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					                                                                     Issue 2 March 2009

NHS Reform
The NHS restructure is progressing with the latest news for the community posted on
a new website, NHS Reform. The Engage Bulletins available on the website include a
personal message from Mr Paul Williams, the new Chief Executive of the NHS in
Wales and Head of the Department for Health and Social Services.
Mr Williams says “In my new role as Chief Executive of the NHS in Wales, I wanted to
take this opportunity to provide you with an up-date on the NHS reform work. Creating
seven Local Health Boards which are responsible for primary, community and
secondary services is a major step forward, both structurally and culturally. Couple
this with proposals for a Unified Public Health Organisation and the plan to strengthen
Community Health Councils and I am sure you will agree that we are going through a
once in a generation reform of the health service in Wales”.
Key documents will be posted on the NHS Reform site, such as the engage e-bulletin
and details of the boards that have been set up to lead this work, for you to read and
download.
http://www.wales.nhs.uk/sites3/page.cfm?pid=33805&orgid=811

New Local Health Boards-Chairs Appointed
The new chairs appointed to lead the seven new LHB’s have been appointed. They
will head up the new organisations which will be in shadow form and fully operational
from October 1st 2009. The appointments will commence when the LHB’s are formally
established 1st June 2009. Each appointment will be a chair designate until this time.
All appointments were made through open competition.
Mr David Jenkins OBE will be the chair of the new Aneurin Bevan LHB. Mr Jenkins is
currently the chair of the National Leadership and Innovations Agency (NLIAH)
Stakeholder Board, a post he has held since 1st April 2007. The appointment will be
until 31st March 2013. NHS appointments are made in accordance with the Office of
the Commissioner for Public Appointments Code of Practice.

Landmark Accessibility Ruling For Disabled People
In the first ruling of its kind, a judge has ordered the Royal Bank of Scotland to install
a lift so that a wheelchair user can have the same access as any other customer. In
taking the case against the bank with the support of the Equality and Human Rights
Commission, David Allen, a 17 year-old wheelchair user from Sheffield, has secured
a historic legal victory. He was awarded £6500 - the highest ever compensation
payout in this kind of case.
It is unlawful for businesses and public bodies to treat disabled people less
favourably. But since the Disability Discrimination Act came into force in 1995, a
judge has never before ordered an injunction to force an organisation to make
physical changes to its property so that disabled people can gain access. For more
information please visit the website at
http://www.equalityhumanrights.com/en/newsandcomment/Pages/landmarkaccessibili
tyruling.aspx

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                                      Training Resources

Two Day Mental Health First Aid Training Course (MHFA)
24th & 25th March Ael-y-Bryn Rhymney
With one in four of us affected by mental health problems each year, service providers across
Wales are being offered a new short training course to deal more effectively with these challenges.
In a mental health crisis situation people often do not know how to respond, yet the helper’s actions
may determine how quickly that person gets help and/or recovers.
 Mind Cymru is project managing the training of Instructors to teach Mental Health First Aid
throughout Wales. Now Instructors have started delivering the two-day course in their area of
Wales. On the 12-hour MHFA (Wales) course participants learn ways to be calm and confident and
to give the best help, as in Emergency First Aid where members of the public offer immediate aid to
support the person while appropriate help is on its way.
The Mental Health First Aid (MHFA) course covers common mental health problems including
alcohol, drugs and depression, crisis first aid for suicidal behaviour, first aid for anxiety and panic
attacks and other issues including self-harm. This first aid training aims to help preserve life where
a person may be a danger to themselves or others; provide help to prevent the mental distress
developing into a more serious state; promote recovery of good mental health; and provide comfort
to a person experiencing mental distress.
This invite is extended to all those working and living in Caerphilly borough, especially those that
are currently physical First Aiders in their workplace or community. This training is being
provided free through GAVO, but there will be no reimbursement of expenses. Places are limited,
so to book please e mail gillian.jervis@gavowales.org.uk or telephone 01443 863540. The day will
be facilitated by Jan Billinghurst, Training Officer, Gwent Association of Voluntary Organisations
and delivered in partnership with the National Public Health Service

Effective Project Management
Friday 27th March Cardiff
One day course: 9.30am – 3.30pm
Effective project management underpins all third sector activity. If you have to deliver a set of key
outputs or outcomes, within a specific timeframe; then you have got a project! This course makes
managing even more complex projects, simple. Learn how to avoid the pitfalls, get stakeholders
engaged and secure the help and support you need to make your project a success. This one day
course will empower both new and experienced project managers by providing a toolkit of
strategies to make life easy and ensure your project achieves its targets. With new material, the
Effective Project Management course builds on the success of the Introduction to Project
Management.
To book a place please call Tracy on 01276 500424, email tracy@empowersvs.co.uk . The cost is :
£95 + VAT per delegate and just £65 + VAT for each 2nd and subsequent delegate from the same
organisation (includes lunch, workbook and certificate of attendance)

Breast Cancer Care ‘Train The Trainer - Breast Health Promotion’ Course
Monday 27th & Tuesday 28th April 2009, Cardiff.
Breast Health Promotion’ is a free two day training course aimed towards people working in the
voluntary, community or health sector who would like to promote breast awareness. The course will
provide the knowledge and skills to deliver the crucial early detection message and free resources
to promote breast health information to groups and individuals. Priority will be given to those
working with specific target groups i.e. older women, women from black and minority ethnic
communities and women from socially disadvantaged areas.
For more information contact: laura.wilson@breastcancercare.org.uk or tel: 02920 234072




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Downloadable Resources To Support Mental Health Promotion
The All Wales Mental Health Promotion Network website also aims to provide access to a wide range
of downloadable resources. A searchable resources database is currently under development and
will signpost Network members to different types of tools (posters, toolkits, leaflets etc) covering a
range of different interest areas and themes of public mental health. If you have any such resources
that you can share with other practitioners working in mental health promotion the Network would like
to hear from you. Please contact the Network Coordinator, Kelly Mason by email
kelly.mason@wch.wales.nhs.uk or telephone 029 2022 7744.

Stonewall Cymru Tackles Homophobic Bullying In Schools
Stonewall Cymru has produced a DVD and poster to help tackle homophobic bullying in Welsh
schools. Spell it Out is a 17 minute bilingual DVD which is designed to give education professionals
an increased understanding of homophobic bullying and provide a range of practical and effective
strategies to challenge it. The Some People are Gay, Get Over It! bilingual poster campaign is
supported by all the major teaching unions, and was developed in collaboration with 150 secondary
school students and their teachers. For more information email rhian.keyes@stonewallcymru.org.uk
or tel: 029 2023 7744

Children’s Commissioner For Wales Unveils New Website
Keith Towler, the Children’s Commissioner for Wales, will be launching his redesigned website to
coincide with his first anniversary as the country’s ‘Children’s Champion’. The new site
(www.childcomwales.org.uk), unveiled at Hafod Primary School in Swansea, comes complete with a
new enhanced service that enables children and young people to share their views and opinions with
the Commissioner’s office.
Children and young people will be able to have their say on what matters to them by taking part in
Backchat (www.childcomwales.org.uk/backchat), information which the Commissioner will then share
with decision makers to help improve things for children and young people across Wales.
Other features include an interactive game about the United Nations Convention on the Rights of the
Child, all the latest news and developments from the Commissioner’s office including all its
publications, as well as the Commissioner’s blog. The new site has been developed with the help of
hundreds of children and young people from across Wales. For more information please contact Sara
Young or Lucy Payne on 01792 765638, 07794 123132 or email sara.young@childcomwales.org.uk

Training-Introduction To Human Resource Management
March 30th & 6th April 09, 2 day course 10.00am-4.00pm Cardiff
This 2 day workshop event will provide delegates with an opportunity to consider the key tools of
staffing development and retention. Delegates will also discuss, understand and practice some key
HR skills required for the effective management of individuals. The deadline for booking is the 19th
March (midday). The cost is £130 per workshop for organisations with less than 20 employees and
£190 for over 20 employees. For more information please contact Sarah Broughton 02920 556194 at
the Wales Cooperative centre. Training is free for credit unions.

Practice Overview-POVA Referrals
Making referrals to the Protection of Vulnerable Adults (POVA) list – update SCIE GUIDE 12
The primary aim of the POVA list is to protect vulnerable adults from harm. However, banning an
individual from working in care positions is a serious matter, which from January 2009 is decided by
the Independent Safeguarding Authority (ISA). The POVA referral procedure is designed to help
employers and managers make efficient and accurate referrals, while protecting the rights and well-
being of vulnerable adults, other staff and the individual who is referred.
In most cases, the only decision an employer must make is to inform the ISA when an individual has


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been dismissed on the relevant misconduct grounds been dismissed or has been suspended or has
been moved to a non-care position.
Adult placement scheme managers do this when a carer’s approval has been terminated for
misconduct under these circumstances. Suspension of a care worker solely on the grounds of a
policy of doing so whenever an allegation is made will not require a referral unless or until the
provider continues such a suspension or transfer on the grounds of relevant misconduct. In this case
the provider should make clear to the worker that the grounds of the suspension/transfer are now
misconduct harming or placing at risk of harm a vulnerable adult. This situation may arise at the end
of investigatory and disciplinary proceedings.
This Guide can be viewed at or downloaded at the Social Care Institute for Excellence at
www.scie.org.uk/publications/guides/guide12/deciding/index.asp
Many SCIE publications are available in print and can be ordered by contacting the team on 020
7089 6840 or by emailing publications@scie.org.uk.

Care To Learn - End Of Life Care Training Programme Resource Pack
The NCPC has launched a major new training initiative: Care to Learn - The NCPC End of Life Care
Training Programme. Evidence shows that delivering good end of life care can help you increase
staff retention and job satisfaction as well as meet your regulatory requirements. The training
programme is a pack designed to be delivered in the workplace, in a flexible and practical format that
fits staff and organisational needs. This is a very cost-effective way of providing in-house training to
introduce staff to end of life care without having to leave the workplace.
This programme is relevant to all staff caring for people at the end of life and in particular people
working in care homes, housing organisations, other community settings and hospitals as well as
people in hospices who deliver support and education to staff in other services
Key benefits:

   •   Delivers introductory end of life care training for staff in all settings
   •   Offers eight modules that staff can complete in their own time and at their own pace, in groups
       or individually
   •   Follows the End of Life Care Pathway, from Starting the Conversation through to Care after
       Death, including support for carers and the Mental Capacity Act
   •   Written by NCPC’s acknowledged experts in the field: Lucy Sutton (Director of Policy
       Development) and Simon Chapman (Ethics Advisor)
   •   Each pack contains a training booklet, work book and mentor’s guidance booklet, which are
       yours to keep within the workplace for future use
   •   Discounts for multiple orders and subscribers

Care to Learn can be purchased singly, or multipack discounts. For further details, please contact
Sam Turner on 020 7697 1520 or s.turner@ncpc.org.uk

                       Consultation, Research & Development
Understanding The Needs Of Older LGB and Transgender People
The Age Concern Cymru older LGBT forum is publishing a report that is designed to raise awareness
of the specific needs of older lesbian gay bisexual and transgender (LGGT) people in the Welsh
community. It draws attention to the fact that there is a need for greater understanding of LGBT
needs within the statutory sector agencies, particularly health and housing.
Recommendations are made for research mapping of the older LGBT population; thorough
professional training for care providers in older LGBT care; prioritisation of person-centred care for
older LGBT people and statutory advocacy services.




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Once the document is in circulation and distributed to all relevant agencies the Age Concern Cymru
older LGBT forum intend to follow it up with reviews of services and outcomes. Anyone interested
in receiving a copy of the report please contact Andrew Hinchliff email: andrwscar@aim.com

Independent Special Review Of Community And Mental Health Services
Report finds past shortcomings, but measures now in place to improve patient care.
This review followed concerns raised by Health Minister Edwina Hart in the Senedd on 20th May
2008. The review focussed on leadership and management of services, and found that staff were
committed to delivering good quality care and there were examples of innovation and
improvements in care.
However, challenges remain in delivering services across a large and diverse area in a number of
settings. The report also found issues about incident reporting and feedback from senior managers
to frontline staff.
Issues were highlighted about the continued existence of ligature points - any equipment or parts of
the buildings, such as large window handles or shower curtains - that could be used by patients to
self-harm.
 Peter Higson, Chief Executive of HIW, said
“.........Community and Mental Health Services provide people with care when they are most
vulnerable and most in need of help and support. We therefore need to be assured that patients
and their families receive the care we expect. It is clear from HIW's reports that this has not always
been achieved by Gwent Healthcare NHS Trust, despite the best efforts of frontline staff”.

Andrew Cottom, Acting CEO of Gwent Healthcare NHS Trust stated
"Safety is a top priority for the Trust. We accept the findings of these reports and have introduced
measures to address them. We apologise for any deficiencies in the service provided to patients in
Gwent".

Enquiries to Bethan Dix, Healthcare Inspectorate Wales on 02920 928871 or email
Bethan.Dix@Wales.GSI.Gov.uk The documents are available to view or download at:
http://www.hiw.org.uk/Documents/477/Gwent%20Community%20and%20Mental%20Health%20Re
port%20%28WEB%29-e.pdf and http://www.hiw.org.uk/news.cfm?orgid=477&contentid=11490

Health, Wellbeing And Local Government Committee
Committee Inquiry into mental health services in the community – Scoping paper
The Committee has decided that its next Inquiry would be to consider mental health services.
Members highlighted particular issues that should be included within the scope of the Inquiry
including community based services, gaps in services (particularly in view of the proposed mental
health LCO), mental health services for young people in transition from children’s to adult services
and the interface between health and social care services. This paper briefly outlines some of the
issues and current work on mental health services and suggests terms of reference and key
witnesses for a Committee Inquiry into this topic.
Some of the issues relevant to this Inquiry include:
       Weaknesses in current provision of community services for adults
       Poor integration of health and social care in some Community Mental Health Teams
       Problems for 16-18 year olds accessing mental health services and making the transition
       between children’s and adult services
       Concerns around the Care Programme Approach, including variable implementation across
       Wales
       Issues around alternatives to hospital admission and prompt and safe discharge resulting
       from inadequate community services including crisis resolution/home treatment and housing
       and support services.



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        Concerns around the adequacy of mental health services for BME groups, physically disabled
        people and those with children.
Relevant documents can be viewed at
http://www.assemblywales.org/bus-home/bus-committees/bus-committees-third1/bus-committees-
third-hwlg-home/bus-committees-third-hwlg-agendas.htm

Or for further information contact Steve Boyce in the Members’ Research Service Email:
Stephen.boyce@wales.gsi.gov.uk

All Wales Community Cohesion Strategy Consultation
The Welsh Assembly Government has developed the All Wales Community Cohesion strategy,
working in partnership with the Welsh Local Government Association, the police service, the
Association of Chief Police Officers Cymru, the Equality and Human Rights Commission and faith
groups among others. The WAG would like to hear your views on the Strategy. The consultation
runs from 12th January 2009 to 6th April 2009. The Strategy and on line consultation documents can
be found on the website at www.wales.gov.uk/communitycohesion.
Documents are also available on request in large print, Braille, audio format and in alternative
community languages. Please contact the Community Cohesion Unit, Welsh Assembly Government,
Merthyr Tydfil Office, Rhydycar, Merthyr Tydfil, CF48 1UZ.
 or email: communitycohesion@wales.gsi.gov.uk

Sustrans-Guided Walks and Cycle Rides
Sustrans is organising guided walks and cycle rides in the Rhymney Valley area. These routes are
organised in such a way as to limit any hills for people to enjoy at their own pace. The initiative is
available for any age between 16 to 100! Sustrans provides free cycles and a free bus. For more
information please call 07917730843.

Long Term Conditions Alliance Cymru –Launch conference
The Long Term Conditions Alliance Cymru is holding its first conference on 24thth March 2009 at the
All Nations Centre, Cardiff from 11 am till 4 pm. The conference is aimed at statutory and third sector
partners, service users and carers with a professional or personal interest in the management and
self care of long term conditions.
The day’s event will give people the opportunity to:
    network and find out more about the Alliance and how it may benefit their organisation
    view the Alliances current work- a piece of research regarding the third sector support for self
    care and self management which will be launched on the day
    learn more about the Alliance’s newly formed Service User and Carer Reference Group
    become an Alliance member.
The Long Term Conditions Alliance Cymru brings together third sector organisations that represent
people with a range of long term conditions on an all Wales basis. The Alliance’s aim is to encourage
and facilitate service user empowerment and engagement in decisions impacting upon their care and
lives. By promoting joined-up and inclusive modes of identifying and solving common issues found by
those with, and working in the field of, long term conditions, the Alliance is able to raise the profile of
common concerns in a positive and constructive way.
A management committee drawn from member organisations governs the Alliance. The current Chair
is Peter Johnson of Arthritis Care Cymru. A Development Officer, Tania Dickinson, based within
WCVA supports the work of the Alliance. If you require further information please contact Tania
Dickinson tdickinson@wcva.org.uk or telephone 02920 431732




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Skills Councils And WCVA Events-March
Skills for Health (SfH), Skills for Care and Development (SFC&D) and Wales Council for
Voluntary Action (WCVA) are jointly organising two free events during March 2009 across Wales.
The events are aimed particularly at third sector managers working in the field of Health and
Social Care who have an interest in workforce and skills development.
The objectives of the events are

   •   To raise awareness of Sector Skills Agreements (SSAs) and gain sector engagement and
       feedback as part of the SSA action plan.
   •   To provide individuals with an opportunity to learn about sector qualifications strategies,
       which outline the current and future learning and qualification needs of employers in the
       sector.
   •   To demonstrate the practical application of national occupational standards in the
       workplace.
   •   To show case a framework/methodology for developing new and innovatory roles within
       the Health Sector.

Dates and locations

19 March 2009               WCVA, Rhyl
31 March 2009               Y Llwyfan, Carmarthen
 
If you would like to book a place on one of these events please contact WCVA training –
training@wcva.org.uk or alternatively contact the helpdesk 08002888329. Joining instructions will
be sent by email (unless otherwise requested) around two weeks prior to the event. Please
contact WCVA if you have not received them one week prior to the event.

NHS Direct Wales-DIY Information Prescriptions
This resource will allow you to pick and choose information to make your own 'information
prescription'. You will be able to pick what information you want about different health conditions,
and also choose what information you need about local health services, including self help and
support services. An information prescription is a tailor made piece of high quality information to
meet the specific needs of someone who requires information and support services to help them
manage their health condition, or learn more about a health topic.

   Arthritis
   Cancer
   Chronic Obstructive Pulmonary Disease (COPD)
   Chronic Heart Disease (CHD)
   Diabetes
   Mental Health
   Obesity

These conditions have an impact on people’s lives, and are often life-long. The DIY Information
Prescription Facility will focus on some of the leading causes of illness in Wales, providing useful
information for people to better manage their health and well-being, and to access further help
and support for themselves and their families. For more information go to:
http://www.nhsdirect.wales.nhs.uk/small/en/home/diyinformationprescriptions




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                                  Do you want other organisations and partners to know more
                                  about what you do? Want to raise your profile? What are you
                                  waiting for?
                                  Send a brief description about your organisation, what you do and
                                  contact details to Susanne Maddax either email
                                  susanne.maddax@gavowales.org.uk or telephone 01443 863540
                                  to ensure your group is featured in a future issue!


                      Rhymni Valley Mind 
             Reg. Charity number 517819   Reg. Company number 6771937 

Rhymni Valley Mind-Work Experience Placement Opportunities
Rhymni Valley Mind is an autonomous mental health charity affiliated to Mind (National
Association for Mental Health). The organization meets the Quality standards required by Mind. In
addition to our present services which are: step-in centre, sign-posting, subsidised holidays
befriending, and social and creative activities, we will be offering work experience placements in
our charity shop which is situated next door to our present premises and reception duties at our
step in centre.
The project which is funded by The Big Lottery People and Places Programme is located at our
recently refurbished premises in Ystrad Mynach and will be available to individuals from
throughout Caerphilly Borough. Work experience trainees will be given the opportunity to learn
retail skills including stock control, cash handling, effective merchandising and reception skills
including record keeping, telephone manner and customer care.
The placements will be time limited and structured to the individual needs of the trainee. Due to
the limited number of places we will be able to offer, priority will be given to individuals who aspire
to return to paid employment or seek other voluntary roles. Trainees will be supervised by our
Shop Manager and supported by volunteers of Rhymni Valley Mind. All volunteers have
experience of volunteering in this environment and have CRB disclosures.
The training programme will take place from 10:15 to 2:15 Monday to Friday. Trainees are
required to commit to a minimum of 2.5 hours per week.

Caravan Holidays
Thanks to funding from the Big Lottery, Rhymni valley Mind owns a modern six-berth caravan on
Quay West Holiday Village in Newquay, West Wales. Our 2009 season prices remain the same
as last season:
    o March and November - £100
    o April, May and September - £175
    o Bank holidays (except August), June and September - £250
    o July and August - £325

The price is for one week (Saturday to Saturday) and includes gas, electricity and passes for the
entertainments complex. The caravan is double-glazed and central heated; unfortunately it does
not have disabled access. Priority will be given to families affected by mental health issues
(though not exclusively) who live in Caerphilly Borough.
For more information about the work placements and hire of the caravan please contact Jill
Lawton 01443 816945 rvmind@btinternet.com




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