Effective Ward Manager Liberating Ward Managers to lead · Effective Ward Manager Liberating Ward...
Transcript of Effective Ward Manager Liberating Ward Managers to lead · Effective Ward Manager Liberating Ward...
Cepta Hamm Head of Nursing
and
Karen Bonner Deputy Head of Nursing
Effective Ward Manager
Liberating Ward Managers to lead
Agenda
1. Enabling the vision for 75% clinical leadership time
for Ward Sisters: reducing administrative and office
based tasks through a concierge service
2. Changing culture and attitudes: what “its my ward!”
means in practice
3. Our experience and measuring success
Excellent Ward Project
• The aim of the Excellent Ward project is to review all estates and facilities
• (Essentia) provided services that are received by 6 pilot Wards ensuring
that
• Clinical teams and patients receive a ‘one stop, right first time’ service.
• Includes non clinical and support services that impact on the ward and its
• efficiency
• The 6 Pilot Wards
• Elderly Care [including Stroke]
• Renal specialties.
We Will
•Build a
communication
model that
supports shared
decision making &
teamwork on the
ward
•Review and
improve the
Patient
Experience from
admission to
discharge
•Launch the
‘Excellent Ward’
Joint Project with
our Clinical
colleagues
We Will
•Develop and
agree a service
model for all
Essentia Services
•Introduce and
deliver Essentia
pledges that
support
compassion and
excellence of
service
• Develop the skills
across all Essentia
teams to support &
care for all our
patients
We Will
•Embed the
agreed Essentia
Service Level and
key performance
indicators at ward
level
•Review all current
operational
procedures and
ensure they are fit
for purpose ,
efficient and
reflect the ward
requirement
•Develop a Ward
based ‘Standard
Operating Manual’
for all Essentia
Services
We Will
•Support Ward Sisters in releasing time to care by designing and implementing new ways of working •Create a Leadership service model that empowers and aids local decision making
•Challenge convention and find innovative solutions to problems
We Will
•Develop job descriptions & skills matrix that reflect the competencies required to deliver an excellent service
•Develop training materials and programmes to support all staff •Pilot the one number for Essentia services across the ward environment
We Will
• Acknowledge commitment & achievement through Trust & Local Recognition schemes •Develop our Management Academy& recruitment programme to support new ways of working
•Embed the 6C and Trust Values in to teams
Responding to Compassion in Practice - Developing Excellence in support services
The Excellent Ward 6Cs
Strengthening Leadership in
support services
Delivering a high quality and
measurable service
Delivering an excellent and positive
patient experience
Staff, with the right skills, in the right place getting it
right the first time
Working to provide an excellent patient
experience
Sharing our ideas & Information to support
patient care
Excellent Ward Project
• Handy Man/Trades Person – Providing a dedicated ‘Handy Man’ service on a
fortnightly basis for non-urgent work required on Wards.
• One Stop Number – Providing a dedicated number to call for all 16 Estates and
facilities services 24/7.
• Dedicated Portering – Dedicated portering service provided during core business
hours 8am – 6pm.
• Catering – an improved Elderly Care nutritional model is being developed. This
includes an ‘Elderly Care’ grazing menu with a 24 hour service. The introduction of
Dementia awareness crockery.
• Ward Clerk Training Programme –. Service re-design for this role is seen as key in
providing a Ward based centre of excellence across both clinical and non clinical
teams. .
• Patient Transport – Full review of the patient discharge pathway which includes
capturing time savings within the patient journey from discharge to arrival home.
Excellent Ward Project
• Dedicated Wheelchairs – Based on Elderly Care Wards 9th Floor St
Thomas’ which are used by both Patients relatives and Ward teams
• Linen and Laundry Review – a full review of stock, quality and service
configuration.
• Omni-Cell/Stock Control – Stock control and service issues identified
within the Survey..
• Catering – Birthday Cakes and Fruit bowls provided in day rooms
• Waste Management – New ‘user friendly’ design bins on all pilot Wards.
• The re launch of the KIC at St Thomas’ to facilitate a more user friendly
interaction with IT.
It’s my ward! • Doing the right thing
• Honesty
• Really important to make a difference
• Love to be in charge
• Lots of drive
• Very high standards
• Love to be on top of things
• Like to be hands on
‘It’s My Ward!’
• Like to have lots going on
• Keep going when things get tough
• Buzz out of developing others
• Pick up on peoples’ needs
• Good at explaining things to others
Safe in Our Hands
Safe In Our Hands
Patient Harm from Pressure Ulcers
Number of Patients admitted with Pressure ulcers
Average Number of Patients at risk of Pressure ulcers per
day
Number of Patients with attributable Pressure ulcers
176
M Tu W Th F
Daily patients at risk of pressure ulcer
score
158
Hospital STH
Pressure ulcers on admissionOn admission
Alexandra 2
Coronary Care Unit 1
Henry 1
ICU 1&2 3
Luke (STH) 1
Page 1
Sarah Swift 5
Grand Total 14
Pressure Ulcers Attributable
Coronary Care Unit 1
ICU 1&2 1
Victoria 1
Grand Total 3
Hospital GUYS
Pressure ulcers on
admissionOn admission
Richard Bright 1
Samaritan 2
Grand Total 3
Pressure Ulcers Attributable
Grand Total
17
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