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#Caring4NHSPeople virtual wellbeing session 11th August 2021

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Slides for health and wellbeing community event 11th August focused on supporting the mental health of our people

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#Caring4NHSPeople virtual wellbeing session 11th August 2021

  1. 1. Supporting the mental health and wellbeing of our people Virtual Community Meeting Wednesday 11th August 4pm #Caring4NHSpeople # ProjectM Welcome to the NHS England and NHS Improvement monthly national community event supporting the health and wellbeing of our NHS people during the Covid-19 response
  2. 2. Introduce yourself in the chat box Say: • Who you are • Where you are today • What do you as an individual, enjoy/appreciate the most about your current role? • Send to “all participants” To join the wellbeing community list, click on the link at http://horizonsnhs.com/caring4nhspeople/
  3. 3. To join the mailing list of people who get the information about this community: http://horizonsnhs.com/caring4nhspeople/ #Caring4NHSpeople #ProjectM Staying in touch… #Caring4NHSpeople #ProjectM For all the wellbeing offers: england.nhs.uk/people All the #ProjectM offers: https://people.nhs.uk/
  4. 4. Introduce yourself in the chat box Say: • Who you are • Where you are today • What do you as an individual, enjoy/appreciate the most about your current role? • Send to “all participants” To join the wellbeing community list, click on the link at http://horizonsnhs.com/caring4nhspeople/
  5. 5. Supporting the mental health and wellbeing of our people Virtual Community Meeting 11th August 4pm #Caring4NHSpeople # ProjectM Welcome to the NHS England and NHS Improvement monthly national community event supporting the health and wellbeing of our NHS people during the Covid-19 response
  6. 6. Aims of today’s national health and wellbeing community event… • Offer support, ideas, knowledge and wisdom to those with a role in supporting the health and wellbeing of our staff • Share the range of wellbeing support activities that are available • Connect with each other and collectively build our community of those who support the health and wellbeing of our staff #Caring4NHSpeople #ProjectM
  7. 7. • 26 virtual meetings of the community with more than 8,500 participants • 130,000 + views of the sessions and materials • 140,000 + words shared in the chat boxes during the sessions • Over 2,500 #Caring4NHSPeople newsletter subscribers • Over 30 million Twitter impressions #Caring4NHSPeople Led by the People Directorate, NHS England and NHS Improvement The community of people who support the health and wellbeing of #OurNHSPeople (and those in partner organisations) Source of image: NHS North West Leadership Academy
  8. 8. • Welcome – Ian Baines, Elizabeth Nyawade & John Drew • Wellbeing Overview & Mental Health & Wellbeing Hubs – Laura Tyrell • Our Dorset - Here For Each Other staff wellbeing service – Laila Jamil & Kate Hall • Greater Manchester Resilience Hub – Looking after yourself in difficult times – Jenni Willbourn & Kathy McGuirk • Closing Remarks – Ian Baines & Elizabeth Nyawade #Caring4NHSpeople #ProjectM
  9. 9. The team today Ian Baines Contributors... Elizabeth Nyawade Chat box facilitators Social Media YouTube host Paul Woodley Technical host #Caring4NHSpeople #ProjectM Kathy McGuirk Rupal Johal Laura Tyrell Laila Jamil Jenni Willbourn Lynsey Ogilvie Monica Sharma Catherine Wilson John Drew Kate Hall
  10. 10. Welcome & Introduction #Caring4NHSpeople #ProjectM John Drew Director of Staff Experience & Engagement NHS England & NHS Improvement @JohnDrew_1970
  11. 11. Health & Wellbeing Overview Mental Health & Wellbeing Hubs #Caring4NHSpeople #ProjectM Laura Tyrell Programme Manager Adult Mental Health Team NHS England & NHS Improvement @lauratyrrell01
  12. 12. A range of guides, apps and resources are available to support the wellbeing of you and your team: www.england.nhs.uk/people or contact ournhspeople.hwb@nhs.net Supporting Our NHS People Helping you manage your own health and wellbeing while looking after others Staff support line: Confidential staff support line, operated by the Samaritans and free to access from 7:00am – 11:00pm, seven days a week. Call: 0800 069 6222 or Text: FRONTLINE to 85258 for support 24/7 via text Bereavement support line: Confidential bereavement support line, operated by Hospice UK and free to access from 8:00am – 8:00pm, seven days a week. Call: 0300 303 4434 Access to your local staff mental health and wellbeing hub: to provide rapid access to assessment and local evidence-based mental health services and support where needed. Free access to a range of mental health and wellbeing apps including access to Headspace, Daylight, Unmind, Sleepio, Liberate and Movement for Modern Life. Physical health offer with the Invictus Games Foundation: Looking after your physical health is key to supporting your overall health and wellbeing, including your mental health. We have also published guidance and information on how to have wellbeing conversations, and will shortly be launching a national training programme aimed at line managers and colleagues seeking support in confidently and safely holding conversations about wellbeing.
  13. 13. 3 Ways to join Menti: 1. Click on the the link to the poll which has been shared in the chat box 2. Scan the QR code below on your phone 3. Go to menti.com and use the code 9373 3447 Q1: Have you heard of the staff mental health and wellbeing hubs?
  14. 14. 14 | NHS England and NHS Improvement has invested in strengthening mental health support for staff 3 key components to the programme: 1. 40 system-wide mental health and wellbeing hubs which provide rapid access to evidence based mental health services and psychosocial support where needed 2. A national enhanced mental health service for staff with complex needs, delivered by NHS Practitioner Health ​Service 3. Professional Nurse Advocate training which provides trainees with the necessary skills to facilitate restorative supervision to their colleagues and teams within Nursing Services and beyond. NHS has strengthened mental health support for staff For details on the hubs including how to access your local hub go to: https://www.england.nhs.uk/supporting-our- nhs-people/support-now/staff-mental-health-and-wellbeing-hubs/
  15. 15. 15 | Staff mental health and wellbeing hubs deliver 3 key functions • It is confidential and free of charge, and is open to all health and care staff • It is an end-to-end pathway that supports staff mental health needs from early identification (via proactive outreach) to intervention e.g. IAPT, community mental health services as well as psychosocial support • The model has a strong evidence base backing it. Hubs have been used to good effect in response to other major incidents in the UK and abroad, including the Manchester arena attack and the SARS epidemic. • An ICS-level footprint allows tailoring of the offer to the local community. • The model anticipates staff needs and behaviours e.g. the outreach function intends to address low help-seeking behaviours • The model has received broad support from clinical experts, academic professionals, staff networks and professional bodies. Hubs deliver three key functions: 1. Deliver proactive outreach and engagement 2. Provide rapid clinical assessment 3. Provide care co-ordination and supported onward referral to deliver rapid access to mental health treatment
  16. 16. 16 | The Hubs will proactively outreach to staff who may be more at risk of poor mental health A literature review concluded that the following staffing groups or factors may indicate a higher risk of mental health problems, and consequentially may be more likely to benefit from outreach, engagement and mental health support: Staff who have been bereaved personally or professionally by Covid-19 Disadvantaged groups Black, Asian, and minority ethnic (BAME) communities Staff working in the most challenging environments and in high proximity to the delivery of care Those deployed into intensive roles outside of their usual training especially critical care nurses Agency staff, temporary staff and staff returning to practice Staff separated from their usual support network (family and friends) Parents of dependent children People who have shielded and not been in regular contact with their line manager Staff exposed to poor public behaviours or where team behaviours are problematic Less experienced staff working in complex or challenging environments Those with existing mental or physical health conditions
  17. 17. 17 | Feedback and common concerns staff are presenting to the hubs with Thank you again for your immense kindness, it really is truly appreciated and the work you all do is amazing. We are lucky to have these services! Staff Member after accessing support from their local hub I have found the support you have provided incredibly helpful. I truly do not have any thoughts on how this could have been improved. You were in contact so quickly from my initial referral, which was amazing at such a stressful time for so many people. The advise and support were fantastic and really helped me understand my options. Some of which I would not have even considered. Staff Member after accessing support from their local hub Having the opportunity to talk to someone face to face was really helpful. I felt as if I could open up my fears and feelings and realise that we are all feeling the same, frightened, lonely, working with the unknown, and to realise you not alone with your thoughts gives you some comfort of normality. Nurse attending a group support session These sorts of session remind me that I am valued and respected as a nurse by the organisation. Nurse attending peer support session Covid-related • COVID related stress • Anxiety around possibility of another wave and lockdown • Physical health concerns - personal Covid symptoms • Long covid • Passing covid onto colleagues & friends • Past trauma made worse by COVID pressures Work-related • Work stress and relationships - support from management • Difficult working conditions (e.g. PPE) • Redeployed/change in role • Moral injury • Workload and managing work-life balance • Concern about going to ‘business as usual’ • Morale • Bereavement related to work Mental health symptoms/emotional wellbeing • Anxiety/worries • Guilt, shame • Sense of abandonment and undervalued • Anger • Exhaustion/burnout • Trauma • Depression/low mood/lack of motivation • Compassion fatigue Personal circumstances • Lifestyle changes – sleep/coping strategies • Social separation/loneliness • Bereavement: personal • Historical abuse • Insomnia • Long term sickness • Relationships – children, families, partner • Managing underlying health conditions
  18. 18. 18 | Doctors, Dentists and senior NHS staff (band 8d or above) via self-referral • This is in recognition of the additional barriers that staff in these roles may face when accessing care confidentially. • The registration forms for these groups are on the Practitioner Health website: https://www.practitionerhealth.nhs.uk/ac cessing-the-service-for-nhs-workforce All other staff via local hubs There are two criteria that hubs will consider before making the decision to refer. a) Is the individual already accessing healthcare for the issue? If yes they would not normally be eligible for NHSPH b) Is there a legitimate reason why they cannot access mainstream NHS services locally? Normally this would be around access to confidential care, but we rely on the hubs judgement to decide if referral to NHSPH would be appropriate based on the individual’s circumstances • NHSE/I has expanded the NHS Practitioner Health service to put in place enhanced mental health support where hubs can refer the smaller percentage of staff, that may have more complex needs (such as complex traumatic stress reactions or addictions). • NHSPH is a mental health assessment and treatment service established to care for health professionals and has over 12 years’ experience providing care to health professionals with mental health problems, including addiction issues. • This service can offer access to prescribing clinicians, access to addiction services and interventions focused on trauma. • The service can also provide case management and support return to work. Enhanced Mental Health Service to support staff with complex needs
  19. 19. 19 | What you can do • Look out for signs that your colleagues may be struggling and help signpost them to their local hub or the Practitioner Health service where appropriate • Help promote the Hubs and Practitioner Health Service and find out what your organisation is doing to help normalise seeking mental health support amongst staff and break down any barriers to access • Identify opportunities to invite your local hub leads to discuss or promote their local offer for staff • Look at whether your organisation makes staff health and wellbeing a priority and monitor it • Send a clear and consistent message about the health and wellbeing support offers available to your staff – hubs are often an alternative to internal offers and can help integrate and coordinate support • Lastly, reach out to your local hub if you need support, even if you are not sure what support you need
  20. 20. 3 Ways to join Menti: 1. Click on the the link to the poll which has been shared in the chat box 2. Scan the QR code below on your phone 3. Go to menti.com and use the code 9373 3447 Q2: What would help you or your colleagues to access the staff mental health and wellbeing hubs when needed?
  21. 21. Our Dorset Here For Each Other staff wellbeing service #Caring4NHSpeople #ProjectM Laila Jamil Senior Clinical Psychologist Dorset Healthcare University NHS Foundation Trust Kate Hall Service Manager Dorset Healthcare University NHS Foundation Trust @Kate_Hall83
  22. 22. 4. Health interventions: Access to psychological therapy, counselling and psychiatric assessment Access to MSK services, IAPT, dietetics 3. Personal support: Emotional, financial, self-care needs: EAPs, Phone helpline, Psychological First Aid sessions, Mental Health First Aiders, Live Well Dorset, Dorset Open Door, Voluntary sector organisations 2. Self-care Information: Online through PHD/DHC website, social media, webinars, printed leaflets, personal contact through Wellbeing Champions 1. Basic needs: Access to drink/food, IT, PPE, safeguarding for domestic abuse Management referral Whole Team Referral Psychological Resilience Hub: Screening/ assessment Inreach Refer in Self-Referral Refer/signpost to appropriate service Follow up Professional Referral
  23. 23. How we work • Individual therapy such as EMDR, FLASH, CAT and couples work • Facilitating Team support on the wards or virtually • Schwartz rounds for teams • Staff offer webinars such as anxiety and sleep, yoga back care, reducing stress and improving listening for parents and courses such as 4-session weekly posture, mindfulness courses and returning to work after sick leave • 30 minute events in the calendar open to all staff via Teams … dance, Pilates which are recorded for access at a later time
  24. 24. How do we link in with, and support, OH? • Connections and relationships with OH departments across Dorset: Complimenting their offer and joint working with their wellbeing leads across trusts, CCG and councils • Includes services commissioned by the two councils such as providers of social care • MSK with Dorset Council • Referrals from OH staff wellbeing practitioners at University Hospitals Dorset for Complex Trauma • Focus on a systems rather than organisational level • Supporting staff on long-term sick or returning after an extended period of absence
  25. 25. Pan-Dorset Steering Group • Focus on a systems rather than organisational level • Close working relationships with wellbeing leads in all teams • Organisations identified groups that need this support from alternative to their own organisation • Outreach groups: where public health and their up-take of wellbeing offer are low such as estates and domestic staff • Future plans: supporting organisations to facilitate return to work of those who were shielding and anxious about returning to the workplace where needed
  26. 26. Support to Care Homes • Those leading the IMT meetings with care homes are routinely discussing staff wellbeing and mentioning the wellbeing service where appropriate. • We have attended several meetings where established managers and new staff of care homes were brought together by Partners in Care in order to share the offer with people across the board. This has led to requests for bespoke team support which we have been delighted to respond to. • Setting up a Task and Finish Group in partnership with Care Home Leads to co-design a bespoke package of support
  27. 27. Staff Feedback “really helpful session, looking forward to more” “Thank you so much. I really needed to hear a lot of the things that we have covered. I am honestly so grateful” “Thank you both. It has particularly brought attention to my poor sitting posture and has made me rethink this posture and exercises I can do at my desk” “The course has been a really useful reminder to take notice of slipping into bad habits sitting at the desk…..Which then just creates more problems and issues for our bodies (& minds)” “Really great to have the opportunity for a well-being session in the outdoors and away from day-to-day stressors. Thank you” “It was lovely to have time away and confirmed even more to take time for me.” “What a lovely group. I loved hearing the stories from others - it created a very safe environment where I felt free to share.” “I can't explain how much I have gained from today. Wish it had been longer. Thank you so much, you are such calm, gentle, lovely people.”
  28. 28. Greater Manchester Resilience Hub Looking after yourself in difficult times #Caring4NHSpeople #ProjectM Jenni Willbourn Clinical lead & Psychological therapist Greater Manchester Resilience Hub Kathy McGuirk Greater Manchester Resilience Hub @kathymcguirk
  29. 29. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing Essentials of support Notice Acknowledge Validate Utilise helpful strategies Seek support
  30. 30. What word would you use to describe the impact of the current situation?
  31. 31. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing What changes have you noticed in yourself or your colleagues?
  32. 32. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing Understand context Ongoing, ever-changing, challenging, exhausting Diffuse anger Work/life impact Constant threat Chronic stressors Polarised experiences (redeployment, shielding etc)
  33. 33. How might ongoing threat affect people? Feel out of control, angry, demoralised, exhausted Stress, anxiety, low mood, trauma Reduced coping = more unhelpful and less helpful strategies Impact on relationships Influenced by history, situation and coping resources
  34. 34. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing Don’t forget the basic mechanisms • 121s • A brew • Team meetings • Check-ins / buddy systems
  35. 35. Skill -self care essentials • Keep it simple • Do what works for you, plan it in • Be compassionate to yourself • Connect with others • Nurture yourself • Use physiological approaches • Focus on what you can control • Reduce demands on yourself • Accept and ask for support
  36. 36. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing Visibility & Communication • Whole system and cultural approach • Visible leadership • Promoting eligibility, particularly to those who experience additional barrier to support • Clear and concise • Menu of offers • Myth busting • Work with, not do to
  37. 37. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing Looking after yourself (containing the containers) • If you don’t look after yourself you can’t support your clients/patients/ service users/colleagues • Apply the same values to yourself you would to them
  38. 38. Actions • Be kind to yourself and access your own support • Acknowledge and validate the experiences of your colleagues and team - it’s tough so finding it hard is to be expected • Continue / reimplement the basic mechanisms for support • Repeat clear communications about offers of support • Contact your local Hub
  39. 39. Greater Manchester Resilience Hub’s support for essential frontline workers during Covid-19 is supported and funded by Greater Manchester Health and Social Care Partnership. Looking after your mental health and emotional wellbeing Messages of hope and resilience
  40. 40. Greater Manchester Resilience Hub www.penninecare.nhs.uk/mcrhub-covid19 Telephone 03330 095 071 Email GM.help@nhs.net
  41. 41. In the chat box… Share one thing that you're going to do as a result of joining the session today... Photo by Júnior Ferreira on Unsplash
  42. 42. Coming up for #ProjectM? #ProjectM www.people.nhs.uk/projectm Join the next #ProjectM Tweet Chat is Tuesday 7th September 7pm Twitter: #ProjectM I #OurNHSPeople @NHSLeadership Tea & Talk time: informal safe conversations about leading and managing from the middle. Tuesday 17th August 4:30pm to 5:30pm E: projectm@leadershipacademy.nhs.uk 21st September 4:30pm Tea & Talk: informal safe conversations about leading and managing from the middle. E: projectm@leadershipacademy.nhs.uk 28th September 12:30pm Listen & Learn lunch: Speakers TBC; theme focus on building cohesive teams building on NHS Pride week E: projectm@leadershipacademy.nhs.uk
  43. 43. Very helpful Not helpful To what extent has today’s session been useful in your own role supporting staff health and wellbeing during and after Covid-19? POLL If you are on YouTube or the poll doesn’t work for you on Zoom, write your number in the chatbox

Slides for health and wellbeing community event 11th August focused on supporting the mental health of our people

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