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Your weekly DBTH update 20 November 2018

Stop the pressure Celebrating an entire month without a pressure ulcer page 4

News flash: The panto returns to DRI for a second year, book your tickets!!

DBTH Buzz 20182

A special visit from Jinan, ChinaA VIP healthcare delegation from China has paid a visit to DRI to see how an NHS Teaching Hospital provides care. Made up of hospital presidents and government officers, the delegation travelled from the capital city of the Shandong Province, Jinan, to better understand how we care for our elderly patients. The visitors also explored how we run our acute healthcare services, as well showcasing the Quality improvement Medical Education and Training (QiMET) Project. QiMET is the UK’s first 'Hybrid International Emergency Medicine' Training Centre and offers training to overseas medical schools to provide an international rotation of qualified doctors. The Trust will regulate QiMET UK going forward on behalf of the founders: Dr Subedi, Dr Khan and Dr Aylott. The goal for QiMET is simple: To improve the quality of care for patients and provide value for money for the NHS in the UK. This project is unique, as it enables overseas medical trainees to earn, learn and, most importantly, return, providing a sustainable workforce for the UK and addressing the global shortage of qualified doctors. Following the visit to Doncaster, proposals are being drawn-up to set-up QiMET 5,000 miles away in Jinan. The group from Jinan are looking for a potential partnership and knowledge exchange opportunities with the Trust in the near future. They were particularly interested in the excellent care that we provide for elderly patients, as well as our person centred approach to looking after our most vulnerable visitors. They were given an insight into a number of projects at the Trust which have improved care for this group of patients, including a campaign to get patients up and dressed in the mornings to avoid ‘PJ paralysis’, and an initiative to reduce the number of falls and pressure ulcers in hospital. Lynne Rayner , Advanced Nurse Practitioner for Care of the Elderly, said: “We have been focussed on providing person centred care for our older patients and it’s good to see that our efforts have been spotted across the world. The visit from Jinan was a great opportunity for us to share the work we have done here to reduce the number of falls and pressure ulcers on our wards, and some of the homegrown ideas that have been produced by our staff to improve our patient experience and make sure their care is centred around their individual needs. It’s humbling to think that some of the models of best practice, originating here in Doncaster and Bassetlaw and may now be used to improve care in China.”

The delegation presented DBTH with a traditional piece of Chinese parchment intended to bring good fortune and a painting of an orchid flower for prosperity.

DBTH Buzz 20183

DBTH ‘Stops the Pressure’ for one month For the second time this year, we’re celebrating a whole month without any of our patients developing a severe, hospital acquired pressure ulcer (HAPU) across all of our sites and wards. We saw October come and go without any severe HAPUs reported. This achievement coincided with the run up to national ‘Stop the Pressure’ day on 15 November, which aims to increase awareness amongst healthcare professionals of the damaging impact of pressure ulcers. Moira Hardy, Director of Nursing, Midwifery and Allied Health Professionals, said: “I am extremely pleased that we are seeing sustained improvements in patient care. It’s all thanks to the

impressive work of our staff, who go above and beyond on a daily basis, putting best practice into action, for the benefit of our patients with their extraordinary dedication and proactive thinking. They really deserve a spotlight for taking such pride in their work and for consistently putting patient safety at the heart of everything they do.”

DBTH also achieved a severe HAPU free month in March 2018 and is continuing to make this a frequent occurrence. In fact, some areas of the hospital haven’t seen a severe HAPU for several years. For example, the Surgical Assessment Ward at DRI have just celebrated 1560 days - meaning they haven’t reported one since 2014!

Drop-in for Staff Survey access

If you don’t have easy access to a PC in your place of work or would prefer to complete your Staff Survey elsewhere, a number of drop-in sessions have been organised for the following dates.

You can drop in on any of the dates below to get your log-in details, access ESR and complete your staff survey.

Bassetlaw Hub (E-Learning Suite)

21 November: 9am to 2pm26 November: 9am to 2pm4 December: 9am to 2pm DRI Education Centre (E-Learning Suite)

21 November: 9am to 2pm 26 November: 1pm to 4pm 5 December: 2pm to 4:30pm

You only need a few minutes and the team will help to sort any computer access, help you to access ESR (digital payslip) as well as complete your Staff Survey. Please pass on to colleagues!

Role of physiotherapy sessionsThis Friday and Wednesday, there will be an open session in the Respiratory Unit Resource Room, that will provide insight into the role of physiotherapy. The sessions will begin at 2pm on both days and will be open to all staff.

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Montagu Remembrance Service On Friday 9 November, a Remembrance service was held in the Rehabilitation Centre at Montagu Hospital. Officiated by Father Joseph Aylookunnel, the ceremony was attended by a local choir, military personnel from the 7th Parachute Battalion and Joe Kelsey from the Light Dragoons Cavalry Regiment. Meanwhile, Dr Mark Iain Bright, Public Governor, was also on hand to lay the wreath. A two minute silence was held and the 'Last Post' sounded as we remembered and honoured those who gave their lives in the service of our country and its cause. Our thanks go out to everyone involved, especially Carole Markham and Michelle Walton, Rehab Activities Coordinators, who were instrumental in organising the service. It is fair to say that this would not have been possible without their commitment and dedication.

SBS: December Payroll To account for the upcoming Christmas holidays, pay day will be early in December, occurring on Friday 21. Naturally, this will have an impact on the various cut-off dates that are in place for submitting payroll information, as everything will need to be completed more promptly.

• All manual documentation must be with Elaine Peel in D Block, DRI by no later than 12 noon on Monday 3 December.

• All electronic information must be sent to SBS by close of play on Monday 3 December.

Any information received after these dates will not be processed until January 2019 salaries, so it is important that you process all information in a timely manner. If you have any queries about what this means, please do not hesitate to contact the SBS Liasion team. To do so, email sbsliaisonofficer@nhs.net or call ext. 642580.

Introducing IT drop-in Sessions for Bassetlaw As of Tuesday 19 November, a drop-in service will be available at Bassetlaw Hospital, offering support for all IT related issues.

This will work in much the same way as the IT Service Desk at DRI and will be able to assist you with things like iPads, iPhones, laptops and PC devices. Meanwhile, the facility will also take care of general IT requests, such as the replacement of keyboards and mice, and so on. This is sure to be a very useful resource for all staff at Bassetlaw, giving the team much-needed access to prompt and convenient IT support. The sessions are available at Bassetlaw every Tuesday and Thursday, running from 9am to 12pm and 1pm to 5pm.

If you are based at DRI, the drop-in hours are available from Monday to Friday, during the hours of 10am and 12pm, and will reopen again at 2pm to 4pm. Alternatively, you log a call with the help desk on ext. 644190.

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Happy birthday Christopher! Christopher Weston, Manager of Stores at DRI, has recently celebrated his 60th birthday. To celebrate, his colleagues threw a surprise party, with cake and all sorts of refreshments. Many happy returns from all!

Point of Care Testing Services: Christmas and New YearPlease note that Point of Care Testing (POCT) Barcodes will not be available between 21 and 27 December, as the POCT office will be closed during these dates. With that in mind, it is essential that you apply any replacement barcodes ahead of time.

Whilst normal service will resume on Friday 28 December, you will be able to contact your instrument’s customer helpline for any urgent matters. As for other consumables, they will be available from the following locations:

• Quality Control (QC) Solution and batteries for glucose and ketone meters will be available form the Pathology reception, ext. 642870

• Glucose and ketone strips will be available from Pharmacy Stores, ext 644340• All other consumables will be available from your Inventory Management team.

E-Learning: Freestyle Precision ProAn E-learning module is now available for the Glucose and Ketone Freestyle Precision Pro (FPP) meter. To find it, simply follow these steps:

• Go to ESR and choose 'My Learning'• Select 'Course Catalogue', followed by 'Medical Equipment' • Finally, click on 'Freestyle Precision Pro'

Once you have passed the module, a certificate may be printed off and signed by the ward manager. Please note that work is underway to link this with the automatic re-certifying of your status for using the FPP meter.

Ward A4 remembers Ward A4 at Bassetlaw marked the Armistice Centenary along with their patients last Friday.

Patients on the ward created decorations and attended the chapel for the service, followed by tea. The ward managed to raise £180 for the Royal British Legion by selling poppies.

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View your Payslip early Back in October 2017, everyone in Team DBTH was given access to the ESR portal.

With this application, staff are able to view their own personal information and download electronic copies of their payslips. What’s so beneficial about this is that these payslips are made available prior to payday and, in most cases, before a physical copy is despatched from SBS. In other words, via the portal, you are able to check your monthly payslip in advance of its normal delivery.

Guidance on how to view your payslip can be found here, by scrolling to the bottom of the webpage and clicking on 'Presentation: using the ESR portal'.

In addition to viewing your payslip, you can also use the portal to opt-out of receiving a printed version. This means that you will only get the online payslip going forward, which can be downloaded and retained on your PC, either at work at home. Rest assured that the online version is a mirror image of the printed one. To opt out, all you need to do is go into the ESR portal and open the pay and rewards tab on the left hand side. From there, click on 'opt out of Printed payslip/P60'. Doing so will open a new page where you can select the option to opt out of receiving a printed payslip.

Freedom to Speak Up GuardiansIf you think something is wrong, it’s important that you feel empowered to speak up and air your concerns. We’ve created a short survey in order to gauge how much Team DBTH know about our Freedom to Speak Up Guardians.

Please take a few minutes to complete it here.

Friday Lunchtime Lecture The Friday Lunchtime Lecture on 23 November will take place in the DRI Lecture Theatre and will be transmitted to the boardrooms at Bassetlaw and Montagu. Topic: Sharing How We Care from the Complexities of FailureSpeaker: Cindy Storer, Deputy Director of Quality and Governance A sponsored token lunch will be served at 12.30pm. The lecture will commence at 1pm prompt. Out of respect for the presenter and those in the lecture and especially when we have external speakers, please ensure you arrive on time as you may not be allowed to join the lecture late.

Sharing How We Care newsletterWe would like to share the third edition of ‘Sharing How We Care’ – our monthly patient safety newsletter.

You can read Sharing How We Care and past issues here: www.dbth.nhs.uk/SHWC

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Blue Light Card discount schemeDid you know that, as employees of DBTH, you are eligible for the Blue Light Card (BLC) discount scheme?

This initiative has been set up to help those working in the NHS, Emergency Services and Armed Forces sectors save money. The card gives you a discount for hundreds of major retailers and venues, offering a wide range of exclusive offers for holidays, cars, days out, fashion, gifts, insurance, phones and many other items.

Savings can be made both online and in-store; however the optional physical recognition card is required for purchases on the high street.

You can sign-up today for by visiting BLC website, or by downloading the mobile app from the Google play or Apple store. The card costs £5 and lasts for five years.

Pantomime returns to the Trust in time for XmasWe are pleased to announce that for the second year we are working with Cast in Doncaster to live-stream the theatre’s Christmas pantomime ‘Robin Hood and the babes in the wood’.

The performance, which will be a special treat for patients who cannot make the showing owing to ill health or injury, will take place Friday 7 December at 7pm. We are looking for expressions of interest of people who would like to attend and the number of tickets they would like. This will be on a first-come, first-served basis. Fill in this short form to let us know.

Skin Integrity training After recent revisions, the Trust’s Skin Integrity Training (SIT) will now come in two different forms: ‘React to Red’ and ‘Wound Management’.

React to Red is open to all health care professionals, whilst Wound Management is intended for specialty staff. There are six of each of these sessions scheduled to take place throughout 2019. To book onto either of them, please contact the Education Centre. Meanwhile, there is also an over-arching 'Skin Integrity Champion' programme, which features both of these components, as well as additional training for negative pressure wound therapy and skin tears. For further information on this option, please email tracy.vernon@nhs.net. To make

a booking for the programme, email at joanne.hardy@nhs.net.

The Maternity ForumFollowing a number of Listening Events with Medical Director, Mr Sewa Singh, an electronic notice board has been developed for the Maternity team to post comments and feedback.

To access the ‘Maternity Forum’ look out for the icon on your Trust PC desktop If you are a member of the Maternity team, Please take a few minutes to access the forum, familiarise yourself with the system and post your comments.

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Screening Team visit MINDThe Trust’s Health Screening Team has recently visited Doncaster MIND, in order to inform local people about the importance of eye screening, in particular for those living with diabetes. This is crucial, as people with the condition are at risk of diabetic retinopathy. Often brought on by high blood sugar levels, it can be incredibly damaging to the back of the eye, potentially resulting in the loss of sight. During the visit, Siobhan Ireland, a MIND volunteer, shared with the team her difficulties with mental health and the impact it has had on her type-2 diabetes. Due to a number of factors, Siobhan had trouble managing her condition, which lead on to her having to use insulin to control her blood glucose levels. MIND, a local mental health charity, referred Siobhan to a diabetes nurse whose guidance and support enabled the local resident to take back control of her illness. With the support and advice from charity, the 28 year old is now happy, healthy and anticipating the birth of her first child.

Speaking about this, Ingrid Thomasson, Diabetic Eye Screening Joint Programme Manager at DBTH, said: ‘’Siobhan’s account highlights the importance of managing diabetes properly. It is crucial that people are equipped with sufficient knowledge about the condition, as the complication can have severe repercussions if not closely monitored and treated promptly. It is on account of this particular risk that everyone with diabetes, aged 12 or over, receives an annual invitation for an eye screening. These appointments are absolutely vital for detecting the condition before it is too late, especially since there are no clearly visible signs or symptoms to speak of’’.

Keen to repay the organisation for their exceptional support, Siobhan is now a volunteer. Speaking about this role reversal, she said: ‘’I was so keen to give back to the service after everything they had done for me. We provide such a valuable service at MIND and it’s such an honour to now be a part of it. After all, it is thanks to them that I am now in the position to look after myself. I have regular visits to see the midwife and my bloods are completely under control, which is fantastic, especially when compared to how things were previously.’’ If you have diabetes, there are a number of things you can do to reduce your risk of sight loss. As well as attending your annual screening appointments, make sure you exercise regularly, eat well and control your blood sugar levels and avoid smoking!

Relaunch of the Staff Experience Group As an organisation, we think it’s incredibly important to provide members of the team with the opportunity to provide feedback, as well as to raise issues and describe how we can be better as employers.

While we are currently running the Staff Survey and also have a very active staff Facebook group, we think that there is always room to do more.

On Tuesday 4 December we will host our first Staff Experience group at Bassetlaw Hospital, taking place within the Blyth Room at The Hub. The session will run twice, one from 10am to 12pm and the other from 1pm to 3pm.

All staff are welcome to attend and everything and anything can be discussed. Even if you only have ten minutes, come along. This group is about your experiences as a member of staff, describing what you think works well, what could improve and where challenges lay ahead for the Trust.

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Launch of Maternity Voices Partnership Next week, the new Maternity Voices Partnership (MVP) is launching.

In a nutshell, this will be a valuable working group comprised of families, commissioners and healthcare providers, who will get together to review the development of local maternity care. It’s a fantastic initiative, one that is sure to deliver great results for the sake of patients and will actively shape the way that we collaborate with others.

To get the ball rolling, there will be a pair of launch meetings next week, one tailored for Doncaster and the other for Bassetlaw. Open to anyone with an interest, these sessions will be essential to the set-up of the MVP, as they will be used to identify what support is needed and to vote for the partnership's Chair and Vice Chair. Details for the meetings can be found below:

• Tuesday 27 November, Bassetlaw: 10am to midday, at the Golden Ball Community Centre 3 Worksop. • Thursday 29 November, Doncaster: 10am to midday, at Bentley Family Hub, DN5 0NP.

Refreshments will be provided at the meetings. Please let friends and family know.

Audit Hero of the Year nominees As you may have seen, Clinical Audit Awareness Week is running from 19 to 23 November. In support of this national event, DBTH has organised a special award for the Audit Hero of the Year. The Nominees

• Dr Sanjay Sinha, Emergency Locum Consultant ‘’Doing excellent work for the Emergency Department, Dr Sinha has arranged and overseen a large number of Audit projects, which support Trainee and Non -training Doctors."

• Jennie Harris, Children’s Physiotherapist ‘’Since taking over as audit lead for clinical therapy, Jennie has been incredibly proactive in getting others involved in the area, encouraging them to join in audit projects and offering help when-and-where it is needed."

• The Chronic Obstructive Pulmonary Disease (COPD) Team ‘’This team work collaboratively across sites and wards to improve the compliance of the COPD audit. This has not only resulted in a better quality of care for the patient cohort, but also a financial benefit for the Trust."

Each of these nominees has demonstrated a tireless commitment to Audit work in the Trust and deserve to be acknowledged for this dedication. The winner will be notified in the near future.

PROUD to be involved in...

Clinical Audit#CAAW

Thank you Team DBTH I've been a nurse with the Trust for 30 years, but this week I have experienced first-hand what a fantastic hospital we have. My 20 year old daughter was admitted on Monday 12 November from her GP, via A&E.

The staff on G5 and women's theatres have been excellent and she has received the best care possible. I cannot thank you all enough. It makes me extremely proud to be a staff member of such an amazing place!

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Spreading the Christmas cheer The Children’s Ward at DRI has received a special makeover this week, with staff helping to spruce up the area with various lights and ornaments, just in time for Christmas!

This is all thanks to the local community, who have kindly donated the decorations to the Trust.

We truly appreciate this generosity, as it has really helped to create a happy and tranquil environment for the children and families who are visiting the ward this festive season.

We need your ideas!

Look after the pennies and the pounds will follow:

The Trust has been working hard to ensure we make the most of every penny spent but we need to keep up the momentum.

If each member of Team DBTH saved just a pound each month, this would equate to almost £80,000 each year.

Even little things can make a big difference.

Simple Swaps

If you have a bright idea to help the Trust save, get in touch with our teams in Efficiency and Effectiveness and Quality Improvement.or contact us via email: dbth.ideabox@nhs.net

Kevin Lister, Procurement Category Specialist, found a new supplier of ward drapes and saved the Trust £50,000 per year.

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Who are Boundless?A good work-life balance isn’t about how much free time you have. It’s what you do with it that counts.

We all want a good work-life balance. Boundless is a club that specialises in the life side, helping civil servants and public sector workers get the most from their free time and ensuring they always get a great deal along the way.

They're the go-to hub for people who care about their well-being and who are interested in maintaining a healthy balance across all aspects of their lives.

How Much Does it Cost?

Your Health & Wellbeing update Your Health & Wellbeing update

Join Today The rest is up to you. Whether it’s discounts on everyday things like LV insurance and breakdown cover, the trip of a lifetime or an experience you’ll never forget, they’re sure to have something which will inspire you!

In fact, Boundless’ growing volunteer community organised over 750 events last year, through their interest groups around the UK. These cater for a whole host of hobbies, including motoring, photography, camping & caravanning and many more.

Join today for 50% off annual membership (£13 for the first year, full membership is £26 annually) when you enter code HALF18. 50% off offer available until 31 December 2018.

Why should I join?Boundless offer a range of benefits designed to inspire you to do more with your free time.

They own five holiday properties in some of the most beautiful parts of the country, including the Cotswolds, Cornwall, the Lake District and the Forest of Dean, and their members have access to preferential rates at each of them.

Boundless also have over 50 partners to help members make great savings, offering discounts at the supermarket and on the high street, on days out at major UK theme parks and on travel – whether it’s a holiday or the necessities that go with it- like ferries, airport parking, hire cars and airport lounges. Even down to everyday savings on essentials such as car and home insurance or vehicle breakdown, we have it covered.

Membership costs just £26 per year, giving you immediate access to over 50 discounted brands.

As well as this, you also get a welcome pack with your membership card and £170 worth of vouchers, including £50 off your first stay at one of our UK holiday properties. You can also look forward to receiving six issues of Boundless magazine every year and access to money-can’t-buy events.

DBTH Buzz 201812

NHS Shared Business Services (SBS) are scheduling webinars to help employees understand the process of retiring. The sessions will offer support in how to claim benefits from the NHS Pension Scheme and when to submit a retirement application.

The conference will cover the following topics: How pension benefits are calculated, normal and early retirement, applying for working after retirement and more.

SBS will be hosting the webinar on the following dates:

• 11 December 2018 - 10:00am to 11:30am• 16 January 2019 - 2:00pm to 3:30pm• 20th February 2019 - 6:00pm to 7:30pm

Please be aware that you must register beforehand, by clicking here.

After registering for the chosen date via the drop down menu, a confirmation email containing joining instructions will be sent. Please note that there will be no sound available through a PC or laptop after joining the webinar; therefore telephones will be needed in order to hear the session. The joining instructions will contain more details.

Christmas raffle On Friday 30 November, there will be a Cake Sale held in the DRI Education Centre. The event, which has been organised by Elliott Wilson, Training and Education Coordinator, will be in support of the DBTH Charity and will raise funds for the organisation through an exciting raffle full of amazing prizes, such as:

• Table for 10 at the Keepmoat Christmas Party Night on Friday 21st December. This includes a 3 course meal, a DJ, a disco, arrival drink and access to the photo booth

• A silver, cubic zirconia pendant and stud earring set• Magnum of Moet Chandon champagne • A pair of comedy club tickets at Doncaster CAST for 25 January • A month free membership at Nuffield Health Gym • Plus many more!

Tickets will cost £1 a strip and can be purchased at the DRI Education Centre, The Bassetlaw Hub and the Simulation Centre at Montagu.

It's #MedSafetyWeek 32 organisations from around the globe have joined forces to increase the reporting of side-effects in medicines, specifically when they may be dangerous to children or those who are pregnant.

The aim is to encourage patients and carers to seek advice about suspected side effects from their doctor, pharmacist or nurse and report it to the yellow card scheme. More information can be found on the MHRA website.

NHS Pension Scheme webinars

DBTH Buzz 201813 Follow us @DBH_NHSFT

Helen Hastie shared this beautiful piece, which was written by her incredibly talented daughter Ava.

Please keep your photos coming in, by sending them to dbth.buzz@nhs.net (in jpeg format) and we will publish some of the best in future issues - pets always welcome.

Submitted by a staff member's daughter, definitely a budding poet!