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News Article
Scheme launched to improve safety for frontline NHS staff
Patient Safety Learning posted a news article in News
A London-wide operation has launched known as Operation Cavell, to improve the safety of NHS staff. The initiative will see a senior officer review all reports of assaults and hate crime against NHS staff. Following a three-month pilot, the NHS, Metropolitan Police Service (MPS) and Crown Prosecution Service (CPS) have been working in partnership to launch the scheme, which aims to protect NHS staff on the frontline. As well as senior police officer involvement, senior welfare and support staff within the NHS will be brought on board to help those who have been the victim of such crimes feel safer. Martin Machray, Joint Regional Chief Nurse for NHS England & Improvement in London, said: “The last year of the pandemic has shone a light on the selflessness and dedication of NHS staff. All our staff should be able to come into work without fear of violence, injury or abuse. We therefore welcome the rollout of this important initiative across mental health services in London and we hope it will help protect and support our wonderful colleagues.” Read full story Source: National Health Executive, 16 April 2021 -
News ArticleHundreds of senior NHS managers have voiced their fears for the future of the health service amid the ongoing coronavirus crisis without a significant pay rise to help retain staff on the frontline. A survey of more than 800 senior NHS managers has revealed the extreme pressure some have been working under, with many working 20 or more hours of unpaid extra hours each week. More than 90 per cent backed a significant pay rise for NHS staff to try and head off a feared exodus of nurses, doctors and other staff leaving the NHS after the pandemic. This would help shore up the service as it faces the daunting task of tackling record waiting lists now totalling 4.7 million patients. Some managers said that the government’s planned 1 per cent pay rise was an “insult” and made them feel “worthless”, in responses to the survey, run by the Managers in Partnership union. Another described NHS staff as being treated like “cannon fodder” during the crisis. Read full story Source: The Independent, 16 April 2021
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News ArticleA quarter of NHS workers are more likely to quit their job than a year ago because they are unhappy about their pay, frustrated by understaffing and exhausted by COVID-19, a survey suggests. The findings have prompted warnings that the health service is facing a potential “deadly exodus” of key personnel just as it tries to restart normal care after the pandemic. A representative poll of 1,006 health professionals across the UK by YouGov for the IPPR thinktank found that the pandemic has left one in four more likely to leave than a year ago. That includes 29% of nurses and midwives, occupations in which the NHS has major shortages. Ministers must initiate a “new deal” for NHS staff that involves a decent pay rise, better benefits, more flexible working and fewer administrative tasks, the IPPR said. “The last 12 months have stretched an already very thin workforce to breaking point. Many are exhausted, frustrated and in need of better support. If the government does not do right by them now, more many leave their jobs,” said Dr Parth Patel, an NHS doctor and IPPR research fellow who co-wrote its new report on how the NHS can retain and recruit more staff. Read full story Source: The Guardian, 30 May 2021
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News Article
Two in five NHS staff feel anxious, NHS England reports
Patient Safety Learning posted a news article in News
Around 40% of NHS staff reported feeling anxious during the recent coronavirus surge, but results were 10 percentage points worse for minority ethnic workers, according to NHS England’s surveys. Prerana Issar, NHSE chief people officer, highlighted national data from the health service’s ‘people pulse’ survey during a Commons health and social care committee hearing. The survey was launched last July to help gauge how the health service’s workforce was coping with the pressures of the pandemic, asking questions such as whether they felt supported, motivated, or anxious and what made the biggest difference to their experience at work. It involves findings from 114 local NHS organisations. Ms Issar said the percentage of staff who reported they were feeling supported “was at a high of 68% during the first few months and started dipping from November onwards to 62%. It is still at 62%”. Meanwhile, the share of those “feeling anxious” was at a “low” of 29% during the summer and autumn but has since increased to 40%. The 40% finding may seem surprisingly low to many, considering the enormous impact of the winter surge of coronavirus demand, the very widespread extra asks of staff, potential health risks, and redeployment of roles. Ms Issar added: “We have seen ‘feeling supported’ come down a little bit and ‘feeling anxious’ go up, and we used that feedback to then augment our offer and communication.” Read full story (paywalled) Source: HSJ, 24 February 2021 -
News Article
Sharp drop in patient goodwill towards NHS since autumn
Patient Safety Learning posted a news article in News
Patient positivity about NHS hospital services suffered a sharp drop during the autumn, and satisfaction with access is now well below pre-pandemic levels, according to analysis exclusively shared with HSJ. The analysis of social media and online sentiment by PEP Health appears to show that a surge of goodwill towards the health service during the first covid peak last spring dissipated last autumn. At that time, the first-wave peak had passed, but hospitals were getting a lot busier — with more emergency attendances, and efforts to get planned appointments and procedures back close to normal levels. Emergency departments were coming under strain, coping with infection control measures, and large numbers of very long waits for elective care had built up. The drop in positive feeling towards NHS hospitals was particularly felt between October and January, especially with concerns over the speed of access to health services. The work only covers acute hospital services. One hospital chief executive told HSJ the change in patient sentiment was palpable at the frontline. “There is quite a lot of chippiness from patients and relatives. The ‘we love the NHS’ feels a very long lost memory. “We see a lot of chippiness to staff, and aggression and irritability — which is understandable because everyone’s been waiting a long time — but is really unhelpful because everyone [staff are] knackered and trying to do their best.” Read full story (paywalled) Source: HSJ, 22 February 2021 -
News Article
NHS sets up mental health hubs for staff traumatised by Covid
Patient Safety Learning posted a news article in News
The NHS is setting up dozens of mental health hubs to help staff who have been left traumatised by treating Covid patients during the pandemic. There is mounting concern that large numbers of frontline workers have experienced mental health problems such as anxiety, depression and post-traumatic stress disorder over the last year. NHS personnel will be able to ring one of the 40 new hubs in England, receive advice and be referred for support from psychologists, mental health nurses, therapists and recovery workers. Frontline workers who are struggling with their mental health will be encouraged to use the service, and hub staff will call workers deemed at highest risk directly to offer their help. Higher-risk groups are likely to include those who work in intensive care, on Covid wards and in A&E units. Almost half of doctors, nurses and other ICU staff have reported symptoms of PTSD, severe depression or anxiety, according to research published last month. Of these, about 40% had probable PTSD – far higher than the rates seen among military veterans. Sir Simon Stevens, NHS England’s chief executive, announced the hubs in an interview with the House magazine. They are being set up at locations across England including Bedfordshire, Lancashire and north-east London. A handful are already in operation. Read full story Source: The Guardian, 22 February 2021 -
News Article
Calls for compensation scheme for UK frontline workers with long Covid
Patient Safety Learning posted a news article in News
Boris Johnson is being urged to launch a compensation scheme for frontline workers who are suffering from the long-term effects of coronavirus. The all-party parliamentary group on coronavirus said the prime minister should recognise long Covid as an occupational disease, saying some sufferers have found it hard to return to work. A letter, signed by more than 60 MPs and peers, has been sent to Johnson. Layla Moran, the APPG’s chair, said: “Long Covid is the hidden health crisis of the pandemic, and it is likely to have an enormous impact on society for many years to come. “When it comes to frontline NHS, care and key workers, they were specifically asked to go to work and save lives while everyone else was asked to stay at home." “They were exposed to an increased level of risk of catching the virus, often without adequate levels of PPE.” The group wants the government to follow France, Germany, Belgium and Denmark, which have formally recognised Covid as an “occupational disease”. Read full story Source: The Guardian, 18 February 2021 -
News Article
Healthcare staff must be given time to recuperate from pandemic, say leaders
Patient Safety Learning posted a news article in News
The NHS must have a realistic and steady approach to resuming services disrupted by the pandemic that explicitly recognises the need for staff to recover, NHS leaders have said. In a letter to the prime minister leaders from the NHS Confederation, which represents healthcare providers, warned, “The NHS cannot recover its services at the same rate of increase when staff are so exhausted.” The letter noted that there were over 5000 more patients with COVID-19 in UK hospitals right now that at the peak of the first wave and that this was taking its toll on staff. The leaders called for sustained local mental health support for the NHS workforce beyond the end of March and for a long term, fully funded plan to increase staffing numbers. The government must also set out clear expectations for the public on when routine procedures and other treatments would be fully back on line, they added. “With a workforce on its knees and many of the pre-pandemic challenges still very much at play they need your government both to acknowledge the consequences of the immense pressure their workers have been under so far, and to be realistic and honest with the public about what the NHS can safely deliver moving forward,” the letter said. Layla McCay, director of policy at the NHS Confederation, said that while health leaders would continue to prioritise urgent care and patients with the greatest clinical need, the prime minister must “be upfront with the public about what the NHS can safely deliver in this next phase.” Read full story Source: The BMJ, 11 February 2021 -
News ArticleThe second wave of COVID-19 has put doctors under huge pressure, the Royal College of Physicians has warned, as two thirds of physicians report feeling tired or exhausted. A survey of 25 500 members of the college from across the UK, conducted on 2 November, received 1890 responses. It found that two thirds (64%, 931) felt tired or exhausted, 48% (687) felt worried, and just under a third (29%, 424) felt demoralised. Almost a fifth (19%, 280) said they have sought informal mental health support, such as speaking to colleagues or friends, during the pandemic. Just 10% (155) said they had sought formal mental health support from either their employer, GP, or external services. College president Andrew Goddard said he was concerned about the mental health of doctors, “There is no way to dress it up—it is pretty awful at the moment in the world of medicine. Hospital admissions are at the highest ever level, staff are exhausted, and although there is light at the end of the tunnel, it seems a long way away.” He said that before the pandemic, few physicians would have expected to need formal mental health support during their career. After the pandemic, staff will be in desperate need of a break, Goddard said, and will need specific time away if they’re to be at their best. “Doctors have demonstrated remarkable resilience throughout the pandemic, working under the most challenging conditions the NHS has ever faced, but they can’t continue working this way forever,” he said. Read full story Source: The BMJ, 21 January 2021
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News Article
NHS staff left traumatised by first Covid wave
Patient Safety Learning posted a news article in News
Many hospital staff treating the sickest patients during the first wave of the pandemic were left traumatised by the experience, a study suggests. Researchers at King's College London asked 709 workers at nine intensive care units in England about how they were coping as the first wave eased. Nearly half reported symptoms of severe anxiety, depression, post-traumatic stress disorder or problem drinking. One in seven had thoughts of self-harming or being "better off dead". Nursing staff were more likely to report feelings of distress than doctors or other clinical staff in the anonymous web-based survey, which was carried out in June and July last year. Just over half reported good well-being. Victoria Sullivan, an intensive care nurse at Queen's Hospital in Romford, said she often can't sleep because she's thinking about what is happening at the hospital. Her worst moment was breaking the news of a death on the phone, she said, adding that the screams from the patient's relatives "will honestly stay with me forever". "Telling someone over the phone and all you can say is 'I'm really sorry', whilst they're crying their heart out, is quite traumatising," she said. "Although you're saying how sorry you are, in the back of your mind, you're also thinking: 'I've got three other patients I've got to go and see, the infusions need drawing up, and meds need to be given and a nurse needs support'. "The guilt is just too much." Lead researcher Prof Neil Greenberg said the findings should be a "wake-up call" for NHS managers. He said: "The severity of symptoms we identified are highly likely to impair some ICU staff's ability to provide high-quality care as well as negatively impacting on their quality of life." Read full story Source: BBC News, 13 January 2021 -
News ArticleLogan Giesbrecht left his dream job as an emergency room nurse when the mental health strain of an understaffed department became unbearable, even before the pandemic's fourth wave hit and anti-vaccination protesters began gathering outside hospitals. “The biggest frustration, and what I'm taking home from work, was basically doing the job of more than one nurse,” said Giesbrecht, who feared low staffing levels would risk patient safety. He quit working at Royal Inland Hospital in Kamloops, Canada, last April. Representatives for nurses around the country are calling on the federal government to come up with a national plan to attract and retain nurses during a “crisis” they say needed action long before the uptick in cases from the Delta variant. Statistics Canada released data this week from the second quarter of 2021 showing a steep rise in job vacancies for both registered nurses and registered psychiatric nurses, which are part of a single category in its analysis. Those professions had the largest increase in vacancies of all occupations over a two-year period, up by 10,400 to 22,400 - a hike of nearly 86 per cent, the agency said, adding nearly half of the vacancies had been open for 90 days or more, compared with 24 days across all occupations. Linda Silas, president of the Canadian Federation of Nurses Unions, said it's not uncommon for some registered nursing positions to be vacant for a couple of weeks, as workers switch jobs within a hospital or health region, but having vacancies unfilled for 90 days or longer is unsustainable. Read full story Source: CP24 News, 24 September 2021
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News Article
Night shifts linked to heart problems, study finds
Patient-Safety-Learning posted a news article in News
A new study has found night shifts are "significantly associated" with health issues related to the heart, particularly atrial fibrillation, finding that women may be at a greater risk. The research, published in the European Heart Journal also found working night shifts is linked to an increased risk of coronary heart disease (CHD). “Night shift exposure also increased the risk of CHD (coronary heart disease) but not stroke or HF (heart failure). Whether decreasing night shift work frequency and duration might represent another avenue to improve heart health during working life and beyond warrants further study,” the paper said. Read full story. Source: The Independent, 16 August 2021 -
News Article
Banning drinking water for staff on wards ‘misguided’, warns union
Patient-Safety-Learning posted a news article in News
Nursing and maternity staff have reported that they are unable to have water with them whilst working, meaning some are unable to drink water for 12 hours due to work pressures. The Royal College of Midwives in updated guidance are calling for "common sense" from NHS trusts and boards on staff access to water and other drinks, particularly as staff are having to wear more PPE than before the pandemic began. Dr Mary Ross-Davie, director for professional midwifery at the RCM, said: “Some trusts and boards have banned water bottles in clinical areas, which means that our members are often going 12 hours with no break and no water. We are appealing to those services to apply common sense, to recognise that this application of infection control is misguided and to look after the health and wellbeing of their staff.” Read full story (paywalled). Source: Nursing Times, 11 August 2021 -
News Article
'We feel bullied' say emergency department staff
Patient-Safety-Learning posted a news article in News
In November last year, Unison and RCN raised concerns with NHS Forth Valley chief executive Cathie Cowan amid bullying claims made by emergency department staff at Forth Valley Royal Hospital. In light of the reports of bullying, a review was commissioned and leaked details revealed junior doctors were left unsupervised on shifts, nurses and doctors had said they are 'battle-weary', and many senior staff members have resigned their posts. Karren Morrison, Unison Forth Valley health branch secretary has said: ‘Last year, concerns were being raised by our members who worked in, or who had previously worked in the ED. Staff talked to us about feeling bullied and intimidated, being frightened to speak up, concerns about the delivery of safe patient care, high staff turnover and other issues.’ Read full story (paywalled). Source: Nursing Standard, 12 July 2021 -
News Article
'Moral distress' experienced by 8 in 10 doctors during pandemic
Patient-Safety-Learning posted a news article in News
A new survey by the BMA was conducted throughout the UK on moral distress from 18 March 2021 to 12 April 2021. It was found that those doctors who worked with Covid-19 patients and doctors who were from ethnic backgrounds, were more likely to say moral distress was a feeling they had experienced. It was also found doctors from ethnic backgrounds were also more likely to say moral injury resonated with their experiences. The results of the survey has raised concerns for staff wellbeing with the BMA asking that the government increase staffing to the NHS, and provide emotional and psychological support for healthcare workers. Read full story Source: BMJ, 16 June 2021 -
EventThis masterclass will cover the new guidance and provide participants with an in-depth knowledge of what needs to be done to comply with the duty of candour; clarify ‘grey areas’ and provide advice on dealing with difficult situations which may arise. It will provide participants with an understanding of good practice in implementing the duty and, in particular doing so in a meaningful way with empathy, to not only comply, but to work with patients and loved ones in a way that puts the emotional experience at the heart of communication. Anyone with responsibility for implementing the duty of candour should attend, whether as a health or social care professional or at an organisational level, be it in the NHS, private healthcare or social care. Health and social care professionals; staff with responsibility for quality, safety, clinical governance, safety investigations, complaints or CQC compliance, patient experience and executive teams would benefit from attending. See flyer attached below: Implementing the Duty of Candour with Empathy generic leaflet.pdf For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/duty-of-candour or click on the title above or email kate@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org for a discount code.
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EventuntilNHS Resolution’s Safety and Learning team, in partnership with the National Infusion and Vascular Access Society (NIVAS), is hosting a virtual forum on extravasation injury claims, learning and guidance. The purpose of this forum is to raise awareness from the extravasation injury claims and to help spread learning and process review across health providers. The format is interactive, with delegate questions and panel discussion. Andrew Barton, Chair of NIVAS and IV nurse consutlant (NIVAS and Frimley NHS Trust) Alison Macefield, Deputy Head of Midwifery (Royal Devon and Exeter NHS Foundation Trust) Jorge Leon-Villapalos, Consultant in Plastic Surgery and Burns (Chelsea & Westminster) Lisa-Marie Musgrave, Senior Claims Manager (NHS Resolution) Samantha Thomas, Associate Safety and Learning Lead London (NHS Resolution) Register
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Event
NHS Complaints Summit
Patient Safety Learning posted an event in Community Calendar
This National Virtual Summit focuses on the New National NHS Complaint Standards that were published in March 2021 and are due to be introduced across the NHS in 2022. Through national updates, practical case studies including NHS Complaints Standards early adopters sites, and in depth expert sessions the conference aims to improve the effectiveness of complaints handling within your service, and ensure that complaints are welcomed and lead to change and improvements in patient care. The conference will also reflect on managing complaints regarding Covid-19 – understanding the standards of care by which the NHS should be judged in a pandemic and in particular responding to complaints regarding delayed treatment due to the pandemic. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/nhs-complaints-summit or email kate@hc-uk.org.uk hub members receive 20% discount. Email info@pslhub,org for discount code Follow on Twitter @HCUK_Clare #NHSComplaints -
EventPerioperative practitioners have worked tirelessly to rise to the challenges presented in recent years, and now continue to face the challenge of managing record-breaking waiting lists. Theatre work is challenging. You’re on your feet all day, mentally engaged and, at times, emotionally charged. This study day gives you an opportunity to focus on your own health and wellbeing as well as the welfare of your patients. "If we look after ourselves, we can look after others!" Topics will include: Review of mental health wellbeing and how to optimise it Health diet and fluid intake The benefits of exercise Optional Tai Chi taster session The importance of sleep and rest Debriefing and feedback to prevent burnout and PTSD Menopause awareness Open debate: Achieving a work-life balance in a demanding perioperative role Book
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Event
A practical guide to psychological safety in healthcare teams
Sam posted an event in Community Calendar
This conference focuses on developing psychological safety in your clinical team or healthcare organisation. This conference will enable you to: Network with colleagues who are working to deliver and enhance psychological safety. Understand the concept of psychological safety and how it can improve staff wellbeing and patient safety. Learn from outstanding practice in local, national and international psychological safety programmes. Implement practices and steps that improve psychological safety. Develop your skills in compassionate leadership. Take part in an interactive session led by the Parliamentary Health Service Ombudsman about techniques for embedding cultures of psychological safety and learning from investigations where lack of psychological safety was a factor. Understand how you can implement a framework for psychological safety in healthcare teams. Identify key strategies for embedding psychological safety into freedom to speak up. Explore the inter relationship between Human Factors, Psychological Safety & Kindness/Civility in Teams. Self assess and reflect on your own practice Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/psychological-safety or email kate@hc-uk.org.uk hub members receive a 20% discount. Email: info@pslhub.org Follow this conference on Twitter @HCUK_Clare #PsychologicalSafetyNHS -
EventThis one day masterclass will focus on improving patient safety by motivating staff to change behaviour and affect organisational culture. It looks at effective ways to encourage health professionals to routinely embed high quality clinical evidence into their everyday work. It will explore the characteristics of relatively successful behaviour change interventions. Key Learning Objectives: Improve patient safety by motivating staff Explore the characteristics of successful behaviour change interventions Embed high quality clinical evidence into everyday work Understand safety culture Improve motivation with staff Learn how to implement 'Nudge Theory' within your organisation. Facilitated by Mr Perbinder Grewal General & Vascular Surgeon and Human Factors & Patient Safety Trainer. Register
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EventuntilThe Royal College of Midwives education and research conference 2022 - Ensuring every voice is heard: promoting inclusivity in education, research and midwifery care This exciting annual conference is aimed at all those involved or interested in midwifery education and research and the overall theme is promoting inclusivity in research and education. The conference is free for RCM members and £75 plus an admin fee for non-RCM members. The objectives of the conference are to: Give a platform to midwifery researchers and educators to highlight their work and spread understanding of their findings and of good practice Provide an opportunity for midwifery researchers and educators, those aspiring to be researchers and educators and others working in the maternity field to build their professional networks Enable those attending to learn about the latest evidence and innovations in midwifery education and research, particularly in relation to promoting inclusivity and reducing inequalities in midwifery education, research and practice. The conference has shared plenary sessions which include both education and research and breakout parallel sessions that focus on either education or research. The conference will have both invited speakers and those who have submitted an abstract that has been accepted for presentation. There will also be panel discussions for audience Q&As and practical workshops on literature searching and writing for publication. Overall conference themes The contribution of midwifery education and research to reducing inequalities and improving inclusion in maternity care, Hearing lesser heard voices to improve education, research and practice, Embedding the future midwife standards in education, research and practice Supporting the mental health of midwives, maternity staff, educators, student midwives and the women and families we serve. Book a place
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Event
NHSE Event: Supporting our NHS people affected by Long Covid
Sam posted an event in Community Calendar
By joining this session, you will be able to take away information and guidelines on how to support the wellbeing of our NHS people who are affected by Long Covid. The session will be run by our fantastic speakers covering a range of key topics, including: An introduction to Long Covid. Guidelines for supporting our NHS people affected by Long Covid. Exploring Long Covid through wellbeing conversations. Register -
EventuntilAs the health service continues to absorb Covid-19 pressures , and with Omicron adding further strain to an already debilitated workforce, we will look into the core issues and gaps around staff safety and wellbeing and the subsequent risk to patients. Join this HSJ webinar to engage in an open and honest discussion with valuable perspectives from frontline clinicians on some of the key emerging challenges around workforce safety and contingency options and innovation solutions that will help ensure essential services can be maintained safely. Hear from expert panellists on: The realities of dealing with continued service disruption and uncertainty: A perspective from frontline clinicians on the impact on patient safety Is enough being done around staff wellbeing? Find out what kind of support staff really need to ensure they can maintain high standards of care Safety education: How to bring organisational safety standards to the forefront with sections on People, Processes and Performance and discuss the impact of multidisciplinary team training on patient outcomes Speakers: Annie Hunningher, Consultant in Anaesthesia at Barts Health NHS Trust Jono Broad, Senior Manager for Co-Production and Patient Experience Lead for the Integrated Personalised Care Team, South West Regional Team, NHS England and NHS Improvement Chaired by Helen Hughes, Chief Executive, Patient Safety Learning. Register
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EventuntilFrom Wednesday 26th January 2022 until February 3rd 2022, NHS England and NHS Improvement will be running daily drop-in Vaccine confidence Q&A sessions. These sessions are for all NHS staff to attend and will be an opportunity for you to ask any specific questions you might have regarding Covid-19 vaccines. Each of these drops-in sessions will be tailored towards a specific audience and hosted by a relevant clinical professionals who will answer any questions and signpost you to any additional information. These sessions will provide a safe and supportive environment to ask any questions you may have about the COVID-19 vaccines. Dates, times and themes are: Wednesday 26 January: 12:00 pm – 1:00 pm - Primary Care Thursday 27 January: 3:00 pm – 4:00 pm - Vaccines and Fertility Friday 28 January: 10:00am – 11:00 am - Vaccines and the Science Saturday 29 January: 7:00pm – 8:00 pm - Vaccines and Your Faith Sunday 30 January: 7:00pm - 8:00pm - Vaccines and Your Faith Monday 31 January: 12:00 pm – 1:00 pm - Vaccines for Nursing and Midwifery Staff Tuesday 1 February: 1:00 pm – 2:00 pm - Vaccines and Fertility Wednesday 2 February: 12:00 pm – 1:00 pm - Vaccines for Healthcare Students Thursday 3 February: 4:00 pm – 5:00 pm - Vaccines and the Science Please note that registration for each session will close three hours before each session begins. You will need to register with your NHS email address. Joining instructions will be send to registered delegates two hours before each session begins. For further information contact Erika Ottley at erika.ottley@nhs.net or on 0779 913 3321
