Month: March 2014
Our Trust’s ‘CMFT International Programme’ was awarded the first prize for ‘Improving Services Through Training and Development’ during the recently concluded Lean Healthcare Academy Conference and Awards 2014. Lean Healthcare Academy Awards are national level awards and our Trust’s entry competed with entries from Health Education North West and South Tees Hospitals NHS Foundation Trust to win the award.
The Trust was represented by Dr Anna Kelsey, Mr Tony Armstrong, Dr Sujesh Bansal and Dr Steve Benington during the award ceremony held in Leeds on 6th February 2014 (photographed). The team thanked Prof. Simon Carley and Mrs Karen Stuart who were not able to attend the evening.
Central Manchester University Hospitals NHS Foundation Trust has introduced an ‘enhanced’ induction for new international doctors and support system (peer buddies and supervisors) to ensure appropriate training and support before international doctors start work in the UK and provide direct patient care. This bespoke online training programme for new international doctors provides information and knowledge on social, ethical, legal, professional and patient safety aspects of patient care and UK clinical practice. This programme was introduced in August 2012 and in the last 18 months, 42 international doctors have completed the programme with an increasing number registering and completing the online induction. 95% of doctors have found the training useful in enhancing the patient care they provide.
CMFT International Programme has been shared with national bodies like GMC, AoMRC, REACHE and Royal Colleges; and have been appreciated by them. Many national organisations are keen to provide our ‘enhanced’ induction programme to their sponsored new international doctors.
If you need any further information about CMFT International Programme, please contact Postgraduate department at 01612766647 or Dr Sujesh Bansal ([email protected]), Trust International Tutor.
The Division of Surgery Educational Committee is organising a division wide surgical grand Round meeting which will be open to all members of the multidisciplinary teams in the division. This will include all cadres of surgical and nursing staffs, Anaesthetists, & medical students.
We expect this educational meeting to create a forum for surgical staffs to discuss issues of common interests, celebrate local surgical innovations, create opportunities for trainees to learn & develop their presentation skills, and to enhance exchange of information about good practice in the division.
The President of the Royal College of Surgeons of Edinburgh, Mr Ian Ritchie has kindly accepted our invitation to attend as Guest speaker at the inaugural meeting holding on Thursday 10 April @12:30 – 1:30pm at the Postgraduate Lecture Theatre, MRI.
We would love to see a great turn out for this first meeting and so we ask you to keep the date and watch out for more information soon.
If you want to know more now then please get in touch with Mr Tunde Campbell, divisional lead for education in surgery. Tunde has done sterling work in promoting postgraduate education in the division and in putting this meeting together and with such an auspicious first lecturer it looks as though this meeting will go from strength to strength so please give the team, Mr Ritchie and postgrad education in surgery your full support in April.
Following on from Natalie’s blog on NHS Change Day (http://changeday.nhs.uk), Dr Alan Grayson, our F1 tutor did a great piece of work recently with our Foundation Doctors which caught the team’s eye.
Each trainee was asked during a group teaching session to make a Pledge. There were lots of promises – from being more effective operationally to improving communication skills to make a difference to patients’ experience.
It was a great opportunity to showcase the commitment and compassion of our junior medical staff. A very positive reminder to all of us (especially those of us in the ‘back office’ functions) just what and who we are here for, and why we come into the office every day.
These are some of the team’s favourites from the pledges our trainees made:
- Keep my patients informed, even when we are busy
- I pledge to ask the nurses if there’s anything they need before leaving the ward on a Friday for the weekend
- Use #hellomynameis in my day to day (read more about the inspirational Kate Granger and this idea further down this blog)
- I will make sure that I ask all my patients “if there is anything they would like to discuss”
- I pledge to ask my patients if I can get anything for them after I have reviewed them
- Be friendlier on the phone – especially when on call
- Learn names of staff (especially nurses)
- Spend more time with medical students
- I will always ask what a patient would like to be called
- I won’t just mumble my grumbles – I will act on them
Warning – The video contained in this post will make you stop and forget what you are doing. It might just change the way you think about error in healthcare forever.
Human factors (HF) are increasingly a focus of patient safety and training in resuscitation. In brief they are the cognitive, behavioural and social skills that complement technical ability in healthcare. Much of the work to develop HF (or Crew Resource Management, CRM, as it is sometimes known) developed in the airline industry, but subsequently we have introduced many of the principles into healthcare. At CMFT we have some great examples of HF training. In foundation we have a long running series of training days with @atrainability which aims to embed HF into our most junior doctors.
Undergrad also run a series of simulation and training days incorporating the principles of HF.
In postgrad there are many examples of simulation training with a strong focus on HF learning in paediatrics, obstetrics and emergency medicine which in my opinion have led to tangible benefits for patients and staff.
Occasionally I come across HF sceptics…..
- Is HF something that we do anyway?
- Does it matter?
- Is it not just something that we can pick up through experience?
Unsurprisingly I would say NO! Human factors are something that we can all learn and are something that we can all benefit from. Having said that if you are a still a sceptic then I doubt you’d be convinced by that last statement. I will leave my persuasion to someone who knows much more than I do.
Tamara Hills is a nurse who works on the Sunshine Coast in Australia. I met her though twitter and her blog which is well worth a read. She works in emergency care and is a strong advocate of HF/CRM learning. If you want to know why watch the short video below. It’s an incredibly powerful argument for us all to stop and think about medical error and what we can do about it.
I am very grateful for the Hills in sharing this story. It’s an incredibly powerful message for all of us involved in patient care and in particular in critical care specialities.
This video was put together as part of a Pecha Kucha competition at the Social Media and Critical Care conference this month in Australia. I am really looking forward to meeting Tamara there (Ed – had to drop that in eh!), together with Alan Grayson and Natalie May from the emergency department. You may hear more about PK talks in the future as they are an amazingly powerful way of getting a message across (and they are also great fun when done well). I may also mention powerpoint karaoke as well….., another time maybe.
- Tamara Hills on twitter – @tamara_hills
- Tamara’s blog http://keep-caring.com/
- Christopher on twitter @iammaccing
And the last word really should go to Chris (if this twitter link works on CMFT computers)
Hi, I’m Natalie May. I’m an SpR in Emergency Medicine and you may have met me in the adult or children’s emergency department.I’m guest blogging on CMFTPostgrad to tell you about something really important to me, you and the NHS in general.
You might not have heard of NHS Change Day but it needs you.
Because – and let’s be honest here – the care that we deliver isn’t always as good as it could be. We all know that. And it can be frustrating. Most of us didn’t decide to work in the NHS for the money – we are here because we want to make things better for people and look after those who need us. But we know that our services are stretched and delivering the kind of care we want to provide just seems to get harder and harder.
Change Day isn’t about complaining about the negative aspects of the NHS; it’s about changing them.
It starts with you, whoever you are, seeing a way to make things better, pledging to make that change, sharing your pledge, actually making it happen – and in doing so, inspiring others to realise that the NHS belongs to all of us who make it what it is. And because we make it, we can make it better.
A New Perspective
I often joke about my terrible sense of direction. It will come as no surprise to you then to hear that the career path I’ve chosen means I can always find my way to my department (the signs are always the big red ones; and if in doubt, I can follow an ambulance). When people stop me in the hospital corridor to ask for directions I do the best I can – which is usually to direct them to a map.
When I went to the NHS Change Day 2014 launch in London in early November 2013, it quickly became apparent that not only was my awareness of the hospital’s physical space outside the Emergency Department limited, my perception of the issues was too. I met some truly inspiring individuals from all disciplines of the NHS, clinical and non-clinical, at all levels, in all regions. I realised quickly that one of the biggest barriers to making NHS care the best it can be is the mental one we generate ourselves.
Care: At the Sharp End
I have a couple of Change Day pledges and you’ll hear more about them in due course. Today, one week from Change Day, I’m asking you to think about it. There must be something that winds you up about the way your department works. It needn’t be a small thing either – there are chief executives pledging to improve things in their trusts.
Change Day 2014, next Monday (March 3rd), is your opportunity to take action to make things better.
It’s not too late to take part in this year’s Change Day. Perhaps you feel small or you think your idea is – I promise you, it isn’t. Taking ownership of the care we provide and feeling proud of the NHS can make the real difference to our patients. Be inspired. Be inspiring. Make a pledge.