Tag Archives: mental health

Lewisham BME MH Carer/SU Forum July Update 2019

965946_fa217b70Welcome to the July 2019 update of the Lewisham BAME Mental Health carer forum. The forum is one of the 4 carer strategy forums I run in the community and has a focus on BAME carers and sometimes Service user issues. As a reminder, the London borough of Lewisham is a diverse community, with many health and wellbeing challanges, but also some successes.

Although it is good we have carer support groups, there must be a physical platform where families and unpaid carers can come together for empowerment purposes. Carers should have a right to have a say about Health and well-being services. For the July Lewisham BAME Carers mental health forum, I had to run it earlier in the month due to a meeting I have at the end of the month.

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Usually the forum would be packed, but a lot of members had sent apologies and this is one of the reasons I have blogged about the forum as a way to report back to members who can then feed into their networks.

Lewisham Police Mental Health Engagement

We were joined by Matthew Burns from the Metropolitan Police covering 3 London Boroughs. I believe there can be tension in the community with the police, especially with BAME patients who are not often happy to be brought in for treatment. It was a great opportunity for the community and the police to come together and learn from each other. I feel to have a police officer spend time to engage with us will lead to a great community focus.

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Matt mentioned there were a lot of things the police need to work on, especially on looking to reduce section 136 and section 135 across several south London boroughs. The police are funding officers for the mental health wards where Bexley House from Oxleas MH Trust and Ladywell Unit from SLaM MH Trust were mentioned. The police are under a lot of pressure on dealing with patients in crisis out in the community and one of their aims is to build relationships with the community of Greenwich, Bexley and Lewisham.

The police mental health engagement drive is to know and understand the services and groups that can help with mental well-being. During the question and answer session, there was talk about mental health and diversity training, which Matt will take back. One other important note, was during the forum we were joined by Lewisham CCG.

Matt mentioned the police are trying very hard with patients in a crisis but are not fond of enforcing sections unless it is absolutely necessary. Matt stated that the Crisis Cafe in the borough of Bexley took so much pressure off the police and felt we need something similar in Lewisham. Matt is very aware of the Crisis Cafe (Habour Cafe) at Lewisham hospital, but feels despite the great work the cafe does, that its service is still restrictive and the model must be more like Bexley to take the pressure off. The police are looking for certain services that can help patients their families and themselves, especially deescalation services, rather than sections.  There should be a serious discussion on the crisis cafes and a few other things.

There was more talk about the lack community resources from the members, plus discussions about peer groups and appropriate adults. In the end I felt we had learned a lot from Matt and felt reassured that we were working to tackling mental health and BAME challenges in the borough.

NHS Long Term Plan

Next up for the July Lewisham BAME carers/SU forum. We had Lewisham CCG engagement presenting the NHS Long term plan. We were made aware that 6 CCGs (Bromley CCG, Lewisham CCG, Bexley CCG, Lambeth CCG, Southwark CCG and Greenwich CCG) are merging and the date is for 1st of April 2020. There was a discussion about the Lewisham alliance and how many borough alliances need to be brought forward. There was a discussion on how the Long term plan would affect GP practices and how GP surgeries are not aligned to Lewisham’s neighbourhood structure, members of the group were wondering about the impact.

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There will be another Lewisham NHS long term plan event on Tuesday 16th of July at Laurence House. The event details are below.

https://www.eventbrite.co.uk/e/help-us-to-shape-the-future-of-the-nhs-in-lewisham-and-south-east-london-tickets-63638911698?aff=ebdssbdestsearch

Please also view the video on the NHS Long term plan

Going back to the forum, it was presented that the plan will develop Partnerships on integrating health, social care and providers within the 6 boroughs.

Plus it was presented on how a place based board in each of the 6 boroughs will work.

At these based boards, the members will consist of

A director – who is accountable to the local authority and CCG
Several GPs – working with other CCG GP members
Healthwatch Representation
A lay member as what we have with current CCG meetings
A Director of Public Health
Local authority officers

It was noted that the Carer forums will request engagement from those driving the NHS Long term plan and continued engagement from members of Placed boards.

Below is a timeline of part of the Long term Plan, but I am wondering if the timeline is flexible.

March 2019:

Governing Bodies agreed to develop proposals to create one south east London CCG as a step towards becoming an Integrated Care System (ICS).

March to May:

Inform stakeholder, staff and partners and get their views, which the carer forums are also interested in.

May to July:

Share and discuss our plans with patients and the public

September:

Proposals to merge considered by Governing Bodies
Application made to merge the south east London CCGs

April 2020:

Establish a single CCG with placed based boards in each part of south east London

As the forum chair, I was pleased with the engagement from Lewisham CCG who will be back again at the Lewisham MH carers forum, which I hold at Carers Lewisham.  I am wondering if the other CCGs engage with families and carers the same way, although I have had good results with Lambeth CCG and Southwark CCG,

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The last part of the forum was me updating the carer group on the funding initiatives for carers, which Lewisham council can bid for.  Some of the members gave their ideas to Lewisham CCG.

The next Lewisham BAME MH will probably run at Mind Greenwich, Lewisham and Bromely in August. I want to remind members of the BAME MH carer forum to update their networks.

 

 

National MH Nurses director forum – Building Resilience

D_BbtpdXYAEqkWdThanks for stopping by my blog-site. I thought to try and note down a lovely conference I was involved in as a guest speaker, but before I begin explaining more about the National directors nurses forum 2019. I want to pitch some ideas for any unpaid carer reading this blog post. Have you ever wondered what inspires team leaders on hospital wards? Have you wondered about how senior nurses inspire their staff? What makes nurses tick and how do they become more resilient in there roles?

As carers, I often try and get families and carers to become excited about the NHS. If not that, then try to inquire what the NHS is doing for you or what you can help the NHS in regards to promotion and co-production. We carers are unique in our roles and sometimes we stay silent and get on with it, but we should try use our voices to influence health services.

About the National MH Nurses director forum

I now want to talk about the forum which runs each year, I think the one for 2019 was the fourth of its kind. The NMHND forum aims to focus on leadership for mental health and learning disability nursing. It also wants to help spread best practice in mental health and learning disability nursing. It helps bring together those who work in the field of nursing to help raise the voices in regards to the pressures of nursing.

You can find out more about the National Mental Health Directors Forum (NMHND) off their site shown below.

https://mhforum.org.uk/

Plus you can find out about Directors of Nursing for the UK through the forum site.

https://mhforum.org.uk/trust-breakdown

The 2019 National MH Nurses Directors forum was held at Warwick University. I was impressed by the conference center and the facilities, which also had a bar, large canteen and many conference rooms. I was told Warwick University had many conference centers and as a carer guest speaker, I felt I was really spoilt since I was provided a room at the center, the Dinner, Breakfast and lunch was fantastic.

The theme of the 2019 NMHND forum was on “Building Resilience”, which was fitting due to the pressures the NHS is under. Plus if the NHS is facing large challenges, it will filter down from leaders, to senior staff and front line staff and guess what? The patient and carer will be next in line. So I was glad that the National MH Nurses forum raised the theme, but it was not moaning and groaning, we sought to find answers, solutions and inspirations into building resiliance. We do not want nurses to struggle and leave the profession.

About the Forum Chair and Organisers

To open the event we had Mel Coombs who is the Director of Nursing at Cambridge and Peterborough NHS Foundation Trust. I felt comfortable with her chairing style and that put me at ease as I felt welcomed. I was fascinated by her inspirational story into the role of Nursing and felt she was ever so dedicated in her field, but more on that later.

You can find out more about Cambridge and Peterborough NHS trust and their board of directors below.

https://www.cpft.nhs.uk/about-us/board-of-directors.htm

I was also welcomed by Professor Hilary McCallion CBE and was shocked that she remembered me from when I spoke at South London and Maudsley carer conference almost 6 years ago.

If it was not for Hilary, I doubt I would be speaking at the Nurses forum that day and thank her for involving me at such a level. Prof Hilary is the Director of Nursing and Lead Nurses National forum, plus she is also a Trustee of Dementia UK and Bethlem Museum of the Mind, which I aim to get involved on Bethlem museum latest project soon, watch this space.

Last but certainly not least was Peter Hasler who I have known for a very long time and has inspired me to get involved at South London and Maudsley as a carer when I first started out learning more about the NHS. Peter has many roles, but he is the Forum Development Officer.

What happened throughout the day

After the welcome by the chair, I spoke about resilience as a Carer and the impact of mental health needs in the family. I spoke passionately and from the heart as I wish to lead by example when I want to raise the profile of families & carers in the NHS.

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My talk consisted of the importance of Carers being empowered to network
My background and the Triangle of Care, plus the Health Service Journal.
Carers Navigating the NHS
The need for support from nurses and also resilience of carers.

I hope my message was inspirational and I felt those who work within the NHS have families and patients in mind. I want to inspire nurses to join and avoid leaving the profession, especially in the mental health field, which is very challenging.

We then had Ruth May who Chief Nurse of NHS England speaking about “Nursing Resilience in delivering the NHS Long Term Plan”. I am looking forward to hearing more on how she can help educate us on the NHS Long term plan. She answered many challenging questions from the audience and I noticed she has her work cut out, but her passion and drive shows that she will make great progress.

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After the break Prof Hilary McCallion spoke about patient Observations on inpatient wards. As a carer, her talk was easy to understand and there was an interest in psychiatry as she provided many insights as to why patient observations in hospital mental health wards was so important.

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I admired her knowledge and energy and I felt jealous when someone in the audience got her the questions correct and won a box of chocolates.

After the lecture the forum split up into 3 work-group sessions. The first session was presented by Learning disability nurses Simon Jones and Alison Williamson from Oxford Health NHS Foundation Trust on PBS in Forensic Services.

You can find out more about Oxford NHS Trust below

https://www.oxfordhealth.nhs.uk/

The second Session was on Stepping Up via Resilience through the CQC, which was presentation by Amanda Griffiths and Jane Fullard from the Hertfordshire Partnership University NHS Trust, which recently got an Outstanding ranking from the CQC on their mental health services.

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This was the session I joined, probably due to the CQC paying even more attention to the Triangle of Care and being active on twitter, plus engaging with my Carer strategy forums. Amanda and Jane spent a lot of time education myself and other trusts in the room, which an impressive presentation. As a side note, I met nurse from SLaM based in Lewisham who spoke kindly about my presentation. I was glad we had more SLaM staff at the forum and hope they will also continue to engage with the carer forums.

You can find out more about Hertfordshire Partnership University NHS Trust below

https://www.hpft.nhs.uk/

The third and final session was on How do mental health practitioners understand & experience resilience which was presented by Simon Wharne of Sussex Partnership NHS Foundation Trust. I have nothing but admiration for Sussex staff and their CEO Sam Allen who has supported my work for quite while and they are heavy advocates of Triangle of Care. I will never forget Sussex involving me as a carer at their event a while ago.

You can find more about Sussex Partnership NHS Foundation Trust

https://www.sussexpartnership.nhs.uk/

After a tasty lunch at the conference center, I got the feeliing at ate too much and it made me sleepy, but I couldnt help myself as I networked with NHS staff from other trusts. There are going to be some exciting projects coming up soon.

The forum moved on to Resilience in your NHS Career Journey, were we got to hear personal stories from Mel Coombs, Christine Hutchinson who is the Nurse on Learning Disability at Lancashire Care NHS Foundation Trust and Francis Adzinku who is the Service Delivery Director at Oxleas NHS Foundation trust.

You can find out more about Lancashire and Oxleas below.

https://www.lancashirecare.nhs.uk/

http://oxleas.nhs.uk/

I would like to give Special thanks to Warwick university and Radcliff conference center as I found the food, facilities and guest room excellent.

How I felt about the event.

I was delighted to be invited to participate in such an influencial nursing forum. If I did not blog on such a forum, it really would have been a missed opertunity. I felt the event was very well organised and kept to time.

I enjoyed the art work of the event done by Dr Pen Mendonca.  The art really summed up the day as words cannot always be the best representation of describing things.

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I hope to meet up again with Prof Hilary McCallion again over at SLaM and most of all I was impressed by the caring attitude of the audience making me feel welcomed as a carer among friends.

I would like to mention Lookout for my next blog which will be a video timeline of UK nursing throughout the ages.

Thank you for reading.

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Health and well-being in the community

https___cdn.evbuc.com_images_50751415_246297577353_1_originalI recently came back from an event held by an award winning social consultancy called “We Coproduce”. The event was a 2 day look at Trauma and its causes due to the tragady of Grenfell Tower, it was one of the best times for the community over in the London borough of Kensington and Chelsea. When I arrived at the event, I was amazed to see how many of the public turned up and how many were interested in the talks.

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Sometimes us unpaid carers need to step up

smallerHello again, I have not blogged in a while, because being so active in my area due to attending events, running carer strategy forums and networking like hell. I know the title might seem a little off putting, but in my long experience of being involved in health and mental health services as an unpaid carer, there are a few things I have noticed.

Just to note, I am writing as an unpaid mental health carer, basically a carer supporting someone close who has mental health needs. Unpaid carers struggle quite a bit to get noticed, their culture is to put the ‘cared for first’ and themselves last. Perhaps it is a respected human trait, carers come with a big heart, but it does come with some risks. This is what I will be blogging about today.

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Poem – She Never Gave up

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Welcome back to my carer blog.   I guess it has been a while, but it is creative corner time.  I have received a lovely poem from an unpaid carer who networks with our forums from the NHS Oxleas services.

SHE NEVER GAVE UP

The challenges were bad
They were ever so mad
A Son she loved – lost
In the abyss of madness – tossed
To and fro from pillar to post
The Son she once knew now a ghost

SHE NEVER GAVE UP

Despite being banished from the lips of her Son
She faced the choice and won
Won the many fights but not the War
Against his brain so horribly sore
Deep inside she could see
The ghost of her Son fighting to be free

SHE NEVER GAVE UP

Poem by – Elsie Cronin

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Carer engagement – What works?

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Welcome back to another blog post from an unpaid mental Health carer. Just a day ago of this blog post, I attended and spoke at the South London & Maudsley trust Psychology and Psychotherapy conference 2019. It’s theme for this year was on involving families and carers. I was excited to be part of the event to get my thoughts out to the audience and on reflection, I felt I pulled no punches. With over 20 years of unpaid carer experience, I have seen and experienced quite a lot in regards to carer involvement and I expect there is more to come. One day I should write a book about it, but this is probably a very long way off.

Still, I feel a lot is at stake and there are times we have to be passionate because we are dealing in peoples lives, since that is the nature of business. Connecting with others at a deep, but difficult level. However when things work out, the rewards pay very high because we can reuse what we have learnt. Yes, I am talking about psychology and psychotherapy. I am no expert in these subjects, but being involved at the NHS trust and in the community for long, I suspect that I have been exposed to such powerful, wonderful and mysterious methods.

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Triangle of Care – Learning from each other

Giving helpWelcome back to another blog post from unpaid carer Matthew Mckenzie. I often blog about the situation many mental health carers face up and down the UK, however not only do i write about the caring journey, I get involved and take the initiative to network with many other unpaid carers supporting ‘loved ones’ with mental health needs.

I champion and praise many projects that work towards the good of the community, especially health care projects and the ones that take note of families and carers have my keen interest. One of these projects looks to create good practice and work towards culture change in regards to the carer journey. This policy is the called Triangle of Care, which I have blogged about a while back.

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The triangle of care works towards bringing together unpaid carers, carers’ centres, third sector organisations and mental health service providers to work together to insure best practice for mental health services.

When I attend triangle of care meetings I am often amazed at the dedication and work that many NHS mental health service providers share with each other. The lastest triangle of care meeting was hosted by Kent and Medway NHS trust over at Dartford, we were joined by many other NHS trusts where some already were members, while other are working towards joining, we also were joined by other other carers and third party community charities.

As a carer, I learnt so much about the work mental health trusts were doing and i am impressed to see many london NHS trusts attend and share knowledge about the work they do including Central and North West London NHS Foundation Trust, Oxleas, South West London St Georges, Surry & Boarders NHS Trust, Berkshire NHS trust, the Sussex Partnership NHS Foundation Trust and many more.

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One of the strong points of The triangle of care is self-assessments for existing service provision, this was achieved by Kent and Medway two years ago and I have learnt that KMPT has been awared their second star for for completing self-assessments for all community services (all mental health, learning disability, older people and dementia and substance misuse services). I would like to offer my congratulations to Kent and Medway NHS trust and hope they keep building on their success.

You can learn more about KMPT from their site https://www.kmpt.nhs.uk/

Plus feel free to check out Kent & Medways work on the triangle of care below.

https://www.kmpt.nhs.uk/carers/triangle-of-care/

Another strong point of the triangle of care is principles. Principles are usually things people can often try and remember and the triangle of care has six.

These being :

1) Carers and the essential role they play are identified at first contact or as soon
as possible thereafter.

2) Staff are ‘carer aware’ and trained in carer engagement strategies.

3) Policy and practice protocols re confidentiality and sharing information are in place.

4) Defined post(s) responsible for carers are in place.

5) A carer introduction to the service and staff is available, with a relevant range of information across the acute care pathway.

6) A range of carer support services is available

More details can be found on the triangle of care below.

No one is saying such principles are easy to achieve and a lot of hard work and dedication has gone into culture change in the mental health services. We need input from all involved being staff, patient and carers.

You can learn more about the triangle of care here.

https://carers.org/article/triangle-care

One thing I want to note is that every time I attend such meetings, I have always felt I managed to contribute as a carer, especially since I network and hold forums with other carers in South London, I feel us carers can work together and feel part of the system, rather than battling the system.

I look forward to the next Triangle of Care meeting hosted by South West London st Georges NHS trust.

One last thing to mention is we are due to hear some exciting news from the Royal College of Nursing and I hope carers will be a strong focus point in the work they will do.

I would like to thank KPMT for letting me use the photos and well done Kent and Medway NHS trust for their 2nd award.

Happy Nurses day 2019 everyone.

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