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ISSUE 8 | SUMMER 2021
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Barnet, Enfield and Haringey Mental Health NHS Trust
Our vaccination
teams bring hope
Supporting mental health in schools and beyond
My journey from service user to Peer Support Worker
Crisis Prevention Houses: a whole new approach
Thank you to all the staff and
service users who helped us Welcome from our
put this magazine together.
Chief Executive
We’re always looking for people
who want to get involved. So, if
you have a news story or idea for The COVID-19 pandemic has been is now an Expert by Experience Lead,
Trust Matters, please email life-changing for all of us and I am so for sharing their stories which give
beh-tr.communications@nhs.net proud of our staff for the way they hope and inspiration to us all – as Raf
have responded – they have worked says, “I never thought that someone
Cover photo © Taking The Pixels tirelessly and conscientiously every detained under the Mental Health Act
single day to protect and care for our would end up where I am now.”
patients. We have played our part in We also take a look at how mental
delivering the COVID-19 vaccine to health support teams in schools are
care home residents and staff and making a difference, helping young
to housebound patients and carers. people to get help as easily and as
Our amazing vaccination team also early as possible, and helping parents
worked with partner organisations to and teachers to promote better mental
set up a specially adapted vaccination health and emotional resilience.
clinic for people with learning One of my highlights since the
disabilities, autism and serious mental last issue of Trust Matters, was our
illnesses across north central London. Celebrating Excellence Awards where
Despite the very real pressures of we recognised the achievements and
Coronavirus, we remain determined dedication of our fantastic staff. The
to keep improving and looking to the judges had a tough time choosing
future and we are making some big the winners as we had over 500
Editorial: changes to the way we work. nominations, which goes to show
Bea Nagy I’m thrilled that we have been many stars we have across the Trust!
Elizabeth George awarded some significant new Last but not least, it’s been a
Izabela Nair funding to expand our care for really difficult and stressful time
people with long-term mental health for everyone and it’s natural to feel
Contributors: conditions. We will be creating new worried about family and friends,
Inclusion Barnet community hubs where people can as well as about your own health.
Haringey Shed get support near to where they live Please take time out to look after
Our Time with mental and physical health needs your own wellbeing – have a look at
as well as with issues such as housing, our tips on page 20.
Trust Matters is produced by: work, debt or addiction. These are just some of the stories
The Communications Team, This person-centred, local approach in this issue of Trust Matters, I hope
Barnet, Enfield and Haringey is also reflected in our new Crisis you find it an interesting read. Do get
Mental Health NHS Trust (BEH) Prevention Houses which are located in touch with our Communications
Trust Headquarters in each of the boroughs we serve, Team if you have any feedback or
Orchard House providing people with a supportive, suggestions for our next issue:
St Ann’s Hospital recovery-focused environment in their beh-tr.communications@nhs.net
St Ann’s Road community as an alternative to being
London N15 3TH admitting to hospital. Importantly, the Best wishes and stay safe
Crisis Prevention Houses have been
020 8702 3599 developed with service users and peer Jinjer Kandola MBE
beh-tr.communications@nhs.net support workers – former service users Chief Executive
www.beh-mht.nhs.uk now employed by the Trust – and their
@BEHMHTNHS way of working puts each individual
www.fb.com/behmht at the centre of their care.
In this issue, we hear directly from
two young people who have personal
Printed on paper from FSC accredited experience of mental ill health. I’m
material produced from a responsibly really grateful to Lucy, who is now a
managed forestry programme,
Peer Support Worker, and Raf, who
using vegetable based inks. Our
chemical waste is disposed of in an
environmentally friendly way, as is Follow Jinjer @Kandola8
the waste paper.
CONTENTS
FEATURES
14 Crisis Prevention
Houses: a whole new
approach
22 Haringey Trailblazers
supporting mental
health in schools and
beyond
COVER STORY
16 Our vaccination teams bring hope
HEALTH MATTERS REGULARS
6 Lucy's story:
from service user to Peer 2 Welcome
Support Worker
4 News in brief 25 Making time and
space for young
8 The Kingswood Centre
– a safe, creative and
people
supportive space
10 My secret life with Phil
Jackson, Head of Nursing, 28 BEH nurses awarded
RCN BAME Rising Star
12 Raf's story:
How I went from being
Specialist Services Awards
detained under the Mental
Health Act to being
30 Five minutes with
Sheila Patten,
29 London's NHS celebrates
inspiring Black
employed to change Londoners
the system Community Matron,
16 Specially adapted
Enfield Community
Services 34 Celebrating Excellence
in our Trust
vaccination clinic supports
people with disabilities,
autism and serious mental
illnesses 35 Your compliments
20 Focus on your health
and wellbeing
21 Mentoring supports our
staff to grow and learn
31 Supporting service
users during lockdown
NEWS
CEO awarded MBE for
New free services to mental health
number for
our 24/7 Our Chief Executive, Jinjer Kandola
was awarded an MBE in the New
been clearer than in the assured
way she has steered us through all
mental Year’s Honours list for her services the challenges of the pandemic,
managing its far-reaching impact
health crisis to mental health.
on our services. We are privileged
telephone Jinjer who has worked in the NHS
for 35 years, said: “Anything I have
to have Jinjer leading the Trust at
this time and we could not be more
service ever achieved has been a team
effort, so I feel this honour should
thrilled for her.”
be shared with all the inspirational
We have launched a new, colleagues I have worked with over
free number for our crisis many years.”
telephone service: She joined the Trust in 2018 and
in just over a year led the Trust from
0800 151 0023 Requires Improvement to Good
in our Care Quality Commission
People experiencing a inspection in summer 2019. Her
mental health crisis can call focus, always, is on improving
this number to get help or the quality and safety of care
advice from our trained for patients and their families
mental health advisors and and putting them at the heart of
clinicians everything we do.
24 hours a day, Mark Lam who was BEH Trust
7 days a week, Chair when Jinjer received the
365 days a year. award, said: “Jinjer is an inspiring
leader and this strength has never Jinjer Kandola
Relatives and carers can
also call this number to get
support and advice, and CHAT is awarded Team of the Year
GPs and other professionals
can use it to make urgent at the RCNi Nurse Awards
referrals.
Congratulations to Service Lead puts care home residents and their
The new number replaces Melanie Pettitt and the Enfield Care families at the centre of all care,
the previous 0208 and 0300 Home Assessment Team (CHAT) on and its training has been delivered
crisis numbers. winning the RCNi Nurse Awards to more than 7,600 care home staff
2020 in the Team of the Year on 59 subjects.
category. Emergency department admissions
The Team are part of Enfield have plummeted, and more than
Community Services, providing 8,400 hospital attendances have been
physical health services in the avoided. All but 1% of residents died
community to local people across in their preferred place of death.
Enfield. Falls have been reduced and 39% of
Melanie’s commitment and vision residents have had their medication
have driven this multidisciplinary reduced or stopped.
team’s integrated physical and The RCNi Nurse Awards is the
mental health service, which has UK’s national award for nurses,
significantly improved the quality student nurses and nursing support
of life and end of life for care workers. The awards are organised
home residents. by RCNi on behalf of the Royal
The team’s holistic approach College of Nursing.
NEWS
Jackie Smith
joins us as
new Chair
Jackie Smith joined Barnet, Enfield and
Haringey Mental Health NHS Trust in
April as Chair, in addition to her existing
role of Chair at Camden and Islington
NHS Foundation Trust.
Jackie brings with her extensive
Transforming care knowledge of the NHS across North
Central London and will help us continue
for people with
to develop our services. Jackie has been
in public service all her working life, with
senior leadership roles at the Crown
long-term Prosecution Service, the General Medical
Council and the Nursing and Midwifery
mental illness
Council. She supports many charities and
is a passionate runner, having completed
a number of marathons!
One of Jackie’s priorities will be to
People with long-term mental health conditions will find continue the fantastic legacy of Mark
it much easier to access care in future following the Trust’s Lam, our previous Chair, to address the
successful bid for funding to expand services. health inequalities we see in our area
and to ensure excellent care for every
In partnership with Camden and Islington NHS Foundation single person, no matter where they live
Trust, the Trust will receive £25m over the next three years to or what personal challenges they face.
scale up and significantly expand services across North Central Mark Lam is now Chair of the Royal Free
London. Hundreds of new frontline workers will be recruited London NHS Foundation Trust.
to ensure everyone can access more timely care closer Jackie said: “I am delighted and
to home. honoured to be taking up this role at
There will be new community hubs across the region with such a pivotal time for mental health.
a dedicated team of experts – primary, secondary, social and I’m particularly excited about helping to
community care professionals – responsible for delivering and steer our plans to transform community
coordinating mental health care locally. mental health across north central
The multi-agency teams will provide wraparound care for London, with unprecedented and
mental health, physical health and social needs. They’ll offer much-needed levels of investment
more support with housing, work, debt, addiction or other now being made available.”
challenges impacting on their mental health.
Care will be personalised and flexible with services stepped
up or down as needs change. People will get help to manage
their own condition and ongoing support to stay well. Most
services will be available in the local community. Instead of
being referred to other teams, specialists will ‘step in’ to
provide care as needed.
These changes will be rolled out gradually in every primary
care network by 2024 to ensure services evolve in consultation
with service users, carers, local communities, health and care
partners and others.
For more information or to receive email updates
about these changes, visit
Jackie Smith
www.beh-mht.nhs.uk/bettermentalhealth
TRUST MATTERS ISSUE 8 | SUMMER 2021 5
Lucy’s story:
from service user to
Peer Support Worker
How did you first come into myself safe, so I accepted hospital I also really valued the supportive
contact with the Trust? as the only option left. relationship I had built with my key
I was referred by my GP in 2015, as nurse, Abi who would often be my
he was worried about my sudden What was your experience of “voice of reason” when I needed it,
deterioration in health. I had an being an inpatient? and who gave me great motivation
initial outpatient appointment I’d been an inpatient elsewhere as in difficult times.
with a psychiatrist, and then a a child due to suicidal feelings and
community liaison nurse, and anorexia, and hadn’t realised how My self-confidence and
was then admitted to the eating different adult services would be. I assertiveness improved
disorders unit at St Ann’s Hospital. encountered some unnecessary and
unclear blanket rules on the ward
along the way, and
What was your life like then? in 2015, which have thankfully since I stopped being
Everything was very overwhelming. been removed. reclusive, and was able
I had been studying Fine Art, but My admission was unfortunately to slowly start leaving
avoided coursework and lectures quite long, around 15 months. The
due to anxiety, and depression took staff who were willing to break
my comfort zone
away my motivation. I decided to down my trust barriers, really
take a year out of university, to actively listen, and problem-solve How did you get involved in
focus on my mental health recovery, alongside me, helped me to recover. developing our new inpatient
and shortly afterwards I had a On the ward, we had a timetable unit, Blossom Court?
relationship break-up. of activity and therapy groups, I returned in 2019 to speak to a
I was using unhelpful coping often focusing on the topic of new ward manager about how to
strategies to manage difficult recovery. My self-confidence and improve care, as my experience in
emotions and was receiving therapy assertiveness improved along the 2015 had been difficult. My voice
but then the therapy was put on way, and I stopped being reclusive, was heard, and my lived experience
hold due to concerns about my and was able to slowly start leaving and honest feedback was really
physical health. I am autistic, and my comfort zone. For example, I valued by the service, and I
found managing change really worked individually with the ward returned again to speak to new
difficult, especially without therapy. Occupational Therapist, Kiran who nursing staff about my experience
At this point, I was very unwell and helped me to set goals, cook meals, and offer advice as an Expert
couldn’t look after myself or keep and take part in group activities. by Experience.
6 TRUST MATTERS ISSUE 8 | SUMMER 2021
MY STORY
I was invited, as an ex-service I am somebody who
user, to be part of the St Ann’s
Redevelopment reference group
can be there just to
for people who use the service and listen and empathise,
carers. A number of steering groups especially when other
were set up to work on specific clinical staff aren’t
areas of the redevelopment, such as
creating a therapeutic environment,
available.
and an Expert by Experience was
invited to every group. What are your hopes and plans
We were put on an equal for the future?
footing to staff. There was such a Personally, I have plans to do as
collaborative effort to make sure much gardening as I can. I can’t
the environment at Blossom Court wait to invite my parents to visit,
really contributes to patients’ to enjoy the fresh air and do some
recovery. For example, we chose planting together. My garden has
the colour palette for the furniture: been great for my mental health
muted and light colours in quiet — especially spending time with
rooms and bright, and cheerful wildlife and finding so many
colours in the activity areas. species of bees!
As a result, I became interested At work, I hope to be involved in
in working for the Trust and was more creative projects. For example,
really happy to be appointed as I am keen to get the service users
a part-time Peer Support Worker I work with to contribute to Mind
in December 2020. I work in Daisy Murals, an exciting mental health
Ward at Blossom Court for female and art project currently in its
acute patients. fundraising stage (you can read
more about this project at https://
How would you describe www.spacehive.com/mindmurals).
the role of a Peer It’s a great opportunity for us to
Support Worker? connect Blossom Court with the
Every service at BEH has different wider community in Haringey
day-to-day needs, so it’s quite through art. I try to include
a unique role and hard to creativity in my own day-to-day
encapsulate. I would describe it life, but I’ve really missed public
broadly as using lived experience and community art events during
to help others who are struggling the pandemic.
with their mental health. A peer
presence helps service users to I’ve got a lot to
feel less alone on their journey,
especially in coronavirus times
learn… but I’m
when it is easy to become isolated. looking forward to
I am somebody who can be there seeing what the future
just to listen and empathise, holds for me!
especially when other clinical staff
aren’t available.
We work across the multi- I definitely want to continue my
disciplinary team with service role as a Peer Support Worker at St
users, families and carers, and Ann’s for the foreseeable future,
partner agencies. For example, as it’s very exciting being in this
I co-facilitate groups with the new role. I’m new to working for
therapy team. I also meet one-to- the NHS, and I’ve got a lot to learn
one with service users, sometimes before I think about a longer-
to have a coffee and chat, or to term career plan. But I’m looking
share self-help resources. forward to seeing what the future
holds for me!
TRUST MATTERS ISSUE 8 | SUMMER 2021 7
“The Kingswood
environment is very
pleasant, there is a lot to
do and the staff are fun to
be around.”
The Kingswood Centre
– a safe, creative and
supportive space
The Kingswood Centre, part of the most importantly, it enables people users develop mechanic-based skills
North London Forensic Service, to fully engage in their recovery taking apart engines, building
based at Chase Farm Hospital in a safe, creative and supportive motorbikes and servicing small
in Enfield offers vocational, space.” items such as lawn mowers. In
recreational, therapeutic, The Kingswood Centre has the workshop, service users make
educational and sport and fitness expansive views of the surrounding bespoke items of furniture, pens
activities for patients in the low farmland and greenbelt. Walking and small gifts as well as jewellery
secure forensic mental health into the Kingswood Centre you pass that are sold in pop-up stalls. There
wards. Co-production – designing a 10m long graffiti wall designed are also opportunities to develop
groups, sessions and workshops and created by a graffiti artist skills in welding, plumbing and
in partnership with service users – and service users from all wards in bike maintenance where staff
and encouraging aspirations are at the service. This theme continues and services users can book their
the heart of the centre. throughout the centre with bicycles in for repairs and servicing.
John Heams, Clinical Specialist artwork by service users displayed Being in hospital for long periods
Occupational Therapist says: on walls which have been painted of time has a significant impact
“Many of our service users are in and maintained by service users as on physical wellbeing and the
hospital for long periods of time part of their work experience and Kingswood Centre offers a range
with quite serious mental illnesses vocational skills development. of sport and fitness opportunities
and their recovery journey can be Over 150 service users attend with two multi gyms and a large
difficult so the Kingswood Centre the Kingswood Centre during gymnasium. YMCA trained
is a really important part of their an average week and while instructors offer individual and
rehabilitation. Coronavirus restrictions had an group sessions with bespoke
“The Kingswood Centre is a impact, many of the sessions were training packages as well as sports
space of hope, opportunity and adapted to keep them running such as football, basketball, tennis
empowerment where service safely. There is a café, shop run by and volleyball with regular inter-
users and staff work together to service users which offers a range ward competitions as well as
develop and maintain skills but, of healthy snacks, toiletries and community-based football training.
hot food including freshly made Through the Recovery College
pizza, coffee and weekly specials based at the centre, a range of
made and served by service users, workshops are co-produced and
often using eggs collected from the delivered by service users and staff
centre’s chickens and vegetables offering health-based activities
grown in the gardens. including yoga, Tai Chi, men’s
There are a range of jobs and health, nutritional advice, healthy
work experience opportunities eating, wellbeing for women,
available at the centre including and more. The Recovery College
ground maintenance of the also provides workshops and
expansive horticultural haven; courses on a range of areas such as
bee keeping with award-winning recovery, co-production, mental and
honey collected and sold in the physical wellbeing and personal
John Heams unit; light industry where service development. The Recovery College
8 TRUST MATTERS ISSUE 8 | SUMMER 2021
uses a model called ‘CHOICES’ to work one on one as well as in
which was developed with service groups with service users. I use the
users and stands for Compassionate, Trust values and incorporate my
Health, Opportunities, Intelligent own lived experience in helping to
kindness, Caring and Empowering continually transform and improve
Services. the service for the better.”
The art displays throughout the
centre demonstrate the importance
of art to the service users, both
from a therapeutic and recreational What service users
perspective. There are groups and say about the centre
individual art and music therapy
sessions based in well-equipped
music and art rooms. These facilities “You can learn in
also provide opportunities for
services to engage in pottery
the recovery collage,
workshops and group art projects. earn some money
There is a wealth of talent among in the workshop,
the service users with regular fix motorbikes in
performances of songs and raps
that are written and produced in
mechanics and chill
individual studio sessions, learning in the sunshine by
the art of song-writing and digital the pond.”
production. Each month, service
users share their talent and work
at open mic evenings with a
combination of performed songs
“The whole
and freestyle rapping. place is very
Femi Gbadamosi, Peer Support therapeutic.”
Worker and former patient says:
“We as humans can be our own
worst enemy, constantly putting
pressure on ourselves. I had to “The sessions have
learn the key to my own happiness
helped me progress,
was trying to better myself day by Femi Gbadamosi
day without looking too far into I have even been
the future and when I did better, doing my own
acknowledging it and enjoying the presentations and
feeling. sessions as an Expert
“This way of thinking led me
to getting the role I am in now,
by Experience.”
which gives me the opportunity
TRUST MATTERS ISSUE 7 | AUTUMN 2020 9
MY SECRET LIFE
Phil Jackson is Head of
Nursing for Specialist Services
My Secret Life
PHIL JACKSON
Phil in his football kit.
Tell us a bit about your career? drug and alcohol teams, Child and
I used to be a TV and Hifi salesman Adolescent Mental Health Services,
and I once sold equipment to eating disorders, prison healthcare
both Rod Stewart and Frank teams and links with the police to
Lampard! Then I decided that I name but a few.
needed a more rewarding career
so I did one shift at a local learning What’s the most satisfying part
disabilities residential home and of your job? Phil's team
loved it. I immediately applied to For me, being able to care, support,
Hertfordshire University and three listen and share a joke with people
years later qualified as a Mental is what it’s all about. Building that proud that the children learn
Health Nurse. rapport helps us to reflect on a so much about equality and
I loved my student placements, person’s experience of a service, acceptance for all. Last season
especially my time in the North from both a staff and service user we won the Respect and Fair Play
London Forensic Service at Chase perspective. This knowledge, trophy for our whole league which
Farm Hospital in 2001 working honesty and compassion gives us all is over 500 teams! Our positive
with people who need care and a real chance to empower people to approach comes through in every
treatment in a secure mental health enhance and change our services to match: even when we’re losing 9-nil
setting. I see it as a privilege that I be the best for all. on a cold wet November morning,
am in a position where I am able to we still want a goal to celebrate, we
support and care for people with How did you get involved in treat others with respect, and don’t
serious mental health illnesses. I football coaching? let our heads drop.
have now been in BEH Specialist I first got involved in 2013 when
Services for 18 years, and I’m one of I realised that my son, who How do your football coaching
the new ones! was six then, really enjoyed the and your work role complement
social aspects of the game and one another?
What has made you stay that, unlike me, he’s actually Some elements that bring these
so long? very talented at football! There two roles together are kindness,
I felt so well supported throughout was a shortage of coaches so compassion and being positive.
my student placements here as well I volunteered to get qualified I want to truly empathise with and
as on the various wards I worked because I could see how much it empower people wherever I can.
on as a newly qualified nurse and meant to my son’s confidence. As a child, teenager and adult
ward manager that it really has I have a strong ethos of inclusion I have suffered with anxiety and
not crossed my mind to leave. It for all and I’m proud that one of poor self-esteem and I was judged
sounds corny but I really feel part the strongest players is a girl, and to be in the bottom group for most
of an extended family with work also that children of all abilities subjects at school, so I wanted to
colleagues. are involved. Our philosophy is to challenge myself and see if I could
support everyone in our team using achieve more and be happy. With
What does your role involve? a positive and non-judgemental the support of coaches, mentors
As Head of Nursing, I’m the lead approach to help every child to and managers throughout my life, I
for supporting and empowering fulfil their potential. feel I have done this. I want young
our nursing staff throughout our people, work colleagues and service
vast and diverse Specialist Services. Are mixed teams unusual? users to feel that they too have the
This includes 12 low and medium Yes, having boys and girls on the power to achieve what they want.
secure wards, community services, same team is quite unusual. I’m
10 TRUST MATTERS ISSUE 8 | SUMMER 2021Redeveloping
St Ann's Hospital
– Phase 2 gets underway
As we reported in the last issue category. Sadly, we didn’t win this The Trust has agreed a £15 million
of Trust Matters, our brand year, but to reach the finals was a contract for Phase 2 of the site
new, state of the art, mental great achievement and reflects the redevelopment with our contractor,
health inpatient facilities at enormous amount of work by many Integrated Health Projects (IHP), the
St Ann’s Hospital in Haringey, within the Trust and our partners, same company who built Blossom
known as Blossom Court, including Haringey Council, the Court. Work on Phase 2 began
opened to patients and staff Clinical Commissioning Group and in January 2021 and is due to be
in August 2020. Since then, the Greater London Authority completed by late 2022. The Trust
the new unit has had a huge (GLA), to deliver Blossom Court, is working with our staff based on
impact on improving the care which was Phase 1 of the overall the St Ann’s Hospital site around
of our patients and the working redevelopment of the site. where they will be located by the
environments of our staff on Phase 2 of the redevelopment end of Phase 2 and a series of
the four new wards. includes the refurbishment of the meetings with managers on the
1930s blocks for clinical services and site is underway to finalise the
The feedback about Blossom support staff accommodation and detailed plans. The first moves into
Court from patients and staff has the construction of a new building newly refurbished accommodation
been very positive, praising the with a modern patient, visitor and will begin in the autumn this year,
availability of ensuite bedrooms staff restaurant on the ground floor with a series of phased moves over
for all patients and the light, airy, and purpose-built staff education the following year. There will not
modern environments, which look and training facilities and meeting be any impact on patient services
more like a hotel than a mental rooms on the first floor. It also during this period, they will all
health ward. The completion includes improvements to G and continue to operate on the site,
of Blossom Court on time and H Blocks on the site, largely used though some will be temporarily
under budget, the partnership by Whittington Health to run a moved within the site, as will some
approach with service users, range of community health services of the Trust’s internal departments.
staff, our partners and our local for the people of Haringey. As The Trust Project Team is working
communities and, most importantly, part of Phase 2, we will also be with managers and staff to keep
the massive improvements the improving the retained part of the everyone up to date and informed
new facilities have brought, were hospital site with new roadways, about the changes and the benefits
recognised in the prestigious Health landscaping and car parking to once the redevelopment is finished.
Service Journal Awards recently. create a modern healthcare campus We will give another update on
Blossom Court was a finalist in that patients, visitors, staff and progress in the next edition of Trust
the ‘Innovation in Mental Health’ local people can be very proud of! Matters.
TRUST MATTERS ISSUE 8 | SUMMER 2021 11Raf ’s story:
How I went from
being detained under
the Mental Health Act
to being employed to
change the system
Raf Hamaizia, now 28, first with him and some of the other this kind of visit is motivating for
started experiencing mental Trust staff following my discharge’ them as well.”
distress in his early teens and “Having spent time in quite “I never would have thought
has spent a significant part of a few different mental health that someone detained under the
his life in in various institutions, facilities, including private sector Mental Health Act would end up
providers, I can say that at this where I am now”
starting with a period in a Child
Trust, you have some of the best
and Adolescent Mental Health
mental health nurses in the country
Services unit at the age of 14.
– they focus on each patient as an
At this Trust, you
After an episode in his teens, Raf individual and they are genuinely have some of the best
found himself on the healthcare compassionate, respectful and mental health nurses
wings of numerous young caring.” in the country – they
offenders’ institutions. He was Before coronavirus hit, Raf was
focus on each patient
later transferred to Camlet, our invited back to visit the unit in
medium secure unit at Chase Farm Enfield where he used to be a as an individual and
Hospital in Enfield before being patient and says: “I walked around they are genuinely
discharged into the community with Dr Mehdi Veisi, the Trust’s compassionate,
in 2015, supported by one of our Medical Director, who I count as a respectful and caring
resettlement teams. friend now, and you could see both
Raf says he was thankful to the patients and staff going ‘Wow, look
responsible clinician in charge at him now!’ I could recognise hope
of his treatment in hospital who and inspiration in people’s eyes to Now the Expert by Experience
continued to oversee his care see recovery as a reality. Lead for Cygnet Healthcare, an
when he returned home: “Dr Asim “It was really the other patients independent provider of services
Suddle is an absolute legend! It that I did it for, but I think it was for individuals with mental health
was a very difficult period of my also positive for staff, especially needs, autism and learning
life, but Dr Suddle really listened those who deal with admitting new disabilities, Raf is passionate about
to me and made me feel that what patients. They won’t necessarily get improving services. He explains: “I
I said mattered which made such to hear what patients achieve after believe co-production – designing
a difference, I also stayed in touch they leave the unit, so I hope that services with service users as
12 TRUST MATTERS ISSUE 8 | SUMMER 2021equal partners – is at the heart of oversight as I saw at first hand Raf missed out on getting any
meaningful change. It’s how you the wide variation in quality from qualifications when he was younger
get buy-in because then people different providers and service lines due to his disrupted education –
have a personal investment in in different parts of the country.” he was expelled from school and
making the changes happen.” Raf went on to join the spent time in a pupil referral unit
Raf explains that the suicide of Professional Practice and Ethics – but has recently completed a
a friend who also had a serious Committee of the Royal College of Master’s degree in mental health
mental illness had a deep impact on Psychiatrists and contributed to the recovery and social inclusion at the
him: “Just before he died, he had independent review of the Mental University of Hertfordshire.
told me that things would never Health Act. Looking back now, Raf says: “It’s
get better for ‘people like us’ and I “I felt a lot of resentment for the really positive that there’s been so
wanted to do something to change way I was treated at some other much change in my lifetime. There’s
that.” providers but never at BEH” been a revolution in the care
During a visit by the Care Quality Raf describes some of the things provided in mental health hospitals
Commission, the health and that happened to him, such as with much less physical restraint.
social care regulator, an inspector spending long periods alone in Now there’s a more person-centred
suggested to Raf that he should seclusion for his own safety and approach people are now really
become an Expert by Experience being strip searched, as degrading assessed on an individual basis.’
to put his personal experiences and inhumane. He believes these “But there’s still a huge way to
to good use. While he was still a experiences exacerbated his go and I am going to keep pushing
patient at Chase Farm, Raf started psychosis and says he has felt a lot for change – for example, people
to take part in inspections of of resentment for the way he was with serious mental illnesses are still
hospitals and community services treated in various institutions: “One dying a lot earlier than the average
during his leave from the hospital thing that really affected me badly so we need to tackle physical health
to make sure the perspective of was when I was a patient with a issues, such as being overweight
service users was heard. He later private provider and I was praying, and smoking. I want to leave a
gained his first job as an Expert the staff thought I was hearing positive legacy so that something
by Experience with the CQC: “I voices and it was a symptom of my good comes out of what I went
contributed to over 150 inspections illness so they told me I had to stop through.”
which gave me a really good and offered medication.”
TRUST MATTERS ISSUE 8 | SUMMER 2021 13FEATURE Crisis Prevention Houses: a whole new approach Peer working – the employment of former service users to support current patients – has become a core part of the Trust’s offer since the establishment of the Enablement Partnership with Inclusion Barnet in 2018. It is at the heart of a new service – Crisis Prevention Houses, an innovative new short stay service where a peer informed workforce aims to keep people connected to the community throughout their stay. These are a development of our former Crisis Houses, which focused more on helping people step down into the community after a period of care on one of our inpatient mental health wards. 14 TRUST MATTERS ISSUE 8 | SUMMER 2021
FEATURE
The new model will operate in Adopting a Collaboration
three locations, one in each of recovery approach Staff work with people accessing
our boroughs: Elysian House in The houses adopt a recovery the Crisis Prevention Houses
Barnet, Suffolk House in Enfield approach to mental health services, to co-produce care plans and
and Fortis Green Road in Haringey. meaning a much more holistic interventions to ensure the person
view of support focusing on many at the centre has a say in their
Crisis Prevention Houses offer a aspects of an individual’s life, not recovery at all points. Dialog+
24/7 service to support people just a diagnosis. A recovery peer- is a tool which has shown great
whose mental health needs led wellbeing programme offers promise in improving the co-
have escalated beyond the Crisis psychosocial and recovery focused production of care plans and the
Resolution and Home Treatment activities including therapeutic communication between staff and
Team (CRHTT). These services focus groups, employment and finance service users. The Crisis Prevention
on preventing mental health crises, skills, psychoeducation and self- Houses use this tool to support the
offering community-based support advocacy. vision of collaboration and positive
as an alternative to an inpatient Staff assist and enable people therapeutic relationships.
admission to a ward. to co-create person centred plans The Crisis Prevention House teams
From April 2021, our Crisis that use family support networks and guests co-produce all aspects
Prevention Houses operate under a and community resources as the of life in the houses including the
new model based on the recovery first point of call when embarking co-creating of My Wellbeing Plans,
approach and the enablement on a recovery journey. To ensure house rules, peer-led programmes
principles. The recovery approach the support provided by the and running of the house. An
is a strength based, person centred houses is sustainable, the peer-led extensive programme of training
approach to delivering mental programme also supports people to and co-production with staff and
health services which reflects the continue to access groups – such as guests will help to create a person
BEH enablement principles: housing or benefits support, once centred innovative culture from the
they have left. This offers valuable get-go.
1. Always aiming to do with continuity into the community. Developing the Crisis Prevention
people rather than to or for Houses is a fantastic opportunity for
people, Workforce great recovery focused, community
2. Focusing on what people can The Crisis Prevention Houses based work around the principles
do rather than what they come under the remit of the Crisis of enablement. We are excited to
cannot do, Resolution and Home Treatment see what the future holds for this
3. Supporting people to develop Team, who provide clinical innovative service and will continue
skills to help themselves stay oversight. Using an innovative to work hard to ensure it is a service
well, and model of care, along with existing that really benefits the community.
4. Working with the whole person staff, the Crisis Prevention Houses
and not just their diagnosis. prioritise the insight and leadership
provided by peer workers, staff
The vision for the Crisis Prevention who are employed to use their
Houses has been co-produced with own experience of mental
service users, peer workers, BEH health challenges. Peer workers To find out more about the
staff and the mental health peer- demonstrate the significance of new Crisis Prevention House
led charity, Inclusion Barnet. lived experience in engaging with service, contact the
They create a space for people people with all aspects of the CRHTT leads:
in crisis that empowers and recovery and enablement approach Barnet – Mitasha Borhara
supports them in their recovery – with compassion, strength-based (mitasha.borhara@nhs.net)
and put the individual at the practice and demonstrating ‘hope’.
Enfield – Runa Bhoobun
centre of their care. Peer workers also work closely
(runa.bhoobun1@nhs.net)
with the community to identify
routes and pathways for people Haringey – Marko Donatiello
to independently access as part of (marko.donatiello@nhs.net)
their recovery and wellbeing plans.
TRUST MATTERS ISSUE 8 | SUMMER 2021 15VACCINATIONS
The vaccinators are a
mixture of mental health and
learning disability trained
nurses who are specially
trained to support patients
with complex needs.
16 TRUST MATTERS ISSUE 8 | SUMMER 2021Specially adapted vaccination
clinic supports people with
learning disabilities, autism and
serious mental illnesses
The Trust has been providing easy to read and pictorial consent
COVID-19 vaccination for people and patient information forms, plus
with learning disabilities, autism a dedicated telephone booking
and serious mental illnesses service for those who struggle to
across north central London book online. To date, over 120
people have been vaccinated in the
at our Chase Farm Hospital
clinic.”
site in Enfield since the end of
The vaccinators are a mixture
February. of mental health and learning
disability trained nurses who are
specially trained to support patients
Government data shows that
with complex needs.
people with learning difficulties
Front of house there is support
have been among the groups most
from London Borough of Enfield
impacted by COVID. They had a
staff who work in the Integrated
2.3 times higher death rate than
Learning Disability Service to book
the general public and are more
patients in, talk and interact with
likely to be affected by issues such Emily Burch
patients and their carers to keep
as isolation and the wider mental
them calm and support them with
health impacts.
any adjustments that are needed.
The vaccination clinic at BEH is a
Emily explained: “We are working
real collaborative effort between
collaboratively with the Integrated
the Trust, London Borough of
Learning Disability Service and
Enfield, the North Central London
London Borough of Enfield Council,
Clinical Commissioning Group (NCL
Enfield Day Services and colleagues
CCG), with volunteers including
from the Clinical Commissioning
local LD nurses and redeployed
Group to identify and reach out to
staff from across the sustainability
patients via supported living, day
and transformation partnerships.
services and on the MyLife web
Since opening, over 60 LD patients
page, we then have the option to
and some of their carers have been
book via email or telephone.”
vaccinated at the clinic.
“I’m really proud that we are
Emily Burch, Head of Physical
playing our part in enabling these
Health and Lead for COVID-19
patients to have their vaccination in
Testing and Vaccinations said: “The
a specially adapted environment.”
clinic has been adapted to make
it more suitable for people who
The clinic has appeared on BBC
would not be able to attend mass
London News in March – watch
vaccination centres.
the recording on YouTube:
“We have made adjustments for
https://youtu.be/X-Ml5C0QFqk
longer appointments, more space,
quiet areas, sensory equipment,
TRUST MATTERS ISSUE 8 | SUMMER 2021 17Vaccination teams visit care homes Protecting our staff and inpatients
and housebound people We have encouraged all our staff and patients in our
wards to have their vaccinations and, so far, 85% of
Our Enfield Community Services teams have our staff have had their COVID-19 jab.
been doing a fantastic job in contributing to the
vaccination programme – they worked tirelessly
to vaccinate over 3,000 people in the community
including care home residents, care home staff,
housebound patients and housebound carers.
Sheila Patten, Community Matron for Lucas House
and Pine Lodge said: “As a health care professional,
I believe it’s important to be well prepared with
factual information as this is a new virus and a new
vaccine for us all.
“Some patients and relatives are curious so Service users, Nana and Salman, after receiving
providing accurate information about the vaccine their vaccination.
and the benefits of having it, is vital to gaining their
trust and I’m always happy to answer any questions
they may have.
“My colleagues and I are really proud to be helping
to protect vulnerable patients in this way. A big thank
you to my manager for giving me the opportunity to
play my part in this.
“It is an amazing and positive experience for me
and the team, the amount of respect for the ECS staff
and gratitude from the housebound patients and
their relatives is unprecedented.”
Find out more about Sheila on page 30, Support workers Hannah Lee, Community Link Enfield,
in our ‘Five minutes with’ feature. and Maria Paraskeva, New Options, assist with
booking patients in at the clinic and ensure that they
are comfortable
“I encourage “I thought about
everyone to have it and wanted to
their COVID-19 jab “Having taken my second
make sure I was in
– let’s get back to dose, I feel confident that
the safest position
normality.” I am contributing to the
possible, for myself
Ben Mensah, safety of our patients,
and for my family.
staff, families and the “I decided to get the vaccine based
Chair of our Better I have now had it
entire world. Equally, I on research and evidence. I feel
Together Network done and am happy
feel protected myself. I empowered by the decision I made.
with the decision I
have done my part. The I had COVID-19 twice so for me,
made.”
ball is now in your court. this vaccine has calmed my nerves. I
Rose Minty-Tutton,
Together, we shall defeat want to live for my children and my
Branch Secretary
this invisible enemy.” family.” Fungai Nembaware,
UNISON and Staff
Theo Bello, Senior Service Clinical Service Lead for Haringey
Side Chair
Lead, Forensic Services
18 TRUST MATTERS ISSUE 8 | SUMMER 2021“The vaccine is vital for everyone to
protect themselves. If you have any
doubts, please look at the evidence
and consider this very seriously.”
Maxine Spence,
Associate Mental Health Worker
Enfield Council has produced a film featuring our Enfield vaccination
clinic to introduce the clinic to patients. The film features a patient
called Elizabeth describing her experience of having her first COVID-19
vaccination – Elizabeth is pictured left with Wendela Stewart and Jo-Lee
Humphries from the BEH Vaccination Team supporting the council’s ‘V for
Vaccinated’ campaign. Watch the film at https://youtu.be/33nav-0WdMc
“I’m really excited! It’s fantastic
to know I’ve done the right thing
to protect myself, family, friends,
patients, colleagues and others from
COVID-19.”
Kathy Swanzy-Derben,
Head of Nursing for Barnet
“It is so important that we ensure “Every doctor I know has accepted
staff have the best possible the vaccine as soon as they are
protection against COVID-19 for offered it. As a liaison psychiatrist
ourselves and for our families; I am frequently in COVID positive
but also to ensure we can keep areas, and I wanted to keep myself
providing the best possible care safe from catching COVID. I also
for our patients in these difficult want to stay healthy for the sake of
times.” my family and my patients.”
Reshad Malik, Dr Deborah Dover,
Consultant Old Age Psychiatrist, Deputy Medical Director
Haringey and Enfield Memory
Services
“I want to keep my colleagues and
people in the community safe.”
Mark Archer,
Physiotherapist
TRUST MATTERS ISSUE 8 | SUMMER 2021 19WELLBEING
Focus on your health and wellbeing
The health and wellbeing of • Take notice. Mindfulness. offer counselling services for all
our staff is now more important Paying more attention to your staff which you can self-refer to,
than ever as we recover from the own thoughts and feelings and financial and relationship advice,
COVID-19 pandemic. The last year what’s going on around you can bereavement services and much
has truly tested us as we have had improve your mental wellbeing. more. It can be found at
to change the way we live and BEH offers mindfulness sessions www.care-first.co.uk
work. for all staff daily. Additionally, staff have access to
Although the impact that • Be kind. Being kind and giving our benefits platform Vivup that
COVID-19 has had on all of us will to others can create feelings of offers a range of training, support
vary from person to person, we all positivity, self-worth and purpose. material and salary sacrifice schemes
need to take notice of how we feel It could be something as little such car leasing and an electronics
and look after those around us. as making tea for a colleague scheme. The salary sacrifice scheme
There is a lot of research around or simply asking someone how allows you to buy electrical goods
overall health and wellbeing which they are and offer a listening from gaming consoles to white
is not news to us, but we believe ear. Something that simple could goods by spreading the cost over a
that we should constantly remind really make a big difference. specified time with deductions from
ourselves of the five key things that We understand that our your monthly salary.
we can all do to improve our health employees are looking to us for We also offer fast track access
and wellbeing. a lot more than just their salary, to physiotherapy, occupational
• Connect with others. that is why we are committed to health, Continuing Professional
Having good relationships treating you as individuals and Development funding and advice
with others, both at work and providing you with opportunities on diet, nutrition and overall
in your personal life, can help to support your holistic wellbeing. physical health and wellbeing.
build your self-worth and help BEH, Camden and Islington NHS Alongside our Trust offers, NHS
create a sense of belonging. Foundation Trust (C&I) and Tavistock People provides a range of support
Good relations at work can and Portman NHS Foundation Trust and benefits for all NHS staff
lead to higher job satisfaction (TPFT), have worked together to nationally including wellbeing apps,
and a better sense that you’re create a suite of online training social events like laughercise, Friday
working to your full potential. courses titled Keeping Well NCL. Its Comedy sessions, discount services
They can build trust and aim is to promote mental health and for online and high street retailers,
increase co-operation, thus wellbeing in the workplace. and downloadable resources.
resulting in better patient care. More information can be found at
• Get active. Keeping active www.keepingwellncl.nhs.uk To find out more and to see
does not only help your physical We also offer a range of support what else the Trust is offering,
health. It also improves you to our staff, such as discounts, please visit the health and
mental wellbeing by releasing offers and practical support wellbeing intranet pages or email
feel-good hormones. These through Care First, our Employee Health and Wellbeing on
hormones make you feel Assistance Programme, Care First beh-tr.healthandwellbeing@nhs.net
better about yourself and help
to increase your self-esteem,
reduce stress and aid sleep.
• Keep learning. According
to research, learning a new
skill can improve your mental
health. It can help you build
a sense of purpose, connect
with others and boost your
confidence.
20 TRUST MATTERS ISSUE 8 | SUMMER 2021MENTORING
Mentoring of mentors so if you fall into this
category, please consider signing up
supports
to the scheme.
Over 40 staff members have
contacted the team requesting a
our staff to mentor, but we need more mentors
to be able to match everyone up.
grow and Most people seeking a mentor
will want support in their career
development, especially with how
Claire Scott
learn to hone their interview skills. As a
mentor, you will explore with your
mentee their goals, their strengths
and areas for improvement and
This past year has been a help them reach their objectives
challenging and unprecedented and talk through ways of achieving
time for our staff, our Trusts a good work-life balance. Skills
and the NHS as a whole. needed for the mentor are
excellent listening, asking good
Mentoring has a wide range of
exploratory questions and teasing
benefits that foster learning, Folasade Adewumi-Adesina
out ideas and thoughts from the
staff engagement, changed
mentee. Meetings are usually
work relationships and monthly for about an hour and perspective while picking up great
resilience. There has never been a mentoring relationship might leadership skills. Folasade herself
a more relevant time to become continue for a year or so. has now gone on to mentor others.
a mentor. Clare Scott, Deputy Director of
Nursing at BEH has been a coach “Taking time to
Our joint mentoring programme and mentor for several years to listen to people’s
with Camden and Islington NHS a wide range of people from
Foundation Trust is one part of our colleagues to young offenders in all
experiences is one of
overall programme of personal and settings. She says: “Taking time to the greatest sources
professional development support listen to people’s experiences is one of learning and
to all staff, to help you grow and of the greatest sources of learning understanding and is
develop at BEH. and understanding and is mutually
mutually beneficial
Apart from its wide range of beneficial for both parties.
benefits which include fostering “I have been fortunate enough for both parties.”
learning, resilience building and to have some fantastic mentors
career development, mentoring is throughout my career, some formal
a tried and tested way we can use and some informal, who may Staff who are interested in
to improve staff engagement. Our not even have realised that they becoming a mentor, or would
staff survey results showed us that, were mentoring me. I have been like to find someone to mentor
despite all the difficulties we have given opportunities that I would them, should get in touch
faced during the pandemic, staff never have dreamt of and it is the with Yvonne Egbuna, Head of
morale improved from 2019 to 2020 willingness to share and the gift of Organisational Development and
– this is something we want to build time that people have shown to me Staff Engagement at BEH on beh-tr.
on through mentoring. that I would like to give back.” peopleandod@nhs.net. There’s also
We are encouraging our leaders Clare has been mentoring lots of information on the staff
and people who work in senior Folasade Adewumi-Adesina, intranet under: Working for the
roles to consider becoming a Community Service Lead in Trust > Mentoring Scheme
mentor. We are particularly Haringey, who has spoken about
interested in those working how beneficial their mentoring We will offer you full
in senior roles from an ethnic partnership has been and how support to get started –
minority background. We would it has given her the opportunity please do get in touch!
love to have a more diverse pool to see things from a different beh-tr.peopleandod@nhs.net
TRUST MATTERS ISSUE 8 | SUMMER 2021 21HARINGEY
TRAILBLAZERS
supporting mental health
in schools and beyond
“The mental health
support team is
amazing!” With an estimated one in three young people
Year 5 pupil already struggling with their emotional
Tiverton primary school wellbeing, the coronavirus pandemic has
intensified the challenges some children and
adolescents face. Part of a national initiative to
support the emotional wellbeing and resilience
of children, young people and parents, the
Haringey Trailblazers team usually works in
schools but continued its vital work online
throughout the lockdowns.
Photo © Tottenham Hotspur/Getty Images
22 TRUST MATTERS ISSUE 7 | AUTUMN 2020FEATURE
Katie Rye Special Educational
“I really enjoyed Needs Coordinator at
Mulberry Primary School
having someone to explains:
talk to – I want a “Carefully selected pupils
whole year of the with identified difficulties
The national programme, which group” have accessed high quality
was launched in January 2019, has structured group and one-to-
Year 5 pupil
seen mental health support teams one sessions to help promote
Tiverton primary school
set up in schools in 25 areas across self-esteem, social skills and
the country. The aim is to raise emotional regulation. Our
awareness of mental health and pupils enjoy the sessions and
make support easily available. In the outcomes have been well
some areas, including Haringey brings together a large number received by the wider school
and Enfield, the teams are led by of partners including Haringey community.
the local NHS Child and Adolescent Council and The Tottenham Hotspur “This year, the Trailblazer
Mental Health Services (CAMHS) Foundation, the football club’s offer has developed to
while in other areas, such as Barnet, charitable body which runs keep fit include support for pupils
the teams are managed by the local and yoga sessions in schools. with speech and language
council. A whole range of voluntary difficulties – difficulties
Jeanne Faulet-Ekpitini, Haringey sector partners offer therapeutic which directly impact their
Access and Trailblazer Team art and drama workshops, run confidence in class. Pupils
Manager explains: “Having teams mindfulness sessions, provide have accessed specialised
based in schools is based on the training for teachers in helping speech and language support
belief that the earlier young people students to manage their emotions, which school staff were able
seek help, the better chance there support schools to set up mentoring to observe to follow up and
is to prevent problems from getting schemes, and help teachers and replicate in school.
serious. So we want to make it as parents to understand children’s “During spring term, the
easy and as natural as possible for behaviours and needs. Key team ran weekly online
them to raise issues. The Trailblazers aims are to support children in workshops to parents
team is there on the spot, offering their transition from primary to struggling with managing
opportunities to talk and to help secondary school and to contribute challenging behaviour
students get further, specialised to reducing school exclusions. at home. We are looking
support, for example referrals to These partnerships mean that forward to inviting the
CAMHS, if they need it.” the support Trailblazers provides is Tottenham Foundation into
Haringey Trailblazers is a team of flexible to fit the differing needs school to help pupils with
wellbeing workers, mental health of schools and individuals. Jeanne their health and wellbeing.
professionals and other partners explains: “Some students need one- “The early intervention and
who work within 35 primary and to-one sessions, some will express support being offered by the
secondary schools and one special themselves through art, some will Trailblazer team has greatly
school in the east of the borough. find yoga beneficial, and others strengthened the school’s
The team put in a bid to expand will prefer to throw themselves into mental health and wellbeing
their work to the west of Haringey. more energetic physical activities.” provision. Ultimately, the
The team and its partners support Each school that Haringey early intervention has
students, parents and teachers Trailblazers works with has an reduced the number of
with a wide range of concerns identified Emotional Wellbeing CAMHS referrals over time
including anxiety, sleep problems, Lead who coordinates a ‘whole and we’re looking forward to
self-harm, eating problems, anger school approach’ to promoting building on the partnership
management, bullying, sexual or better mental health and emotional next year.”
identity issues, and concentration resilience with children, staff and
difficulties. Launched in September parents. Schools are supported
2019, Trailblazers is unique in that it through whole staff and senior
TRUST MATTERS ISSUE 7 | SPRING 2020 23You can also read
