Category Archives: Uncategorized

Supporting patients with respiratory disease to keep active

Wiltshire Health and Care has teamed up with the West of England Academic Health Science Network in a pilot project to encourage respiratory patients in South Wiltshire to keep active during the pandemic.

Using the KiActiv® solution, patients who are on the waiting list for pulmonary rehabilitation due to COVID-19 are being supported to increase their activity through the use of a daily tracker and make some lifestyle changes in order to keep their muscles moving.

Lisa Miller, Respiratory Clinical Lead at Wiltshire Health and Care said: “Many of our most vulnerable patients have been shielding due to COVID-19, and the consequences of inactivity over a long period of time can be significant. We want to build confidence in our patients, so that they accept they will become breathless during periods of increased activity and that this is healthy.”

KiActiv® Health incorporates behaviour change technology in an interactive personalised dashboard that uses data from an accurate activity tracker and dedicated mentor support over 12 weeks. It is focused on everyday physical activity, promoting opportunities to be active across all ~112 waking hours a week, rather than 1-2 hours of an exercise intervention, with no barriers to age or mobility. During the 12 weeks participants are supported by phone calls with a trained KiActiv® mentor at key times in the programme. The calls help participants build an understanding of the value of their daily activities and the confidence to plan, monitor and improve, without compulsion or prescription. At the end of the 12 weeks the participants will have continued access to their personal dashboard and activity monitor to enable them to continue their self-management and the changes to their daily routines.

KiActiv® has already been commissioned in Gloucestershire to support those with type 2 diabetes and other long term conditions and is currently being evaluated for use in COPD through the Moving to Better Health: Bristol project.

Talk before you walk: Chippenham Minor Injury Unit open for appointments issued by NHS111

Talk before you walk: Chippenham Minor Injury Unit open for appointments issued by NHS111  

The Minor Injury Unit (MIU) at Chippenham Community Hospital is now open for people who have rung NHS 111 and been given an appointment to attend.

This change in service is in line with the national ‘Talk before you Walk’ initiative designed to keep patients and staff safe and avoid lots of un-well people sitting together in a waiting room. Patients should not ‘walk in’ without an appointment and appointments can only be issued by NHS 111 or a doctor.

An initial telephone assessment by NHS 111 means that patients receive the individual care they need quickly, by the right healthcare professional, in the right place. A patient could be given an appointment to attend MIU or if they have an illness directed to their GP surgery. It could be that the local pharmacist may be able to help.

Chippenham MIU has appointments available from Monday – Friday 10:00hrs – 18:00hrs. There is currently no x-ray facility on site. MIU is a nurse led facility for treating injuries that are not serious, such as sprains and strains; minor burns and scalds, wound infections, insect and animal bites, and minor injuries to the eye, head. They are not specifically equipped to treat more serious conditions and our community hospitals do not routinely have doctors on site.

Anyone with a life threatening condition should call 999. Anyone with COVID-19 symptoms should not attend any medical setting unless explicitly directed to do so by the NHS 111 service or a 999 call operator.

Douglas Blair, Managing Director of Wiltshire Health and Care, which runs the MIUs in Chippenham and Trowbridge, said: “We continually review our services to ensure that our frontline clinical staff are available to provide care for those who need it most and patient safety is at the heart of our service delivery. Chippenham MIU is open for booked appointments and, once we are assured that the system is working well, we will reopen the MIU at Trowbridge Community Hospital on the same appointment basis.”

Chippenham MIU closed in April after a decline in the number of patients attending since the start of the COVID-19 crisis. Staff employed at the unit were redeployed to help look after patients across the local health and care system.

Richard Barritt re-appointed as Patient Voice Representative to WHC Board

Richard Barritt re-appointed as Patient Voice Representative to WHC Board

The Wiltshire Health and Care (WHC) Board unanimously voted for Richard Barritt to be re-appointment as Patient Voice Representative for a further 3 year term. As a Non-Executive Board member, Richard will lead on patient engagement and oversee the implementation of our Patient and Public Involvement Plan.

Richard said: “I’m delighted to have been reappointed and grateful to my Board colleagues for their faith in me. COVID-19 has understandably paused our patient engagement work, but I believe there is a real opportunity now to rethink the way we engage with the communities we serve. As we work out what the new normal looks like and how to stay prepared to deal with any new surge whilst re-establishing services, it’s vital that we hear from patients what they too have learned from the crisis about how we can tailor our services safely to their needs.”

Richard added: “One of the lovely things about being an NHS Non Executive Board member is the pride you feel as you see your colleagues rising to the challenge, and challenges don’t come any tougher than this pandemic. Across WHC the response of staff has been truly inspiring, as have our patients accepting treatment being put on hold, carers who have faced so many extra burdens and our communities across Wiltshire that have rallied in support.”

Richard and new WHC Chair Steve Ladyman are looking forward to visiting a number of sites this week, where they will be listening hard to what staff and patients have experienced and how they see the future.

If you would like to be involved in patient and public involvement or have any experiences that you would like to share, please email whc.communications@nhs.net

 

Easy read version of our Delivery Plan 2020-2023 is now available

Easy read version of our Delivery Plan 2020-2023 is now available

Our Community Team for People with Learning Disabilities (CTPLD) has produced a brilliant easy read version of our Delivery Plan 2020-2023, which sets out our ambitions over the next three years.

‘Easy read’ refers to the presentation of text in an accessible, easy to understand format. It is often useful for people with learning disabilities, and may also be beneficial for people with other conditions affecting how they process information.

The easy read Wiltshire Health and Care Delivery Plan 2020-2023 can be found here

CTPLD supports people who have a learning disability, are over 18 years old and need support to live or to manage their lives. We work closely with individuals and their carers, to help maintain or improve their quality of life, health and wellbeing. This service is provided jointly with our Wiltshire Council Adult Social Care colleagues.

The team also support carers, other health professionals and providers with managing people’s health needs.

The service can be accessed following a referral from a health care professional.

Contact

Wiltshire Council Adult Care: 0300 456 0111
(Please ask to speak with a member of CTPLD Health)

Chippenham MIU to re-open for booked appointments

The Minor Injury Unit (MIU) at Chippenham Community Hospital will start to receive referrals from NHS 111 from Monday 6 July 2020.

Chippenham MIU will have appointments available from Monday – Friday 10:00hrs – 18:00hrs for patients who have rung NHS 111 and are referred to be seen in our MIU. It will not be open to ‘walk in’ patients and there will be no x-ray facility on site. This temporary change in service has been designed to maintain the safety of patients and staff.

Patients will not be able to directly book an appointment. NHS 111 will continue to triage all appointments and if a patient meets the criteria they will be referred to the unit and a member of staff will call them back to arrange an appointment. Anyone with a life threatening condition should call 999.

Anyone with COVID-19 symptoms should not attend any medical setting unless explicitly directed to do so by the NHS 111 service or a 999 call operator.

Minor Injury Units offer a facility for treating injuries that are not serious, such as sprains and strains; minor burns and scalds, wound infections, insect and animal bites, and minor injuries to the eye, head. They are not specifically equipped to treat more serious conditions.

Douglas Blair, Managing Director of Wiltshire Health and Care, which runs the MIUs in Chippenham and Trowbridge, said: “We continually review our services to ensure that our frontline clinical staff are available to provide care for those who need it most and patient safety is at the heart of our service delivery. We are now in a position to re-open Chippenham MIU for booked appointments and, once we are assured that the system is working well, we will reopen the MIU at Trowbridge Community Hospital on the same appointment basis.”

Chippenham MIU closed in April after a decline in the number of patients attending since the start of the COVID-19 crisis. Staff employed at the units were redeployed to help look after patients across the local health and care system.

COVID-19 staff experiences: From back office to frontline

Quality Governance Facilitator Kayleigh Gullis and Quality Governance Administrator Stacey Marie are part of the Patient Safety and Quality Team. They are usually office based; Kayleigh working alongside the Service Transformation Manager for Quality Improvement Projects and the Head of Patient Safety and Stacey Marie reviewing DATIX reports, supporting  service leads and a contact for PALS enquiries.

At the start of the pandemic they both volunteered to undertake Health Care Assistant (HCA) training so they could help on our wards. Neither of them had any previous experience or knowledge of working in a caring role. Here’s their account of working on Longleat Ward at Warminster Community Hospital:

Kayleigh – I volunteered to be a HCA for a few reasons. After listening to the news when the pandemic was just starting and hearing people volunteer to help the NHS I felt like I could be doing more. I was really nervous about becoming a HCA but the training we had was brilliant and we were made to feel very valued. I recently lost my mother in law and I was able to support her during her end of life which gave me the encouragement to help others. I helped with personal care, became a waitress delivering meals and handing out cups of tea, sitting with patients to talk to them about how they were feeling and listening to their life stories. There were happy and sad times, lots of laughing, heartfelt moments and feeling like you are looking after your own grandparents. I felt very supported by two HCA’s in particular Deb and Carolyn who were really helpful and understanding. The whole team on Longleat Ward were very welcoming and friendly. I enjoyed many freebies from different companies including Easter Eggs, hand creams and head bands, but did not enjoy wearing a mask all day. Working on the frontline has made such a difference in my non-clinical role, seeing things from their perspective, what works well and what doesn’t work so well. It has helped me to understand the workings of the ward and the different priorities they manage. I had many conversations with the team about what my usual role was and what we do as a Quality Team – one patient was also very interested in what I did. I hope this will help bridge the gap between quality and the operational teams. My experience as a HCA is having a positive impact on the quality improvement work I am currently supporting on the ward, as we are all working alongside each other.

Stacey Marie – My experience working on the ward was eye opening. However, I don’t think I have ever felt so nervous in all my life! But, the team on Longleat Ward put a stop to that instantly and made me feel welcome and at ease. Going from admin to HCA you begin to view and understand things from a different perspective. It has enabled me to do my normal job so much better. I am able to review incidents with different insight and help support senior members of the teams with a different approach to before. Being present and working alongside them has been much more effective. I loved getting to know the patients, building trusting relationships with them and hearing all of their incredible stories. The highs far outweigh the lows. The amazing feeling you get when you have helped someone when they cannot help themselves and seeing how thankful they are that you are there, helping them. I will be continuing to work as a HCA on the Bank and although this is a worrying time, so many positives have come from this current pandemic and I am grateful for that.

Thank you to Kayleigh and Stacey Marie not only for sharing their experiences, but for their willingness to work flexibly where they were most needed. We are proud of you both.

The use of face coverings when visiting community hospitals in Wiltshire

The use of face coverings when visiting community hospitals in Wiltshire

People infected with COVID-19 can have very mild or no respiratory symptoms (asymptomatic) and can transmit the virus to others without being aware of it.

In line with recent recommendations from the World Health Organisation, we are introducing new measures at our community hospitals to keep visitors, patients, and staff safe.

From Monday 15 June 2020 if you visit Warminster, Savernake or Chippenham community hospital sites where there are inpatients wards, you will be provided with a surgical face mask for the duration of your visit. When attending other sites where we do not have inpatient wards, face coverings which are cloth or homemade can be worn.

What does this mean for me?

We can all play a role in reducing the spread of Coronavirus and keeping our hospitals safe. If you are coming to hospital as a visitor or for planned outpatient care, it is important that you wear a surgical face mask at all times. This is for your safety and the safety of other patients and staff.

Advice on how to wear and make homemade cloth face coverings one can be found on the government website. Face coverings worn as part of religious beliefs or cultural practice are also acceptable, providing they are not loose and cover the mouth and nose.

If you are coming for an outpatient appointment you will have received instructions in your letter or over the phone about which entrance to use. Do not arrive more than 5 minutes before your appointment. This is to maintain social distancing and to ensure against social gatherings on our sites.

If you are displaying any of the following symptoms then you must not attend your appointment:

  • A persistent cough
  • Fever
  • Loss of taste/smell

Please call the number on your letter should you need to rebook your appointment. You must be at least 14 days free of the above symptoms to attend.

If you are currently shielding and have been provided with a surgical face mask for your appointments, please continue to use this. If you have not been provided with a surgical face mask, you should wear a face covering.

For some people, wearing a face covering may be difficult due to physical or mental health conditions. In these instances, other measures will be considered on a case by case basis, for example timed appointments and being seen immediately on arrival.

If you are deaf or hearing impaired, our staff have a range of communication options to ensure that they can communicate effectively with you. This might include the use of clear masks where possible, as well as visual aids such as writing things down, speech to text apps and sign language.

All visitors will be expected to comply with existing social distancing and hand hygiene measures in addition to the face coverings while in the hospital setting.

Where do I go for more information?

If you have further questions regarding these changes please contact the number on your appointment letter.

Thank you.

Celebrating the work of our dietitians across Wiltshire

Celebrating the work of our dietitians across Wiltshire

It’s Dietitian’s Week and we’re celebrating the great work our dietitians do across Wiltshire and recognising the work of dietitians across the UK.

Dietitians are registered health care professionals who work with individuals and groups to provide evidenced-based advice and support for a large range of conditions, as well as working in health promotion and research.

The Wiltshire Health and Care Dietitians team consist of 22 Dietitians and 2 Dietetic Assistants supported by an administration team. They work across Wiltshire in a variety of settings seeing both children and adults in clinics, groups sessions and on the hospital wards.

The team works closely with GPs, consultants, community nurses and a whole host of other health care professionals to help people feel empowered to manage their condition and support them to make changes to achieve their goals.

The past few months have presented significant challenges but the team has adapted to new ways of working including telephone clinics and an innovative video consultation service, and have donned personal protective equipment to ensure that they keep our community safe whilst providing the best possible care.

Have a look at these brilliant info-graphics produced by the British Dietetic Association which show ‘What Dietitians Do’ and ‘What Your Dietitian May Be Thinking About’.

You can find out more on the Association of UK Dietitians website here

If you would like to be referred to the Wiltshire Health and Care Dietitians, please speak with your health care professional or GP who will be able to refer you.

Wiltshire Health and Care appoints new Chair

Wiltshire Health and Care appoints new Chair

Dr Stephen Ladyman (pictured) has been appointed as the new Chair of Wiltshire Health and Care and will take up his post on 1 June 2020.

Douglas Blair, Managing Director said: “I am delighted that Stephen has been appointed as our new Chair. He brings a wealth of relevant experience relating to the crucial role that community health services have in supporting the health and wellbeing of local people. I look forward to working with Stephen closely as we continue to work in partnership to improve services.”

Dr Stephen Ladyman said: “I’m looking forward to joining a great team. Wiltshire Health and Care is already doing a great job and making a real difference to the lives of the people of Wiltshire and I am excited about being able to make my own contribution to the work that the team is doing.”

Stephen began his career as a radiation biologist and then moved into IT management in medical research environments. In 1997 he was elected as MP for South Thanet and served until 2010. As a bank-bench MP he founded and chaired the All Party Parliamentary Group on Autism.

In 2003 he was appointed as a Minister in the Department of Health and was responsible for social care, the health of older people, children’s health and the care of people with long term conditions. From 2005 to 2007 he served as Minister of State for Transport with responsibilities that included roads, shipping, and transport technologies.

In 2010 he became the Chief Executive of Retirement Security Ltd, a company that manages the biggest portfolio of leasehold extra-care retirement properties in the UK; in 2012 he left to set up his own company, Oak Retirement Ltd in the same sector. In addition, he was chair of Somerset Partnership NHS Foundation Trust, which provided community health and mental health services throughout Somerset, from 2013 to 2020 and chair of the Somerset Sustainability and Transformation Partnership from 2018 to 2020.

Stephen’s appointment coincides with the confirmation that Wiltshire Health and Care’s contract to provide adult community services for the county has been extended to run until 30 June 2023.

We look forward to welcoming Stephen to the organisation.