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Pride in Pennine

Quality-Driven Responsible Compassionate

Pennine News Issue 142 • January 2016

INSIDE this issue: • Seasonal message from the Chairman & Chief Executive • Winners at Greater Manchester clinical research awards • Maternity boost as new midwives recruited • New quality matron for medicine

Celebrations at Pennine Acute Trust staff awards

2

News - Trust stories

Contents Maternity boost as new midwives recruited ............................Pg 4 Pride in Pennine: CQC Inspection February 2016 .................Pg 4 Stop the pressure week and conference highlights .......................Pg 5 Mindful employer..............................Pg 6 Trust SPRINTS towards lower A&E admissions.......................Pg 6 New quality matron for medicine ..Pg 7 Charity news.......................................Pg 7 Dry January.........................................Pg 7 Educational lead roles.......................Pg 7 Charity birthday party.......................pg 7 Team Talk ...........................................Pg 8 Team focus on volunteer coordinator.........................................Pg 9 Winter walks for staff .......................Pg 10 Asda helps NMGH A&E ....................Pg 10 Antibiotic awareness.........................Pg 10 Enhanced intermediate care unit celebrates first birthday....................Pg 11 Thought for the month ....................Pg 11 Diary dates..........................................Pg 11 Staff awards round-up.................Pg 12-15 Staff notice board .............................Pg 16

Inside News THE Trust has several communication tools to help keep staff up to date: Team Talk is sent round monthly, for use in all team briefings. The chief executive’s Monday Message is emailed on Mondays and contains Trust, local and national key issues. Weekly bulletins are emailed on Mondays and contain a range of operational and site information. Online copies of all the bulletins and Team Talk, plus more, can be found on the Trust intranet at nww.pat.nhs.uk/ communications You can send your stories for either Pennine News or for local media to Trust communications at [email protected] or call Nicola Berry on 44284. If you have any ideas, views or suggestions regarding communications across the Trust, please email [email protected]

Please recycle this magazine

January 2016

Seasonal message from the Chairman & Chief Executive DEAR colleague, On behalf of the Trust Board, we would like to wish everyone, whether you work or volunteer at the Trust, or you are reading this magazine as a patient, visitor or colleague from one of our partner organisations, a happy New Year. Although all of us tend to say each year - where has the last year gone? It does feel like 2015 has passed at lightning speed. It has, without doubt, been an extremely busy year for the Trust. The end of a calendar year and the beginning of a new one is always a good time to reflect on what we as a Trust and as individuals have done and achieved in the past year and, naturally, to think about what challenges we will face in 2016. Just before Christmas, the Trust executive directors and senior management team came together to discuss and list the progress we have made on our transformation journey and all of the things we have done as an organisation over the past 12 months. We are well on track with our five year plan and this is a reflection of the hard work and commitment by everyone who works here. We should all be extremely proud of what we have done as part of our journey to make this Trust an excellent place to receive healthcare in the region for our patients and their families, and also a great place to work. However there is much more to do. Over the last 12-18 months we have very much focused on living our Trust values which bind us together at all times - Quality Driven, Responsible and Compassionate. We now have a brand new leadership team and have systematically reviewed all of our governance and quality systems and processes. We have also successfully launched our Healthy Happy Here programme for staff through our popular Pride in Pennine platform and also our Raising the Bar on Quality programme. Raising the Bar on Quality is particularly dear to my heart and Pennine Acute Trust and everyone who works here is on a journey to continually drive up our quality to provide the very best and safest care we can. This year we will be accelerating this journey. Our new ten point quality plan sets out the important day to day operational quality priorities that we can all subscribe to and champion to help raise the bar on quality for our patients and for each other. It is a minimum by which our patients and their families expect and deserve. And we owe it to ourselves to be the best we can be both individually and as a team. Despite the pressures and demands on our services and the financial challenges we, like other NHS Trusts, continue to face, we recognise that staff across all of our sites and those who work in the community continue to go that extra mile in striving to meet performance targets, whilst at the same time providing and maintaining extremely high standards of care with compassion, dignity and respect. We are developing a real sense of pride here within Pennine. You only have to read the Monday Message, Pennine News, positive

stories in the local press and the hundreds of compliments, letters and thank you cards we receive that demonstrate and reflect the excellent services we provide and how important care and compassion is to our patients. However, we don’t always get everything right and when things go wrong it is vital we continually learn and improve. An example of this in 2015 has been our significant improvement work in maternity services and diagnostics which has really made a difference to the care we offer. Without the skill and dedication of our staff we would not be able to provide the high quality services to our patients. Over the past year many of our staff have been recognised for their skill, innovation and achievements locally at our annual staff awards event held in November and some have been recognised in national healthcare sector awards as finalists and winners. In February 2016, we will be inspected by the Care Quality Commission (CQC). This is an important milestone for the Trust and our future. We should see this inspection as a real opportunity for all staff to show the CQC what we are proud of here at Pennine and how much we care about our work, our ward, our services and the developments we have made. Equally, as the CQC teams come and visit all of our services, wards and departments, we should be honest and open with them about where we need to improve and to recognise that Pennine is on a journey and we know we have more to do to be the very best we can. We know those who work across the Trust, work hard day in day out often under a huge amount of pressure. Your commitment and professionalism is very much appreciated by the Trust Board and more importantly, by our patients. You should be very proud of the important role, whether clinical or non-clinical, that you play within the NHS, within this Trust and within your ward or department. We would like to take this opportunity to thank all of our staff, volunteers and partners who have worked with us over the last year and who continue to work with us in transforming our services and raising quality as we continue to instill Pride in Pennine. We know 2016 will be another challenging year for the Trust, but a positive one and an opportunity we can all grasp. Best wishes to you and your family for a happy, heathy and peaceful 2016.

John Jesky, Chairman Dr Gillian Fairfield, Chief Executive

3

In the news

Trust cleans up at Greater Manchester clinical research awards THE Pennine Acute Hospitals NHS Trust has won big at the Greater Manchester Clinical Research Awards 2015 claiming two first places and two runner up awards. Dr Andrew Ustianowski, infectious diseases consultant at the Trust won Investigator of the Year, and the research team at Fairfield General Hospital won Research Team of the Year. Dr Zoe Borrill, consultant in respiratory medicine was runner up in the Investigator of the Year category and Joanne Shaw, diabetes research nurse, and Gina North, clinical trials administrator, were runners up for the Best Research Debut award. The Greater Manchester Academic Health Science Network sponsored event held in Manchester city centre, saw research staff and teams from the region awarded for their efforts across 15 categories. Steve Woby, director of research and development at the Trust said: “This is a prestigious event attended by leading academics, industry partners and representatives from the NIHR CRN. It was a great evening and as a Trust we did extremely well. We were overall winner in two categories and runner up in two others. This is a fantastic achievement and highlights our continued commitment to supporting high quality research at the Trust.” Dr Andrew Ustianowski has supported clinical trials at Pennine Acute for approximately 10 years now. He has been an instrumental figure in providing research leadership within infectious disease research. Over the past five years he has supported over 60 NIHR CRN studies, with 39 of these being industry sponsored studies. He fully appreciates the importance of effectively initiating and delivering NIHR CRN studies and develops recruitment strategies for all of the trials in which he is involved. This commitment and attention to detail resulted in his team recruiting to time and target on every single one of their trials

last year. In addition to his role at the Trust, Dr Ustianowski is also the NIHR CRN GM speciality lead for infectious diseases. The research team at Fairfield’s nomination highlighted the team’s ability to work flexibly at three different hospitals. The team was also praised for the number of disease specialities it covers, including respiratory medicine, surgery, the emergency department, gastroenterology, ICU, and rheumatology. The team has successfully increased commercial studies by over 100 per cent and has become a ‘first choice’ destination to place research in the fields of respiratory medicine and inflammatory bowel disease. Pictured bottom left to right: Debbie Vinsun, chief operating officer, NIHR Clinical Research Network Greater Manchester; Dr Andrew Ustianowski, infectious diseases consultant at Pennine Acute; Simon Denegri, national director for public participation and engagement in research at the National Institute for Health Research (NIHR) Pictured top, left to right: The research team from Fairfield General Hospital with Debbie Vinsun, chief operating officer at NIHR Clinical Research Network Greater Manchester, Paula Mulligan, Linda Kent, Denise McSorland, Joanne Taylor, Joe Ogor and with Simon Denegri, national director for public participation and engagement in research at the National Institute for Health Research (NIHR).

Trust appoints new medical director THE Trust has appointed a new medical director. Professor Matthew Makin will take up his post at the Trust in early 2016. He is currently medical director in Wales at Betsi Cadwaladr University Health Board. Professor Makin’s clinical background is in general medicine, palliative medicine and general practice, and his academic interests have been research into the cause and treatment of cancer pain, and clinical ethics in medicine. In 2000 he was appointed as a consultant in palliative care medicine, working across community and hospital settings and in recent years has been the Chief of Staff for the Cancer Clinical Programme Group, the founding Chair of the North Wales Neuroscience Network and Programme Lead for Pain Research at the Marie Curie Palliative Care Institute in Liverpool. He is Honorary Professor of Health and Behavioural Sciences at Bangor University and his research has led to internationally recognised Morley-Makin approach for cancer pain management and he leads the National Registry for Invasive Neurodestructive Procedures in Cancer Pain (INPIC). Commenting on his appointment, he said: “Although I’m sad to leave friends and colleagues in Wales, I am very excited at coming back to Manchester where I was born and brought up, and I look forward to meeting my new colleagues and joining the team at Pennine which has a national reputation for being a dynamic and forward thinking Trust. This is a fantastic opportunity to lead the Trust’s medical staff and help progress the Trust’s vision and strategic clinical service transformation plans, whilst improving outcomes for patients as well as forging closer links with our health and social care partners across Greater Manchester as well as other bodies such as Manchester University.“

4

In the news

January 2016

Maternity boost as new midwives recruited at Pennine Acute TWENTY four new midwives have been successfully recruited to work at The Pennine Acute Hospitals NHS Trust after a huge recruitment drive to fill existing vacancies in maternity services at The Royal Oldham Hospital and North Manchester General Hospital. Eleven midwives have been recruited to posts at North Manchester General Hospital, 11 to The Royal Oldham Hospital, one to community maternity services at Oldham and one to the birth centre at North Manchester General Hospital. All bar one of the midwives is newly qualified. Starting work on 2 November, they have been supported in their new jobs by a week-long induction course which was run by community matron Diane Chadderton and community midwifery matron Denise Woods. Diane Chadderton said: “We recognise how important it is for our new midwives to feel fully supported whilst they settle into their new roles. We therefore arranged for them to meet daily during their first week and introduced a new preceptor package which will support

this established team. I have now got my dream job working within the community.“ Sarit Neumann and Maigread Hickey have started work on North Manchester’s postnatal ward. Sarit said: “I wanted to work for Pennine Acute Trust because it is highly recommended by my local community. My new role on the postnatal ward is challenging, yet very rewarding, in a supportive environment.” them during their rotation to different areas within the maternity units. During the rotation they have a named mentor who will help them to settle in and there is also a supervisor who will support them during clinical practice.” Jen Michaels has started work in community midwifery at Oldham. She said: “I live in Oldham and had my children at The Royal Oldham Hospital. The care I received was excellent and this inspired me to become a midwife.

Cathy Trinick, head of midwifery at the Trust, said: “We are absolutely delighted to welcome our new midwives and hope they enjoy being part of our midwifery teams. For a number of the new midwives, this is the beginning of their career in midwifery and we are pleased they have chosen Pennine Acute as the unit that they want to begin this journey. Myself and all our midwives will support our new staff as they settle into their new roles.”

“During my training I received great support from all the maternity team. I felt the transition to midwife would be wonderful for me to work within

Pictured above Maigread and Sarit with new arrivals at North Manchester. Top - the new midwives on their induction course.

Pride in Pennine: CQC Inspection February 2016 TEAMS of inspectors from the Care Quality Commission (CQC) will be visiting the Trust from 23rd to 26th February (our hospital sites) and from 1st to 3rd March (our community services).

being undertaken and actioned, safety incidents being reported and investigated, staffing levels, cleanliness and infection prevention, medicines management and clinical documentation.

The CQC is the independent regulator of health and adult social care in England. Their role is to ensure that health and social care services provide people with safe, effective, compassionate, high-quality care.

“Effective” - is that patients’ care, treatment and support achieves good outcomes, promotes a good quality of life and is based on the best available evidence. This includes avoidance of any discrimination, management of patients’ pain and nutrition / hydration, compliance with NICE and other best practice guidelines, consent processes, clinical audit, staff training and development, and liaison between services.

Registration with the CQC is effectively a licence to provide healthcare services. But the CQC also monitors and inspects providers to make sure that high standards are maintained. More information about the CQC can be found on their website at www. cqc.org.uk During their visit, the inspectors will be out and about across our wards and departments, observing care and talking to patients, their families and staff. The CQC inspectors organise their inspections according to “core services.” They inspect each service and assess how safe, effective, caring, responsive and well-led it is. “Safe” care - means that people are protected from abuse and avoidable harm. This includes appropriate risk assessments

“Caring” - means that staff involve and treat people with compassion, kindness, dignity and respect. This includes respecting patients’ confidentiality, treating them as an individual, having empathy and understanding, taking time to find out their wishes and ensuring these are respected, how staff behave towards patients and how they communicate with them. “Responsive” - means that services are organised so that they meet people’s needs. This includes planning and development of services to ensure that they meet local needs, responding to complaints in a timely way,

and acting on findings of complaints. “Well-led” - means the leadership, management and governance of the organisation assures the delivery of highquality person-centred care, supports learning and innovation, and promotes an open and fair culture. This includes leadership at all levels, from the ward to the board. Whilst visiting the wards and departments, the inspectors will be observing for evidence of good leadership primarily at local level. Each service will be rated for each domain; how safe, effective, caring, responsive and well-led it is found to be (outstanding, good, requires improvement, or inadequate), and these ratings will combine to form an overall service rating. Each service’s domain ratings will be amalgamated to form Trust-wide ratings for each domain, and an overall Trust rating. More information and guidance for staff about the CQC and our forthcoming inspection in February, including useful FAQs, is available on the Trust intranet.

5

In the news

Stop the pressure conference highlights dangers of pressure ulcers

TISSUE viability nurses at the Trust were joined by fellow health professionals from across the region at a Stop the Pressure conference in November to highlight what can be done to prevent pressure ulcers, commonly known as bed sores, which can cause long term pain and distress for patients. The event was attended by staff nurses, ward managers, practice nurses, district nurses, care home nurses, podiatrists, healthcare assistants and other professional groups responsible for preventing pressure ulcers. It was an invitation only event for healthcare professionals to raise awareness of how to prevent and treat pressure ulcers which took place at the Village Hotel in Bury. The theme of the day was putting a stop to pressure ulceration by stimulating debate, discussion and learning. Ruth May, nurse director of Monitor, formerly chief nurse at NHS Midlands and East where the Stop the Pressure Campaign was introduced, was the guest speaker. Judy Harker, nurse consultant for tissue viability at the Trust, said: “The conference was packed full of debate, reflection, networking, thinking outside the box and learning. Our guest speaker,

Ruth May set the scene at the start of the day talking about how we must work with our student nurses and junior doctors in their pressure ulcer prevention learning, as they are our future clinical leaders. Thank you to all our wonderful, organisers, speakers, sponsors and our staff who attended such a worthwhile event. “Pressure ulcer prevention continues to be one of our top priorities here at the Trust. Colleagues at all levels of the organisation from health care assistants right up to the chief nurse are all playing their part in the drive towards eradicating pressure ulcers. “Quality improvement is central to everything we do. The commitment and motivation to drive forward change for our patients is very evident across our different clinical teams. It is important that we celebrate our excellent work and forward plan to prevent pressure ulcers in the future.” As well as the conference, members of the tissue viability teams at each of the Trust’s hospitals and community services, distributed resources throughout the pressure ulcer awareness week, including a small amount of free cupcakes, to help promote pressure ulcer awareness in hospital restaurants.

Community pressure ulcer competition winner CONGRATULATIONS to Lisa Byram, community staff nurse with the Cornerstone Centre district nursing team who won the community pressure ulcer awareness week competition to design a strategy to help reduce pressure ulceration. Lisa designed an excellent teaching session on the use of the PURPOSE T risk assessment tool, using patient examples to demonstrate correct and incorrect completion of the tool. She won a hamper donated by ArjoHuntleigh. Runner-up was Rory Dentith, community staff nurse at Victoria Mill district nursing team. He designed a teaching package on the documentation of pressure ulcer prevention and management, followed by a very entertaining quiz.

Reflecting on stopping the pressure at Rochdale A PRESSURE ulcer link nurse at Rochdale came up with a novel idea to help spread the word on pressure ulcer awareness. Sister Jennie Curran from the Wolstenholme intermediate care unit had a clear vision for every ward nurse at Rochdale to be presented with a pocket mirror. She liaised with link nurses on the clinical assessment unit and the Oasis unit who then came up with the catchy verse: ‘To check the skin we look and feel, please accept this mirror to check the heels.’ The mirrors were handed out to nurses at a special awareness stand at the entrance to Rochdale Infirmary which was manned by staff from the CAU, Oasis and Wolstenholme intermediate care unit. They were invited, along with members of the public to ice gingerbread men on where they thought people could develop pressure ulcers. Jennie said: “Stop the pressure ulcer week enabled us to generate discussions with staff, patients and relatives. Raising awareness can only help to eliminate pressure damage both to our patients and the visiting general public.”

6

In the news

Mindful employer

- Charter for employers who are positive about mental health

January 2016

Trust SPRINTS towards lower A&E admissions for frail elderly patients

THE Trust has signed up to the Mindful Employer initiative and charter. This will embed the Trust values and work towards improving the health, safety and wellbeing of the entire workforce. As an employer we recognise that: People who have mental health issues may have experienced discrimination in recruitment and selection procedures. This may discourage them from seeking employment. Whilst some people will acknowledge their experience of mental health issues in a frank and open way, others fear that stigma will jeopardise their chances of getting a job.

A NEW SPRINT service has been launched at The Royal Oldham Hospital to reduce admissions to A&E for frail older people, while bringing down readmissions and cutting the amount of time they spend in hospital.

Given appropriate support, the vast majority of people who have experienced mental ill health continue to work successfully as do many with ongoing issues.

The Senior Persons’ Resilience and Independence Team (SPRINT) is made up of acute physicians trained in geriatric medicine, nursing staff, healthcare assistants, therapists, mental health workers, social workers and community teams.

As an employer we aim to: Show a positive and enabling attitude to employees and job applicants with mental health issues. This will include positive statements in local recruitment literature. Ensure that all staff involved in recruitment and selection are briefed on mental health issues and The Equality Act 2010, and given appropriate interview skills. Make it clear in any recruitment or occupational health check that people who have experienced mental health issues will not be discriminated against and that disclosure of a mental health problem will enable both employee and employer to assess and provide the right level of support or adjustment. Not make assumptions that a person with a mental health issue will be more vulnerable to workplace stress or take more time off than any other employee or job applicant. Provide non-judgemental and proactive support to individual staff who experience mental health issues. Ensure all line managers have information and training about managing mental health in the workplace.

The SPRINT service was launched on the acute medical assessment unit at The Royal Oldham Hospital. There are 12 beds in total and patients are located together so staff can have a focused multidisciplinary approach to assessment and management. The service comprises of an alliance partnership between the Trust, Oldham CCG, primary care, Pennine Care NHS Foundation Trust, community services, social care, Age UK and other voluntary agencies. The SPRINT team will also work closely with the A&E department at the hospital to provide early assessment and to prevent unnecessary admission where there are community options for care provision. The service was launched because there is a strong link between frailty, A&E attendance and admission to hospital. Older people tend to stay in hospital for longer and require more complex care. Frail people also have an increased chance of readmission and stay in hospital longer which can lead to a risk of muscle deconditioning, an increase in falls in hospitals, delirium and worsening of dementia. The SPRINT approach to identifying frailty is based on a multidisciplinary assessment, involving support from community-based teams from Pennine Care NHS Foundation

Trust, improved communication with primary care and more structured discharge planning. Dr Shubhra Pradhan, consultant physician acute medicine at Pennine Acute said: “This is a positive move for our frail older patients who will benefit from a team approach to their overall care and treatment. This will increase awareness of frailty at the Trust and the problems associated with frail people and result in better anticipatory care plans and management. Once the SPRINT unit becomes established we hope to be able to develop it further with time.” Dr Shelley Grumbridge, GP Partner and clinical director for urgent care at Oldham CCG said: “This team is the first step to a truly integrated multidisciplinary health and social care system in Oldham working with our vulnerable older people to minimise emergency admissions, enable timely investigations and treatment and then safely discharge patients back to their own homes with support to maintain people’s independence. “Our aim is to identify the reasons for admission and what could be done to prevent this and then provide that support in the community via their own GPs, community services, social care and through the voluntary sector. We are looking at prevention, promoting resilience, maintaining independence, and when needed, the timely intervention and investigation in the right environment for the patient. ” Helen Ashton, falls prevention lead for Pennine Care NHS Foundation Trust, said: “There are real benefits in preventing frail patients from being admitted to hospital, or supporting them to be discharged as quickly as possible. This is a key priority in the borough, so it’s great to see so many partners working together to achieve this.”

7

News - Trust stories

Charlotte looks to drive up standards of quality DRIVING forward professional standards and image for the Trust are some of the top priorities for a quality matron for medicine. Charlotte Dent started work in her new post, based at The Royal Oldham Hospital in November. With a nursing background which includes critical care, community nursing, general medicine and stroke, Charlotte joins Pennine Acute from Stockport NHS Foundation Trust. She said: “My post entails providing professional leadership for nursing, ensuring that safe and effective quality care is provided to our patients at all times within the resources available, and ensuring that the care environment is organised to meet the needs of patients, thereby enhancing their experience. “I will lead programmes of improvement in many areas including reduction of hospital acquired pressure damage, and reducing inpatient falls. My vision for the post focuses on being visible, accessible, motivating and empowering our nursing teams to create a culture of compassion and caring during a time of huge change.” With a broad and varied job description, Charlotte will be helping to push the

Trust’s raising the bar on quality agenda and helping to create ward environments that are fit for purpose and which the Trust can be proud of. She continued: “As a quality matron, my pledge is that I will be highly clinically visible, supporting ward managers, guiding nursing staff and helping patients and their relatives during what are difficult times when loved ones need hospital care. “I have joined the Trust at a time of radical change and a large proportion of my role will be based around creating strong clinical leaders who display energy, are able to thrive in constant change and show they care. My priorities lie in helping to create a culture that values care and compassion as much as treatment, improving accountability for ward based staff, creating ward environments which are lean and user friendly for all types of patients and sharing my energy and enthusiasm so nursing staff bounce back quicker after incidents. Most importantly I look forward to celebrating all the great care and positive outcomes that this Trust has.”

Birthday party raises money for Trust charity A JOINT birthday party has raised £1,800 for the Pennine Acute Hospitals Charity. Lynne Brooksbank and her family held a joint birthday party for herself and her daughter Terri Howard, who turned 30 recently and then generously gave the money which will be split with £1,330 going to the Link4Pink appeal and £500 to the breast advisory fund at The Royal Oldham Hospital. At a presentation at the Victoria Breast Unit, Clare Brearley, lead breast nurse, said: “I would like to sincerely thank Lynne, Terri and their family for their kind donation and all the hard work that they put in to organising the fundraising event. It is very humbling to know that raising this money to benefit other patients with breast cancer is so important to Lynne and her family when she herself is going through so much at this moment in time.” Link4Pink Chair, Helen Haigh said: “On behalf of the Link4Pink committee I would like to thank Lynne and her family for their generous donation. Support such as this really does make a huge difference and funds raised for the Link4Pink appeal help us provide additional equipment and enhanced facilities for patients.” Pictured left to right: Terri Howard, Clare Brearley, Macmillan advanced nurse practitioner, Lynne Brooksbank, Imelda Hughes, Macmillan advanced nurse practitioner and Andrew Brooksbank.

ARE you thinking of a new year’s resolution for January? One option could be to cut back on alcohol and join the Dry January campaign in association with Alcohol Concern. Not only will it make you feel better, you could also lose weight and save money. The aim is to stay off alcohol for 31 days. Visit www.dryjanuary.org/#signin to receive weekly emails with tips and support and have a conversation with someone about it. There is also an impact calculator at www.dryjanuary.org.uk/impactcalculator which can tot up how many units of alcohol or calories you would normally consume in a typical week through alcohol. If you do decide to sign up to Dry January, either individually or as a team, email [email protected]. uk as she would love to know how you are getting on. For further updates and support, check the HR pages of the intranet.

Educational lead roles Congratulations to the following staff who have been appointed to educational lead roles within medical and dental education. Dr Suparna Dasgupta – associate director medical education – women and children Dr Robert Namushi – associate director medical education – medicine Dr Sarita Sochart – associate director medical education – foundation Dr Kelly Cheer – foundation programme director – Pennine West Dr Judith Mather – foundation programme director – Pennine West Dr Suraj Amonkar – specialty training lead – radiology Dr Clare McGettigan – specialty training lead – obstetrics and gynaecology Dr Steve Davies – simulation lead Mr Basharat Hussain - SAS lead Dr Sharan Jayaram – CPD lead Dr Suparna Dasgupta - associate undergraduate tutor (paediatrics), NMGH

8

Team talk

January 2016

Have you been briefed? Team Talk takes place once a month and is a way of updating you about the latest news from the Trust.

DEC TEAM TALK

Team Talk

Our CQC inspection - February 2016 THE Trust is in the process of preparing for the visit and formal inspection of our sites and services by the Care Quality Commission (CQC) on 22nd – 25th February 2016, possibly for two weeks. The CQC is the independent regulator of all health and social care services in England. They monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety. During their inspection, the CQC gathers information in a number of ways. For example, they: speak with people who use services; hold focus groups and drop-in sessions with groups of staff and patients/people who use services; interview individual directors as well as staff of all levels and check that the right systems and processes are in place. The CQC then analyse the information to make judgements about the following questions: Are our services safe? Are they effective? Are they caring? Are they responsive to people’s needs? Are they well-led?

Pennine clinical services transformation plan THE Trust has been working up our Pennine Transformation Plan over the course of the last year involving our senior clinical leaders, our local CCGs and other partner organisations. We are now at the stage where we will start to discuss and share the case for change with our staff. Our Clinical Services Transformation Journey and quality improvement work and the plans for wider engagement are set on a number of key principles, including:

GM health and social care devolution A LOT of new work is being carried out under the banner of ‘GM Devolution’. The whole purpose of devolution is to enable more decisions to be made locally, and to accept that different parts of the country will come up with different solutions. New governance structures means that all GM wide health and social care decisions will now be taken with the involvement of, and in consultation with, local NHS and social care teams, NHS England, GMCA, AGMCCG and GM Trusts and providers. GM Devolution has enabled discussion about a wide range of opportunities and about how we can enhance local care provision. One of these discussions is about developing a single hospital service for the city of Manchester. We are discussing with Central Manchester FT, South Manchester FT and Manchester City Council to identify what opportunities there might be for developing a single hospital service across the City of Manchester. We must work hard to ensure all the services dovetail together for the benefit of the populations we serve. These are not discussions about changes to Trusts or organisational structures.

1)

To improve and maintain quality

2)

To improve patient outcomes

3)

To increase standardisation and reduce variation

4)

To increase specialisation and consolidation

5)

To increase efficiency, reduce waste and secure best value

6)

To increase use of technology to support and enhance clinical services

7)

To maximise opportunities to move inpatients to day cases to out-of-hospital care in community settings

8)

To adopt new ways of working

9)

To increase integrated and partnership working

Staff flu vaccination

10)

To build on the proposals set out under Healthier Together

Uptake of the free flu vaccination is below expectations. It is important that as many Trust staff, clinical and non-clinical, as possible have their fee flu vaccination to protect our patients, families and each other. Drop-in vaccination clinics are available on all sites, details of which are available on the flu section of the Trust intranet (and also the emergency planning section).

Our Trust Transformation Plan sets out how we will ensure that we continue to strengthen and provide our single service for our local population of approximately 820,000 people, which is almost one third of the population of Greater Manchester. In addition, we continue to develop our integrated and community services and build on the success we have had in joining up services, initially in North Manchester, and more recently in Rochdale. The Trust already provides a single service across our hospital services at NMGH, Oldham, Fairfield and Rochdale and has done so for some years.

9

Team focus - a day in the life of

Team focus on volunteer coordinator The 60 second interview

Joanne McAllister is the new volunteer co-ordinator for the Trust. She is part of the patient experience/corporate nursing directorate team What are the highlights of your job/service? I am new to this post and have worked in nursing (critical care) for the past 18 years. I was looking for a new direction and a new challenge. I am enjoying the diversity that this new role brings, working and meeting new people practically every day. I manage the volunteer service for the Trust and we have somewhere in the region of over 900 active volunteers. Volunteers carry out over 40 different roles across the Trust including: meal support, dementia support, end of life support, chaplaincy, hospital radio, driving the Royal Rover, receptions and meeting and greeting. Twice a year we have an volunteer appreciation event, which is the Trust’s way of thanking all our wonderful volunteers for their continuous support and help over the year.

How do you see your role developing? Mary Sunderland first set up the volunteer service over five years ago. At that point the Trust only had a handful of volunteers. Mary developed the service into one of the biggest in the country for a hospital organisation. In my role I plan to carry this work on and further develop the service. I have vision to expand to new areas within the hospital. Our volunteers are involved in many national initiatives such as PLACE and dementia friendly environment assessments to name but a few. We have volunteers from all different walks of life and ages, thus we need to continue to support and meet the new challenges within our organisation.

How has your job/service changed in the last 12 months? My background is nursing and I qualified as a nurse in 1996. Up until recently I was a sister on the critical care unit at ROH. I have always worked at The Royal Oldham site. This new role is completely different but just as rewarding. All my personal qualities and attributes as a nurse enable me to carry out my new role effectively. My office is at the North Manchester site, however I work across and cover all four sites. I’m enjoying working and meeting all the different people in our service.

What is the current biggest challenge in your job/to your team? The recruitment process for volunteers is quite lengthy. All volunteers have to have a DBS, two references checks, health assessments and Trust induction training. This can take a long time and our potential volunteers get quite frustrated as they are so eager to start volunteering.

What word best describes your job/service? Busy, the office is a constant hub of activity. There are not enough hours in the day. The volunteers are constantly popping into the office with questions and queries.

A typical day There’s no typical day in this service. Lynn Butler is my PA and she works tirelessly to help support and organise this busy service. I have to attend and speak at Trust wide volunteer induction events and also preretirement courses. I have to also recruit and interview all potential volunteers. I am currently making my way around the vast service to meet all the wonderful volunteers and the volunteer supervisors that help look after them in their designated area. My work is diverse and can change day to day, with meetings with the patient experience team and departmental managers to help make improvements Trust wide to enrich our patients’ and visitors’ journey with the assistance of the voluntary service team. The voluntary services department continues to grow from strength to strength, continually developing new roles to ensure the existing 900 volunteers are utilised to the best effect and make real improvements in patient care.

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News - Trust stories

January 2016

Winter walks - get more active with weekly lunchtime walking Making pledges to become antibiotic guardians PRE registration pharmacists Jenny Lord and Ayesha Begum took part in European antibiotic awareness day in November. They held a stand outside the Broad Oak restaurant at Fairfield and encouraged members of the public and healthcare professionals to think about using antibiotics wisely as the world faces a crisis on antibiotics and their over prescribing.

AS part of encouraging health and well being, in conjunction with Living Streets, the UK charity for everyday walking, a walk route starting and finishing at the Trust HQ building to Crumpsall Park and back has been chosen for a 4 to 6 week programme of weekly lunchtime walks, with a walk leader. These are available to Trust staff on Tuesdays from the 12th January 2016. If you would like to take part, please email [email protected] or barry. [email protected] for further information. You do not have to sign up for all the walks, you can just come along to whichever dates you choose. If enough people take part, we can look to extend or improve the programme and may even have a prize draw for those taking part. A map of the walk route is shown below. It takes around 20 minutes to complete at an average speed of 3mph, which is moderate pace. A 20 minute walk at moderate speed will take 2000+ steps which is a fifth of your daily

steps needed to maintain a healthy lifestyle according to the Department of Health. This translates to 100 calories burnt for someone between 10 and 12 stone in weight. We all know that walking is good for us physically, however in the press recently it has been said that 10 minutes walking can improve: Eyesight if you use a computer all day as it allows you to get outside and use your long range vision Helps to reduce the chances of diabetes as insulin production increases with activity And fight off Alzheimer’s If you are interested in walking more, or would like to be part of establishing a Trust Walking Group please email [email protected]. uk or [email protected] More information on how to build walking into a healthy lifestyle, including links to a route planner for people who want to plan their own walks, is now available at www.tfgm.com/ walking.

Asda staff and customers help children at North Manchester THE children’s accident and emergency department at North Manchester General Hospital were delighted to accept a donation from Asda Living at Manchester Fort.

older children and young people. This kind donation from Asda Living will enable us to buy electronic tablets that will have age appropriate apps and information on.”

Funds were raised through the store’s green token scheme which saw Asda Living donate a very generous £200. Customers also donated their loose change to a collection held in store which raised a further £84.91.

Shelley Owen, charitable fundraising coordinator, said: “Support from the local community in raising funds such as this is greatly appreciated. Thank you to all the staff and customers of Asda Living for their generosity.”

Lead advanced paediatric nurse practitioner, Dianne Cook who attended the presentation said: “Following recent children and young people surveys, one of the recommendations revealed that the emergency department needed to be more age appropriate for the

Pictured left to right are: Jenny Ballentine, section leader on service at Asda; Michael Goldstone, volunteer; Vicky Wilson, sister; Taaliah Khan and Dianne Cook.

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News - Trust stories

Enhanced intermediate care suite celebrates its first birthday

Thought for the month by Rev Andrew Bradley

PATIENTS on the enhanced intermediate care suite at North Manchester General Hospital have enjoyed a party with a birthday cake to celebrate the unit being open for one year. Providing intermediate care for patients who no longer need specialist acute hospital care and treatment, but who need support within a community setting, the suite opened on 10 November 2014 as a six month pilot. One year one, 179 patients have now passed through the doors of the unit which is housed on ward J5. The beds complement the 15 beds which are currently provided at Henesy House residential home, with the intermediate care suite open seven days a week and staffed with qualified nurses, advanced nurse practitioners, healthcare support workers, physios, occupational therapists and GP cover for 10 hours per week. Team lead/senior sister Jane Garforth said: “We organised a party for our patients and staff to celebrate the unit being open for one year. During this time the patient satisfaction rate on the unit has been extremely high with 100% of patients saying that they would recommend the service to their families and friends. “We are delighted that we could help so many patients over the year. They all have self care objectives recorded within

their individual care plan and a high proportion of our patients are discharged back to their own homes.” Carol Kavanagh, service manager community assessment and support service, said: “The beds on the intermediate care suite were designed as a temporary measure to provide enhanced intermediate care as part of a business plan which will transform the way in which intermediate care for patients is delivered. This involves a redesign of existing health and social care services and will ultimately result in a new capital build for intermediate care beds on the North Manchester General Hospital site. “The system is all about reducing the patients’ dependence on health and social care, and improving their quality of life by promoting self care. This will promote faster recovery from illness and so avoid any inappropriate admissions to hospital or to a care/residential home on a long term basis. Patients will be able to maximise their ability to live independently as part of a wider model of service for older people in The Pennine Acute Hospitals NHS Trust.” The nine beds on the unit are for patients who are registered with a North Manchester GP or are a resident within the North Manchester area.

Diary dates 13 Jan - Keeping our communities mobile - podiatry’s role. Free talk with Jacky Schofield, podiatrist. 2pm to 3pm, education centre, Fairfield General Hospital. 27 Jan - Mortuary visit and talk. A talk regarding mortuary services followed by a visit to the mortuary. 2pm to 3pm, mortuary and pathology laboratory, The Royal Oldham Hospital. Ring Angela Greenwood on 01706 517302 (internal 57302) to book a place.

AT Pennine one of the 10 actions in the ‘Raising the Bar on Quality’ programme is a focus on dementia. Over the last couple of years, it has been a privilege and a challenge for me to be the spiritual care team’s lead on dementia. This has enabled me to access various training days and conferences, both within and outside the Trust and to hear first-hand the experiences of those diagnosed with Alzheimer’s and other conditions linked with dementia, and their families. I have also gained insights into the ground-breaking research that is being conducted into dementia care around the world. In November 2015 we as a spiritual care team held a special training day for both chaplains and volunteers, during which I was able to share some of the knowledge I had acquired, but the highlight of the day was a visit from the pioneering dementia-friendly Oasis Unit from within our own Trust. As a team, I think it is vital that we have been able to focus on dementia in this way. A stay in one of our hospitals is always going to be stressful for a person with dementia, and for their carers, and if as a team we can just relieve some of that stress by giving valuable time, attention and stimulation, working with people’s memories, helping to fill in the ‘This is Me’ document, plus all the comfort and familiarity that our religious prayers and rituals can provide, then I think we are making a really valuable contribution. In his excellent book Living in the Memories of God, John Swinton makes the important point that though people with late-stage dementia can appear lost to themselves, they are never lost to God, or to the people, or the communities that love and cherish them. As one of the ancient prophets wrote: “I (God) will not forget you. See, I have inscribed you on the palms of my hands.”

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People

January 2016

Staff honoured at awards ceremony THE Trust celebrated its sixth annual staff awards in November with 450 staff attending a special evening of celebration at The Sheridan Suite in Manchester.

executive, Dr Gillian Fairfield, surprised him and presented him with a glass plaque commemorating his ten years as chairman of the Trust.

This is an important event in the Trust’s calendar to recognise and celebrate the dedication and achievements of staff who have shown exceptional patient care and compassion, skill and innovation, and who have made a real difference to the people we treat and care for, and also to the colleagues they work with. The event was hosted by special guest, Bill Turnbull from BBC Breakfast News who charmed the audience with his amusing stories about live news coverage and his time on Strictly Come Dancing. This year we received over 250 entries for our staff awards across all categories. Congratulations to all of our finalists and winners. Chairman John Jeskey also received a special award when chief

Award for quality - Quality and performance committee, North Manchester community

Patient safety award - Ebola task and finish group Exercise Serpent was set up in November 2014 in response to the spread of Ebola through West Africa and the possibility that the virus could potentially be present though high risk patient admissions. Various work streams were identified to prepare for any such admissions, and a multi-disciplinary team task and finish group was established. Further work was undertaken by infectious diseases to agree a Greater Manchester pathway for all Ebola patients to be directly admitted to the North Manchester General Hospital infectious diseases unit, which was identified by Public Health England as leading best practice nationally. The personal protective equipment (PPE) risk assessment and training package developed by Claire Chadwick and Helen Riley from the infection control and prevention team has also been shared with Public Health England and other Trusts regionally, and identified as best practice.

Sponsored by Weightmans Solicitors

The community and integrated services directorate Q & P committee developed a culture of quality improvement across services that engages staff at all levels regardless of profession, qualification or pay band. The committee was formed after a team away day which challenged the effectiveness of an inherited peer review and brought a focus to quality, patient experience and service improvement.

Sponsored by Weightmans Solicitors

Award for transformation - Crisis response team, North Manchester community Crisis is a pilot service that has transformed the delivery of care to improve positive outcomes for patients. All of the team within the North Manchester setting have brought existing good practice which has supported organisational efficiency and effectiveness. Working in partnership with all stakeholders, services and patient/ carers, the service has provided an alternative to patients being admitted to hospital within acute/ urgent services and has supported the fundamental shift of services being closer to home.

Sponsored by Vinci Construction UK

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People

Partnership award - Integrated discharge team The Trust and Manchester City Council have created an integrated health and social care discharge unit based at North Manchester General Hospital. Along with North Manchester Clinical Commissioning Group (CCG), the team share resources and expertise which brings cost savings and an improved overall patient experience by speeding up discharge and reducing readmissions.

Rising star award Sharon Nuttall Described as a great role model to the apprentices that she supports, Sharon demonstrates that there are developmental and career opportunities for staff after reaching a band three role.

Sponsored by Vinci Construction UK

Award for staff health and wellbeing - Deborah Bancroft and the Fairfield physios

Starting her career as a healthcare assistant, Sharon planned and undertook her own development with support from her ward manager. Completing courses in healthcare, Sharon also undertook assessment and internal verifier qualifications which have enabled her to work with apprentices within the Trust. As Sharon has developed herself within her own role and is now on secondment with the learning and organisational development department, other learners at the Trust can benefit from her experience. She has helped to support the pilot of a healthcare assistant competency framework and feedback from this has supported the implementation of the Care Certificate for healthcare assistants.

Deborah and a group of dedicated female physios signed up to and are promoting the ‘I will if you will,’ campaign, a Bury Council led initiative to encourage more women to participate in regular physical activity. Deborah and her team have worked tirelessly to promote this campaign across the Trust, to patients and in the local community including social media. Sponsored by Mitie Total Security Management

Sponsored by Mitie Total Security Management

Pennine patients’ choice award - North Manchester oral maxillofacial (head and neck cancer) team

Volunteer of the year award - Floyd unit team

The team which is based at North Manchester General Hospital is led by Mr Andrew Baldwin, consultant oral and maxillofacial/head and neck surgeon. He was praised by a patient for his great leadership in bringing his amazing team together in providing outstanding care not only to the patient but also to her family.

The Floyd Unit Volunteer Team from Birch Hill Hospital provide a service to patients on the Floyd Unit, who often have a neurological disability, which may have occurred as a result of an accident or injury, or who require stroke rehabilitation. The team of volunteers provide entertainment and stimulation for patients in the form of a film night and bingo sessions. There is also a ‘Pets as Therapy’ session held every fortnight with Maverick the Golden Retriever.

The patient who received a re-diagnosis of oral cancer after being in remission for three years was extremely afraid, felt she was ‘heard’ by the whole team, and her many fears were addressed in a positive, practical and reassuring way, which is what she needed at the time. The patient felt valued and treated like a ‘whole person’. She stated that she owes her recovery to the whole team approach offered by these great professionals. Sponsored by G4S Facilities Management

Sponsored by G4S Facilities Management

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People

January 2016

Our winners For full details on why the winners were chosen, see the press releases on the communication team pages of the intranet.

Award for leadership Victoria Thorne Described as a caring and compassionate nurse who lives the Trust values of being quality-driven, responsible and compassionate, Victoria is a warm, friendly and open person who has created a ‘positive emotional contagion’ leading to a work environment where staff smile and feel valued. Many of the Trust’s initiatives around quality have had to be re-worked to be implemented within the community setting and Victoria has led on all of this work and implemented community metrics. She has also organised quality days where services can showcase quality improvements to their peers and stakeholders. She has also been instrumental in the establishment of a new Macmillan palliative care hub and led on the development of a home intravenous therapy service. This has highlighted her ability to get her teams to work together creatively and collaboratively.

Sponsored by Roche

Award for performance and productivity - District nursing team, North Manchester The district nursing service within the North Manchester community has over the last year implemented an improvement programme which was planned and developed through a multi-agency steering group with key partners from the North Manchester Clinical Commissioning Group (CCG) and primary care practitioners. The programme which is on-going has delivered a number of key things without additional recurrent resources.

Sponsored by Capsticks

Chief executive’s award for innovation - Frailty programme, North Manchester The project which encompasses North Manchester community services intermediate care and crisis response, and Manchester City Council Reablement Service, completed a nine month programme of service improvement focusing on an aim ‘To understand how identifying frailty can impact on a person’s choice of care pathway’. The data and outcomes from the project have proved so successful that this has now expanded to reablement services in social care, and is due to be rolled out into other community based health and social care services.

Sponsored by Roche

Chairman’s award for living our values - Stroke services team The team were centralised at Fairfield General Hospital in November 2014. This was a clinically led decision which brought with it a lot of benefits for patients, their relatives and the Trust. The service was reconfigured from a three site model to a one site model and this enabled staff to expand the thrombolysis service from 7am until 11pm and to provide a seven day hyper acute and rehabilitation service for all stroke patients. Fairfield’s specialist stroke unit is now the best performing hyper-acute stroke unit in the country according to Sentinel Stroke National Audit Programme (SSNAP) data gathered by the Royal College of Physicians.

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People

Thank you to all our sponsors for making the staff awards evening possible.

Trophies sourced by Lennard Trophies

Congratulations to all our staff who received nominations for the awards Chief exec’s award Andrew Pass, transport POCT team and CAU at Rochdale OT management team Leadership Katie Graziano, T7 Libby Woodcock, IM&T Helen Riley, J3/J4 Catherine Stanley, elective access Darren Dunleavy, E-rostering Delia Gallagher, biochemistry Josie Fletcher, PIU Steve Langham, payroll Tracy Atherton, community nursing Vicky Mayall, NICU Alyson Mann, theatres Allison Keegan, critical care, NMGH Maria Langer, recovery unit, theatres Anita Blease, surgery Jason Holland, intermediate care Karen Lloyd, pharmacy Jayne Rogerson, pharmacy Dr Zoe Borrill, respiratory medicine Colette Shipley, emergency assessment unit Helen Riley, infectious diseases Abby Fisher, OT Dr Raj Parikh, elderly medicine Debbie Downward, children’s outpatients Simone Gorman, paediatrics Lynn Bannon, ward F1 Julie Bowes, community admin Linda Kent, research and development Partnership POCT team and CAU at Rochdale CASS operational workstream Crisis response team Oldham alliance – integrated discharge Community pharmacy team Joanne Burton, corporate Christopher Hoare, governance Navigators, urgent care

Performance and productivity IT team Limb holders, theatre Catherine Curley, stroke unit David Duffy, transport G1 discharge unit Secretarial team, elective access Pharmacy discharge teams Theatre team, Oldham Martin Lewis, pathology Quality Macmillan team Janice Scott, childrens Lynn Pritchard, out of hours district nursing service Sarah Boulger/Elizabeth Adcock, medicines information End of life care team Dr Isha Malik, diabetes Ann Woodhouse, ward 8 Hannah Halliwell, OT Floyd unit Rebecca Tomlinson and Lauren Tranter-Seldon, pharmacy Helen Maunder, respiratory Lynne Kendrick, gastroenterology Trudy Cornick, ward 9 Emma Robinson, medicine Muzaffar Iqbal, ophthalmology Michael Sanderson, portering Screening midwives, midwifery public health Suzanne Miller, oncology Dr Peter Gibson, orthogeritrian Fred Sharples, painter Mike Heyworth, IM&T Diane Charlesworth, CASS Gynae Macmillan, Oldham Judith Moran, anaesthetics Joshua Knight, Aroma cafe Linda Borkin, infectious diseases Navigators, urgent care Liam Frodsham, booking and scheduling Debbie Downward, children’s outpatients David Whatmough, porters Stuart Jones, porters

Rising star Tom Calderbank, estates Angelina Morley, ESR John McAllister, medical absence Lisa Wong, community Macmillan Aslam Chougle, trauma and orthopaedics Sarah Madden, out of hours district nursing Skye Hallisey, OT Ruth Despard, theatre Nicola Howarth, Pennine lung service Declan Dunleavy, IM&T Ann Barakas, central bank Lucy Deakin, critical care Louise Clucas, medicine Jenny Dodman, occupational health Jennifer Denton, aseptic services Anthony Hoy, urgent care Beverley Drogan, CASS Jane Garforth, CASS Maryam Saeed, pharmacy Jo Taylor, research and development Emma Smith, anaesthetics Sharon Byrne, A&E Diane Eden-Maughan, medical education Glenis Astbury, critical care Health and wellbeing Michele Corris, surgery Bernadette Armstrong, infectious diseases Transformation Porter services, NMGH Katie Foster, out of hospitals directorate Catherine Farnsworth, pharmacy Jane Bryan, anaesthetics Theatres, NMGH Aseptic services Team on J5, NMGH Mark Longshaw, critical care Pharmacy stroke team

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Staff room - noticeboard

Staff noticeboard Happy birthday Ann

Farewell to Denny

DEPUTY catering manager Ann Sharples celebrated her 60th birthday at North Manchester with a card, vouchers, flowers, a watch and a big box of her favourite sweet jelly babies. Her friends and colleagues wished her a happy birthday and acknowledged her 20 years working at the Trust.

THE Trust is sadly lighter by one smoking cessation nurse. Tipped for success, Denny rolled up for work every morning and lit up everyone’s day with a smile. Her friends and the literally hundreds of people she has helped both directly and indirectly send their love and gratitude. “The lighters have gone out all over Manchester, we shall not see her like again!”

Children in need STAFF in the medical records department at Oldham turned up for work in fancy dress in aid of Children in Need. They raised £159.22

Bake off for Christmas STAFF in pathology got into the festive spirit with a festive bake off in aid of Mission Christmas. Everyone put a lot of effort into producing some amazing cakes. Asifa Shahzad won the best mince pie competition with her gorgeous samosas and Sadia Ahmed won the prize for the best tasting cake with her carrot cake. John Wilkes and Pam Miller presided as the Paul Hollywood and Mary Berry of the Trust! Thanks to everyone for supporting the event and raising £150.

Haematology farewells HAEMATOLOGY, blood transfusion and biochemistry staff would like to say a fond farewell to three highly respected colleagues. After a combined innings of over a century, Christine Mills, Brenda Houldsworth and Jan Roman said goodbye. Specialist biomedical scientist Christine Mills and biomedical support worker Brenda Houldsworth were based at The Royal Oldham Hospital, whilst specialist biomedical scientist Jan Roman was based at North Manchester. All started their careers well before the Trust merger and have worked through times of significant change. They have been a source of inspiration and support for trainees and new staff and will be greatly missed by friends and colleagues who wish them a long and happy retirement.

Congratulations to Michelle CONGRATULATIONS to sister Michelle Ashworth who has passed her Master’s degree in leading and managing in healthcare practice. It has been a three year course with Salford University where Michelle achieved 75% in her dissertation. Well done.

January 2016

Farewell Pauline Long serving member of the catering team at NMGH, Pauline Mellor, retired on Friday 27th November, after 20 years with the Trust. Many of you will know Pauline as she has provided buffets and refreshments for many hundreds of meetings and functions during her time with catering. Seen here with Trust catering lead, Howard Cartledge, Pauline received gifts of flowers, chocolates and US dollars, which will come in very handy for her trip to the States in the New Year. Her colleagues will miss her dearly and they all wish her the very best for her retirement.

Well done

CONGRATULATIONS to four members of Pennine staff on completing the Mary Seacole Programme and attaining their postgraduate certificates in NHS leadership. Pictured are: Louise Williams, directorate manager; Michelle Cannon, radiology manager; Charlotte Britt, information governance officer and Anna Webster, ARAS specialist nurse.

In memory MARJORIE Ann Riley, known as Madge to all her work colleagues and friends, passed away after a short illness on 27 October, aged 73 years. She had worked as a healthcare support worker for over 30 years and for the past few years had worked with the emergency department consultants at North Manchester in running their clinics. She was loved by staff, patients and visitors alike. She was a very special lady who will be missed very much.

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