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Speaker ProfilesNorth East and North Yorkshire Restraint Reduction Network2019
Elizabeth MoodyDeputy Chief Executive Tees, Esk & Wear Valleys NHS Foundation TrustElizabeth joined Tees, Esk and Wear Valleys NHS Foundation Trust in July 2015 asDirector of Nursing and Governance; she has over 25 years’ experience in the NHShaving registered as an RMN in 1991. Elizabeth has held a variety of clinical,professional and managerial roles across inpatient and community settings and beforejoining the Tees, Esk and Wear Valleys NHS Foundation Trust worked in the region asthe Deputy Director of Nursing and then Group Nurse Director for 11 years.Elizabeth is now the Deputy Chief Executive of the Trust. Elizabeth is responsible atBoard level for the professional leadership of nursing, quality and safety. She is aCertified Leader and Think On coach.North East and North Yorkshire Restraint Reduction Network2019
Gary O’Hare- Executive Director of Nursing and Chief Operating OfficerCumbria, Northumberland, Tyne and Wear NHS Foundation TrustGary is a Mental Health Nurse and is currently the Executive Director of Nursing andChief Operating Officer at Cumbria, Northumberland, Tyne and Wear NHS FoundationTrust (current portfolio attached).Has worked in the NHS for over 36 years, and held a number of senior nursing andmanagerial positions during this time.He has been an Executive Director of Nursing and Safer Care for 16 years and for thelast 10 years he has also been the Trust’s Chief Operating Officer, responsible for an aoperational budget of about 280m.Gary spent four years at the Department of Health advising ministers and senior civilservants, working across both the policy and delivery arms of the DoH as well asworking for the National Patient Safety Agency. He led a number of national initiativesduring his time in this role.He has been involved in two complex mergers.Led Operational Services through the FT process.Led Operational Services through the Trust’s CQC Comprehensive Inspection, achievinga rating of “outstanding”.More recently he has led Operational Services through the Trust’s CQC Well LedReview.He is a CQC Executive Reviewer for Well Led Inspections.Is a member of the National Mental Health Nurse Directors Steering GroupIs a member of the NHSI Clinical Reference Group.He is a keen gardener, keeps Koi carp, chickens and ducksNorth East and North Yorkshire Restraint Reduction Network2019
Salli Midgley Lead Nurse : Mental Health Nursing and Quality Team, SpecialisedCommissioning(National)NHS England and NHS ImprovementLead Nurse : Mental Health, National Specialised Commissioning Team & Co-ordinatornational reducing restrictions programme, NHSEI RMN, RGN, Bsc Psychosocial Interventions,PG Cognitive Behaviour Therapy. Msc Leadership & ManagementSalli has worked in frontline services on mainly inpatient wards for 27 years before moving intostrategic positions in provider NHS trusts since 2015. Salli is committed to the safety andquality of inpatient services for people receiving mental health care. In addition to working ininpatient settings, Salli has also worked as a therapist in day services. Since moving tostrategic positions Salli has managed portfolios including safeguarding, quality improvement,mental health legislation, patient safety and professional development as well reducingrestrictions across a NHS Trust.Joining specialised commissioning in April 2018, Salli has co-ordinated the nationalprogramme for reducing restrictions and is currently delivering across the national CAMHSimprovement portfolio in addition to supporting regional improvement and quality initiativeswith providers and commissioners.North East and North Yorkshire Restraint Reduction Network2019
Dr Kirstie AndersonConsultant Neurologist and Sleep SpecialistKirstie Anderson is a neurologist, honorary lecturer in Newcastle, president of the sleepmedicine section of the Royal Society of Medicine and specialises in sleep disorders witha research interest into the role of sleep in mental health. She has developed the clinicalcontent of Sleepstation - an online insomnia therapy, runs annual training days teachingCBT for insomnia and has published over 50 papers, book chapters and books. Shethinks that psychiatrists and neurologists should talk more and that sleep is the perfectmeeting ets-sleep-well/Dr Amanda WildConsultant Clinical PsychologistDr Amanda Wild is the recently appointed Clinical Director for TEWV inpatient CAMHS.She is a Consultant Clinical Psychologist and Approved Clinician. Amanda previouslyworked as the Responsible Clinician, Consultant and Lead Clinician for BedalePsychiatric Intensive Care Unit at Roseberry Park Hospital, Middlesbrough. AmandaChairs the National Advisory Group for Quality Network PICU, the accreditation body forpsychiatric intensive care and she is committed to providing compassion focussed, highquality care, which encompasses the well-being of service users, carers and staff.Amanda has a lead role in Trauma Informed Care in Inpatient services.Amanda is vice chair of the North of England Approvals Panel for Yorkshire, having beena member of the Panel since gaining Approval in 2014. She values the opportunity todevelop the approved clinician role for all eligible professions and is active at a Trust andnational level in this regard. Amanda works with Trusts and professionals throughout theUK to develop the diversity of the mental health workforce.North East and North Yorkshire Restraint Reduction Network2019
Ron Weddle Deputy Director , Positive and Safe CareCumbria, Northumberland , Tyne AND Wear NHS Foundation TrustRon Weddle is currently leading NTW’s Positive and Safe Care programme, including Talk1st the Trusts restraint reduction initiative. A Nurse by background, Ron has enjoyedworking within mental health services for 34 years gaining extensive experience withinvarious clinical and senior managerial roles across a range of settings.Ron worked for many years as a GSA trained PMVA tutor and senior tutor across a numberof organisations and settings.Recently he has been involved in national initiatives to reduce restrictive interventions withthe CQC and Royal College ofPsychiatrists.Ron has a keen interest in developing patient centred, collaborative care and amplifying thevoice of service users and carers in order to attain coproduction in all aspects of servicedevelopment and provision.A lifelong affliction as a Newcastle United fan are among some of the interest he holds.Stephen Davison - Lead Nurse – Positive and SafeDirectorate of Nursing & Governance, TEWV NHS Foundation TrustStephen leads on TEWV’s programme to reduce the use of restrictive interventions,providing continued support to TEWV’s wards and community teams in the implementationof a range of interventions including Safe wards, Positive Behavior Support and debriefingfollowing incidents, all aiming to reduce the use of restrictive intervention and improve thequality of life for those that TEWV support.Stephen has worked for the NHS for 20 years across both Mental Health and LearningDisability Services. As a learning disabilities nurse he has specialised in behaviouralintervention, specifically the use of positive behavior support and has since published workin the International Journal of Positive Behaviour Support.Stephen continues to strive in looking at innovative ways TEWV’s services can continue toevolve its Positive and Safe plan with a keen interest in looking at how physicalenvironments and education can be used to provide alternatives to the use of restrictiveintervention.North East and North Yorkshire Restraint Reduction Network2019
North East and North Yorkshire Restraint Reduction Network2019
WorkshopsNorth East and North Yorkshire Restraint Reduction Network2019
Mitford Bungalows“Reversing Therapeutic Nihilism”The Application of Positive &Safe care in a national Autism Inpatient service.Workshop synopsisIt will be a case study which is a composite of patients in order to demonstrate achievements acrossan Autism Inpatient Treatment Pathway.Areas of good practice which we will discuss include:Ending of LTSImproved quality of lifeIncreased community participationThe management of complex physical health problemsImproved and increased family lifeAn increase in patient’s skills management.Speaker profilesDr Gemma Evans- qualified as a Clinical Psychologist in 2013 and has worked within thenational referral Specialist Autism Service since 2014. She has a range of experience withinstatutory health and voluntary services with both children and adults with learning disabilities, andautism spectrum conditions. To include complex and challenging needs. She is trained in a varietyof assessment tools to include ADOS and ADI-R and their application across the cognitive spectrumhaving spent time working in the adult ASD diagnostic service.Gemma was involved in a pilot study using Virtual Reality Environments to Augment CognitiveBehavioural Therapy for Fears and Phobias in Autistic Adults. She is currently one of the therapistsin a research study with Newcastle University looking at Personalised Anxiety Treatment for AutisticAdults (PAT-A). Gemma has a specific interest in the implementation of Positive Behaviour support(PBS) within the specialist ASD inpatient serviceSophie Tyrrell and Heather ArcherHeather Archer is an Assistant Psychologist working into the Autism Inpatient Service (Mitford andMitford Bungalows), based at Northgate Hospital, Morpeth. Previous to this post, Heather hadrecently graduated from The University of Dundee in 2017 with an undergraduate degree inPsychology. Heather then went on to complete a Postgraduate degree in DevelopmentalPsychopathology from Durham University and graduated from there in 2019.Sophie Tyrrell is an Assistant Psychologist working into the Autism Inpatient Service (Mitford andMitford Bungalows), based at Northgate Hospital, Morpeth. Previous to this post, Sophie hadrecently graduated from Lancaster University in July 2018 with a degree in Psychology.Heather and Sophie both have aspirations to become Clinical Psychologists. Within the AutismInpatient Service, Heather and Sophie contribute to implementing the Positive Behaviour Supportpathway in which the service is built on through a variety of ways: undertaking assessments,formulation, one to one and group based sessions, data analysis and devising Positive BehaviourSupport plans.Helen Percival- qualified as a Registered Nurse in Learning Disabilities in 2002 and is a NurseConsultant in Autism Services. Helen is a Nurse Prescriber and is currently awaiting finalisation forApproval as Approved Clinician. Helen Percival has worked with adults with ASD for the last 20years in a variety of settingsNorth East and North Yorkshire Restraint Reduction Network2019
PICU Ferndene“The benefits of Positive Risk taking in a CYPS PICU”Speaker profilesJamie Lee Obrien- has over 10 years’ experience working within CYPS service for over10 years both in inpatient and community services.Melanie Craig- is an assistant practitioner who works within the PICU, she has workedwithin the trust for sometime, she has had experience of working on the Pool for sometime given experience of a number of different areasNorth East and North Yorkshire Restraint Reduction Network2019
Beckfield PICUTalk 1st in PICU settingWorkshop synopsisThe positive and safe journey within PICU. Which will be presented by Joanne Linton, WardManager and Hayley Stevenson, Clinical Nurse Lead.The presentation focuses around the implementation of positive and safe strategies implementedon Beckfield under the NTW umbrella of Talk 1st, and how this aims to reduce the incidents ofviolence and aggression and restrictive interventions.We will discuss the Talk 1st principles, how these have been developed within the PICU and howthey have influenced the quality of care and the service user experience, including softening ofthe environment and breaking down barriers.We will analyse the Talk 1st dashboard data to show how trends can be monitored and used toimplement strategies at more high acuity times and how this can be broken down to individualservice users to give more in depth knowledge into patterns of behaviour.The presentation will then move on to look at how we engage service users and their families todevelop more collaborative and holistic approach to care planning and formulation.Finally we will look at reducing restrictive interventions within the PICU focussing in regard torestraint and seclusion and how this has created a safer environment for both staff and serviceusers.North East and North Yorkshire Restraint Reduction Network2019
MarsdenData AnalysisWorkshop synopsisHow data can inform and improve care for patients with focus on psychosocialintervention and reducing restrictive practice.Speaker profilesMitchell Andrews is an RMN, qualifying in 2006. Significant part of past 13 years spentin older people’s services, and more specifically, units catering to those patientspossessing behaviours that challenge. Mitchell has an interest in developing newmethods to improve patient experience, with a focuson safety and progression.India Sharp clinical team lead at Marsden, has similar experience of organic dementiaservices, providing care and treatment for patients, with focus, particularly over past 12months on reduction of all interventions which are at all restrictive. Much of our effortshave been in this field, with efforts more to rely on engagement, activity, interaction,those interventions which do not rely upon medication, or hands on control.SALTMDT Northgate, Learning Disability Secure Care’Workshop synopsis; Co-Production: One size does not fit allSpeaker profilesDr Ellen Green-Ellen Green is a Consultant Clinical Psychologist at Northgate hospital.Lizzie Breading – Lizzie is a Specialist Occupational Therapist working within theKenneth Day Unit (KDU), the medium secure unit of the learning disability secure careservice based at Northgate Hospital.Jo Brackley- Jo is a clinical lead Speech and Language Therapist in Secure Servicesworking at Bamburgh and Northgate. She is also an Associate Director of AHP forcentral inpatient.Jo has worked with people with learning disability, mental health conditions, dementia,and developmental language disorder and is passionate about supporting people tolead within their care in a meaningful way.Jo, Lizzie and Ellen have both worked into the Medium Secure Service at NorthgateHospital for a number of years and are highly invested in promoting an MDT andoutward-focused approach to patient care. Alongside other members of the MDT, theyhave been working on a number of initiatives to both fully involve patients in makingdecisions about their care and treatment and move away from tokenistic co-productionto find more meaningful ways to co-produce services.North East and North Yorkshire Restraint Reduction Network2019
Bamburgh ClinicReducing restrictive practice offender pathway working in collaborationWorkshop synopsisThe workshop is focused around how we can minimise restrictive practice in a MediumSecure environment, working with male offenders who have been assessed as a highrisk of violent offending which is clinically linked to their personality disorder traits.Working within this environment, Medium Secure restrictions and boundaries arenecessary to ensure safety both operationally and relationally. The team howevercontinuously work collaboratively with the patients, carers and the rest of the MDT tofind ways to reduce unnecessary restrictions to ensure a therapeutic and enablingenvironment for both patients and staff.Speaker profilesHelen Goudie- Clinical Manager CNTW I have been with the organisation since 2003and through this time worked within a number of in-patient settings. I currently work asa Clinical Manager within Secure care services supporting patients, carers and staff ofthe four wards within the Medium secure care in-patient mental health services basedat St Nicholas’s hospital and Low Secure Mental Health at Northgate Hospital. As aService we have co-produced and deliver Talk 1st presentations with Patients, Carersand staff to ensure together we embrace the Talk 1st initiative and drive this forwardthrough working collaborative working.Rachael Aitken- qualified as a mental health nurse in 2008 and has worked for CNTWsince qualification. Rachael has works in a variety of inpatient services including acuteadmissions, PICU, CYPS and currently Secure Care. Rachael is currently a WardManager on a Medium Secure Unit and has embraced bringing Talk 1st into thisenvironment to enhance patient experience and ensure a safe and therapeuticcommunity.Polly Hindle- Clinical Lead has worked for the CNTW since 2015 and has worked in anumber of inpatient services. Polly has a worked in Secure Services for the past yearand is passionate to get Patients, Carers and Staff involved in coming up with newideas and ways of working using the of principles surrounding ‘star wards’ and ‘safewards’North East and North Yorkshire Restraint Reduction Network2019
LongviewSleep wellWorkshop SynopsisThis workshop will provide an overview of the Sleep Well Pilot focusing on protectedsleep time, changes to the environment and interventions to promote sleep. Participantswill have the opportunity to discuss issues in and strategies for implementation and tohear the experiences of the Longview Team.Speaker ProfilesClaire Goldsmith, Ward Manager and PMVA Tutor, Jennie Abbott, Senior ClinicalPsychologist, Veronica Locatelli-Booth, Consultant Clinical Psychologist and YvetteVallely, Lead Occupational Therapist and AHP Associate Director are all members of theLongview Ward Multi-Disciplinary Team. Longview is a 18 bedded female adult acuteadmissions ward providing a service to people with a range of acute mental healthdifficulties.We have worked together with the rest of the Longview Team to implement the SleepWell Pilot on the wardNorth East and North Yorkshire Restraint Reduction Network2019
Castleside Communication and Interaction Training (CAIT)Reducing restrictive interventions in Older People Services.Speaker profilesKelly Myers- Kelly qualified as a mental health nurse in 2008 and has worked for NTWin acute admissions and PICU since qualification. Kelly is passionate about evidencedbased practice and enhancing patient experience. Kelly has developed her skills inpsychological therapies including CBT, DBT and Family Therapy which is used in currentpractice. Kelly is currently acting Clinical Nurse Manager in Older Peoples service andembraces Talk 1st on the wards. Since engagement with Safe Wards and Star Wardsinterventions there has been a change in the culture on the ward which has enhancedthe experience of patients, carers and staff.Laura Gibbons- Laura qualified as an Occupational Therapist in 2010 and has sinceworked in various locations around the Trust specialising in older people’s mental health,in particular behaviours that challenge in Dementia. In 2017 she gained an MSc inPractice Development graduating with commendation from Northumbria University.In 2016 Laura took up the role of developing and delivering the Communication andInteraction Training programme (CAIT) and has spent three years teaching CAIT to carehomes in Sunderland and all of the organic inpatient wards in the Trust. This work hasled to the publication of a book entitled ‘Communication Skills for Effective DementiaCare: A practical guide to Communication and Interaction Training (CAIT)’, co-writtenwith Prof. Ian James. Laura has recently taken up a new post as PsychologicalPractitioner on Castleside Ward and is passionate about promoting the use of CAITStrategies and non-pharmacological interventions in order to reduce stress and distressto our patients and carers.Kristi Pearson- Kristi quali
Chairs the National Advisory Group for Quality Network PICU, the accreditation body for psychiatric intensive care and she is committed to providing compassion focussed, high quality care, which encompasses the well-being of service users, carers and staff. Amanda has a
