Leading Together
th
10 March 2015
Partnerships
Table 1.
Title of Partnership: LPT Preceptorship Task & Finish Group
Lead and other representatives:
Lesley Tooley - CHS Clinical Education Lead & LPT Preceptorship Lead,
Louise Short - Clinical Trainer Practice Development Facilitator,
Laura Smith - Clinical Trainer Practice Development Facilitator,
Lynne Moore – Practice Development Nurse [LD]
Tracey Finnamore – Practice Development Nurse [LD]
Anita Patel - Team Administrator for Di Postle.
Contact details – mobile number preferred please. Lesley Tooley - 07831353696
Brief:
The LPT Preceptorship Group have been meeting for approximately 10 months, prior to this
the team had not worked together and barely knew each other.
Together we have put together the LPT Preceptorship Package which gives a standardised
approach to Preceptorship, now newly qualified nurses have the same documentation,
competencies and a standardised approach to drug assessment. This is all supported by 6
Development Days which give opportunity for reflection, learning & support.
Meeting with the preceptees every month means the group are keeping a close eye on
Preceptee progress & mood, and have been able to escalate problems quickly using our
circle of influence.
Table 2.
Title: Sexual Abuse Clinical Forum
Lead: Tracey Alexander
Contact Details: tracey.alexander@leicspart.nhs.uk
Brief:
The first meeting of the SACF was held in July 2003. It attracted widespread interest from
clinicians, both within the Trust and from Primary Care, Social Services and the voluntary
sector. Over fifty clinicians attending the meeting, although it was not possible to allocate
placed to a further 70 who had applied.
The idea of the Forum grew out of the experience Tracey Alexander (Principal
Psychotherapist / Sexual Abuse Lead) had of running highly successful seminars on sexual
abuse. The main objective of the Forum is to bring together practitioners from a wide range
of agencies in order to share good practice in this area aiming to provide support for
clinicians wrestling with the difficulties and dilemmas that the problem of sexual abuse
presents in the clinical setting.
The Forum meets 3x a year for a full afternoon meeting.
The central aims of the Forum remain;
a) Enhancing clinical practice;
b) Liaison and collaboration with other agencies;
c) Incorporating child protection policies and relevant Trust policies and
procedures into safe and effective clinical practice.
Table 3.
Title: Neighbourhood Partnership with the Local Authority
Lead and Representatives: Tracey Jackman (Neighbourhood Lead), Jane Sansom (Locality Manager),
Keith Aubrey (Strategic Director Melton Borough Council), Bea Perez-Moreno (CAF co-ordinator
Rutland County Council)
Contact Details: Tracey Jackman – 01664 800264
Brief:
During the last 18 months, as staff from Health and Local Authority we have been working
increasingly closely together within the neighbourhood model. Through our conversations together
it has become clear that while our organisations may be facing similar local and national pressures
we also have many shared values and aspirations for our local communities.
We have also identified the opportunity to reduce duplication and maximise efficiency and relevance
through working together. So far, this has involved initial networking and growing in our mutual
understanding of each other’s organisations, services and priorities but more recently, as
organisational trust and understanding has grown, we have been working together on specific
aspects of project development and service integration.
The current areas of work we are focussing on are
1) Developing a mutually shared neighbourhood approach to building community capacity. We
want asset based community design to be fundamental to our shared involvement in the
Melton community. We have planned a large scale ABCD practitioner workshop and we are
considering how funds, staff and resources will be allocated to embedding the culture of an
asset based approach in Melton.
2) Re-designing the navigating processes for the children, young people and families in Rutland.
During the initial phase of neighbourhood working we became aware of the opportunity to
co-design shared and integrated processes of navigation to maximise the efficiency and
appropriateness of our provision and response to support families’ needs. We have carried
out a practitioner consultation event and will be facilitating a management consultation in
March.
Although these are two key areas of focus at the moment, there is huge potential to continue
building partnership working, collective leadership and integration of organisational provision
between Health and Local Authority. We have learnt together already and this kind of mutual
reflection and learning will enrich our plans and provision for our local communities together.
Table 4
Title of Partnership: Communication network for people with learning disabilities
Lead: Jane Parr
Contact Details: Jane Parr – 01162255205
Brief:
Ensuring the communication needs of people with learning disabilities are addressed is
essential if we are going to reduce the risks associated with communication breakdown.
These risks include preventable illness and inpatient admission, breakdown in placements,
increased vulnerability in mental well-being, increased vulnerability and safeguarding issues,
exclusion, increase in behaviours that challenge services and failure to meet legal
requirements.
In order to address communication needs there has to be changes made across services and
all of the main communication partners. The speech and language therapists have worked
with a range of partners including people with learning disabilities, carers, social care,
education and voluntary sector to set up this network so that we can work together to
improve communication.
As part of Transforming Care (response to Winterbourne View) Five Good Communication
Standards have been developed and the network is using these as the basis of their
approach.
Table 5.
Title: Smoking in Residential homes for Looked after Children
Lead: Louise Ross
Contact Details: Louise Ross – 01162954141
Brief
WHO?- Looked after Nurses Team and Designated LAC Nurse, Smoking Cessation – including
smoking cessation worker who has worked with Looked after Young People, Public Health –
tobacco control lead, Leicestershire Fire and Rescue Service, University of Loughborough,
Trading Standards, Residential Care Managers from City and County
In the future; - Looked after Young People, The Virtual School Service for LAC,
Commissioners, Public health rep from the City, Drug and alcohol services
In 2013 a report into Smoking in Residential Homes funded by LPT was shared with City,
County and Rutland local authorities to highlight the difficulties that care home staff face in
providing smoke free environments for Looked After Children.
Around 10% of LAC live in Care Homes. Children residing in residential have come into care
at an older age, often experiencing previous breakdown of placements or complex
problems. Their rate of smoking is much higher than their peers and other LAC and in May
2014 a check of the 39 residential homes across LLR revealed that an average of 70% LAC
were smoking. This leaves these vulnerable young people more exposed to long term
chronic health problems and associated safety risks including the use of tobacco as a
possible grooming tool in Child Sexual Exploitation. In addition there was evidence of
tobacco being used as a vehicle for cannabis use and in bullying.
WHY? - It was felt that this was a wide ranging problem requiring a range of organisations to
address the issues, Fire and Rescue – due to the dangers related to fire and disabling smoke
alarms and smoking in bedrooms, Smoking cessation services – these were initiated in the
local authority homes but most children were in private homes all LAC needed the smoking
cessation service. Public Health – there was a clear public health and inequality in health
issue. Trading Standards – the report and talking to LAC and staff in homes showed that
there were links to illegal sales to minors and “Fag Houses”. Residential Home Managers
and staff – the staff needed support and resources to assist smoking cessation and try to
reduce smoking and stop new residents starting to smoke. LAC Service – The nurses wanted
to work to reduce smoking for all their young people. Young People – the LAC across LLR
deserve the best health possible reducing smoking for this group would have lifelong health
benefits. University – both Loughborough and Nottingham Universities have linked with the
project from a design and public health perspective. CSE/LSCB – the links between tobacco
and grooming and CSE were a risk factor and there needed to be strong links to the CSE sub
group across LLR.
Table 6.
Title: Health and Social care local offer
Leads: Lisa Farmer Ward Manager Dalgleish Ward, L.P.T & Sheila Bobe, Locality Manager,
Adult Social Care, Leicestershire County Council.
Contact Details: Lisa Farmer – 07919396252, Sheila Bobe – 07769881271
Brief:
The common goals are to improve the outcomes and experience for the patient/service
user.
Lisa Farmer and Sheila Bobe have known each other since 2011. Both have carried out the
responsibilities within their own posts and had the occasional discussion on the telephone
should they needed to.
As the demand on both of their services had increased dramatically Lisa and Sheila
recognised that they needed to take action and agree how they would jointly manage the
impact that this was having on their respective services.
Following an initial discussion, it was agreed that they would meet to look at the blocks and
potential glitches in processes within their respective organisations.
Table 7
Title: REACH project residential reablement
Leads: Julie Peach - Therapy Operational Lead and Jennie Goode - Nursing Operational Lead
Contact details: Julie Peach 07876212047 and Jennie Goode 07824460784.
Brief:
People want services that feel joined up, and it can be a source of great frustration when
that does not happen. Integration means different things to different people but at its heart
is building services around individuals, not institutions. The Government is clear that joint,
integrated working is vital to developing a personalised health and care system that reflects
people’s health and care needs.
(Department of Health/Department of Communities and Local Government 2010)
In Community Health Services we have relished the opportunity to work more closely with
our Social Care colleagues. Through a number of different initiatives, in both Leicestershire
and Rutland, we are aiming to ensure a more efficient use of existing resources by avoiding
duplication and ensuring peoplereceive the right care, in the right place, at the right time.
We have the pleasure of discussing with you our “joined up approach” to;
 Integrated working with Leicestershire and Rutland Social Care Community
Reablement teams,
 Residential Reablement pilot at Catherine Dalley House in Melton Mowbray.
Table 8.
Title: FYPC linking with Adult Mental Health Services Enabling the THINK family approach
Leads: Alpana Marwaha, Neighbourhood Lead FYPC, Parminder Parmar, Senior Primary
Mental Health Worker FYPC, Avinash Hiremath Consultant Psychiatrist AMH,
Representatives: Denise Roberts Health Visitor FYPC, Fabida Noushad AMH Consultant
Psychiatrist
Contact Details - Alpana Marwaha – 07879627829, Parminder Parmar 2955050 Denise
Roberts 2924500, Fabida Noushad 2953090, Avinash Hiremath 2255275
Brief:
This project was developed to think about innovative ways in which Adult Mental Health
Practitioners can link with children’s services so that we can fully employ the THINK family
whole family approach. The project is in its very early stages and requires commitment
from several teams across divisions. FYPC work to a neighbourhood model and Health
Visitors are GP aligned as are adult mental health workers. We recognise that there are
several missed opportunities for joint working and skills sharing. Although there are many
examples of good practice we need to develop this way of working so it becomes common
practice.
We would like to take this opportunity to gain knowledge and expertise from key people
within the team to move this work forward.
Table 9.
Title: Community Health Services District Nurses working in partnership with the
Community Wellness Service.
Leads: Rob Melling and Hannah Williams
Representatives: Alpana Marwaha Neighbourhood Lead, Rob Melling Community Wellness
Service, Umesh Patel Community Wellness Service, James O;Donnell Community Wellness
Service, Hannah Williams Community Health Services Champion.
Contact Details: Alpanna Marwaha – 07879627829
Brief:
We aim to increase safe discharges, reduce hospital admissions, reduce re-referral to CHS
and support clients in their local community.
This initiative is being developed by Hannah Williams Community Nurse, Rob Melling
Community Wellness Team Leader, Alpana Marwaha Neighbourhood Lead, James O’Donnell
and Umesh Patel Community Wellness Practitioners. The aim of this initiative is to respond
to the Better Care Together Programme. We are developing a pathway so that adults
known to the District Nursing Team are discharged to the Community Wellness Team, who
will work with these service users to find them support from their local community. Many
of these service users are isolated and unable to access the care that they need. The
Community Wellness Team will be able to support the service user in engaging them with
activities and groups within the community. It is hoped that we will then be able to reduce
isolation, reduces re-referral rates, reduce hospital admissions and increase engagement in
local community groups. We also aim to develop a co-design model with service users.
Table 10.
Title: School Health and Wellbeing events
Lead: Mel Christie
Contact Details: Mel Christie: 07824472184
Brief:
Aims: to actively engage young people in identified public health priorities for Leicester City.
Large Scale Health Engagement with Young People (AKA: Health Fairs) –
This involved identification of locality health needs and consultations with secondary
schools and partner agencies. Together we co-produced a bespoke resource / literature to
support the event and subsequent follow up project work within each school.
Evaluation by young people and partners so far indicates that the events within this new
model impactful.
Table 11.
Title: Hate Crime & Health Partnership
A
joint
collaboration
between
Leicestershire Partnership NHS Trust,
University
Hospitals
Leicester,
Leicestershire
Clinical
of
Commissioning
Midlands
Leicester,
and
Rutland
Groups,
Ambulance
Leicestershire Police is and
East
Services
Sophie
Lancaster Foundation is gathering
pace through a multi-agency steering group established to examine ways to improve and
strengthen the health system response in relation to hate crime.
Evidence is emerging that hate crime has both physical and mental health related impacts
which require health service responses. Acknowledging the impact of hate crime on
physical and mental health is an important element to understand all factors affecting the
needs of the patient, pathways into services and the impact on the patient experience.
Health staff have the opportunity to support and empower victims to make the right
decisions which may involve reporting a hate incident crime committed against a person.
The multi-agency collaboration is working towards establishing closer contact and
engagement with local communities affected with hate crime including:



Map out current health approaches
Look at best practice in other communities
Build effective training and learning packages for
staff understanding

Improve recording systems in participating Trusts
improving
Table 12.
Title:
Inter-Professional Education
Leads:
Alison O’Donnell (Multi-Professional Education & Quality Lead, LPT)
Ann Smith (Service User)
Contact:
Alison.odonnell@leicspart.nhs.uk or 07901553651
Brief:
IPE is where we “learn with, about and from each other”. The team within LPT provide a
suite of formal inter-professional education programmes to students and staff within
Leicestershire and Rutland, which has received national and international acclaim.
To achieve this we have established strong partnerships with key groups including our: local
universities - who have embedded the programme within their curriculum; patient/service
users - who are central to all our courses and many of whom have developed to become IPE
facilitators; expert clinicians - who share their knowledge and experiences with students and
our own trained educators/facilitators.
Numbers involved:
 Students/Learners = 1,200
 Service Users = 100
 Facilitators = 14
 Universities = 3
 Professional groups = 5
In our presentation you will learn about how we became established, what challenges we
faced and tips for overcoming them. Also, we’ll share what we’ve learnt and we can all
achieve more in the future. Also, you’ll get a chance to play with some our simulation
training equipment!
Students
Education
Facilitators
Service
Users
IPE
Expert Staff
University
Table 13.
The Product www.healthforkids.co.uk provides children aged 4-11 with advice and
information about relevant health topics. Amongst others, there is information on:
 Flu vaccination
 National child weight measurement
 Head lice
 Adolescence
 Smoking
The site is aimed at school children, teachers and parents. The site contains 3 fun and
educational game looking feelings and emotional wellbeing, digestion, and the role of a
school nurse. Since it’s launched in June 2014 the website has had over 10,000 hits.
The Partnership The website was a collaboration between staff in FYPC and Diva.
Professionals from many different parts of
FYPC were involved in the project, including:
 Communications
 CAMHS
 School nursing
 STOP
 Health and Wellbeing
 Immunisations
Our partnership involved:
 Leaving the ‘day job’ behind and
thinking creatively
 Removal of hierarchy
 Common vision and shared
purpose
 Far reaching partnerships and
collaboration “there is so much of
our ideas in here!”
 Clear and inclusive leadership style
 Fostering trust and understanding
Lead: Clare Mills
Contact Details: 0116 295 1611
Table 14.
Title: Leicestershire Improvement, Innovation and Patient Safety Unit
Lead: Richard Apps, LPT Head of Assurance and Diane Ketley, Senior Improvement Scientist,
University of Leicester
Contact Details: Richard Apps - 07768988283
Brief:
LIIPS aims to facilitate improvement in the quality and safety of healthcare in Leicester,
Leicestershire and Rutland by connecting people across health and academia with expertise
and passion in the practice and science of improvement. It is a collaboration and
commitment between frontline professionals and patients to build a community with
patient-centred values at its heart. LIIPS is a partnership between East Leicestershire
and Rutland CCG, Leicestershire Partnership NHS Trust, Leicester City Clinical
Commissioning Group, University Hospitals of Leicester NHS Trust, West Leicestershire
Clinical Commissioning Group, De Montfort University, Loughborough University, and the
University of Leicester. http://www2.le.ac.uk/partnership/liips
Table 15
Title: Service users and carers with LPT staff
Lead: Susan Corr
Contact Details: 0116 295 0826
Brief:
LPT Research and Development team have been developing a partnership with SUCRAN service users and carers research audit network, based at De Montfort University. The aim
of the partnership is to enable service users and carers to embed patient and public
involvement in Trust research in a truly collaborative manner. SUCRAN is a network of 35
service users and carers who undertake a breadth of research work in a robust way. The
partnership takes many formats and to date includes:



SUCRAN’s Chair sitting on the Trust R&D strategy Group,
the development of a research proposal and funding application together,
ensuring service user involvement is a requirement for any research charitable
funds LPT make available,
 LPT staff inputting to training they run for SUCRAN members which has also been
opened to Trust staff which has resulted in staff and service users learning together,
 one of their members has been on the interview panel for our new post
 and again one was a member of the review panel for the charitable fund
applications.
The partnership has collectively developed a project called EPPIC: Embedding Patient and
Public Involvement Collaboration for research and development in Leicestershire
Partnership NHS Trust (LPT) and are very excited about the great potential to work together.