NHS Lincolnshire is responsible for improving health and
health services for the people of Lincolnshire.
"NHS Lincolnshire is at the heart of your local NHS. We are responsible for commissioning (planning and buying) healthcare for approximately 740,000 people
across Lincolnshire."

 

ADVICE FROM HEALTH VISITOR ON AVOIDING ACCIDENTS IN THE HOME

It's that time again, how quick it comes round! Child Accident Prevention Week is happening this week. Run by the Child Accident Prevention Trust it is one of the ways we raise awareness of the accidents that happen to children and how to prevent them.

Lincolnshire Community Health Services NHS Trust (LCHS) takes child accident prevention very seriously. Accidental Injuries are a leading cause of death and disability among children under 15 and Lincolnshire has a higher rate of hospital admissions due to accidental injuries than the England average and the highest in the East Midlands region.

The theme for this year's Child Safety Week is 'Turn off Technology' #Turnofftunein.

Gina Blundell, Health Visitor and Accident Prevention Pathway Lead at LCHS said: "Accidents often happen when we distracted and although we may think that checking a text or missed call will only take a second, our attention is elsewhere momentarily.

"In this time, a serious accident can happen. By encouraging parents to turn off technology at crucial times during the day parents can give their children their full attention when pressures are mounting. it also sets a good example to older children and young people to turn off technology when crossing the road or have a need to stay safe."

Below are some examples of the avoidable injuries that can happen, not only when we are distracted by technology but at any time. Below are some examples and tips of how to minimise the risk of them occurring.

The main cause of scalds for under 5s is hot drinks which can scald a baby for up to 15 minutes after it has been made. Babies don't understand not to touch and this is one of the ways they learn about the world.
  • Put your hot drink out of reach, and put baby in a chair or in a safe place whilst carrying hot drinks.
Hair straighteners can get as hot as your iron and can still burn for 15 minutes after being switched off
  • Keep your straighteners out of reach and put them in a heat proof pouch or high shelf to cool
Bathwater can cause a serious scald in just five seconds.    
  • Always put the cold water in first and then top up with hot in case your toddler takes a tumble into the bath
  • Using the 'elbow test' is the quickest way to test the water before putting your child in the bath
  • Staying with your child during bath time means you can supervise them safely but spend some quality time with them
  • Bath seats are not a safety aid and children still require supervision
If swallowed a button battery can burn through a child's throat and lead to serious injury, even death.
  • Keep items with accessible button batteries out of children's reach
  • Keep spare batteries somewhere safe and take care when replacing batteries
Hot cookers, over doors, kettles and pans are just some of the dangers in the kitchen.
  • Young children don't have reflex to pull away from something hot. It's something we learn
  • Push kettles to the back of the worktop and try and use the back rings of the hob
  • If possible keep children out of the kitchen altogether when you are cooking
 It can take a toddler just 20 seconds to die from strangulation if they get tangled in a blind cord.
  • Fit a cleat hook to tie up cords and chains
  • Move children's furniture away from blind cords and chains
Young babies naturally grasp things and put them to their mouths but don't have the ability to pull things away which means they can suffocate on nappy sacks.
  • Store nappy sacks safely and never under a cot mattress
For further information these websites are helpful.

www.capt.org.uk/safety-advice

http://buttonbatterysafety.com/advice-for-parents/

www.makeitsafe.org

www.daio.com


ENDS
- To download a picture of Gina please click the link at the top of the release
- For all queries please contact the Communications team on 01522 309751 or email lchsecomms@lincs-chs.nhs.uk

Visit: www.lincolnshirecommunityhealthservices.nhs.uk

FURTHER QUEEN'S NURSE TITLES FOR COMMUNITY TRUST

Two Further Queen's Nurse titles have been announced at Lincolnshire Community Health Services NHS Trust (LCHS).

The title is awarded by the community nursing charity The Queen's Nursing Institute and is not an award for past service, but indicates a commitment to high standards of patient care, learning and leadership.

Senior Macmillan Clinical Nurse Specialist, Lyn Wilkinson and Complex Case Manager, Ruth Taylor have been honoured with the title.

Lyn trained as a cadet in Lincoln before moving abroad for two years. She then continued to work locally before moving into district nursing in 1982 where she stayed for twenty years before deciding to specialise as a Senior Macmillan Nurse Specialist in 2002.

On receiving the title Lyn said: "I think it's wonderful on two fronts. It's nice to be recognised for my work in the community but really great to get recognition on behalf of the Macmillan cancer charity."

Ruth lives in Molton Seas End and began her NHS career in 1991. She started in dentistry as a Dental Health Educator for South Lincolnshire before being seconded to do nurse training. Having completed her training she commenced as a Staff Nurse on joining Bourne Community Team.

Ruth said: "I am thrilled to have it. I've worked hard since qualifying and I think it's a well-earned reward for all the effort and hard work."

Lisa Green, Director of Nursing and Operations at LCHS said: "We are very proud of the ever growing team of Queen's Nurses and Health Visiting Fellows we have at LCHS. They are all rightly recognised for the contributions they make to patient care and the development of our future nurses and leaders. I would like to congratulate Lyn and Ruth on their achievements."

A ceremony to award the titles was held in May in London and both attended with their husbands.




Visit: www.lincolnshirecommunityhealthservices.nhs.uk

MARTIN'S IN THE SADDLE FOR CHARITY

A back care advisor is hopping on his bike to raise funds for Macmillan in a gruelling 24 hour challenge.

Martin Hedley is taking part in a 24 hour bike ride from Newcastle to London in hope of raising as much cash as possible for the charity.

Martin, a back care advisor at Lincolnshire Community Health Services NHS Trust (LCHS) is taking on the challenge from 9am Saturday, August 20 arriving in London the following morning.

Speaking about the challenge Martin said: "The Macmillan nurses who cared for my late father-in-law were absolutely fantastic. They cared not only for him but for the rest of the family too in his last few weeks with his battle against cancer.

"The work they do is phenomenal and their support is unwavering. I thought Ride24 would be the perfect opportunity for me to raise money and awareness of the fantastic work they do. I originally come from up north, Cullercoats. The ride will see me travelling from Newcastle through Lincolnshire including Gainsborough, Lincoln, Sleaford then down to London."

Martin's wife will be waiting for him in London and he will thankfully be getting a coach back up north.

Martin is based at Grantham Health Clinic and has started his training but he says he enjoys cyclying as it gives him a sense of freedom. He hasn't set a fundraising target but would gratefully receive any donation large or small.

Please visit his JustGiving page to make a donation and to find out more about his quest: www.justgiving.com/Martin-Hedley

PUBLIC ENCOURAGED TO BECOME A DEMENTIA FRIENDS CHAMPION

To mark Dementia Awareness Week a local NHS Trust is celebrating its Dementia Friends Champions.

This year's Dementia Awareness Week, happening between May 15 and 21 will encourage people who are worried about dementia to address the issue directly by contacting the Alzheimer's Society for information and support.

Lincolnshire Community Health Services NHS Trust (LCHS) has a number of Dementia Friends Champions in both clinical and non-clinical roles with the Trust. A Dementia Friends Champion is a volunteer who encourages others to make a positive difference to people living with dementia in their community. They do this by giving them information about the personal impact of dementia, and what they can do to help.

Speaking about her experience as a champion Clinical Educator, Donna Phillips who works on Scotter Ward at John Coupland Hospital (JCH), Gainsborough said: "Since I have been a Dementia Friends Champion I have trained 251 dementia friends.

"I take great pride in the fact that JCH is now virtually 100% dementia friendly in all departments and wards including both clinical and non-clinical staff."

The Trust is aiming to become 100% Dementia Friendly with staff in the corporate team also encouraged to become champions to train their colleagues. Clerical Officer for Quality, Libby Cartwright from Boston was inspired to become a champion after seeing a close family member live with the illness.

Libby said: "I trained as a Dementia Champion in April 2015 and have now trained over 100 people. This cause is very close to my heart due to my Nan living with the disease; when she was diagnosed we had very little knowledge of exactly what she was going through and how to help her live the best she could with dementia.

"By creating a wider spread understanding of the illness we can all do our bit to create a dementia friendly environment and ensure that those diagnosed still live well. I am proud to have made a small but positive difference in people's perception of someone who is living with dementia."

Dementia Awareness week is an opportunity to encourage people of all ages to try and become either a dementia friend or a Dementia Friends Champion. You don't need to have and particular experience or skillset to be a Dementia Friends Champion and if you are interested in becoming one please visit : https://www.dementiafriends.org.uk/.

Speaking about the week Donna added: "Hopefully we can break the record of dementia friends that was made in awareness week last year. I will be holding a dementia friends session during the week on Tuesday, May 17 between 2-3pm in bay 4 training room at JCH"


- If you have any queries please contact the communications team at: lchsecomms@lincs-chs.nhs.nhs.uk or by calling: 01522 309751
- To Download pictures of Donna and Libby click the links at the top of the release.

Visit: www.lincolnshirecommunityhealthservices.nhs.uk

STAFF SWIM EXTRA MILE FOR PATIENTS

Nurses swapped the ward for the pool to raise funds towards the refurbishment of the palliative care suite.

With support from friends and family, nurses from Lincolnshire Community Health Services NHS Trust (LCHS) have taken to the pool and raised more than £3000 towards the refurbishment of the Scotter Ward palliative care suite, at John Coupland Hospital in Gainsborough.

Speaking about the success of the swim, organiser and Clinical Educator on Scotter Ward, Donna Phillips said: "When I initially came up the idea I would have been happy raising £500, I never in my wildest dreams thought we would raise this much money."

The sponsored swim took place on Saturday April 30 at West Lindsey Leisure Centre and saw eleven swimmers take to the pool to swim a collective 760 lengths, the equivalent of twelve miles.

Donna added: "I am absolutely overwhelmed at the way staff, families and the local community have got behind us on this venture including everyone at West Lindsey Leisure Centre who have all gone out of their way to support us by allowing us to have the pool at a discounted price.

"They have also bought a table of 10 for our next venture, the charity ball in June, also sponsoring a table and donating a substantial raffle prize."

Certificates of appreciation made by Donna and engraved medals saying 'I swam the extra mile, 30 April 2016' were presented by LCHS Chief Executive Andrew Morgan and Donna to all swimmers on the night.

Finally Donna spoke of her pride: "The enthusiasm, drive, passion and commitment of the swimmers and the supporters to ultimately reach our goal of refurbishing the palliative care suite, to make it more comfortable and personal for the patients and relatives is commendable. It makes me extremely proud to lead this team."

Donations to all swimmers will remain open until Tuesday May 31 and can be made at: https://mydonate.bt.com/fundraisers/donnaphillips2


BRUSHING UP LINCOLNSHIRE'S YOUNG SMILES WITH NEW PROJECT
 
Last year more than 300 children in Lincolnshire - almost one per day - had to go under general anaesthetic to have decayed teeth removed.

To tackle the issue a new project, Lincolnshire Smiles which is funded by NHS England, is seeing teachers carrying out supervised tooth-brushing sessions with children in reception classes, having first had a visit from their local dental practice.

Twenty independent dental practices have signed up to 'adopt' a school in their area so far. The dental team deliver a 'Better Oral Health' workshop to the children and teachers and set up racks for toothbrushes and a system for the children to learn how to brush their teeth.

Gina Hargrave, Oral Health Promoter at Lincolnshire Community Health Services NHS Trust (LCHS) is training the Dental Practice staff on how to promote oral health to five year olds.

Gina said: "This is a great way for children and their parents to understand how brushing teeth every day with a fluoride toothpaste helps to protect teeth from tooth decay. Prevention is so much better than cure. Working together with parents, schools and local dental practices we can make sure that children in Lincolnshire have something to smile about."

The project is designed to reduce dental decay in children in the county by getting five year olds to brush their teeth for two minutes with fluoride toothpaste, as well as supporting parents to develop good oral health routines with their children.

Jason Wong from The Maltings Dental Practice and Chair of Local Dental Network Leicestershire and Lincolnshire, NHS England said: "Prevention is a crucial aspect to the NHS Five Year Forward View. Tooth decay is a largely preventable condition and the number of children undergoing extraction of their teeth for dental decay under a general anaesthetic is far too high."
 
List of practices and schools involved:
Dental Practice Primary School
 
St Catherine’s Grantham St Marys Catholic School Grantham
Maltings Grantham TBC
West Parade Lincoln St Giles Academy, Lincoln
The Tulip Spalding St Paul's Community Primary School - Spalding
Holbeach Dental Practice Gedney Church End Primary and Lutton St Nicholas Primary, Spalding
Bourne Dental Practice Bourne Abbey Church of England Primary - Bourne
Coningsby Dental Practice Tattershall Primary School
Rose Cottage Dental Practice Sleaford Church Lane Primary School - Sleaford
Powell and Associates Lincoln St Peter at Gowts - Lincoln
Genesis Dental Care Gainsborough Benjamin Adlard Community School- Gainsborough
Oasis Dental Practice Sleaford Our Lady of Good Counsel - Sleaford
Broad Bank Dental Practice Louth Eastfield Infants - Louth
Newland Dental Practice Lincoln Bracebridge Infants and Nursery (TBC)
Dee Kay Dental Practice -  Kirton in Lindsey Hemswell Cliff Primary School
Skegness Family Dental Care  -Skegness Skegness Infant Academy
Tower Garden Dental practice (my dentist) Seathorne Primary School - Skegness
Horncastle - my dentist Horncastle Community Primary School
Oasis Dental Practice - Boston  TBC
Lincolnshire Community Health Service Carlton Road Academy - Boston
DHC Dental Care Ltd  - Grantham Harlaxton Primary School
To download pictures please click the link at the top of this press release.

For all queries and interview requests please contact the Communications team on 01522 309751 or email lchsecomms@lincs-chs.nhs.uk



Visit: www.lincolnshirecommunityhealthservices.nhs.uk


CARDIAC REHABILITATION SERVICE MOVES FROM HOSPITAL TO GYM SETTING
 
A Cardiac Rehabilitation Service which supports patients in the community who have suffered a heart event is now delivering the service in a local leisure centre rather than a hospital setting, providing care closer to home.

Lincolnshire Community Health Services NHS Trust (LCHS), Cardiac Rehabilitation Service has successfully moved the Gainsborough cardiac rehabilitation exercise and education programme out of the hospital setting to a community venue at Everyone Active, West Lindsey Leisure Centre.

Patients who are recovering from various cardiac events are invited to take part in a seven week programme of exercise and education with the aim of supporting their return to being active members of the community. This includes taking regular exercise and life style modification including diet, smoking and understanding living with heart disease and supporting return to work.

Karen Duff, Cardiac Rehabilitation Nurse Specialist and Team Lead said: "We've been having our sessions at the gym for six months now and it is working fantastically well.

"One thing which makes our team unique is that as a nurse prescriber I am able to support and prescribe medications for patients as part of their recovery."

Patients are split into two groups dependent upon their health needs. Before each session takes place staff assess each patient with a pulse and blood pressure check.

Before joining the sessions patients are assessed at home or in a clinic by a Cardiac Rehabilitation Nurse Specialist and to set goals and achievements for the programme which is tailored to suit the needs of each individual patient.

Katy Wythe a nurse from Cherry Willingham had a heart attack on February 1. She said: "For me the main benefit of the programme is being able to talk to people. I didn't have the classic signs and symptoms of a heart attack and I am coming to terms with it. Going to the gym can be intimidating for people but that isn't the case with these sessions."

Teresa Bogusz-Eastland from Lincoln added: "I'm really enjoying the sessions. The staff are really friendly, approachable and supportive."

Patients start each exercise session with a warm up and gentle exercises before moving onto the exercise circuit which includes different stations such as mini trampolines, step boxes, light weights and walking. 

Kerry ONeill Contract Manager at Everyone Active added: "Everyone Active West Lindsey have a fantastic partnership working with the Cardiac Rehabilitation Team. Working together in delivering health and activity programmes, supporting clients in physical activity to enable them to improve and maintain a happy, healthy lifestyle. Together we are improving the lives of West Lindsey."

NURSE'S NEPAL EARTHQUAKE EXPERIENCE - ONE YEAR ON
 
One year on a Lincolnshire nurse shares her experience of being caught up in the Nepal Earthquakes.

Lindsay Baigent from Lincoln who has twenty years nursing experience with Lincolnshire Community Health Services NHS Trust (LCHS) had been working at the Leprosy Mission Hospital while completing her diploma in Tropical Nursing.

Speaking about the hospital and the leprosy patients she had initially flown out to help Lindsey said: "They seemed to gain much strength from being at Anandaban amongst friends and others with similar problems. This amazing place really does change lives for the better."

Describing how events unfolded when the first earthquake struck on Saturday, April 25, Lindsay reflected: "I had expected to spend the day sightseeing and had been invited to attend church. As the preacher was talking the whole building started shaking and women started to cradle their babies and children. I didn't really understand what was happening so I joined a woman and her child on the floor and attempted to comfort the child.

"When I returned to my feet and looked out the window all I could see was dust clouds and realised that buildings were collapsing and everyone was attempting to escape, I felt very surreal, like I was standing on jelly. Sometimes my legs still feel that way."

Fortunately Lindsay's driver had returned and took her to Anandaban where they immediately started treating patients.

Speaking about the scene at the hospital Lindsay explained: "Staff at the hospital worked tirelessly to ensure all patients got treated as they were arriving mostly via motorbike over the coming days."

Further causalities occured when the second quake hit on Tuesday, May 12 and 350 were treated free of charge during Lindsay's time at the centre.

Looking back at the experienced Lindsay said: "I have forged an unforgettable bond with the people at Anandaban and I am going to cycle from Lands End to John O'Groats to raise much needed funds for Promise Nepal, who have given so much in terms of training, building and ongoing support to Anandaban over many years."

TELEMONITORING RESEARCH PARTICPANTS THANKED
Patients, carers and health care professionals have been thanked for participating in a study.

A study looking at Telemonitoring systems is being conducted by the University of Lincoln in conjunction with Lincolnshire Community Health Services NHS Trust (LCHS).

Technical support for the study was provided by the Electronic Assistive Technology Service (EATS) at LCHS with the research supported by Jane Scrafton, a Nurse Specialist at the Trust who was part of the initial set up and remained on the steering group for the research throughout.

The research hopes to find whether electronic 'telemonitoring' systems could help in the treatment of elderly people with complex health problems.

Telemonitoring (or telehealth) systems enable doctors to remotely receive useful clinical data, such as blood oxygen levels through technology installed in the patient's own home. The aim is to help patients better manage their own condition and alert health professionals more quickly to early warning signs or deterioration, potentially improving patients' quality of life and reducing the number of emergency hospital admissions.

David Madeley, Senior Technology Assistant in EATS said: "Working with Lincoln University has been both exciting and informative.
 
"Monitoring patients in their own homes using the latest Telehealth equipment has the potential to pick up exacerbations early and in some instances even predict an exacerbation before it occurs, enabling early intervention helping reduce hospital admissions"

A special 'thank you' event took place on Wednesday, March 23 seeing participants from the Lincolnshire wide study thanked for taking part and given an update on the research.

 



Three Years on Healthwatch Lincolnshire Celebrates
 Healthwatch Lincolnshire has just completed its third successful year.  The start of the Healthwatch journey came about because of the serious injustices that occurred to patients at mid-Staffs hospital and residents of Winterbourne Care Home.  The severity of the incidents resulted in the Government recognising the importance of providing an environment for patients, carers and service users to talk in confidence and without redress, awarding statutory functions to Healthwatch through the Health and Social Care Act 2012.
 
 Chief Executive Officer of Healthwatch Lincolnshire, Sarah Fletcher, said: “The last 3 years have been challenging but very rewarding.  Setting up any new organisation from scratch always comes with its difficulties but we have been really pleased so far with our results.  On behalf of Lincolnshire residents we have reported over 1,000 patient, carer and service user experiences to health and social care providers; raised 330 recommendations for improvements to their services and also signposted nearly 3,000 people to many other support services helping them to cope with their daily lives.” 
 
Healthwatch Lincolnshire would like to thank everyone who has supported them from the many volunteers and members to the general public who have shared their personal experiences and which Healthwatch recognise is most often a very difficult thing to do.
 
Contact details:  www.healthwatchlincolnshire.co.uk.
For more information call 01205 820 892
ENDS
 
 Healthwatch Lincolnshire is one of 152 local Healthwatch groups set up by the government as part of health reforms set out in the Health and Social Care Act in 2012.  Its job is to ensure that the voice of patients, users and the public is at the heart of NHS and care services.  Healthwatch Lincolnshire gathers patient views, represents those views to local NHS organisations and makes sure they are taken account of.
 
1.  Healthwatch Lincolnshire is the only independent consumer watchdog for Health and Social Care services in Lincolnshire.
  Monitors and influences local health and social care provision.
·  Harnesses the expertise of local communities, charities and voluntary organisations.
·  Encourages people to share their views with about the services they use
·  Gives feedback to health and social care providers as well as to Healthwatch England.
·  Signposts people to information about health and social care services in  Lincolnshire.
·  Provides information about what to do and who to talk to if things go  wrong.
·  Above all ensures that the public's voice is heard - and responded to!
 
2.Vision, Mission and Strategic Priorities:
 
  In March 2014 we agreed our Vision and our Mission which are:
Our Vision  is for everyone in Lincolnshire to access and receive outstanding health and social care services.
  Our Mission is to be the consumer champion for all health and social care services for everyone in Lincolnshire. 
The HWL Board has set 5 strategic priorities to focus the operations and financial investment on public engagement activities, through creating and sustaining engagement team staffing levels and ensuring HWL has the infrastructure to report issues and help influence services keeping the public voice at the heart of our activities. 
 
The 5 strategic priorities are (information extracted from our Strategic Priorities document):
 
  Influencing health and social care services through engagement with the  public, patients, carers and communities.
Marketing, PR and campaigns.
  Developing HWL.
  Consultations to support improvements in health and social care.
  Participation and involvement in the health and social care environment. 
For more information please visit www.healthwatchtlincolnshire.org.uk or contact Sarah Fletcher  on 01205 820892 or email sarah.fletcher@healthwatchlincolnshire.co.uk.

PLACEMATS PROMOTING HEALTHY LIVING ON SCOTTER WARD
 
An innovative way to promote healthy living messages with patients is being trialed on Scotter Ward at John Coupland Hospital.

Nutrition and hydration play an important part in rehabilitation and the team on the ward are committed to ensuring that patients receive the best care they can in this area.

Donna Phillips, Clinical Educator for Lincolnshire Community Health Services NHS Trust (LCHS) said: "On Scotter Ward we are always looking for innovative ways to get health messages across to our patients and as our meal times are protected, with patients encouraged to eat together, the placemats were the perfect educational tool."

"We find that this encourages social interaction and builds relationships between patients which helps them maintain some normality and independence ensuring they're not just the 'patient at the bedside"

A local community group contributed to the programme with members of a young carers group colouring in the 'healthy eating plates' including personal messages to the patients.

The placemats have also been used as a way of promoting awareness weeks and at times such as Christmas they are used as a way of sending good wishes from the staff on the ward.

Donna added "The feedback from the patients is extremely positive and the placemats are often a source of conversation between them."

The idea has been shared with the Trust's inpatient governance group and it has been adopted in other community hospitals within LCHS.

 

LINCOLN - NEW APPRENTICES WELCOMED BY COMMUNITY TRUST
 
Three new apprentices have been welcomed by Lincolnshire Community Health Services NHS Trust (LCHS) to provide an opportunity for new talent into the Trust.
Working in partnership with Lincoln College LCHS has been successful in appointing three apprentices into Business and Administration roles. All 3 apprentices have been appointed to 15 month fixed term contracts.

Khonzie Ndlovu-Gachengo, Head of Education and Workforce Development at LCHS, said: "We have welcomed our 3 new apprentices and are very pleased with the number and the quality of the applicants we received, working in collaboration with Lincoln College in true partnership. This will be an interesting and exciting 15 months as we work, support, develop and grow our workforce within their chosen areas of work."
The programme will be delivered in partnership with Lincoln College to ensure the apprentices have the opportunity to obtain defined vocational qualifications; alongside the development of a greater understanding of working in a community health service.

Lincoln College Group Director of Business Development Peter Merry said: "We are delighted to be working with Lincolnshire Community Health Services NHS Trust. We're really excited about this partnership and look forward to seeing our apprentices grow and develop in their chosen career. We pride ourselves on being an employer-led, producing a highly skilled and productive workforce and we work with employers to adapt our professional technical training to meet their needs.
"This will be achieved through a combination of work-based practice, achievement of a Level 2 National Vocational Qualification, group workshops and planned Trust insight days."
All three apprentices have been assigned an experienced mentor who will offer specialist advice and guidance and be a positive role model. A buddy may be assigned on a day to day basis, this is someone who can provide support but isn’t involved in reviewing their performance.
Jack Lindsey, 22 from Lincoln will be working within the finance team at Beech House. Jack said: "I'm really looking forward to getting into the day to day workings of the apprenticeship. I was good at maths and IT at school and I'm looking forward to putting what I have already learnt into practice."

The apprenticeships have now commenced and will last for 15 months.

Not sure if it's an emergency? Call 111
With winter upon us and seasonal illnesses like flu and tummy bugs are circulating, pressure on the NHS increases. Help is at hand for people to understand the importance of accessing the right services first time.

If you’re generally fit and healthy, you may be unsure what to do or where to go with unexpected or urgent healthcare needs. In most instances people don’t need A&E or 999, and accessing more suitable healthcare could result in being seen quicker.

You should call NHS 111 if:

 
.  you need medical help fast, but it is not a 999 emergency
.  you think you need to go to A&E or another NHS urgent care service
.  you don’t know who to call for medical help or you don’t have a GP to call
.  you require health information or reassurance about what to do next

For less urgent health needs you should still contact your GP or local pharmacist in the usual way.

NHS111 makes it easy for you to access healthcare advice when you need medical help fast, but it’s not a life-threatening situation.

Dr Kevin Hill, Chair of NHS South Lincolnshire CCG, said: 
“NHS111 is a free number, which is available 24 hours a day, seven days a week.  The highly trained call handlers can provide health advice, put you in touch with the right service, arrange to have you seen by a doctor or call you an ambulance.  The service is manned by trained call handlers with nurses on site to offer support if needed. Callers’ symptoms are assessed and they are given the healthcare advice they need or are directed immediately to the right service, first time.”

Those with internet access can also visit: http://www.nhs.uk/111