Compassion in Practice
The Journey So Far…
Presented by Suzie Loader
Assistant Nurse Director
NHS England (Midlands & East)
GP Practice Nurse Forum
06 February 2015
Wider Policy
Context
Six Areas for Action
3
Helping people to stay
independent, maximising well-being
and improving health outcomes
Working with people to provide a
positive experience of care
Delivering high quality care and
measuring impact
Building and strengthening
leadership
Ensuring we have the right staff,
with the right skills in the right place
Supporting positive staff
experience
Developing the culture of
compassionate care
4
A Celebration of Good
Practice: taking CiP into 2015
& beyond…
The Regional Team
Pauline Milne
6
Pauline.milne@nhs.net
Shelley
Bewsher
shelley.bewsher@nhs.net
Our Aim:
To capture and
maximise what
has already
been achieved
as a result of
implementation
of Compassion
in Practice
(CiP)
7
To identify with
you a plan for
taking CiP into
its 3rd and final
year
To integrate
Care Makers
into the
delivery of the
CiP strategy
To develop an
evidence base
demonstrating
the impact of
CiP
To enable the
celebration
and sharing of
good practice
To provide
support to you
and your
colleagues
The Scoping Exercise…
To include all
innovations which
fit under the CiP
banner, not just
those badged as
CiP
8
Identify examples
of good practice,
where outcomes
for patients and
staff have been
identified
All providers
(independent,
NHS, social care
etc.) and
commissioners
have been asked
to complete a form
Data from all the
forms will be
analysed and
feedback provided
to all who
participated
Areas of good
practice will be
identified and
shared on our
website
Governance & Communication…
• Established a Regional Programme Board – 1st meeting
December 2014
• Identified leads for each of the 6 action areas
• Identified draft objectives for: providers, commissioners &
the Region against each of the 6 action areas
• Submitted a business plan to take CIP into 2015/16
• Developing a comprehensive communication plan (blogs,
twitter chats, development of the 6Cs website to include a
M&E community, individual letters to DONs re their care
makers etc.)
9
Compassion in Practice Events
• 18 November 2014 – Away day for directors/deputies &
care makers
• 12 January 2015 – work shop for the Open and Honest pilot
organisations
• 23 January 2015 – Making a Difference is 6Csy conference
• 23 March 2015 – Community & Primary Care Nursing
regional event: 5 Year Forward View / Shape of Caring
debate
• 2015/16 – M&E Compassion in Practice awards
• Various CIP presentations regionally & nationally
• + lots planned for next year
10
Action Area 2:
‘Working with
people to
provide a
positive
experience of
care’
www.england.nhs.uk
AA2: What we have achieved to date
• Friends and Family Implementation, demonstrating
improvements in practice
• Friends and Family Pathfinder Evaluation:
• Changes to FFT as a result
• Patients at the end of their life
• Patient Leader role development
• Patient Stories: evaluation and publication with Week
of Action in September 2014
• ‘Learning from Complaints’ Improvement Strategy
• Regional AA2 Action Plan and regular review at the
Regional CIP Programme Board
www.england.nhs.uk
12
Action Area 3:
‘Delivering
high quality
care and
measuring the
impact’
www.england.nhs.uk
Open and Honest Care:
• NHS England is committed to making more information available
about the quality of care in the NHS. This initiative is a central
part of NHS England’s ambition to ensure every patient gets
high-quality care, and to build improved services for the future.
• Aim of the programme is to enable organisations to publish
patient experience and harm data consistently in one place
alongside improvement stories for each individual
organisation. This provides patients and staff with open and
honest information in a user friendly consistent format.
www.england.nhs.uk
14
Four Overarching Aims
1. Minimise
data burden
on staff by
using data
already
collated
2.
Bringing available data on
harm together in one place
and presenting it differently
to make it meaningful to
improve care locally and
reduce avoidable harm
3.
Improvement
stories
describing
what trusts
have learnt
and what
improvements
they are
making
4. Continuous improvement over time against individual Trust
aspirations (not for comparing organisations )
www.england.nhs.uk
Open and Honest Care in M&E
The 14 Pilot Organisations met on 12 January 2015 to
decide on Open and Honest approach across M&E:
• Board Compact template
• Standard Operating Procedure (acute and
community)
• Phase 1 & 2 data sets
• Report Format
• Identify what ‘Patients Want to see’…
• Aim to publish first set of data on organisations
websites by April 2015
www.england.nhs.uk
16
Action Area 4:
‘Building and
strengthening
leadership’
www.england.nhs.uk
AA4: Building and strengthening leadership
Key national objectives

Co-ordinate the leadership of the nursing and care
professions

Develop a set of tools that enable organisations to
measure their culture

Support providers in reviewing their organisational
culture and publishing the results

Implement a new leadership programme for ward
managers, team leaders and Directors of Nursing
based on values and behaviours of the 6Cs

Implement and embed the Leadership Qualities
Framework for Adult Social Care
www.england.nhs.uk
Action Area 5:
‘Ensuring we
have the right
staff, with the
right skills in
the right place’
www.england.nhs.uk
National Quality Board Guidance
Available at:
http://www.england.nhs.uk/wpcontent/uploads/2013/11/nqb-how-to-guid.pdf
www.england.nhs.uk
20
Hard Truths
Department of Health response to the Francis Inquiry Hard Truths.
Journey to Putting Patients First; includes the requirement for that:
The
‘from April 2014, and by June 2014 at the latest, NHS Trusts will publish ward
level information on whether they are meeting their staffing requirements.
Actual versus planned nursing and midwifery staffing will be published every
month; and every six months Trust boards will be required to undertake a
detailed review of staffing using evidence based tools’.
First published 24th June 2014 and monthly thereafter
www.england.nhs.uk
21
Workforce Planning Tools
•
Safer Nursing Care Tool (SNCT) Guidance and Multipliers updated in July 2013
http://shelfordgroup.org/resource/chief-nurses/safety-nursing-care-tool
•
IPAD-APP developed to record SNCT acuity and dependency scores at the bedside
and generate local reports – implementation plan in development
•
Birthrate Plus - RCM published updated guidance in autumn 2013
•
SNCT for Acute Admission Units launched May 2014.
http://shelfordgroup.org/resource/chief-nurses/aau-safer-nursing-care-tool
•
SNCT for Children’s In-Patient Wards for approval by Shelford Group (anticipated
launch Spring 2015)
•
SNCT for Accident and Emergency Departments – beta testing planned overseen
by Shelford Group (anticipated completion April 2015)
•
Mental Health Inpatient Staffing Framework (awaiting publication through NHS
England)
•
Work underway to develop tools / guidance for Learning Disability and Mental
Health Community settings
www.england.nhs.uk
22
Expanding the Evidence Base
• NNRU Scoping report on impact of 12 hour shifts (awaiting publication
through NHS England)
• Literature reviews undertaken for Mental Health and Learning Disability
work streams
• Research being commissioned on:
 impact of supervisory status for lead sister / charge nurse or
equivalent
 links between staff numbers and outcomes (patient and staff)
 More in-depth research on impact of 12 hour shifts on HCAs and
patients (Hard Truths action)
www.england.nhs.uk
23
Education and Training
• AA5 Week of action held in December – webinars /
twitter chats
• HEE and NHS England joint work to develop an
education and training package on safe staffing for
nurses and midwives
• Working group being established – nominated
representatives received
www.england.nhs.uk
24
NICE Guidelines on Safe Staffing
http://www.nice.org.uk/guidance/SG1/chapter/introduction
http://www.nice.org.uk/guidance/sg1/resources/sg1-safe-staffing-fornursing-in-adult-inpatient-wards-in-acute-hospitals10
Final guidelines were published 15 July 2014.
Guidance for Midwifery staffing consultation closed. Final publication due
February 2015
Guidance for Accident and Emergency Units consultation 12/1/15 – 6/2/15.
Final publication due May 2015
Future guideline topics – mental health, community, learning disability (dates
TBC)
www.england.nhs.uk
25
Safer Staffing: Contact Hours Pilot
•
Guidance published November 2014
•
Key points included:
 Clear indication that it can be used as a tool to inform the 6 monthly
review of staffing requirements;
 Supported by staff who undertook the review;
 Contribution to patient care by others should be recognised; and
 Impact of other factors on ability to deliver care.
 Ability for CQC to test principles within regulatory regime
• Align with key stakeholders
• Currently aligning results with the Safer Nursing Care Tool database
consisting of 100+ wards across England.
www.england.nhs.uk
26
HEE’s contribution to AA5
• Developed an Older Persons Nurse Fellowship
Programme
• Values Based Recruitment
• 2013/14 pre-degree care pilot completed but on-going
• Talent for Care Strategic Framework – approved by
HEE board Oct. 2014
• Implementation of the Care Certificate: April 2015
www.england.nhs.uk
27
In Conclusion:
To capture and
maximise what
has already
been achieved
as a result of
implementation
of Compassion
in Practice
(CiP)
2
8 www.england.nhs.uk
To identify with
you a plan for
taking CiP into
its 3rd and final
year
To integrate
Care Makers
into the
delivery of the
CiP strategy
To develop an
evidence base
demonstrating
the impact of
CiP
To enable the
celebration
and sharing of
good practice
To provide
support to you
and your
colleagues
ANY QUESTIONS?
Suzie Loader
Assistant Nurse Director
NHS England (Midlands & East)
suzie.loader@nhs.net
www.england.nhs.uk