approach. The project is in its very early stages and requires commitment from several teams across divisions. FYPC work to a neighbourhood model and Health Visitors are GP aligned as are adult mental health workers. We recognise that there are several missed opportunities for joint working and skills sharing. Although there are many examples of good practice we need to develop this way of working so it becomes common practice.
We would like to take this opportunity to gain knowledge and expertise from key people within the team to move this work forward.
Table 9.
Title: Community Health Services District Nurses working in partnership with the Community Wellness Service.
Leads: Rob Melling and Hannah Williams
Representatives: Alpana Marwaha Neighbourhood Lead, Rob Melling Community Wellness Service, Umesh Patel Community Wellness Service, James O;Donnell Community Wellness Service, Hannah Williams Community Health Services Champion.
Contact Details: Alpanna Marwaha – 07879627829
Brief:
We aim to increase safe discharges, reduce hospital admissions, reduce re-referral to CHS and support clients in their local community.
This initiative is being developed by Hannah Williams Community Nurse, Rob Melling Community Wellness Team Leader, Alpana Marwaha Neighbourhood Lead, James O’Donnell and Umesh Patel Community Wellness Practitioners. The aim of this initiative is to respond to the Better Care Together Programme. We are developing a pathway so that adults known to the District Nursing Team are discharged to the Community Wellness Team, who will work with these service users to find them support from their local community. Many of these service users are isolated and unable to access the care that they need. The Community Wellness Team will be able to support the service user in engaging them with activities and groups within the community. It is hoped that we will then be able to reduce isolation, reduces re-referral rates, reduce hospital admissions and increase engagement in local community groups. We also aim to develop a co-design model with service users.
Table 10.
Title: School Health and Wellbeing events
Lead: Mel Christie
Contact Details: Mel Christie: 07824472184
Brief:
Aims:to actively engage young people in identified public health priorities for Leicester City.
Large Scale Health Engagement with Young People(AKA: Health Fairs) –
This involved identification of locality health needs and consultations with secondary schools and partner agencies. Together we co-produced a bespoke resource / literature to support the event and subsequent follow up project work within each school.
Evaluation by young people and partners so far indicates that the events within this new model impactful.
Table 11.
Title: Hate Crime & Health Partnership
A joint collaboration between Leicestershire Partnership NHS Trust,UniversityHospitals of Leicester,Leicester, Leicestershire andRutland Clinical Commissioning Groups, East MidlandsAmbulance ServicesLeicestershire Police is and Sophie Lancaster Foundation is gathering
pacethrougha multi-agency steeringgroupestablishedtoexaminewaysto improve andstrengthen thehealthsystemresponseinrelationto hatecrime.
Evidenceisemergingthat hatecrimehas bothphysicalandmental health relatedimpacts whichrequirehealthserviceresponses.Acknowledgingthe impact ofhatecrime onphysicaland mentalhealthis animportant elementto understandall factorsaffectingtheneedsofthepatient,pathwaysintoservices andtheimpactonthepatient experience.
Healthstaffhavethe opportunitytosupport andempowervictimstomakethe rightdecisionswhichmay involvereporting ahateincidentcrimecommitted againstaperson.
Themulti-agency collaborationisworking towardsestablishingclosercontact andengagement withlocal communities affectedwith hatecrimeincluding:
- Mapoutcurrenthealthapproaches
- Look atbestpracticeinother communities
- Build effective training and learning packages for improving staff understanding
- Improverecordingsystems inparticipatingTrusts
Table 12.
Title: Inter-Professional Education
Leads: Alison O’Donnell (Multi-Professional Education & Quality Lead, LPT)
Ann Smith (Service User)
Contact: or07901553651
Brief:
IPE is where we “learn with, about and from each other”. The team within LPT provide a suite of formal inter-professional education programmes to students and staff within Leicestershire and Rutland, which has received national and international acclaim.
To achieve this we have established strong partnerships with key groups including our: local universities - who have embedded the programme within their curriculum; patient/service users - who are central to all our courses and many of whom have developed to become IPE facilitators; expert clinicians - who share their knowledge and experiences with students and our own trained educators/facilitators.
Numbers involved:
- Students/Learners = 1,200
- Service Users = 100
- Facilitators = 14
- Universities = 3
- Professional groups = 5
In our presentation you will learn about how we became established, what challenges we faced and tips for overcoming them. Also, we’ll share what we’ve learnt and we can all achieve more in the future. Also, you’ll get a chance to play with some our simulation training equipment!
Table 13.
The Product provides children aged 4-11 with advice and information about relevant health topics. Amongst others, there is information on:
- Flu vaccination
- National child weight measurement
- Head lice
- Adolescence
- Smoking
The site is aimed at school children, teachers and parents. The site contains 3 fun and educational game looking feelings and emotional wellbeing, digestion, and the role of a school nurse. Since it’s launched in June 2014 the website has had over 10,000 hits.
The Partnership The website was a collaboration between staff in FYPC and Diva.
Professionals from many different parts of FYPC were involved in the project, including:- Communications
- CAMHS
- School nursing
- STOP
- Health and Wellbeing
- Immunisations
Our partnership involved:
- Leaving the ‘day job’ behind and thinking creatively
- Removal of hierarchy
- Common vision and shared purpose
- Far reaching partnerships and collaboration “there is so much of our ideas in here!”
- Clear and inclusive leadership style
- Fostering trust and understanding
Lead: Clare MillsContact Details:0116 295 1611