Partnership News 13th September 2018

Partnership News is an internal email for staff within Cumbria Partnership and partner organisations

Partnership News

In this issue: News Vacancies Staff Training Events Staff News Contact Us

Thursday 13th September 2018

Welcome to Partnership News, the weekly newsletter produced by Cumbria Partnership NHS Foundation Trust in partnership with Cumbria County Council.

If you have any news that you would like to share with staff via Partnership News, contact the Communications Department by 5pm on Thursday to be included in the following week’s Partnership News.

Click here to read guidance on submitting information to Partnership News.



Top Stories

All NHS frontline staff expected to get flu vaccine as part of winter planning

Flu jabs coming next month!

It’s that time again when we need to start thinking about flu and getting our flu jabs.

Nationally, NHS leaders have announced that all frontline staff will be expected to get a flu vaccination to help protect patients as part of a comprehensive plan for winter.

Last winter, both CPFT and NCUH received the highest uptake rate ever for staff getting their flu jab and we need to do this again to ensure we are protecting our patients from catching the virus and becoming seriously ill.

Look out for more information on how, where and when you can get your jab soon!

This is us staff engagement events - have your say!

Have you booked your place at the staff engagement events with Stephen Eames, chief executive? This is your chance to come along and ask Stephen and the wider executive team any questions you may have, share your successes and raise any concerns. At the last round of events Stephen talked about the new ICC’s. They are now up and running to coordinate care for people living in the community to either prevent some people from being admitted to hospital in the first place or allowing them to go home earlier by providing what they need to remain independent at home. Over 90 new posts have been filled in the ICCs to create rapid response teams and coordination hubs.

What are the sessions for?

They are a chance for you to tell Stephen directly what you are concerned about and also celebrate all the good things that you do every day. It will also be a chance for you to have your say on the development of joint values and feedback on the ideas that the staff group come up with.

The dates for the upcoming events are:

  • Thursday 11th Oct | 10.00am – 11.30am | Lecture Theatre, Cumberland Infirmary
  • Wednesday 17th Oct | 10.00am – 11.30am | Kendal Town Hall
  • Thursday 18th Oct | 10:00am – 11:30am | Methodist Church, Penrith
  • Tuesday 23rd Oct | 10:00am – 11:30am | The Forum, Barrow in Furness
  • Tuesday 30th Oct | 2pm – 3.30pm | Boardroom, West Cumberland Hospital

To book a place at any of these events, please email You can also pop in on the day if you haven’t booked.

New executive appointments

As you may have read in Stephen’s Blog, we are pleased to welcome Alison Smith to both NCUH and CPFT as Executive Chief Nurse.

Alison has been a registered nurse for 26 years and has worked in a variety of clinical, managerial and educational roles throughout that time, mainly in provider settings. She undertook her training initially in Harrogate, completing it in Great Ormond Street after moving to London.  Alison has worked at South Tees Hospitals NHS Foundation Trust in Middlesbrough for a significant part of her career including as assistant director of nursing and children’s lead.

After leaving South Tees, Alison then spent the next five years working in wider health system roles as deputy director of nursing & quality at NHS England for the North East & Cumbria then as senior clinical lead at NHS Improvement, taking the lead role for the quality agenda working with 13 providers across the North East & Cumbria.

In both of her roles with NHS England and NHS Improvement, Alison has worked closely with colleagues in the NHS in Cumbria. Commenting on her new role, she said: “I am honoured to have been appointed to this role as I have always been highly impressed by the hard working and highly committed teams here in Cumbria. I am passionate about making a difference to both patients and staff and I am very  much looking forward to working with you all.”

In addition, Judith Toland has been appointed to the role of executive director of Workforce & Organisational Development and will start at the trusts in November. More information will be shared about Judith as soon as possible.  


Bay Health and Care Partners to showcase prevention at Westmorland Show 

This year’s NHS tent at the Westmorland Show (Thursday 13 September) will focus on the prevention and management of long-term conditions and disease like diabetes, stroke and dementia, as well as celebrating the long-serving health and care organisations’ 70th birthday. 

The fun filled, informative day will give visitors plenty of opportunities to get involved and find out more about important health subjects such as breast screening, sexual health, mental health and blood pressure checks.  Teams from CPFT include sexual health, health visiting and first step and the teams will also be sharing information about the listening events  

The Flourish team will be on hand to talk to people about University Hospitals of Morecambe Bay NHS Foundation Trust’s (UHMBT) Flourish at Work health and wellbeing campaign for staff. Delicious and nutritious snacks will be on offer inside the marquee courtesy of our hospital chefs and Greenwich Leisure Limited (GLL) Active Cumbria will lead pop up sports including Trikes, hand cycles and recumbent cycles.

The day will provide visitors with an opportunity to ask questions about their own health and meet the teams from our partner organisations who provide health services.

A variety of NHS staff will come together in the Bay Health and Care Partners marquee from our partner organisations including CPFT, UHMBT, Morecambe Bay Clinical Commissioning Group, North West Ambulance Service (NWAS) as well as Kendal Integrated Care Community.

Lancaster Medical Museum will help showcase a variety of old medical equipment from the across the bay. They would also like people to come and share their memories of working for the NHS over the years.

The Westmorland Show is located at the showground near Crooklands, Kendal.

Therapy alpacas bring happiness to dementia patients

Alpaca duo, Twinkle and Dude, have taken time out from the farm to visit patients with dementia at the Ruskin Unit in Carlisle.

Twinkle and Dude visited the unit to provide animal therapy, an alternative to medicine which can improve a patient's social and emotional wellbeing. Patients spent time with the alpacas, stroking them and finding out more about their needs.

Read the full story. 

UCLan grants Honorary Professor title to Cumbrian doctor

The University of Central Lancashire (UCLan) has awarded Dr Samuel Dearman with an Honorary Professorship in recognition of his contribution to UCLan’s healthcare strategy.

Professor Dearman is the Director of Medical Education at both NCUH and CPFT. A Consultant Psychiatrist, he has been instrumental in supporting the School of Medicine’s aims to develop medical education in Cumbria, strengthen partnerships with local healthcare providers and develop the delivery of services.

As part of this, he has worked closely with academics to facilitate the arrival of students embarking upon the innovative Bachelor Medicine Bachelor Surgery (MBBS) degree programme in the region in September. Read more. 

Open day to showcase Renal services at West Cumberland Hospital

Following the opening of the newly expanded Renal unit at West Cumberland Hospital (WCH) in Whitehaven, the team is now holding an open day to showcase their work on Friday 14 September 2018.

Since the expanded unit has opened, the team is now able to treat more people closer to home in West Cumbria. In addition, a new training room for home haemodialysis is allowing the team to further develop self-care dialysis which is something they would like to highlight at the event later this week. The team will also be demonstrating how to set up a dialysis machine on the day. Read more

Health Heroes Awards 2018 now open!

Do you know a support worker who goes above and beyond the call of duty? Someone who puts patient care first or strives to keep their team motivated? A Healthcare Hero?

The Health Heroes Awards, in partnership with Health Education England and UNISON, are looking for those extra special people who are creative and innovative in their roles and deserve a big thank you.

The Operational Services Support Worker of the Year Award (sponsored by UNISON) and the Clinical Support Worker of the Year Award, recognise the significant contribution support workers make to the health sector. This part of the workforce plays a crucial role in delivering and facilitating patient care but don’t always get the recognition they deserve. There will be 12 regional winners for each of these awards and one national winner!

To submit an entry, identify the award category and person you would like to nominate, help can be found here. Fill out a nomination in no more than 500 words, you must submit your application before 16th September! 

Winners will be announced at the OXO 2 on Friday 23rd November 2018. You can nominate here. 

Useful updates

Cumbria’s mental health listening events

This week our roadshow of mental health listening events for staff, partners, service users and carers have got underway.

The listening events have focussed on hearing feedback and ideas on the future of how our mental health and learning disability services could be delivered in the county. So far there has been a great turnout of people coming along and sharing their thoughts.

Further events are also taking place in Barrow next week and Whitehaven and Kendal the week commencing 24th September. Details can be found on the homepage of StaffWeb.

There are also events for service users and carers, we would encourage you to share these details with them so we can hear as much feedback as possible. Please click on the following link for more details: Barrow and Carlisle events and Whitehaven and Kendal events.

If you are unable to attend one of our events but would like your say, you can leave your feedback via our online questionnaire and we have hard copies available upon request.

Mock CQC reviews Mental Health care services  - Information for managers

Mock CQC reviews will be taking place later this month on the 9 mental health core service lines. The mock visit will take place week commencing 24 September (Week 1) and will focus on three priority core services:

  1. Learning Disability (adults) ward and teams,
  2. Childrens community including Child & Adolescent Mental Health Services and Learning Disabilities
  3. Acute and Pyschiatric Intensive Care Unit

The peer review team will involve staff from trusts in the North East as well as senior leaders from each of the 9 core services.  The review will follow the style of a CQC inspection.  We asked for particular focus to be given to Mental Capacity Act and consent across all services inspected. Reports from the inspection will be provided the week of the inspection. 

Windows 10 Update 

As a Trust, we’re continuing to work on upgrading all IT users to Windows 10. We need to do this to maintain our network security, as our current version of Windows will soon be unsupported.

Windows 10 is now being rolled out at Maglona House.  We’ll follow that with phased roll-out to other Trust buildings over the next six months.

You will receive more details starting from around four weeks before your upgrade date and time slot, letting you know what to do in advance. It is crucial that you book your upgrade slot as soon as you receive your email, this will help the roll-out go as smoothly as possible. If you can’t make your slot, please follow the instructions on the invitation, so we can help you rearrange.

Before we send you confirmation of your appointment, we need all users to do some preparation work, including moving any files you have saved locally to your machine (which you could lose if you don’t move them in advance of your upgrade). You can read more about that hereYour upgrade can't go ahead without this preperation work being compleated - please take time to read this carefully. 

You can find out more about the roll-out on StaffWeb. If you have any questions, please contact the IT service desk.

New Process for submitting data to the Classic Safety Thermometer 

This month – September 2018, the Safety Thermometer process changes slightly in that instead of submitting your data to the document on the S Drive you will now submit it via a web page.  The submission date will also change - the submission date for this month is September 18th – you will have a week from that date to upload your data. You will need to login to the web page to submit your data. Guidance and account details are on Ulysses. For more information please email:

We want to work together to make our organisation a great place to work.

The annual NHS Staff Survey will be launching within a few weeks. The survey provides an important opportunity for you to have your say on what it is like working for the Trust.

Responses are collated by an external contractor and kept completely confidential. All eligible staff will receive either a paper or email version of the survey, and it takes just 15 minutes to complete.

The results of the survey are analysed and help to plan our objectives, areas of focus, and any follow up actions over the year ahead, to improve the experience for our staff and our patients.

We recently updated you on the actions from last years’ results which can be viewed here

If you like to see the reports on last years’ results, this information is publically available:

Summary of Staff Survey 2017 for North Cumbria: click here; and for Cumbria Partnership: click here

We really value your feedback, and encourage you to respond to the survey.

The 2018 Cumbria Safeguarding Adults Board staff survey is now open

Cumbria Safeguarding Adults Board are seeking the views of practitioners from across the partnership who work together in Cumbria to safeguard adults from abuse and neglect.

Please take 5 minutes to answer the questions in the survey to support board development and inform strategic planning. The survey is anonymous and responses will not be attributed to individuals.  

Please use this opportunity to share as much feedback and ideas as you can.  Feedback gathered will make a contribution to improving and shaping services in the future.

Cumbria Safeguarding Adults Board survey

Any queries regarding the survey please email

Local Safeguarding Children Board Survey – Have your say

The 2018 LSCB Survey of Professionals Working with Children and Young People has been extended until Friday 28 September 2018.

Please take 10 minutes to answer the questions. The survey is anonymous and your feedback will help to shape the ongoing work with children and families. Have your say here

Last year’s survey  was responded to by 413 professionals from across the LSCB. A summary of the feedback from the 2017 survey and the changes made following this can be found here

Travel survey – last chance

The Trust is conducting a survey on how you get to work and between sites. We want to hear from as many of you as possible so please take the time to complete this short survey. 

There is also the chance to win one of four £25 Amazon vouchers.

The survey will help to make improvements in the Trust’s travel plans and improving sustainable travel for all staff

Cumbria Health and Wellbeing Update

In this update: 

  • Have your say - Price promotions on food and drink
  • Drink Free Days
  • Supporting smokers to quit: A summary of resources for healthcare professionals
  • How healthy is your heart?

Read this section 
each week for new:
Training | Development | Support Opportunities

Workforce Update

JOIN Our Amazing People

Do you know anybody who might be interested in a Traineeship?

CPFT, NCUH and Cumbria County Council are working together to deliver a Traineeship programme for young people 16 -24 in Cumbria who require additional training and work experience to prepare them for employment, apprenticeships or higher education.

Traineeships provide unemployed young people with the skills and experience to progress. They include work-preparation training, a work-placement and English, Maths and ICT, and at the end of the programme trainees are supported to apply for an apprenticeship, bank work or employment within our organisations or to seek further education.

The programme will be offered in Carlisle and Whitehaven and will run for a period of 4 months between November 2018 and February 2019. If you know someone who might be interested tell them about our traineeship open days where they can find out more:

Tuesday 18 September 2018 at Inspira, 6 Lowther Street, Carlisle, CA3 8DH from 10am to 4pm

Thursday 20 September 2018 at Inspira, 213 Vulcans Lane, Workington, CA14 2BT from 10am to 4pm

Find out more and apply at

LEAD Our Amazing People

Good leadership, at all levels of the organisation, creates the right culture and environment for staff to deliver great care. We want to embed  positive leadership at every level, regardless of role.

Please look at the leadership pages of staff web to see development opportunities and more.

GREAT Teams Great Care

You don’t need to wait for the survey to start to make a difference.  There are ideas on the Workforce and OD pages about what you can do now to develop yourself and your team.

GROW Your shared know how

Free self-harm & suicide alertness training for professionals working with children & young people

Workshop includes case studies, videos and group discussion:

Learning outcomes include:

  • Examining the local and national context and being aware that self harm and suicide are major public health issues
  • Seeking to dispel some myths about self-harm and suicide and looking at our own and societal attitudes
  • Helping colleagues to identify issues, discuss and help a young person to seek further support
  • Understanding and using the Cumbria Self-Harm Guidance & Pathway and being aware of other support available
  • Understanding the importance of asking directly about thoughts of suicide and the importance of safety planning  

These events will be held at: 

  • Workington Fire Station Thursday 15 November 9.30 –1pm
  • Carlisle East Fire Station: Thursday 22 November 9.30-1pm
  • Penrith Fire Station: Tuesday 27 November 9.30-1pm

For more details please email: or to book a place go to and search for ‘FREE Self Harm and Suicide Alertness.’

Functional Skills and IT training

Are you hoping to become a qualified or registered healthcare practitioner or are you supporting staff who wish to develop into these roles?  Do you have your GCSE English, IT & Maths A-C grades or the equivalent Level 2 Numeracy & Literacy qualifications? If not, please contact to avoid disappointment as these are essential to be able to access these career opportunities.  If you have not achieved these or do not have certificated evidence when you apply for these courses, you will not secure a place.  Make sure you have checked you still have your certificates. More information can be found on the Functional Skills on Workforce and OD Intranet

Data Security & Awareness Training 2018 is now OPEN!

Time flies and it’s that time of year again. Your mandatory Information Governance & Data Security Awareness Training 2018 window is now open; helping you keep information safe and feel more confident when handling patient identifiable data.  All staff have a responsibility to use, store and process information correctly and individuals along with the Trust may be liable for fines if you don’t take the necessary precautions.  Just click on the link and follow the Core Skills eLearning Certifications User Guide, this will explain everything you need to know to access and complete your training.  

We are bound to do this by law. Don’t panic, it doesn’t take long, so get it done today to stay one step ahead of the game. 

The Workforce and OD staff web pages have a range of training opportunities many of them free. There's also information about health and wellbeing as well as continuous service improvement.

Measurement for Improvement Bitesize Workshop ½ Day Course

Would you like to be able to demonstrate the impact of your improvement?
This workshop will be delivered by AQuA (Advancing Quality Alliance) and the trainers have a wealth of knowledge in the NHS in small and large scale improvements.
Attendees will gain an in-depth understanding of what is meant by measurement with a more detailed understanding of making decisions based upon the use of data, how to interpret information from a variety of sources and the requirements to present information to different audiences
  • 26th September 2018 | CLIC Training Room, Rosehill, Carlisle
  • 21st November 2018 | CLIC Training Room, Rosehill, Carlisle

Further details and to book go to the CLIC website. 


Steve Head – Building Resilience workshops – book your place now!

Following on from Steve Head’s hugely successful motivational sessions last year, the executive team has arranged for him to do some more sessions. This is an excellent opportunity to see Steve if you haven’t already and he will also be doing his ‘day two’ sessions for those of you who have already attended Steve’s first session. The sessions are open to all staff both clinical and non-clinical across the NCUH and CPFT and you can book a place now. 

Steve is a dynamic speaker and coach who has years of experience in creating high performance and personal resilience. Over half of Steve’s work is with the NHS.

The sessions will take place as follows at the Castle Inn Hotel, Bassenthwaite from 9.30am-4.30pm:

  • Tuesday 30 October – Day one session, “making the 1% difference” (if you have never seen Steve before)
  • Wednesday 31 October – Day two session, “keep dancing” (if you have seen Steve once before)
  • Thursday 8 November – Day one session
  • Thursday 15 November – Day two session

Lunch and refreshments will be provided on the day. Please book your place as soon as possible by emailing (places will be allocated on a first come, first serve basis)

To find out more about Steve Head, visit his website.  

Young people invited to explore health and emergency service careers

The annual health care and blue light careers event will take place on 18 September at University of Cumbria’s Carlisle campus to help young people make informed decisions about their future. The event sees health and care professionals, emergency services and education providers come together under one roof to showcase the range of careers on offer and training roots into them.

Students from year 11 and above across school, further education and higher education are invited to ask professionals and educators questions, try out equipment and practical tasks, and attend workshops. From 3.15pm the event is open to the public and young people are encouraged to come along, on their own or with parents or carers.

NHS supporting Cumbria Pride 2018

This year’s event on September 29th will be bigger and better than previous years. The event will start with the Pride march leaving the Civic Centre at 11am and make it’s way to the University of Cumbria, Brampton Road campus. The family event  starts at 12.30pm and is open to everyone. Anyone interested in taking part in the march can register for place by emailing For regular updates on the event visit

We will have an NHS stand and some of our teams will be on hand to provide information and answer any questions. Our Dementia and Sexual Health teams will be joining us.

There will be fun and entertainment for everyone including charity, information stalls, circus skills, activities, fairground rides, rainbow stalls, bar, refreshments, food and music.

This year’s theme is 40 Flags-40 Places. Cumbria Pride are helping celebrate 40 years of the Pride flag, and are encouraging 40 towns, villages, businesses and organisations in Cumbria to raise the Pride flag for 7 days, showing support for Cumbria’s diverse community and help promote unity and acceptance.
We are joining in this and will be flying the flags at the Cumberland Infirmary Carlisle, West Cumberland Hospital in Whitehaven and looking out for other flagpoles!!

When was your last Health and Wellbeing MOT?

To celebrate Older People’s Day the physiotherapy department are offering a free health and wellbeing check-up and advice.

Drop in and see the team on Tuesday 2nd October 2018, 10:00am – 2:00pm at Cleator Moor Library, Market Street, CA25 5AP

What is a health and wellbeing MOT?

  • Physiotherapy, Occupational Therapy, Dietetics, Memory Matters and Cardiac Rehabilitation Teams will be offering advice, walking aid reviews and functional fitness checks.
  • West Cumbria Carers, Citizens Advice, Credit Union, Library Staff and Community Service Officers, Alzheimer’s Society, West Cumbria Blind Society and Age UK West Cumbria, will be on hand with further guidance and support on keeping active and independent

For more information please contact the Physiotherapy Department, West Cumberland Hospital, Tel: 01946 523636.

What a Good Life Looks Like for those with Learning Difficulties event

Healthwatch Cumbria are holding an event to present the findings of their recent project  “What a Good Life Looks Like for those with Learning Difficulties”. The event is open to NHS staff, partners as well as service users and carers. There will be interactive with lots activities to get involved within.

Details: Monday 1st October | 9.30 – 3.30 | People First Conference Centre – lunch is provided.

To book onto the event please complete the booking form.

Charity Event for the Great North Air Ambulance

This charity event will be held on Friday 28th September 2018 at the Civic Hall, Whitehaven starting at 7pm.

There will be  4 bands, Luke Matear, The Rogues, The Buyers Club and Northern Threads. Pie and pea (for pre bought tickets) and raffle. Tickets are £15 available from Civic Hall, Alison Kelly on 07710272388 or at the door.

If you require any further information please contact  Alison Kelly on 07710272388. 

Parent/Carer support group in north Cumbria

Are you the parent or carer of a young person living with mental health or emotional difficulties? Would you be interested in learning from other people with similar experiences?

If you are, the NHS, PAC and My Time would like you to join them on Monday 24th September. Wendy Minhinnick from Roller Coaster parent/carer support in Durham will be attending. Wendy is the mother of a young person who has been treated for mental health issues and helped set up Roller Coaster. Wendy will be able to describe how they set up Roller Coaster and how it has helped parents and carers in Durham.

We would like to give you the opportunity to hear about the experience of those in Durham and tell us what support you would find useful as a parent/carer, and if that includes setting up a parent/carer forum what support you would like to do so.

Please drop in at Carlisle Youth Zone from 2.30pm – 4.30pm or Harraby Community Centre from 7pm until 9pm. Local staff will be available with Wendy during these times for a coffee and a chat.

Kidz to Adultz North, Disabled Living Event

Kidz to Adultz North is one of the largest free UK events supporting children and young adults up to 25 years with disabilities & additional needs, their families, carers and the professionals who support them, join in on Thursday 8th November 2018 9:30am - 4:30pm at EventCity, Barton Dock Road, Manchester! More information.

Multi Professional Thematic

OutReach Cumbria - Working supportively with Gender Diversity

New dates have been announced for the 'working supportively with gender diversity' workshop.

Guest speakers Debbie Wood (Talking Therapies Lead with OutReach Cumbria) and Karen Pollock (Counselling in Northumberland) will be covering the following topics:

  • Understanding Gender - an explanation of why there is more to gender than 'man' and 'woman'
  • Trans Mental Health - Disordered or Oppressed?
  • Trans Physical Health – Surgery & Beyond
  • Making a Difference - Getting it right for trans people.

This workshop will take place on Wednesday 14th November 2018, 9:30 - 12:30pm at Harraby Community Centre, Edgehill Road Carlisle CA1 3SN. Registration from 9am, refreshments will be provided. 

For more information or to book a place please email your name, job title and base to: by Wednesday 31st October 2018

 For our staff from our staff 


Community Rehabilitation Services complete Great North Run 

A dedicated team from our Community Rehabilitation Services in  Carlisle took part in Great North Run half marathon in support of Eden Valley Hospice on Sunday 9th of September.

As part of a fund raising campaign, a team of runners took part in the run but the entire rehab team have helped with the fundraising; baking cakes, donating to car boot sales, raffles, face painting at local fetes over the summer.

The team have been touched by the work of the hospice following the death of a family member. Taking part were Natalie Godley, Cat Nixon, Poppy Graham, Cathy White, Lauren Armstrong. Emily Kay was cheering on from the side lines as she is now pregnant!!

So far they have raised over £3500 and are hoping to make the £4000 target. If there are any last minute sponsors it would be appreciated by the team! 

Wanted: Small metal lockers in a row of 5 or 6

If you have any small metal lockers in rows of 5 or 6 please contact or call 01228 608031. 

Lease Cars available for transfer

Please see the latest cars available for lease, Whilst these cars are used they are not necessarily cheaper to lease than a new car, but it does offer the opportunity to join the Trusts car schemes for a shorter period of time (i.e. to the end of the existing contract). For more information or to obtain a quote for the lease car scheme and salary sacrifice car scheme please email Tony Bellingham and provide all the personal information requested at the top of the above link.


NHS and Healthcare Discounts in Women’s Fashion

The Health Service Discounts team have been working hard to bring you the best in women’s fashion with an NHS discount – particularly if you’re planning a quick city break.

Our City Break Packing Guide for Girls comes complete with a handy city break packing guide. Fill your suitcase with Levi’s, Topshop, ASOS, Karen Millen, TK Maxx and Amazon and much more!

Our discounts are exclusive to Health Service Discounts members, it’s free to join and free to use.

Contact us

If you have any news or events to share, please contact the Communications & Engagement Team by 5pm Thursday to be included in the following week’s
Partnership News.

If your colleagues don’t have access to email please print this off and display
in an appropriate area.

You can contact us by:
Phone: 01228 603890
Write to: Communications & Engagement Department,
Voreda, Portland Place, Penrith, Cumbria CA11 7QQ