Partnership News 22nd November 2018

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

Partnership News


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Thursday 22nd November 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

No place like home – we’re discharging more patients sooner

We have been able to discharge more patients sooner during October as a result of our joint working between the Integrated Care Communities in the community, hospital and adult social care. There has been an increase in the number of medically fit patients (those who no longer require a hospital bed) leaving hospital with 91% patients discharged in October. This includes those who have been waiting to be discharged for some time; we have seen a big reduction in the number of patients waiting in hospital for further treatment/care to be arranged (delayed transfers of care, DTOCs). We’ve also seen an increase in discharges for patients who we have been able to care for in the community. This means that hospital beds are available for those who really need them and more patients are recovering in the comfort of their own home, which we know is often the best place.

Mandy Nagra, Interim Executive Chief Operating Officer said, “This is an excellent and achievement and shows promising early results that our plans are having the right impact. Teams have been absolutely outstanding and I’m very pleased that we are making good progress.”

New tool supports patients in A&E with breathing difficulties

People who attend A&E with breathing problems will be now more likely to avoid a hospital stay thanks to a new project that has been introduced in north Cumbria. Those who attend A&E at theCumberland Infirmary, or West Cumberland Hospital, with shortness of breath will be assessed using a new tool, known as DECAF, to see if they can be safely treated at home with more support to manage their condition. Staff in A&E will work with the Integrated Care Communities (ICCs) to ensure patients are treated in the best place for their needs. Read the full story.

Opportunity to shape our organisation – one week left to fill in the Staff Survey

Just one week left to complete your Staff Survey!
We’d like to remind all staff that this is your chance to have a voice and feedback what it is like to work at the Trust and in your teams. It takes around 10 minutes to complete, and the results will be used to shape the Trust’s objectives and priorities next year.

The survey data is kept completely confidential; the data is collated by an external organisation, Picker, and we do not receive any individual responses. Please click here to read the Frequently Asked Questions and click here to view the Picker data handling information.

So far 40% of our staff have completed the survey but we are aiming for over 50% to gather meaningful results.

Final reminder emails will be sent from, or search for NHS Staff Survey 2018 in your inbox.

Advice for patients and families who had contact with Zholia Alemi

You will have seen reports in the media about Zholia Alemi, who fraudlently registered with the General Medical Council 23 years ago.  For 23 years she has been practicing in the UK using this GMC registration which has now been revealed as fraudulent.

Alemi was employed as an agency locum old age psychiatrist at Cumbria Partnership NHS Foundation Trust for approximately eight months between 19th October 2015 and 6th June 2016. 

We are shocked and disappointed to find that she entered the register using a fraudulent qualification.  The GMC are now investigating how this could have happened and have since put in place more rigorous processes to ensures doctors are fit to work in the UK.  Comprehensive background checks were undertaken by the Trust prior to her employment.

The safety of our patients is our utmost priority and we understand that patients and families who were in contact with Zholia Alemi may be concerned.

When we became aware of a criminal investigation in 2016 we completed a clinical review of patients she was in contact with. We will be taking a further look at that review in the light of the new information that has emerged and we will be in touch with patients individually in the next few weeks.

If a patient has a more immediate concern, they should contact their GP or our patient experience team. More information is on our website.

Introducing Judith Toland, Executive Director of Workforce & Organisational Development

Judith Toland has arrived in Cumbria this month following her appointment as Executive Director of Workforce and Organisational Development.   Her post covers North Cumbria University Hospitals NHS Trust, Cumbria Partnership NHS Foundation Trust and the wider North Cumbria Health and Care system.

Judith joins us with extensive experience in human resources, organisational development and transformation projects in a number of sectors including health, education and private sector.  Some of her previous posts include Director of Business Transformation at Durham University, Change Director/Director of Operations at the Independent Parliamentary Standards Agency and a Business Change Consultant at British Airways.

On her appointment Judith said: “I’ve lived and worked in Cumbria previously and I’m looking forward to supporting this exciting period of change.”


Stay well this winter

It is important that everyone looks after themselves during the winter months, particularly during colder weather.

There are a lot of resources that the public can refer to for simple tips and advice on their health and any concerns they may have: 

  • The NHS Choices website has information on alcohol intake, healthy eating, how to treat common ailments at home and how you can help look out for others. 
  • NHS 111 is a free service which the public can call for non-urgent medical advice.
  • Pharmacists can be accessed all year round and are trained medical professionals who can provide health advice and over the counter treatments.
  • Age UK has some winter wrapped up advice, as well as advice on combatting loneliness along with a range of support that people can access.
  • Cumbria County Council have launched a Winter Ready Campaign with advice on winter driving, helping each other, emergency planning, financial support and health.
  • If you are a parent or carer of a child aged 0-5 years you can view an NHS guide here, which includes lots of useful hints and tips from experts in child health including hospital specialists, doctors, health visitors and pharmacists. There is also information on the free 'NHS Child Health' app which can be downloaded on Google play and in the App Store.

Found out more on our winter webpage.

World COPD day

Wednesday marked World COPD day which aims to raise awareness of Chronic Obstructive Pulmonary Disease (COPD) and help people get the support they need.

Those who suffer from COPD can be more susceptible to the effects of cold weather, finding themselves short of breath and coughing more than usual.

Top tips that can help those with COPD include:

  • Make sure you have enough prescription medication if your symptoms get worse and have this close by at all times.
  • Keep the main rooms at 21°C and bedrooms at 18°C. Cold rooms can make breathing more difficult.
  • Those with COPD qualify for a free flu jab, ask your GP.
  • Stop smoking - for people with COPD this is the most important thing they can do to help their breathing.
  • A healthy diet helps improve the immune system so it can fight infection.

Further advice is available on the British Lung Foundation website at:

Couple sing praises for Pulmonary Rehabilitation group

Jean and Tommy Turnbull, both aged 82, from Carlisle have found a new lease of life after completing a Pulmonary Rehabilitation programme to help with managing their COPD. Read their story on our website.

Don’t let flu spoil your Christmas celebrations

The flu jab takes up to two weeks to become effective, in this time you could still contract flu whilst your body is creating the antibodies to fight this year’s strain. Don’t leave it until the last minute and miss out on all of the festivities December brings, get your flu jab today and enjoy the Christmas month! The flu jab this year is offering more protection than ever against four different strains of flu, get your #jabdone ! So far 41.1% of you have had your jab, let's keep this going and get as many people as possible protected from flu.

To find out where your nearest flu clinic is have a look on our flu fighter intranet pages, the clinics for the next week are listed below. You can also print a consent form and fill this in before attending a clinic to save time. You can also get in touch with our District Nursing teams to get your jab done or give the flu fighting team a call and they will arrange an appointment with you.

When Time Where Who
27/11/2018 10.00AM-12.00PM




Reminder to peer vaccinators to send your forms back to the Infection Prevention team.Have you already had your flu jab? Let us know so we can update our records. This includes getting your jab at your GP or local pharmacy.

We’d love to see your flu fighting photos, simply take your photo and send it to us and we will share on social media. You can also share it yourself on Twitter and just tag @CPFTNHS or @NorthCumbriaNHS !

New staff website – launches Monday 3rd December

The new staff website, which will replace the current intranet, is going to be launched on Monday the 3rd of December. This means that the page that you will first see when you access the internet will change.

The current intranet website will still be accessible from the new one so you will still be able to access everything you currently do.

The new website will contain information that is joint between North Cumbria University Hospitals Trust and Cumbria Partnership NHS Foundation Trust. Over the next 6 months all departments and services will move to the new site.

The new website has been developed with feedback from over 300 staff who responded to the survey and face to face interviews over the summer as part of an Engaging for Improvement project with CLIC.

Some of the benefits of the new website include:

  • The site will be available from any device from any location
  • The speed of the site with be faster
  • The navigation of the site will be simpler
  • The website search will allow for a more accurate search for both content and documents.

Latest North Cumbria University NHS Hospitals Trust report from Care Quality Commission (CQC)

You will have seen Stephen’s blog yesterday explaining the outcome of the latest CQC inspection for North Cumbria University Hospitals NHS Trust. The report, which will be published today, gives an overall rating of ‘requires improvement’ for the Trust. In all services staff were recognised for their hard work,  the kind and compassionate care they provide and all were rated as ‘good’ for caring. The full report will be live online from Thursday:

Car parking at the Cumberland infirmary

Work continues on the upgrading of the temporary car park at CIC which will be completed by late December. The site is still very busy and we would like to remind you that you can park in the Castle car park at Devonshire Walk.

It is open from 6.30am-8.00pm, those parking at Devonshire Walk will be able to claim for their parking charges and be refunded your staff permit charges. If you are able to do this please let us know by emailing

Spaces in car park A, in rows A7, A8 and A9 ONLY (highlighted in blue) have been made available for staff with permits to use during this period. Staff cannot park in rows A1 – A6 (in red and above) and will be get a parking fine if you do not have a valid pay and display ticket. Please note as per the Trust’s car parking policy, we cannot refund staff if they choose to pay and display in the patient and visitor’s car park at CIC.

Thank you for your patience and co-operation during this time. Please can managers ensure all staff are made aware of this.

Car parking at West Cumberland Hospital

Please can we remind staff that they are also able to use Sneckyeat car park with a valid staff parking permit. Directions are as follows: Going up the hill to the hospital take the first right after the hospital entrance. Follow the road to the end, the big gravel car park is Sneckyeat car park

Cumbria Health and Wellbeing Update

Read Cumbria County Council's latest health and wellbeing newsletter. In this edition you can read about how to stay well this winter and what plans are in place to treat people closer to home as well information on the flu jab. You can also read Cumbria County Council's other news updates.

Spotlight on: Raising awareness of pressure ulcers 

Nurses raising public awareness to help stop the pressure

Last Thursday was the international #StopThePressure ulcer day and our team of tissue viability nurses from CPFT and NCUH used the day as an opportunity to get out and meet the public to raise the awareness of pressure ulcers.

The teams had stands in The Lanes shopping centre, Carlisle and at Dunmail Park shopping centre, Workington. There was lots of interest from the public and the nurses provided information on how to prevent pressure ulcers, who is most at risk, the importance of keeping moving, nutrition and who to contact if they were concerned about someone.

The team also took to social media on the day which proved really popular and had lots of positive interaction including a great feature from the Nursing Times.

Read more about the work going to #StopThePressure on our website.

Stop the pressure programme – Important information for clinicians

The national Stop the Pressure programme led by NHS Improvement has developed recommendations for trusts in England. The recommendations are designed to be consistent with some of the existing approach to definitions, and to also raise the profile of “hidden” categories of pressure damage. Better understanding of pressure damage will enable trusts to learn from incidents and design appropriate  improvement work in response to their profile.

There will be changes in the way we define, document and report pressure ulcers, deep tissue injuries, moisture associated skin damage and device related pressure ulcers including:

  • The term category, not grade or stage, will be used – i.e. Category 4      
  • We will no longer be using the terms avoidable and unavoidable
  • The 72 hour rule will be discontinued
  • Pressure ulcers documented as present on admission should be those observed during the skin assessment undertaken on admission to the service
  • Unstageable and deep tissue injury pressure ulcers should be reviewed WEEKLY by a clinician with appropriate skills
  • Only pressure ulcers that meet the criteria for a Serious Incident (SI) should be reported to the commissioners

Ulysses has been upgraded to reflect the new categories which are required to be reported and will go live from 26th November at 2pm.

React to Red

A pressure ulcer prevention campaign that is committed to educating as many people as possible about the dangers of pressure ulcers and the simple steps that can be taken to avoid them.

The prevention of avoidable pressure ulcers in the community is one of the biggest challenges that care organisations face - a challenge which currently costs the NHS and care organisations in the UK around £6.5 billion per year. Pressure ulcers affect around 700,000 people in the UK every year and many of these will develop whilst an individual is being cared for in a formal care setting (hospital, nursing home or care home). The reality is that many pressure ulcers are avoidable if simple knowledge is provided and preventative best practice is followed.

Using the React to Red approach for pressure ulcer prevention, developed in line with evidence based practice, will raise the level of knowledge of prevention and awareness strategies that are person focused and promote excellence for outcomes of care. An e-learning version of the React to Red Training Resource has been launched to access: Skills for Health/ESR - search for the course ‘000 North React to Red’ when logged in to ESR

Useful updates

Waterloo House GP Surgery new fax number

Please note that Waterloo House GP Surgery in Millom has a new fax number: 01229 402804

Read the latest Fraud Insight newsletter

The latest Fraud Insight newsletter includes articles on recent cases, tips on how to be fraud aware on social media and the opportunity to host a presentation on the fight against fraud in the NHS.

Workforce Update

Click HERE to see our weekly updates page.

JOIN Our Amazing People

Check out all the latest job vacancies the Trust has on offer.

Share this link with your family & friends on social media & spread the word.

Job of the week: Rowanwood Ward Manager

A rare opportunity to provide clinical & managerial leadership on our Psychiatric Intensive Care Unit (PICU) #isthisyou You will fulfil the role of modern matron for the unit, contributing to the strategic management, service modernisation, development and delivery of high quality care as well as supporting junior staff #WeAreTheNHS

Clinical and non-clinical supervision survey

NCUH and CPFT are committed to delivering high quality, safe service user care and sees supervision of both clinical and non-clinical staff as an essential mechanism to support this.

Supervision is about focusing on best practice; highlighting it, sharing it with others and practicing it.

We are reviewing our joint supervision policy to ensure staff are able to access high level and regular supervision through a range of options. We aim to provide all staff with equal opportunities to engage in supervision to ensure the appropriate level of support, risk management and quality improvement is in place.

We also want to use supervision sessions to support staff health and wellbeing, looking at how the supervisee is feeling, exploring any physical or emotional aspects of work and support available, looking at work-life balance and general wellbeing.

In order for us to benchmark the level of supervision that is currently being undertaken, along with the frequency of it, please could you complete the below survey by Friday 30 November 2018:

Events and Training

Applications now open for Education & Learning Individual Bursary Funding

Want to learn new skills that will help to improve patient care? ‘Workforce upskilling funds’ for individual bursaries are now available from Health Education England (HEE). NCUH & CPFT will be awarding individual bursaries up to £1000 per person in 2018. Applications are open to all non-medical staff (medical staff have a different CPD funding route) who think an education & learning bursary could support their development and help them to achieve their objectives.

Please complete the application form and follow the guidance as closely as possible. Applications need to be submitted by Friday 23rd November to

Mental Capacity Act – E-Learning Now Available!

The Statutory and Mandatory Training Team are very pleased to announce that the Mental Capacity Act e-learning course is now available!  We have teamed up with NCUH to develop a course that you can self-enrol onto through your Learner Homepage on ESR.

Use the search bar at the top of your Learner Homepage and enter ‘262 Mental Capacity Act’ to locate the e-learning course. Please click here to view a user guide on how to self-enrol onto e-learning training.

MCA will be re-added to people’s Learning Letters who are required to complete this training.

Please contact the Statutory and Mandatory Training Team at if you have any questions.

Skills for Care Roadshows

You are invited to attend Skills for Care’s Roadshow in Penrith on Tuesday 04 December 2018.

Location: Penrith Conference Centre
Timings: 10.00-14.00 (with networking lunch)
Skills for Care's free interactive roadshows are where employers can meet and interact with their peers, share ideas and best practice.
These events fill up fast – book now to avoid disappointment.
Come and find out about:

  • how digital innovations in social care can help people feel more involved and in control
  • issues impacting on workforce productivity and work performance in the sector
  • The National Minimum Data Set for Social Care (NMDS-SC)
  • funding you could be eligible for
  • our offer of support to employers and our newest resources.

We are looking for people to take part in research.

Researchers at the University of Newcastle would like to investigate whether the autonomic nervous system works differently in people with mental health, neurodevelopmental and neurodegenerative disorders. So, we need healthy volunteers without such disorders to take part in a study, to evaluate whether the autonomic nervous system is affected by the severity of the disorder or by medication use.

We need volunteers to complete a questionnaire (which takes about 10 minutes) that asks about dizziness type symptoms and a question about fatigue (tiredness) - we will also ask some questions about your mental health.

The information gathered from this study may help to develop further treatments for mental health patients in future. All information that you give us will be kept confidential and private. Your name will not be mentioned in any reports.

If you are interested in taking part, please contact Hannah Shaw ( to discuss the study further.

For our staff from our staff 


Eden Unit Therapy Team's charity walk

Earlier this year the Therapy Team from the Eden Unit at Penrith Hospital organised a charity walk along Ulswater Way. The event was planned to raise funds for new resources on the Eden Unit and to celebrate 70 years of the NHS.

Karen Smith Occupational Therapist from the Eden Unit explains why the team felt the event was important.

“For some patients, particularly those with dementia, the hospital environment can sometimes feel very clinical and unfamiliar. This can lead to patients feeling disorientated and unable to engage in their usual occupations, otherwise known as ‘occupational deprivation’. This can impact on a patient’s wellbeing and potentially on their rehabilitation potential.

As a therapy team we aim to run group therapy sessions as often as we can, to support patients to connect with others and to enjoy familiar and meaningful activities. The new resources will be used to help us provide more patient-centred therapy sessions, which promote social inclusion and help patients enjoy their time with us and reach their rehabilitation goals”.

The walk was a lovely team event and a huge success, raising £350, which was donated to Penrith and Eden Community Hospital League of friends, who have supported the team to purchase specialist dementia friendly resources.

The team are looking forward to putting the resources to good use in future therapy sessions and would like to thank Penrith and Eden Community Hospital League of Friends and all those who donated for their generosity.

Workington Community Rehabilitation Teams Remembrance Sunday  fundraiser

 Workington Community Rehabilitation Teams' physiotherapist, Penny Broughs daughter, Belle hand made hearts and poppies to raise money for the poppy appeal which  all the team donated to.

Children in Need bake sale

Saima Afzal, student within the Community Mental Health Team  in Carlisle arranged a bake sale to support Children in Need on Friday  and managed to raise £29 pounds.

Free standing office screen wanted

If anyone has a spare free standing office screen approximately 600-700mm wide x 1500-1700 mm high that is not in use please would you contact the Learning Disability Team  in the south on 01229 404550. Thank you. 

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 Discounts

This week we’re keen to tell you about our crazy Black Friday offers that are soon to be coming your way!

Make sure you are signed up for free membership and subscribed to the Health Service Discount regular emails. They are loads of amazing offers on their website, and they've secured some incredible prizes to give away each day via email.

That’s not all! Go over to their Facebook and like it. We’ll have additional exclusive daily giveaways on our page with some fantastic prizes and the winners will be announced each consecutive day. Remember to check those emails and grab yourselves a Black Friday bargain.

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