#Caring4NHSPeople - virtual wellbeing session 22 April 2020
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This virtual community meeting discussed supporting the health and wellbeing of NHS staff during the recovery phase from Covid-19. Speakers provided an update on the national wellbeing offer, shared lessons from supporting staff after the Manchester bombing and from the British army. They emphasized taking a graduated approach to identifying and assisting staff with varying levels of needs. The discussion focused on beginning recovery planning now and providing flexible long-term support. Participants provided feedback on topic ideas for future sessions and how the meetings could better support their roles in staff wellbeing.
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#Caring4NHSPeople - virtual wellbeing session 22 April 2020
- 1. Twitter: #Caring4NHSpeople #OurNHSpeople The health and wellbeing of our NHS people during the Covid-19 response *Topic: Recovery Phase Virtual Community Meeting 22nd April 4pm
- 3. Twitter: #Caring4NHSpeople #OurNHSpeople Introduce yourself in the chat box Say: • Who you are • Where you are today • Your Twitter handle (if you have one) • Your motivation for being part of this session today • Send to “all participants” To join the wellbeing community mailing list, click on the link at http://horizonsnhs.com/caring4nhspeople/
- 4. A unique opportunity: tell us about your experiences of supporting the health and wellbeing of others In the chat box, you will see the link to the survey (both Zoom and YouTube) Sign up to the community on our landing page and we email the survey link to you http://horizonsnhs.com/caring4nhspeople/ *survey takes 10 minutes!* This will provide vital learning for now and the future – thank you
- 5. Twitter: #Caring4NHSpeople #OurNHSpeople To join the mailing list of people who get the information about this community: http://horizonsnhs.com/caring4nhspeople/ Building a Wellbeing Community
- 6. Twitter: #Caring4NHSpeople #OurNHSpeople What is your motivation for joining the session today? a. Hear updates on the nationwide wellbeing offer b. Understand how I can support my colleagues c. Learn from the speakers d. Understand what support is available e. Have virtual conversations in a small group (breakout rooms) f. Share my knowledge or resources g. Be part of a wider community h. Support my own wellbeing i. Find out what others are doing j. Other (please write what your “other” is in the chat box Photo by Arnel Hasanovic on Unspla Pick the THREE that most apply to you: POLL If you are on YouTube or the poll doesn’t work for you on Zoom, write the three letters in the chatbox
- 7. Twitter: #Caring4NHSpeople #OurNHSpeople The health and wellbeing of our NHS people during the Covid-19 response *Topic: Recovery Phase Virtual Community Meeting 22nd April 4pm
- 8. Twitter: #Caring4NHSpeople #OurNHSpeople 8 | • Offer support, ideas, knowledge and wisdom to those with a role in supporting the health and wellbeing of people working in health and care – The recovery phase: How we recover our wellbeing; individually and collectively • Share the range of wellbeing support activities that are available to people working in health and care • Connect with each other and collectively build our community of those who support the health and wellbeing of our NHS people Aims of this session To:
- 9. Twitter: #Caring4NHSpeople #OurNHSpeople • Welcome – Elizabeth Nyawade & Zoe Lord • Update on the National Support Offer – Dr Sonya Wallbank • The recovery phase – Learning from the Manchester Bombing – Professor Prathiba Chitsabesan • The recovery phase - Learning from the British Army - Col. Ali Everest • In conversation with – Sonya, Prathiba, Col. Ali and Helen Bevan • Call to action & closing remarks - Elizabeth Nyawade & Zoe Lord
- 10. Twitter: #Caring4NHSpeople #OurNHSpeople The team today Chat box facilitators Dr Rosanna Hunt Paul Woodley Technical hosts Selina Bhambra Dr Sonya Wallbank Contributors Zoe Lord Facilitators Louise Pratt Karen Dumain Social Media Leigh Kendall Elizabeth Nyawade Zarah Mowhabuth YouTube host Tej Riat Olly Benson Helen BevanCol. Ali Everest Dr Prathiba Chitsabesan
- 11. An update on the National Wellbeing Offer Dr Sonya Wallbank Health and Wellbeing Clinical Lead, NHS England & Improvement
- 12. Access to the latest information and support Emotional support Webinars A range of materials to support you and your teams perform under this pressure. On-line Ways to access support during COVID-19 www.people.nhs.uk http://horizonsnhs.com/ caring4nhspeople/ Apps https://www.practitioner health.nhs.uk/ Unmind Headspace Sleepio Daylight Silvercloud https://nhs.silvercloudhealth. com/signup/ use the code NHS2020 Help now Send the text ‘FRONTLINE’ to 85258 to start a conversation Listening Line - For all NHS Staff – call 0300 131 7000 07:00-23:00 Bereavement and loss support call TBC 07:00-23:00 Free access to psychological support – use your nhs.net email address to download Self guided mental heath support Common Rooms Meet other professionals in a safe and guided space. Get support and share your experiences. Coming soon.
- 13. Coming next: NHS Staff Health and Wellbeing support COVID-19 994 20:00-22:00 peak hours < > 28,000 Visitors 103,000 Page visits • The self guided materials are popular – people prefer to start with self help similar to previous emergency incidents • Anxiety and fear are high especially amongst BAME staff. PPE issues continue to dominate. • Family relationships are under strain especially for staff who are isolated due to work • Staff are worrying about the demands they will have when work as usual starts Virtual Common Rooms opening for group meetings and support Relate support discussions for family relationship help Priority mental health pathways established Citizens Advice pilot in South East results BAME focused wellbeing offer online 14 mins People.nhs.uk website • Most download content: How to support staff during Ramadan • ABC of resilience • 10 minute pause space 445 83.376 2483 What we learning? Anecdotal feedback to date from networks and webinars. Offer is regarded as comprehensive and well received. Further data required now to understand access trends and content demand.
- 14. Impact on HWB for Staff following Covid-19DemandsandactivityNegativeimpacts Time Peak of Active phase Peak of system recovery – focus on throughput Activity demands begin to settle Shock Wave 2: I am still working as hard but now out of the public eye. Readjusting to what work is Shock Wave 1: What have I just experienced. Physical demands reduced leaving space for psychological focus Shock Wave 3: I am unwell with the impact of what I have been through
- 15. E Engage HWB Recovery plan for staff – COVID 19 R Rapid • Intervention at the right time with priority access to specialist pathways • Access to financial, relational, physical and psychosocial support • Return in a way suited to the individual A Assist • The impact of aftershocks for the system, organisation, team and individuals • Chances to process what happened and the decisions we made • The helpline, text line and specialist support to continue C Create • Opportunities for local listening via groups, leadership circles and anonymous feedback • Data driven decisions via easy app based system • EAP, OH & helpline data assessment reviews • Understanding of vulnerable groups • Compassionate and inclusive leadership • Understand what is working and what else needs to be done • Focus on team functioning and working well together @sonyawallbank
- 16. Twitter: #Caring4NHSpeople #OurNHSpeople We are already putting actions and support services in place ready in advance of the recovery phase We are currently at the peak of the active phase & we haven’t started planning for recovery yet To what extent are you thinking about the recovery phase of wellbeing NOW? POLL If you are on YouTube or the poll doesn’t work for you on Zoom, write your number in the chatbox
- 17. Twitter: #Caring4NHSpeople #OurNHSpeople The Recovery Phase Learning from the Manchester Bombing Prof. Prathiba Chitsabesan Consultant Psychiatrist Associate National Clinical Director for Children & Young People’s Mental Health Chair of Clinical Reference Group (NHS England and Improvement)
- 18. Twitter: #Caring4NHSpeople #OurNHSpeople Recovery Phase - Professor Prathiba Chitsabesan Crisis Moderate-severe mental health needs Mild mental health needs/symptoms No/brief mental health symptoms Evidence and learning: • Symptoms and impact • Challenges Identifying staff with mental health needs Supporting a resilient response
- 19. Twitter: #Caring4NHSpeople #OurNHSpeople Key principles Graduated approach Flexible and culturally sensitive support System response- compassionate leadership Identifying vulnerable staff Supporting recovery over time
- 20. Twitter: #Caring4NHSpeople #OurNHSpeople Learning from the British Army Col Ali Everest Army Health Branch
- 21. Twitter: #Caring4NHSpeople #OurNHSpeople Health and wELLBEING POST OPERATIONAL STRESS MANAGEMENT 1. Stand down from Operations - “Coming Home”. i. Exit Stress Management Brief. ii. Decompression. 2. Return to units for about 4 days “normalisation” + POSM brief. 3. Post Operational Tour Leave (POTL). 4. 12-week discussion with the Chain of Command. Trauma Risk Incident Management (TRIM) - Peer-to-peer review, support and signposting system.
- 22. Twitter: #Caring4NHSpeople #OurNHSpeople Values • Courage • Discipline • Respect for Others • Integrity • Loyalty • Selfless Commitment Standards • Lawful • Acceptable Behavior • Totally Professional The Definition of Army Leadership A combination of character, knowledge and action that inspires others to succeed.
- 24. In Conversation with… Dr Sonya Wallbank Health and Wellbeing Clinical Lead Col. Ali Everest Army Health Branch Dr Helen Bevan NHS Horizons Team Prof. Prathiba Chitsabesan Consultant Psychiatrist
- 25. Very helpfulNot 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
- 26. We’re designing future sessions to support you and the wider community. In the chat box… What topics would you like to see in the future? What would makes these Wednesday 4pm sessions even better for you?
- 27. A unique opportunity: tell us about your experiences of supporting the health and wellbeing of others In the chat box, you will see the link to the survey (both Zoom and YouTube) Sign up to the community on our landing page and we email the survey link to you http://horizonsnhs.com/caring4nhspeople/ *survey takes 10 minutes!* This will provide vital learning for now and the future – thank you
- 28. Joining details: horizonsnhs.com/Caring4NHSPeople The focus of next week’s session will be: Listening to and supporting BAME colleagues throughout and beyond Covid-19 Wednesday 29 April 4pm to 5pm
Editor's Notes
- Zoe
- Zoe
- Although we know the number of people injured, we actually do not know what has caused these injuries. In some cases it is easy to link causation: the amputation from stepping on an IED is easily attributable, but what about knee pain? Is that from 20 years of drill and CFTs or because the individual has completed a dozen marathons and spends every weekend and evening road running. It is only 15 years since we started using electronic medical notes at all and we have only started using injury causation templates in the last few. This remains flawed, because you cannot have proportionate answers, so the knee pain will be linked to whatever caused the pain on the day that the patient was seen, not necessarily the long term cause. PT programmes are carefully designed to achieve fitness, without injury, assuming that is the totality of the exercise done. The only place where it is possible to really govern exercise is in phase 1 training and this has been done pretty successfully over the years by ARTD. That is where you can see if one group is more injured than another and work out why - the shin splint troop because their right hand marker is 6ft 5in and they are all over striding on drill, or the back pain troop because their Tp Cpl punishes their repeated lateness by making them do fireman’s carrying. We have to know what causes the injuries in order to prevent them, so the first stage of the MSKI project has been to work out this causation. The DPers funding has enabled the contracting of academic support, commencing with the Prevention of MSKI in the Military Environment (PRIME) study in partnership with Loughborough University, which concluded that MSKI is a complex and non-linear issue, that fails to respond to traditional approaches. The PRIME study identified twelve critical factors in MSKI development and subsequent collaboration with DSTL examining best practice in peer organisations supports the PRIME findings. The principal causative factors for MSKI are related to the culture and leadership of the organisation, the motivation of the individual and the physical training conducted. This can be explained in terms of the organisation, specifically the culture and leadership, ie whether good PT is actually done in the working day or people work 12 hour days at their desks and then do one single excessive damaging run at the weekend The individual; personal motivation, health beliefs, choices and experience. And the training programme - back to following the ACO direction and THOR. Military Culture, Chain of Command, Psychological Factors, Physical Training, Physical Capacity, Individual Choice and Experience, Occupational Stressors, Provision, Environment, Biology and Biomechanics, Nutrition and Sleep.
- Who you are and why this is important
- Zoe