Norovirus Campaign begins

NESpress

December 2014

CONTENTS

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Issue 110 | November 2014

JenAgain!

Jennifer McColgan Steps Back Into the Helm, as Editor of NES Express

First I’d like to say thank you to John for keeping my seat warm while I was off on maternity leave. And, now that I’m back, I know that friends across NES will join me in wishing him well. My sources tell me he may not be going too far...

Since my return I’ve been thinking about how colleagues across NES (yes, you!) can get more involved in NES Express. You can find out more on page 20.

This issue of NES Express contains the recent success story of the Sepsis App at the Scottish Health Awards and some information and updates from our recent annual review at 2CQ – especially for those who couldn’t make it along or take part in the live webcast.

We also take a look at hot NES topics, Leadership and Population and Community health – as well as our usual round up of staff achievements and contributions.

As ever, if you’d like to contribute to YOUR NES Express, please get in touch at:

Issue 110 | November 2014

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NES Glasgow Office hosts the 2014 Annual Review

Our Annual Review took place on Monday 3 November in our Glasgow offices in 2 Central Quay.

If you were unable to attend or listen to the live webcast, the links here will enable to catch up with the event itself and with the exhibitors at the event.

Videos include:• an interview with Malcolm Wright filmed before the event

• the annual review as it was live streamed, and

• an interview with Jim McGoldrick, Convenor of the Scottish Social Services Council, on the key messages he took from our review.

2014 Review @ 2CQ

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Issue 110 | November 2014

Sepsis App Wins for Innovation at the Scottish Health Awards

Sepsis is a serious, life-threatening condition – with mortality varying from 30-50% in the developed world. Reducing mortality from sepsis remains one of the most significant unmet medical needs of the current age.

Joint work between NES, Health Improvement Scotland (HIS) and the Scottish Patient Safety Programme was recognised when they won the Innovation category at the annual Scottish health Award in November. The National Early Warning Score (NEWS) Sepsis screening Tool is a software app for mobile devices designed to assist frontline clinicians detect and manage sepsis in patients.

The App enables clinicians to input key patient data to identify sepsis symptoms and receive real time guidance on treatment. It is based on the National Early Warning Score calculator for identifying deteriorating patients and the Sepsis 6 care bundle – an internationally recognised process for the diagnosis and management of this life threatening condition. This resource is freely available from the iTunes store and for Android devices.

App Awards

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Issue 110 | November 2014

Key Features include:

• National Early Warning Scoring System (NEWS) calculator to alert clinicians to the deteriorating patient and acute illness

• Sepsis Screening tool for the prompt recognition and the timely initiation of treatment of patients with Sepsis

• An outline of the Sepsis 6 care bundle for the treatment of Sepsis with direct access to succinct information on each element of the Care Bundle

• An algorithm to help identify Organ Dysfunction, Severe Sepsis, Septic Shock and when to escalate care for the individual patient

Every

3 to 4 seconds

someone dies

of Sepsis

The Sepsis team collecting their award at the ceremony

Patient safety is paramount in this development and the mobile app was therefore registered with the Medicines and Healthcare products Regulatory Agency (MHRA) as a medical device. The Sepsis App is one of only two software applications to be registered with the MHRA.

“Every 3 to 4 seconds someone dies of Sepsis. Our aim in NHSScotland is to change that. This App makes it easy to do the right thing for our patients and ensure that the right patient, receives the right treatment at the right time.”

Professor Kevin Rooney NHSScotland National Clinical Lead for the National Sepsis Collaborative)

The Sepsis app offers clear benefits to patient safety by supporting early diagnosis and effective management of this life threatening condition. In addition it has an important role in the prevention

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Issue 110 | November 2014

of extended, severe illness which has the potential for significant cost savings for health services in NHSScotland and beyond. Early feedback from users of the Sepsis App has been positive with most users highlighting its value in raising awareness of sepsis, and in assisting with effective treatment.

Here is what some satisfied users said:

“Sepsis 6, is pivotal for all healthcare staff, and early recognition, screening and intervention within the first hour of sepsis assists in prevention of harm from deterioration to patients! This wee app is just perfect quick guide to carry around with you! Love it! Give us some more apps please NES!!!” Michael Clarke

“Great for quick access to a sepsis screening tool within the clinical environment. Easy and quick to use, more apps please NES!”

Scott Murray

“We have used the app and it is excellent a very valuable tool to use and it has really impacted in the Golden Hour that we have for the Sepsis6 work steam. It’s excellent’”.

Andy Pender, Senior Charge Nurse Emergency Care Unit, Wishaw General

And here is a short video filmed by the Award organisers about the App – you will find it towards the bottom of the page.

NES also again sponsored the Leading and Managing for Quality Award this year. Dr Lindsay Burley presented the award to Jane Davidson from NHS Borders.

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Issue 110 | November 2014

Ed’s Intro .....................................................................................................3

Digital Reporting

In line with our Digital by Default commitment, our 2013-2014 Annual Report has undergone a further transformation and takes the form of a website.

Designed by Douglas Park in the Corporate Communication Department’s Design Service, we hope the move to an html format will make the Report more accessible than ever. You will be able to dip in easily to those areas of the Report in which you have a particular interest and, hopefully, will venture into topics that would not normally catch your attention.

You will find a short film of Lindsay Burley and Malcolm Wright in conver-sation as they reflect on the successes and challenges of last year. The videocast is supported by a text-based report.

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Issue 110 | November 2014

An overview of our work during 2013-2014 is contained in the Themes section and you will see that they reflect the themes and commitments set out in the 2013-2014 Corporate Plan.

There are some great videocasts which show the positive impact of our education and training on NHSScotland staff, enabling them to deliver to a very high standard to all those who use their services. One of the videos includes a service user who has benefited from the Community Chaplaincy Listening Service which NES supports.

We are very keen to receive feedback on how effective this new approach is so that we can learn lessons for next year. Please contact me on christine.patch@nes.scot.nhs.uk with your thoughts.

Click here to view the Videocasts

The new HTML format is

mobile enabled

for viewing on phones

and tablets

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Issue 110 | November 2014

NES Pharmacy team Highly Commended ........................................3

The New NHS Pension Scheme ...........................................................5

The Intranet rebooted! ...........................................................................8

A is for Alfresco .........................................................................................9

Myths about flu. ........................................................................................11

Norovirus campaign begins ..................................................................14

Wha’s like us? ............................................................................................15

NES Musical Express ...............................................................................17

Your Newsletter wants YOU ..................................................................21

Jennifer McColgan Steps Back Into the Helm, as Editor of NES Express

First I’d like to say thanks to John for keeping my seat warm while I’ve been on maternity leave, and I know that friends across NES will join me in wishing him well for the future. My sources tell me he may not be going too far.

LeadershipExchange

Are you interested in learning about or experiencing a different part of the public service, but don’t have the time or opportunity for a secondment? A Leadership Exchange might be the programme for you.

Walking in the shoes of another...

NES has been working with a number of cross-sector partners to help facilitate Leadership Exchange, a programme which pairs up senior leaders across sec-tors with the aim of improving leadership capacity between peers. Leadership Exchange is one of many interventions offered by Workforce Scotland, a workstream of the Scottish Leaders Forum.

A Leadership Exchange offers:

• The space to take time out and ‘stand back’ to reflect on strategies and your leadership role

• An opportunity to enhance your awareness of another organisation and develop an understanding of their challenges, business planning processes and governance

• An independent and confidential ‘sounding board’ to exchange and chal-lenge ideas and explore innovative ways of working that both motivate and inspire you and others

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Issue 110 | November 2014

A Leadership Exchange involves flexible meetings (adding up to around five days in total) where you and your partner take turns to work alongside each other in your organisations. The programme is very flexible and can be customised by the individuals involved; the length and format of these sessions are co-ordinated by you to suit your needs. You can work with your partner to decide how often you’d like to meet, over what length of time, and what you’ll discuss or experience when you meet.

Leadership Exchange partners will each spend a few days in one another’s organisations, allowing for individuals to gain an insight into the different cultures, constraints and opportunities in different organisations, allowing participants to network and build stronger relationships between organisations.

If you are interested in participating in your own Leadership Exchange, please complete the

For more information on Leadership Exchanges or any of the Workforce Scotland workstreams please contact Kirsty McFadzean.

application form

There is a matching process to ensure a ‘good fit’ between applicants; taking into account the knowledge and experience offered and the desired outcomes of the exchange. Workforce Scotland also runs several Leadership Exchange Matching Events each year, which aim to bring together leaders from across all sectors to network and match. Attendees will be given a chance to ‘speed network’ and meet others interested in the exchange programme. Participants may find their exchange partner through a matching event, or through the matching service offered by Workforce Scotland.

For more information on Leadership Exchanges or any of the Workforce Scotland workstreams please contact Kirsty McFadzean

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Issue 110 | November 2014

Mo-vin’ on up...

Movember Update

Did you know...

... that donating to the NES Movember campaign is guaranteed to make you happier, more productive, and more fulfilled in your role and as a human being generally?

Movember progress report At the half way point, the NES Movember team had rasied £175 and was ranking 2100th in the UK. As we went to print, the final total raised was yet to be finalised.

For all those who were put off taking part this year by concerns about itchiness, increased grooming requirements, feelings of numptiness, relationship disharmony, do not despair - you can donate to your fearless, itchy colleagues.

All support is hugely appreciated. You can donate to the cause by going to the team page at:

http://uk.movember.com/mospace/index/search/?q=nhs%20education

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Issue 110 | November 2014

Building a Understanding

shared Many People with unexplained symptoms can be repeatedly referred to specialist services

Working successfully with those who have Persistent Physical Symptoms

Up to 30% of GP consultations involve people living with persistent physical symptoms, many of whom seek underlying causes after thorough investigation. This can be challenging, especially when no diagnosis can be found.

Understandably, many health professionals find these consultations difficult and lack confidence in knowing how to help. Due to high levels of symptom-related distress and disability, there is a danger of ascribing these symptoms to psychological causes, which can negatively impact the professional-patient relationship. This is important as the dynamics of the consultation and the role of health professional beliefs and attitudes towards people can be critical in determining outcomes.

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Issue 110 | November 2014

Since my return I have been thinking about how friends and colleagues (yes, you) can get more involved in NES Express. And you can find out more page X.

This issue of NES Express contains the recent success story of the Sepsis App at the Scottish Health Awards and some information and updates from our recent annual review at 2CQ – especially for those who couldn’t make it along or take part in the live webcast.

We also take a look at hot NES topics, Leadership and Population and Community health – as well as our usual round up of staff achievements and contributions.

As ever, if you’d like to contribute to YOUR NES Express, please get in touch at:

nesExpress@nes.scot.nhs.uk

Many People with unexplained symptoms can be repeatedly referred to specialist services

30%Consequences of referral to specialist services

Many people with unexplained symptoms can be repeatedly referred to specialist services due to pressure on health professionals and the fear of missing identifiable pathology. This can result in harm through:

• unneccesary medical investigations or procedures• perceived over-medicalisation of symptoms

which can adversely affect patient beliefs and attitudes about their symptoms

• the potential for over-prescribing and polypharmacology (patients who are on many medications which can cause significant side effects and further disability)

What Helps?

Building shared understanding

There is evidence for developing a shared understanding of unexplained symptoms between health professionals and patients having a positive impact. An interactive learning resource was recently developed by the NES Psychology Directorate alongside GP and Practice Nurse groups for use within primary care. This resource takes a practical approach to supplementing the skills already possessed by health professionals and includes:

• key research findings• an interactive case study• video clips from actual consultations• a step-by-step guide to developing a shared

understanding between patients and health professionals of how symptoms develop and are maintained,

• printable handouts to encourage patient self-management of ongoing symptoms

Emphasis is placed on using information from the patient’s experience in a productive and therapeutic manner. And, on reducing perceived resistance that may develop in a consultation when views differing from the patient’s experience are presented.

“I think we were doing some of the stuff in-formally already, but it was quite helpful to have a way of recording it for the patient and for them to be able to reflect on what they’ve been told about their symptoms and their symptom patterns”. GP NHS Greater Glasgow and Clyde

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Issue 110 | November 2014

Benefits of using the toolkit

Evaluation of the toolkit involving over 50 GPs, suggests there were significant increases in:

The likelihood of managing these patients within primary care, rather than referring to specialist services for further investigation, which was maintained at one month.

Familiarity with, and confidence in using the strategies within the toolkit.

The toolkit is available from the NES website by following the link below. CD copies can also be obtained from the NES Psychology Directorate at 2 Central Quay. For further information contact David Craig at: david.craig@nes.scot.nhs.uk

Please note that the main toolkit provides links to video examples of actual consultations with patients. The password for these clips is “Pesto” This link also provides Quick Reference Guides and Do’s and Don’ts.

“I think it’s [the resource] good because it could make patients think a bit differ-ently about things and makes you take a slightly different approach”.

GP NHS Ayrshire & Arran

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Issue 110 | November 2014

The passion Change

and power for

Improving Population and Community Health

Nancy El-Farargy continues sharing the learning from the 19th IHI/BMJ International Forum on Quality and Safety in Healthcare, which took place in April. In this part, she reflects on population and community health.

Many will be aware of the phrase ‘prevention is better than cure’, and indeed its concept was emphasised at the recent IHI/BMJ International Forum on Quality and Safety in Healthcare, earlier this year.

The idea of wellness and some of the scientific foundations for its pur-suit were suggested, and discussions included:

• Meditation which cultivates health, empathy and compassion• Mindfulness for reducing stress, which in turn reduces inflammation• Connectedness through interpersonal interactions and loving kindness• Psychological resilience, social support and cohesion• Healthy diets, exercise and sleep• Where applicable, free and informed medication

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Issue 110 | November 2014

In all, social wellbeing and the preservation of health are viewed beyond the scope of formal healthcare systems; and an active, empowering vision is advocated.

However, it was acknowledged that much work still needs to take place. For instance, on a more global scale, Al Jazeera premiered the documentary series ‘Lifelines: The Quest for Global Health1’. It highlighted some of the work that is being undertaken around the world for tackling neglected diseases and conditions.

“There are those who dream of possibilities, of a world free of the ancient diseases that keep millions

in poverty. And there are those who strive to make that dream a reality. Today more than ever before, that reality is within our grasp. The long struggle to control, eliminate or eradicate some of these deadly diseases and conditions is tantalizingly close to victory.” Al Jazeera

Finally, in inspiring passion and power for change, the Forum ended on suggested ways for impacting global health, and included means such as innovation for health, and in creating value through branding and marketing2.

Overall, there were suggested implications for everyone interested in supporting population and community health.

There are those who dream of possibilities, of a world free of the ancient diseases that keep millions in poverty. And there are those who strive to make that dream a reality.

1 http://www.aljazeera.com/programmes/lifelines/2 https://www.facebook.com/colalife

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Issue 110 | November 2014

John NapierBorn in Merchiston, Edinburgh in 1550, John Napi-er brought misery to generations of school children. Though, to be fair, that was not his intention and his in-vention was one of the cornerstones of modern scientific enquiry. In 1614, he published, Mirifici Logarithmorum Canonis Descriptio, a work that contained fifty-seven pages of explanatory matter and ninety pages of tables of numbers. These tables were ever after known as nat-

ural logarithm tables (As you will no doubt be aware, the natural logarithm of a number is its logarithm to the base e, where e is an irrational and transcendental constant approximately equal to 2.718281828).These made com-plex calculations much easier. He also invented a set of calculating rods known as Napier’s Bones - a sort of early version of the slide rule - and came up with a design for a battle tank 300 years before WW1.

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Issue 110 | November 2014

Sir Thomas LiptonSir Thomas Lipton came from humble origins. He was born in Glasgow in 1850 and lived his early life in a tenement on Crown Street. His schooling was brief but his ambition large and at the age of fifteen he set sail as a steerage passenger for America. In New York he got a job in a grocery store and learned the business that was to make him his fortune. Returning to Scot-land in 1869 he used American methods to revamp his father’s simple greengrocery shop. The money flowed in, more stores followed until, by the 1880s, Lipton was a multi-millionaire and Lipton’s tea was being drunk in every household in the country.

However, of equal significance to us is that this Scot introduced the first Football World Cup. The Sir Thom-as Lipton Trophy took place in Turin, Italy, in 1909. Italy, Germany and Switzerland sent their best professional club sides to the competition, but The Football Asso-ciation refused to be associated with it and declined the offer to send a team. Not wishing to have Britain unrepresented, Lipton invited West Auckland FC, an amateur side from County Durham and mostly made up of coal miners, to take part. West Auckland duly won the tournament and returned to Italy in 1911 to defend their title. In this second competition, West Auckland beat Juventas 6-1 in the final, and was awarded the trophy outright.

Alexander CummingsOne of the great unsung heroes of the modern world, Edinburgh-born Alex-ander Cummings was a mathematician, mechanic and clockmaker. His greatest achievement however, was the patenting in 1775 of the flush toilet incorporating an s-bend. It has been claimed that this simple device has saved more human lives than antibiotics. The flushing toilet still hasn’t reached everyone but there are billions around the world who now live cleaner and safer lives thanks to this Scot’s invention.

William Ged William Ged was a Scottish goldsmith and inventor of the stereotype. No, no, not the Rab C Nesbitt or Groundskeeper Willie sort of stereotype. Ged’s stereotype was a revolution in printing. The stereotype was a copy of a fully made-up page from a book. Prior to this breakthrough, printers would have to reset each page every time a new edition of a book was required. The stereotype drastically reduced both time and cost in a market where printers could never be sure how many copies of a book might be wanted. It is from Ged’s invention that the current meaning of the word, as a concept or set of ideas identically repeated, derives.

Lulu‘Weeeeeeeeelllllllllllll...’A half-pint Glaswegian with a quart-pot voice, Marie McDonald McLaughlin Lawrie is better known to the world as Lulu. She was only 15 when she shot to fame more than fifty years with her debut single, “Shout”. Five years later in 1969, she cemented her place in Scottish hearts by winning the Eurovision Song Contest with “Boom Bang-a-Bang”. She has the distinc-tion of appearing on ‘Top of the Pops’ in every decade from the 1960s up to the programmes demise. She’s still singing and will be back home in Glasgow on May 12, 2015 when she plays the Clyde Auditorium.

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Issue 110 | November 2014

So, please send in your snaps on the theme – NES with a View to nesexpress@nes.scot.nhs.uk and we’ll feature a selection in the next issue.

As the sun was setting over 2CQ last night, I seized the moment and snapped this wee image out the window with my phone.

It got me thinking... I would love to see some more NES office views!

Share your views...

What a NES View!

View from 2CQ by Jennifer McColgan

Jennifer McColgan

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Issue 110 | November 2014

NES Noticeboard

Breakthrough Breast Cancer Bake Off

Isobel M Madden in Inverness raised an impressive £1,340 in her Breakthrough Breast Cancer Bake Off Challenge in NES Express.

First Class Success

Derek Lawrie in the Design Service has been awarded a First Class Honours Degree, BA (Hons) Graphic Design, by the Interactive Design Institute. He joins Sarah Wright in this excellent achievement who gained the same award last year.

Both Derek and Sarah Wright received further education support from NES to undertake their studies.

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Issue 110 | November 2014

NES Express is your newsletter and we hope you love it. But we also want to hear your ideas and suggestions on how we could make it even scrummier. Send your brickbats, bouquets and brainwaves to the editor at

NESExpress@nes.scot.nhs.uk

If you have any material that you’d like us to consider for inclusion to NES Express, there is a standard submission form, which you can find èhere.

DisclaimerAlthough every care is taken with all of the material submitted, the NES Express editorial collective cannot be held responsible for any articles or photographs that are lost or damaged. Sometimes the dog really does eat our homework.

NES Express is an in-house newsletter for NHS Education for Scotland (NES) staff and is not a formal corporate NES publication. Views expressed by contributors are therefore their own and in no way necessarily reflect those of the editorial team or of NHS Education for Scotland. The editorial team reserves the right to make decisions with regard to content and also reserve the right to edit or refuse articles for publication. Unless otherwise specified, the articles remain the copyright of the individual contributors.

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Issue 110 | November 2014