Connections July 2018 - NHS 70th - NHS Lothian

Connections July 2018 - NHS 70th - NHS Lothian

Connections July 2018 - NHS 70th - NHS Lothian

Careand Compassion Quality Teamwork Dignity and Respect Openness, Honestyand Responsibility THERAPY PONIES THE UNSUNG HERO WHY WE NEEDED THE NHS 6 8 9 The magazine for NHS Lothian staff celebrates 70 years of the service July 2018 I think the 70th anniversary is an opportunity to reflect on what we’ve done in the last 70 years. Back in the 40s there was this idea to create a service that allowed everyone access to high quality health care. I think over the last 70 years we’ve continued that commitment. It’s remarkable to me the advances that the NHS have made. Even from my career which started about 38 years ago. The positive impact we’re having on people’s lives everyday makes me proud! The technological advancements are one thing.We’ve seen the evolution of imaging technology including MRI, new interventional and other clinical procedures that have dramatically improved patient’s outcomes. More important to me personally is the advances we’ve made with our people. I think the NHS has provided a really great opportunity for people to learn, develop and care for patients in an environment that also conducive to their own wellbeing. Every day I’m presented with examples of our staff going above and beyond what they need to do to make people feel better. So I think the 70th anniversary is an opportunity to say to everybody - thank you! Thanks for your efforts, thanks for your work and thanks for making a difference in people’s lives! A message from Jim Crombie, Deputy Chief Executive, NHS Lothian 70 years of the NHS Connections is your magazine. If you’ve a story you wish to be considered or if you have feedback about the magazine please send (no more than 200 words) along with a high quality photo to Allan Benzies, or call 07713 088 010

Connections July 2018 - NHS 70th - NHS Lothian

2 Health and Wellbeing Groups While some areas are still developing their Health and Wellbeing groups it’s good to hear from one of the areas that are already up and running: The West Lothian Health and Wellbeing Group was created as a joint group between St John’s and West Lothian HSCP due to having so many staff working across acute and the community. The group have a mix of very active representatives from clinical and support service backgrounds, having an interest in improving the health and wellbeing of staff within their areas.They began by creating a wellbeing survey and then developed action plans around the results.Throughout the year they’ve put on poster campaigns such as promoting active travel, events like mindfulness sessions and every year they hold a Health and Wellbeing event where staff can come along and get information about all the activities.

As their area covers a range of staff, they tailor methods of distribution to meet their needs.They communicate by emails, posters are put up around key places and a Health and Wellbeing notice board in their main site.As some areas may not have regular access to email they send materials out to areas such as laundry and transport so they then put up the posters in their own area. They plan activities in St John’s Hospital and then replicate them at health centres/community hospitals across the West Lothian HSCP.This is to make sure that they are considering the needs of staff from all areas.The group also has strong links with West Lothian Council’s health promotion.

Every day we’re presented with examples of people highlighting issues and concerns. In NHS Lothian I believe we’ve really tried to create an environment that allows our people to be open and honest about their experiences. I firmly believe that a learning organisation should encourage its people to be able to talk about how well they’ve done and the differences they’ve made but when they’re concerned about something they should equally feel safe and supported to tell us about that too. I would once again formally and publicly commit our organisation and its leadership to work within a culture that demonstrates our values every single day!

One of the by-products of talking to you about this is I hope people will take a look at our values because that should offer an insurance to everyone that this is how we work, and where people feel individuals are not living up to our values I support them to point that out! When I think about staff, I think about the remarkable teamwork that is exhibited every day. I think about the dedication and resilience of our staff. Sometimes in the pressured environment we work in people can be anxious or concerned but you know what – it’s ok to put your hand up or go speak to your line manager and say “I don’t think this is right”. If speaking to a line manager is a wee bit too difficult there are others in the organisation that you can talk to.This is something the executive team are completely committed to. I want everyone to feel proud to be part of the NHS Lothian family and if we’re not getting it right then each one of our 25,000 staff should feel able to say so! Editors note: In most cases the easiest and quickest way will be to raise a concern is with your line manager (tutor or educational supervisor). If you don’t think it’s appropriate you can raise your concerns with your trade union, professional organisation or withoneofourwhistleblowingcontacts. If for any reason you don’t feel comfortable raising your concern internally you can seek advice from the national alert line.You can find all this information, including the Board’s whistleblowing policy, at Pages/HROnline.aspx Open culture Jim Crombie, Deputy Chief Executive, NHS Lothian Patients gardening, Royal Victoria Hospital, 1980s Computers in occupational therapy, St John’s, 1980s Teamwork

Connections July 2018 - NHS 70th - NHS Lothian

JULY 2018 New mum – day surgery Recognition for our staff My family and I received excellent care on ward 210. I was nervous about general anaesthetic as I am a new mum and so need to consider my son. The staff were great at putting me at ease, but more importantly they looked after my husband and my son while I was in theatre. I felt so reassured that they would be there when I returned to the ward and I got great updates from my consultants and the junior medical staff also did everything they could to facilitate my discharge and ongoing care. The nurses were great and provided me with a private [area] for me and my family to wait for my bed so I could breastfeed, and both husband and son got some much needed rest! Thank you!

Posted by KL83 (as a service user), Heather Duff @HevEWilliams Lesley Murray @_lesley_runs_ sian tucker @sevensian As always - so grateful for @NHS_Lothian. No idea where I’d be without them. Thank you to all the doctors, nurses and staff at St John’s for going above and beyond - and all with a smile too! #thankyou Big shout out to all staff at St John’s Hospital Livingston for taking such great care of me before & after surgery. Esp their #studentnurses who spent time talking with me about learning & placement experiences. #ingoodhands #NHSheroes @NHS_Lothian @NHS_HS #WeNurses @RCNScot Thanks so much to the fantastic team at the RIE emergency department for treating my gymnast daughter last night after a tumbling accident. She looked more like a boxer than a gymnast! @NHS_Lothian Former midwife from RIE’s Simpsons unit Sara Fitzsimmons has recently received an MBE for her services to bereaved families.

Sara was a midwife in Simpsons for 21 years until November 2017 but still continues as a registered midwife supporting parents and speaking at study days, conferences and seminars. She is now the Chief Executive Director and co-founder of the SiMBA charity. Sara said:“Back in 2005 myself and my work colleagues had very little to offer bereaved parents when caring for them during a most devastating time - I wanted to be able to offer much more! The Memory Box concept was something familiar to me as I have one for my son Luke who is now 20. I wanted bereaved parents to have their own Memory Box that could be used to capture memories of a very short, but precious time together. It was also lovely to see my colleagues have something tangible they could offer the parents and support them with memory making.” SiMBA supports anyone affected by the loss of a baby, during pregnancy or shortly after birth.They donate Memory Boxes, refurbish family rooms within maternity units, install Memorial Trees of Tranquility and run awareness/support groups and events. On top of all that they also deliver free advanced bereavement and palliative care study days to medical staff and students.

If you’d like to know more about SiMBA’s services go to MBE from the Duke of Cambridge Careand Compassion 3

Connections July 2018 - NHS 70th - NHS Lothian

4 Children and young people in Edinburgh with Type 1 diabetes were recently invited to participate in an exciting study into the development of ‘closed loop’ insulin therapy. This study has been run by the Paediatric Diabetes and Research Team in RHSC who are working in collaboration with Cambridge University to advance diabetes care. The new technology aims to improve glycaemic control and quality of life for those living with type 1 diabetes.The ‘closed loop’ device reacts to information from a continuous glucose monitor and directs insulin delivery via a pump to maintain the target blood glucose levels. Participants in the trial used the technology at home for 3 months. It involved frequent contact with the diabetes team, education sessions and extra blood sampling. Nine families completed the trial and their experience overall was very positive. Despite facing challenges with technical glitches, noisy alarms and the expectation of remembering to carry the device around with them, being involved in diabetes research has been described as “worthwhile and rewarding.” One parent stated “seeing my child enjoying being involved at the cutting edge” was motivation for the extra commitment. The results of the APCAM (Artificial Pancreas Cambridge) study will be published in the near future.“We are grateful to the families who have played a part in the future of diabetes care.” A new trial helping patients with Type 1 diabetes ECG machine – 1960s Demand pacemaker c.1970 Tray of ENT instruments – 1940s Two of the Edinburgh Project Search interns explored their leadership aspirations and ambitions on DuoDay 2018! DuoDay is an annual day that aims to bring together disabled people, supported employment agencies and local employers for one day to promote equal employment opportunities across Europe. It highlights the positive contribution disabled people make at work. Interns Paul from NHS Lothian and Yiorgos from City of Edinburgh Council were invited to join Ministers at Scottish Parliament for the day to see firsthand what leadership opportunities exist for them in Scotland.Their morning was spent shadowing MSP Jamie Hepburn and they joined First Minister, Nicola Sturgeon for her Question Time in the afternoon.

Spending the day at Scottish Parliament was a unique experience for Paul and Yiorgos to represent all their fellow Edinburgh Project Search interns and promote the scope of opportunities that can be accessed through this service. To say they were very excited on the day would have been a bit of an understatement. Edinburgh Project SEARCH provides employment and learning opportunities for young disabled people.The partnership is between the City of Edinburgh Council, NHS Lothian, and Edinburgh College and into Work. Outcome results are very high with the majority of interns moving into paid work.

Edinburgh Project Search Interns meet Scotland’s leaders Quality Dignity and Respect

Connections July 2018 - NHS 70th - NHS Lothian

JULY 2018 5 A local social worker has been recognised for providing outstanding support to people recovering from the effects of alcohol addiction. At the annual awards in April, Ian Jeffries was named Social Worker of the Year by the Scottish Association of Social Work. Ian was nominated for the award by co-workers and managers in Penumbra, City of Edinburgh Council and NHS Lothian, as well as one of the former residents who credits Ian with transforming her life. Penumbra Milestone Alcohol Related Brain Damage (ARBD) Service is an alcohol-free residential unit in Edinburgh which provides short-term care for people with a diagnosis of ARBD.Although employed by City of Edinburgh Council, Ian is part of the multi-agency, multi-disciplinary team at the service, made up of staff from Penumbra, NHS Lothian and City of Edinburgh Council.The service supports people to resist alcohol, address any mental health difficulties, and relearn the life skills they need to live independently. Currently, 75% of the patients are making positive outcomes and showing improvements in their physical and mental health.

This award is the 3rd achievement for the unit, including the Scottish Health Award for Innovation 2015 and Winners of the Poster Award at the Royal College of Psychiatrists Conference 2015. Last year they also presented at the European Mental Health Conference in Berlin and are currently writing up a paper to demonstrate the positive outcomes this service has for people with ARBD. Social Worker of the Year Nurse at St John’s Hospital construction site, 1980s Alastair McNaughton, an Addictions therapist in Astley Ainslie Hospital, was born in November 1948 just four months after the NHS started in Scotland. He recently spoke to us about his memories of the NHS through the years.

One of his earliest memories was being an inpatient in the City Hospital in Edinburgh. He was admitted around the age of 6 or 7 with Scarlet fever.As scary as it was he remembers how friendly and nice the nurses and doctors were which helped put him at ease. Alastair explained “through the years I’ve had some difficult times but the care has always been there when needed. I don’t think I’d have gotten the same level of care in many other countries.” Alastair also talked about how much things have changed since the NHS began - “My mum was a nurse but had to leave when she got married because in those days nurses had to be single”. Finally when asked to sum up what the NHS means to him he simply replied;“safety.” Alastair’s experience of the NHS Careand Compassion

Connections July 2018 - NHS 70th - NHS Lothian

It’s well known that interaction with friendly animals has a positive impact on patients in mental health. It’s been known to uplift their spirits, reduce stress and even encourage communication. Following a very successful one-off visit last summer from the Therapy Ponies to Royal Edinburgh Hospital (REH), it was clear that it would be worth becoming a more regular event.With the support of the Occupational Therapy Department, Edinburgh and Lothian’s Health Foundation,Therapy Ponies Scotland, Nursing team, Infection Control, Fire Officers, and Security we were able to make this happen!

They had their first visit to the courtyard garden of Fairmile ward in April.The Therapy Ponies were great at both calming and stimulating patients! It was very special to see so many patients, staff and carers being able to share and engage in the moment together, especially for those who have limited verbal communication and find structured activity difficult. The ponies had a number of patients up and walking (as well as talking) promoting a real sense of community and fun. Patients were delighted to have the ponies. One remarked:“It has been the best day of my life” (and has repeated this since); another said they “could cry with happiness.”The therapy ponies and their handlers, Elaine and John, ensured everyone had enough time to get the most from the visit – we couldn’t rate them more highly.

Therapy Ponies – “ day of my life” “...If the NHS had been founded a few years earlier” Courtenay Young was born in June 1948, just one month prior to the beginning of the NHS. When Courtenay was born he had an older sister that was just three years old. Sadly only five months later his sister passed away to what Courtenay believes was most likely undiagnosed diphtheria. “Her death would probably not have occurred if the NHS had been founded a few years earlier,” Courtenay suggested. Courtenay’s sister“would almost certainly have missed out on the infant vaccination programme,introduced in the early 1940s, but not universally until 1948-1950,” he continued.

Courtenay and the rest of his family spent the next few years of their lives moving around the world, which included living in Australia for two years and Singapore for three. Finally at the age of seven Courtenay returned to the UK.By this time the NHS was up and running and private (fee-paying) doctors were on their way out. In 1986 Courtenay moved to Scotland and in 2003 started working as a counsellor and psychotherapist in the NHS. 6 Nurses and babies at St John’s Hospital, 1990s

Connections July 2018 - NHS 70th - NHS Lothian

JULY 2018 7 What’s it like to be a QI coach? Coming from a background of nursing and switching to working in Quality Improvement (QI) full time, it’s important to me to support staff to realise that their improvement work is important and how their project can contribute to continued improvement in the organisation. I really enjoy supporting staff to get where they want to be.As a QI coach,I provide individually tailored coaching,which is often about dealing with ambiguity, keeping up confidences, refining aim statements and helping individuals understand the importance of measuring change.

Coaching can be face-to-face, via email or phone. For me, coaching is about appropriate language and responding to needs, whether this is supporting individuals to set measurable objectives, providing clarification on QI tools or supporting them to analyse their own data to identify areas for improvement. The most fulfilling part of coaching in QI is when staff realise that improvement methodology can be used for future projects. Coaching involves asking questions, which improves my own understanding and highlights the importance of helping teams learn to ask the right questions too. Feedback from individuals who have received coaching in QI: “...really helpful at explaining ways of working and managing to help me to get more specific direction in my project - very supportive!” “...kept myself and my colleague on track when we needed clarification or additional information. They were open, approachable and went out of their way to assist us.” Jacqui Pringle Quality Safety Improvement Manager “What Matters to You?” Day (WMTYD) took place on 6 June. Thank you very much to all staff throughout NHS Lothian who took part in organising events, and for getting involved in WMTY conversations; we hope that these conversations will continue throughout the year.

Stephen Covey famously said:“most people do not listen with the intent to understand; they listen with the intent to reply.” One of the main aims of WMTYD is to help us develop greater intent to listen deeply and to understand.‘What Matters to You?’ Day is an opportunity to stop and think a little more about how we are listening, who we are listening to and what we are doing as a result Source: http://www.whatmatterstoyou. scot/deep-listening/ More information further to the campaign on 6 June will become available on the Intranet in the weeks ahead. In the meantime, please email feedback@ if you would like any further details.

What Matters To You? Day Nursing in the 60s Quality Openness, Honestyand Responsibility

Connections July 2018 - NHS 70th - NHS Lothian

8 As a Speech and Language Therapist in Acute Medicine at the Western General Hospital (WGH), I am always looking for new ways to stimulate and encourage patients to engage and participate in the therapeutic process. This can be easier said than done sometimes, but I think if I could bottle what my wee dog Pippin does on his weekly Therapet visit to the Stroke Unit on Ward 50, I’d be a very successful Therapist indeed! Pippin is a young Miniature Schnauzer and, along with his Canine Colleague, Isla the Black Labrador who visits Ward 55, they bring a ridiculous amount of pleasure, stimulate a lot of conversation and interaction, and have even helped the odd person with their mobility and upper limb movement (via lots of patting and cuddling). Dealing with a new illness or coping with a long term condition is challenging for all of our patients, and the few moments of joy, diversion and stimulation these dogs provide, often helps to alleviate symptoms associated with low mood and lack of motivation too. Stroking and interacting with dogs has also been shown to release endorphins, lower blood pressure and distract from pain and discomfort. And if that wasn’t enough, staff members and visitors also love meeting them and feedback from them has been hugely positive.

If you would like to know more about The Therapet Service you can contact me or contact Canine Concern Scotland Trust ( uk), who oversee the service in the hospital and to whom any donations should be made. Ros Todd Speech and Language Therapist Western General Hospital The Unsung Hero The Facilities team at the Royal Infirmary of Edinburgh celebrated recently after one of them was presented with a national award. Engineer Willie Shields, 71, who works in the sterilisation and decontamination unit (HSDU), was surprised with the Unsung Hero title in the nationwide ITV NHS Heroes Awards.Willie, who recently celebrated 50 years service with the NHS, was whisked down to London by the television company to take part in the star-studded awards ceremony. Willie is part of the team that is responsible for cleaning all of the surgical instruments used in NHS Lothian and was chosen for his decades of dedication and commitment. He was chosen from scores of NHS workers across the country to take part in the celebrations to mark the 70th anniversary of the NHS.

But he was surprised when he was called up on stage, by TV presenter Paul O’Grady, in front of scores of celebrities to be given an Unsung Hero award. Willie said:“I really didn’t expect to win anything. I just thought I was going to London to take part in the awards ceremony. I’m not doing anything unusual. I’m just doing my job and I really enjoy it.” Pets are good for us! 1960s nurse prize giving Special care baby unit 1975 100th birthday party, Bruntsfield Hospital, 1970s Careand Compassion Left to right: Ceirwan Wharry (Dep Charge Nurse, Ward 55), Isla with owner Martyn Wright, Pippin and me (Ros Todd), Eilidh Hannah (Staff Nurse Ward 50)”. Ceirwan and Eilidh are the nurses responsible for supporting the Therapets on their wards.

Connections July 2018 - NHS 70th - NHS Lothian

JULY 2018 9 At the start of the 20th century health care in the UK wasn’t doing very well. Life expectancy for males stood at 48 years, while for women, the natural act of child birth was potentially life-threatening. Due to the epidemics of the 19th century, new health departments were set up which created public health services in communities, such as refuse disposal, drainage and street cleaning. These new services, along with advances in medicine, helped bring an end to epidemics, however, the time had come to start looking at health on a more individual basis. For people in Britain seeing a doctor was a luxury that many couldn’t afford. Families were known to put away money just in case they ever needed to call a doctor.The death of children in their first year of their life was very common. Poverty in the highlands and islands was a particular problem. Following an investigation in 1912 by a committee appointed under Sir John Dewar, it was recommended that the Government provide grants to doctors to allow them to treat those that could not afford it otherwise, and a new medical service in the highlands and islands was set up.

Following the First World War, concerns over Scotland’s poor health grew. In 1936 the Cathcart report came out, which encouraged a service to promote health rather than simply treat illness. In the report Cathcart praised the highlands and islands medical service. Finally, in 1948, the National Health Service began. On the lead up to this, leaflets and adverts were created to explain to the people of Scotland what this new NHS meant for them. No longer would families have to desperately save money away to call a doctor or go without being treated to avoid costs. “I believe in universal health care and I’m not afraid to say so.” Stephen Hawking Why we needed the NHS Patients in ward, Royal Infirmary of Edinburgh,1953 Tom Baker visits the Royal Hospital for Sick Children staff,1978 KeepFitClass – Keep fit class at the Royal Edinburgh Hospital, 1960s Nurses going into the Royal Infirmary of Edinburgh, 1949

Connections July 2018 - NHS 70th - NHS Lothian

10 Barbara Nugent, MRI/CT Superintendent in the RHSC has been named as one of the Top Ten influencers of MRI safety in 2018.“I am honoured” Barbara said as she was invited to predict safety concerns for 2018, #mrisafety2018. MRI staff have huge safety responsibilities yet they currently receive no national minimum standards of MRI safety education. Barbara’s research showed that this is the greatest cause of MRI incidents. Barbara has since tirelessly pushed forward to get mandatory online MRI safety modules made for staff.“We now have the top UK MRI safety experts and organisations, as well as a global panel of experts set up and ready to help get these long-awaited free MRI safety modules made,” she said. Barbara’s work has also been supported by patient safety groups as well as all the UK professional MRI organisations. Globally MRI projectile incidents are reported all the time and there are even incidents where people have been maimed or killed due to objects being brought into scan rooms that are unsafe around MRI equipment. Nationally, patient burns have the greatest number of reported incidents.These are generally caused by inadequate patient preparation and positioning in MRI. Barbara explains: “With education, no patients would be harmed due to MRI.” A business case to support Barbara in making a comprehensive suite of modules has been submitted and it’s hoped that funds will be allocated to promote this innovative, ground-breaking programme which, along with a host of other measures undertaken, is expected to help reduce the number of incidents. To read more about MRI safety modules go to programmes/mri-safety/ or read about MRI safety predictions go to https:// predictions/.

A great honour The New And The Old This is not only a personal appreciation of the Royal Infirmary, Edinburgh, but one that can stand for all time and come from all class and conditions of patient. I spent many happy years in the Preliminary Training School during the Second World War when I joined Miss Peterkin as Tutor and colleague. The second period was many years after my retirement when I entered the Royal Infirmary as a patient. It was right that I should speak of my experience as such in a hospital I knew so well years and years ago. I was most happy there during my long stay of over four months. Whatever the outside public may say of their modern nurse I found that those who looked after me had a wonderful understanding of the old. They are patient (under trying circumstances sometimes), good natured with a sense of humour that appeals to all sick people and a compassion that is at times quite touching.

An article from The Pelican by M.S Miller 1970 Belcroy tube Quality

JULY 2018 Competition Run 4 It is a shop dedicated to running! It has stores in Edinburgh, Glasgow,Aberdeen, Bridge of Allan, Dundee, Giffnock and Inverness. They opened their first running shop in Glasgow, back in 2004. 14 years on… 1 shop has turned into 8 shops.A team of 6 has grown into a team of 100.Yet one thing remains unchanged: their passion for helping runners of all abilities to improve their run! Run 4 It strive to provide customers with great products, great service and expert, honest advice. Call in to check out the wide range of running shoes (for the road, trails, treadmill or track) and experience their free +runlab video analysis and shoe fitting service, whereby they recommend shoes with the right level of support and cushioning for you. Run 4 It don’t just stock great trainers… they also have a wide range of running clothes, socks and accessories – all guaranteed to improve your run.

NHS Staff can access a 10% discount off purchases in store & online. To view the full terms & conditions, register now with and search for Run4It. Would you like to win a free pair of great trainers which have been expertly fitted and chosen precisely to fit and support your feet when running? You can chose any pair of trainers from the store (which range up to £150). To be in for a chance all you have to do is answer this question: What year did Run For It open their first store? Email all competition entries with your answer, name and phone number to: or send to: Communications Department NHS Lothian, Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG by 31 July 2018. Win a pair of Brand New Running Shoes A free interactive learning resource has recently been launched with the aim of introducing Caring Conversations, a key tool in delivering person-centred care, into all secondary care settings in Scotland.

Funded by the Scottish Government and developed by Scottish charity Waverley Care, Putting Caring Conversations into Practice is available to all staff working in secondary care. The resource aims to break down barriers than can exist between patients and healthcare professionals, encouraging open and honest conversations which achieve positive outcomes for both parties. Using an evidence informed model, real-life case studies and a mix of film and interactive content, Caring Conversations is an engaging and educational online tutorial.

Here’s what it includes: • FREE online tutorial lasting approx 1 hour • Developed from evidence informed research by Prof Belinda Dewar (UWS) • Individual and group learning options • Downloadable worksheets • Continuing Professional Development certificate Caring Conversations is available now online. Visit to get started. Putting Caring Conversations into Practice Angel Share Competition Winner from last issue Charlie Norval Clinical Support Worker Western General Hospital 11

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