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It’s back and ready to brighten up a November day! – It’s The Christie Randomised Coffee Trial (RCT)

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Some basics

  1. The idea is to meet somebody in the Trust you wouldn’t normally meet on an informal basis and have a chat over a coffee/tea/cold drink.
  2. It helps you as a person … it is nice to talk!
  3. It can break down silos and link together people who would not normally meet.
  4. Available to all Christie staff including our satellite sites.
  5. You can talk about anything you want to talk about. Maybe hobbies, maybe families, maybe holidays or even maybe work!

When is it?

We are planning to run it from Monday 25 November to Friday 29 November 2019, although meetings don’t have to take part in that week.  It just gives a focus

How do I sign up?

email: library@christie.nhs.uk before the end of Friday 15 November 2019 giving your job title and location and name you prefer to use.

What happens then?

  1. We will pair you at random with someone else at The Christie. It could literally be anyone from a clinical colleague to a volunteer to the Chief Executive., depending on who signs up.
  2. We will email you by the end 18 November to introduce you to your RCT partner.
  3. It is then up to the two of you to get in touch with each other and organise a 15-30 minute chat over coffee (sorry you will have to provide your own drink).
  4. It would be nice if you can meet up between the 25-29 November but it is not essential.
  5. It need not be coffee – it can be any drink or refreshment, whatever works best for you.
  6. If the two of you are on different sites, you can have a virtual RCT, say over Skype or the phone, still with a cup of coffee.
  7. After the RCT, we will send you another email asking how you found the experience.

Comments from our last RCT in May 2019

Finding out about another role I had no idea existed! But following on from this, it has given the team ideas on how we can work with this person/team to develop part of the service we provide into something new and innovative.

“It was really interesting to meet someone for purposes other than work. Certainly that’s a good place to start a conversation, but it was good to chat about life and experiences in general.”

Learning about another clinical team Being able to share some information helpful to my colleague I nearly cancelled because I was so busy but was so glad that I didn’t because the encounter re-energised me for the rest of the day!

“It was really nice to talk about how we joined the Christie and ended up in Manchester, our current and future plans. In summary it was a pleasant informal, enlightening chat.”

We plan to have another coffee after the summer to talk about our holidays

“Continue to meet monthly to support each other.”

Really good experience, especially as I had only started working at the Christie for a few weeks prior to the RCT so it was a great way to meet even more people!

“Even though in my day to day job role I am quite confident, meeting new people randomly like this is something that is completely out of my comfort zone but I really enjoyed it and am so glad I did it.”

I am not sure how many people participated, but to increase this would be good. Managers would need to support their staff to do so as managers themselves probably find it easier to be flexible with time.

“I think it works really well, very informal, you don’t feel under any pressure. You can arrange to meet anywhere in the Trust.”

There were many other comments and of those who responded to the questionnaire afterwards (which was over 50% of the people who took part) all said they would do it again!

 

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Novel and Specialised Radiotherapy Resources #RTSS19

The 4th Christie Advanced Radiotherapy Summer School is next week!

It promises a fantastic opportunity to learn and network, with tours of the Proton Centre and MR Linac, and a wide variety of plenary sessions workshops, debates and social events. It is not too late to register, click here to secure your spot today!

We have put together some resources around the topic of day 3 of the conference which focuses on:

Novel and Specialised Radiotherapy

Hashtags to follow: #TeamScience #radonc  #InternationalTeamScience  #cancerteamscience  #radiotherapy #TeamScience #Theragnostics

Summer School Hashtag: #RTSS19

Speakers to follow:

@antheasaif
@marianneaznar
@normankirkby1
@finn_corinne
#WhereisHoskin — Peter Hoskin
@CatharineWest3
@RosieBHales
@achoud72
@ranmackay
@syeepei
@TheChristieSoO
@MCRCnews
@RT_physics
@RRR_UoM

RESOURCES from #ChristieResearchers

Clinical trials targeting hypoxia.

Tharmalingham, Hannah; Hoskin, Peter 2018, Br J Radiol

An accurate method to quantify breathing-induced prostate motion for patients implanted with electromagnetic transponders.

Giandini, T; Panaino, Costanza M V; Avuzzi, B; Morlino, S; Villa, S; Bedini, N; Carabelli, G; Frasca, S; Romanyukha, A; Rosenfeld, A; Pignoli, E; Valdagni, R; Carrara, M 2017, Tumori

Results from a clinical trial evaluating the efficacy of real-time body surface visual feedback in reducing patient motion during lung cancer radiotherapy.

Price, Gareth J; Faivre-Finn, Corinne; Stratford, Julia; Chauhan, Sheena; Bewley, Michelle; Clarke, Laura; Johnson, Corinne; Moore, Christopher J; 2017:1-8 Acta Oncol

R-IDEAL: a framework for systematic clinical evaluation of technical innovations in radiation oncology.

Verkooijen, H; Kerkmeijer, L; Fuller, C; Huddart, R; Faivre-Finn, Corinne; Verheij, M; Mook, S; Sahgal, A; Hall, E; Schultz, C 2017, 7:59 Front Oncol

Absolute calibration of the elekta unity MR Linac using the UK code of practice for high-energy photon dosimetry.

Budgell, Geoff J; Gohil, Pooja; Agnew, James Paul; Berresford, Joe; Billas, I; Duane, S World Congress on Medical Physics and Biomedical Engineering 2018. IFMBE Proceedings. 3. Prague, Czech Republic: Springer; 2019. p. 455-8.

 

Open Access Resources from #ChristieResearchers

 

Improving molecular radiotherapy dosimetry using anthropomorphic calibration

Price, E; Robinson, P; Cullen, M; Tipping, Jill; Calvert, Nicholas; Hamilton, David; Oldfield, C; Page, Emma; Pietras, B; Smith, A Phys Med. 2019 Feb;58:40-6.
In silico non-homologous end joining following ion induced DNA double strand breaks predicts that repair fidelity depends on break density.

Henthorn, N; Warmenhoven, J; Sotiropoulos, M; Mackay, Ranald I; Kirkby, Norman; Kirkby, Karen J; Merchant, Michael J; 2018, 8(1):2654 Sci Rep

 

Mechanistic modelling supports entwined rather than exclusively competitive DNA double-strand break repair pathway

Ingram, S; Warmenhoven, J; Henthorn, Nicholas; Smith, E; Chadwick, A; Burnet, Neil G; Mackay, Ranald I; Kirkby, Norman; Kirkby, Karen J; Merchant, Michael J; Sci Rep. 2019; 9(1):6359.

 

Meetings and Proceedings

Locally advanced lung cancer radiotherapy in deep inspiration breath hold: dosimetric benefits from a prospective trial

Josipovic, M; Aznar, Marianne Camille; Rydhog, J; Thomsen, J; Damkjaer, S; Nygard, L; Pohl, M; Langer, S; Specht, L; Persson, G  J Thorac Oncol. 2018 Oct;13(10):S372-S373.

 

Motion of the uterine tip during radiotherapy for cervical cancer is not correlated with survival.

Cree, Anthea; Morrison, S; Price, Gareth J; van Herk, Marcel; McWilliam, Alan; Choudhury, Ananya; 2018, 127:S821-S821 Radiother Oncol

 

Small residual setup errors after image-guided radiotherapy affect heart dose and are linked to overall survival

Johnson, Corinne; Price, Gareth J; McWilliam, Alan; Faivre-Finn, Corinne; van Herk, Marcel; J Thorac Oncol. 2018;13(10):S439-S40.

 

REQUITE big data resource for validating predictive models and biomarkers of radiotherapy toxicity.

West, Catharine M L; Elliott, Rebecca M; Talbot, C; Webb, A; Seibold, P; Azria, D; De Ruysscher, D; Symonds, R; Veldeman, L; Rosenstein, B; Lambin, P; Burr, T; Enriquez, S; Rancati, T; Vega, A; Chang-Claude, J 2018, 127: S78 Radiother Oncol

 

Feasibility of Mobius 3D as an independent MU checker for the adaptive work flow on the MR-Linac

Pollitt, Andrew; Budgell, Geoff J; Pooler, Alistair; Wood, Joe; Chuter, Robert; McWilliam, Alan 2018, 127:S1191-S1192 Radiother Oncol

 

Understanding the mechanisms of adding immunoregulatory agents together with radiotherapy.

Illidge, Timothy M 2018, 127: s5-s5 Radiother Oncol

 

EBooks – OpenAthens required

9789811066580

Basics of planning and management of patients during radiation therapy a guide for students and practitioners [DawsonEra ebook] Mukherji, Ashutosh 2018

Healthcare and big data management [Dawsonera ebook] Bairong, Shen 2017

Books in the Christie Library

Basic clinical radiobiology — Joiner, Michael C and Van Der Kogel, Albert
BS/Joi 2018

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Radiobiology for the radiologist — Hall, Eric J and Giaccia, Amato J
BS/Hal 2018

Radiation biology for medical physicists — Sureka, C S and Armpilia, C
BS/Sur 2017

Radiotherapy in practice: imaging — Hoskin, Peter; Goh, Vicky
GM.RN/Hos 2010

Radiotherapy in practice: radioisotope therapy — Hoskin, Peter
GM.RN/Hos 2007

EJOURNALS

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British journal of radiology– BARP Section [BIR Archive]
— Fulltext: 1924 – present available at The Christie Library and Knowledge Service

There is still time to secure your place at the Summer School, the full programme and tickets are available here.

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It’s back – The Christie Randomised Coffee Trial (RCT)

The idea behind RCTs is to get people talking to each other again. Participants register to take part and are paired up at random with someone else in the organisation to have an informal conversation. Participants meet and have a chat for about 15 minutes or so. RCTs help us connect with our colleagues, learn from, and about each other, and help break down silos. It’s easy and informal!

When is it?

We are planning to run it from Monday 13 May to Sunday 19 May 2019 to coincide with Mental Health Awareness Week, although meetings don’t have to take part in that week

How do I sign up?

email: library@christie.nhs.uk before the 1 May 2019 giving your job title and location and name if not included in your email address

What happens then?

  1. We will pair you at random with someone else at The Christie. It could literally be anyone from a clinical colleague to a volunteer to the Chief Executive., depending on who signs up.
  2. We will email you before 3rd May to introduce you to your RCT partner.
  3. It is then up to the two of you to get in touch with each other and organise a 15-30 minute chat over coffee (sorry you will have to provide your own drink).
  4. It would be nice if you can meet up during mental health week (13th-19th May) but it is not essential.
  5. It need not be coffee – it can be any drink or refreshment, whatever works best for you.
  6. If the two of you are on different sites, you can have a virtual RCT, say over Skype or the phone, still with a cup of coffee.
  7. After the RCT, we will send you another email asking how you found the experience.

Comments from our last RCTs in May 2018 & Oct 2018

This worked well. Good to connect with colleagues for personal well-being, as well as learning about other aspects of the Trust and broadening our network to help us work effectively in our roles.

Great insight into what someone else in the hospital does, even though we had very different roles we had a few people/projects in common. We also found we had other random things in common which was a funny highlight. We are from quite different generations and we’re by no means best buddies but I think if we saw each other around the hospital we’d say hi, we’ve not had contact since but it was still a positive experience.

I learnt about her role in a different team than I work in and I thought my partner was a fascinating and inspirational woman

Very good idea in addressing loneliness/individualistic culture. I introduced the idea within my workplace but it was very close to the deadline. I think repeating the event regularly would encourage more people to get involved

I found the meeting to be very interesting as it allowed me to discuss how I felt within my Job with my partner. We both spoke in depth about our journey’s so far at the Christie and our plans for further/future development within our respective roles.

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Oncology in Later Life Resources: updated for 2019

Geriatric Oncology Image with Swoosh in correct purple

As there is a Oncology of Later Life Study Day coming up on 19th July, we thought it might be useful to compile a list of resources for staff treating older patients. 

Many links will ask you to log in with OpenAthens to access the full resource, if you have any trouble accessing something, please get in  touch with your Trust library.

Twitter accounts to follow:

@laterlife_onc
@Jeni_woods_OT
@antheasaif
@FabioGo38238336
@lorraineburgess2
@Ng_Cass

Recently Published:

2019 surveillance of falls in older people: assessing risk and prevention (NICE guideline CG161)

NHS England’s ‘NHS RightCare Frailty Tool Kit’ – published June 2019 – provides practical advice and guidance on commissioning and providing care for people living with frailty.

BMJ Best Practice recently updated topic: Alzheimer’s dementia

Recommended articles:

“But we are already geriatric oncologists”-why older patients need a special approach (a view from a United Kingdom cancer center).

Tumour boards in geriatric oncology

Assessment and Management of Radiotherapy Induced Toxicity in Older Patients

MANAGING THE ELDERLY IN RADIOTHERAPY USING GERIATRIC ASSESSMENT: ‘MERGE’

https://www.thelancet.com/series/geriatric-oncology

Geriatric Oncology: A Multidisciplinary Approach in a Global Environment

Loss of muscle mass and strength in patients with cancer – not as harmless as it sounds

Useful Websites:

International Society of Geriatric Oncology Website: Fosters the development of health professionals in the field of geriatric oncology

ASCO american Society of clinical oncology – Geriatric Oncology

Other Publications

Cancer Research UK Report: Advancing Care, Advancing Years: Improving Cancer Treatment and Care for an Ageing Population. June 2018

Optimal Treatment Regimens for Oldest Patients Is an Emerging Challenge for Radiation Oncology: this opinion piece might be interesting reading.

SIOG: Comprehensive Geriatric Assessment (CGA) of the older patient with cancer

Department of Health (DH): Cancer Services Coming of Age: Learning from the Improving Cancer Treatment Assessment and Support for Older People Project

The ASCO Post: Guidelines for the Treatment of Older Cancer Patients: Task Forces of the International Society of Geriatric Oncology

HQIP: National Audit of Breast Cancer in Older Patients: 2017 Annual Report

Relevant NICE Guidance

NICE guideline [NG56] Multimorbidity: clinical assessment and management

Clinical guideline [CG161] Falls in older people: assessing risk and prevention – please note recent surveillance decision: more information here

 NICE guideline [NG32] Older people: independence and mental wellbeing

NICE guideline [NG22] Older people with social care needs and multiple long-term conditions

NICE guideline [NG16] Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset

NICE guideline [NG6] Excess winter deaths and illness and the health risks associated with cold homes

NICE guideline [NG21] Home care: delivering personal care and practical support to older people living in their own homes

Public health guideline [PH16] Mental wellbeing in over 65s: occupational therapy and physical activity interventions

Articles in the Christie Repository

Association of multidimensional comorbidities with survival, toxicity, and unplanned hospitalizations in older adults with metastatic colorectal cancer treated with chemotherapy

The role of targeted agents and immunotherapy in older patients with non-small cell lung cancer.

Cancer-related information needs and treatment decision-making experiences of people with dementia in England: a multiple perspective qualitative study.

Addressing the quality of life needs of older patients with cancer: a SIOG consensus paper and practical guide.

Radiotherapy utilisation and treatment completion in the elderly – a single institution analysis.

The role of personalized Interventional Radiotherapy (brachytherapy) in the management of older patients with non-melanoma skin cancer

Books available from the Christie Library and Knowledge Service

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Acute Kidney Injury in the Geriatric Population  – chapter in Acute Kidney Injury [DawsonEra ebook] – Basic Research and Clinical Practice (2018)

9783319257853

Diseases in the elderly: age related changes and pathophysiology [Dawsonera ebook]

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Management of cancer in the older patient [ClinicalKey ebook]

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Nursing Care of the Hospitalized Older Patient [DawsonEra ebook]

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Problem Solving in Older Cancer Patients [DawsonEra ebook]

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ABC of geriatric medicine [DawsonEra ebook] 

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Brocklehurst’s textbook of geriatric medicine and gerontology [ClinicalKey ebook]

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Evidence – Based Geriatric Nursing Protocols for Best Practice [Proquest ebook

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Oxford Handbook of Geriatric Medicine [Oxford Medicine Online ebook] 

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Practical guide to the care of the geriatric patient [ClinicalKey ebook

9780199361465

 

 

 

 

 

 

 

Geriatric Psycho-Oncology [DawsonEra ebook] 

Books in the Christie Library

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Comprehensive geriatric oncology

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Caring for older people 

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Geriatric palliative care 

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Practical geriatric oncology

EJournals

Screen Shot 2017-01-04 at 3.10.36 PMTry This: Best Practices in Nursing Care to Older Adults [EBSCO eJournal] 

Clinics in Geriatric Medicine [ClinicalKey eJournal]  

European Geriatric Medicine [ClinicalKey eJournal]

Journal of Geriatric Oncology [ClinicalKey eJournal]

More information about the forthcoming study day can be found here – the event will raise awareness of oncology conditions and treatment options for older patients and develop a forum for multi professional groups to discuss and share knowledge and best practice.

The study day is accredited for 6 CPD points. As well as a great range of speakers we will have a poster display and are currently calling for abstracts. We’d love to see your work on the subject of geriatric oncology or general frailty, not necessarily research based. Abstract submissions should be with us by the 28th June for consideration and a prize will be given on the day for the best poster.

Attendees will feel more confident in assessing older patients and understand how co-morbidities may impact on cancer treatment.

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Oncology in Later Life

The Christie Strategy states that “We will develop a dedicated “Oncology of Later Life” service to ensure we meet the needs of an ageing population.”  The Later Life group meet quarterly to support research, engagement and clinical practice in Later Life Oncology.   Everyone is welcome to attend. Contact us by emailing one of the following:

Anthea Cree, Clinical Oncology Registrar                             Anthea.Cree@christie.nhs.uk
Jeni Woods, Senior Occupational Therapist                        Jennifer.Woods@christie.nhs.uk
Lorraine Burgess, Macmillan Dementia Nurse Consultant            Lorraine.Burgess@christie.nhs.uk

later life

After the 1st successful Later Life Study Day, the Christie will be holding a 2nd study day on
Friday 19th July 2019

Find out more here

Some useful, recent and freely available resources and sites to be aware of:

International Society of Geriatric Oncology Website: Fosters the development of health professionals in the field of geriatric oncology

Cancer and Aging Research Group Website: The mission of CARG is to join geriatric oncology researchers in a collaborative effort of designing and implementing clinical trials to improve the care of older adults with cancer.

Cancer Research UK Report: Advancing Care, Advancing Years: Improving Cancer Treatment and Care for an Ageing Population. June 2018

Macmillan Cancer Support document: Older People and Cancer, Spring 2018.

British Geriatrics Society Blog: Geriatric Oncology: why older patients need a special approach. 7 Feb 2018

Series of Lancet articles: Geriatric Oncology: June 2018

ASCO Guideline: Practical Assessment and Management of Vulnerabilities in Older patients receiving Chemotherapy. June 2018

MDTea Podcast: Supporting patients in cancer care, Nov 2018

older

 

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Randomised Coffee Trial – 8th – 12th October

coffee-2456837_1920

As part of the activities to support World Mental Health Day, we are going to run our 2nd randomised coffee trial (RCT) and would like to invite you to take par. One of the five steps to mental wellbeing is to be connected and another is to learn.

 

The idea behind RCTs is to get people talking to each other again. Participants register to take part and are paired up at random with someone else in the organisation to have an informal conversation. Participants meet and have a chat for about 15 minutes or so. RCTs help us connect with our colleagues, learn from, and about each other, and help break down silos. It’s free, easy and informal!

I want to take part – what should I do?

Register your interest by emailing mary.hill@christie.nhs.uk  by 1st October 2018.  Sorry but it is only available to The Christie NHS Foundation Trust staff but this does include our satellite sites.

After that this is what will happen:

  1. We will pair you at random with someone else at The Christie.
  2. We will email you before 8th October to introduce you to your RCT partner.
  3. It is then up to the two of you to get in touch with each other and organise a 15-30 minute chat over coffee (sorry you will have to provide your own drink).
  4. It would be nice if you can meet up in the week commencing 8th October but it is not essential.
  5. It need not be coffee – it can be any drink or refreshment, whatever works best for you.
  6. If the two of you are on different sites, you can have a virtual RCT, say over Skype or the phone, still with a cup of coffee.
  7. After the RCT, we will send you another email asking how you found the experience.

So what did people get out of the previous RCT?  

These are just some of the feedback comments we got from those who participate in May

“It was lovely to meet X, we didn’t really talk all that much about work. We found out that we had a lot in common and ended up talking about well being and the well being champion scheme at the hospital. I am waiting for X to send me information about the well being group she is part of at the hospital, and I have sent her over some details of the offer for free yoga/meditation sessions we have had from a supporter.”

“Having never done this type of thing before I found this a very positive experience.”

Felt nice to meet someone who I ended up having some things in common with, feels like a friendly face around

” Chance to get to know someone from another department but turned out to be a health professional who would be involved with the same patient group. So we had lots to talk about! My coffee partner has asked to visit my department in the future so hopefully we can continue information sharing”

And even if something doesn’t work out, people felt positive about the idea.  100% of the people who responded to the follow-up survey said they would do it again include some who didn’t meet up.

We weren’t able to meet but I would be open to the experience of doing this again, I think it’s a wonderful idea and I’m still happy to be involved

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Randomised Coffee Trial – Evaluation and Future Plans

coffee-2456837_1920With busy workloads and lives we talk to each other less. The idea behind RCTs is to get people talking to each other again. Participants register to take part and are paired up at random with someone else in the organisation to have an informal conversation. Participants meet and have a chat for about 15 minutes or so. RCTs help us connect with our colleagues, learn from, and about each other, and help break down silos. It’s free, easy and informal!

So back in May we held our first randomised coffee trial (RCT) in the Christie

coffee beansMost meetings were held during Mental Health Awareness Week
We had 56 participants forming 28 pairs for coffee
35 of these responded to our survey

coffee beans80% met up
94% didn’t know the person they met
100% would do it again!

What did people get out of the meeting?  

I learnt about her role in a different team than I work in and I thought my partner was a fascinating and inspirational woman

Very good idea in addressing loneliness/individualistic culture. I introduced the idea within my workplace but it was very close to the deadline. I think repeating the event regularly would encourage more people to get involved

I found the meeting to be very interesting as it allowed me to discuss how I felt within my Job with my partner. We both spoke in depth about our journey’s so far at the Christie and our plans for further/future development within our respective roles.

Great insight into what someone else in the hospital does, even though we had very different roles we had a few people/projects in common. We also found we had other random things in common which was a funny highlight. We are from quite different generations and we’re by no means best buddies but I think if we saw each other around the hospital we’d say hi, we’ve not had contact since but it was still a positive experience.

This worked well. Good to connect with colleagues for personal well-being, as well as learning about other aspects of the Trust and broadening our network to help us work effectively in our roles.

Next steps and suggested improvements

  • Positive feedback so we are planning our next one for the week 8th -12th October
  • Improve communication about the event – not just via the newsflash
  • System of back up match if a person turns out to be unavailable
  • System to be able to return a match if you already know each other!
  • A few prompt questions to help conversation
  • Hope you will join us for the next RCT

 

 

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Friendly Friday and the Randomised Coffee Trial: Mental Health Awareness Week

mary.hill@christie.nhs.uk coffee-2456837_1920

What are Randomised Coffee Trials (RCTs)?

With busy workloads and lives, we talk to each other less. The idea behind RCTs is to get you talking to each other again. You register to take part and we will pair you up at random with someone else in the organisation to have an informal conversation. You meet in person, or via Skype, and have a chat for about 15-30 minutes.

Click here to see Health Education England – North West’s experience of doing this

Why take part?

RCTs help us connect with our colleagues, learn from, and about each other, and help break down silos. It’s easy and informal.  In particular, we are running it is part of Mental Health Awareness Week 14th – 20th May.  One of the five steps to mental wellbeing is to be connected and another is to learn. 

I want to take part – what should I do?

Register your interest by emailing mary.hill@christie.nhs.uk  by 4th May 2018.  Sorry but it is only available to The Christie NHS Foundation Trust staff but this does include our satellite sites.

After that this is what will happen:

  1. We will pair you at random with someone else at The Christie. It could literally be anyone from a clinical colleague to a volunteer to the Chief Executive., depending on who signs up
  2. We will email you before 14th May to introduce you to your RCT partner.
  3. It is then up to the two of you to get in touch with each other and organise a 15-30 minute chat over coffee (sorry you will have to provide your own drink).
  4. It would be nice if you can meet up in the week commencing 14th May but it is not essential.
  5. It need not be coffee – it can be any drink or refreshment, whatever works best for you.
  6. If the two of you are on different sites, you can have a virtual RCT, say over Skype or the phone, still with a cup of coffee.
  7. After the RCT, we will send you another email asking how you found the experience.

Click here to find out more about Mental Health Awareness Week.

The Trust will be running events all week from Mindfulness Monday, Treat Tuesday, Wake Up Wednesday, Therapy Thursday to Friendly Friday so keep your eyes peeled for these.