Current policy context of safe staffing in A&E Departments
|
|
- Linette Benson
- 6 years ago
- Views:
Transcription
1 Current policy context of safe staffing in A&E Departments Howard Catton, Head of Policy and International Affairs Hallam Conference Centre, London -18 th May 2015
2 Why is safe staffing so important? Right numbers = Safe patients, safe nurses SAFE STAFFING PATIENT SAFETY Lower mortality rates Lower hospital-acquired infection rates Fewer falls Lower failure to rescue rates Fewer medicine errors Better patient experience NURSE SAFETY Lower stress levels Lower illness rates Lower absence rates Better morale Improved retention rates Lower burnout rates Kane et al (2007), Aiken et al (2014)... and many more
3 The evidence for safe staffing Mortality rates and care left undone Aiken et al. (Lancet, 2014): increase in each nurses workload by one patient increased odds of mortality by 7%. Every 10% increase in bachelor s degree nursing associated with 7% decrease in odds of mortality. Ausserhofer et al. (BMJ Qual Saf, 2014): RN4Cast data worse nurse to patient ratios led to more care reported left undone. Most frequent activities left undone include: Comfort/talk with patients (53%) Developing or updating nursing care plans/care pathways (42%) Educating patients and families (41%)
4 A lawyer, a doctor and a politician walk into a bar... Francis the decline in skills and standards [at Mid Staffordshire] was associated with inadequate staffing levels and skills, and a lack of effective leadership and support Trust did not have reliable figures for its nursing establishments, either in theory or in practice Keogh inadequate numbers of nursing staff in a number of ward areas, particularly out of hours - at night and at the weekend...compounded by an over-reliance on unregistered support staff and temporary staff reported data did not provide a true picture of the numbers of staff actually working on the wards Berwick Government, Health Education England and NHS England should assure that sufficient staff are available to meet the NHS s needs now and in the future. Staffing levels should be consistent with the scientific evidence on safe staffing, adjusted to patient acuity and the local context. (This includes, but is not limited to, nurse-to-patient staffing ratios, skill mixes..., and doctor-to-bed ratios.)
5 Nursing workforce cut from May 2010 until Francis effect Renewed recruitment focused on acute settings Dilution of the skill mix
6 A&E staffing data shows Nurses FTE Band 5 Band 6 Budgeted Actual Temporary Recommended A&E departments are budgeting for more bands 5 and 6 nurses than they can fill and more than they need based on activity data. Difficulty recruiting, especially band 5 where there is an average 23% shortfall. A&E trying to plug the band 5 gap with temporary staff, most likely to be bank/agency. *Figures based on A&E staffing data from 33 Trusts and actual patient acuity data (Keith Hurst, 2014)
7 Senior nurses in A&E Nurses FTE Band 7 Band 8 Budgeted Actual Temporary Recommended A&E s are not budgeting for enough senior nurses based on need. 15% gap between number of budgeted and actual band 7 nurses. A significant gap between actual and recommended; the band 8 establishment needs doubling. Temporary staff likely to be staff working overtime. *Figures based on A&E staffing data from 33 Trusts and actual patient acuity data (Keith Hurst, 2014)
8 Support workers in A&E Nurses FTE Band 1-2 Band 3 Band 4 Budgeted Actual Temporary Band 4 assistant practitioners are key to the A&E team (based on the activity analysis). However, either through vacancy freezes or recruitment problems, there s a 48% shortfall between budgeted and actual. Unusually, Band 1-3 actual staffing exceeds budgeted. *Figures based on A&E staffing data from 33 Trusts and actual patient acuity data (Keith Hurst, 2014) ** Support workers include healthcare assistants, admin and clerical staff, and porters
9 Policy response to safe staffing in acute adult in-patient wards Gov response: no nurse to patient ratios but NQB report and CNO letter; Board updates + to review every 6 months Trusts display staffing info present + planned Trust website + NHS Choices NICE guideline published in July 2014 Record red flags NICE will validate workforce planning tools No ratio but explains at 1:8 there is increased risk of harm Programme of guidelines across settings planned CQC Essential Standard; sufficient, skilled and deployed Safe Staffing Alliance; never more than 8
10 Policy response to safe staffing in A&E NICE safe staffing guideline in A&E (May 2015) 2 RNs to 1 patient in major trauma or cardiac arrest 1 RN to 4 cubicles in either majors or minors Specialist input for children, older people or those with mental health needs Plan above average number of patients to deal with peaks in demand and allow flexibility
11 Current state of play Real time, ward level information for patients and the public Monthly staffing level indicator as part of patient safety dataset on NHS Choices, broken down into: % of registered nurse day hours filled as planned % of non registered nurse day hours filled as planned % of registered nurse night hours filled as planned % of non registered nurse night hours filled as planned However 4 out of 5 acute trusts are currently missing safe staffing target (Shaun Lintern, April 2015) 85% of hospitals missed own target for nurses working in the daytime 67% of hospitals missed their target for filling night shifts New traffic light rating system for staffing levels in trusts (Shaun Lintern, April 2015)
12 Structure of potential new system envisaged by NHS England Urgent and Emergency Care Review
13 Where are we now? Clear evidence of shortage Increased use of agency nurses 150% increase in agency spend in past 2 years (RCN, 2015) NHS has spent nearly 1bn on agency staff in 2014/15 (RCN, 2015) Varying vacancy rates 20,000 vacancies (RCN, 2015) NHS vacancy rate of around 10% (NHS Employers and HEE, 2015) 14% vacancy rate in Ambulance Trusts (Monitor, 2015) Increased international recruitment For the first time since UK has moved to being a net importer of nurses 28% of Trusts reporting problems retaining overseas nurses within 2 years (Nursing Times, 2015) Global shortage Shortage of 600,000 nurses across EU predicted by 2020 Shortage of 800,000 nurses in US predicted by 2020
14 Future policy challenges Five Year Forward View 7 day services Integration of health and social care Reward and incentives Numbers, skills and location
15 Thank you any questions?
Policy and practice challenges facing nurses and the profession in the run up to the next General Election
Policy and practice challenges facing nurses and the profession in the run up to the next General Election 6 Cs in Nursing Hallam Conference Centre, London 11 March 2014 Howard Catton Head of Policy and
More informationOut of Hours Care in Hospital. Miss Susan Osborne CBE Chair Safe Staffing Alliance Independent Nursing and Management Consultant December 2 nd 2014
Out of Hours Care in Hospital Miss Susan Osborne CBE Chair Safe Staffing Alliance Independent Nursing and Management Consultant December 2 nd 2014 PRESENTATION CONTENT: Nurse staffing and skill mix: National
More informationFrontline First Running the red light November 2013 special report
Frontline First Running the red light November 2013 special report Contents Executive summary 3 Main report 5 1 The importance of safe staffing levels 5 2.1 Patient outcomes 5 2.2 Recruitment and retention
More informationSafe staffing for nursing in A&E departments. NICE safe staffing guideline Draft for consultation, 16 January to 12 February 2015
Safe staffing for nursing in A&E departments NICE safe staffing guideline Draft for consultation, 16 January to 12 February 2015 Safe staffing for nursing in A&E departments: NICE safe staffing guideline
More informationNurse staffing & patient outcomes
Nurse staffing & patient outcomes Jane Ball University of Southampton, UK Karolinska Institutet, Sweden Decades of research In the 1980 s eg. - Hinshaw et al (1981) Staff, patient and cost outcomes of
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 informationSAFE STAFFING GUIDELINE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline title SAFE STAFFING GUIDELINE SCOPE 1. Safe staffing for nursing in accident and emergency departments Background 2. The National Institute for
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 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 informationQualified/registered nursing workforce survey
Qualified/registered nursing workforce survey Guidelines for completion Please use this document as a guide to complete the online survey at www.nhsemployers.org/nursingworkforcesurvey. Each NHS provider
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 of Directors (Public) Paper number: 4.5
Report to: Board of Directors (Public) Paper number: 4.5 Report for: Monitoring / Decision Report type: Operational Performance Date: 20 April 2016 Report author: Caroline Harris-Birtles, Deputy Director
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 informationImprovement and assessment framework for children and young people s health services
Improvement and assessment framework for children and young people s health services To support challenged children and young people s health services achieve a good or outstanding CQC rating February
More informationNursing skill mix and staffing levels for safe patient care
EVIDENCE SERVICE Providing the best available knowledge about effective care Nursing skill mix and staffing levels for safe patient care RAPID APPRAISAL OF EVIDENCE, 19 March 2015 (Style 2, v1.0) Contents
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 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 informationHealth Foundation submission: Health Select Committee inquiry on nursing workforce
Health Foundation submission: Health Select Committee inquiry on nursing workforce October 2017 Thank you for the opportunity to respond to the Health Select Committee inquiry on nursing workforce. Our
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 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 informationcloser to general including The case across the by providing savings from factored 303m by 2019/20.
RESOURCING GENERAL PRACTICE TO IMPROVE PATIENT CARE ANDD ENSURE A SUSTAINABLE NHS: RCGP SUBMISSION FOR THE 2015 SPENDINGG REVIEW A year ago, NHS England together with a range of other agencies published
More information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:
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 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 informationNHS Board Workforce Projections 2017 NHS LANARKSHIRE. Table of Contents
NHS Board Workforce Projections 2017 NHS LANARKSHIRE Table of Contents 1. Overall 1.1 Comments / Data Quality Issues / Direction of Travel 1.2 Brief Information on Workforce Cost Savings (non-staff) i.e.
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 informationSustaining and developing the role of the nurse in care homes. Karen Spilsbury Professor of Nursing
Sustaining and developing the role of the nurse in care homes Karen Spilsbury Professor of Nursing k.spilsbury@leeds.ac.uk @SpillersK http://www.rcnfoundation.org.uk/latest_news/ 2015-news/care-home-research
More informationAn overview of the challenges facing care homes in the UK
An overview of the challenges facing care homes in the UK Cousins, C., Burrows, R., Cousins, G., Dunlop, E., & Mitchell, G. (2016). An overview of the challenges facing care homes in the UK. Nursing Older
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 information2. The mental health workforce
2. The mental health workforce Psychiatry Data provided by NHS Digital demonstrates that in September 2016 there were 8,819 psychiatrists (total number across all grades). This is 6.3% more psychiatrists
More informationNurse-to-Patient Ratios
N U R S I N G M A T T E R S Nursing Matters fact sheets provide quick reference information and international perspectives from the nursing profession on current health and social issues. Nurse-to-Patient
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 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 informationA vote for. BMA manifesto British Medical Association bma.org.uk
A vote for BMA manifesto 2017 British Medical Association bma.org.uk British Medical Association BMA manifesto 2017 1 The BMA is the voice of doctors and medical students in the UK The BMA (British Medical
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 informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE 26 OCTOBER 2015
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE 26 OCTOBER 2015 Subject Supporting TEG Member Authors Status 1 Update on the Nursing Workforce
More informationUrgent and Emergency Care Service Models & Workforce Summit
Urgent and Emergency Care Service Models & Workforce Summit Hallam Conference Centre, London 4 December 2014 Wifi: HCC GUEST Password: hallam44 Welcome and Introduction Heather Strawbridge, Chair NHS Confederation
More informationRoyal College of Nursing Evidence to the NHS Pay Review Body
Royal College of Nursing Evidence to the NHS Pay Review Body 2013 14 October 2012 Publication code 004 336 Royal College of Nursing Evidence to the NHS Pay Review Body 2013 14 1. Introduction The nursing
More informationSafe and Effective Staffing: the Real Picture UK POLICY REPORT
Safe and Effective Staffing: the Real Picture UK POLICY REPORT SAFE AND EFFECTIVE STAFFING: THE REAL PICTURE Acknowledgements Authored by Claire Helm and Lisa Bungeroth Contributions from Julian Russell,
More informationTitle page. Catherine Pope 2, Chiara Dall Ora 1, Peter Griffiths 1, Jeremy Jones 3, Robert Crouch 4, Jonathan Drennan 2
Title page Safe Staffing for Nursing in Emergency Departments: evidence review Alejandra Recio-Saucedo 1, University of Southampton, Building 67, Highfield, Southampton, SO17 1BJ, A.Recio-Saucedo@soton.ac.uk
More informationSOMERSET PARTNERSHIP NHS FOUNDATION TRUST SIX MONTHLY REVIEW OF STAFFING ESTABLISHMENTS TIME TO TALK, TIME TO LISTEN, TIME TO CARE
SOMERSET PARTNERSHIP NHS FOUNDATION TRUST SIX MONTHLY REVIEW OF STAFFING ESTABLISHMENTS TIME TO TALK, TIME TO LISTEN, TIME TO CARE Report to the Trust Board 24 November 2015 Sponsoring Director: Author:
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 informationWorcestershire Acute Hospitals NHS Trust
Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Quality Report Charles Hastings Way Worcester WR5 1DD Tel: 01905 763333 Website: www.worcsacute.nhs.uk Date of inspection visit: 12,
More informationTransformation of Urgent and Emergency Care Services
Transformation of Urgent and Emergency Care Services The Role of Emergency Nursing in Providing the Highest Standards of Care Mary Hutchinson RN, BSc (Hons), MSc, FFEN Tackling the systemic problem of
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 informationHealth and gender. Briefing from the UK Women s Budget Group on the impact of changes in health policy on women. Key points
Health and gender Briefing from the UK Women s Budget Group on the impact of changes in health policy on women Key points Over the last decade health services have seen some of the lowest spending increases
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 informationNational Audit Office value for money study on NHS ambulance services
National Audit Office value for money study on NHS ambulance services Robert White 7 February 2017 Introduction (1) Some key facts on the financial environment NHS 1.85bn net deficit of NHS bodies (NHS
More informationRCN policy position: evidence-based nurse staffing levels
RCN policy position: evidence-based nurse staffing levels RCN policy position: evidence-based nurse staffing levels Everybody governments, regulators, managers, nurses and perhaps most of all, patients
More informationEMAS and Lincolnshire division update
EMAS and Lincolnshire division update Page 67 Chief Executive Richard Henderson and General Manager David Williams 2016/17 overview 2016/17 was a real challenge across NHS and Social Care services. Page
More informationStaffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan
Staffordshire and Stoke on Trent Partnership NHS Trust Operational Plan 2016-17 Contents Introducing Staffordshire and Stoke on Trent Partnership NHS Trust... 3 The vision of the health and care system...
More informationCHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS 28 APRIL 2014 EXECUTIVE SUMMARY
CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS 28 APRIL 2014 EXECUTIVE SUMMARY AGENDA ITEM: AUTHOR: Nurse Staffing Review Lynn Andrews Director of Nursing and Patient Care Steve Hackett
More informationThe association of nurses shift characteristics and sickness absence
The association of nurses shift characteristics and sickness absence Chiara Dall Ora, Peter Griffiths, Jane Ball, Alejandra Recio-Saucedo, Antonello Maruotti, Oliver Redfern Collaboration for Leadership
More informationSafe, sustainable and productive staffing. An improvement resource for urgent and emergency care
Safe, sustainable and productive staffing An improvement resource for urgent and emergency care November 2017 Contents Summary... 3 1. Introduction... 5 Background... 6 2. Right staff... 7 2.1. Evidence-based
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 informationThe NHS Employers submission to the Migration Advisory Committee (MAC) call for evidence
The NHS Employers submission to the Migration Advisory Committee (MAC) call for evidence Our organisation represents the whole range of views from across employing organisations in the NHS in England on
More informationPreparing to implement mental health access and waiting time standards
Preparing to implement mental health access and waiting time standards Becki Hemming MH Access & Waits Programme Lead, NHS England Presentation summary 1. Context 2. The standards to be introduced from
More informationThe future of mental health: the Taskforce 5 year forward view and beyond
The future of mental health: the Taskforce 5 year forward view and beyond May 2016 Content Mental Health Taskforce Overview Achieving Better Access Safe, Effective and Compassionate Care Integrating Physical
More informationHEALTH AND CARE (STAFFING) (SCOTLAND) BILL
HEALTH AND CARE (STAFFING) (SCOTLAND) BILL POLICY MEMORANDUM INTRODUCTION 1. As required under Rule 9.3.3 of the Parliament s Standing Orders, this Policy Memorandum is published to accompany the Health
More informationHard 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 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 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 informationSTAFFING: The Pivotal Role of RNs
STAFFING: The Pivotal Role of RNs RN Staffing Standards: Medicare Requirements and the Joint Commission Standards November 16, 2007 Patients go to the hospital for an intervention and stay in the hospital
More informationStruggling to cope. Mental health staff and services under pressure. Struggling to cope. Mental health staff and services under pressure
Mental health staff and services under pressure UNISON s survey report of mental health staff 2017 Mental health staff and services under pressure UNISON s survey report of mental health staff 2017 Page
More informationFrontline First Congress 2011 Update
Frontline First Congress 2011 Update Summary: Until recently, NHS trusts in England have only provided figures on the global workforce reductions within their organisations. In November 2010, the RCN published
More informationNatalie Shamash Careers Clinic Project Lead University College London Hospitals NHS Foundation Trust Lorraine Szeremeta
#IGNursing17 Natalie Shamash Careers Clinic Project Lead University College London Hospitals NHS Foundation Trust Lorraine Szeremeta Deputy Chief Nurse University College London Hospitals NHS Foundation
More informationThe Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission
The Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission Primary Care Workforce Commission Aim: to identify models of primary care to meet the future needs of the NHS
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 informationTESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016
TESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016 EXECUTIVE SUMMARY Whilst cancer survival is at its highest ever level, our health services are under considerable pressure.
More informationIs the quality of care in England getting better? QualityWatch Annual Statement 2013: Summary of findings
Is the quality of care in England getting better? QualityWatch Annual Statement 2013: Summary of findings October 2013 About QualityWatch QualityWatch is a major research programme providing independent
More informationNURSING WORKLOAD AND WORKFORCE PLANNING PAEDIATRIC QUESTIONNAIRE
NURSING WORKLOAD AND WORKFORCE PLANNING PAEDIATRIC QUESTIONNAIRE INSTRUCTIONS FOR COMPLETION IN EXCEL Please complete this questionnaire electronically. Questions should be answered by either entering
More informationNursing and Midwifery Story. .Policy.Research.Practice.
Nursing and Midwifery Story.Policy.Research.Practice. Dr Siobhan O Halloran Chief Nursing Officer @chiefnurseire Compassionate Mindful Healthcare Bon Secours September 2016 (Wilde) The significant problems
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 informationMeasuring for improvement The new CQC hospital programme. Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013
Measuring for improvement The new CQC hospital programme Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013 1 Our purpose and role Our purpose We make sure health and
More informationImplementing NHS Services Seven Days a Week
Implementing NHS Services Seven Days a Week Deborah Williams 7 Day Services Programme Manager NHS England November 2015 NHS Five Year Forward View To reduce variations in when patients receive care, we
More informationCare Quality Commission (CQC) Inspection Briefing
Care Quality Commission (CQC) Inspection Briefing The CQC exists to make sure hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective,
More informationNurse Staffing Approach in Wales
Nurse Staffing Approach in Wales Dr Jean White Chief Nursing Officer Welsh Government / Nurse Director NHS Wales Visiting Professor Cardiff University & University of South Wales Health services in Wales
More informationMental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust
Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people
More informationReview of 2017/18 & looking forwards
Review of 2017/18 & looking forwards Daren Mochrie QAM, Chief Executive Aspiring to be better today and even better tomorrow Who we are and what we do South East Coast Ambulance Service NHS Foundation
More informationNunavut Nursing Recruitment and Retention Strategy November 06, 2007
Nunavut Nursing Recruitment and Retention Strategy November 06, 2007 Page 1 of 10 I. PREFACE The Nunavut Nursing Recruitment and Retention Strategy is the product of extensive consultation with nursing
More informationNorthern Lincolnshire and Goole NHS Foundation Trust
Northern Lincolnshire and Goole NHS Foundation Trust Diana Princess of Wales Hospital Quality Report Scartho Road Grimsby Lincolnshire DN33 2BA Tel: 01472 874111 Website: www.nlg.nhs.uk Date of inspection
More information"Nurse Staffing" Introduction Nurse Staffing and Patient Outcomes
"Nurse Staffing" A Position Statement of the Virginia Hospital and Healthcare Association, Virginia Nurses Association and Virginia Organization of Nurse Executives Introduction The profession of nursing
More informationPreparing to implement the new access and waiting time standard for early intervention in psychosis
Preparing to implement the new access and waiting time standard for early intervention in psychosis Sarah Khan Deputy Head of Mental Health (Policy & Strategy) 1. Context for the introduction of access
More informationThe update against the plan is presented in the summary report format, showing areas of progress against the shared key themes of the three reports.
Trust Response to Francis, Keogh, Berwick Quarter 4 2014/15 Overview: This report forms the quarter 4, 2014/15 report to QAC, providing an update on the status of the Trust action plan developed in response
More informationReviewing and Assessing Service Redesign and/or Change Proposals
Reviewing and Assessing Service Redesign and/or Change Proposals RCN guidance CLINICAL PROFESSIONAL RESOURCE Acknowledgements Helen Donovan, RCN Professional Lead for Public Health Nursing David Dipple,
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY BOARD OF DIRECTORS 17 MAY Kirsten Major, Deputy Chief Executive
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY BOARD OF DIRECTORS 17 MAY 2017 Subject: Corporate Strategy 2017-2020 and Corporate Objectives for 2017/18. Supporting TEG Member: Authors:
More informationAPPENDIX 7C BENEFITS REALISATION PLAN
APPENDIX 7C BENEFITS REALISATION PLAN 150804 Shropshire Future Fit SOC v2.2 Appendices APPENDICES Draft Benefits Realisation Plan V0.9 150415 FutureFit Benefits Realisation Plan V0.9 Page 1 The purpose
More informationDeveloping seven day services in hospital pharmacy: giving patients the care they deserve
Developing seven day services in hospital pharmacy: giving patients the care they deserve Dr Catherine Duggan, FRPharmS RPS Director of Professional Development and Support Why seven day services? Why
More informationBuilding capacity to care and capability to treat a new team member for health and social care
Briefing paper Building capacity to care and capability to treat a new team member for health and social care Consultation briefing NMC revalidation: next steps 8 Introduction On 28 January 2016, a consultation
More informationNorfolk and Suffolk NHS Foundation Trust mental health services in Norfolk
Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support
More informationStewart Mason, Emergency Planning and Resilience Officer Tom Jones, Clinical Programme Manager
Paper 8 Recommendation DECISION NOTE Reporting to: The Trust Board is asked to RECEIVE and APPROVE the Emergency Department Service Continuity Plan (Princess Royal Hospital site). Trust Board Date Thursday
More informationNearly two-thirds of RNs working in Michigan hospitals believe staffing levels are based more on financial factors than on patient acuity.
Memorandum To: From: Michigan Nurses Association Chris Anderson, Lauren Coates Date: March 21, 2016 RE: Survey of Michigan Registered Nurses This memorandum summarizes the key findings from a statewide
More informationWorkforce Transformation
1 Workforce Transformation Prof Lis Paice OBE FRCP North West London Whole Systems Integrated Care Julie Screaton, Managing Director, Health Education South London 5 themes from 30 enquiries into major
More informationTrust Board Michelle Rhodes Director of Nursing Date: 23 February 2016 Essential Standards: Standard 13 NICE Safer Staffing Guidance NQB Guidance
Agenda Item: 6.3 To: Trust Board From: Michelle Rhodes Director of Nursing Date: 23 February 2016 Essential Standards: Standard 13 NICE Safer Staffing Guidance NQB Guidance Title: Nursing and Midwifery
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 informationNew foundations: the future of NHS trust providers
RCN Policy Unit Policy Briefing 05/2010 New foundations: the future of NHS trust providers April 2010 Royal College of Nursing 20 Cavendish Square London W1G 0RN Telephone 020 7647 3754 Fax 020 7647 3498
More informationVision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15
Bedfordshire Clinical Commissioning Group Quality Strategy 2014-2016 Contents SECTION 1: Vision 3 1.1 Vision for Quality 3 1.2 What is Quality? 3 1.3 The NHS Outcomes Framework 3 1.4 Other National Drivers
More informationTrust Key Performance Indicators
Monthly - February 2007 Patient Experience Length of Stay - Overall A Mortality Rate G Cancelled Operations R Elective A Peri-operative Mortality Rate Cancelled Operations (28 day reschedule) A Non-elective
More information