Compassion in PracticeAction Area Five

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Developing the culture of compassionate care

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Six Areas for Action

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

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Action Area 5: ‘ensuring we have the right staff, with the right skills in the right place’

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National Quality Board Guidance

Available at:http://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-how-to-guid.pdf

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www.england.nhs.uk

Good Practice Guidance

National Quality Board guidance published on 19/11/13

Includes ten expectations and twenty case studies

Six themes –

Accountability and responsibility

Evidence-based decision making

Supporting and fostering a professional environment

Openness and transparency

Planning for future workforce requirements

Role of commissioning

Two national events held in March 2014 to support implementation

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www.england.nhs.uk

Hard Truths

Department of Health response to the Francis Inquiry Hard Truths. The Journey to Putting Patients First; includes the requirement for that:

‘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

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www.england.nhs.uk

Workforce Planning Tools• Safer Nursing Care Tool Guidance and Multipliers updated in July 2013 http://

shelfordgroup.org/resource/chief-nurses/safety-nursing-care-tool

• IPAD-APP in development to record SNCT acuity and dependency scores at the

bedside and generate local reports – proof of concept stage complete

• Birthrate Plus - RCM published updated guidance in autumn 2013

• Safer Nursing Care Tool for Acute Admission Units launched May 2014. http://

shelfordgroup.org/resource/chief-nurses/aau-safer-nursing-care-tool

• Safer Nursing Care Tool for Children’s In-Patient Wards for approval by Shelford

Group (November 2014)

• Safer Nursing Care Tool for Accident and Emergency Departments being finalised

with Shelford Group

• Mental Health Inpatient Staffing Framework (awaiting publication imminently)

• Work underway to identify / develop tools for Learning Disability and Community

settings

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www.england.nhs.uk

Expanding the Evidence Base

• Scoping report on impact of 12 hour shifts (NNRU) – being finalised for

publication

• Literature review undertaken for Mental Health and Learning Disability

workstreams

• 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 staff (RNs

and HCSWs) and patients

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www.england.nhs.uk

Education and Training

• HEE and NHS England joint work to develop an

education and training package on safe staffing for

nurses and midwives

• Working group being established

• Week of action from 8th December – webinars /

twitter chats

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www.england.nhs.uk

NICE Guidelines on Safe Staffing

• Francis Report and Berwick Review identified role for NICE

• NICE will produce evidence-based guidelines on cost-effective safe staffing levels for the NHS

• NICE will quality assure any associated practical tools to support safe staffing

• 1st topic focussed on nursing staff in adult wards in acute settings

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www.england.nhs.uk

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-for-nursing-in-adult-inpatient-wards-in-acute-hospitals10Final 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)

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