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Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
Hea th
staff magazine of the IRISH HEALTH SERVICE                 vol. 13 | issue 16 | WINTER 2018

Martin a flu
champion
Vaccine campaign

Christmas
celebrations
St Vincent’s residents
get in festive mood

  features                 general news      you section                     lifestyle
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
Welcome to the
latest edition of
Health Matters
With the Christmas season well and
truly upon us, for our cover story we meet
the staff and residents from St Vincent’s
Community Nursing Unit in Co Laois to
find out what the festive period will be
like for them.
   For people who need to use the health
service this Christmas, they will be
looked after by the unsung heroes who
sacrifice their own Christmas to work on
the frontline. We take this opportunity to
thank them for their hard work.
   We travel to Belvilla, one of the first
HSE Community Nursing Units in Ireland,
to find out about an exciting new project
that saw the nursing home get its own
trishaw bike.
   Residents, many of whom haven’t been
out of the unit in a long time, have been
given the opportunity to get out and
about and see how their local community
has developed. It also allows them to
foster relationships with volunteers and
tell their stories of life in Dublin.
   In this edition, we also speak to Lisa
Collins, who has just published ‘The Man
who Moved the Nation’ about her late
father Gerry, who inspired thousands to
quit smoking when he shared his story for
the Quit national campaign.
   Lisa writes about this period in her
                                               Contents                                                                          
life and the life of her family as they
came to terms with the diagnosis,
as filming for the ads began and the          You                                        Features
campaign was launched. This account
                                              6   Christmas time                         24	EDirectory
of the final months of Gerry’s life is both
                                              	St Vincent’s residents celebrate          	Access to Information
heartbreaking and inspiring, and shows
                                              8   Dunmanway swim                         25	Waiting lists down
the heart and resilience of his daughter
                                                  Freezing dip for local hospital ward       Cataract centre opens
and family. A sincere thanks to all those
                                              9   Flu champion                           26	START campaign
who have sent in contributions to this
                                              	Martin gets staff motivated               	Helping communities get healthy
edition and I hope you find plenty of
                                              10	Memory Resource Room                    28	Breastfeeding week
interesting reading in it.
                                              	Official opening                          	Support groups celebrate
   Happy Christmas and a prosperous new
                                              12	Trishaw trip                            29	Wellbeing concert
year to all our readers.
                                              	Residents feel wind in their hair         	HSE choirs perform

Joanne Weston                                 14 Get the vaccine
                                              	Pregnant nurse tells her story
                                              15 	My father Gerry
                                                                                         30	EID loan
                                                                                         	Boost for EHealth in Ireland
                                                                                         31	I am Baba
Joanne Weston,                                	Lisa Collins’ book launch                 	Theatre for babies
Editor                                        16 Gaelic blitz                            32	Your mental health.ie
                                              	Waterford stars take home title           	New-look website launched
                                              17	HSE at the Ploughing                    33 GP card
                                              	Meet the public                           	Boost for carers
                                              18 Values in Action                        34	Laptops distributed
This magazine is produced by the              	Survey results                                Frontline staff benefit
HSE Communications Division                   21 Diabetic retina screen                  36	Renovating listed buildings
Publishers: Celtic Media Group                	Philip’s story                            	Respecting the past
www.celticmediagroup.ie                       22 	Swim to Scotland                       38 	Ombudsman report
                                              	Another achievement for Audrey            	Information booklet unveiled
Feedback: Send your feedback to               23 	Hearing aid                            40	Under the weather
healthmatters@hse.ie                          	Life transformed for one woman            	Take care of minor illnesses at home

                        winter 2018
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
28
                     10
       HEALTH MATTERS   WINTER 2018

43	Termination of pregnancy
	Latest update
44 Dementia
                                        33   44
    Community champions
46	NISRP
	Easy access for staff to pay details
48 Finance training
	Enhance your skills
49	PRIMERA
	Study on parents’ mental health
50	Advance Healthcare
    Directives
	Protect your future
51	Safeguarding
	Awareness can reduce abuse
52	SIMMS building
	State-of-the-art orthodontic
    facility
53	Bedside to Boardroom

                                        26
	Resource toolkit
54 Falls conference
	Experts tackle bone health
55	Nursing and midwifery
    Development of health policies
56 Continence clinic
	Award win for pair

                                             2018 winter health matters   
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
Contents                                                         

                                 News
                                 57	Mayo butterfly care
                                     Dementia care
                                 58	Intellectual disability nursing
                                 	The future
                                 59	Alcohol
                                     Guide for parents
                                 60	Asphasia awareness
                                 	Tallaght events
                                 61	Safeguarding seminar
                                 	Awareness campaign
                                 62 Connecting for Life Kilkenny
                                 	Tackling suicide

    31
                                 63	Prem party

                                                                         63
                                 	Neonatal unit fundraiser
                                 64	Mental Health opening
                                 	Purpose-built unit
                                 65 Catering awards
                                 	Portlaoise Hospital
                                 66 Collaboration Nation
                                     Digital success for HBS
                                 67	St James
                                     Going digital
                                                                      Lifestyle
                                 68	End PJ Paralysis                  70 	HI survey
                                 	New initiative                          Fewer smokers
                                 69	Aras Mhuire award                 72 	Healthy Ireland
                                     Flu vaccine                          2018 in reflection
                                 69 Change Guide                      74	Mid West Games
                                 	Practical advice                    	Staff and families at play

    16

    22
   health matters winter 2018
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
HEALTH MATTERS   WINTER 2018   online

                                                         Sites we like   www.yourmentalhealth.ie

                                                                         www.undertheweather.ie

75	Pause for Play
   Get away from the screen
76 Culture night
   Dr Steevens opens its doors
77	Weight management guide
   Free to patients
78 Craggy Island Christmas
	Waterford performance

                                                                         www.hse.ie/safeguarding

                                                                               www.makeastart.ie

                  65
                                                                  2018 winter health matters   
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
You
     Section

St Vi ncen t’s celebra te
Home from home
at Christmas   ife away from your own home            and perform some carol singing. It is a now

     L
               and family can be tough,               annual event, started several years ago by the
               especially around Christmas, but       local parish priest.
               one community is helping the              “The school asks for a list of names of the
               staff of the local nursing home        residents and what they might like – such as a
to ensure their residents feel the festive spirit     pair of socks, a scarf or some toiletries. Then
as much as ever.                                      one family will buy a present for that person
  St Vincent’s Community Nursing Unit, in             and the children will hand them out. It is
 Mountmellick in Co Laois, is certainly a home        great that there is that extra personal touch,”
     away from home for its 82 residents              explained Clare McLaughlin, a CNM2 in the unit.
         and it comes alive with Christmas               “We hand out a few treats to the children and
                  decorations and celebrations        it is always a great occasion.”
                         throughout December.            Paula Phelan, the Director of Nursing, added,
                                                                                                                   It’s important that
                             The week before          “It’s all about bring the community in so the                they maintain
                             Christmas, the           residents don’t feel isolated.”
                               children from Scoil       There is plenty going on in the unit over
                                                                                                           that sense of interaction
                               Bhride in nearby       December. The residents have already begun           and normality so it’s not
                               Clonaslee will visit   making their own Christmas decorations to
                               the residents to       hang up around the unit. They also decorate a
                                                                                                           just about them getting
                                give out presents     Christmas log each year. The local youth group       presents but they get a
                                                      make a life size crib that they have on show
                                                      each year.
                                                                                                           chance to give back too
                                                         Another highlight of the festive period will be
                                                      the big Christmas party on December 21st, which
                                                      residents and staff look forward to each year.
                                                         “This is very much their own home and we            The residents also get plenty of
                                                       do our very best that all our residents feel at     opportunities to get out and do some retail
                                                           home, happy and comfortable all the time.       therapy themselves.
                                                             And Christmas is so special for so many         “We also bring them out to do their own
                                                              people that we make an extra effort at       shopping. They usually go to one of the bigger
                                                               this time of year,” said Clare.             shopping centres in Portlaoise and get some

     health matters winter 2018
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
presents for their own families. It’s important     Vincent’s during the Christmas period. The local
that they maintain that sense of interaction        Youthreach group are frequent visitors and the
and normality so it’s not just about them           Active Retirement Group regularly provides
getting presents but they get a chance to give      music and entertainment for residents.
back too,” she said.                                  Of the 82 beds, the vast majority are long-
  Many of the residents go to spend Christmas       stay, with just one respite bed. There are eight
with their own families but the staff on duty       beds in the dementia ward but most are in the
over the Christmas holidays ensure that it is a     general wards. The residents are mainly older
wonderful occasion for everyone.                    people but there are some in their 40s and 50s
  The decorations in the unit are handled           with chronic illnesses.
by the ‘queen of the Christmas tree’ Freda,           The dedicated staff includes Paula Phelan, the
one of the staff members who works in               Director of Nursing; ADON Rebecca Stanley; and
housekeeping. She will put lots of hard work        CNMs Clare McLaughlin and Lucy Campbell.
into making sure the Christmas tree in the
general area and all the Christmas decorations
are looking their finest.                           Pictured while they made this year’s Christmas
  “It always looks beautiful and everyone loves     decorations were the residents of St Vincent’s
                                                    Community Nursing Unit (clockwise from top left):
to see it go up each year. It adds a great bit of
                                                    Ann Houlahan; John Defue; Jack Costigan; Agnes
colour and atmosphere to the place,” said Clare.    Mortimer; staff and residents of the unit; Kay and
  The community are not just involved in St         Natasha; and Jackie McEvoy.

                                                                                                         2018 winter health matters   
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
You
     Section

Ch rist ma s Da y sw im
DUNMANWAY LOCALS
BRAVE COLD FOR CANCER
                 s most of us settle in for breakfast   had thousands of blood transfusions. I was

     A
                 in our pyjamas in a warm house         surrounded by cancer patients and I was
                 on Christmas morning, one group        determined to raise money for the ward to help
                 of hardy souls are braving the icy     make them more comfortable,” she said.
                 cold waters at Inchydoney, Co            Then 12 years ago, her husband René, a garda
Cork for the annual charity swim.                       sergeant, was diagnosed with cancer.
   With 19 swims under their belts, the charity           “We ended up sitting side by side in the day
fundraiser has seen a massive €266,688 donated          ward,” she recalled. Tragically, René died the
to the day unit at Cork University Hospital,            following year.                                      year and it is so important that we are able
   The Christmas Day swim is the brainchild of            Eileen’s husband Raymond, a secondary school       to rely on that money coming in each year to
West Cork women Kathleen O’Farrell and Eileen           teacher, died two years later of a heart attack      improve patient comfort,” she said.
Lyons. Both of their late husbands were patients        having he battled the odds to survive colon            “I meet with Kathleen regularly and we chat
in the day ward, now renamed the Dunmanway              cancer.                                              about how best to spend the funds each year. It
Day Unit after their hometown.                             “I could see the importance of the money          really makes a difference that we can give our
   “We started back in 1999 with 11 swimmers at         that we were raising. We have bought new             input into what is needed, and that friends and
Inchydoney. I had been talking about organising         comfortable chairs and televisions for them to       family, as well as the patients themselves, can
it for a couple of years and my son told me that I      watch while they are being treated.”                 see the benefits first hand.”
should stop talking about it and get working. So          She paid tribute to the staff on the ward.           The hard work that goes into organising the
between myself and Eileen and our families, we            “I couldn’t praise them enough. It truly is a      swim has been going on well before December
got all together that first year for the swim. It       vocation. The kindness they show to all the          landed. Kathleen and Eileen have been trying
has snowballed since then, with so many more            patients is just out of this world. And I couldn’t   to encourage new swimmers to join in the
people joining in. We now have an average of over       not mention the tea ladies either, who keep us fed   Christmas morning tradition.
100 people taking part, travelling from all over        and watered while we are there. It a tough place       “A lot of people now have young families and
West Cork and Kerry,” explained Kathleen.               to be but they make it so much more bearable,”       can’t get away for the swim so we are looking
   Kathleen herself has been a patient of the day       said Kathleen.                                       for some new blood. We would love to see a new
unit for over 30 years.                                   Joan O’Neill, CNM2 from the Dunmanway              generation of swimmers join in. It really is a great
   “I have been in and out of the ward every            Day Unit, said the fundraiser makes a massive        way to start your Christmas,” said Kathleen.
week for 30 years and I could see the amazing           difference.                                            The swim starts at 11am sharp and swimmers
work that was being done by the staff there.              “We are thrilled with the work and dedication      will be quickly warmed up with a hot mug of soup
I have problems with my platelets and have              that Kathleen and Eileen put into the swim each      and a mulled wine.

      health matters winter 2018
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
We ne ed to be on ou r best ga me
Champion martin oversees
increase in vaccine uptake
                  he onus is on staff in the HSE to

   T
                  get the flu vaccine and keep their
                  vulnerable patients protected,
                  insists ‘champion’ Martin Smith.
                     “From the general manager
to the staff in the cafeteria, we must get the
flu vaccine. We come into contact with so
many people – high-risk people, pregnant
women and old people. They need us to be on
our best game,” explains Martin, who is a flu
vaccine ‘champion’ in the hospital, educating
his colleagues on the value of the vaccine and
encouraging them to get it.
  Martin took on the role of promoting the flu
vaccine three years ago and has overseen a
huge increase in the uptake of the vaccine by
Lourdes staff.
  “The previous year we had an 18pc take up. I
got it up to 38 in the first year and last year we
had 74.8pc. We are on target to exceed that this
year. We have a much bigger staff now so it is
a great chance to improve our numbers. At the
minute, three out of four people are getting the
vaccine. If we could replicate that around the
country, that would be fantastic,” he says.
  He explains that the biggest factor in
improving the take-up is changing mindsets.
  “After the swine flu vaccinations in 2008,
attitudes towards vaccinations were thrown
into the air because some people felt sick
afterwards. But we have definitely made a
difference here. We have great support and
have a few champions that go around and ask
colleagues ‘so did you get yours? A physio just
came to me this week to say they had been
promoting throughout their department and
were 100pc behind it. It’s great to see people
feeling passionate about it too,” says Martin.
  He has spearheaded a very effective postering        not to get the vaccine by having clinics round     effects of the flu and the positive outcomes of
campaign to keep it fresh in staff minds.              the clock.                                         the vaccine. 70 or 80 people turned up for that
  “The feedback I have been getting is that my           “We ensure that we are readily available         talk and we had people who definitely weren’t
poster campaign is making a difference. I try          to give the vaccine when it suits people. We       going to get the vaccine leave the talk and said
to keep it current. For example, at the start of       have a clinic 7.30am to 4.30pm each day and        ‘yeah, okay, I’ll get the vaccine’.
the campaign, I had posters saying that the flu        we come in at weekends. We make sure it is           “I have the amazing support of my Director of
season was here. At Halloween, I had some that         available when people need it,” says Martin.       Nursing Adrian Cleary. He has given me carte
said ‘Say boo to the flu’ and ‘There’s nothing           The Lourdes vaccine promotion team meet          blanche to do what I need to do. The same
scary about the flu vaccine’,” he says.                on a regular basis to discuss the campaign         is true of our GM Fiona Brady. Work like this
  “Last week, I did a mock-up poster from the          and see what’s working or what needs to be         needs to be led from the top and that really
Usual Suspects. Now for Christmas, it will be          changed.                                           makes a difference.
something like ‘Don’t be on Santa’s naughty              “We are constantly re-evaluating the               “It really is all about teamwork. I am the
list this year’. It is about drawing people in and     campaign to make sure it stays fresh and the       figurehead or the catalyst but you can’t do
having a bit of a laugh with them, starting a          message is still getting out.                      anything without people themselves,” he adds.
conversation about it. You need to keep it light-        He was full of praise for the support given to
hearted because you can’t force it.”                   the campaign by senior management and staff.
                                                                                                          Staff from Our Lady of Lourdes Hospital in
  And the vaccine champions in the hospital              “Dr Justin Lowe, the infectious disease          Drogheda who have supported the flu vaccine
have been making sure staff have no excuse             consultant, gave a talk to staff about the         campaign there.

                                                                                                                     2018 winter health matters         
Christmas Celebrations - St Vincent's residents get in festive mood martin a flu champion - HSE
You
   Section

resource Rooms empower peo
“They are only little things, but every little thing
is one thing less that I have to think about and
worry about”
                EVENTEEN Memory Technology
                                                           Each person is
   S
                Resource Rooms (MTRRs) have
                opened across the country, with            different, so each
                six more to open by the end of
                2018. These rooms are designed
                                                  visit will be tailored to
to showcase a wide variety of ‘assistive          their needs. It’s all about
technologies’ and supports for people with
memory difficulties, including dementia, and
                                                  empowering people to
their families.                                   engage in meaningful
  Supporting people with memory difficulties
to continue engaging in daily tasks has a
                                                  activities
hugely positive impact on maintaining their
independence and improves quality of life.        service is free of charge. Following their visit,
  Joyce Jones, Senior Occupational Therapist      families may then decide to purchase any
and Dementia Champion, runs the Memory            equipment they feel might be helpful. With
Resource Room at St Columcille’s Hospital.        guidance from the Occupational Therapist
Joyce explains what people can expect when        about the most appropriate and useful
they visit.                                       equipment specific to their needs, costs are
  “Each person is different, so each visit        kept to a minimum. There is also a loan facility
will be tailored to their needs. It’s all about   in operation in some rooms for people to borrow
empowering people to engage in meaningful         equipment and try it out at home to make sure
activities, therefor enhancing their quality      it works for them before they purchase it.
of life. Our Memory Resource Room is                 Tony cares for his wife Kallie and explains
very homely and welcoming so visitors             the difference that simple technologies make
immediately feel at ease,” says Joyce.            to their lives.
  “At the visit we will discuss and assess the       “There’s no two people the same, there’s no
person’s memory strengths and weaknesses          two carers the same, and there’s certainly no
and areas where they are experiencing             two people with dementia the same. These
difficulties. Common challenges can include;      technologies are only little things, but every        medication, speaking clocks and watches,
remembering plans for the day, feeling            little thing is one thing less that I have to think   orientating devices and lots more.
overwhelmed by digital technology like            about and worry about. Kallie loves music               In most cases, very simple and inexpensive
phones and remote controls, forgetting where      and has been jiving since she was born! We            solutions enable people with memory
things are and safety concerns. We will then      found a little speaker with a USB port that I         difficulties to do things by themselves for as
recommend and provide a demonstration of          have uploaded 700 songs to and we take it             long as possible. Quality of life ideas such as
simple equipment that can enable someone          everywhere so that Kallie can sing away and           a life history book, talking photo album or a
to keep doing the everyday tasks that are         enjoy the music.”                                     personalised memory box can also make a
important to them. We also offer emotional           Jacinta cares for her mother who is in her         difference to people living with dementia and
support and recommend other services              80s and loves the independence of living alone.       memory difficulties.The Memory Technology
available in the community.”                         “Things that support a person’s                    Resource Rooms have examples of these and
  The recent launch of the MTRR at St             independence - I think that’s what Mum most           advice on how to put them together.
Columcille’s Hospital was attended by             values. My mother lives alone and she values            The Minister for Health welcomed the roll
Minister for Health Simon Harris, health          her independence very much. She also values           out of MTRRs across the country.
service staff, staff who run the service at       her lifestyle, she loves her garden, she loves          “I am delighted that the Dormant Accounts
Loughlinstown and the other MTRRs across          her kitchen, she has lots of family in and out.       funding secured by the Department of
the country, and individuals and families who     We came along to the Memory Room with                 Health in 2016 and 2017 has facilitated
have previously visited the Memory Resource       Mum and had a look around and we were                 the establishment of Memory Technology
Room and found new ways to manage their           really intrigued.”                                    Resource Rooms in each Community
day-to-day challenges.                               Assistive Technology (AT) refers to                Healthcare Organisation across the country.
  It can be much easier to be independent and     equipment that enables someone to complete            By the end of the year we will have 23 of these
safe within your own home when you have           a task to maintain their independence, help           fantastic services fully operational. I would
the right supports and equipment. Memory          manage risks at home and reduce stress for            really urge families who have any concerns
Technology Resource Rooms are a welcoming         carers. Typical equipment on display in the           about memory difficulties to make an
and safe environment for clients and their        Memory Technology Resource Rooms include              appointment to visit their local Memory Room,
families to discuss any challenges they are       push button reminders, easy to use remote             which is free of charge. It’s the little things like
encountering in their day to day lives. The       controls, radios and phones, prompts to take          the support available in these Memory Rooms

 10 health matters winter 2018
ople with memory difficulties

  that can make such a big difference to daily
  life,” he said.
     Michael Fitzgerald, AND, Older People
  and Palliative Care Strategy, HSE said,
  “The MTRRs are an integral component in
  supporting the safety and independence
  of people with memory difficulties living in
  our community. The MTRRs in conjunction
  with other HSE and voluntary services
  aim to maximise the potential of Assistive
  Technology and support people living with
  memory difficulties and their carers to benefit
  from this technology.”
     The MTRRS were modelled on the original
  Memory Technology Library in South Tipperary
  which is part of the Genio funded five steps to
  Living well with Dementia project.
     People with memory difficulties, including
  dementia, and their family members can
  arrange to visit their local Memory Technology
  Resource Room free of charge. You can
  speak to your GP or Public Health Nurse,
  or make an appointment directly with your         ABOVE: Joyce Jones, Senior Occupational Therapist and Niamh Van Denburgh, Occupational Therapy
  local MTRR. A video showcasing the MTRR           Manager, St Columcille’s Hospital, Michael Fitzgerald, HSE Older People & Palliative Care Strategy,
                                                    Simon Harris TD, Minister for Health, Niamh Groome, Occupational Therapy Manager and Linda O’Leary,
  in Loughlinstown along with details of all the
                                                    General Manager, St Columcille’s Hospital. TOP OF PAGE: Photographed at the opening of the MTRR in
  MTRRs across the country can be found at:         St Columcille’s Hopsital, Kallie, who cares for her mother, chatting to Minister Harris about how the MTRR
  www.understandtogether.ie                         has helped her family.

                                                                                                                       2018 winter health matters         11
You
   Section

Trish aw bike at nu rsi ng ho me
residents get to feel the
wind in their hair again
                ursing home residents were

   N
                able to feel the wind in their hair
                once again thanks to the rollout
                of an exciting new project that
                saw Belvilla Community Unit
get its own trishaw bike.
  Belvilla is one of the first HSE Community
Nursing Units in Ireland to lead the charge
and implement this innovative scheme. They
teamed up with Cycling without Age and
Zendesk to obtain the sponsorship for the
trishaw.
  Now the residents, many of whom haven’t
been out of the unit in a long time, have been
given the opportunity to get out and about and
see how their local community has developed.
It also allows them to foster relationships
with volunteers and tell their stories of life in
Dublin.
  As a dementia champion, Senior
Occupational Therapist Aoife Tighe can attest
to the breadth of research on the benefits of
engagement in meaningful activities, social
interaction, and maintaining contact with the
community for people with dementia and the
few trishaw outings that residents at Belvilla
had to date have confirmed that.
  “There is lots of anecdotal evidence on
the efficacy of the project itself in terms
on wellbeing and quality of life, and formal
research projects are currently being
                                                              She tells me that                         particular fancy to Ed and was keen to tell
                                                                                                        him she’d be ‘a great catch as I have a good
undertaken overseas,” said Aoife.                             she ‘always says                          pension’!
  “We have taken trips along the canal and
really enjoy heading through the Tenters
                                                      yes to an adventure’ and                            “Having been out several times with Betty,
                                                                                                        I can see the benefit she gets from these
to Weaver Park, ending up in a shaded spot            loves getting out as it                           opportunities. She particularly enjoyed our
to enjoy some people-watching and ice-
cream. Children and dogs find us particularly
                                                      ‘gives me freedom’                                last trip which went past her old bus stop.
                                                                                                        This led to some lovely reminiscing about
fascinating and come over to have a closer                                                              walking through to her job on Grafton Street
inspection. We’ve also had fun sitting in the                                                           and prompted her to say ‘I haven’t been here
sun listening to the bells of the Cathedral in        on numerous projects,” Aoife explained.           in years, the park looks great and I remember
St Patrick’s park and chatting to tourists about        She revealed that one of the nursing home       this place well’,” said Aoife.
our ‘contraption’.”                                   residents, Nancy, has struck up a great             “Kathleen also loves the trishaw and is
   She explained how the link-up with Zendesk,        friendship with Morgan, one of the Zendesk        keen to go out on every trip. As soon as she
an international IT company, came about.              volunteers.                                       hops off she asks to ‘go again soon’. She
  “I approached Clara Clark from Cycling                “They have much in common having                particularly enjoyed our recent spin through
Without Age after seeing one of the trishaws          both lived in Toronto, and Nancy worked           the Liberties as she lived there for many
being launched on the evening news. Luckily           in computers there too. Nancy is a great          years. She said she felt ‘like the Queen’
for us she had been in contact with Zendesk           conversationalist and has been regaling us        waving at old neighbours and having people
who were looking to sponsor a bike in Dublin          with wonderful stories along the way. She         look in amazement at the trishaw. Speaking
and allow their staff to volunteer. Their             really sparkles when she gets this opportunity.   afterwards she acknowledges that she ‘loves
headquarters are on Charlemont on the canal           She tells me that she ‘always says yes to an      to get out as much as I can’ and the trishaw is
so we were a perfect fit. Zendesk have a very         adventure’ and loves getting out as it ‘gives     another way to facilitate this.
robust Corporate Social Responsibility (CSR)          me freedom’,” said the occupational therapist.      “Speaking for myself and the volunteers,
ethos. They sponsor several bikes around the            Betty, another residents, was absolutely        we have also really enjoyed taking part
world already and their staff take time out           delighted to have two gentlemen escort her        in this project. I have to admit it is a real
during their working week to volunteer off site       out on her trip – Morgan and Ed. She took a       highlight for me.”

 12 health matters winter 2018
HSE and council
                                                                                                 staff get on their
                                                                                                 bikes for trips
                                                                                                 along river lee
                                                                                                 RESIDENTS from the Farranlea Road
                                                                                                 Community Nursing Unit in Cork city have
                                                                                                 been enjoying getting out and about as they
                                                                                                 are brought on bicycle trips on the banks of
                                                                                                 the River Lee.
                                                                                                   A joint initiative between Cork Kerry
                                                                                                 Community Healthcare and Cork County
                                                                                                 Council led to the purchase of a Triobike for
                                                                                                 the long-stay facility.
                                                                                                   The Triobike is like rickshaws, and allows for
                                                                                                 a cyclist to take one or two passengers for
                                                                                                 enjoyable trips.
                                                                                                   The project part of the worldwide ‘Cycling
                                                                                                 Without Age’ initiative which began in
                                                                                                 Copenhagen seven years ago, and the
                                                                                                 Cork Triobike is believed to be one of five
                                                                                                 operating here in Ireland.
                                                                                                   Staff from the HSE and the nearby Cork
                                                                                                 County Council offices act as pilots on the
                                                                                                 bikes, bringing residents of the community
                                                                                                 nursing unit on trips on a loop which includes
                                                                                                 the nearby Lee Fields.
                                                                                                   The headquarters of Cork County Council,
                                                                                                 County Hall, is located across the road
                                                                                                 from the entrance to the Farranlea Road
                                                                                                 Community Nursing unit.
                                                                                                   The initiative allows residents the chance
                                                                                                 to have some fresh air and enjoy the scenery
                                                                                                 around the beautiful River Lee.
                                                                                                   The volunteers from the HSE and Cork
                                                                                                 County Council have also found that their
                                                                                                 own health and wellbeing has benefited,
                                                                                                 while staff at Farranlea Road have also
                                                                                                 noticed significant benefits for the residents
                                                                                                 of the facility.
                                                                                                   More details on Cycling Without Age are
                                                                                                 available on cyclingwithoutage.ie

                                                                                                LEFT: Nancy with Morgan, a Zendesk volunteer,
                                                                                                during one of their trips out on the Trishaw.
                                                                                                FAR LEFT: Bellvilla resident Nancy with Ed and
                                                                                                Morgan, two of the volunteer Trishaw riders.

  She highlighted the amount of work that     ‘train the trainer’ training, liaising with our   been possible without the support of the
has gone into getting this project to this    insurance underwriters, writing a volunteer       DSC Primary Care OT managers and the
point.                                        handbook, shepherding volunteers through          management team of Bellvilla Community
  “There has been a lot of work undertaken    vetting, cultivating volunteer relationships      Unit. We are very grateful for the partnership
from the ground up - marketing ourselves to   and, of course, raising awareness and interest    with Zendesk and Cycling without Age and
Cycling without Age and Zendesk to obtain     in the residents and their families.              the wonderful way it has impacted on our
sponsorship, undergoing pilot training and      “This quality initiative would not have         residents,” Aoife added.

                                                                                                            2018 winter health matters 13
You
   Section

Get the va ccin e
Simple
whooping
cough
vaccine
helped
protect
my baby
and me
                rotecting your baby from

   P
                a serious and potentially fatal
                illness is easy.
                   When Dr Elyce McGovern,
                Senior Medical Officer in Public
Health Medicine in the HSE South East, became
pregnant, she explains that she got the whooping
cough vaccine, emphasising the importance of
pregnant women being vaccinated.
  “A few years ago I was working as a junior
doctor in paediatrics and was involved in the
care of several very young babies who were
unwell with whooping cough. Unfortunately
some of them became seriously unwell and
had long hospital stays,” says Elyce.
  “Years later when I became pregnant with
my first little boy, I was so happy that I could
do something to protect him from whooping
                                                           The disease is        The best way to prevent whooping cough is
                                                                               through vaccination. Whooping cough vaccine is
cough. While I was pregnant I got the                      most serious        recommended for all pregnant women during
whooping cough (pertussis) vaccine from my
GP and am happy to say he was protected.
                                                   in babies less than six     each pregnancy. The vaccine should be given
                                                                               between 16 and 36 weeks of pregnancy to give
  “I am now pregnant again and got my              months old and many         the best protection to each mother and her baby.
pertussis and flu vaccines. It’s really good
knowing that taking a few minutes to get a
                                                   of these babies are           The vaccine is safe and effective for
                                                                               pregnant women and is recommended for
simple vaccine will help protect my baby and       admitted to hospital with   pregnant women in other countries including
me from these very serious illnesses.”
  Dr Sean Denyer, interim head of the HSE
                                                   complications such as       the UK, US, New Zealand and Australia.
                                                                                 “You should talk to your GP to arrange
National Immunisation Office, highlights           pneumonia and seizures      vaccination. The whooping cough (pertussis)
the fact that whooping cough is a highly                                       vaccine is administered free to all pregnant
contagious illness that can be life-threatening.                               women when given between 16 and 36 weeks
  “The disease is most serious in babies less                                  of pregnancy. The vaccine will protect your
than six months old and many of these babies                                   baby during the first few months of life and
are admitted to hospital with complications                                    it is important also that your baby gets the
such as pneumonia and seizures,” he says.                                      routine childhood vaccines - which include
  The Health Protection Surveillance Centre                                    whooping cough (pertussis) vaccine) - on time
(HPSC) reported 91 cases of whooping cough                                     at two, four and six months,” says Sean.
in the first nine months of this year. The                                       “We have a lot of information about
majority of cases were in babies less than six                                 whooping cough and the vaccines available
months of age who are too young to be fully                                    to protect you and your baby on our website
vaccinated.                                                                    – www.immunisation.ie.”

 14 health matters winter 2018
Daughter Lisa’s new book hon ours her father’s lega cy
Gerry Collins –
the man who moved a nation
                 e inspired over a million quit

   H
                 smoking attempts and now the
                 legacy of Gerry Collins has been
                 immortalised in a new book.
                   Lisa Collins has just published
‘The Man who Moved the Nation’ about her
father and what it was like to be at the centre
of national campaign which inspired people to
quit smoking.
  Gerry was one of three people featured in
the QUIT campaign’s films and TV adverts,
telling his story of recovery from tobacco-
related throat cancer.
  In summer 2013, Gerry contacted the HSE to
let us know that, sadly, he had been diagnosed
with terminal lung cancer. Gerry wanted to
share his story to inspire other people to quit
smoking help them to avoid the pain of illness
and premature separation from their loved ones.
  Gerry and his family shared an insight into
their family life, and into how they coped with
and reacted to Gerry’s diagnosis.
  In her book, Lisa writes about this period in
her life and the life of her family as they came
to terms with the diagnosis, as filming for the
                                                                So I guess I just                        we didn’t realise how far it would reach or how
                                                                                                         successful it would be. People came to us and
ads began and the campaign was launched. This                   wanted to say to                         told us, ‘hey I know you don’t know me but I just
account of the final months of Gerry’s life is
both heartbreaking and inspiring, and shows the
                                                      people that it is okay to feel                     wanted to get in touch. I saw your dad’s ads and
                                                                                                         I’ve been smoking for 20 years and now I’ve quit’.
heart and resilience of his daughter and family.      like it’s hard because it is                       It was unbelievable to see those stories rolling in
  Gerry’s ads had an extraordinary impact. Thanks
to the generosity of Gerry and his family, the ads
                                                      hard and I really wanted to                        from people of all ages,” she said.
                                                                                                            Lisa explained her reasons for writing the book.
remained on air for three years after Gerry died      honour Dad and everyone                               “I hoped it would resonate with other people
and inspired many people to quit for good. We are
incredibly grateful to Gerry and his family for the
                                                      in the campaign and what                           who have minded people with cancer. I think I
                                                                                                         wanted to get across to people was that it was
extraordinary gift which they gave to people who      they had achieved and                              okay to find it hard when you are minding that
smoked and their families.
  Together they have changed many lives for the
                                                      encapsulated everything                            person with cancer because you feel like at
                                                                                                         times that you don’t have a right to feel like it’s
better.                                               in one document                                    hard for you because they are so sick.
  The HSE released a video tribute to Gerry                                                                 “So I guess I just wanted to say to people that
Collins and his family who have inspired over                                                            it is okay to feel like it’s hard because it is hard
1.3 million quit attempts through their bravery                                                          and I really wanted to honour Dad and everyone
and generosity.                                                                                          in the campaign and what they had achieved and
  In the video, Lisa Collins and her sister Ciara                                                        encapsulated everything in one document.”
talk about what it was like to be involved in a                                                             As well as making a huge impact in Ireland,
national campaign which has changed so many                                                              Gerry’s ads have been used across the world.
lives for the better.                                                                                    To date, the ads have been used in Northern
  “I suppose when Dad first told us about the                                                            Ireland, New York, Canada and Australia.
campaign, I was a little bit hesitant at first. But   were amazing but what made it really personal         Most recently, Vermont’s Department of
he was so certain that this campaign was the          for us was when we received these really lovely    Health has contacted the HSE about Gerry’s ads
way to go, that it had to happen and he was so        stories from people sharing their cancer stories   as part of a quit smoking campaign. It is planned
passionate about it. If even one person stopped       with us. People were sharing news of a loved       that these ads will air in Vermont in 2019.
smoking because of this then it would have all        one who’d stopped smoking or they themselves
been worth it for him,” said Lisa.                    had stopped smoking so it was really lovely.”
  “We know the campaign was hugely impactful            Her sister Ciara admitted that the campaign
                                                                                                         Fidelma Browne, Head of Programmes and
and the statistics were coming in and the             success was ‘quite surreal’.                       Campaigns; Lisa Collins; and Patrick O’Donoghue,
numbers of people who were stopping smoking             “Although we knew it was a national campaign,    Mercier Press, at Lisa’s book launch.

                                                                                                                     2018 winter health matters 15
You
   Section

Vi cto ry at the In terfirm s Blitz
Ladies bring the silverware
back home to Waterford
               taff at University Hospital                                                            lots of fun along the way! We are already

   S
               Waterford showed that they                                                             looking forward to next year’s competition and
               excel on the pitch as well as on                                                       hoping to go one better and claim the Ladies
               the wards, labs and theatres as                                                        Gaelic Football Team Interfirms Cup.”
               they became the first hospital                                                           The team on the day were: Áine Ní Mhéalóid,
or HSE service in the country to take part                                                            captain – Ophthalmology SpR; Philomena
in – and win - the Ladies Gaelic Football                                                             Fogarty – Physiotherapist; Ann-Marie
Association Interfirms Blitz.                                                                         Ryan - Quality Officer, Blood Transfusion
  The hospital’s first ever Ladies Gaelic                                                             Laboratory; Eimear Bartley – Nursing Student
football team did themselves and the hospital                                                         Medical 4; Nicole Creedon – Nursing Student
very proud, in winning the All Ireland LGFA                                                           Medical 5; Marie Doyle – ANPc Older Persons;
Interfirms Shield in Portmarnock.                                                                     Úna O’Brien, Nurse Practice Development
  On the day, the team played six round                                                               Coordinator; Niamh Foley – Surgical SpR;
matches against the following companies:            training four weeks before the big day.           Miriam O’Callaghan – Occupational Therapist;
  1st match: Glanbia - draw                           “Well done to everyone who took part. It        Catherine Murphy – Occupational Therapist;
  2nd match: Meagon International – win             was a great multidisciplinary effort by staff     Mairead Hanrick, CNM2 CCU; Michelle
  3rd match: Irish Prison Service – win             from across the hospital, to firstly field a      Slattery, Staff Nurse, CCL; Joe Murray, team
  4th match: St Kevin’s CC, Dunlavin,               team and then to go on, play competitively,       manager - Technical Services Department;
Co.Wicklow – win                                    give a fantastic account of ourselves and - to    Ann Prendergast, assistant manager -
  5th match: AIB – loss                             top it off – travel back to University Hospital   Physiotherapist; Cliona Rafter, T-shirt design
  6th match: An Garda Síochána – loss               Waterford with some silverware,” said team        -CNM2 Nurse Practice Development Unit.
                                                    member Úna O’Brien.
  Based on their results in the matches, they         “Specially designed T-Shirts were worn on
qualified for the Shield Final. After a tough       the day, which received a great reception by      Back (l-r): Joe Murray (Manager), Catherine
battle with the Irish Prison Service ladies, they   other teams taking part in the competition.       Murphy, Nicole Creedon, Mairead Hanrick, Niamh
                                                                                                      Foley, Marie Doyle and Miriam O’Callaghan. Front
won 2-1 to 1-3.                                     For everyone that was involved – we now all
                                                                                                      (left to right): Philomena Fogarty, Eimear Bartley,
  There were scenes of delight with the             know a dozen more staff than what we did          Michelle Slattery, Áine Ní Mhéalóid, Ann-Marie
victory, given that the team only started           four weeks before our match and have had          Ryan and Úna O’Brien.

 16 health matters winter 2018
Help fu l an d prac tical ad vi ce giv en
Great reaction at HSE’s
ploughing presence
               HSE services joined forces at

 13
               this year’s national Ploughing
               Championships, which took
               place in September 2018
               in Tullamore. Over 35 staff
worked tirelessly over two days giving
practical, helpful answers to any visitor’s
questions on health entitlements and
services.
  “We assisted and responded to hundreds
of queries daily including dementia,
alcohol, quitting smoking, sexual health,
healthy eating, sephsis and medical card
entitlements and all our visitors were
genuinely pleased to get the information
they required. There was a great sense of
camaraderie among the staff present; they
were all very supportive of one another and
referred the visitors on to related specialties
present for added advice,” says Norma
Deasy, Communications Campaign Manager.
  HSELive was present for the first year
and Geraldine Charman, Team Manager
commented, “Many visitors were interested
in finding out about HSELive, an information
                                                  HSE staff meet the public at the Ploughing Championships.
service on how to access health services,
who qualifies for HSE health services and
where to find information about health.
Materials were distributed to visitors on
contacting HSELive through telephone, live
chat, email and twitter.”
  A dietician was present daily providing
advice on the prevention and management
of type 2 diabetes. One in 12 people in
Ireland over the age of 50 are known to
have this illness and those attending the
ploughing were invited to sign up for a
course, which helps people to manage
their condition and live as healthy a life as
possible.
  Given the prevalence of skin cancer among
those working in farming and construction
industries, (one in 4 deaths according to
the Irish Cancer Society), Dermatology
Nurse Specialist Selene Daly and a team
of clinicians from Sligo University Hospital
worked the crowd. They were busy                    According to Selene, “Despite being the           support with that battle.
delivering the best advice for those who          most common cancer in Ireland, skin cancer            Screening service staff were available for
have a fair complexion and are prone to           can be prevented.”                                  advice on Diabetic Retina Screen and Bowel
sunburn, which is to follow the Irish Cancer’s      The START campaign staff chatted to               Screen.
‘SunSmart Code’, to:                              parents and guardians of children aged                They invited eligible visitors to register for
  • seek shade between 11am and 3pm               between 6 months and 12 years of age.               a bowel screen, which offers a free home
  • cover up using long sleeve clothing           They were encouraging them to try and               test to men and women aged 60 to 69 and
  • wear sunglasses and a wide brim hat           get one daily win with healthy family meals         a diabetic retinal offering regular diabetic
  • use a high factor sunscreen with SPF 30       or physical activity and pointing them to           retinopathy screening to people with
    or 50                                         the website makeastart.ie to get help and           diabetes aged 12 years and older.

                                                                                                                 2018 winter health matters 17
You
   Section

HSE Staff leading
culture change
“You don’t have to see
the whole staircase,
just to take the first step.”
- Martin Luther King
              alues in Action is a social

   V
              movement leading the culture
              change throughout the health
              service, and committed to
              learning every step along the way.
While we might not see the whole staircase yet,
we are making good progress. Here is an update
on how things are going and a snap shot of the
results from our 2018 surveys.
                                                                                                    Department of Psychiatry, Connolly Hospital
Big news
Values in Action has been selected to                                             VALUES
                                                                                  VALUES IN
                                                                                         IN ACTION
                                                                                            ACTION
give an onstage presentation at next year’s
                                                            PERSONAL
                                                            PERSONAL                  WITH
                                                                                      WITH COLLEAGUES
                                                                                           COLLEAGUES             WITH
                                                                                                                  WITH
                                                                                                                  WITHPATIENTS
                                                                                                                       PATIENTS
                                                                                                                       PATIENTSAND
                                                                                                                                AND
                                                                                                                                ANDSERVICE
                                                                                                                                    SERVICE
                                                                                                                                    SERVICEUSERS
                                                                                                                                            USERS
                                                                                                                                            USERS
BMJ/Institute of Healthcare Improvement,
International Forum on Quality and Safety              Am
                                                       Am II putting
                                                             putting myself
                                                                        myself           Acknowledge
                                                                                         Acknowledge
in Healthcare (March 27th – 29th 2019,                                                                                     Use
                                                                                                                           Use my
                                                                                                                                my name
                                                                                                                                   name
                                                              inin other
                                                                   other                   the
                                                                                           the work
                                                                                                work                      and
                                                                                                                          and your
                                                                                                                               your name
                                                                                                                                    name
Glasgow). This is a highly competitive field            people’s
                                                        people’s shoes?
                                                                      shoes?          of
                                                                                      of your
                                                                                         your colleagues
                                                                                               colleagues
and we are honoured to be accepted. Last
year, Values in Action attended with a poster
presentation. This was well received, as culture
change is currently a key focus in healthcare          Am
                                                       Am II aware
                                                             aware that
                                                                    that my
                                                                         my          Ask
                                                                                     Ask your
                                                                                          your colleagues
                                                                                               colleagues            Keep
                                                                                                                     Keep people
                                                                                                                          people informed
                                                                                                                                   informed ––
internationally and our model - Viral Change           actions
                                                        actions can
                                                                can impact
                                                                     impact              how
                                                                                         how you
                                                                                              you can
                                                                                                   can                  explain
                                                                                                                         explain the
                                                                                                                                 the now
                                                                                                                                      now
- is unique in this forum.                          on
                                                    on how
                                                       how other
                                                            other people
                                                                  people feel?
                                                                          feel?           help
                                                                                           help them
                                                                                                them                      and
                                                                                                                          and the
                                                                                                                               the next
                                                                                                                                    next
What’s been happening?
Our culture change effort is now well
and truly under way - comprising the                     Am
                                                         Am II aware
                                                               aware ofof my
                                                                          my              Challenge
                                                                                          Challenge                        Do
                                                                                                                           Do an
                                                                                                                               an extra,
                                                                                                                                  extra,
Mid West Community Healthcare; the UL                     own
                                                          own stress
                                                                stress and
                                                                        and            toxic
                                                                                        toxic attitudes
                                                                                              attitudes                     kind
                                                                                                                            kind thing
                                                                                                                                 thing
Hospitals Group; the Centre (staff who                  how
                                                        how II deal
                                                                deal with
                                                                     with it?
                                                                           it?         and
                                                                                       and behaviours
                                                                                            behaviours
report nationally); Community Healthcare
Organisation Dublin North City & County;
and most recently Doctors for Values in
Action. Values in Action is being led by staff     All in a Week’s Workwww.hse.ie/valuesinaction
                                                                                           beginning
                                                                       www.hse.ie/valuesinaction
                                                                        www.hse.ie/valuesinaction       of the week. The community
                                                                                                 @HSEvalues
                                                                                                  @HSEvalues
                                                                                                  @HSEvalues
from across all disciplines and backgrounds        All in a week’s work was a week to            of champions in the Mid West has been
in these areas. These staff members are            celebrate our progress to date and a chance   steadily growing over the past two years,
nominated by their peers as trusted and            for colleagues to make a difference in        and All in a Week’s Work engaged staff
influential members of the service who             shaping the culture in the health service.    from across the service areas. Champions
have the power to create new ‘norms’ and           During this week, colleagues checked how      were leading all of this from the beginning
shape the culture in their workplaces for the      visible the behaviours were in their work     of the week to the end. On busy wards and
better. It’s a bottom-up approach to creating      places and acknowledged when they saw         corridors staff were seen picking up their
a culture change led by staff. We now have         others living the behaviours. Over the        behaviours of the day and telling each other
over 1,300 peer-nominated staff actively           course of seven days in October, there was    how they were going to make them really
working to improve the culture in their area.      a series of happenings, a meaningful mix of   visible to each other for the rest of their
                                                   activities and gatherings across the areas    day’s work together. The more activities
                                                   where Values in Action is live.               that happened, the more staff seemed

       The more activities                         UL Hospitals Group and Mid
                                                                                                 to want to get involved. From cardiology
                                                                                                 units, to ED teams to community care
       that happened,                              West Community Healthcare                     centres, staff were demonstrating creative

the more staff seemed                              In UL Hospitals Group and Mid West
                                                   Community Healthcare, where it all began,
                                                                                                 adaptions of all the activities.
                                                                                                   One colleague took one of the behaviours
to want to get involved                            there was a flurry of activity from the       and pinned it to her dashboard so she could

 18 health matters winter 2018
Values in Action Champions, Stewarts Hospital, Dublin

stay aware of her stress and how she dealt       Community Healthcare
with it while she went about her community       Organisation Dublin North
visits. A member of catering staff penned        City & County
a rap to his colleagues about how much           Values in Action began in Community
they look out for each other every day.          Healthcare Organisation Dublin North City &
A member of the cleaning staff took the          County (DNCC), in 2018 and
time to write to the theatre nurses and          the social movement is spreading with great
consultants she has worked with for the          enthusiasm. The nine behaviours are creating a
past ten years to thank them for always          stir and plenty of staff are curious
making her feel part of the team.                and talking about the desire to enhance the
                                                 culture of the HSE.
THE CENTRE                                          DNCC really got stuck into All in a Week’s
Colleagues were seen focusing on the             Work. They put their own stamp on activities
behaviours and practicing them by joining        and used this as an opportunity to highlight
in with the activities.Chain reactions of        Values in Action.
helpfulness were started and continued as           There was a buzz of activities across the
colleagues leaned in to offer an unexpected      region, from St Ita’s in Portrane to the Early
helping hand and then asked that the             Intervention Service on the Navan Road. St
gesture be paid forward.                         Mary’s in Phoenix Park were very busy with
  Stories were told and shared about             storytelling sessions, behaviour lucky dips
memorable moments when an experience             –where you got to pick out a behaviour and live
of the impact of the nine behaviours stayed      it for the day. The Psychiatric Unit in Connolly        A Values in
with us. All of this was done with a spirit of   Hospital, Blanchardstown held Values in Action          Action Story
peer to peer involvement.                        information sessions and mindfulness sessions
  As one of our Champions put it, “It            for staff, linking this to the behaviour: Am I          “In the building I work in, we were
doesn’t matter if you are in admin, or on        aware of my own stress and how I deal with it?          discussing how we could take part in
the front line, whether you are sweeping                                                                 #allinaweekswork and the logistics of
the floors or running the organisation,          In the Champion’s shoes                                 involving as many people as possible.
everyone can adopt these behaviours              Champions want senior leaders to know                     Someone commented that our
easily through self-reflection and               about their role as a Champion and their                colleagues in payroll were very busy,
contribute to improving experiences for          efforts to help shape the culture of the                putting in very long hours and that maybe
staff and clients on a daily basis.”             health service. As part of All in a Week’s              they wouldn’t be able to join in due to
  Colleagues spoke about how All in a            Work, senior leaders took the time to meet              deadlines.
Week’s Work brought staff from a diverse         with them and learn about how they are                    That was when we decided we would
mix of roles and functions together and how      spreading the nine behaviours through peer              ‘Put ourselves in other people’s shoes’
the activities and happenings helped them        to peer conversations and actions.                      and highlight the behaviour, ‘Acknowledge
put names to faces. Some felt that this was        Tiny moments that matter when stitched                the work of your colleagues’ during
improving morale and establishing working        together form the cultural fabric of a health           #allinaweekswork.”
relationships.                                   service that’s improving itself from the inside out.

                                                                                                                  2018 winter health matters 19
You
  Section
                                                                                                                                                        VALUES IN ACTION 2018
                         VALUES IN ACTION 2018 2018                                     Champion Survey Results                                         CHAMPION SURVEY RESULTS
                         CHAMPION SURVEY RESULTS
                         www.hse.ie/valuesinaction
 UL Hospitals Group and Mid West
CommunityMIDWEST
            Healthcare 2 years on
                                                                                        Values in                                                       www.hse.ie/valuesinaction

                                                                                                                                                  Centre 1 year on

                                                                                        Action is
                                                                                                                                                        CENTRE

          Our behaviours are embedding                                                                                              Our 9 behaviours are spreading
             Champions told us how they live the behaviours

                                                                                        making a
                and what they see their colleagues doing

                                                                                                                                  2 in 5                 4 in 5                1 in 2                3 in 5
  27%                                      2 in 3

  are more likely to see our
  colleagues consider the impact
  of their actions on others
                                           staff are seen putting themselves
                                           in other people’s shoes by
                                           their colleagues
                                                                                        difference                                 Are putting
                                                                                                                                themselves in other
                                                                                                                                  people’s shoes
                                                                                                                                                        Are self-aware of
                                                                                                                                                        their own stress
                                                                                                                                                       and actively doing
                                                                                                                                                        things to relieve
                                                                                                                                                                            Half have challenged
                                                                                                                                                                             toxic attitudes and
                                                                                                                                                                                behaviours in
                                                                                                                                                                              their workplaces
                                                                                                                                                                                                   Are explaining the
                                                                                                                                                                                                   now and the next

                                                                                                                                                           their stress

     27%since
        2016                                                              23% since
                                                                              2016      Values in Action is already                   16%                    8%                    16%                   12%
                                                                                        showing very promising
                                                                                        results. We have learned
8 in 10                                                     In 2016 half of our
                                                   colleagues were described            that there is a significant
colleagues in 2018 are seen                              as having little or no
                                                                                                                                      We are creating more positive
to be aware of their own                             awareness of their stress
                                                                                        appetite amongst staff
stress and actively doing
things to relieve it
                                                             levels and how it
                                                                                                                                         working environments
                                                        affected other people
                                                                                        to support and lead this
                                                                                        movement throughout the             75%                                                                         47%
           We are creating more positive                                                health service.
              working environments                                                        To learn what is changing
                                                                                        in the culture and at what
2 years ago less                                                    2 years ago less
than 4 in 10 of us                                                 than 6 in 10 of us   rate, we carry out baseline        recognise when colleagues                                         say that their workplaces
regularly offered                                                          regularly
our colleagues
a helping hand
                                                                     acknowledged
                                                                        the work of
                                                                                        culture surveys for each           need support and ask
                                                                                                                           how they can help
                                                                                                                                                                                           regularly acknowledge the
                                                                                                                                                                                                   work of colleagues
                                                                         colleagues
                                                                                        service area at the outset          8%                                                                                          9%
Now that’s                                                               Now that’s

6 in 10                                                               9 in 10           and changes are tracked as
                        Extra acts of kindness are twice
                         as likely to happen since 2016                                 the programme progresses.                Demonstrating our improvement
                                                                                          To date, we have learned
                                                                                        that at the end of the first                     2 in 5                                                4 in 5
       Demonstrating our improvement                                                    year of Values in Action
                                                                                        the prevalence of the 9
                                               7 in 10
                                             are now taking the time
                                                                                        behaviours increases by an           think that their colleagues are                     are doing an extra kind thing
                                                  to explain the                        average of approximately           aware that their actions can impact
                                                                                                                                on how other people feel
                                                                                                                                                                               and hearing about colleagues also
                                                                                                                                                                                   doing an extra kind thing
                                       Now an� th� Nex�                                 10pc. By the end of the
                                           to patients and service users
                                                                                        second year, as we are                                  6%                                                 6%

                                                      39%                               currently seeing in the Mid
                                                                                        West, the behaviours begin
                                                      since 2016

                                                                                        to embed and become                                            9 in 10
             Our Champions’ community                                                   internalised as they start to
                    is growing                                                          become ‘the norm’ for how
                                                                                        things are done in that area.
                                                                                        DNCC did a baseline survey
                                                                                        in May 2018, and there will
                                                                                                                                              say that they recognise each other’s work by
                                                                                        be comparative data to                                  offering positive feedback and thanks for
                                                                                                                                                      support some or all of the time
                                                                                        share next summer.
                                                                                          If Values in Action has not
                      167 has mutiplied to         611
                                                                                        yet started in your area, keep                  Our Champions’ community
                                                                                        your eyes open to see when                             is growing
                                                                                        your workplace will become
                      HELLO my name is...                                               part of the social movement.
                                                                                        In the meantime, you can
                        It has become the norm to                                       follow the progress online at
                     ‘use my name and your name’
                                in interactions
                                                                                        www.hse.ie/valuesinaction
                                                                                        and on Twitter
                                 99%                                                    @HSEValues.                                               453 has mutiplied to                    523
                                                                     47% since
                                                                         2016
                                                                                          While we still have a
                                                                                        significant way to go in
                Challenge toxic attitudes                                               shaping the culture of
                     and behaviours                                                     the health service, we are                                    HELLO my name is...
                                                                                        encouraged by the progress
     65%                                                                                to date, led by staff, in
                                                                                                                                                       It has become the norm to
     now challenge colleagues when
     they experience unnacceptable
                                                                                        changing the culture                                    ‘use my name and your name’
     behaviour or relentless negativity
     and cynicism when they encounter it                                                through the Values in                                                    in interactions

                                                                                        Action behaviours.
         15%
                                                                                          Here’s to taking the next
                                                                                                                                                                    99%
                                                                                        steps of the staircase together.

        Together we are building
20 health a better health
          matters         service
                   winter 2018                                                                                                              Together we are building
                                                                                                                                             a better health service
‘Going blind terrified me
                                                                                                         annual appointments. The time you spend in
                                                                                                         the clinic might be the thirty most important
                                                                                                         minutes of your life, and the world never looks

but Diabetic RetinaScreen
                                                                                                         better than on the day you get a good result.”
                                                                                                           The HSE is urging anyone living with
                                                                                                         Type 1 or 2 diabetes in Ireland, aged 12

has eased all my fears’
                                                                                                         years and over, to make sure they register
                                                                                                         for free retinal screening on www.
                                                                                                         diabeticretinascreen.ie.
                                                                                                           Diabetic RetinaScreen has detected
When well-known journalist Philip Nolan was         but more came when the National Diabetic
                                                                                                         retinopathy in over 4,000 patients, many
first told he had Type 2 diabetes soon after his    RetinaScreen programme was rolled out.”
                                                                                                         of whom would not have known about the
50th birthday, his biggest fear was going blind.       Diabetic RetinaScreen – the HSE’s National
                                                                                                         disease until it progressed to a more critical
  Retinopathy, a common complication of             Diabetic Retinal Screening Programme offers
                                                                                                         stage without screening.
diabetes, is one of the leading causes of           free, annual screening for and treatment of
                                                                                                           Anyone with Type 1 or Type 2 diabetes is
blindness in the working age population in          diabetic retinopathy.
                                                                                                         at risk of developing diabetic retinopathy.
Ireland. However, it is largely treatable if           Philip now gets his eyes checked annually.
                                                                                                         Regular eye screening, using specialised
detected early through regular screening.              “An appointment card comes through the
                                                                                                         digital photography, can detect the condition
  Philip urged everyone to sign up to the           post and I go to the clinic in Bray, Co Wicklow.
                                                                                                         at an early stage, before any noticeable
National Diabetic RetinaScreen, insisting           The procedure is very simple. You fill out a
                                                                                                         symptoms or changes occur in sight. Any
that the few minutes you spend at your              form, have drops put in your eyes to widen the
                                                                                                         recommended follow-up investigation or
appointments there could be the most                pupils – it stings a little, but nothing to worry
                                                                                                         treatment of diabetic retinopathy is provided
important of your life.                             about - and wait 15 minutes or so, after which
                                                                                                         free of charge as part of the programme.
  “The thought of going blind terrified me.         high-resolution photographs are taken of your
                                                                                                           For more information or to self-register,
At the time, I booked a private appointment         retinas,” said Philip.
                                                                                                         call Freephone 1800 45 45 55 or visit www.
and was told that if I wasn’t sitting in front of      “It’s advisable to have someone drive you,
                                                                                                         diabeticretinascreen.ie. Diabetic RetinaScreen
the ophthalmologist, he wouldn’t know from          or take public transport, because your vision
                                                                                                         is part of the HSE National Screening Service.
the scans if I was 50 or 15,” explained the         can be blurred for several hours, though mine
                         newspaper columnist.       tends to readjust within an hour or so. If it’s
                               “Finding out that    a nice day, bring sunglasses, because the
                               my eyes still        brightness can be hard on the eyes.
                                were unaffected        “The whole procedure takes less than half
                                                                                                                  The time you
                                and actually in     an hour, and your results arrive in the post                  spend in the clinic
                                good shape was      a few weeks later. I’ve been lucky, in that all
                                such a comfort,     my scans have been clear - but I wouldn’t be
                                                                                                         might be the 30 most
                                                    without the comfort of knowing that my eyes          important minutes of your
                                                    are being monitored every year and also that,
                                                    if a problem arises, it can be dealt with.
                                                                                                         life, and the world never
                                                       “I strongly urge anyone with diabetes - Type      looks better than the day
                                                    1 or Type 2 - to make sure they’re registered
                                                    for Diabetic RetinaScreen and to keep their
                                                                                                         you get a good result

  Getting mucky
  for a cause
  On a very wet Saturday morning in October,
  Catherine Kelly, Case Manager, Children
  Complex Health Needs (CCHN) CHO1
  led a team of 20 people into the mud in
  order to raise funds for two very deserving
  charities – BUMBLEance and The Jack & Jill
  Foundation.
    A mud-run was something that Catherine
  had always wanted to do and decided that
  she wanted to mark a ‘significant’ birthday
  by doing something a little bit different and
  also help raise some much needed funds for
  these two charities. The services offered
  by these charities to children across CHO1
  are vital so Catherine opted to assist in a       Catherine Kelly and her colleagues and friends who took part int he mud run.
  small way as she has first-hand experience
  of how important these services are to many         A total of €1200 was raised to be divided         took part had a great time and can’t wait to do
  children and families in CHO1                     equally between the charities. Everyone who         it again next year!

                                                                                                                    2018 winter health matters 21
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