Review of the year

Making a difference – Criminal Justice Liaison Diversion Service

On 1 April, the new look Criminal Justice Liaison Diversion Service (CJLDS) was launched. The service was shaped by the needs the team were seeing across the county and the best-case outcomes they strive to achieve.

The CJLDS team is using their first contact to use their relationship building skills, empathy and an approved screening algorithm during the initial meeting to see how they can help. The team will deal with anyone from the age of 10 and will look at the range of vulnerabilities that may be impacting them including substance misuse, acquired brain injury, housing issues, speech, language and communication difficulties.

An individual can be followed through the entire criminal justice process and into court if needed. The service offers consistency to the person, helpful reports for the criminal justice staff while working with the individual to help them engage with services which may help them get back on track.

KMPT Awards

The KMPT Awards for 2019 was hosted by the glamorous television presenter Jasmine Harman. Jasmine donated her time to the event as mental health is very important to her. She shared her very personal experience with mental health on national television within a documentary titled ‘My hoarder mum and me’.

Among the fabulous award winning stories shared throughout the evening, the audience were given the opportunity to watch two films made by teams who wanted to share their positive CQC inspection experience.

A highlight of the evening was the launch of the Bridge House Story film. This featured former service user, volunteer and now clinical support worker at Bridge House, Mark Holmes. Mark and his mum shared their story to inspire others, a reflection on a personal journey to show there is a different road to recovery for everyone. This was a truly emotional moment which ended with the audience on their feet and not a dry eye in the house - including out glamorous host! Take a look at the film on out website

Throughout the evening winners and those who were highly commended were invited to the stage to accept their awards. The awards were, of course, presented to some fantastic and well deserved winners from across the Trust including volunteers and carers, across all the 15 categories available.

Culture

A large scale five step culture project began in April 2019 in partnership with The Wellbeing Collective to highlight areas for positive culture change in KMPT.

The project began with a diagnostic stage where a KMPT wide survey, focus groups and interviews were run with an appreciative inquiry approach, looking at what ‘The Perfect Day at Work’ would be like.

Feedback was then socialised through the organisation to identify the key areas of focus moving forwards.

This feedback was shaped into a Blueprint for change - Our Cultural Heart.

The Cultural Heart has 3 core principles:

• A just and learning approach

• An empowered team of teams

• Living our values

A   Quality Improvement approach with drivers and actions for embedding is proposed as part of this, with measures of success for year one. The initial roll out
of this work has been paused during the active phase of COVID-19 but learnings of how the organisation has responded to change is being captured to be woven in.

Clinical Care Pathway Programme

The Clinical Care Programme (CCP) has been co-produced with patients, carers and clinicians to provide programmes of care for everyone who require specialist mental health services.

Our Initial interventions pilot ran from November 2018 until June 2019. As part of this, 13 support time recovery workers were trained with 76 people

were offered support. The feedback has been exceptional with people reporting a reduction in depression and anxiety together with improvements to their wellbeing. Not only has this programme been rolled out countywide, it has

received recognition at Berlin’s Congress of Behavioural and Cognitive Therapies.

The Enduring conditions programme fits seamlessly with our Initial interventions pathway and has seen terrific results as a result of its 12 week Cognitive behaviour therapy for psychosis pilot. Through this people are supported with occupational livings skills and a health and wellbeing group which focuses on physical health screening, helping to ensure they are able to live well in the community.

Our work around personality disorder (PD) and memory assessment is ongoing. In January 2020 we hosted an Inspiring Change and Transforming Attitudes workshop in collaboration with the Royal College of Psychiatrists. This was attended by over 150 people including clinicians, partner organisations and people with lived experience and focused on where improvements could be made as well as the language used around personality disorder.

We have also streamlined our approach to memory assessment following a successful pilot in Dartford and Canterbury. By looking at the way the service is delivered and the removal of unnecessary paperwork, we have improved patient experience by reducing assessment times and released valuable clinician time to help support patients with greater complex needs.

Support and Signposting

The team at the Support and Signposting Service proudly opened the doors to the new facilities at Priority house in Maidstone in April. The service began as a pilot which offers a referral service, caring for people experiencing emotional distress and mental health crisis for up to 24 hours.

Contractors turned the work around on the former offices in a matter of weeks, transforming it into a bright and welcoming four-berth space.

This is not an inpatient facility and individuals are free to leave at any point after discussion with staff. Transportation can also be arranged.

The service has been given approval to continue for a further 12 months.

Website support

At the same time as the launch of this new service, a new section of the KMPT website was unveiled which will help users search for different organisations around Kent to find out what the do and how they can help.

CESR success

In August, Cohort three of our CESR fellowship was launched. This is an opportunity for doctors to work towards their first consultant post during a three year structured scheme, characterised by acting up opportunities, peer group support and professional development. The Trust has employed six CESR fellows with more anticipated in the near future.

Cloisters 2 Oysters – giving back

In 2018, Helen Greatorex (Chief Executive) and Sandra Goatley (Director of Workforce and Communications) took part in the Cloisters 2 Oysters bike ride from Whitstable to Canterbury and enjoyed it so much they committed to going back in 2019 with more of their KMPT colleagues. Staff from across the Trust joined the duo in May 2019 to help the Canterbury and Coastal Rethink Carers Support Group raise money for Rethink Mental Illness. At the last count, KMPT staff contributed to nearly six thousand pounds. This was a really important way for KMPT staff to give something back to an organisation which supports us in our work.

Walking to healthier living

Understanding the importance of walking, fresh air and nature to our patients’ wellbeing, Julie Delahaye Occupational therapist, knew the Green Beacon Walking Project pilot was just the thing for KMPT.

Julie and her colleagues at Priority House developed a walking group in line with the pilot with the ultimate aim of getting patients out of the ward with some light physical exercise. Members of the walking group make sure patients have every opportunity to make the most of the time they have as they walk some of Kent’s hidden pathways.

Naturally, patient safety is their priority which means some patients are not allowed to join the walking party just yet, but eventually they will be able to decide if it’s right for them. Patients can sometimes be anxious about leaving the ward, or trying something new. This is why Julie started taking photographs of the walks and recording some of the bird song they encounter along the way. For some it’s the little bit of encouragement they need to join the next group.

Celebrating volunteers and our Pets as therapy

During Volunteers week in June 2019, our amazing volunteers were celebrated at a special event at Mount Ephraim Gardens in Faversham. We didn’t forget our four legged friends who celebrated at their very own event later in the year at Great Danes Hotel in Maidstone. 17 pets as therapy dogs arrived (with owners!) to indulge in an afternoon of treats. We are incredibly proud of our team of volunteers and grateful to them for their outstanding contribution to KMPT services.

Marching with Pride

In the summer of 2019, KMPT staff, friends and family joined together with our colleagues in Kent Community Health Foundation Trust, Maidstone and

Tunbridge Wells NHS Trust and East Kent Hospitals University NHS Foundation Trust, marching in solidarity in the Canterbury and Margate Pride events. The reception given to NHS staff was amazing as they walked the celebratory route.

The theme of the rainbows was adopted for both Pride marches and people attending were encouraged to wear all the colours of the rainbow. KMPT staff wore specially designed #KMPTProud t-shirts.

The event followed a dedicated KMPT pride pledge event during which staff signed up to pledging to become allies to their LGBTQ colleagues and patients. Those who signed up received a rainbow lanyard and badge which indicates the wearer is someone you can speak with in confidence if needed.

Diversity and inclusion

The event held in October 2019, was certainly the Trusts biggest, brightest and loudest diversity conference yet! More than 141 people took part in the day which saw guest speakers including Paul Deemer, (NHS Employers), Gurvinder Sandher (Artistic Director of Cohesion Plus) and the Reverend Tina Beardsley. People spoke about their own experiences, the support they received, what could be improved on and how their experiences shaped them.

Workshops took themes from the Trusts four staff networks (BAME, LGBTQ+, Faith and Disability) which included hate crime, supporting disabled staff, faith in the workplace and sexual orientation and gender identity awareness.

Food from across the globe was served at lunchtime and the theme of music ran throughout the day. It was the perfect mix of fun, inclusion and activity.

Staff survey

The Trust celebrated its best staff survey response yet as the best performing of the 17 mental health / learning disability Trusts which used external company Picker for the staff survey.

Our result of 65.7 per cent topped the table, with the average response sitting at 54.4 per cent.

The results were made available to everyone in March and work has started to address the points raised by staff.

KMPT goes digital

The Trust was awarded funding as part of a £78 million investment to improve patient care by speeding up the introduction of electronic prescribing systems across the NHS. We are one of 25 Trusts to receive this round of funding. This allocation of money forms part of the second wave of funding earmarked for improvements within the NHS over the next three years.

The Trust will use the £800,000 to implement digital prescription technology and move away from handwritten prescriptions. By upgrading to more efficient systems it is hoped that it will ultimately help to save the NHS time

and benefit patients by reducing errors (compared with paper systems), ensuring fast access and will help build a complete electronic record.

Over the summer of 2019, the IT department and colleagues from across the Trust worked hard to install a high- specification video conferencing system in 36 rooms across the Trust’s estates, complete with a clever software package called Life Size. The introduction of this new equipment means all staff will be able to video call colleagues within the Trust, service users, carers and external fellow healthcare professionals using a variety of devices including laptops, smart phones and other devices with a camera and a microphone. It is this ability to be able to converse with other people across a wide geographic area that has led to the emergence of a new e-consultation pilot scheme. The new e-consultation approach to service delivery will enable the neurological department to dramatically reduce waiting times and improve patient care and wellbeing by bringing the service to people without the need for them to travel. This will connect service users, carers and the neurological team, even when they are in completely different locations.

MBU Royal Horticultural Society’s garden for Friendship

The year 2020 started well with the news that KMPT had been selected as the winner of a Royal Horticultural Society (RHS) competition. The Trusts Rosewood Mother and Baby Unit (MBU) in Dartford is the lucky recipient of the RHS Garden for Friendship, being designed by Jo

Thompson in collaboration with Radio Two presenter Zoe Ball. It was intended the garden would be showcased at the 2020 RHS Chelsea Flower Show but it has been postponed until 2021.

Jo will be visiting Dartford to scope out how the garden will transfer to Kent following the London event when patients, their families and staff will enjoy and benefit from the beautiful space.

The judging panel included Jo and Zoe, Professor Tim Kendall, national clinical director for NHS England, and Guy Barter, the RHS’ chief horticulturist.

Recovery college expansion

KMPT’s Recovery and Wellbeing College in Thanet has been given the green light to begin looking at expanding to other parts of the county. The college is led by Pam Wooding, Julie Fuller and their team of facilitators. Many of whom have joined the college to help others after

having experienced the service themselves. In January 2020 some of the team joined the Board to present to Non-executive directors and directors, how they are making a difference to peoples lives.

Research and Innovation

KMPT’s Research team has smashed their recruiting targets for 2019 with more than 800 people taking part in NIHR research.

In total the team has recruited 6060 since 2006.

The team has seen acclaim throughout the year as they continue to increase the numbers of people signing up to studies. Principal Investigator Meena McGill and Lead clinical research practitioner Mega

Setterfield were recognised for their efforts when recruiting to the COPe-support online resource for carers, a randomised controlled trial of a co-produced online intervention for carers. The team were one of the highest recruiting sites.

Two further studies also exceeded their targets. The AD Genetics Dementia study (Detecting Susceptibility Genes for Late- Onset Alzheimer’s disease) and DLB Genetics (Detecting susceptibility genes for dementia with Lewy bodies).The sponsor, University of Cardiff, described the Trusts Research team as “one of our most experienced and highest recruiting sites” ranking KMPT as sixth highest recruiting site out of 100 and the fourth highest recruiting site out of 60 for AD Genetics and DLB Genetics respectively.

One of the next big projects for the team is PATH (PerinAtal menTal Health). In 2019, the Trust was awarded a contract for €680,000 to take part in this EU-funded €8.5 million project. Thirteen partners from France, Belgium, the Netherlands and the UK are working collaboratively to design, deliver and implement new, durable services online and face-to- face, aiming to increase recognition and

prevention of mild and moderate Perinatal Mental Illness (PMI) and support new families’ mental wellbeing.

The first phase of collaborative work is to develop a multi-media campaign aimed at increasing the recognition and prevention of PMI. KMPT is leading on this part of the campaign.

The Research team has developed an NIHR portfolio eligible research application to evaluate the effectiveness of the PATH multimedia campaign.

This study is the first research study that the Trust will act as research sponsor for and is anticipated to be the first of several PATH research projects for which the Trust will lead on.

Quality Improvement

We believe that Quality Improvement should be an approach which is embedded in everything that we do to meet the needs of our service

users, improve quality and maximise productivity. The Trust is committed to working in collaboration with service users, carers, staff and partners to ensure a coherent and consistent approach to achieving our ambitions. This is why we have created our Quality Improvement strategy which was developed across the latter part of this year and approved at March Board 2020.