This bulletin has been developed to provide GPs, CCGs and partners in the north east sector with a monthly update on key service developments from Pennine Care NHS Foundation Trust.

We welcome comments and feedback, which can be emailed to: communications.penninecare@nhs.net

Pennine Care Progress - August/September 2015

Pennine Care is one of the best places to work

Pennine Care has made the list of the top 120 best places to work, as compiled by HSJ and Nursing Times, in association with NHS Employers.

The list is a celebration of NHS organisations that have worked hard to promote great staff engagement and create an environment where people can enjoy their work.

Using data compiled from the recent NHS staff survey, independent research firm Best Companies Group identified the top 100 trusts and 20 clinical commissioning groups.

Data was categorised into seven core areas: leadership and planning, corporate culture and communication, role satisfaction, work environment, relationship with supervisor, training, development and resources, employee engagement and satisfaction.

HMR nurses team up with care homes to tackle UTIs

Community nurses from HMR have trained staff at 15 care homes on the symptoms and early management of urinary tract infections.

The training was developed after research showed a high number of care home patients were experiencing symptoms of a Urinary Tract Infection (UTI) but these were not always immediately recognised. This led to unnecessary GP callouts and hospital admissions as well as discomfort for the patient.

After receiving funding from HMR CCG, training was carried out across the borough and care home staff reported feeling more confident that they could identify and care for people experiencing a UTI. Support and ongoing education from nursing services has continued to ensure new care staff are trained and UTI management continues.

Staff were also taught how to use a dipstick to test the urine for the presence of proteins and other substances to confirm an infection. One resident at a Littleborough Care Home was identified as having a UTI, tested and prescribed antibiotics by their GP the same day. When tested 48 hours after finishing treatment, the infection had cleared.

Assistive technology helps with wound care management in HMR

Community nurses in HMR are now piloting the FLO text support system to provide self-management support to people in need of wound care management.

FLO sends a series of text messages to service users providing information and prompts on how to safely take care of their wound.

Not only is it found to increase people's confidence and independence to self-manage their condition, it also reduces the number of home visits made by nurses.

A carer in Middleton was able to use the system to help care for her mother's leg wound over eight weeks. She received daily text support to guide her on changing the dressing and what signs to look out for in case of infection. A nurse visited every fortnight to ensure the wound was healing properly.

Following the success of the pilot, FLO will be rolled out to more services in the Rochdale borough.

Oldham team highly commended in Patient Safety Awards

The Transfer of Care Team in Oldham was highly commended in the End of Life category at the Nursing Times Patient Safety Awards 2015.

More than 750 entries were submitted for the awards and the team made it into a shortlist of just ten organisations in the End of Life category for its joint entry with Pennine Acute Hospitals Trust for the Rapid Palliative Care Patient Transfer Pathway at Royal Oldham Hospital.

Although the team didn't take home the top prize, it came second in the category and was given a special mention by the judges who 'highly commended' their work, which is a great example of a partnership with Pennine Acute and close working with other agencies including social services, North West Ambulance Services and care agencies.

Audiology Service passes year two of prestigious accreditation programme

The Audiology service, which is delivered across the boroughs of Bury, Rochdale and Oldham has passed year two of a prestigious programme, delivered by the United Kingdom Accreditation Service (UKAS). Last year it was one of the first in the country to achieve this.

They have been rated as 'good' against the Royal College of Physicians' IQIPS (Improving Quality in Physiological Services) standards. To achieve this, the teams had to submit evidence that they were still working to the high standards they met last year.

The review highlighted that the team was continuing to provide an efficient, effective and safe service to patients and referrers and that a considerable amount of service development had been undertaken since the initial assessment was conducted last year.

The service was also commended for embedding the recommended findings raised by the assessment team last year, which have further enhanced the service for local people.

Baby Friendly Bury

The Bury Health Visiting Service has recently achieved stage 3 of Baby Friendly Accreditation, meaning local mums can be assured that they will receive all the support they need to give their baby the very best start in life.

The Baby Friendly initiative was developed by UNICEF and the World Health Organisation and in order to achieve the accreditation, health professionals are required to meet a set of required standards, particularly around breastfeeding.

This includes ensuring all health visitors are trained to offer breastfeeding support and that breastfeeding-friendly facilities are available across the area. The team has worked in partnership with staff from Bury Council's children's centres.

New outdoor therapies area for patients of Bury mental health unit

A new and improved outdoor therapies area has been developed at Irwell Unit, an inpatient mental health unit at Fairfield General Hospital.

The new outdoor space includes a multi-use games area, which is a covered and lit sports pitch that can be used at any time of year, a gym for outdoor exercise, and a relaxation space where therapy can take place. There is also a garden where fruit and vegetables can be planted, which are then used by patients in cooking classes.

Pennine Care teamed up with Groundwork, an environmental regeneration charity, to transform the previously unused gardens into a multi-functional space.