1. Chaplaincy Royal Bolton Hospital 2013

2. The journey Chaplaincy at Bolton has radically changed and will continue to do so As an on-going process we examine the needs of patients and staff and adapted our service accordingly Employment of Ethnic Minority Chaplains, first as volunteers, then as paid, part-time Training both internally and externally On-going Supervision

3. Standards & Competencies The College of Healthcare Chaplains, Multi-faith Group for Hospital Chaplaincies worked together to produce documents for Standards & Competencies The Chaplaincy at Royal Bolton Hospital introduced these in the department and developed their role. Bolton Chaplaincy Department also developed their own “Spiritual Care Pathway” which was published and which is used in variant forms in many other Trusts

4. Spiritual & Religious Care All religious and spiritual care is based on a face to face relationship between the chaplain and the patient, their carers or member of staff The process is to help a person to find out where they really are (in spiritual terms) and assist them to move to another place more acceptable to them

5. The Role – Patients & Relatives Spiritual Care: Normalisation Assessment of Spiritual need Holistic Care Discussion & support in stressful situations Breathing and other techniques for reducing stress Support of relatives In-house follow-up Religious Care: Multi-faith care Prayer and sacraments (bedside) Group services e.g. Jumah, Sunday Communion etc. Referrals to & from ministers of religion or religious representatives at the request of patients End of Life & Bereavement Care: Involvement in wedding planning and blessings for the terminally ill Liaison with MacMillan Nurses & terminal illness group Preparation of patients & family for death situations Reconciliation of estranged members of families Support for families leading to and at the point of death Baptism/blessing of Stillborn or Neonatal death babies Remembrance Services for Stillborn Babies Interment of ashes (stillbirths etc.) Funerals Follow-up on an outpatient basis

6. The Role - Staff Team members & volunteers support & supervision Team members & volunteers appraisals Support Trust staff in times of stress, work stress or home stress/keeping the workers in work Meditation for stress with Trust individuals and other stress reduction techniques Resource for faith specific information to trust staff Presentations to departments on chaplaincy, cultural or faith issues Assist in HR function in disputes involving religious or cultural issues. Supporting managers or departments in the management of change. Supporting Managers and departments when staff die in post Remembrance Services for staff Occasional services for specific events Liaison with Bereavement and Organ Donation Group for patient input Input/presentations for Bereavement and Organ Donation training courses for Bolton staff and external participants

7. The Role - Corporate Management of a multi-faith department & volunteers Data collection for Chaplaincy activity with patients Manage Chaplaincy On-call service Monitoring and control of faith specific rooms Liaison with local faith bodies for faith specific spiritual care of patients and staff Procurement of multi-faith acceptable food/meal sources and monitoring of those sources for faith specific requirements Involvement in creation of policy documents for religious and spiritual care of patients and staff Liaison with other chaplaincies to develop and promote good practice. (Bolton is regarded as a flagship Chaplaincy) Corporate Committees: Staff Wellbeing Best Employer Steering group End of Life Strategy Group Bereavement & Organ Donation Working Party PCT. Equality Target Action Group (Religion & Belief) Review NHS Documents relating to spiritual care and comment on drafts. Manage Chaplaincy Majax: Prepare or update documentation Training of Chaplaincy Staff Rostering De-briefing of Chaplaincy Team or other members of Trust staff Review of “fitness for purpose” of chaplaincy response

8. The Role - External Assist in the procurement and monitoring of multi-faith acceptable food sources in the NW Hub Member of the Greater Manchester Chaplaincy Collaborative Member of the Spiritual Care Group of the Greater Manchester Cancer Network Bishop of Manchester’s Advisor on Healthcare Advisor to Hospital Chaplaincy Council on health issues Advisor/Assessor to the DoH & United Kingdom Board for Healthcare Chaplains for Hospital Chaplaincy Appointments Presentations to external groups about chaplaincy Chaplaincy Supervisor Liaison with faith groups through faith-leads

9. Activity20112012Comments Nationally Recommended Establishment 6.2 WTE Bolton Chaplaincy Establishment 3.8 3.8 Jan-Oct 2.7 Nov-Dec. WTE Chaplains’ paid time7,4107053Hours per year Actual time worked8,845.758549Hours per year Chaplains’ unpaid time 1,435.751496 Hours per year Reduction in Salary due to loss of RRP 9.2% - 15.2%5% - 10% Band 7 Pay point 34 Band 5 Pay point 16 Volunteer Time766.51014Hours per year Ward Visiting 43,000 Approx. 40,000 Approx. Chaplains visit 85% of inpatients. The 15% include those who are away from their beds because of treatment (e.g. X-rays, Physiotherapy etc.) The reduction is due to the temporary staff shortage of 1.1 wte Nov. & Dec. Significant Encounter Triggers (SE) 2,3012,397 Triggers as of “Spiritual Care Pathway”. On average input to patients triggering this type of record required 30 minutes to 3 hours per visit, with the possibility of multiple visits of these durations. Input to “In Danger of Death” 116 5% of SE 136 5.6% SE Input to bereavement or potential bereavement situations is approximately only 10% of Chaplaincy work Input to “Death” situations 100 4.3% of SE 117 4.8% of SE Emergency Callouts429502Out of Hours Communicants (Chapel)1,3501546Sunday and midweek services Communicants (Bedside)724 804 For those unable to attend chapel Mindfulness Training for staff 153From 15 Departments Burial of Babies’ Ashes 31 35 Many of these involved input to parents before and after the burial. Duration for this input varied a great deal. Memorial Service (patients) 270310Number of people attending Memorial Service (Staff)200227Number of people attending Other Services (staff & patients) 11098Number of people attending Mosque (staff & patients)3,9764,010Number of people attending Hindu Temple Festivals1,2001,100Number of people attending Emergency Baptisms79Largely babies in danger of death Emergency Blessings63212Largely stillborn infants Committee Meetings Attended 4230Internal External Meetings Attended 129 Cancer Network, Interfaith Groups etc

10. Spiritual care is yours and mine. To be aware of giving meaning to your own life and of your own concepts of spirituality. Comfort patients in stressful situations and bring to the forefront patients’ spiritual concerns and distress. To consider how ethics and spirituality inform the organisation to which you belong.

11. Look at your managers, is this where you want to be when you get there? Are they alive spiritually as a leader and human being? How do they fuel and encourage the spirit of those they work with? How do they keep and strengthen spiritual care for patients and those they serve?

12. Consider Where is your own source of strength and spirituality? Where do you get your strength when things get tough? Do you appreciate others when things are tough for them? How can WE help?

13. A quiet, comforting word or just someone to be there and listen. Being a patient in hospital can be a frightening experience and sometimes an alien one - away from family and friends. The chaplains and their team at the Royal Bolton Hospital work behind the scenes, administering the kind of support that does not come on an NHS prescription. This multifaith team does a sterling job and sometimes religion appears incidental. The next time you are in hospital and need a sympathetic ear, the Reverend Neil Gray and his colleagues will not be far away. Bolton Evening News, 30 August 2010