Hard Truths Public Board 24th September 2015
|
|
- Barrie Paul
- 5 years ago
- Views:
Transcription
1 Hard Truths Public Board 24th September 2015 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse / Deputy Chief Executive Jill Asbury, Head of Nursing, Nursing and Midwifery Education & Workforce None Trust Goals The best for patient safety, quality and experience The best place to work A centre for excellence for research, education and innovation Seamless integrated care across organisational boundaries Financial sustainability Key points 1. To bring to the attention of the Board any nursing / midwifery workforce risks Information 2. Progress against the investment into nurse staffing 2015/16 Information 3. Feedback from key findings from the July 2015 Ward Workforce Health Check including Hard Truths, 2014 data. Information 4. The results of the Care Contact Time, 2014 self-assessment exercise. Information 1
2 1.0 Summary Agenda Item 11.5 The following paper brings together a range of measures that provide a strategic overview and focus on ward workforce measures for the month of July This information is triangulated with the Ward Healthcheck, whose RAG rating is based on a percentage compliance with 11 standards that are key to influencing patient outcomes and experience, (the Board receives the Ward Healthcheck paper describing the results at each meeting). Using this approach it can be seen that the impact of staffing is integral to the LTHT review of factors that affect the experience and outcomes of patients. The Ward Workforce Health Check (WWH) data has been used for July 2015 to inform this paper. The paper includes: areas where there are particular nursing workforce challenges / risks information on the reduction in registered nurse turnover trend data on nursing staff at bands 1-5 joining and leaving LTHT progress made towards 15/16 nurse recruitment information and results of the exercise undertaken to determine the care contact time that nursing staff spend with patients. information on midwifery staffing and maternity red flags, NICE (2015) for the Hard Truths (2014) data, a summary of the number of wards where the staff on duty are <80% of that planned. information on the LTHT participation in the Department of Health Procurement & Efficiency programme information and an initial risk assessment on the recently released TDA/Monitor Guidance on Nursing Agency Rules, September Nursing Workforce : Challenges / Risks The challenges within the nursing workforce during the summer months have been particularly taxing over the last 3 years, as seen in appendix 1 the outflow of staff from the organisation over the months of May to August outstrips those joining by, at times, up to 25 on some months. This has not been as extreme this year but is still the trend. Traditionally, a reduction in both patient acuity and numbers made this manageable. However, as the well documented local and national picture describes, this is no longer the case with the result that the workforce challenges are exacerbated. Table 1 displays the Clinical Service Units that are facing particular workforce challenges and the use being made of temporary staff to bridge the current gap. For these CSU s they hold services where like services are held within DGH s, and the work in the smaller hospitals is often perceived as being less intense and hence they suffer from competition from local hospitals Appendix 2 describes the actions being taken to support both the CSU s and the wards within those CSU s where particular challenges exist. Identified in the table below are two wards with excess of sickness these are all in management processes and with 3 members of staff on phased return following long term sick, and 4 members of staff on long term sick with complex issues and no prospect of returning to work as yet. 2
3 Table 1: CSU s with Workforce Challenges CSU Band 5 Staffing Gap (wte) Temporary Staffing Use Agency (wte) (wte) Recruitment Pipeline (wte) Maternity Leave (in month average CSU %) Sick Leave (in month average CSU %) Datix Incentive In Place Cardio- Respiratory (8 wards) Agency % (J10 : 15.6% L20 : 17.2%) 2.3% 12 (11 from J12) J10 & J12 (Registered Staff only) Abdominal Medicine and Surgery (13 wards) Agency 34 2% 4.5% (J42 : 15.8% J83 : 13.2%) 3 (even spread) None Acute Medicine (14 wards) Agency (of which 18.6 associated with the Supported Discharge Ward : J30) % (across 6 wards all over the 5% threshold) 3% 11 (6 from J08) J7, J8, J16, J21 & J26 (Registered Staff only) Trauma Related Services (8 wards) Agency % (L39 : 16.9%) 2.1% 7 (from L22 & L34) None Neurosciences (6 wards) Agency None 3
4 3.0 Retention Appendix 3 displays the significant progress being made in improving nurse retention, particularly at band 5, with the first 6 months of this year showing a sustained range of %, down from a peak at this time last year of 16.1%. This is evident in the reduction in leavers seen across the summer months this year in comparison to previous years. It is hard to discern a single reason for this, but in discussions with nurses re-joining LTHT after a period away they describe a change in culture to one of positive support, one in which development and improvement for both services and individuals is encouraged and where they feel they would be listened to. 4.0 Staff Recruitment : Support to Hard to Recruit Areas The Board is aware of the partnership with on their EU Programme and the 24 Italian nurses who are currently working with LTHT. There is a further round of Italian recruitment planned for November 2015, this will continue to be targeted at those CSU s described in table 1. The Chief Nurse met with the first cohort to offer the opportunity of being recruited into substantive positions in LTHT. This will be progressed at the forthcoming Open Day. The RCN Recruitment Fairs are used to showcase those CSU s where recruitment is a greater challenge. There are 2 taking place over the next 3 months. Adverts targeted towards specific wards or specialities have been successful and those staff are currently in the recruitment pipeline, 4.1 Recruitment Pipeline The Trust has hosted 3 Open Day s and a university interview event in the February, March, May and July 2015, with a further Open Day planned for October. The results of which are in the table below. The detail of the allocation by CSU at band 2 and 5 is described in appendix 4 & 5. Table 2 Speciality Interviewed and Appointed since 28/2/15 (start dates likely to be September as majority newly qualified) Peri-Operative Practitioners 32 Children s 93 Adults 289 Midwives 44 4
5 Appendix 6 describes those who have started in the organisation on a week by week basis from the start of the financial year. Please note the total numbers above will differ from those on the forward plan; due to those who have started since 28/2/15 and those who have withdrawn their applications following appointment / offer acceptance. Band 3 Clinical Support Worker short term contracts are offered to all newly qualified nursing and midwifery staff whilst they await notification of their registration with the NMC. These posts are within the clinical area that they have secured a Band 5 post. 4.2 Return to Practice : Partnership with Bradford University The first group of 9 have completed their course and are awaiting their results. Of these, 8 have been recruited to substantive posts in LTHT, with 1 pursuing a career with Leeds Community Health. A small group of 3 began in June, and 1 is commencing in September. Despite our small numbers it is still an avenue we wish to pursue. There are opportunities to take a similar approach for Operating Department Practitioners wishing to return to a theatre career, these are being actively pursued. 5.0 Patient Acuity and Dependency Monitoring : 6 Monthly Staffing Review The 6 monthly patient acuity and dependency review was completed on 2 August, the results of which were recently received. The Operational Heads of Nursing and the Head of Nursing Education and Workforce will be reviewing this data alongside the ward establishments in early September. 5.1 Care Contact Time As part of the suite of measures to be included in this review is the care contact time. This approach recommended by NHS England measures how ward staff, both registered and un-registered spend their time. The aim being where the contact time is low, actions can be taken to increase this. The tool used was developed by Central Manchester University Hospitals, and is recommended by NHS England and used across the country. This is the first time LTHT have undertaken this exercise. All inpatient and assessment areas completed the collection which involved all registered and un-registered nursing staff self-reporting their primary activity every five minutes using a code which identified the activities as described below. 5
6 Table 3 Direct Care (Nursing) Meals Medications Patient Communication Nursing Procedures Patient Hygiene Patient Observations Other Off the ward with patient Direct Care (Process) Ward Round Admissions Discharges Other Indirect Care (Nursing) Shift Handover Nursing Documentation Professional Discussion (Face to Face) Professional Discussion (Telephone) Relative Communication Environment/Cleanliness Ordering Patient Tests Other Non-Patient Activities Student Support Break Ordering Stocks Search for items Staff training Off ward without patient Other The collection took place in August, between the beginning and end of the day shift and did not include staff on night shifts. The data was then entered by the ward into a data collection tool which then calculated the percentage of time taken for Direct Care (Nursing), Direct Care (Process), Indirect Care (Nursing) and Non Patient Activities. The results on a ward by ward basis are displayed in appendix 7, direct care and process are united in the graphs. 5.2 Analysis There is no evidence to suggest what the maximum or minimum direct care should be. The majority of peers (who have more experience of this tool) take 60% as the mid-point. The results for LTHT show a fairly consistent picture, with some variation, around the 60-65% range. The wards where the results show above 70% or below 50% will be re-surveyed using a reviewer external to the ward rather than self-assessment, as will wards where their results are outwith their peers. The trends that can be seen are; for day case areas where significant amounts of time are spent on indirect care compared to their 24hr counterparts. Paediatric wards are significantly different to their adult counterparts, in the amount of direct care reported by both staff groups, but the effect of parental involvement in care is not described in any of the work on care contact time. The results show variation between the Clinical Service Units, but within the CSU s are, (for the most part), remarkably consistent. As described above, the output will be reviewed with the Operational Heads of Nursing and actions to improve direct care contact with patients will be put in place. The collection of this information will be routinely collected every 6 months, with ad hoc collections where required by the service or for validation purposes. 6
7 6.0 Maternity Staffing Metrics Maternity staffing thresholds are reviewed in line with Birthrate Plus (2013). The revised metrics provide an overall staffing birth to midwife ratio and to the community midwifery caseloads. 6.1 Midwife to Birth Ratio s The thresholds described below have been concluded based on the Birthrate Plus (2013) high level analysis: Green = Amber = Red = above 32 In line with this, LTHT, with the tertiary level services and case complexity, should be aiming for 1:27 as an optimum. 6.2 Current Funded Staffing Position Table 4 Month No. of Deliveries Midwife : Births May :29 July :27 Maternity recruitment continues to be successful and as such the green range is expected to be maintained. The successful recruitment into the community teams has reduced these caseloads to 110 / midwife from 137 / midwife in July 2014 and the planned recruitment for 15/16 should reduce these further and bring them into line with the national recommendations of / midwife (Birthrate Plus). The birth to midwife rate is a guide and there are operational escalation plans to ensure safe staffing levels at times of peak activity. 6.3 NICE Guidance & Red Flags NICE have recently released safe staffing guideline 4, which relates to Safe Midwifery Staffing for Maternity Settings. The reporting of red flags in this setting have been reviewed by the Regional Heads of Midwifery Forum to ensure a consistent approach. Those listed below have been agreed. The Maternity Service s Risk Management Policy will be amended to reflect these in their incident reporting trigger list, and will be reported and reviewed within the CSU governance structure and through to the Trust Risk and Safety Committee. a) Delay of 30 minutes or more between presentation and triage b) Any occasion when 1 midwife is not able to provide continuous one to one care and support to a woman during established labour. c) Delayed recognition of and action on vital signs. 7
8 7.0 Hard Truths, 2014 : Summary of number of wards triggering <80% since data collection commenced: trend and current position The Board is familiar with the national requirement to report, and have displayed on the NHS Choices website, the percentage of care hours planned versus the care hours delivered by both registered and un-registered staff. The Trust Development Authority (TDA) express concerns when 40% of the reported wards within an organisation have fill rates of less than 80% of the planned staffing. Within LTHT the percentage of wards showing fill rates of less than 80% has risen above this threshold for the first time in 5 months. The table 5 describes the total number of wards where actual numbers on duty fell below 80% of those planned to be there, with the final column displaying this as a percentage. Table 5 Summary of numbers of wards triggering <80% Cumulative data. Day Registered Day Care staff Night Registered Night Care staff Total wards % of wards reported on Jun % Jul % Aug % Sep % Oct % Nov % Dec % Jan % Feb % Mar % Apr % May % Jun % Jul % 7.1 Analysis This shows a deteriorating position and is very similar to July 2014, for all the reasons described in section 2. With the numbers in the recruitment pipeline this is anticipated as being a short term problem and the actions to mitigate and support wards, in the short term, form part of the escalation process for supporting staffing. In the medium to long term the recruitment pipeline and activities continue. 8.0 Department of Health Procurement & Efficiency Programme : Lord Carter The Board received information about the contribution LTHT is making to this work programme being led by Lord Carter. The Trust is actively involved in an 8 month DH Workforce Efficiency Collaborative; the aim of the LTHT project is to improve patient safety and the patients and their families experience through the effective and efficient provision of enhanced supervision ( specialling ) of those patients who are at risk of falls, causing intentional or un- intentional harm to themselves, other patients, visitors or staff members. 8
9 8.1 Progress Agenda Item 11.5 The tender process to support Enhanced Supervision, particularly for those patients causing intentional or un-intentional harm, has been awarded and plans for the move across to the successful company are being developed with Estates and Facilities, with the aim being a 1st October 2015 launch. Currently 3 CSU s, (Abdominal Surgery and Medicine, Acute Medicine Neurosciences), and 7 wards are involved in the LTHT Collaborative, with the potential of a fourth CSU (Urgent Care) joining. Data measures have been agreed. A census will take place, on the participating wards, in early September to gather data to understand the initial (and ongoing) assessments that determine: when enhanced supervision is required, how it is decided and what skill set is required to achieve this safely. This will assist in the development of an assessment / sign-posting tool for use by ward staff to ensure a consistent approach by all. Clinical Support Staff with mental health experience have been recruited to to support short term patient need. Recruitment of similarly skilled substantive staff is in train with 178 applied, 45 shortlisted and interview panels being established. The successful candidates are expected to be in post in November. A process for the allocation and deployment of these staff is being developed. 9.0 Nursing Agency Rules In September the Trust Development Authority in conjunction with Monitor launched their plan to support Trusts to reduce their nursing agency costs. Based on the 14/15 expenditure Trusts have been given a ceiling they are not expected to exceed for the remaining 6 months of the year. This is a month by month ceiling and not a year end figure. A trajectory showing a year on year reduction has also been given and these are described across 8 bands depending on the 14/15 baseline for each organisation. The trajectory for LTHT is in band E and is described below : 2014/15 Nursing Agency Spend rate Banding Q3 & Q4 2015/16 Ceiling 2016/17 Ceiling 2017/18 Ceiling 2018/19 Ceiling 6% to 8% E 6% 5% 4% 3% For LTHT the out sourced bank supplied by is not an agency and this has been recognised within the guidance. An initial high level exercise suggests that this is an achievable ceiling for LTHT and poses little risk to business, but a more detailed review is being completed to ensure this. The Board will receive updates in future papers of the actions being taken to ensure an appropriate reduction in cost without impacting on patient care Financial Implications and Risk Investment in nurse staffing has previously been agreed. Vacancies do present an ongoing risk to patient care but the staffing resource is managed on a daily basis by 9
10 10 Agenda Item 11.5 senior nurses to ensure safety, in accordance with the escalation procedure that is displayed on every ward. This has been logged on the Trust Risk Register. An update on the recruitment position and plans was given by the Chief Nurse to the Risk Management Committee. Rosters are planned 8 weeks in advance, therefore where a planned roster does not demonstrate safe and effective staffing, the CSU Head of Nursing, working in conjunction with their triumvirate teams have an opportunity to review and plan accordingly Equality Analysis All the equality monitoring associated with the recruiting process is not altered by the contents of this paper. Any adjustments that need to be made to accommodate the needs of those being recruited will continue in line with current LTHT policies Summary In summary, significant progress has been made in reducing the turnover and improving the retention of both registered nurses and band 5 nurses in particular. Aligned to this, the target of recruiting 450 registered staff by the financial year end remains on track. LTHT continues to have a number of challenges in recruiting staff to 5 Clinical Service Units, these are the focus for recruitment from the European Union in partnership with and are subject to specific recruitment campaigns with both a local and national focus. The newly gathered information on care contact hours will be used, where the opportunity exists to increase the time spent with patients by nursing staff. LTHT are employing a number of strategies to bridge the current staffing gap, whilst endeavouring not to increase the use of agency nurses; using incentives, the DH Workforce Efficiency Collaborative to improve how LTHT manage the requirements for enhanced patient supervision and the recruitment of substantive staff. A detailed assessment of the projected costs associated with nursing agency use in line with the recently released Nursing Agency Rules, (TDA/Monitor 2015) is underway. This is to ensure the expenditure sits within the given ceiling of 6%. The initial high level assessment suggests that this will not pose a risk to the safe and effective delivery of high quality care that LTHT currently provides to patients. Where wards are in need of support to deliver high quality care, this is provided by the Support Team from Corporate Nursing with oversight from the Executive Team through the Weekly Quality Meetings. The Board receives this information via the Ward Healthcheck paper Publication under the Freedom of Information Act This paper has been made available under the Freedom of Information Act Recommendation The Board are asked to:
11 Receive the report for information and note the work that is taking place to respond to the red areas at CSU level and at an organisational level to support and improve nurse staffing. To note the first attempt to capture an organisational understanding of the direct contact / process time staff deploy with patients and associated actions. To note the red flag reporting agreed for the maternity services. To note the contribution that LTHT is making towards the Department of Health Procurement & Efficiency Programme workforce stream. Jill Asbury Head of Nursing Education & Workforce 26th August 2015 Please note : Supporting information can be found in the appendices 11
Hard Truths Public Board 29th September, 2016
Hard Truths Public Board 29th September, 2016 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse/Deputy Chief Executive Heather McClelland
More informationSafer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report
To: Board of Directors Date of Meeting: 26 th July 20 Title Safer Nursing and Midwifery Staffing Responsible Executive Director Nicola Ranger, Chief Nurse Prepared by Helen O Dell, Deputy Chief Nurse Workforce
More informationReview of Nurse Staffing - Six Month Update Public Board 25 th September 2014
Review of Nurse Staffing - Six Month Update Public Board 25 th September 2014 Presented for: Presented by: Author Previous Committees Information Professor Suzanne Hinchliffe CBE, Chief Nurse / Interim
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing August 2017 (July 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing August 2017 (July 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author: Workforce
More informationMonthly Nurse Safer Staffing Report June and July 2018
Monthly Nurse Safer Staffing Report June and July 2018 Trust Board September 2018 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation
More informationThe Royal Wolverhampton NHS Trust
Title: Safe Staffing; Planned Versus Actual Staffing by Ward September 2016 data The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 31 st October 2016 Title: Nursing Workforce Report Executive
More informationTAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
TAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST Report to Public Trust Board meeting of the 25 th May 2017 Agenda Item 7b Title Sponsoring Executive Director Author (s) Purpose Previously considered
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date September 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient Services
More informationDate of Meeting: 29 th June 2016 Report Title: Nursing and Midwifery Staffing Exception Report (for March 2016)
Report to: Board of Directors Date of Meeting: 9 th June 16 Report Title: Nursing and Midwifery Staffing Exception Report (for March 16) Status: For information Discussion Assurance Approval Regulatory
More informationStatus: Information Discussion Assurance Approval
Report to: Trust Board Agenda item: Date of Meeting: July 2017 Report Title: Safe Nurse Staffing 6 Monthly Assurance Report Status: Information Discussion Assurance Approval X x Prepared by: Sarah Dodds,
More informationTAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
TAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST Report to Public Trust Board meeting of the 29 th June 2017 Agenda Item 7b Title Sponsoring Executive Director Author (s) Purpose Previously considered
More informationMonthly Nurse Safer Staffing Report May 2018
Monthly Nurse Safer Staffing Report May 2018 Trust Board June 2018 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation into Mid Staffordshire
More informationMonthly Nurse Safer Staffing Report October 2017
Monthly Nurse Safer Staffing Report October 2017 Trust Board November 2017 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation into Mid
More informationMonthly Report on Nurse Levels for May 2016
Meeting: Finance and Performance Committee Date: 27 th June 2016 Agenda Item: 7 Monthly Report on Nurse Levels for May 2016 Key Risks - Clinical: The delivery of safe, high quality care is a fundamental
More information102/14(ii) Bridgewater Board Date. Thursday 5 June Agenda item. Safe Staffing April 2014 Review
Bridgewater Board Date Thursday 5 June 2014 Agenda item 102/14(ii) Title Safe Staffing April 2014 Review Sponsoring Director Authors Presented by Purpose Dorian Williams, Executive Nurse/Director of Governance
More informationTitle Open and Honest Staffing Report April 2016
Title Open and Honest Staffing Report April 2016 File location WILJ2102 Meeting Board of Directors Date 25 th May 2016 Executive Summary This paper provides a stocktake on the position of South Tyneside
More informationAgenda Item The report triangulates staffing levels against appropriate quality measures. The Report is provided to the Board for:
To: Trust Board From: Michelle Rhodes, Director of Nursing Date: 2 nd May 2017 Essential Standards: Health and Social Care Act 2008 (Regulated Activities) Regulation 18: Staffing Title: Monthly Nursing/Midwifery
More informationSafe Nurse Staffing Levels. June 2017
Safe Nurse Staffing Levels Executive Summary June 2017 The purpose of this report is: 1. To provide an assurance with regard to the management of safe nursing and midwifery staffing for the month of June
More informationLink to Relevant CQC Domain: Safe Effective Caring Responsive Well Led
Enclosure H Safe Staffing Trust Board Item: 12 Date 29 th November 2017 Enclosure: H Purpose of the Report: This report provides the Trust Board with an update on progress with meeting the safe staffing
More informationUNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST Trust Board meeting 27 th October 2016
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST Trust Board meeting 27 th October 2016 Title Sponsoring Executive Authors names & Job titles Ward Staffing nursing establishment 6 monthly review July
More informationNursing and Midwifery Monthly Staffing Report, May 2017
Nursing and Midwifery Monthly Staffing Report, May 2017 Eileen Aylott, Assistant Director of Nursing Anita Robinson, E-Rostering Lead May 2017 (data from April 2017) 1 P a g e Safe Staffing Levels April
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date 19 th December 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient
More informationNQB safe sustainable and productive staffing
NQB safe sustainable and productive staffing Jacqueline McKenna Deputy Director of Nursing NHS Improvement NHS Providers HR Network 21 July 2016 Patient Safety function from NHS England (including National
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:
More informationCare hours per patient day (CHPPD) will be collected monthly from May 2016 and moving to daily collection from April 2017.
Royal National Orthopaedic Hospital Trust Trust Board Meeting - Executive Summary Report Title: May Staffing Report (Hard Truths Commitment) [Paper Reference] Date:7/6/16 Author: Karen Mannion, Project
More informationReview of Inpatient Nursing Establishment, Capacity and Capability Review
Appendix 2 Review of Inpatient Nursing Establishment, Capacity and Capability Review Mental Health Group September 2015 Review March 2016 Author: Heidi Cater, Head of Nursing, Mental Health Page 1 of 15
More informationFOR: Information Assurance Discussion and input Decision/approval
Nursing & Midwifery (N&M) Establishments Trust Board Meeting - Part 1 Item: 7.4 27 th November 2013 Enclosure: F Purpose of the Report: This paper sets out the Trusts current approach to nurse establishment
More informationAgenda Item: 10.1 (3) HR & OD Monthly Trust Report (September 2016)
Agenda Item: 10.1 (3) HR & OD Monthly Trust Report (September 2016) Prepared by: Karen Taylor, Assistant Director of HR & Kyriacos Kyriacou, Interim Deputy Director of HR & OD Presented by: Louise Ludgrove,
More informationAll Wales Nursing Principles for Nursing Staff
All Wales Nursing Principles for Nursing Staff 1 Introduction The purpose of the paper is to respond to the Welsh Governments Staffing Principles for Nurse Staffing within Wales. These principles set out
More informationAssociate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
APPENDIX 5 BOARD OF DIRECTORS 18 JUNE 2014 Report to: Report from: Subject: Board of Directors Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Agenda item A5(iii) PROVIDING CLINICAL ASSURANCE: CLINICAL ASSURANCE TOOLKIT (CAT), NURSE STAFFING, FRIENDS & FAMILY TEST (FFT) A SUMMARY REPORT EXECUTIVE
More informationQuality & Safety Sub-Committee
Quality & Safety Sub-Committee Agenda Item QS/029/16 Date: 17/03/2016 Report Title FOIA Exemption Prepared by Presented by Action required Supporting Executive Director Safer Staffing No Exemption Janet
More informationSUMMARY REPORT. Board of Directors Date of meeting: 1 May P a g e
SUMMARY REPORT Board of Directors Date of meeting: 1 May 2018 Subject Prepared by Approved by Presented by Safe Staffing Report Nursing and Midwifery Eileen Aylott Assistant Director of Nursing, Workforce
More informationNewham Borough Summary report
Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity
More informationNorthumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting
Agenda item 7 iv) Northumberland, Tyne and Wear NHS Foundation Trust Meeting Date: 22 February 2017 Board of Directors Meeting Title and Author of Paper: Safer Staffing Quarter 3 Report (October December,
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 24 JULY 2017
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 24 JULY 2017 Subject Monthly Staffing Report June 2017 Supporting TEG Member Professor
More informationSUMMARY REPORT TRUST BOARD 1 March 2018 Agenda Number: 09
SUMMARY REPORT TRUST BOARD 1 March 2018 Agenda Number: 09 Title of Report Accountable Officer Author(s) Purpose of Report Recommendation Consultation Undertaken to Date Nursing and Midwifery Workforce
More informationPolicy Register No: Status: Public NURSING STAFFING SHORTFALL ESCALATION POLICY. NICE Guidelines July 2014 CQC Fundamental Standards: 17
NURSING STAFFING SHORTFALL ESCALATION POLICY Policy Register No: 09114 Status: Public Developed in response to: National Quality Board Recommendations2013 NICE Guidelines July 2014 CQC Fundamental Standards:
More informationNHS BORDERS. Nursing & Midwifery. Rostering Policy for Nursing & Midwifery Staff in Hospitals/Wards
NHS BORDERS Nursing & Midwifery Rostering Policy for Nursing & Midwifery Staff in Hospitals/Wards 1 CONTENTS Section Title Page 1 Purpose and Scope 3 2 Statement of Policy 3 3 Responsibilities and Organisational
More informationBiannual Safe Nurse Staffing Establishment Review January 2016
Biannual Safe Nurse Staffing Establishment Review January 2016 Authors: Sian Williams - Deputy Director of Nursing & Quality Carmel Healey - Head of Nursing, Planned Care Karen Rees - Head of Nursing,
More informationNLG(16)235. DATE OF MEETING 31 May Trust Board of Directors Public REPORT FOR
DATE OF MEETING 31 May 2016 REPORT FOR Trust Board of Directors Public REPORT FROM Dr Karen Dunderdale, Deputy Chief Executive and Jayne Adamson, Specialist Human Resources Lead CONTACT OFFICER Dr Karen
More informationIain Patterson. Associate Workforce Director Homerton University Hospital NHS Foundation Trust
Iain Patterson Associate Workforce Director Homerton University Hospital NHS Foundation Trust Who we are? Who we are? North East London Sector 3,800 staff spread across Hackney and beyond c. 3,000 acute
More informationExecutive Workforce Report
Executive Workforce Report (v2) Safe & Effective Kind & Caring Exceeding Expectation Agenda Item No: 9.3 The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 27 th November 2017 Title: Executive
More informationNURSING & MIDWIFERY WORKLOAD & WORKFORCE PLANNING PROJECT RECOMMENDATIONS AND ACTION PLAN NOVEMBER 2006 UPDATE
Forma cm NHS HIGHLAND WORKLOAD AND WORKFORCE PLANNING PROJECT RECOMMENDATIONS AND ACTION PLAN NURSING & MIDWIFERY WORKLOAD & WORKFORCE PLANNING PROJECT RECOMMENDATIONS AND ACTION PLAN NHS HIGHLAND NOVEMBER
More informationRBCH Actions to meet CQC Essential Standards
RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity
More informationNovember NHS Rushcliffe CCG Assurance Framework
November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT
9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report
More informationPRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH The aim of this report is to provide NHS Borders Board with a thematic review of:-
Appendix-15-35 Borders NHS Board PRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH 15 Aim The aim of this report is to provide NHS Borders Board with a thematic review of:- Avoidable hospital developed
More informationSBAR Report phase 1 Maternity, Gynaecology & Neonatal services
North Wales Maternity, Gynaecology, Neonatal and Paediatric service review SBAR Report phase 1 Maternity, Gynaecology & Neonatal services Situation The Minister for Health and Social Services has established
More informationBoard January 2018 Paper ref: Why is this paper going to board and what input is required?
Author: Sponsor: Forum submitted to: Divisional Heads of Nursing Paper date: January 2018 Director of Nursing & Patient Experience Louise Stead Version: 1 Board January 2018 Paper ref: 9 1. Purpose of
More informationRoyal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016
Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May RAG Dark green Light green Amber Red White Definition Action complete and assurance gained Action
More informationLearning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018
Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 218 Purpose The purpose of this paper is to update the Trust Board on progress with implementing the mandatory
More informationIntegrated Corporate Performance Report. August Page 1 of 9
Integrated Corporate Performance Report August Page of 9 Integrated Corporate Performance Report... Introduction The Integrated Corporate Performance Report (ICPR) includes: An Executive Summary - highlights
More informationIntegrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee
EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More informationRTT Recovery Planning and Trajectory Development: A Cambridge Tale
RTT Recovery Planning and Trajectory Development: A Cambridge Tale Linda Clarke Head of Operational Performance Addenbrooke s Hospital I Rosie Hospital Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep
More informationBoard of Directors Meeting 6 April Agenda item 31/16
Board of Directors Meeting 6 April 2016 Agenda item 31/16 Title Sponsoring Director Author Purpose Executive Summary: Recruitment Update Mary Foulkes, Director of OD and HR Niki Butler, Interim Resourcing
More informationNLG(14)098. DATE 25 March Trust Board of Directors Part A. Dr Neil Pease, Director of OD & Workforce. Monthly Staffing Report
DATE 25 March 2014 REPORT FOR Trust Board of Directors Part A REPORT FROM Dr Neil Pease, Director of OD & Workforce CONTACT OFFICER Dr Neil Pease, Director of OD & Workforce SUBJECT Monthly Staffing Report
More informationStrategic KPI Report Performance to December 2017
Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 3 th March 216 Title: Executive HR Report Executive Summary: The report provides an update on: Resourcing Update Medical Recruitment Management
More informationSTAFFING ESCALATION TIMELINE
STAFFING ESCALATION TIMELINE Date 2008 Staffing levels were first placed on the directorate risk register in 2008 and have been reviewed at subsequent directorate governance forums. 08.02.11 CQC visit
More informationSafeguarding Children Annual Report
Trust Board Public Safeguarding Children Annual Report Agenda item: For: Summary: Information The annual report for safeguarding children enables the Board to review the activity across the Trust in relation
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationQuality Governance and Risk Committee Safer Staffing Report January 2018
Introduction Quality Governance and Risk Committee Safer Staffing Report January 2018 The Safe Staffing initiative is part of the NHS response to the Frances Report which called for greater openness and
More informationMeeting of the Trust Board. 28 August 2017
Meeting of the Trust Board 28 August 2017 Report title: Safer Nurse Staffing Review Agenda item: 3.3 Executive Director: Authors: Tracey Brigstock Belinda Wood Adam Brown Title: Acting Director of Nursing
More informationPlease indicate: For Decision For Information For Discussion X Executive Summary Summary
Governing Body 22 March 2017 Details Part 1 X Part 2 Agenda Item No. 10 Title of Paper: Board Member: Author: Presenter: PAHT Quality Improvement Plan Catherine Jackson, Executive Nurse Catherine Jackson,
More informationCENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST. Cheryl Lenney, Chief Nurse
CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Agenda Item 9.4 Report of: Cheryl Lenney, Chief Nurse Paper prepared by: Dawn Pike, Director of Nursing Anne Marie Varney Head of Nursing (Workforce)
More informationProgress Report on C.Diff Action Plan
NHS GREATER GLASGOW AND CLYDE NHS Board Meeting 16 December 2008 Paper No. 08/55 Board Medical Director Progress Report on C.Diff Action Plan Recommendation The NHS Board is asked to receive this further
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More informationCQC Quality Improvement Plan
2018-19 CQC Quality Improvement Plan Date of Submission: 21/03/2018 Chief Executive: Lance McCarthy Chair Alan Burns Navigation Our Patients Our People Our Performance Our Places Key The table below identifies
More informationNHS Borders Feedback and Complaints Annual Report
NHS Borders Feedback and Complaints Annual Report 2016-17 1 Introduction NHS Borders Feedback and Complaints Annual Report 2016-17 is a summary of the feedback provided by the complaints, comments, concerns
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 26 March 2018 Financial Management Report for the 11 months to 28 February 2018 Author: Bob Brown, Assistant Director of Finance Governance and Shared Services
More informationSerious Incident Report Public Board Meeting 28 July 2016
Serious Incident Report Public Board Meeting 28 July 2016 Presented for: Presented by: Author Previous Committees Governance Dr Yvette Oade, Chief Medical Officer Louise Povey, Serious Incidents Investigations
More informationBOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013
Borders NHS Board BOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013 Aim The aim of this report is to provide the Board with an overview of progress in the areas of: Patient Safety Person Centred Health
More informationApproval Discussion Assurance ( )
TRUST BOARD IN PUBLIC Date: 27 th July 2017 Agenda Item: 6.2 REPORT TITLE: 2016 National Staff Survey Update SASH Action Plans Mark Preston EXECUTIVE SPONSOR: Director of Organisational Development & People
More informationBoard of Directors Meeting February Director of Nursing Report Monthly Report of Nurse/Midwifery Staffing Levels. 1 January January 2016
EXECUTIVE SUMMARY Board of Directors Meeting February 2016 Director of Nursing Report Monthly Report of Nurse/Midwifery Staffing Levels 1 January 2016-31 January 2016 The NHS National Quality Board published
More informationCQC IMPROVEMENT ACTION PLAN. Page 1 of 86 CQC Improvement Plan (Published 10/8/15)
CQC IMPROVEMENT ACTION PLAN Page 1 of 86 CQC Improvement Plan (Published 10/8/15) Contents FOREWORD FROM THE CHIEF EXECUTIVE... 3 TRFT INSPECTION RATINGS... 4 AREAS FOR IMPROVEMENT... 5 ACTION PLAN MUST
More informationNursing and Midwifery Establishment review April 2017 Page 1
Trust Board - July 217 Agenda Item: Nursing and Midwifery Establishment Review PURPOSE PREVIOUSLY CONSIDERED BY To provide the Board with the bi-annual review report for ward establishments for April 217
More informationElaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing
Report to: Board of Directors Date of Meeting: 26 th October 2016 Report Title: Inpatient Falls Report Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): For information x Discussion
More informationNHS Electronic Referrals Service. Paper Switch Off an update Digital Health Webinar 4 May 2018
NHS Electronic Referrals Service Paper Switch Off an update Digital Health Webinar 4 May 2018 Aims of Session Introductions and refresh of Paper Switch Off Sharon Wilson Implementation manager NHS Digital
More informationA Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust
A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust Health Visiting Local Picture Population of approx 21,000 under 5s 10 Health Visitor Teams across the borough New model of
More informationBoard of Directors APRIL Safe Staffing levels for the adult in-patient wards, including Children s Services and the Women s Health Unit
CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST Board of Directors APRIL 2016 Title of enclosure: Author: Lead director: Safe Staffing levels for the adult in-patient wards, including Children s Services
More informationLOCAL SUPERVISING AUTHORITY ANNUAL REPORT
LOCAL SUPERVISING AUTHORITY ANNUAL REPORT 2006 Table of Contents 1.0 PURPOSE OF REPORT...1 2.0 ORGANISATION OF SUPERVISION OF MIDWIVES...1 2.1 Appointment of Supervisor of Midwives...1 2.2 Resignation/De-Selection
More information: Geraint Davies, Director of Commercial Services
Report to : Trust Board of Directors Date of Report: 15/05/2015 Agenda Item: 0/15 Date of Meeting : 28 May 2015 Subject Report from Purpose : Report on Corporate Risk Register : Geraint Davies, Director
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Meeting Date: 3 th June 214 Trust Board Report Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:
More informationQuality & Performance Report. Public Board
Agenda Item 12.1 Quality & Performance Report Public Board 27 th November 2014 Presented for: Presented by: Author: Previous Committees: Governance Professor Suzanne Hinchliffe CBE Chief Nurse / Interim
More informationQuality Framework Healthier, Happier, Longer
Quality Framework 2015-2016 Healthier, Happier, Longer Telford & Wrekin Clinical Commissioning Group (CCG) makes quality everyone s business. Our working processes are designed to ensure we all have the
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S REPORT. BOARD OF DIRECTORS 21 st March 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST I CHIEF EXECUTIVE S REPORT BOARD OF DIRECTORS 21 st 212 1. PERFORMANCE In overall terms, the Trust continues to perform well against both regulatory and
More informationNottingham University Hospitals Emergency Department Quality Issues Related to Performance
RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.
More informationCOVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP
COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality
More informationNational Trends Winter 2016
National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn
More informationObstetric, Maternity and Gynaecology Services
Action Plan Arising from RCPCH Evaluation Recommendation Obstetric, Maternity and Gynaecology Services Strategy and Patient safety 1 Expedite the Phase Two business case and commence development to provide
More informationJoint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse
TRUST BOARD IN PUBLIC REPORT TITLE: Date: 28 March 2013 Agenda Item: 2.4 Joint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse EXECUTIVE SPONSOR: Dr. Des Holden, Medical Director
More informationHealth Board Report INTEGRATED PERFORMANCE DASHBOARD
AGENDA ITEM 4.2 27 th January 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact
More informationBOARD OF DIRECTORS MEETING 7th March 2018
BOARD OF DIRECTORS MEETING 7th March 2018 Agenda Item TB058/18 Report Title Executive Lead Lead Officer Monthly Safer Staffing Report (January 2018) Sheila Lloyd Director of Nursing Midwifery Therapies
More informationImplementation of Quality Framework Update
Joint Committee Meeting 26 January 2016 Title of the Committee Paper Framework Update Executive Lead: Director of Nursing & Quality Assurance Author: Director of Nursing & Quality Assurance Contact Details
More informationAneurin Bevan University Health Board. Professional Revalidation
28 th January 20 Aneurin Bevan University Health Board Professional Revalidation Purpose of the Report: The purpose of this paper is to provide the Board with an update in relation to the Nursing Revalidation
More informationPreceptorship Guideline
Preceptorship Guideline Name of Guideline Author and Title: Sally Whitehouse Preceptorship Lead Name of Review/Development Body: Practice Development Group (PDG) Ratification Body: Professional Nursing
More informationIntegrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018
6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee
More information