Friday, 17 July 2015

What do you know about the trust's Board of Directors?

The Trust’s Board Meeting takes place every month with members of the public welcome to attend. But what do the people of Leeds really know about what happens around the table? Three members of staff, who attended their first Board meeting in July, share their experiences.

“I wasn't entirely sure what to expect, and to be really honest, I thought it might be a little dull! I imagined there would be a focus on the money we need to save as an organisation, and that I wouldn't understand a lot of the discussion, but it wasn't, and I did. It was interesting, informative and reassuring.

The meeting was far from dull because it was about people and the work that we are all doing in the trust. There were familiar things being discussed, like recruitment and retention, capacity and demand, nurse revalidation, pressure in the neighbourhood teams and the impact on us of increased admissions to Leeds Teaching Hospitals Trust. The overriding priority however, was how we best support our greatest asset- our staff, in service of the patients we serve.

Being an observer is always interesting, and of particular note was the dynamic between the people around the table. There was seriousness and laughter. The challenge from the Non-Executive Directors for the Senior Management Team was reassuring in terms of being held to account. The challenge was received, not in a defensive way, but as a platform to clarify, share actions and learning, and determine where further work may be required.

I left the meeting with a sense of hope that the focus is on the right thing- ‘our people’, and that we have a real opportunity together to create the culture we all aspire to be part of. I would highly recommend any one to attend and observe.”

Lisa Falkingham
Service Improvement Team

“I have been to a number of Board meetings outside Leeds Community Healthcare and they are more like a ‘talk shop’ where actually nothing gets agreed or decided. Was this Board meeting going to be different? I went with an open mind!  

In return, I found the LCH Board meeting captivating, as they were discussing topical issues which are being experienced by front line staff, and the knowledge round the table was fantastic. It made me understand the wider context of health and social care within Leeds, including the pressures of recruitment, retention and training, all whilst continuing to provide the highest possible quality of care. I found it very inspiring to watch the Board, including Non-Execs, discuss a range of issues with passion and energy in a very challenging economic environment.  My respect for each one of them was raised a notch, and actually felt lucky to be living and working in Leeds.” 

Arifa Chakera
Programme Management Office

“I found the Board meeting interesting and informative, and came away with the impression that our board are a good mix of people. The Non-Executive Directors positively challenge our Directors on many aspects, who in turn are happy to provide more narrative on each topic.  I would recommend people to go along to the Public Board meeting as we so often get stuck in our own individual silos of work we miss the bigger picture.”

Linda Dobrzanska

Research Team

Minutes for the Board Meeting can be found on LCH's website here

Monday, 6 July 2015

Leeds Special Educational Needs and Disabilities (SEND) Information and Fun Day

On Saturday 27 June, staff from our children's physiotherapy and occupational therapy teams attended a special Fun Day for the families of disabled children at the John Charles Centre for Sport. Here, Julie Cliffe, clinical pathway lead for children's physiotherapy looks back on the day. 

For a number of years, Leeds has held a well-attended Special Educational Need (SEN) marketplace, to provide families of disabled children with the most up to date information about what is available for their children, and for the last few years EPIC Leeds has hosted a Fun Day in partnership with Breeze and Scope. In response to the financial difficulties that every council and their partner organisations are experiencing, it was agreed this year to host a joint event at the John Charles Centre. The aim was to offer families an opportunity to gain information, provide feedback and have some fun.

The day was hosted by Epic and Scope in partnership with various colleagues. Most of the John Charles Centre was booked with both indoor and outdoor facilities and the space was used for fun sessions and informative stalls for all the family. There were inflatables supplied by Breeze, specially adapted bikes and lots more fun activities and information.

The Children’s Physiotherapy Team and Occupational TherapyTeam set up stalls to provide information on the services they provide within the Integrated Children’s Additional Needs Service (ICAN) for children and families within the Leeds area.


The day was a great success with lots of interest in the stalls and also an opportunity for staff concerned to network with other staff, service providers and local organisations.

Wednesday, 17 June 2015

The view of a student health visitor

We welcome many students on placements at LCH and aim to give them opportunities that will help them develop in their chosen field. Jenanne joined our Health Visiting team on a placement, and below she shares not only her experience of working in that service but also shadowing the senior management team...


"As a student health visitor who is soon to qualify, the opportunity to spend part of my training on Alternative Practice was attractive. This afforded me time to shadow other professionals and services to gain an insight into their practice and as such, I spent time with community midwives, school nurses, those who provide services for children with additional needs and shadowing health visitors in another NHS trust (amongst others). As illuminating as these experiences were, I couldn’t help but wonder what life was like at the top of the tree – and was very gratified when Thea, chief executive at LCH, agreed to have me shadow her for the day.

On the surface of it, spending the day in the Quality Committee and Senior Management Team meetings may not sound that interesting. But I was astonished at the breadth and scope of the services which LCH provides – and the commitment that those involved have towards providing quality care to all our service users. One guiding principle, it emerged, should underpin all care: would you want a loved one being cared for by this service?  If the answer is no, then concepts of ‘quality’ and ‘targets’ are irrelevant. We should all strive towards this gold standard, and not tolerate anything less no matter how challenging our clinical environment.

Another powerful message which I took away was that decision-making can be characterised by clarity and speed. It is appropriate to ask ‘why not?’ when others put up barriers to change; it is not enough to accept that things cannot be changed because they have always been done that way, or because there are personal politics at stake. Instead we must all ensure we are working as a team in both our locality and as part of the trust as a whole.


Far from being abstract and aloof, the fundamental message that I took away from the day was that those in senior management have an acute perception of what things are really like for staff ‘on the ground’ and that we are all working together towards the same goal: providing safe, transparent and top quality care for all who use our services."

Jenanne Fletcher, student health visitor

To find out more about the Health Visiting team, click here


Tuesday, 2 June 2015

Healthy Lifestyle Service Walk Leeds

On Sunday the Healthy Lifestyle Service were at the launch of Walk Leeds, a walking festival that is running until Sunday 7 June. Tasha, a healthy lifestyle practitioner from the team recaps the event... 

"Thankfully the weather held out for us and didn't rain, which was a good start. The event was well attended and we got the opportunity to speak to over 100 people, some of which we referred on to use the Healthy Lifestyle Service

The Mayoress of Leeds, joined by Janet Street Porter, opened the event and then took part in a two mile brisk walk returning to collect packs, information and advice from Janine, one of the dieticians from Weigh Ahead, and myself.

People we spoke to said the service sounded great, particularly because of what we offer which includes 12 weeks of support, Bodyline Gym membership cards and LLGS sessions plus lots of motivation which people do struggle with. 

If you are needing some extra support or advice to improve your lifestyle, you can get in touch with the team by calling 0113 843 4537. We're available on the phone Monday to Friday between 9am and 5pm but clinics run at various times. For example, we run an evening clinic at Armley Moor Health Centre, which you can drop in to." 

If you're interested in finding out more about Walk Leeds, visit www.walkleeds.com

Wednesday, 13 May 2015

All about that paste…

All about that paste…


Kathy (left) alongside her colleague, Dawn,
at a Mouth Cancer Awareness Event
For the past 25 years Kathy Fox has been ‘All about that paste’, working in the Community Dental team, educating people about good oral health.

“I have worked for LCH 25 years this year. My career began as a dental nurse before I studied post graduate qualifications that led me on to work in oral health, which I have done for the last 15 years. 

My role is to lead, deliver and evaluate preventative programmes for children, young people and vulnerable adults at risk of oral health inequalities. I enjoy the variety of work and the people I work with and meet in my role. There is such a rich diversity in the staff and members of the public. 

As part of my role, I train a wide variety of services, for example, teachers and Early Start teams; provide expert knowledge and up to date resources about oral health promotion; lead citywide public health campaigns; promote dental registration and attendance at general dental practices. I enjoy the belief I have helped someone and educated them on how to maintain good oral health and access oral health care. 

As well as all the role responsibilities things I’ve listed above, I continue to work as a dental nurse at the Out Of Hours service so I see the difficulties patients experience in trying to register and the bad experiences some patients have had.

I get to work on lots of new exciting projects as part of my role. Recently one of these projects was creating ‘All about the paste’, a parody pop video. We came up with the idea of creating the film as a fun way to engage with young people and we think we have achieved that. We’ve had lots of positive feedback – if you haven’t seen it yet, you can watch it here.


If anyone is thinking of joining LCH, whether as part of the dental team or another service, go for it. There are lots of new opportunities and challenges to enrich your career here.”

Monday, 11 May 2015

Dying Matters Awareness

Next week is Dying Matters Awareness Week. The aim of the week is to encourage people to talk about dying, death and bereavement and making plans for their end of life care. The trust's end of life team, part of District Nursing, works alongside other organisations in the city to support and care for people who are in the final stages of life. You can find out more about this collaborative care at www.leedspalliativecare.co.uk 


Jane and Dianne 
Jane and her colleague, Dianne, have written a post about what their roles as a palliative care discharge facilitators involves, and how they work with patients and their families. 

"Dianne and myself are both district nurses. We began our role as palliative care discharge facilitators in 2011 after it was recognised improvements could be made to discharging patients who wish to die at home. Improvements included speeding up referrals to the District Nursing teams and cutting down on the delays in care planning meetings and care packages. Transfer of care at end of life needs to be organised safely and often within hours to ensure people can get home or to their care home quickly, if that is their wish and families feel well supported.

We support district nursing teams to deliver high quality end of life care by ensuring everything is well organised and the transfer of care is seamless e.g. completing the community nursing documentation, ensuring medications are available. This enables district nurses to spend more time with the patient and their family when they arrive home. Also as part of our role, we support district nursing teams by attending discharge care planning meetings on their behalf, often on the day of referral. If patients have a Leeds GP we will attend care planning meetings at Leeds or neighbouring hospitals and hospices. Care planning meetings are arranged either by a joint care manager or a medical social worker. The meeting gives the patient and relatives / carers the opportunity to express any concerns or anxieties regarding the discharge home and explore all options. Following  the  meeting, we co-ordinate equipment / care with the other healthcare professionals involved. The ward staff handover the patient's care and the home circumstances and environment are taken into consideration. The hospital occupational therapist and physiotherapist work closely with us to identify equipment required for discharge.

We both spent many years as part of the district nursing team looking after palliative patients at the end of their life and have developed advanced communication skills enabling us to have sensitive conversations at this difficult time. We have also built strong relationships with ward and community staff, acting as a link between the staff and patients / families when their care is transferred.

We are both passionate about what we do and endeavour to deliver a quality service. The most fulfilling part of our role is enabling patients to die in their place of choice and families feeling well supported at such a difficult time." 

Jane Wilde and Dianne Fawcett, palliative care discharge facilitators

Here is one example showing how the district nursing and end of life care staff recently worked together to ensure a patient's wishes were respected and the patient and family were well supported and cared for in the final stages of the patients life. 

On hearing the devastating news that his cancer had spread, there were no further treatment options left and his life expectancy was only weeks left, the patient felt very numb and fearful of what was ahead. His only thought was to return home to spend time with his wife and dog.

A discharge planning meeting was quickly organised. He and his wife said they were relieved to hear about the services and equipment available at home and to know funding was available to ensure they had adequate support. He commented it was good to hear he had choices and could change his mind about the decisions he had made if he wanted too. Also, knowing who would be involved in his care before they went home and that they could contact a nurse at any time day and night really reassured them and made them less fearful about returning home. 

The patient was impressed by how quickly everything happened to get him home and said his dog was happy to see him. A few weeks later he died peacefully at home.  

Being mindful of your mental health

Stress, depression, anxiety can affect anyone. One in three of us regularly feel stressed. One in four of us feel anxious One in five of us feel depressed.* 

Sabina, Dave and Berni all recognised they were struggling to control their stress. Signs of stress can vary by person but common signs include feeling on edge, angry, unable to switch off, tearful, having poor concentration. 

Each of them reached out to Leeds IAPT, either through their GP or by referring themselves by calling 0113 843 4388. To help manage their stress, anxiety or depression, it was recommended they attended the 'Stress Control' course. This runs for six weeks  at venues across Leeds, at times in the day or evening. Each session has a different focus, from learning to control your thoughts to controlling your body to helping you get a good night's sleep.

In these short films, they have described how the course has helped them:







If you feel like you need help with managing stress, you can get in touch with our Leeds IAPT team on 0113 843 4388. Find out more about Leeds IAPT www.leedscommunityhealthcare.nhs.uk/our_services_az/leeds_iapt/