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Thursday 23 February 2023 |
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The fortnightly bulletin is now being shared every other Thursday. If you’d like to share any items or news, please send them into us at communications@manchesterlco.org.
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 Hello and welcome from Richard Spearing
It's just a quick video briefing from Richard this fortnight. He welcomes Adrian Smith to his new role as neighbourhood lead for Trafford West and shares that the Ofsted report for Trafford’s Children’s Services is now available. He thanks staff for their contribution to this and mentions how your work has acknowledge in the report. |
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Note: In the recording Richard states, “children’s safeguarding” instead of “children’s services” and apologies for the error.
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Updating you on our New Models of Bed Based Care work in the LCO
Blog from Mark Edwards, LCO chief operating officer
Hello everyone - I hope you’re well.
The LCOs, along with our partners in the hospital and across the system are leading what we call the Resilient Discharge Programme – a series of workstreams designed to improve discharge from hospital. Our aim is Home First, ensuring as many of our patients as possible can return home with the right level of care as soon as they can safely do so.
I wanted to update on part of the RDP which we have been working on. This is called New Models of Bed Based Care and is looking at the short-term bedded care, which includes intermediate care units (ICTs) and short-term care home placements (Pathway 3 (P3)/Discharge to Assess (D2A) beds).
Our Intermediate Care Units provide an excellent service for recovery after hospital and play a key role in increasing independence. However, we know that there are areas for improvement. Too many patients are still being discharged from hospital to P3 beds at the moment (longer term placements in care or nursing homes) when they could be sent to short-term intermediate care with us (Pathway 2). Not all P3 beds are set up to provide rehab meaning we miss opportunities to get people back to independence.
We also know that the offer is inconsistent between units and that access is not equal and fair, especially for bariatric patients, patients with social needs and patients with mental health needs. From the hospital side, it can be confusing and frustrating trying to access bedded care for patients. Not having the right provision leads to delays in discharge.
This feedback has come from engagement sessions we’ve held with frontline teams from the units, social care, local authorities, primary care, hospital and commissioning colleagues. In total almost 100 staff have joined 14 engagement sessions we’ve held. Everyone has come together to bring their ideas to the table on how we can work most effectively as a system for our patients.
The result is that we’re looking at some key features from the new model that will be in place across our bed based care offer - simpler and quicker triage, assessment and transfer from hospital to units; increased access from community step-ups as well as hospital discharges; removing barriers to entry and increasing flexibility; multi-disciplinary team working so we are building on strengths based discharge planning; quicker step down to Pathway 1 as soon as a patient is safe to be at home; and really strong locality links into our other LCO and VCSE services.
We’re now working on a model for how our units should operate in the future and as a result of these workshops are looking at plans for each area we serve.
- In North Manchester we are already trailing an improved offer at Crumpsall Vale to implement a new way of working with stronger links to the hospital and an improved community step-up offer, as well as reducing barriers to access for certain groups
- In Trafford and South Manchester, we’re working with the hospitals to consider what an improved Pathway 2 offer could look like, particularly focusing on patients with nursing and therapy needs
- In Central Manchester we’re working with the MRI to identify opportunities to enhance the Pathway 2 offer for patients.
This will be complemented by improving the P3 Discharge to Assess model. The improved P3/D2A offer will have an enhanced assessment team to move patients through quicker and achieve better outcomes. There will also be a specific complex offer to support patients with distressed behaviours.
This is an exciting piece of work that has been developed and led by staff and partners. The new model will allow more and quicker discharges home from hospital, ensure patients get the right expert input from our teams when they need it and improve flow through the system.
Over the coming months further work will be taking place putting these ideas into place with the goal of making continuous transformation and improvements over the coming year and moving to the full model from 2024.
We’ll keep you updated about the progress of the work and case studies from the new ways of working. I’d like to thank every member of staff who has contributed to the work so far – these exciting changes are really going to benefit people from across Manchester and Trafford and that would not have been possible without your ideas, inspiration and support.
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Introducing Adrian Smith
A warm welcome to Adrian Smith, who's recently joined the LCO family as our neighbourhood lead for Trafford West. For those of you who are not familiar, we’ve created a number of posts to help drive the work of our Neighbourhood Development Programme, which we’ve talked about previously in the Fortnightly Bulletin.
There are four neighbourhood lead posts in total to recruit to, and Adrian is our first to be successfully brought on board. He’ll now be working with West Trafford colleagues as well as partners and the community to devise a neighbourhood plan to really meet the health and care needs of our local people. Adrian will also be helping to bring our West Integrated Neighbourhood Team together. He writes in the below short piece to introduce himself and tell you a little about what he's been up to so far since he joined us.
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LCO Research Champion Network
 The LCO has recently formed a Research Champion Network, and we're now looking for nurses, allied health care professionals, and adult social care colleagues to join.
Getting involved in research improves retention and recruitment of staff, and we know that patients in research-active settings and those involved in RCTs (regardless of the arm of a clinical trial) have better outcomes and report higher levels of patient satisfaction.
Therefore, if you have an interest in research and are looking for a brand new and exciting opportunity, or if you're not sure what research looks like in community, then please take a look at this document [PDF, 115KB] for further details. You can also email Janet Suckley, LCO lead research champion, should you have any questions.
Trafford Children’s Services latest Ofsted report now published
As Richard mentions in his video briefing, towards the end of last year, Trafford Children’s Services were inspected over a three-week period. The previous report from March 2019 judged the services as inadequate overall and inadequate for leadership and management. Since then, much improvement work has taken place, and the council was pleased to announce on Tuesday 31 January that Ofsted has now rated them as ‘requires improvement to be good.’
You will see in the report that services for children with additional needs is still an area that needs to be strengthened, and the council now intends to invite key stakeholders to a dedicated session to talk about the progress that’s been made and the plans in respect of what more needs to be done.
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Greater Manchester Health and Care Champions Awards 2023
Reminder of approaching deadline
On Friday 10 March, the application form to nominate colleagues for a Greater Manchester (GM) Health and Care Champion Award will close. If you have someone in mind to put forward, please get nominating now. The application form is easy and simple to complete. You can nominate colleagues from inside and outside our organisation, including VCSE colleagues, for any fantastic piece of work they’ve done. Plus, there are many other categories!
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International Women's Day - Wednesday 8 March
International Women’s Day 2023 is fast approaching, and this year’s theme is Embrace Equality.
Manchester will be celebrating with its popular Walk for Women event on Saturday 4 March and everyone is invited to get involved. If you’ve not yet seen the details, you can find out how to take part on the City Council’s website.
Then, for our next edition of the fortnightly bulletin, which is due out the day after International Women's Day, we’d love to be able to share your stories of women who’ve inspired you. So, if there’s a particular woman—a family member, friend, colleague, or public figure—then please take part! All you have to do is send the communications team either a short video or picture along with the woman's name and a few sentences explaining why.
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Last chance to protect yourself from flu!
The MFT staff winter vaccination programme is coming to an end on Tuesday 28 February 2023, so this is your final call to book in for your flu jab if you’re yet to be vaccinated.
Booking couldn’t be simpler, as all you need to do is go to the MFT booking website.
If you're employed by MFT, select staff. If you're employed by MCC or GM choose affiliate. You can also speak to your local flu champion if you can't get to an MFT vaccination site and would like to arrange a last-minute roving clinic.
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In celebration of Nutrition and Hydration Week (Monday 13 to Sunday 19 March) Trafford Council and Age UK Salford will be hosting a celebratory event on Thursday 15 March from 12:30pm to 4:30pm at Stretford Public Hall. The event is open to everyone and for further details can be found within the promotional poster [PDF, 389KB].
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Join us for March’s live LCO Team Brief
 LCO chief executive, Katy Calvin-Thomas and other members of the executive team invite you to join them for our next live team brief event on Tuesday 21 March at 10:00am. These regular meetings take place online via Microsoft Teams and the purpose of them is to inform you of the latest news and updates from inside and outside the LCOs. They’re also the place to ask our executives any questions or concerns that you may have.
To book a place, please use the below Microsoft Teams registration form. A calendar invitation will then be sent to you.
The new MFT Learning Hub is now live!
Yesterday (Wednesday 22 February) the new MFT Learning Hub went live. For all MFT training, you’ll need to now use the new Learning Hub site which is the same platform that you used to book and manage your Hive training. This exciting transition means there is just one place for all learning and development and will provide a smoother and more intuitive learning experience.
To find out more, please see the update on the MFT staff intranet. You may also find useful this set of frequently asked questions [PDF, 296KB].
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A Different Conversation is our LCO approach to completing your annual appraisal. It’s a great tool to use as it helps to facilitate conversations between you and your family about what matters to you in terms of your development as well as your wellbeing. A Different has now been in place for just over two years and we’re really keen to find out how well you think it's working. You can tell us by completing this very short survey. We’ll use your feedback to consider where we might want to make changes or improvements to help you get the most out of the process.
Then don’t forget that the first few months of the new year are a great time to think about refreshing your previous year's appraisal. So, please consider booking some time with your manager to go through yours soon.
An EMIS Web data migration is to take place on Friday 24 February from 7:30pm and is expected to be completed by noon on Sunday 26 February. This is to enable the migration of EMIS Trafford users to MFT EMIS.
You’re asked that during this time you do not register any new patients on the 29336 MFT Instance of EMIS Web. All other activities, including the adding of referrals, are permitted during this time.
As part of the consolidation of the EMIS EPR, the EMIS Project Team are initiating the migration of the Trafford Health Visitor, School Nurse and Community Neuro Rehab patients and caseloads on the evening of Friday 24 February.
Please read carefully the full full pdate for further details [PDF, 149KB].
Allyship training
 We’ve had a great response to the allyship training that we shared with you in our last edition. But if it’s something that interests you and you're yet to book, then please be reminded that places for our March training dates need to be booked by Tuesday 28 February 2023. You can do so by emailing India Henry, LCO equality, diversity, and inclusion lead.
Greater Manchester is now ready to create its three-year Creative Health Delivery Plan. This will complement their Creative Health City Region Strategy 2022. To help them with this, they’re inviting health and care professionals from across the region to a series of themed workshops (listed below) this March to share thoughts and ideas on what's most important to our residents in order for them to live happier and healthier lives.
If this sounds like something you’d be interested in, please click on the links below to learn more about your preferred workshop:
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Nursing, Midwifery and Allied Health Professionals Conference - Friday 24 March. Find out more on the MFT staff intranet
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Advancing clinical practice in the community by Health Education England - Tuesday 28 February from 7:00pm. Suitable for advanced clinical practitioners – see this poster [PNG, 444KB] for details
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Changes to NHS Pension scheme regulations
The Department of Health and Social Care (DHSC) is planning to make changes to the NHS Pension Scheme from the Saturday 1 April 2023, to give NHS staff more flexibility around retirement.
The proposed changes include making it simpler to take partial retirement. This means you can claim part of your pension and work in a more flexible way without having to leave your job.
A letter [PDF, 227KB] explaining the changes is currently being sent to all members.
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The following jobs are currently available to view on the LCO extranet jobs page:
Please share these across your networks to help us promote them. Then don’t forget that you can advertise any post in the fortnightly bulletin by emailing the communications team.
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 Become an LCO Mental Health First Aider
 We’ve organised two training sessions on Tuesday 21 and Wednesday 29 March for staff interested in becoming Mental Health First Aiders. We want to ensure that right across the LCO family, we've got a diverse pool of listeners to act as a friendly point of call for when someone is in need. As a result, if you consider yourself to be a good listener, or if you are the person on your team who people turn to when they are upset, or someone who just wants to help reduce the stigma surrounding mental health, this could be an opportunity for you!
Rewards and benefits coffee catch-up information sessions
During March, the MFT Rewards and Benefits Hub will be hosting online coffee catch-up information sessions where you can drop in to find out more about the staff discounts and offers that are available to you. There are numerous incentives available, including car lease schemes, travel discounts, and much more. These sessions have been designed for LCO colleagues only, and for further information, including the dates and times, please see the below promotional poster. Please also share the details of the sessions among your teams and display a copy of the poster within your team areas.
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Would you like a safe, supported space where you can talk about how you are feeling and the challenges you are facing with colleagues in similar roles? The Florence Nightingale Foundation is offering support for groups of staff to come together in a virtual space to explore issues and share learnings. The focus is on enabling you to develop leadership skills and coping strategies to support yourself and your colleagues. Participants have consistently provided great feedback post sessions and have found the sessions to be really useful and beneficial.
If you’re a smoker, make No Smoking Day on Wednesday 8 March the day you quit for good.
Quitting smoking can improve your brain health and reduce your chances of developing dementia. Another benefit of quitting is how much money you'll be able to save. On average, smokers spend £47 a week on tobacco; that’s nearly £2,500 a year to spend on other things.
You’re up to three times as likely to succeed in quitting if you get support. The Make Smoking History website provides resources for all NHS employees. This includes 12 weeks of nicotine replacement and/or making a kit, as well as free access to a top-rated Smoke Free app.
GM Working Together events
Greater Manchester (GM) Working Together is continuing to host various mental health and wellbeing sessions for all health and care professionals throughout February and March. Topics include workplace physical activity, an insight into the menopause, looking after yourself and your teams and much more.
Go to the GM Working Together website to see the full list of available sessions, including dates and times.
Other links and useful resources
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