We're all in this together - Annual magazine 2021 - Cumbria, Northumberland, Tyne and Wear - Cumbria, Northumberland, Tyne ...
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Cumbria, Northumberland,
Tyne and Wear
NHS Foundation Trust
We’re all in this together
Annual magazine 2021
Editorial Contents
Welcome to the latest edition of our Annual We hope you find the articles throughout A message from our Chair 4-5 Mental Health Concern 24-25
Magazine. This edition is our seventh as the magazine interesting and that they
an organisation, and the second under our provide you with a good insight into our
current name of Cumbria, Northumberland, organisation, our links with our partners A message from our A peer support partnership
Tyne and Wear NHS Foundation Trust. and our appreciation of our volunteers. Chief Executive 6-7 for mothers experiencing
postpartum psychosis 26-27
Each year our annual magazine has a If you would like to find out more about us
theme and this year it’s entitled ‘We’re you can visit our website at
Involvement Service
all in this together’. Covid-19 continues www.cntw.nhs.uk or find us on social Working closely with Community team and
its impact on us and 2021 has proved to media on Twitter, Facebook, LinkedIn or service users, carers, staff charity working
be as equally challenging as 2020. This Instagram. Just search for @CNTWNHS. and other organisations 8-9 together in Carlisle 28-29
magazine aims to acknowledge the
challenges ahead for us as an organisation, We’d love to hear from you with any
how we can’t do this alone and the value suggestions or feedback about our We’re all in this together 10-11 The Percy Hedley Foundation 30
we place on our partners. magazine ideas or future editions.
Supporting our Volunteers 12-13 Provider Collaboratives
As an organisation we are one of the You can reach us at
largest mental health and disability care communications@cntw.nhs.uk – NHS and third sector
providers in England, employing over People at the centre - time working together to
8,000 staff and serving a population Adele Joicey to make it a reality 14-15 improve patient care 32-34
of approximately 1.7 million covering a Head of Communications
catchment area of 3,350 square miles.
Recovery Colleges 16-17 SHINE Charity 36-37
We work from over 70 sites across
Cumbria, Northumberland, Newcastle, Setting up a new Recovery A year in CNTW 40-41
North Tyneside, Gateshead, South Tyneside
and Sunderland as well as providing College for North Cumbria 18-19
a number of national and specialised
services. Learning together 20-21
Clinicians and police work
together to improve
response for people
in crisis 22-23
2 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 3
A message from our Chair Our theme this year is togetherness. Our magazine this year celebrates By working together we can achieve so The pandemic has taken its toll with working together with our partners and much more. Together, we will continue data from the Office for National the wonderful work of our volunteers to be there for those who need us. Statistics revealing that depression who give their time freely to make a rates have doubled since the Covid-19 difference to others. Ken Jarrold CBE pandemic began. The strain on the Chair of the Council of Governors and economy has also taken its toll on those The pandemic is not over, and we will Board of Directors already burdened by inequality – young continue to feel its impact for a long people, women, clinically vulnerable time to come. adults, disabled people and those living in deprived areas have been disproportionately affected. Our Trust is only one part of the system when it comes to autism, learning disability and mental health services and it is more important than ever that we work with our voluntary and third sector partners. We cannot do this alone. Working together ensures that we can provide the best possible treatment, care and support to those who need us, their carers, families and our communities. 4 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 5
A message from our
Chief Executive
So much has changed since I took up my So, a heartfelt thank you And it would seem that the pressure on And finally, as we all still struggle with the
post as Chief Executive in 2014. to everyone who worked services is here to stay, at least for now. times we are living in, its so important to
together to keep the show on the road – to Covid-19 has changed the world, and know that we are there for each other. If
Of most significance, of course, has been our staff, our Governors, our volunteers and as well as losing loved ones directly to you know that someone is having a tough
the Covid-19 pandemic which has changed our partners. Whether you work in clinical physical effects of Covid-19, it has also time, please reach out and ask not once,
our lives – personally and professionally – areas or in support services, thank you brought with it a mental health pandemic. but twice, are you ok?
in ways that were unimaginable just two to you all, you are all part of what makes The world as we knew it changed, and for
years ago. CNTW special. many, when you’re struggling with your This year is now drawing to an end, and
mental health anyway, and then forced to as I look forward to the future, I’m hopeful
Despite these challenges, I’m hugely proud I’m proud to say that togetherness has deal with loneliness and isolation, that was as we embark on our recovery journey
of how Team CNTW have responded to been the theme at our Trust where we a step too far for many. that by moving forwards, together, we can
Covid-19. Let’s look at just one aspect have been there for each other. At the continue to provide high quality treatment
of the NHS’ response, the vaccination start of the pandemic, we quickly realised We are one organisation, and we don’t and care and make a difference to those
programme. The vaccine has been a huge that we would need to help each other, hold all of the answers, and we need our who need us.
success and we have given out 9,027 so we could help others, so a confidential partners more than ever. We realise our
doses with nearly 90%of our staff doubly psychological helpline was launched which limitations, we know that we can’t do this John Lawlor OBE
vaccinated. is still in place today. A staff psychological alone and that we are always stronger Chief Executive
centre, a new service developed just prior together. All that matters is that those who
I’m so proud of our staff and our partners and due to the pandemic is also in place need our services get the care, compassion
that, since the start of the pandemic, which offers specialist, evidence-based and treatment they need, and the best way
none of our services were stopped due to psychotherapies, coaching and mentoring to do that is by working closely with our
Covid-19. Services may have adapted and as well as teaching and training on wellness partners, sharing our knowledge, sharing
changed, for example we rolled out One for managers and leaders. the load. Collaboration is the essence
Consultation, an online portal for patients of life and allows us to be capable of so
to meet with their healthcare professional Relationships are the basis of recovery much more than standing alone. It is about
in a virtual environment. We also used new so the way forward, is by finding a way compassion, kindness, support and the
technologies with the entire organisation, forward, together. power that we gain when we share with
using Teams to keep in touch with each each other and lean on each other.
other and partners.
6 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 7
Involvement Service Partnership Working
Working in partnership with both
Northumberland and North Cumbria
Working closely with service users, Healthwatch, and the respective
CCGs, the Patient and Carer
carers, staff and other organisations Involvement Service hosted a number
of engagement events to promote
The Involvement Bank the further provision of Recovery
We introduced an Involvement Bank Colleges. The engagement events
of service users and carers, known as were well attended by a significant
Contributors, to facilitate service user and number of prospective organisations
carer involvement in specific short-term with Mental Health Concern
activities and projects across the Trust. Over submitting the successful business
the past 12 months membership of the Bank case for Northumberland and Together We CIC for North Cumbria, ultimately being awarded
has increased substantially from 38 to 108 the start-up grants, provided by CNTW’s Shine Fund.
Contributors. Additionally the number of Both Recovery Colleges are now up and running and have made considerable progress
involvement activity requests submitted in a very short space of time, already providing a wide range of taster courses. They have
to the Involvement Service has more than established an online presence, are running courses and groups via Zoom and will be
doubled when compared to the previous year. providing face to face sessions shortly.
From January to August 2021, the Involvement Service received over 150 requests for
service user and/or carer involvement. This included recruitment interviews for CNTW staff,
such as the Chief Operating Officer and Non-Executive Director positions; membership
Peer Support
Developing our Peer Support workforce remains a key priority
of key CNTW steering groups, such as the Autism Consultation Project Steering Group;
for the service, and the Trust. We now have over 50 Peer
co-development and co-delivery of training, such as the newly updated Carer Awareness
Supporters in post with many more identified and going
Training. Contributors have also been sharing their powerful personal stories of recovery and
through recruitment. Peer Support (Development and
experiences at our Reference Group and Trust Board meetings.
Wellbeing) Facilitators were introduced in each locality
The introduction and implementation of the Trust’s Recognition Payments Policy was a key to work with clinical teams and to support our Peer
milestone for the Involvement Service in 2021, with Involvement Contributors now able to Supporters in their integration, personal development
opt-in for recognition payments in acknowledgement of their valuable contributions. and wellbeing.
The introduction of a specialist career path within peer
Service User and Carer Reference Group support has been a major step forward for CNTW. We
Although Covid-19 prevented the Service User now have 10 Senior Peer Supporters employed in Band 4
and Carer Reference Group from meeting roles, and have successfully piloted a Band 5 Peer Support
face to face, it did not inhibit the group’s Supervisor role in North Cumbria, which is to be rolled out
momentum or passion for shaping CNTW across all localities.
services.
The Peer Support Education Programme was developed by the Involvement Service under
Facilitated by the Patient and Carer contract to Health Education England, when CNTW was successful in their bid to be a
Involvement Service, the group is chaired Trailblazer site. The programme was delivered internally by Peer Support Facilitators, with the
by service users and carers and meets bi- support of senior managers from across the Trust, to a cohort of our experienced and new
monthly. During the past year the group has Peer Supporters. Feedback was overwhelmingly positive and Cohort 2 is planned for January
been meeting over Microsoft Teams, with 2022.
senior managers from across the Trust attending to present and facilitate consultations
with our service users and carers, covering a wide range of topics, such as community
transformation, the empower programme, and reviewing CNTW strategy.
8 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 9
We’re all in this together
The last year has without doubt been the These are just two of many volunteer in place and appreciate the support from In these difficult times it is gratifying and
most challenging for our NHS. The global projects we have within our portfolio. senior colleagues. By working together, amazing to see every part of our NHS
pandemic has disrupted our lives in a way we can ensure volunteer involvement goes family pulling together.
we could never have imagined. Volunteers have continued to show great from strength to strength. By utilising
resilience. Whilst the majority of current volunteers to their full potential, we We’re all in this together, the future is ours
It has been incredible and so humbling to volunteer roles were placed ‘on hold’, support our staff to deliver the very best of – let’s make it great!
hear and witness first-hand how people we were thrilled to have a number of care to our patients and carers.
have reached out and stepped up, pulling our volunteers establish new working Wendy Spratt
together in many ways to make such a relationships with our colleagues, as well We have all adapted to and embraced Voluntary Services Manager
difficult time more manageable. CNTW is as our patients and carers. Many quickly new ways of working. It's exciting to see
living proof of how there is a real sense of embraced their new role to support our what lies ahead by working together,
‘we’re all in this together’. Regardless of staff across the localities where extra and exploring what positives we can
roles, we’ve all had a genuine part to play, support was needed. Temporary volunteer take from the pandemic. Teams have
demonstrating unity and togetherness. roles included assisting at the Covid-19 been able to identify where volunteers
vaccination hubs, helping wards with could complement their service, working
Back in 2017, Sunderland Care and Support shopping, supporting the Community together with ourselves and future
approached the voluntary services team. Mental Health Teams, admin support, as volunteers.
After many positive discussions, we agreed well as assisting some of our staff networks
to work together to create ‘Sunderland and other departments within CNTW.
Recovery College’. We are delighted that
our partnership continues to flourish, Other volunteer roles that are normally
providing many opportunities for students supported ‘in person’ saw them adapt
and volunteers, albeit virtually or socially to delivering the service in a virtual way
distanced during the pandemic. alongside staff, such as family support
groups and chapel services. These were
We are also delighted to work in something the volunteers were very keen
partnership with the NTW Solutions to help with, to ensure patients and carers
catering team, providing volunteers to continued to receive support during
support the hospital shop within challenging times.
St. Nicholas Hospital. Colleagues provide
unwavering support to all our volunteers. The last eighteen months has seen our
Together they are able to share their skills service make considerable changes, that
and give time to provide a warm friendly are necessary and welcomed. As a team
service to many. we fully embrace the new processes put
10 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 11
Supporting our volunteers
In addition to having responsibility for They held virtual coffee mornings and even
a Locality Care Group, Directors also a Christmas celebration. On a personal
have responsibilities for other services or level, being able to join these events is
functions within CNTW. In my role, as well really humbling. Not only do I get to meet
as being the Group Director for our North our great volunteers, but I also get to see
Cumbria Locality, I hold responsibility for our fantastic Voluntary Services team in
our Voluntary Services department. action.
It is a role that I really enjoy. Over the last Wendy also vigorously sought out new
four years, it has been an ongoing privilege roles for volunteers, including as ‘meet and
to work alongside Wendy, Voluntary greeters’ in our vaccination centres. She is
Services Manager, Becca Goodburn, now exploring how volunteers can support
Volunteer Coordinator and Joanne Hanlon, our future vaccination efforts as we move
Administrator. What continues to strike me towards Autumn and Winter. The impact
is the passion the team has for promoting of this pandemic has challenged our views
volunteering in the Trust, and the of what volunteering can involve in many
compassionate support offered to those ways.
who give up their time to volunteer with us.
This support is really tailored to individuals’ So, I think all that is left to be said is that,
needs, and the team show genuine care for in my view, Wendy, Becca and Joanne are
all our volunteers. true CNTW stars. I am very proud to be
part of their Team. They are undoubtedly a
As we know, the last 18 months or so credit to the organisation for the sustained
have been incredibly challenging, and - and often unseen - efforts they make
that holds true for our volunteers. General daily to support our volunteers. Thank you
restrictions and the need to protect at- for all that you do.
risk individuals meant that, for many, the
ability to volunteer alongside teams and David Muir
services in the traditional sense stopped Group Director, North Cumbria Locality
for some time. We are very pleased that
our volunteers are now gradually able to
return to services, after going through the
relevant risk assessment processes.
But rather than sitting back, Wendy,
Becca and Joanne have continued to offer
support to our volunteers. To reduce the
potential for isolation they have kept in
touch with them all, individually and as a
group.
12 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 13
People at the centre - time to
make it a reality
For years we have used phrases like It’s worth quoting the key aims set out in 4. Maximise continuity of care and ensure These are the conversations that have
“putting the person at the centre of the national framework - it’s wordy, but it’s no ‘cliff-edge’ of lost care and support begun developing over the last year.
everything we do.” But has this always pretty good: by moving away from a system based on Across each of our local authority areas
felt like the reality? Sometimes, it feels referrals, arbitrary thresholds, unsupported partnerships, formal and informal, have
like we’ve created a system designed to “People with mental health problems will transitions, and discharge to little or no formed to consider how we can make this
push people from one place to the next. be enabled as active participants in making support. Instead, move towards a flexible policy a reality. Together, we have a real
When people find the right place and the positive changes rather than passive system that proactively responds to opportunity to work together to re-think
right relationships to support them, they recipients of disjointed, inconsistent and ongoing care needs. and re-imagine what ‘good’ can look like,
can thrive, and we see that across our episodic care. Delivering good mental with a national framework to guide us.
organisation. But often, finding that right health support, care and treatment in the 5. Work collaboratively across statutory
place takes too long, or it simply doesn’t community is underpinned by the following and non-statutory commissioners and And maybe, if we can do this, we really can
happen. This is frustrating for clinical six aims: providers within a local health and care say we are putting the person at the centre
teams and care professionals, but can be system to address health inequalities and of everything we do.
devastating for carers, families and people social determinants of mental ill health.
1. Promote mental and physical health, and
who need support. James Duncan
prevent ill health.
6. Build a model of care based on Deputy Chief Executive and Executive
September 2019 saw the publication of inclusivity, particularly for people with Director of Finance
2. Treat mental health problems effectively
the ‘Community Mental Health Framework coexisting needs, with the highest levels
through evidence-based psychological
for Adults and Older People’ by NHS of complexity and who experience
and/ or pharmacological approaches
England, and the formal national planning marginalisation.”
that maximise benefits and minimise the
for this was launched in September 2020
likelihood of inflicting harm, and use a
(delayed, inevitably, by Covid-19). It’s not Now the tricky bit. How do we overcome
collaborative approach that:
the snappiest of titles, but I recommend our years of working in pseudo-
- builds on strengths and supports choice;
it. It talks about how specialist mental competition? How do we break out of
and
health trusts can support our communities some of the bureaucratic systems that hold
- is underpinned by a single care plan
differently, by working with partners and us back? How do we enable real
accessible to all involved in the person’s
local communities to provide joined-up co-production and involvement?
care.
care. We should think about how we can
wrap care around communities, bringing How do we think about developing this
3. Improve quality of life, including
expertise and support to the person, not in the long term, rather than it being the
supporting individuals to contribute to
passing them around organisations with latest fad? And how do we genuinely
and participate in their communities as
different assessments and hand-offs. build the trusting relationships between
fully as possible, connect with meaningful
activities, and create or fulfil hopes and organisations to make this work?
aspirations in line with their individual
wishes.
14 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 15
Recovery Colleges
Recovery Colleges provide a safe Sunderland Recovery College North Cumbria Recovery College Northumberland Recovery College
space where people can connect, gain “We began working with CNTW in 2016, “Working in partnership with a range “Partnership working helps us come
knowledge, and develop skills. All courses when we identified the need for support of organisations enables us to give the together to identify and fill gaps in service
– ranging from health topics to art and from volunteers. We didn’t want to reinvent people we support the best possible care, provision, and ensure everyone receives the
other hobbies and skills - are free. They the wheel, but work in partnership with an by offering them various options and right care at the right time.
are co-developed and co-facilitated by established volunteer programme whose opportunities for dealing with their mental
someone who has lived experience of expertise would complement our Recovery ill-health or disability. “The sharing of knowledge and resources
mental ill-health. Courses are designed to College. So, we approached CNTW’s has also been a significant boost, allowing
contribute to students’ recovery, resilience, Voluntary Services department. “Everything over the last 18 months has the College to develop faster and have a
and wellbeing. had to be done virtually, and lockdowns broader reach than we initially anticipated.
“The benefits from this joint working have got in the way of many collaborations. This couldn’t have been achieved without
CNTW works closely with the Recovery have been amazing. Our volunteers say But organisations have been so supportive CNTW’s support.
Colleges across our region, which provide they have developed more self-worth, of each other throughout the pandemic.
invaluable support to so many of our responsibility, structure and routine, People have continued to collaborate “The future looks very bright for
service users. Though the Recovery College a sense of belonging, and increased with us via video conference, and this has collaborative working in healthcare.
buildings remained closed during much of motivation and self-confidence. Our helped us to form a community despite all Everyone has been pulling together to
the pandemic, this didn’t stop them from students are offered the opportunity to the challenges. Partnership working creates ensure that we are all providing the best
continuing to work hard with partners volunteer in other areas throughout CNTW, stronger ties between services, and better support possible to our service users in
behind the scenes to offer support, helping them gain valuable experiences morale; everyone is there to support each the wake of Covid-19. In particular, it has
advice, and guidance over the phone, via in peer working and understanding health other and share their experiences. highlighted the importance of smaller
newsletters and online. and social care organisations. Some of our organisations and the work they do in our
volunteers have even secured full-time jobs “The biggest achievement for us that has communities. This way of working together
We caught up with a few of the Recovery at CNTW. come from working alongside CNTW is shows no signs of slowing down.”
Colleges to find out what partnership the input from the trust’s Peer Supporters.
working means to them… “Working in partnership allows us to share They have helped enormously with the Eddie Martin, Northumberland Recovery
so many things – exchange best practice, setting up of the college, kept the positivity College Coordinator.
pool costs and resources, share effort flowing through the college, and their
and make better use of time. By working contributions have been amazing.” You can find contact information and
together, we achieve far more than we course details for all of the Recovery
could by working alone.” Janine Ward, Managing Director of Colleges in the North East and North
Together We CIC. Cumbria on our website www.cntw.nhs.uk
Kim Dobson, Sunderland Care and Support
16 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 17
Setting up a new Recovery
College for North Cumbria
The process of setting up the Recovery
College was supported by Healthwatch
Cumbria, who facilitated a series of public
engagement sessions. The Service User
and Carer Involvement team at CNTW
also played a key role in ensuring that the
views of mental health service users and
In March, Together We Community Interest We are very pleased to be helping Together their carers were included throughout.
Company (CIC) was awarded a £49,000 We CIC to set up a Recovery College for The grant was awarded to Together We
grant by The SHINE Fund, CNTW’s official North Cumbria. We know first-hand from CIC following a rigorous consultation
charity, to set up a new ‘Recovery College’ our close links with existing Recovery and assessment process guided by the
to support people’s mental health and Colleges in the North East how valuable principles established through these initial
wellbeing in North Cumbria. they are as a complement to other mental consultations.
health services. They increase people’s
The Recovery College has now begun ability to stay well, and can be a launch pad
providing a programme of free courses into mainstream education, employment,
and workshops aimed at helping people and re-connection with their community.
to improve their wellbeing and recover
from mental health issues. These are co- Together We CIC combines mental and
developed and co-delivered by peers who physical wellbeing support to provide a
have lived experience of mental illness fully inclusive service to people of all ages
themselves. across Cumbria. Janine Ward, Managing
Director of Together We CIC, said: “We
The College began delivering courses are over the moon to have the great
online in June due to Covid-19 restrictions, opportunity to lead on this new Recovery
but as this magazine goes to print the College across North Cumbria, and to be
College’s first in-person courses are just working closely with partner organisations
about to start. and people with lived experience to offer a
wide range of courses.”
Supporting recovery
18 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 19Learning together We have also heard from representatives Our next Learn and Share Together
from Cumbria, Northumberland, Tyne and Collaborative meeting will take place on
Wear NHS Foundation Trust and Tees, Esk 30 September. For more information,
and Wear Valley NHS Foundation Trust please contact paul.sams@cntw.nhs.uk or
The Learn and Share Together Making changes happen together – what
about how the Trusts are working and andrew@sunderlandpeoplefirst.com
Collaborative connects mental health, actions have been taken since our last
learning disability, autism and head injury meeting? Where is the evidence, and how responding to feedback. Self-advocates
have also led interactive question and Follow us on Twitter @LASTteamwork.
care providers and stakeholders. We come have we shared this information?
together to talk about how we listen to and answer sessions, thinking about how
everyone can give feedback in different Paul Sams, Feedback and Outcomes Lead
respond to feedback. We launched in May and have only held at Cumbria, Northumberland, Tyne and
two virtual meetings so far. But we are ways.
Wear NHS Foundation Trust and founder
People with lived experience are best gathering momentum, and excited about of LAST Collaborative, and Andrew Fox,
placed to say what needs to happen, and what we have achieved together so far! We hope that other healthcare providers
Development Worker at Sunderland
to help shape changes to services. But in across the country will learn and share
together by developing these same People First.
our experience, they are often only asked We have introduced simple changes that
to comment on plans after they have been make it easier for people to complete our relationships. We would welcome the
designed, rather than being involved from online Points of You feedback form. We opportunity to support this journey.
the beginning. Our collaborative meetings are also developing materials to make the
aim to show what we can achieve when we feedback process easier to understand. We
involve all members of our community from hope these will also help people feel less
the start. nervous about giving their opinion. We are
also developing ‘you said, we did’ posters,
Our meetings are co-hosted by self- to be tested and rolled out Trust-wide.
advocates from Sunderland People
First. We always make sure that they are At our latest meeting we welcomed James
interactive, engaging, and that we have fun Munro, Chief Executive of Care Opinion, to
learning and sharing together. This is a safe talk about how they are working to make
place for people to share. Matty Prothero, it easier for people to share experiences of
a self-advocate, said: “We enjoy meetings health and social care.
because we can just be ourselves. We can
be honest, share our humour, because we
feel listened to.”
At each meeting, we discuss:
Listening – how we communicate and
make information accessible. We look at
things that may make giving feedback
easier or more difficult.
Learning - when people give their time to
provide feedback, what happens next? This
includes how people are involved in actions
or changes that are needed.
20 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 21Clinicians and police work
together to improve response
Since the pilot started, there have been
more than 60 occasions during the
team’s operating hours when police may
for people in crisis
previously have needed to use Section
136 powers, but during the pilot there
have been no detentions while the Street
Triage Team were on duty. The team
have completed almost 100 face-to-face
Outlining how the pilot service works, assessments, and have also provided
Philip Johnston-Blackwell, Clinical Lead remote advice and support on many other
for the Street Triage Team, said: “When occasions.
police in Carlisle respond to an incident
reported to them, the Street Triage Team The team have received plenty of positive
will be asked to attend if control room staff feedback from those who have come into
or officers believe that someone involved contact with them, with comments such
is experiencing a mental health crisis or as: “They were kind and caring and I felt
severe distress. listened to when I needed support;” “They
listen and help you make a plan;” “I really
“The Street Triage Team attend and like that they come to see you face to
undertake a face-to-face assessment of face;” “They made me feel at ease;” and,
the person’s mental state. They’ll discuss “They made me feel reassured and safe.”
the most appropriate course of action to
support that person and create a ‘safety The pilot will be reviewed in October.
CNTW is currently piloting a new service plan’ with them. They can also refer them
in Carlisle and Penrith alongside Cumbria on to suitable support services if needed.
Constabulary, to respond appropriately to Our main focus is making sure that the
people who are in mental health crisis who individual’s voice is heard and that they
come into contact with the police. safely get access to the right support, at
the right time, in the right place for them.”
The service, known as the Street Triage
Team, has been running since the Through this pilot CNTW and Cumbria
beginning of May 2021 with promising Police are hoping to reduce unnecessary
results. For several years CNTW have police detention of people in crisis under
successfully worked with Northumbria what are known as ‘Section 136 powers’.
Police to deliver a similar service in the Section 136 of the Mental Health Act
North East. grants police the power to detain someone
who is in crisis. The detained person is
The Street Triage Team is made up of two taken to a designated ‘place of safety’
senior Registered Mental Health Nurses and for a Mental Health Act assessment. The
two experienced police officers. The team power is essential in some situations to
support people of all ages who come into keep someone safe, but in many cases
contact with the police outside of custody experienced clinicians can help a person
where there is concern that the person is in onto the right support pathways without
mental health crisis or distress. the need for them to be detained.
22 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 23Mental Health Concern
Adam Crampsie is the Chief Executive of It’s these close partnerships with others On collaborative work Adam said: “No
Mental Health Concern. that enable Mental Health Concern to single organisation can do everything. It’s
provide high-quality care and support. really important that everyone understands
A mental health clinician by background, Mental Health Concern and CNTW work their strengths and can see the strengths
his experience spans the public, private in partnership on the referral pathway of others. We can’t exist without strong
and charity sectors. He started his career both in and out of services, working relationships.”
working in the NHS, before moving into closely between the charity and the Trust’s
private healthcare to develop and lead community mental health and crisis teams. The pandemic has undoubtedly changed
NHS-commissioned services across There have been numerous shared ways of working for many, and Mental
mental health trusts, acute trusts, clinical successes, but for Adam, perhaps the Health Concern is no different. In fact, in
commissioning groups, and central greatest achievement has been the terms of collaborative working, it has seen
government. development and up-scaling of non-clinical a positive change for the charity.
support for people identifying as being in a
Mental Health Concern is a charity with crisis. “As a charity, we’re very fortunate
communities at its heart, providing that most of our income comes from
specialist services on behalf of the NHS The service, called Together in a Crisis, commissioning,” Adam explained.
and local authorities. They provide a range was conceived in 2016 by a partnership “Charities have been hit hard by the
of services, including dementia nursing of CNTW, Newcastle Gateshead CCG, pandemic and as a larger charity, we
care, social prescribing, supported housing, and Mental Health Concern. It provides have a part to play in supporting smaller
24-hour specialist adult care, dementia emotional and practical support to people organisations. We have created a number
respite care, and community wellbeing who identify as being in crisis, but do not of partnerships during the pandemic.”
groups. meet the threshold for the NHS mental
health crisis service. Adam says during these harder times For Adam, the main people who
The people they support have a wide range it’s important to give lifelines to smaller benefit from these partnerships
of mental health needs and predominantly Mental Health Concern worked in close organisations. “It’s not a competition, we between organisations are the service
have severe or long-term mental illness. collaboration with CNTW’s crisis team will all gain a lot more by working together. users themselves.
to develop a seamless two-way pathway I don’t see any other organisation as a
Mental Health Concern is also the parent between the teams. competitor, a competitor is just a partner “They don’t care about where the help
charity of Insight IAPT, a national provider you haven’t made yet. As we move to comes from, what your badge says, or
of NHS talking therapies. Since 2016, Together in a Crisis has grown an integrated care system, collaboration what organisation you’re from. They
in scale and reach and is now formally will be more important than ever, so the care about getting access to the best
Much of the charity’s work is done commissioned in Newcastle, Gateshead, quicker we break down any barriers, the care in a timely manner to get them
in collaboration with a number of Sunderland, South Tyneside, and better it will be for the future.” where they need to be. When we talk
organisations including our own, Cumbria, Northumberland. about collaboration, we think about
Northumberland, Tyne and Wear NHS There can be challenges that come with how we can get service users to get
Foundation Trust (CNTW). Our two collaboration. “The biggest challenge for to their desired goal as quickly as
organisations have had a close alliance and many of us is workforce development; possible, with the fewest number of
relationship for over 30 years. we’re all looking for nurses from the same steps.”
resource pool. We need to look at growing
and nurturing our own talent, and we can
only overcome this challenge by working
together.”
24 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 25A peer support partnership
for mothers experiencing
postpartum psychosis
The Trust has linked up with national At CNTW we believe that service users and
charity Action on Postpartum Psychosis carers with lived experience of mental ill-
(APP) to provide a dedicated Peer health should be at the heart of everything
Supporter for women experiencing severe we do, and employing Peer Support staff is
mental illness following the birth of their an integral part of this.”
child.
Hannah Bissett, a National Co-ordinator at
The Peer Supporter will be employed by APP, said: “As a woman who has personally
APP, but based at CNTW’s Beadnell Mother experienced postpartum psychosis I know
and Baby Unit, at St George’s Park Hospital how isolating and afraid it can make you
in Morpeth. feel. Having somebody there for you who
knows exactly what you’re going through
Postpartum psychosis is a debilitating and who can inspire hope will undoubtedly
postnatal mental illness that can occur out bring a sense of relief and reassurance
of the blue, affecting around 1n,400 women to women in the region who may find
and their families every year in the UK. themselves experiencing postpartum
However, it is treatable, and most women psychosis. We’re delighted to be partnering
go on to make a full recovery with the right with CNTW on this.”
support.
Allison Spiers, Ward Manager at the
Beadnell Mother and Baby Unit, said: “We
work very closely with APP to support
mothers who are experiencing postpartum
psychosis, and we are really pleased to be
growing that relationship by welcoming
a new Peer Supporter employed by APP
into our team. Not only will they offer vital
one-on-one support to new mothers at a
very distressing time in their lives, this Peer
Supporter will also support group work
with the women on our unit, and provide
training to ensure our whole team continue
to develop an in-depth understanding of
postpartum psychosis. St. George’s Park Hospital, Morpeth
26 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 27Community team and charity
During the height of the COVID-19 “He is now doing very well, is engaging
pandemic, third sector organisations in with the team, and has a crisis support plan
Cumbria – offered ‘mutual aid’ to health in place to help him.”
working together in Carlisle and care organisations which were facing
staffing difficulties due to the pandemic.
One of these was The Glenmore Trust, a
Kirsty Andrews, Community Mental Health
Nurse within the Carlisle CMHART, agrees:
charity which supports people with mental “We’ve found collaborating with The
health problems and learning disabilities. Glenmore Trust a great success – it feels
As a result, several highly trained staff like we are working as one team, and we
from The Glenmore Trust are now based have nothing but praise for their staff and
alongside Carlisle Community Mental the friendly, approachable support they
Health Assessment and Recovery Team have offered.
(CMHART).
“They bring a wide range of knowledge
Danny May, Clinical Lead for the Psychosis which has really contributed to the support
Team within Carlisle CMHART, said: of our patients, their family members, and
“Having a third sector organisation working other professionals. The Glenmore Trust
alongside an NHS service on a day-to-day staff pay really close attention to what
basis like this is quite innovative. It is early each person needs, which is very important
days, but we are all really encouraged by to our team. Their support has enabled
the positive impact this has already had for us to use our time more effectively. Our
clinicians and patients.” patients are getting a lot more from us as
service; we are working in a more holistic
Danny recalls one instance where the way.”
CMHART’s psychosis team had been
struggling to engage a particular The Glenmore Trust’s staff have all reported
gentleman in their support, who would that they feel valued and supported by the
often refuse to answer the door. “Staff Carlisle CMHART. One staff member said,
from the Glenmore Trust were able to really “They’re so welcoming and easy to work
persevere with him, consistently getting with. Working alongside the team, I have
in contact and slowly managing to build learned such a lot from them, and I think
rapport and trust. they have learned something from us too.”
“But they had a ‘breakthrough moment’
after a random comment from one
Glenmore Trust staff member during a visit,
about having a cup of Typhoo tea. This
seemed to be a bit of an icebreaker, and
sure enough at the next visit the gentleman
was waiting at the door with a box of
Typhoo teabags for the staff! That may
seem like a small thing, but it was a big
step for him and the team.
28 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 29The Percy Hedley Foundation
One of the organisations we work closely
with is The Percy Hedley Foundation, a Looking for work? Follow our dedicated jobs account
charity based in Newcastle Upon Tyne.
@cntw_jobs for updates on new vacancies and
“We are The Percy Hedley Foundation, and
we support people with disabilities across opportunities across Cumbria, Northumberland, Tyne
the North East to develop their abilities, and Wear NHS Foundation Trust.
live the life they want, and be happy. As
an organisation we are here to support
individuals who need specialist help so that
they can flourish. We support people to live
and learn through a range of specialist and
personalised education and care services.
At Percy Hedley, our promise is to put
the people we support at the heart of Collaborative working is essential for
everything we do. Working collaboratively delivering person-centred care. 78% of
with our partners is the only way we can disabled people report having faced
get the best for the individuals we support. difficulties when accessing services and
All of the organisations that are supporting for many people, the times when they
an individual person are working towards receive poor care, or their needs aren’t
a common goal and together we are met are when they fall between different
stronger. By working together and with the providers.
individual we can achieve better outcomes.
In recent years, we’ve seen some
The Covid-19 pandemic meant we needed brilliant examples of the difference
to adapt our approach to working with that improved collaboration can make
other organisations quickly. Embracing for an individual. In order to achieve
technology has been vital – this has some of the changes needed, more
enabled us to meet together virtually collaborative working between providers
and share information. The pandemic and with individuals at all levels will be
also emphasised the importance of key. Working with individuals’ families
communicating with partners, particularly and partner organisations, not just on
in situations where things are constantly joining up service provision but involving
changing. Although the last 18 months have them in designing services gives us
presented us with many challenges, the the opportunity to transform their
impact of improved communications with experiences and give them more choice
our partners is one of the positives that and control over the health and care they
we’d like to continue in the future. receive.”
D’Arcy Myers
Chief Executive
30 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 31Provider Collaboratives –
Building on the success of New Care In our region, a partnership of Cumbria,
Models, Provider Collaboratives are a new Northumberland, Tyne and Wear NHS
approach to commissioning specialised Foundation Trust and Tees, Esk and Wear
NHS and third sector working mental health, learning disability and
autism services.
Valleys NHS Foundation Trust, called North
East and North Cumbria Mental Health,
Learning Disability and Autism Partnership,
together to improve patient care The ambition of Provider Collaboratives
is that people with specialised mental
health, learning disability and autism needs
is now leading commissioning across
three Provider Collaborative services. Our
Collaboratives cover Adult Secure Services,
experience high quality, specialist care, Children and Young People’s Inpatient
as close to home as possible, connected Services, and specialist Adult Eating
with local teams and support networks. Disorder Services across the North East
To do this, Provider Collaboratives take and North Cumbria.
responsibility for the budget and pathway
for their own region. This is a really exciting opportunity, and we
have already seen some of the benefits of
They will drive improvements in patient this way of working. For example:
outcomes and experience, as well as
tackling local inequalities. They will also • 31 people within Adult Secure services
seek to increase the voice of people with have been brought back to local services
lived experience in improving the quality over the last 4 years through New Care
of care provided. Through different ways Models, with this set to continue through
of doing things and caring for people the Provider Collaboratives.
closer to home, we have already been able • Work has begun to make sure access
to release resource to invest in different to community-based specialist eating
community services. disorders services is equitable across our
region.
The key principles underpinning Provider • Savings have been reinvested into an
Collaboratives are: Adult Specialist Community Forensic
Service, supporting earlier discharge
• Collaboration between providers across from inpatient care through enhanced in-
local systems reach and supporting re-engagement
• Experts by experience and clinicians with community and social networks.
leading improvements in care pathwas • Intensive community pathways for
• Managing resources across the children and young people have been
collaborative to invest in community introduced, including the Intensive
alternatives and reduce inappropriate Positive Behaviour Support (IPBS) team
admissions/care away from home and increased crisis team availability.
• Working with local stakeholders This has significantly reduced the need
• Improvements in quality, patient for young people with learning
experience and outcomes driving change disabilities and/or autism to be admitted
• Advancing equality for the local to inpatient care.
population
32 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 33Cont’d .... • Local third sector organisation Skills for People has been commissioned to provide a Family Support Worker, supporting families alongside the IPBS team. In a recent evaluation, feedback from both families and clinicians who have worked with the Family Support Worker has been very positive. • With the introduction of an Enhanced Community Eating Disorder Team for Children and Young People, sharing of paediatric expertise within Ferndene and greater support for in-reach, training, and supervision, CNTW has not needed to admit any young person to an out-of-area Specialist Eating Disorder Unit since July 2019. • As a result of the savings made by not requiring out-of-area Specialist Eating Disorder Unit beds, a team has been funded to provide seven-day clinical case management in children’s inpatient services. The team oversee bed availability, patient ‘flow’, referrals, admissions, discharges, transfers, and repatriations. It is clear to see how working much more closely together across the system can have a really positive impact the people that use our services. Jo Murray, Programme Lead for NENC Adult Eating Disorders Provider Collaborative, and Garry Schulz, Provider Collaborative Programme Manager 34 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 35
Runners tackle world’s biggest
Caroline Hurt, who works for CNTW as
a Clinical Skills Trainer, is also motivated
by seeing the difference The SHINE Fund
half-marathon for The SHINE makes. “I’ve been employed by the NHS
for 30 years, working with patients with
mental health and learning disabilities, so
Fund I am really aware of the difference that
all the little extras that come from The
SHINE Fund make to our patients, and how
valuable it is in aiding their recovery. I hope
that by completing the Great North Run I
On behalf of our Trust’s Charity, the SHINE can encourage others to get involved and
Fund we would like to say a massive spread the word about what The SHINE
thank you to the determined runners Fund does.”
who completed the world’s biggest half-
marathon, the Great North Run, to raise Adrian Edwards works as a Specialist
money to support those receiving care and Occupational Therapist for CNTW, and
treatment for mental health problems and remembers watching the Great North
disabilities. Run from his grandparents’ house, which
overlooked the finishing line in South
Money from The SHINE Fund is used to Shields where he grew up. “I always wanted
provide the ‘little extras’ that make a big to do it, because it looked like a lot of fun
difference to peoples’ recovery and mental for the runners, and now I’ve managed to
wellbeing. It often funds day trips and do the Great North Run a couple of times
activities for patients, as well as vocational over the years.
and educational activities. During the
Covid-19 pandemic ‘lockdowns’ it enabled “This year, I’m definitely looking forward to
CNTW to provide craft materials, music running for the SHINE Fund. Something I’ve
equipment, games consoles, puzzles, appreciated during the Covid-19 pandemic
and more to keep everyone happy and is the ‘little extras’ in life, and if I can
well throughout isolations and visiting support The SHINE Fund to give those to
restrictions. the people using our services, it feels very
Ailsa Miller, Patients Finance and Cashiers
worthwhile.”
Paul Sams ran the race to raise money for Manager at CNTW, said: “After so long being
The SHINE Fund for a second time this unsure whether this year’s Great North Run
Abi Stewart and Alex Austin, whose sister-
year. Paul now works for CNTW, and has was going ahead, we are thrilled to have
in-law works for CNTW, are running to
been supported by mental health services several runners taking part again this year.
give back and support the NHS after the
in the past, so he knows first-hand the challenges of the pandemic. “We’re very
difference that money raised for The SHINE “We are incredibly grateful for the
excited for next weekend – even on our
Fund can make. fundraising efforts of all our runners, and we
staycation in Bournemouth we kept up with
wish all of them the best of luck on the day!”
training, running up to the pier and back
down to the sand banks!”
To find out more about the SHINE Fund or
to donate visit www.cntw.nhs.uk/SHINE
36 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 3738 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 39
A year in CNTW...
In January the Trust began its Covid-19 vaccination programme, an important moment in our
collective fight against the virus. The programme was the culmination of several weeks of
detailed planning and thousands of staff and patients have been vaccinated since.
In February we celebrated long service in our workforce and recognised over 1,025 staff
who achieved 25, 30, 35 and 40 years of service, as well as commending our wonderful
In a year which has had so many challenges, we have achieved a great deal to be volunteers.
proud of. The strength and compassion of staff have been admirable in what could be
described as the most difficult year of many of our careers. Here are just some of our March saw the Trust became the first in the region to offer a mental health or learning
achievements in the landscape of mental health, learning disability and neurological disability nurse degree apprenticeship to aspiring nurses. In conjunction with the University
care. of Sunderland, the course offers successful applicants paid employment and education
through a combination of supernumerary learning and working in a nursing environment.
In September, we celebrated a ‘Month of Hope’ which took place between World Suicide
Prevention Day and World Mental Health Day. Members of the public, service users, staff and In April, the Trust planted 1,000 trees across four sites as part of the wider strategy for
carers were encouraged to share what has made them hopeful. The inspiring messages were sustainability. We also launched our Green Plan in April, outlining how we aim to reduce
then shared on social media. carbon emissions to ‘net zero’ by 2040 and actions to meet sustainability goals by 2026.
We also opened Lotus Ward in April, a 10-bed inpatient unit at Acklam Road Hospital in
Throughout October we shared stories from members of staff from different backgrounds to Middlesbrough. The ward provides specialist care and treatment to young people who have
mark Black History Month, celebrating the diverse culture of our workforce which included a complex mental health needs. This was opened following extensive work engaging with
celebratory event featuring a number of speakers. We also supported Show Racism the Red service users and their families/ carers to design the new service.
Card Day and wore red, uniting our organisation to take positive action against racism and raise
awareness. In May, our chief nurse Gary O’Hare virtually welcomed Matt Hancock MP, then Secretary
of State for Health and Social Care to talk about the resilience of staff throughout the
November saw us celebrate winning the QA Award for Macro Employer of the Year in the 2020 pandemic. They also paid tribute to the health and social care staff of the region in their
North East National Apprenticeship Awards. CNTW has over 300 apprentices and we offer efforts during the pandemic. We also piloted a new service between the Trust and Cumbria
apprenticeships in all areas including customer service, health and management. There are also Police, which sees mental health clinicians and police officers teaming up so they can
development opportunities for current staff to enable them to gain recognition for their skills. respond appropriately to people who are in mental health crisis who come into contact with
the police.
In November our Individual Placement and Support (IPS) team reached an important milestone
achieving their 100th job after launching in 2019 to provide service users in community treatment We celebrated Armed Forces Week in June when we launched a new Staff Network for
and early intervention in psychosis with specialist support to gain and sustain paid jobs. A huge veterans. The Network aims to ensure the Trust provides sufficient support to staff connected
success which service users have told us is life changing. to the armed forces. Learning Disability Week also took place in June and this year’s theme
was art and creativity. We shared the story of our Art Hub, which allows service users to
In December we received the fantastic news that the Department of Health and Social Care participate in a range of artistic activities from drawing and painting to sculpture and creative
(DHSC) and NHS England & NHS Improvement (NHSEI) Joint Investment Committee and HM writing.
Treasury approved the full business case for the Trust’s Care Environment Development and
Re-Provision (CEDAR) programme. The programme was established to undertake the service In July, our Informatics Project Team were shortlisted for Patient Safety Innovation of
planning and implementation of three major developments; the creation of a new integrated the Year in the HSJ Patient Safety Awards, recognising their implementation of online
mental health and learning disability centre of excellence at Northgate Hospital in Morpeth, the consultation solution, OneConsultation. The awards celebrate the teams and individuals
reconfiguration of the award-winning children and young people’s Ferndene unit at Prudhoe, to putting safety first. Our apprentices also celebrated this month, with 100% of Customer
improve existing accommodation and establish medium-secure facilities and the reconfiguration Services apprentices successfully completing the programme with a first-time pass. And
and re-provision of mental health adult acute inpatient services at St Nicholas Hospital’s 85% achieved a Distinction, the highest grade possible. This figure is way above the national
Bamburgh Unit. CEDAR aims to increase patient and staff safety and improve the quality of care. average.
December also saw the launch of a disability passport, created by the Trust’s Disabled Staff In August the Carlisle Community Mental Health Assessment and Recovery Team (CMHART)
Network which aims to improve their experience in the workplace. The document was created began working in partnership with The Glenmore Trust, a charity which supports people
after listening to the stories and experiences of staff in obtaining reasonable adjustments. The with mental health problems and learning disabilities. This is part of the team’s increasing
document will make it easier for staff to share information about their disability. work with third sector organisations to offer the people they support additional help and
opportunities.
40 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual magazine 2021 41You can also read
