The 6C s: A Vision for Nursing
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1 The 6C s: A Vision for Nursing Teresa Fenech Deputy Director of Quality Assurance The 6Cs : Ward Managers Manchester November 2013
2 The NHS Mandate 2 NHS Presentation Nov 2013
3 The vision for nurses, midwives and care staff 3 NHS Presentation Nov 2013
4 6Cs - Values essential to compassionate care Care Compassion Competence Care is our core business and that of our organisations; and the care we deliver helps the individual person and improves the health of the whole community. Caring defines us and our work. People receiving care expect it to be right for them consistently throughout every stage of their life. Compassion is how care is given through relationships based on empathy, respect and dignity. It can also be described as intelligent kindness and is central to how people perceive their care. Competence means all those in caring roles mist have the ability to understand an individual s health and social needs. It is also about having the expertise, clinical and technical knowledge to deliver effective care and treatments based on research and evidence. Communication Courage Commitment Communication is central to successful caring relationships and to effective team working. Listening is as important as what we say. It is essential for No decision without me. Communication is the key to a good workplace with benefits for those in our care and staff alike. Courage enables us to do the right thing for the people we care for, to speak up when we have concerns. It means we have the personal strength and vision to innovate and to embrace new ways of working. A commitment to our patients and populations is a cornerstone of what we do. We need to build on our commitment to improve the care and experience of our patients. We need to take action to make this vision and strategy a reality for all and meet the health and social care challenges ahead. 4 NHS Presentation Nov 2013
5 Action at all levels 1.National Actions a range of initiatives that will be led by national bodies and regulators. 2.Local Actions a range of initiatives to be led by local organisations and be supported by national bodies. 3.Call to Action the overarching focus for organisations and individuals specific to each area of action. 5 NHS Presentation Nov 2013
6 Six areas of action 6 NHS Presentation Nov 2013
7 7 NHS Presentation Nov 2013
8 Supervisory V Supernumerary Visibility to the team, patients and users Working alongside the team in different ways Monitoring standards of care provided by the team Providing regular feedback to the team on standards of nursing care, patient and service user experience Creating a culture for learning and development Adapted from :A Framework for describing the supervisory role of Ward Sister: RCN
9 What do the 6Cs mean to you..to your patients..to your profession?
10 This driver diagram explains how the 6Cs relate to how we treat our patients and how we behave as professionals Provide great CARE Essentials of Excellence in Nursing & Midwifery For all my patients, every time, I care enough to: For myself and my profession, I care enough to: Be COMPASSIONate COMMUNICATE effectively Have the COURAGE to speak out Improve my COMPETENCE Demonstrate COMMITMENT
11 I measure this by Provide great CARE Reviewing the SAFETY of my patients Essentials of Excellence in Nursing & Midwifery For all my patients, every time, I care enough to: For myself and my profession, I care enough to: Be COMPASSIONate COMMUNICATE effectively Have the COURAGE to speak out Improve my COMPETENCE Asking my patients everyday what matters to you? Providing safe transitions in partnership with patients Reporting when things go wrong and taking action Learning something new everyday and sharing it Demonstrate COMMITMENT Taking personal responsibility for leading improvements in care with my team
12 Nursing measures for the 6Cs We will build measures for the 6Cs at different levels of the system across the health economy: National measures Organisational measures Ward / team measures We will draw on the data we already have wherever possible but we will be aspirational and strive to get the best possible measures in order to understand the care we deliver and demonstrate improvement We are committed to transparency. We will ensure that all data are transparent and presented in a way that is meaningful to patients, frontline healthcare professionals and NHS leaders
13 13
14 Courage: national measures Incident reporting For myself and my profession, I care enough to have the courage to speak out Reporting when things go wrong and taking action Transparency audit Data available Pledge to make a difference by doing your part to eliminate pressure ulcers #notonmywatch
15 Courage: national measures Incident reporting For myself and my profession, I care enough to have the courage to speak out Reporting when things go wrong and taking action Transparency audit Data available Pledge to make a difference by doing your part to eliminate pressure ulcers #notonmywatch
16 1 6 Open and Honest Care: Driving Improvement
17 Communication: national measures For all of my patients, every time, I care enough to communicate effectively I will measure this by providing safe transitions in partnership with patients I will ensure my communication facilitates safe clinical care Checklist compliance (WHO) Human factors Reliable observations Estimated Date of Discharge Complaints
18 Care: national measures I measure this by reviewing the safety of my patients MRSA Infection data C.Difficile MSSA For all of my patients, every time, I care enough to provide great care Mortality NHS Safety Thermometer Pressure ulcers Falls Catheters and UTIs VTE Harm free care
19 Competence: national measures For myself and my profession, I care enough to improve my competence Learning something new everyday and sharing it
20 Compassion: national measures For all of my patients, every time, I care enough to be compassionate Friends and family Patient experience CQC inpatient survey Patient stories I will ask my patients everyday what matters to you Do we need to measure compassion more directly? Compassion evaluation scale for staff from Derby University
21 We will deliver Compassion in Practice, through: 21 NHS Presentation Nov 2013
22 6Cs Live! Communication Hub 22 NHS Presentation Nov 2013
23 23 NHS Presentation to [XXXX Company] [Type Date]
24 #caremakers 24 To apply:
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