Staying safe and sane at work

This title may surprise some readers. The words 'safe' and 'sane' are probably not words we may use a lot to do with work. When we say 'safe' we mean a state of feeling good or at least OK - emotional wellbeing. Not feeling threatened or capsized. When we use the word 'sane' we likewise refer to being balanced, stable and established. We use these words as there are currents, dilemmas and events in the workplace that that really do challenge our sense of safety and sanity. When people use phrases like 'Work is driving me mad' you get an idea of where we are coming from. So how do we maintain our safety and sanity in a world and work that is constantly moving and changing? 

We would like to offer this article to look at three aspects of the problem.

Outside Work
There is a  symbiotic relationship between work and our life outside work. One affects the other. In fact what happens in one can overshadow and sour the other if we are not careful. Therefore, can we maintain our work sanity and safety by what we do outside? If people have positive activities outside work this gives an powerful resource to deal with work stresses and difficulties. Each will have our own practices to achieve this. The  list is long - walking, swimming, working out, meditation, reading, dancing and so on. What we think they all have in common is that they take us out of ourselves or maybe away from our problems and actually into our authentic selves. In getting this bit right we create a good 'work problem' detox programme as well as finding ways to grow and develop. If we can get side of life right we have somewhere to go and be re-energised and refreshed. The business world is building 'quiet rooms'into their offices and building mindfulness and meditation into their work programmes. They realise the need and are prepared to bring it into the office and service space. 

Inside Work
   In work we may face lots of things that can make us feel upset and stressed. If these continue and worsen it can start to impact us on different levels - sleep, patience, hope, certainty, physical, emotional and mental levels. There are work services to support staff such as HR, staff counselling, coaching and talking to one's trade union. Usually when we have a problem there are three things we can do. They are all simple and well known. The strange thing is that we often don't do them or only do one or two but not all three. We'll mention them now as ways to start resolving what may challenge our work sanity and safety. They are
(1) See the Source - think and reflect on what is causing the problem. Don't focus so much on the effects but what is the cause.
(2) Speak to another. We can get things wrong and most of us benefit from reality checking. It's easy to see  just through an emotional lense or a fear lense. Another perspective from a colleague with insight can really help.
(3) Act. Decide that you have a choice here. Decide what you need to appropriately do and take the first step.
 We realise fear, busyness, tiredness, etc all get in the way here. But if we don't act things won't change. This path can certainly demand courage, resolution and support but the only way to a resolution is through addressing the issue. In addressing it too it is good to think of how we might manage this. How we need to be polite, professional and clear and what support we will need. This road is often difficult. It is also a road through which much valuable self discovery and self worth can emerge.

Inside Ourselves
The third of our three areas is us - ourselves. It is an admission that we can contribute to a problem or an issue at work that causes work to be a place of threat and stress. It is where we stop blaming the economy, the manager or a work colleague and own our responses and approach. We may have a number of emotions or states that we don't like but which play a part. These may include feeling very vulnerable and scared, anger. wishing to undermine others, ego, jealousy, hopelessness and passive aggressive features. We are not equating these states as some come from different places. We note them to recognise that we all need to realise the stones or pebbles we are throwing into the work pond. We may not always recognise our behaviour patterns or how we play out situations. We may when confronted by another or by our own awareness say "Well that's me! That's the way I am wired. I can't change."

Looking at our inner states will mean us facing parts of us we don't like or even deny. Yet this is part of the journey. Facing ourselves as we are is the road. One of the most eminent psycho-analysts in history Carl Jung said, “Where we stumble and fall is where we find pure gold.” Seeing and naming the problem is the fundamental.  Putting this together we would respectfully suggest a programme for positive and real change begins when we 

(1) See the inner issue

(2) Accept it as part of us but recognise that we are not pieces of wood or stone. We have the freedom to change. Accept that we can be different

(3) recognise that change will make us better people and possibly our work life better for ourselves and others. 

From here we can start to look for what we need to do to change and grow. This might mean using counselling or other disciplines. What this adds up to is a new perspective. It is a recognition that none of us is perfect and that growth is a wonderful and tremendous possibility for us all. This is a transformation that can work good in other areas of our life other than work. John remembers many years ago visiting a client in prison outside of Leeds. He was there for a violent crime. In the visit he was angry about what had happened to him. John then visited a few weeks later. He was in a very different frame of mind and outlook. He had been visited in the interim by a nun who worked with homeless people in Leeds called Sister Eileen Carroll. Eileen, who died a few years ago, was such a positive force for good in the lives of homeless people in this city. She had spoken to him about the need to let go and how holding onto this was only really hurting him. The words must have sunk into our friend's heart and mind as when we visited him he accepted he was in prison for a crime he had committed, that he was to serve his time and wouldn't hold any grudge. And that's what he did. He's never been back to prison. He had faced his own inner feelings and state, listened to a wise person and then let a new pathway open us which he followed. Change is always possible and we hold in our hands the keys to open the door to change. Change should always be infused with wisdom and patience. We cannot change things or particularly ourselves overnight. We can however take the first step right now to a better life and us if we wish. Let's take it. 

Lisa Falkingham. Service Improvement Team. Leeds Community Healthcare
John Walsh. York Street Health Practice. Leeds Community Healthcare

Little bit of peace and quiet

Danny, one of our public members

For the first time, a staff member and a public member have come together to write a joint blog post. It promotes the concept of joint blogging where people come together to share and speak on a key theme. LCH has hosted blogs recently written with colleagues from the local authority, hospital chaplaincy, the University of Leeds, third sector and other NHS Trusts.

"The theme of this blog is the visit that Danny made to York Street Health Practice. Danny is one of the public members of LCH and also volunteers for the Expert Patients Programme, but most of all he is also a service user of a number of services provided by Leeds NHS. Danny visited and spent time with staff discussing homeless and asylum issues and models of care for the vulnerable. We also did a visit to St George's Crypt. The Crypt are a key partner of the Health in Leeds and have cared for homeless people since the 1930's. Kim Parkinson, Training and Housekeeping Mentor, showed us around and explained the vital work they do in Leeds. Kim is someone who does incredible work in this city for the most vulnerable and never seeks any limelight. York Street knows Kim as she has helped the practice build a presence at the Crypt. She expresses what good compassionate care is all about.

We started off the tour of the Crypt by seeing the amazing services and work they provide. We got an insight into the busy environment, vital work and fast pace of the work they do. We ended the tour by finding a place within the busyness that was different, the Chapel, and that's where this story starts. When Danny entered the Chapel he felt what many other visitors have felt. Here was a place of peace, stillness and quiet. The three of us sat down and talked about this. I (John) asked Kim if any staff use the Chapel and she answered, "All the time. So do clients. They just come in to sit down and enjoy the peace." The Chapel, although small, had a calming, passive atmosphere with an amazing theme throughout. On the walls there was a number of pieces of artwork all themed around the Last Supper. They featured services users from the Crypt to represent the Apostles. The artist had used his own face to represent Judas. There was circular seating and a cross in the corner. The Crypt's allocation and use of this space expressed their commitment to staff and service users. Although there was more to see at the Crypt we couldn’t help taking time to just sit there. We talked about the need for more places like this. Outside was a world of rush, push and stress. As we sat there, there was an atmosphere of calmness and tranquility. What was it that made us feel this way? We would venture the following as possible answers · Here was a space cut off from noise and hustle and bustle. There was a natural coolness that supplemented the calmness of the room.     Somewhere anyone can feel at ease. The lighting and furniture supported this calmness. We were seated – not rushing around. We were consciously open to the sense of calmness and quiet and it became where we were. 

This raises for us two needs. The first is the need for all of us to find some peace in our busy and noisy days no matter what we are doing or where we are. How can we find a little bit of peace and quiet in the turmoil and stress of work and life. It's a big question yet in its answer lies the welfare and wellbeing of our healthcare staff. If we can't find these places of peace and calm somewhere in our daily life then we would suggest that we have a real problem. There is a pressing need for us all to locate and utilise means of nurturing peace in the day. The famous French philosopher, Pascal, wrote that ‘All man’s miseries derive from not being able to sit in a quiet room alone.’ This appears on the surface to be a strange and even way out statement. Actually it isn't. We think that Pascal is talking about how when we don't have peace in our lives and especially peace with ourselves we can't sit in a room alone. This sense of unrest and inner distress touches all that we do. The need for peace is universal. We all need it and we should all seek it. Health should lead the way in supporting colleagues to good wellbeing actions and plans. We cannot have wellbeing without peace. This brings us to our other need.

For most of us we won't be able to turn on a sense of calm and peace like a light switch. It needs work, practice and external supports. The little chapel at the Crypt challenges us here. How do we design our buildings? We factor in desks, meeting rooms and kitchens. Do we feature in quiet rooms? Do we feature in places where people can feel peace and calm? And if not, maybe we should. Wellbeing means the creation of well places and spaces. We need to have a dialogue about what a wellbeing office or building looks like. We hope wherever in this city of ours buildings are built for statutory or third sector services in the future this can be figured into the discussions. What a thing it would be if we could create services where staff had these places of peace and inner refreshment and the effects permeated the rest of the building, environment and most importantly its care for patients. We could renew services and care in a radical and effective way."

Daniel Lipzith, public member of LCH

John Walsh, York Street Health Practice

Hearing the homeless - working for best services

We all favour client participation, joint working with key partners, having a strategic vision and making a difference. But how do we do it? How do we make sure one of the key elements is not lost or ignored? Some may say there isn't always an easy answer to this. Some recent work between Healthwatch Leeds and Leeds Community Healthcare / York Street Health Practice offer a good model of how this can happen. In this blog two of the participants describe the work and its lessons.

Healthwatch Leeds is committed to a great vision - 'Healthwatch Leeds gives people a powerful voice on health and social care services in Leeds and beyond. Healthwatch Leeds helps the people of Leeds to get the best out of their local health and social care services, whether it's improving them today or helping to shape them for tomorrow. Healthwatch Leeds is all about local voices being able to influence the delivery and design of local services. Not just people who use them, but anyone who might need to in future'. Healthwatch is the official body that represents patient voice and concerns in the field of health and social care. Its work is vital and everybody in health and social care should actively and positively welcome it. 

Healthwatch Leeds contacted York Street Practice as it needed to produce a report on homeless people and health in Leeds for the Health and Wellbeing Board. The two agencies had already met and were both committed to the provision of the best patient care and experience possible in the city. In the conversation about the report, York Street decided not to host the event for the voice of the homeless to be heard. The reason was we wanted a neutral place where our patients could speak and be as open and honest as possible. We discussed with two key partners in the city - St Anne's Resource Centre and St George's Crypt. They agreed to host the event where Parveen Ayub, Community Project Worker, and volunteers at Healthwatch could meet homeless people and talk to them about health issues and services in Leeds. This work was supported by the agencies involved. It was written into a report that was presented to the Leeds Health and Wellbeing Board. The report looked at difficulties homeless people encounter when accessing health and social care services and the impact it has on their health and well-being. The report supported outcome 5 of the Leeds Joint Health and Well-Being Strategy 2013-15. In this way the voices of those who have few to speak for them was presented to the key strategic health and social care body in Leeds. The homeless were heard! 

To us this linked together many key needs. These include; positive partnerships between health and patient groups, allowing the patient to be heard in neutral but supportive environments that they trust, for patient groups to reach out to where people are, for those without power and a voice to be supported so their voice and needs are heard and for the leading authorities in the city to have this presented to them so they can feature it into their work for the whole city. This circle approach - from patients to strategy - from patient groups to health services - from the creation of positive space where dialogue can occur to changes in the system - all offer great hope and models of how we can work. 

This is how we can make Leeds the best city for health and wellbeing. It's a tremendous thing that we can work to make sure that not only the poorest receive healthcare the fastest but that their voice can be heard quickly through initiatives such as this. This might be the first time in the UK that Healthwatch and a health service have written a joint article celebrating joint great work and offering a key model of how we can work for the vulnerable. If it isn't the first time that's good. If it is, that's something good too. We see what we have tried to describe as best practice for those most in need now and a promise what future work can look like. Hearing the homeless and vulnerable is how we work for best services.

Parveen Ayub -  Healthwatch Leeds

John Walsh - York Street Health Practice

Celebrating Positive Pathways

Positive Pathways celebrated their first year of existence yesterday at St George's Centre in Leeds. Positive Pathways 'supports people who need to find suitable housing or are having difficulty managingwhere they live due to issues connected to their mental health'. The service is led by Community Links and is a partnership with Touchstone, Leeds Mind, Leeds Irish Health and Homes, St Anne’s Community Services and Leeds Federated Housing Association.

The event was opened by Catherine Donnelly, Service Manager at Community Links, who I first met 20 years ago when we both worked for Leeds Shaftesbury Project, the forerunner of Community Links. Catherine epitomizes everything that is good about the work we all try to do -  compassion, professionalism, vision, values, hope and commitment. Catherine introduced the event and the speakers. Chris Dickinson, Head of Commissioning at Leeds City Council spoke first about the work of Positive Pathways and the support of the local council for the scheme to deliver this valuable service to vulnerable people in Leeds. The next speaker was Councillor Bill Urry. Cllr Urry is the new lead for homelessness in Leeds and has already started to go out and meet services and clients. He visited York Street last week and the previous week had been out on the streets with services working with those rough sleeping. Cllr Urry gave a humble and gentle speech. He celebrated the event and asked what he could do for the agencies and service users there. He mentioned his predecessor Cllr John Hardy who worked so hard and so passionately for the homeless. It's a great thing that Leeds has a lead for homelessness and we commit ourselves to work with Cllr Urry to develop the best we can for our people who are homeless.

The third speaker was myself. I spoke about how Leeds can become best city. The day before I had meet with two good colleagues who work with the Health and Wellbeing Board - Peter Roderick and Rob Newton. We had talked about York Street, the passion we all have that Leeds is the best city for health and wellbeing and how we can proceed with this compassionate dynamic vision. I think I was still filled with the hope that meeting gave me as I decided to focus on that theme. I said that we become the best city by creating the best services for clients and the best cultures for staff. The two are not separate - it's all about caring for people. The need and hour for 'Integral Inclusion ' is now. I tried to map out ways for us to make those services that truly care for staff and service users.        

In attending the event and reflecting afterwards many things enter my mind. To pick three key things would not be easy but I'll try. The first was that it was so appropriate that Chris, Bill and myself spoke about what out third sector colleagues were doing. It was so right for the local authority and NHS to publicly acclaim and honour Positive Pathways and by implication third sector work. These three forces - the local authority, health and third sector working together and learning together offer a real hope to this city. This partnership triangle offers a sign and possibility for the future. This work can offer the most potent and supportive options for Leeds and it's people. The event was a microcosm of what we are and where we can go.

This brings me to the second key feature. We heard the voice of the service users. This was so key. That partnership triangle always needs to have that voice at its very centre. If we don't have patient- centred care then we are not offering the best models and practice. To hear the service users and volunteers was so powerful. Their stories, hopes and optimism touched, I think, everyone in the room. Anthony de Mello, the spiritual writer, once said that the shortest distance between a human being and truth is a story. The stories we heard connected us to people's lives and the work of the partners in Positive Pathways - work that helps people change their lives. The great health and wellbeing vision of Leeds mentions as an outcome 'People will be involved in decisions made about them'. This has to be key to our work. We have to make sure service users aren't just consulted but at the heart of what we do and are involved in what affects them.

 

The last thing that touched me was where we are in services locally and nationally. I think we are at a moment where we can do great things but to do this we have to think and act differently. As the events at Mid Staffs unfolded I remember wanting to know more. One Friday night I started to read and watch about what had happened. It was a heartbreaking experience. The next day a strange thing occurred. As I worked around the city centre I was still thinking about what had happened at Mid Staffs. Unbidden into my mind came a quote I had read a long time ago. The quote was, 'The darker the night the brighter the stars'. I didn't know who is was who said this but I knew what it meant. I looked the author up when I went home and it was the Russian novelist Dostoevsky who wrote this. Not that I have read him. I had not and still haven't. The quote however appeared as a real answer. The stars, despite the darkness, were the opportunity for something new and authentic. Not just the opportunity but that this was actually happening in different places. Those of us who want and work for new inclusive cultures for staff and great services for clients - this is our hour. The old cultures and  systems have shown in graphic deadly detail where they can lead. I believe those of us who have new visions, dream brighter pictures and work to make them come true that this is our time. Of course history and life will not automatically deliver these best services and cultures to us. We have to work for them and we have to fight for them. There are many of us in the third and statutory sectors who are sowing the seeds for this future and even seeing it happen before our eyes. If you are part of this work, thank you for what you do. If not, then why not join us? 

Feeding our people

John Walsh speaking to attendees of the
Homeless and Food Aid meeting at St George's Crypt

I was asked to speak at St George's Crypt in Leeds at a Homeless and Food Aid meeting and training evening. This brought together services, faith communities and concerned individuals to work to make sure that people who struggle in Leeds can access food. A year and half ago the Yorkshire Evening Post pointed out how malnutrition cases seeking hospital admission has trebled in five years. Our good colleague, Councillor Lisa Mulherin, the chair of the Health and Wellbeing Board, said: "The numbers being admitted to hospital are shocking and potentially the tip of the iceberg. It’s an absolute disgrace that in a wealthy, modern nation we are seeing anybody turning up in hospital in that condition." Dr Ian Cameron, the director of Public Health in Leeds, said this increase in hospital admissions was a national not just local issue. 

This meeting was part of a response of a city to this issue. And it's not just homeless people or people on benefits but the low paid affected. We seek to draw together services and people to make sure malnutrition doesn't occur in our city and the hungry can be fed. Councillor John Hardy has played a central and leading role in this work. Services like York Street Health Practice and faith initiatives such as Unity in Poverty Action were involved from the beginning. These networks seek to draw together services and people to make sure malnutrition doesn't occur in our city and the hungry can be fed. See a piece in the Yorkshire Evening Post here. There is also now an All Parliamentary Inquiry into Hunger and Food Poverty, which is presently taking evidence under the chairmanship of Frank Field MP and the Bishop of Truro. 

The meeting had three speakers. It was a series which brought together people to look at needs which emerged alongside food. The topic this evening was mental health. I spoke about the Health and Wellbeing Vision of the city and need for a manifesto of good mental health work. This is not just what we do but also how we do it. The call focused on what we try to do at York Street - creating a positive space for the vulnerable, build kind and effective relationships and support people to identify and engage with hope. If we miss these things we end up working superficially. Emma Strachan from Public Health gave a great presentation about the positive work Public Health is doing in Leeds and how she will act as a link between the network and Public Health. The last speaker was Philip Bramson from Volition who spoke eloquently about mental health services in the city.

The meeting was attended by about 45 people - from churches, Adult Social Care, the Welfare Rights Unit, MIND, the food banks. Skyline, Archway and other organisations. Special mention must be made of Unity in Poverty Action who have done such amazing work in bringing together and supporting this network. The sense in the room was one of care and commitment to be with and support those in this city who find life hard. If we could bottle the energy, compassion and goodness of those present we would have a very potent power to move towards making Leeds the best city for health and wellbeing. This meeting showed me what makes great partnerships. Great partnerships are like a three legged stool. The legs are great vision, great work and great relationships. Pull one leg away and something essential is missing. Without vision we flounder. Without the work there is no change and without the relationships we don't connect.   

This blog is called 'Feeding our people' and it's true. The vulnerable, hungry and sick are not people - they are our people. They belong to our city and we are linked to them. We either work together to create comprehensive cohesion or struggle alone as isolated individuals. The first path is all about making a caring and supportive city. The latter is its opposite - it's negation. If we take the first way and really work together for this one thing will certainly happen, we will be the best we can be in the best city we can make. And that really is something worth working for isn't it?

 

John Walsh, York Street Practice

Leading when you feel useless

John Walsh speaking to guests at a Men's Health Week
event at the Crypt

Many good leaders - even great leaders can sometimes feel useless or hopeless. The same has happened to me. I remember a while ago I did a leadership development talk and came back to York Street feeling all positive and inspirational. I had a client booked in to see me so I went into the one of the rooms at York Street to see her. After we sat down, she shared some awful news with me. She was devastated and not seeing any hope or way forward. I suddenly felt very useless, having no words or easy options to offer. The positivity and inspiration evaporated very quickly as the story unfolded and I saw in this woman's face and features deep grief. I listened and offered words of support that seemed so weak and ineffective when compared to the anguish this woman bore. We talked for a while and then she left. I left the room feeling of no use at all to a fellow human being in need. 

I have thought about this incident since. I have got to a place where I think feeling useless is actually OK. What isn't OK is not managing it and working to transform it. To feel negative emotions is part of being human - it's what we do with them that makes or breaks us. There are personal and organisational behaviours that facilitate the transformation of these negative states. If we practice these consistently and patiently we start to build good cultures and practice. We also end up better people as we are focused on the positive. The great thing about these things is they cost nothing and can change everything.  So what are these actions or approaches? I'll touch on a few.

The most wonderful thing we can offer someone is not our words or sentiments (although they can be really helpful and powerful). The greatest thing we can offer someone else is our presence, listening and attention. A friend of mine was a psychiatric social worker in Bradford. He's retired now. He told me the story of meeting a homeless man and sitting on a wall in Bradford talking and listening to this man. The man spoke of his story and life. After half an hour my friend explained he had to go and instinctively put his hand in his pocket to offer some change. The man looked at him with deep and sad eyes and said, 'Put your money away my friend. You've given me what I really needed. You gave me yourself'. When my friend described the man, I actually recognised him. I was inwardly surprised as there is no way this man would ordinarily have turned down a 'hand out' but he did. Probably because he found something better - something more healing and helpful. I'm not advising people to approach homeless men on their own in Bradford or any other city, it's always safer to do this work with others through an organisation. What I am saying is we bring to every conversation, meeting and consultation what we are. We can be like my friend - a presence that brought peace and connection or the opposite. That's the power we hold in our hands. It's actually an awesome responsibility. So reflecting on the sort of presence we will be today is no small thing.

Another thing is that we can be a mirror to people struggling. This mirror reflects back to them what they cannot see at the moment or are not hearing. A friend of mine who is a mental health chaplain in a hospital outside Leeds will often talk to the nurses on the wards. The nurses tell him of their work. He tells them they are doing a fantastic job and sometimes he thanks them for all their care for the patients. The nurses tend to light up and are clearly thrilled to hear these words. My friend usually then says, 'Doesn't your manager say these things to you?' The answer is always the same, 'Never.'  This is so sad. We need desperately to re-discover the beautiful art of affirming others. We need to speak truth to feelings of uselessness in ourselves or others. We need to help others see what we see in them. Negative emotional states blind us to what we have and are. We can see so easily the gnat and miss the elephant. I have been very fortunate to have had such great NHS colleagues as Yvonne Coghill at the NHS Leadership Academy, Catherine Hall at York Street and Andrea North at LCH Specialist Services speak to me of my own gifts and qualities in ways that nurture and develop. This really is transformational work. People start to see who they are and what that means. Accepting at times our own feelings of inner poverty is fine as long as we don't stay there. We have to own them to transform them. Own it but go through it. See it but then look up and onwards.

The woman at York Street I mentioned early on in this post got through the incident, we were able to offer support and she moved on to a life and place of recovery. York Street is somewhere where we see again and again people face the worst and somehow get through it. It's incredible how things can turn around and work out as we work it through.

If you are reading this and feeling not too great about yourself and your leadership skills and practice, take heart, good and even world class leaders go though the same. You're in good company! There's an Oscar Wilde quote that says, 'We are all in the gutter, but some of us are looking at the stars.' I hope no one reading this is in the gutter. I also hope next time you feel useless you also look at the stars too. 

 

John Walsh, York Street Practice

Men, Health and Hope

 

Last week saw International Men's Health Week celebrated at St George's Crypt in Leeds (from Monday 9 June to Friday 13 June). The aim was for homeless men in Leeds to receive a week of wellbeing and health actions and events, an idea formed by Kim Parkinson at the Crypt. Kim is the training and housekeeping mentor and a great force for good among homeless people. This idea led to an initial meeting with Andrea North and myself from Leeds Community Healthcare NHS Trust (LCH), Alan White, Professor of Men's Health Studies at Leeds Metropolitan University, Jade, a social work student at Big Issue in the north, and Kim to plan and design the format and spirit of the week. Rob Newton from the Institute of Health and Wellbeing and the Health and Wellbeing Board at Leeds City Council and Karl Whitty, research officer in the Centre of Men's Health at Leeds Met joined us shortly afterwards.

 

We, as a meeting of forces, representing the local authority, health, third sector, faith sector and education, were able to create an amazing week of events. The week included massage, meditation, podiatry, theatre, physical fitness, haircuts, song and pamper bags for the men. Running throughout were a series of positive and yet serious health messages. Health professionals from a variety of LCH services (including Tuberculosis service, Community Dental, York Street, Healthy Lifestyles Service) attended, offering connection and conversation. We deliberately moved away from a model of formal structured consultations to conversations over food and coffee - to share, engage and listen. Age UK Leeds joined the week as did Leeds and York Partnership NHS Foundation Trust. Our Primary Mental Healthcare Service provided information leaflets.

 

The event was opened by Cllr Roger Harrington, Chris Fields, CEO at the Crypt and Professor White. On Thursday, Cllr Lisa Mulherin, the chair of the Health and Wellbeing Board visited the event in support. Lisa has consistently supported these events and we are grateful for her support and voice for the poor and vulnerable of our city. Andrea North and Catherine Hall, two other great supports of these initiatives at LCH also, in their busy work lives, attended to support. A big thank you too to Sarah Elwell, the new communications officer at LCH who did an incredible job managing the photography, press release, partnership agreements, Twitter, Facebook and other media actions in such a professional and helpful manner.

I was in London for the first two days at health events so missed the start of the week. I did attend the last three days and was touched by many things. Three themes shine through. The first was the theme of 'space and place'. The Crypt is an incredible centre of welcome and wellbeing. They are one of York Street's best partners and we always try to support their good work. This brings home to me one of the key aspects we use at York Street as part of our model of work.  The people who come to the Crypt and York Street are those who often have no positive space or place in their lives. From the asylum world, they may be people who have been tortured, imprisoned or raped. In the indigenous homeless world, the vast majority of those we have the honour to try to support have problems going back to childhood. We work to create what the theorists call 'psychologically informed environments', places and spaces where people can feel welcome and accepted. The Crypt and York Street are such places as are many places in this city. The creation and development of these spaces is crucial to the human development and recovery of the homeless and vulnerable.

The second theme was that of the homeless people themselves. On Wednesday when I arrived, I sat down and  looked out at a sea of faces, each etched with stories and I'd guess, in most cases, pain and loss. It was at that moment that a former client of mine came up and gave me a big hug. I had worked with her a number of years ago. As I sat with her and listened to her present story I heard of  the struggles and setbacks as she was trying to build a more positive and healthier life. In the centre of the difficulties and pain there was also hope. This was not someone giving up but keeping on to try to get to where she needed to be. In this woman, there was the courage, the hope and belief that things, including her own life, could get better. This is what inclusion and wellbeing work is all about. It's when people can find their hope and strength that changes can really start to happen. Talking to men over the three days I had the same experience. Sensing the heavy issues people carried yet a not giving up spirit - a hopefulness against so many odds. If we ever lose sight that is what our work is really about, then that will be a really sad day. If we forget the people, we lose our way. Isn't that what the tragedy of Mid Staffs teaches us? On the Monday evening I was at an event in London with the top 50 nurse leaders in the UK, truly amazing people. I was there as guest of my good friend and mentor, Yvonne Coghill, the national lead for inclusion at the NHS Leadership Academy. Yvonne walks the national stage in the NHS. She is one of the leaders in this great service of ours. Although she never mentions it, she also makes time, again and again, to reach out and support people in the most vulnerable positions. If we ever wish to know what 'best leadership' looks like, this is it. Concern for people has to be at the heart of what we do.

The third aspect was how we all working together made a difference. Apart we are little. Together we make a powerful impact. Sometimes people see effective partnership work as some arcane art that 'business gurus' can teach us to generate. The truth is much simpler. Good partnerships happen when people who care connect. This is what happened at Men's Health Week at the Crypt. People who cared enough to put aside time to meet and act came together to do something. My mind fills, as I try to write this, with images of this in practice. Professor White sat with homeless men at a table talking about their health. Alex Hammond and his team from Healthy Lifestyles Service going straight into action connecting with men about how they can make positive changes. Dawn and Gill from the Community Dental Team at Armley smiling and talking about dental care to the men. Urban Spawl and Opera North offering arts, drama and theatre. Dr Phil Commons from Leeds Met with physical fitness. LYPFT were represented by my friend and colleague, Ken Cattle. Ken is a former mental health service user and now has dedicated his life to working with people in the community with mental health problems. Ken was an amazing presence talking to and connecting with the men there. Talking about mental health is not always easy but Ken did it again and again. The week made me proud of what we can do together, what we can be together. We have in Leeds 12 integrated care teams bringing together health and social care. These teams work to provide the best, quickest and most effective responses to those in the community. I saw at the Men' Health Week the same spirit, promise and potency. This city has a great health and wellbeing vision - 'that Leeds will be a caring and healthy city where the poorest receive healthcare the fastest'. I saw that happen at Men's Health Week. It really shows we can do it. If we can build on these experiences we can realise the vision and then Leeds may end up as, not just best city for health and wellbeing in the UK, but in Europe too.

The late Maya Angelou once wrote that, "I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel." I doubt any of us who participated in the week will forget how we felt in trying to make a difference. I also don't think we'll forget those faces looking to us for support and help.

 

John Walsh, York Street Practice