Update from Patient Opinion Subscriber Support Team
Posted by Cally Bowman, Patient Opinion Subscriber Support Officer
Sharing your feedback on Patient Opinion, no matter how small it might seem, is heard and can lead to a change. A lovely little example happened last week, when some parents shared stories about their experiences of attending “a family fun day during the Easter holidays” at Eastwood Children’s Centre.
Tina Hancock, Sure Start Children’s Centres Service Manager, listened to the feedback, discussed it with staff and posted a response to let the parents know that they were going to make a change thanks to the feedback. Tina explained…
“I have shared your comments on to the team about the food – and your comments have helped us to plan our next event where we will be offering an alternative catering arrangement that caters to more tastes” The staff have reviewed and evaluated your feedback which has led to a change to the way we provide lunch at our future events by providing a better timetable for eating.”
A group from the Trust presented their journey to build a carer friendly trust to the regional meeting held in Derby. This included a detailed report on how the Trust currently works with carers and our ambitions for the future. Really listening to carers and acting on what they say to improve our services means we can improve our partnerships and relationships. To do this we need to be prepared to co-produce more of our services together going into Stage 2 of The Triangle of Care.
64 self-assessments for 74 ward and crisis teams were part of the submission. Trust teams were asked to fill in a self-assessment saying what they are doing currently in their work with carers and to be candid on what they need to improve on.
Head of Involvement – Paul Sanguinazzi sharing our journey with the Midlands Triangle of Care Regional Group, Kingsway, Derby.
There was praise from The Carers Trust in how our staff are involving carers, the continuity and leadership of approach, plus the production of a Carers and Confidentiality Guide and carer awareness film for staff. They commented on how we were using Carer Feedback to improve services particularly via Patient Opinion as being a valuable way to evidence our improvements.
The Carers Federation supported us every step of the way as our partner organisation for the submission.. Watch out for stage 2. The journey is not over yet…..
Special thanks to The Carers Strategy Group, Trevor Clower – Carer, Rob Gardiner – The Carers Federation and Trust Governor. Paul Sanguinazzi – Head of Involvement and all staff and carers who worked tirelessly to get us to this stage.
At Nottinghamshire Healthcare, we are lucky to have the support of hundreds of generous volunteers who give up their time to help make our services, and people’s lives, better.
We thought it was really interesting to read the report produced by The King’s Fund in 2013 on understanding the scale and impact of volunteering in the NHS, which valued the contribution made by volunteers at the same level as a Band 2 employee.
It is very difficult to accurately calculate the economic value of volunteers – and even then, the contribution they make reaches far beyond the financial benefit. But, just to give an idea…
Most of our volunteers give at least 3hrs a week to volunteering for Notts Healthcare, and do this on average twice a week, so to be conservative we have calculated the annual contribution of our volunteers based on six sessions a month.
This means, at a very conservative guess, that our volunteers ‘donate’ over 30,000 hours a year to supporting us, which, by The King’s Fund’s suggestion, means an annual contribution of over £290,000!
Wow. That’s quite some contribution!
To all our volunteers – thank you, sincerely, for all that you do.
Hi, I’m Kat. I’m a Peer Health Care Assistant with lived experience of Mental Health Services. I was recently appointed on Ward Rowan 2. This is an acute female ward at Highbury Hospital, Bulwell. I completed my MVA training at the end of April 2016. I heard of colleagues participating in up to 20 restraints a day as I chatted to people I met on my training. So many questions were running through my mind as we learnt and practiced the restraint techniques.
Here are my thoughts about restraint. Do certain patients become known for needing restraint?
Are patients in a cycle of learnt behaviour?
Do they react and we respond and the pattern repeats?
When the need for restraint arises, is it carefully planned for individual people? What about people’s history, past abuse, claustrophobia or ethical issues around different genders being involved in a possible restraint.
Do we give patients the time to calm down and regain control of themselves before we move in to physically holding them? Do we use our words enough or have we already decided they won’t be effective with this patient as it hasn’t worked for them in the past? Could we be preventing them from moving forward in their recovery? Are patients being given a full debrief? My job role has made me fully aware of a busy ward and the demands to manage the everyday pressures of working in a clinical environment.
So often we don’t have the hours in the day to provide the individual care patients need to feel valued and cared for. Would an increase in one to one time reduce the need for restraint? Can we focus more on managing distress before it turns into violence and aggression?
Could physical activity where appropriate, reduce the build-up of tension and restlessness to reduce the need for restraint?
Are side effects of medication being monitored carefully? Individuals all respond differently, could some side effects be increasing irritation and restlessness, leading to people losing control of themselves? Is living in a restrictive environment contributing to patients not having the space to release frustrations and emotions?
I’m a big believer in the power of words and quality time; talking, listening, giving people time, attention, understanding, compassion, support, distraction techniques, opportunities for achievement and praise recognising people’s strengths and abilities. Could this all help patients to regulate their emotions and try and keep in control of their behaviour? I feel we need to support people to work towards taking responsibility for managing their own violence and aggression.
As a Peer, I feel very uneasy about being involved in restraint. How can I be an advocate and a voice for patients and then be holding them against their will? The thought of holding anyone against their will fills me with dread. I would like to make a positive difference in my work place and I now have a clearer understanding of restraint and the need to maintain a safe working environment. I have a duty of care for patients, staff and myself and to be equipped to fully provide the nurture, protection and safety to the precious people I am here to care for. I feel I will need to face my own fears around managing violence and aggression.
Who knows how I will react when I see or am involved in my first restraint but I feel confident I will not be on my own and I have a very supportive team around me.
My MVA training was a very interesting week and it raised many questions and emotions for me as a Peer Support Worker. I would like to learn more about verbal de-escalation techniques to support somebody to calm down and re-gain control for themselves.
This poem describes how I felt about my MVA Training.