Lewis- ManningTrusttime to care

Impact Report 2014/2015

www.lewis-manning.co.uk

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CompassionCreativity

TimeSkill

2,450 hours of wellbeing

All About Us

support

2,100 hours of

respite care in our bedrooms

146 new Lymphoedema

patients

Physiotherapy attendances rose by

22%

in Better Breathing clinic attendances

20% growth in Day Hospice attendances

30% RISE

700 patients benefitted from Lewis-Manning’s care2

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All through the financial year 2014/2015 our key priority was the ongoing high standard of care for patients whilst we began opening bedrooms, preparing to offer end of life care and worked towards completing the 2012 business plan. This commitment to patient care ensured 100% compliance in our latest Care Quality Commission Inspection Report.

During this period all services were developed and there was increased activity across clinics including Day Hospice care. This is not an insignificant achievement as there is general acceptance that patients are more unwell for longer and the service has addressed this extra need in a creative and flexible way.

Overnight support has been welcomed by everyone. Although we have had to restrict the service to existing patients, due to financial pressure, we are so encouraged by how positive the feedback is from both patients and carers.

There is a quite obviously a tension in ensuring a tight expenditure policy against, on the other hand, the need to invest in future developments which will double our outgoings. I am so encouraged however that the whole team has been engaged in this process and have shown outstanding commitment and focus over the years. The hospice gives such extraordinary “added value” to the community it serves. For every £1 that we receive from the NHS Lewis-Manning provides £5 of care.

This is my opportunity to thank the volunteers who support the team to care for patients, help the administrative, fundraising and retail teams as well. To the board all volunteers too, thank you. Thanks also to our Chairman who has brought calm, pragmatic and practical experience, expertise and unstinting good humour to his role here. Through good times and more challenging times I can count on him to offer me wise counsel.

But above all we are thankful to the hundreds of patients (more than 700 each year and rising) that entrust their care to us. We take the responsibility very seriously indeed and are grateful for the opportunity to have time to care.

Elizabeth Purcell CEO

CEO Report

“Lewis-Manning Hospice has been our

“Saviour” during difficult times, Nurses and

care staff are excellent, and could not be

better. All the staff are wonderful “just

like angels”. It would be very difficult to

improve what is a fantastic organisation.”

A patient

Elizabeth Purcell CEO4

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We continue to develop important services to meet the clinical needs of our local, East Dorset, population. This has been possible through our sustained excellent partnerships with the local NHS services and Macmillan Cancer Support amongst others.

The Marie Curie report ‘Triggers for End of Life Care’ 2015 and the on-going work we link into through the Leadership Alliance for the Care of Dying People (LACDP), continue to provide a focus for the team at Lewis-Manning on the provision of personalised and holistic care for local people as a community service at the end of life. We continue to work on the clinical services that we intend to provide for these patients, recognising essential Priorities in Care to ensure we are working to provide the best experience possible for patients and their families. We are reminded that we have ‘one chance to get it right’.

We have been able to provide and develop services for patients based on a health and well-being approach during their recovery following a cancer diagnosis. Our New View Programmes for local patients who have had Head and Neck cancer or Ovarian cancer continue to be transformational in terms of rehabilitating the patient holistically. We will extend the scope of this work too as funding allows.

Many of the clinical team continue to provide educational opportunities at Lewis-Manning and support educational events in Dorset and nationally.During clinical care it remains central to patient care that we also recognise the needs of carers and it has been wonderful to see the Carers Group at Lewis-Manning continue to flourish.

Inpatient unitHaving moved into our new building in 2012 we adopted a “phased opening” of bedrooms, commencing in 2013/14 with our “Time of Your Life” well-being courses. During this financial year we have completed the next phase of opening, and we are delighted that since October 2014 we have been able to offer respite overnight and longer days for some of our Day Hospice patients.

This has proved to be immensely worthwhile with consistently positive feedback from both patients and carers. It has also been an opportunity for the Inpatient Unit team to develop and for them to identify and resolve some of the initial teething problems associated with a new patient environment.

We are now looking forward to the Inpatient Unit developing further to accommodate more patients in the next phase of our opening next year with our focus on 24/7 operation and end of life care.

Strategic Priority 1: Holistic Care

To provide a range of inpatient and outpatient services to include clinical, complementary, spiritual, information and educational programmes for patients and their families, working with and as part of the community.

I have stayed overnight on a few occasions which I have very much enjoyed. The first night I stayed was the first time in 8 years that I had been away from home. It was amazing!! I found spending quality time with the staff in a smaller group helpful and it enabled me to open up more and talk about how I was feeling. I particularly enjoyed having lunch in a small group down in the inpatient lounge with the other 3 patients and the 3 staff. It was like having lunch with a group of friends. It felt like a mini break where I was spoilt and pampered for a couple of days!

Tony’s Story

700 patients benefitted from Lewis-Manning’s care last year.

Sue Higgins, Director of Nursing6

We gave 2100 hours of respite care in our bedrooms.

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Day Hospice

“Only compliments for the staff and the lovely building and surroundings. I feel very comfortable and at ease when I attend my appointments.”

Better Breathing Clinic 30% rise in attendances. 20% growth in Day Hospice attendances.

A change of name from Breathlessness Clinic to Better Breathing Clinic has coincided with a rise in attendances again this year. The rise in patient numbers has brought with it a rise in the numbers of compliments from patients and carers for this service which is managed by a nurse specialist and a senior physiotherapist.

Patients are generally referred for a 16 session programme of care and support in the Day Hospice facility, and they often return for subsequent programmes at a later stage. This allows us to support more patients and families.

Development of Day Hospice services has been very well received by patients. The “New Art and Social Group” is popular with patients who have recently been through a clinical programme, as it continues the support they receive from Lewis-Manning.

A grant has made possible a second music and voice coaching course (six weeks) for patients who experience problems with speech and communication. It has been wonderful witnessing patients “finding their voices” again and we have plans to develop music therapy further next year.

All Day Hospice patients are offered complementary therapy and the demand for that service is such that we plan to develop it next year, offering a wider range of complementary therapies to a more diverse patient group.

Patients are supported by a multi-disciplinary team offering physical, emotional and psychosocial care. Physiotherapy attendances rose by 22%. Physiotherapy is paid for entirely by voluntary income.

Sally Church, Day Hospice Team Leader

A patient

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Anne’s Story

In 2010 Anne Bartlett was diagnosed with breast cancer.Although surgery and treatment was successful, Anne needed on-going support for the subsequent side-effects, so was referred to the Lymphoedema Clinic at Lewis-Manning. Here, Anne talks about the impact of her cancer diagnosis and how the hospice’s holistic approach to care was able to provide her with the necessary physical, practical and emotional support she needed, which still continues to this day.

What were your feelings when you had your original diagnosis?I was in shock, mixed with complete disbelief. There was also a lot of fear. Our minds were focussed by the fact that we were due to fly to Australia 2 days later, and the first thought we both had was ‘What about the holiday!’ . Very quickly that was cancelled and we concentrated on what really mattered.

How did you hear about Lewis-Manning?I already knew of its existence through publicity and the shops, but then I was referred to the Lymphoedema Clinic by the clinicians at Bournemouth Hospital.

What were your feelings about coming to the hospice for the very first time?I think the word ‘Hospice’ is a bit scary. I was referred to the Lymphoedema clinic at the end of my radiotherapy, just at the point that I thought things were looking up. I must admit, the question ‘Why am I being referred to a Hospice?’ and ‘Is there something they haven’t told me?’ did cross my mind, and I really didn’t know what to expect.

How have those feelings changed over time?As soon as I arrived at Lewis Manning I was so impressed by the atmosphere. So welcoming, friendly and cheerful, and that did surprise me.

Tania and the staff were the most helpful, practical and reassuring staff that I met in my whole cancer experience. They took the time to listen, and that seems to be a really important characteristic of the whole centre. I looked forward to my visits!

What do you feel are the main benefits of using the hospice?For me it has been the practical and helpful advice and support. I have felt valued rather than feeling a nuisance. I come away feeling better informed, reassured and more positive about my lymphoedema risks.

What advice would you give to women in the same situation?If you are referred to Lewis-Manning, do make use of it. If you have any pre-conceived ideas about a hospice, at least go and visit and see for yourself. It is so different to what I was expecting. They have many different ways in which they can offer support, whether it is through meeting other people in a similar situation as yourself, advice, or more practical help through the different activities they offer.

Sum up what Lewis-Manning Hospice means to you?A haven of calm, positivity and support. To know it is there if I need it is a great comfort.

Lymphoedema Clinic: 146 new patients attended this specialist service which is provided under a contract with the Dorset Clinical Commissioning Group which meets less than 50% of the cost

10Anne Bartlett with Debra Stephenson, Patron

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To manage and control our finances so as to ensure a secure and consistent future and to deliver value for money

For every £1 from the NHS Lewis-Manning provides £5 of care.

How would you describe Lewis-Manning?A friendly, welcoming environment. Everyone always carries a smile which tells me that they enjoy their work. It’s always a pleasure to go into the hospice and their charity shops.

What made you decide to become a volunteer?I’ve always wanted to work in a fundraising/events department , but as I’ve had no previous experience to apply for advertised jobs, I thought volunteering for a charity would be my first port of call to help me change my career direction and gain experience.

What does your volunteer role involve doing?I’ve already helped with a number of events including the spring party, cream tea, remembrance event and others. I’ve sourced a number of raffle prizes from local businesses and visited local towns to talk retailers into accepting our collection cans. I’ve also spent time doing general admin as required in the office including applying for licences to hold events.

What do you get out of volunteering?I feel very proud that I’ve contributed my time and helped raised funds, having seen the great facilities provided and also having a knowledge of the costs involved to maintain these.

Is there anything in particular that you enjoy and what has been your favourite moment?I’ve really enjoyed helping at the events and dealing with the public, knowing that the money they have spent goes to a very worthy cause. When I recently helped at the Teddy Bear Tombola at a Poole Rotary event and watching the children’s faces light up when they won!! It was great! It’s always great to hear what has been raised after an event, knowing all the hard work put in was worthwhile.

Volunteer drivers helped to transport patients to 1,278 appointments, ensuring that no patient’s transport needs were unmet.

To ensure our independent growth by developing a culture of strong governance, shared values, team development, collaborative working and individual accountability amongst our board, staff and volunteers.

Catherine a Volunteer

Strategic Priority 2: Financial Management Strategic Priority 3: Organisational Strength

Income

Expenditure

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82% of the Trust’s income was spent

on care

Voluntary Income£1,136,395

NHS Income£255,221

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Strategic Priority 4: Fundraising

To maximise fundraising opportunities from a diverse range of sources to provide a secure and reliable income stream for future sustainability and growth.

Income generation and communications go hand in hand and it is encouraging to see in a year when our social media followers have tripled and our focus has been on building lasting relationships that our fundraising income has grown so substantially.

Growing and maintaining a sustainable income as Lewis-Manning increases its services is critical and this year the Board signed off a three year income generation plan demonstrating diversity and growth in income streams to support the Trust’s work into the future.

In order to provide the care that is needed we must triple our income into the future.

Lewis-Manning Hospice Shop, Wimborne14

40% rise in fundraising to support more services

Rachel Lapworth, Director of Development

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“The staff and Volunteers are all excellent - interested in us, wonderful support and top notch care! We have been so fortunate and look forward to further sessions when available.”

A patient