Latest news — articles for January 2024

Virtual wards treat more patients at home this winter

Nurse taking a patient’s blood pressure during a virtual ward appointment.

None of us want our loved ones to be in hospital unless they have to be. Our virtual wards are a key part of avoiding those inpatient stays. They offer people hospital care in the comfort of their own homes.

The service has grown since its launch during the pandemic. Our virtual wards can now treat up to 212 patients at any one time. Around 8 patients are referred every day. In the last year, our teams have seen almost 1,900 patients. That has saved more than 16,500 inpatient days in hospital.

Barbara Bennett from Redruth suffers from chronic obstructive pulmonary disease (COPD). She chose to be admitted to a virtual ward after developing an acute lung infection.

Barbara believes being treated at home helped ensure she could go away to spend Christmas with her family.

"I feel as if I have got better at home quicker, because I did not pick up any other nasty bugs along the way. I think if I had ended up in hospital I would have been a lot more tired. There is a lot of noise in hospital and you do not sleep as well. Being at home, I had the comfort of my own home.

"Yes, I got better quicker and yes, I was able to go away for Christmas and New Year. I was able to celebrate with my son, daughter and beautiful granddaughter."

Nurse Claire Bettison is the Trust's operational lead for digital health. She says there are many benefits for patients.

"If you are in your own home, you can carry on with your social connections. If you live with your partner or other half and you are in hospital, sometimes trying to get to and from the hospital to visit can be quite restrictive. Even little things like conversations with a neighbour are on hold when you are in hospital. However, we know all of that is important for a patient's recovery.

"As well as that social element, patients being cared for in their own homes can eat the food they are used to eating. There is nowhere like your own bed to get a good night's sleep. It is familiar. It is comfortable. All of that really helps with recovery.

"It is also good for the person to have that choice. This is a choice that was not there before, and it is really important patients are active in their care and make their own choices."

What does a virtual ward offer?

Virtual wards support people whose acute respiratory or frailty condition could be managed in their own home, instead of in hospital.

Virtual wards do not mean virtual care. When needed, clinicians carry out face-to-face treatments and diagnostics in a patient's own home.

The multi-disciplinary team offer daily phone calls. The service also provides remote monitoring and regular reviews by our medical and pharmacy teams.

Tamsyn Anderson is a GP and the Trust's chief operating officer. She says the ability to contact the virtual wards gives patients and carers a real confidence in being able to stay at home.

"We know that some patients need specialist care in hospital. However, most people would prefer to be cared for at home. For many, being in their own home helps them to stay as independent as possible. Particularly as you get older, there are a number of factors that can compound your wellbeing if you are admitted to hospital. You are in an unfamiliar environment, which can be a challenge if you have any sort of cognitive impairment.

"From a mobility perspective, there is a real benefit to being in a familiar environment. Our brains work on pattern recognition. They use a lot of tricks to keep us as independent and mobile as possible. These include something as simple as knowing how many steps it is to the toilet or where the sofa is. When you are admitted to hospital, those props are not available to you. These are among the reasons it is better to try and keep people at home as much as we can."

Do you want to be treated at home? Ask your GP or hospital staff, or read more about virtual wards.

Read Virtual wards treat more patients at home this winter…

New treatment for depression helps ex-pilot turn life around

Gentleman having therapy through Zoom.

The Talking Therapies Service has expanded and now offers interpersonal psychotherapy.

Myles* from West Cornwall, spent his working life as a pilot for the military and a commercial airline, living and working abroad. During the pandemic he became redundant, isolated, and struggled to adapt to life back in his home county.

“I had been in the military, living abroad and working as a pilot for all my working life. During the pandemic, I became redundant, so my wife and I decided to move back to the home I grew up in, in West Cornwall.

“I was made redundant 2 years before I should have retired and I felt like I had the ground whipped from beneath me. My life had suddenly significantly changed. Everything I thought I was had disappeared. I became reclusive, lazy, and started drinking alcohol excessively. I only wanted to socialise with my wife and leaned heavily on her. I was full of self-doubt and was miserable.” Myles

Interpersonal psychotherapy looks at the link between relationships and depression. It recognises that relationship difficulties can be a key factor in depression. Life can feel easier if you have healthy and supportive relationships around you.

Unlike other talking therapies, interpersonal psychotherapy is structured and practical. It focusses less on emotions and asks the patient to take an active role in their recovery. This is to improve their relationships with others.

Although not believing he was depressed, Myles was persuaded to visit the GP by his wife. It was there that the GP thought he had mild depression and could do with benefit from the Talking Therapies Service. Myles was treated by Laura Matthews, Talking Therapies Counselling and Psychotherapy Professional Lead.

“Interpersonal psychotherapy takes places over 16 weeks and for around 50 minutes per session. It requires time and effort on the patient’s behalf. It requires a level of commitment to look at current relationships and how to improve them.” Laura Matthews. Talking Therapies Counselling and Psychotherapy Professional Lead

Laura explains how using interpersonal psychotherapy and improving relationships helped treat Myles’ depression.

“Together, we looked at how Myles could adapt to life as a retiree. We also wanted to work on rebuilding social networks, so that he could rely less on his wife.

"We worked on encouraging Myles to spend time outside and to go on dog walks. We looked at ways to build up his confidence and to spend time away from his wife with old school friends. It was important to encourage him to have his own social network so that she wasn't his everything."

Gradually, interpersonal psychotherapy transformed Myles’ life.

“I had my treatment online through Microsoft Teams. It was 2 or 3 sessions before I realised that I needed help. All my family knew I was receiving help and they supported me.

“The therapy made me realise that I needed to socialise more so I got in touch with old school friends. I now meet up with them once or twice a month.

“Laura is such a likable person and I was able to build a rapport with her. I started looking forward to my sessions and had 16 in total. Laura set me tasks each week to do and then targets for me to reach.

“I feel like someone has given me the tools to carry on with my life and to now seek help with We Are With You, in Truro, for excessive alcohol drinking.

“I really enjoyed the structure of interpersonal psychotherapy. It is funny really because I sometimes miss my weekly sessions with Laura. I am now a lot happier to talk about things that are bothering me.”

The Talking Therapies service provides free and confidential talking therapy for people registered with a GP in Cornwall. Patients must be 16 years of age and over, experiencing common difficulties, such as, low mood, stress, anxiety, and worry.

The team can also help people experiencing long-term physical health conditions.

Anyone can self-refer to Talking Therapies service. A councillor will assess the patient and decide the best course of treatment, as recommended by the National Institute for Health and Care Excellence.

Read New treatment for depression helps ex-pilot turn life around…

Trust nurse Charity has been named in the New Year’s honours list

Matron Charity Gladstone with King Charles

Trust nurse Charity Gladstone has spoken of her pride after being honoured with an MBE for services to nursing.

The New Year’s honours list recognises the achievements and services of people across the UK.

Receiving the MBE (Member of the Order of the British Empire) caps what has been an extraordinary journey for Charity. From walking to school in her bare feet back in her native Malawi, to an invite to Buckingham Palace from His Majesty King Charles. Charity’s story is a remarkable one.

She moved to the UK in 2000. Her NHS journey began in Birmingham, where she worked in critical care. Continuing her career in Cornwall in 2018, as a matron in the community, Charity played a vital role for the Trust during the COVID-19 pandemic. She then joined Gloucestershire Hospital’s NHS Foundation Trust from 2021 to work in cardiology and respiratory services. Charity returned to Cornwall in July last year to begin a new role as an advanced nurse practitioner for the Trust.

Charity received the news of her MBE in a letter from Buckingham Palace in November.

“It was so surreal, so humbling. I never imagined in my life to get anything like that at all. From where I’ve come from in Malawi, to be where I am now and honoured is remarkable.

“I used to walk to school in my bare feet and now I am going to go to the palace. Can you even make that up?”

News of Charity’s MBE even reached the President of Malawi, Lazarus Chakwera.

He congratulated Charity, saying: “May this prestigious award inspire Malawians for greater service to humanity abroad and at home.”

Charity is also president of the Malawian UK Nurses Association (MUNA). She becomes only the third person from Malawi to receive the honour.

“I really hope to use my influence to raise nursing standards, patient care and patient experience in Cornwall. I really want to connect with the communities I live in. Exciting times ahead.”

Matron Charity Gladstone with King Charles

In November last year Charity was invited to attend King Charles’ 75th birthday celebrations at Buckingham Palace. This was in recognition of the contribution of internationally educated nurses, midwives and the Windrush generation in the NHS. Representing the Trust, Charity was invited as part of the south west region of internationally educated nurses and midwives.

“It was a huge honour, another surreal moment. He was relatable, he spoke about his last visit in Malawi and said he really appreciated our services to the NHS and the country. It was a pinch me moment.”

Read Trust nurse Charity has been named in the New Year’s honours list…

Newquay Community Hospital to get major x-ray upgrade

Digital x-ray equipment at Newquay Community Hospital

Staff at Newquay Community Hospital say new x-ray equipment means they will be able to see more patients and treat them faster.

The major upgrade at Newquay includes new digital radiography equipment. It uses x-ray–sensitive plates to directly capture data during examinations. The data is then transferred to a computer system without the need for a cassette. This speeds up the process and produces higher quality images.

Senior Radiographer Suzanne Grice-Renault has been doing the job for 40 years. She tells us it is great news for staff and patients: "The upgrade is much needed. We will upgrade the whole room and patients will be seen in a very timely manner. It will take a matter of minutes, rather than 10 to 15 minutes per patient.

"At the moment, we get 25 to 30 patients a day coming through here. Other sites where the new equipment has been installed are seeing up to 50 patients. It is a win-win for everybody."

Important information for patients

Newquay Minor Injury Unit will remain open during the upgrade, however x-rays will not be available. The x-ray room will be closed from midday on Wednesday 10 January. Work to install the new equipment is expected to take up to 8 weeks.

Patients who feel they may need an x-ray can visit one of our other minor injury units. These include Camborne Redruth Community Hospital, St Austell Community Hospital and Bodmin Community Hospital.

Find your nearest minor injury unit. You can also check live waiting and opening times.

Read Newquay Community Hospital to get major x-ray upgrade…