3rd September, 1971
Vol. 1. No. 14.


Change is one of the laws of living, and new occasions, teaching as they do new duties, demand changes both in approach and attitude. Perhaps there has never been a time to equal the present, certainly not within living memory, when radical change has reached such dimension as to fling revolutionary concepts into open conflict with the tried and tested principles on which civilised society has been built and nurtured.

One of the most disconcerting facets of the present day approach as employed by the advocates of change is the cacophony of sound deemed so essential as accompaniment to the prelude. Analysed it is usually "full of sound and fury, signifying nothing" and does little except to serve as a disguise and veneer for lack of logical reasoning behind starry-eyed concepts which have no foundation in fact and less in realism.

Change for the sake of change can lead to disaster, change born of necessity, carefully planned, piloted and subjected to testing processes, generally leads to betterment; though oft times in the generating processes the main aims of purposive endeavour, are over-shadowed by a self interest defensive mechanism.

Alternatively because of change becoming a fashionable garment there are those who prefer to wear it and endure its discomforts rather than be considered as being behind the times.

In the undertaking in which we are engaged, the first consideration in all contemplated change should be the effect of such upon our end product. The end product is the well being of those committed to our care expressed either in terns of full recovery, improvement, appreciative capacity, comfort, contentment, or high standards of care.

Elsewhere in this issue we publicise for general information the changes which were given effect as from Monday last in the Medical Nursing Structure, and in the measure in which the result of these innovations reflect improvement at this level, in that measure can they be regarded as successful? Our hopes run high.


The Hospital Management Committee have recently approved a report of the Medical Advisory Board entitled 'The Future Comprehensive Developments and Organisation of the Psychiatric Services within the catchment area of Winwick Hospital' and the medical staffing structure has now been modified in line with this.

Basically, the hospital has been divided into 'Units' consisting of a group of wards which will be the responsibility of a clinical team headed by one Consultant Psychiatrist with the exception of Delph Hospital and the psychogeriatric units which will still involve a number of Consultants. The unit will be the special administrative and clinical concern of the Nursing Officer designated to the team. In this way it is envisaged that each clinical team will develop an active and co-ordinated therapeutic policy.

A number of units forming an area will be controlled and cc-ordinated by the Deputy Matron and Deputy Chief Male Nurse. Units 1 - 5 will form Area I and will be the responsibility of Mr. J. E. Wright and Units 6 - 10 will form Area II and be the responsibility of Miss M. T. Downey.

Mr. J. Dawson will continue to be the Nursing Officer in charge of Operating Theatre, C.S.S.D. Clinics, etc., and Mr. J. Jolley will carry on his role of Social Therapy Officer. As these departments serve all the hospital these two Nursing Officers will be directly responsible to the Head of Nursing Services.

Although over the last few weeks some decentralisation from the central nursing office has taken place there still remains much to be finalised. In order to do this Miss A. T. O'Connell will remain in a central role and will be directly responsible to the Head of Nursing Services.

Nursing staff will be allocated to Units and not to individual wards and the Nursing Officer will allocate then according to the needs of the wards and when necessary deploy them on a day-to-day basis in an emergency situation assistance will be sought from the Area Nursing Officer. Day-to-day decisions will be made within the Unit in accordance with hospital policy, but anything involving change of policy must be reported to the H.O.N.S. before implementation.

Each Unit Officer will be responsible for communications within the Unit and will provide the necessary 'feed-back' to Nursing Officers' meetings.

It is envisaged that ultimately an Acting-up scheme will be fully introduced within each Unit, but it will be necessary to familiarise ward staff with the responsibilities involved in this over the next few months and will be the subject of another memorandum.

Although at present the Units are not situated in close proximity to each other this will be rectified over a period of tine in conjunction with the phased completion of the up-grading of the central heating.

This is not a Salmon Scheme, but a new structure introduced with the aim of providing an efficient, integrated nursing service with more effective communications at all levels leading ultimately to greater job satisfaction and improved patient care. In the light of experience the scheme will be reviewed periodically.


The latest venture into the community, i.e. Warrington Swimming Baths, with a group of our more dependent type patients, which I may add was undertaken with a good deal of apprehension and even some misgivings on my part, has resulted in an unqualifying success, not only from our patients enjoyment and re-socialization, which is needless to say the object of the exercise, but also a grand example of co-operation, enthusiasm and I will even go so far as to say dedication by members of the staff from many areas of the hospital. It would take me far too long to name all these good folk, they have certainly won my admiration. When staff who are off duty, some who live away from the hospital, cone back and give up their own time and use their own cars, take our patients down to Warrington and give individual attention and instruction; this is in my opinion the role of a real friendship and one needs say little more.

I think it would be very remiss, however, if I did not thank the Baths Superintendent and his wife and staff who from the start, have themselves set an example of understanding and assistance beyond our wildest expectations. We are deeply indebted to them.

Our H.M.C. has readily recognised the therapeutic value, and the effort involved, by offering to help solve the transport difficulties.

J. A. Jolley


We all know that the most important job in any hospital is the nursing of patients, seeing to their needs and little 'wymsies' etc., nursing them through difficult times, both mental and physical. What a grand job the section of the Winwick Nursing Staff do! But, PLEASE, spare a thought for the 'few' without which, the Nurses would not be able to do such a grand job. I refer to the members of the Stores staff, who unceasingly. provide a service, although many times understaffed to the tune of fifty per cent.

This, from time to time causes little irritations because they are hard pressed to supply everyone's needs, when everyone wishes. They are of course, 'the back room boys' who never share in any limelight, never have a Christmas Party, and are never 'mentioned in despatches'.

Many times, they have to put off jobs, which to the "customer' are important, because of stores arriving in large amounts, sometimes ten tons in in hour.

We do not ask for medals, only a little tolerance!

E Latham

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Due to unforeseen difficulties the induction course for new Nursing Assistants will be postponed until Monday 13 September, 1971.

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It was with regret that the Sports Dance arranged for August, 27th had to be cancelled, due mainly to lack of support.

However, the ballot for the sports personality was a great success, and it is hoped to have the presentation of the trophies later in the year.

J. A. Jolley.

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R. Wilding, Temporary Nursing Assistant

Nursing Assistants:

A. Gorst         )
D. Evans         )
I. S. Oozerrally ) Pre Students
I. M. Moolna     )
R. T. Jadoo      )

E. Anderton
E. Vincent
Mrs. E. Haughton.

Cadet Nurse M. Nolan


Nursing Assistants:
Maureen Costello
M. Heart.
S.E.N. Agnes Beard
Temporary Nursing Assistant D. Vennezza
Student Nurse J. Staniforth
P.T.A.S. J. Simpson

Congratulations on being promoted to Nursing Assistants to:

Mrs. J. Twist Mrs. E. Haughton

Congratulations to Nursing Assistant May Cunliffe, F. 5 Up on becoming a Great Grandmother.